description: Dieses Profil beschreibt strukturierte Therapieempfehlungen mit detaillierten RequestGroup-basierten Protokollen für Multi-Agent-Therapien und molekulare Tumorboards
package_name: de.medizininformatikinitiative.kerndatensatz.onkologie
derivation: constraint
name: MII_PR_Onko_Tumorkonferenz_Detailed_Recommendations
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:
    mustSupport: true
    index: 12
    elements:
      progress: {short: Progress notes for recommendation implementation, mustSupport: true, index: 13}
      reference:
        short: 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: 14
      detail: {short: Not used in detailed recommendations profile - therapy details are in referenced RequestGroup, index: 15}
    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-detailed-recommendations
base: http://hl7.org/fhir/StructureDefinition/CarePlan
version: 2026.0.0-ballot
required: [created, category]