description: Der DiagnosticReport ist zentraler Bestandteil aller genetischen Befundberichte und enthält Metadaten über den gesamten Bericht sowie alle relevanten Informationen, die im Rahmen der molekulargenetischen Analyse gefunden wurden.
package_name: de.medizininformatikinitiative.kerndatensatz.molgen
derivation: constraint
name: MII_PR_MolGen_MolekulargenetischerBefundbericht
type: DiagnosticReport
elements:
  conclusionCode: {mustSupport: true, index: 26}
  conclusion: {mustSupport: true, index: 25}
  encounter: {mustSupport: true, index: 8}
  specimen: {mustSupport: true, index: 12}
  extension:
    mustSupport: true
    index: 0
    slicing:
      slices:
        genomics-artifact:
          match: {}
          schema: {mustSupport: true, index: 0}
        genomics-file:
          match: {}
          schema: {mustSupport: true, index: 1}
        recommended-action:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/empfohlene-massnahme', index: 2}
        genomics-risk-assessment:
          match: {}
          schema: {mustSupport: true, index: 3}
        coded-note:
          match: {}
          schema: {mustSupport: true, index: 4}
        supporting-info:
          match: {}
          schema: {mustSupport: true, index: 5}
  resultsInterpreter: {mustSupport: true, index: 11}
  status: {mustSupport: true, index: 6}
  result:
    mustSupport: true
    index: 13
    slicing:
      slices:
        overall:
          match: {}
          schema:
            type: Reference
            mustSupport: true
            refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/ergebnis-zusammenfassung']
            index: 14
        therapeutic-implication:
          match: {}
          schema:
            type: Reference
            mustSupport: true
            refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/therapeutische-implikation']
            index: 16
        sequence-phase-relation:
          match: {}
          schema: {mustSupport: true, index: 18}
        microsatellite-instability:
          match: {}
          schema:
            type: Reference
            mustSupport: true
            refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/mikrosatelliteninstabilitaet']
            array: true
            index: 23
          min: 0
        tumor-mutation-burden:
          match: {}
          schema:
            type: Reference
            mustSupport: true
            refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/mutationslast']
            array: true
            index: 22
          min: 0
        variant:
          match: {}
          schema:
            type: Reference
            mustSupport: true
            refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/variante']
            index: 17
        region-studied:
          match: {}
          schema:
            type: Reference
            mustSupport: true
            refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/untersuchte-region']
            index: 19
        haplotype:
          match: {}
          schema: {mustSupport: true, index: 21}
        genotype:
          match: {}
          schema:
            type: Reference
            mustSupport: true
            refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/genotyp']
            index: 20
        diagnostic-implication:
          match: {}
          schema:
            type: Reference
            mustSupport: true
            refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/diagnostische-implikation']
            index: 15
  issued: {mustSupport: true, index: 9}
  media: {mustSupport: true, index: 24}
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Group', 'http://hl7.org/fhir/StructureDefinition/Patient']
    index: 7
  performer: {mustSupport: true, index: 10}
package_version: 2025.0.0-alpha1
extensions:
  genomics-artifact: {url: null, mustSupport: true, index: 0}
  genomics-file: {url: null, mustSupport: true, index: 1}
  recommended-action: {url: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/empfohlene-massnahme', type: Extension, mustSupport: true, index: 2}
  genomics-risk-assessment: {url: null, mustSupport: true, index: 3}
  coded-note: {url: null, mustSupport: true, index: 4}
  supporting-info: {url: null, mustSupport: true, index: 5}
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/molekulargenetischer-befundbericht
base: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomics-report
version: 2025.0.0
required: [subject]