{
  "description": "Dieses Profil beschreibt die Tumorkonferenz und die Therapieempfehlungen",
  "_filename": "StructureDefinition-mii-pr-onko-tumorkonferenz.json",
  "package_name": "rs/de.medizininformatikinitiative.kerndatensatz.onkologie",
  "date": null,
  "derivation": "constraint",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "name": "MII_PR_Onko_Tumorkonferenz",
  "mapping": [ {
    "name": "Mapping FHIR zu oBDS",
    "identity": "oBDS"
  } ],
  "abstract": false,
  "type": "CarePlan",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII PR Onkologie Tumorkonferenz",
  "package_version": "2025.0.0-alpha1",
  "status": "active",
  "id": "b90cd9fc-4a67-494a-81c6-f58acad468b7",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tumorkonferenz",
  "version": "2025.0.0",
  "differential": {
    "element": [ {
      "id": "CarePlan.meta.profile",
      "path": "CarePlan.meta.profile",
      "mustSupport": true
    }, {
      "id": "CarePlan.status",
      "path": "CarePlan.status",
      "mustSupport": true
    }, {
      "id": "CarePlan.intent",
      "path": "CarePlan.intent",
      "mustSupport": true,
      "patternCode": "plan"
    }, {
      "id": "CarePlan.category",
      "max": "1",
      "min": 1,
      "path": "CarePlan.category",
      "mustSupport": true
    }, {
      "path": "CarePlan.category.coding",
      "min": 1,
      "definition": "Art der Tumorkonferenz / Therapieplanung gemäß 18.2 oBDS 2021.",
      "short": "Art der Tumorkonferenz / Therapieplanung",
      "_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"
          } ]
        } ]
      },
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-therapieplanung-typ"
      },
      "id": "CarePlan.category.coding"
    }, {
      "id": "CarePlan.category.coding.system",
      "min": 1,
      "path": "CarePlan.category.coding.system",
      "patternUri": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapieplanung-typ",
      "mustSupport": true
    }, {
      "id": "CarePlan.category.coding.code",
      "min": 1,
      "path": "CarePlan.category.coding.code",
      "mapping": [ {
        "map": "18.2",
        "comment": "Tumorkonferenz Therapieplanung Typ",
        "identity": "oBDS"
      } ],
      "mustSupport": true
    }, {
      "id": "CarePlan.subject",
      "path": "CarePlan.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "CarePlan.encounter",
      "path": "CarePlan.encounter",
      "mustSupport": true
    }, {
      "path": "CarePlan.created",
      "min": 1,
      "definition": "Datum der Tumorkonferenz / Therapieplanung gemäß 18.1 oBDS 2021.",
      "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."
          } ]
        } ]
      },
      "mapping": [ {
        "map": "18.1",
        "comment": "Tumorkonferenz Therapieplanung Datum",
        "identity": "oBDS"
      } ],
      "mustSupport": true,
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Datum der Tumorkonferenz / Therapieplanung"
          } ]
        } ]
      },
      "id": "CarePlan.created"
    }, {
      "id": "CarePlan.addresses",
      "path": "CarePlan.addresses",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor" ]
      } ],
      "mustSupport": true
    }, {
      "id": "CarePlan.supportingInfo",
      "path": "CarePlan.supportingInfo",
      "mustSupport": true
    }, {
      "id": "CarePlan.activity",
      "path": "CarePlan.activity",
      "mustSupport": true
    }, {
      "id": "CarePlan.activity.detail",
      "min": 1,
      "path": "CarePlan.activity.detail",
      "constraint": [ {
        "key": "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
    }, {
      "id": "CarePlan.activity.detail.code",
      "min": 1,
      "path": "CarePlan.activity.detail.code",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-therapieempfehlung-typ"
      },
      "mustSupport": true
    }, {
      "id": "CarePlan.activity.detail.code.coding",
      "path": "CarePlan.activity.detail.code.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": "Typ der Therapieempfehlung der Tumorkonferenz gemäß 19.1 oBDS 2021.",
      "_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."
          } ]
        } ]
      }
    }, {
      "id": "CarePlan.activity.detail.code.coding.system",
      "min": 1,
      "path": "CarePlan.activity.detail.code.coding.system",
      "patternUri": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-typ",
      "mustSupport": true
    }, {
      "id": "CarePlan.activity.detail.code.coding.code",
      "min": 1,
      "path": "CarePlan.activity.detail.code.coding.code",
      "mapping": [ {
        "map": "19.1",
        "comment": "Tumorkonferenz Therapieempfehlung Typ",
        "identity": "oBDS"
      } ],
      "mustSupport": true
    }, {
      "id": "CarePlan.activity.detail.status",
      "path": "CarePlan.activity.detail.status",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Status der Therapieempfehlung"
          } ]
        } ]
      },
      "mapping": [ {
        "map": "19.2",
        "comment": "Tumorkonferenz/Therapieempfehlung Therapieabweichung auf Wunsch des Patienten",
        "identity": "oBDS"
      } ],
      "_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
    }, {
      "id": "CarePlan.activity.detail.statusReason",
      "path": "CarePlan.activity.detail.statusReason",
      "_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
    }, {
      "id": "CarePlan.activity.detail.statusReason.coding",
      "path": "CarePlan.activity.detail.statusReason.coding",
      "mapping": [ {
        "map": "19.2",
        "comment": "Tumorkonferenz/Therapieempfehlung Therapieabweichung auf Wunsch des Patienten",
        "identity": "oBDS"
      } ],
      "mustSupport": true
    }, {
      "id": "CarePlan.activity.detail.statusReason.coding.system",
      "path": "CarePlan.activity.detail.statusReason.coding.system",
      "patternUri": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapieabweichung"
    }, {
      "id": "CarePlan.activity.detail.statusReason.coding.code",
      "path": "CarePlan.activity.detail.statusReason.coding.code",
      "mustSupport": true
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/CarePlan"
}