description: Systemische Vortherapie zum Molekularen Tumorboard
package_name: de.medizininformatikinitiative.kerndatensatz.mtb
derivation: constraint
name: MII_PR_MTB_Systemische_Vortherapie
type: Procedure
elements:
  extension:
    type: Extension
    mustSupport: true
    url: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation
    index: 0
    slicing:
      slices:
        Leitlinie:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation', index: 0}
          min: 0
          max: 1
  basedOn:
    index: 1
    slicing:
      rules: open
      ordered: false
      description: Slice für referenzierten Therapieplan
      discriminator:
      - {path: $this, type: profile}
      min: null
      slices:
        Therapieplan:
          match: {}
          schema:
            short: Therpieplan
            _definition:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Verweis auf den im Molekularen Tumorboard beschlossenen Therapieplan}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en}
                - {url: content, valueString: Reference to the therapy plan decided by the Molecular Tumor Board}
            refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-therapieplan']
            type: Reference
            mustSupport: true
            _short:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Therapieplan}
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: en}
                - {url: content, valueString: Therapy Plan}
            index: 2
          min: 0
          max: 1
  statusReason:
    short: Abbruchsgrund Systemische Therapie
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Abbruchsgrund Systemische Therapie}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: Discontinuation Reason for Systemic Therapy}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: 'Falls abgebrochen: Angabe zum Abbruchsgrund der Systemischen Therapie'}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en}
        - {url: content, valueString: 'If discontinued: specification of the reason for discontinuation of systemic therapy'}
    mustSupport: true
    index: 3
    elements:
      coding:
        mustSupport: true
        index: 4
        elements:
          system: {mustSupport: true, index: 5}
          code: {mustSupport: true, index: 6}
        required: [system, code]
        slicing:
          rules: open
          ordered: false
          description: Slice für den Grund des Therapiestatus
          discriminator:
          - {path: system, type: value}
          min: 1
          slices:
            Therapiestatusgrund:
              match: {system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-therapiestatusgrund'}
              schema:
                short: Therapiestatusgrund
                _definition:
                  extension:
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: de-DE}
                    - {url: content, valueString: Grund für den Status der Systemischen Therapie}
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: en}
                    - {url: content, valueString: Reason for the status of the systemic therapy}
                mustSupport: true
                _short:
                  extension:
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: de-DE}
                    - {url: content, valueString: Therapiestatusgrund}
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: en}
                    - {url: content, valueString: Therapy Status Reason}
                binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/ValueSet/mii-vs-mtb-therapiestatusgrund'}
                index: 7
                elements:
                  system:
                    pattern: {type: Uri, value: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-therapiestatusgrund'}
                    index: 8
    required: [coding]
package_version: 2026.0.1
extensions:
  Leitlinie: {url: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation', min: 0, max: 1, type: Extension, mustSupport: true, index: 0}
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-systemische-vortherapie
base: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-systemische-therapie
version: 2026.0.1