{
  "description": "Therapieempfehlung für eine medikamentöse Systemische Therapie",
  "_filename": "StructureDefinition-mii-pr-mtb-therapieempfehlung.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.mtb",
  "date": null,
  "derivation": "constraint",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "name": "MII_PR_MTB_Therapieempfehlung",
  "abstract": false,
  "type": "MedicationRequest",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII PR MTB Therapieempfehlung Systemische Therapie",
  "package_version": "2025.0.0-ballot",
  "extension": [ {
    "url": "https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable",
    "valueCodeableConcept": {
      "coding": [ {
        "code": "CC-BY-4.0",
        "system": "http://hl7.org/fhir/spdx-license",
        "display": "Creative Commons Attribution 4.0 International"
      } ]
    }
  } ],
  "status": "draft",
  "id": "d25f52c6-fb12-4708-bc8e-1ec5274e4823",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-therapieempfehlung",
  "version": "2024.0.0-ballot",
  "differential": {
    "element": [ {
      "id": "MedicationRequest.extension:Prioritaet",
      "max": "1",
      "min": 0,
      "path": "MedicationRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-prioritaet" ]
      } ],
      "sliceName": "Prioritaet",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Evidenzgraduierung",
      "max": "1",
      "min": 0,
      "path": "MedicationRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-evidenzgraduierung" ]
      } ],
      "sliceName": "Evidenzgraduierung",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.extension:Publikation",
      "max": "*",
      "min": 0,
      "path": "MedicationRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-publikation" ]
      } ],
      "sliceName": "Publikation",
      "mustSupport": true
    }, {
      "id": "MedicationRequest.status",
      "path": "MedicationRequest.status",
      "short": "active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown",
      "comment": "\n    draft: Nicht umgesetzt, \n    active: In Umsetzung, \n    completed: Abgeschlossen oder abgebrochen (Patient verstorben)",
      "definition": "Status der Umsetzung der Therapieempfehlung"
    }, {
      "id": "MedicationRequest.intent",
      "path": "MedicationRequest.intent",
      "short": "proposal | option",
      "definition": "Da das MTB nur Empfehlungen abgibt, wird hier typischerweise 'proposal' stehen. Es sei denn,\n        diese Therapieempfehlung ist Teil einer RequestGroup (z.B. Kombinationstherapie). In dem Fall muss hier 'option' stehen."
    }, {
      "id": "MedicationRequest.reasonReference",
      "path": "MedicationRequest.reasonReference",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "description": "Slice für stützende Angaben zur Systemischen Therapie auf Basis des referenzierten Ressourcentyps",
        "discriminator": [ {
          "path": "$this.resolve()",
          "type": "profile"
        } ]
      }
    }, {
      "path": "MedicationRequest.reasonReference",
      "min": 0,
      "definition": "Verweis auf entsprechendes Feld in NGS Bericht und/oder IHC (Verweis auf KDS Molekular-Pathologischer Befundbericht)",
      "short": "Stützende molekulare Alteration(en)",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding", "https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/variante", "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-genetische-variante", "http://hl7.org/fhir/StructureDefinition/Observation" ]
      } ],
      "mustSupport": true,
      "sliceName": "StuetzendeMolekulareAlteration",
      "max": "*",
      "id": "MedicationRequest.reasonReference:StuetzendeMolekulareAlteration"
    }, {
      "path": "MedicationRequest.reasonReference",
      "min": 0,
      "definition": "Verweis auf die Tumorentität, falls Therapie- oder Studieneinschlussempfehlung nicht aufgrund einer molekularen Alteration geschieht",
      "short": "Stützende Entität",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-diagnose-primaertumor", "http://hl7.org/fhir/StructureDefinition/Condition" ]
      } ],
      "mustSupport": true,
      "sliceName": "StuetzendeEntitaet",
      "max": "*",
      "id": "MedicationRequest.reasonReference:StuetzendeEntitaet"
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationRequest"
}