description: Dieses Profil beschreibt die Tumorkonferenz und die Therapieempfehlungen
package_name: de.medizininformatikinitiative.kerndatensatz.onkologie
derivation: constraint
name: MII_PR_Onko_Tumorkonferenz
type: CarePlan
elements:
  category:
    mustSupport: true
    index: 3
    elements:
      coding:
        short: Art der Tumorkonferenz / Therapieplanung
        index: 4
        _definition:
          extension:
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: de-DE}
            - {url: content, valueString: Art der Tumorkonferenz / Therapieplanung gemäß 18.2 oBDS 2021.}
        mustSupport: true
        _short:
          extension:
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: de-DE}
            - {url: content, valueString: Art der Tumorkonferenz / Therapieplanung}
        elements:
          system:
            pattern: {type: Uri, value: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapieplanung-typ'}
            mustSupport: true
            index: 5
          code: {mustSupport: true, index: 6}
        binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-therapieplanung-typ'}
        required: [system, code]
    required: [coding]
  addresses:
    type: Reference
    mustSupport: true
    refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor']
    index: 10
  meta:
    elements:
      profile: {mustSupport: true, index: 0}
  supportingInfo: {mustSupport: true, index: 11}
  encounter: {mustSupport: true, index: 8}
  created:
    short: Datum der Tumorkonferenz / Therapieplanung
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Datum der Tumorkonferenz / Therapieplanung gemäß 18.1 oBDS 2021.}
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Datum der Tumorkonferenz / Therapieplanung}
    index: 9
  activity:
    short: Therapy recommendations - either oBDS standard categorization or extended molecular protocols
    mustSupport: true
    index: 12
    slicing:
      rules: open
      discriminator:
      - {path: detail, type: exists}
      min: null
      slices:
        obds:
          match: {}
          schema:
            short: Standard oBDS therapy recommendation with category only
            array: true
            index: 13
            elements:
              reference: {index: 14}
              detail:
                constraint:
                  tumorkonferenz-empfehlung-entscheidung-patient: {human: 'Therapieabweichung aufgrund Patientenwunsch: Bei nichtangetretener oder abgebrochener Therapie ist anzugeben, ob dies dem Patientenwunsch entspricht oder ggfs. andere Gründe hat', source: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tumorkonferenz', severity: error, expression: status = 'cancelled' or status = 'stopped' implies statusReason.exists()}
                mustSupport: true
                index: 15
                elements:
                  code:
                    binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-therapieempfehlung-typ'}
                    mustSupport: true
                    index: 16
                    elements:
                      coding:
                        short: Typ der Therapieempfehlung
                        _short:
                          extension:
                          - url: http://hl7.org/fhir/StructureDefinition/translation
                            extension:
                            - {url: lang, valueCode: de-DE}
                            - {url: content, valueString: Typ der Therapieempfehlung}
                        _definition:
                          extension:
                          - url: http://hl7.org/fhir/StructureDefinition/translation
                            extension:
                            - {url: lang, valueCode: de-DE}
                            - {url: content, valueString: Typ der Therapieempfehlung der Tumorkonferenz gemäß 19.1 oBDS 2021.}
                        index: 17
                        elements:
                          system:
                            pattern: {type: Uri, value: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-typ'}
                            mustSupport: true
                            index: 18
                          code: {mustSupport: true, index: 19}
                        required: [system, code]
                  status:
                    short: Status der Therapieempfehlung
                    _short:
                      extension:
                      - url: http://hl7.org/fhir/StructureDefinition/translation
                        extension:
                        - {url: lang, valueCode: de-DE}
                        - {url: content, valueString: Status der Therapieempfehlung}
                    _definition:
                      extension:
                      - url: http://hl7.org/fhir/StructureDefinition/translation
                        extension:
                        - {url: lang, valueCode: de-DE}
                        - {url: content, valueString: Status der Therapieempfehlung nach HL7 FHIR CarePlanActivityStatus | not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error |}
                    mustSupport: true
                    index: 20
                  statusReason:
                    short: Therapieabweichung aufgrund Patientenwunsch der Therapieempfehlung
                    _short:
                      extension:
                      - url: http://hl7.org/fhir/StructureDefinition/translation
                        extension:
                        - {url: lang, valueCode: de-DE}
                        - {url: content, valueString: Therapieabweichung aufgrund Patientenwunsch der Therapieempfehlung}
                    binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-therapieabweichung'}
                    _definition:
                      extension:
                      - url: http://hl7.org/fhir/StructureDefinition/translation
                        extension:
                        - {url: lang, valueCode: de-DE}
                        - {url: content, valueString: wenn Therapieabweichung - z.B. status = cancelled - Aussage ob dies durch Patientenwunsch erfolgt ist gemäß 19.2 oBDS 2021.}
                    mustSupport: true
                    index: 21
                    elements:
                      coding:
                        mustSupport: true
                        index: 22
                        elements:
                          system:
                            pattern: {type: Uri, value: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapieabweichung'}
                            index: 23
                          code: {mustSupport: true, index: 24}
                required: [code]
            required: [detail]
        extended:
          match: {}
          schema:
            short: Extended molecular tumor board recommendation with detailed protocols
            array: true
            index: 25
            elements:
              progress: {short: Progress notes for recommendation implementation, mustSupport: true, index: 26}
              reference:
                short: Detailed therapy recommendation - RequestGroup, MedicationRequest, or ServiceRequest
                refers: ['http://hl7.org/fhir/StructureDefinition/MedicationRequest', 'http://hl7.org/fhir/StructureDefinition/ServiceRequest', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-therapieempfehlung-kombinationstherapie']
                type: Reference
                mustSupport: true
                index: 27
              detail: {index: 28}
            required: [reference]
  status: {mustSupport: true, index: 1}
  intent:
    mustSupport: true
    pattern: {type: Code, value: plan}
    index: 2
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 7
package_version: 2026.0.0-ballot
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tumorkonferenz
base: http://hl7.org/fhir/StructureDefinition/CarePlan
version: 2026.0.0-ballot
required: [created, category]