FHIR Server FHIR Server Version n/a

{
  "resourceType" : "StructureDefinition",
  "id" : "mii-pr-mtb-therapieplan",
  "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-therapieplan",
  "version" : "2024.0.0-ballot",
  "name" : "MII_PR_MTB_Therapieplan",
  "title" : "MII PR MTB Therapieplan",
  "status" : "draft",
  "publisher" : "Medizininformatik Initiative",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.medizininformatik-initiative.de"
        }
      ]
    }
  ],
  "description" : "Therapieplan gemäß Beschluss des Molekularen Tumorboards",
  "fhirVersion" : "4.0.1",
  "kind" : "resource",
  "abstract" : false,
  "type" : "CarePlan",
  "baseDefinition" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tumorkonferenz",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "CarePlan.meta",
        "path" : "CarePlan.meta",
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.status",
        "path" : "CarePlan.status",
        "definition" : "Status der Umsetzung des beschlossenen Therapieplans",
        "comment" : "\r\n    active: Empfehlung bzw. Therapieoption in Umsetzung (Regelfall), \r\n    revoked: Molekularer Tumorboard-Fall ist abgeschlossen, \r\n    completed: Alle Empfehlungen bzw. Therapieoptionen ausgeschöpft oder Patient verstorben"
      },
      {
        "id" : "CarePlan.description",
        "path" : "CarePlan.description",
        "definition" : "Protokollauszug aus dem Beschluss des Molekularen Tumorboards",
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.created",
        "path" : "CarePlan.created",
        "definition" : "Erstellungsdatum des Therapieplans gemäß Beschluss des Molekularen Tumorboards"
      },
      {
        "id" : "CarePlan.supportingInfo",
        "path" : "CarePlan.supportingInfo",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "type",
              "path" : "$this"
            }
          ],
          "rules" : "open",
          "description" : "Slice für weitere Informationen",
          "ordered" : false
        }
      },
      {
        "id" : "CarePlan.supportingInfo:Behandlungsepisode",
        "path" : "CarePlan.supportingInfo",
        "sliceName" : "Behandlungsepisode",
        "short" : "Behandlungsepisode",
        "definition" : "Aktueller Krankheitszustand und bisherige Behandlungsmaßnahmen",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-behandlungsepisode"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.activity",
        "path" : "CarePlan.activity",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "type",
              "path" : "outcomeReference.reference"
            }
          ],
          "rules" : "open",
          "description" : "Slice für Dokumentation einer umgesetzten Empfehlung auf Basis des referenzierten Ressourcentyps",
          "ordered" : false
        }
      },
      {
        "id" : "CarePlan.activity:Therapieempfehlung",
        "path" : "CarePlan.activity",
        "sliceName" : "Therapieempfehlung",
        "short" : "Therapieempfehlung Systemische Therapie",
        "definition" : "Therapieempfehlung für eine medikamentöse Systemische Therapie",
        "comment" : "Kann keine Therapieempfehlung für eine Systemische Therapie gegeben werden, muss dies als Begründung unter `detail.statusReason` angegeben werden",
        "min" : 0,
        "max" : "*",
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.activity:Therapieempfehlung.reference",
        "path" : "CarePlan.activity.reference",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-therapieempfehlung",
              "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-therapieempfehlung-kombination",
              "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
              "http://hl7.org/fhir/StructureDefinition/RequestGroup"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.activity:Therapieempfehlung.detail.statusReason",
        "path" : "CarePlan.activity.detail.statusReason",
        "binding" : {
          "strength" : "required",
          "valueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/ValueSet/mii-vs-mtb-empfehlung-status-begruendung"
        }
      },
      {
        "id" : "CarePlan.activity:HumangenetischeBeratung",
        "path" : "CarePlan.activity",
        "sliceName" : "HumangenetischeBeratung",
        "short" : "Empfehlung Human-genetische Beratung",
        "definition" : "Auftrag zur (erneuten) Human-genetischen Beratung",
        "min" : 0,
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.activity:HumangenetischeBeratung.reference",
        "path" : "CarePlan.activity.reference",
        "min" : 1,
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-humangenetische-beratung-auftrag",
              "http://hl7.org/fhir/StructureDefinition/ServiceRequest"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.activity:HistologieEvaluation",
        "path" : "CarePlan.activity",
        "sliceName" : "HistologieEvaluation",
        "short" : "Empfehlung Histologie-Evaluation",
        "definition" : "Auftrag zur (erneuten) Histologie-Evaluation",
        "min" : 0,
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.activity:HistologieEvaluation.reference",
        "path" : "CarePlan.activity.reference",
        "min" : 1,
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-histologie-evaluation-auftrag",
              "http://hl7.org/fhir/StructureDefinition/ServiceRequest"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.activity:Biopsy",
        "path" : "CarePlan.activity",
        "sliceName" : "Biopsy",
        "short" : "Empfehlung Biopsie",
        "definition" : "Auftrag zur (erneuten) Biopsie",
        "min" : 0,
        "max" : "*",
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.activity:Biopsy.reference",
        "path" : "CarePlan.activity.reference",
        "min" : 1,
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-biopsie-auftrag",
              "http://hl7.org/fhir/StructureDefinition/ServiceRequest"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.activity:Studieneinschlussempfehlung",
        "path" : "CarePlan.activity",
        "sliceName" : "Studieneinschlussempfehlung",
        "short" : "Studieneinschlussempfehlung",
        "definition" : "Anfrage zum Studieneinschluss",
        "min" : 0,
        "max" : "*",
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.activity:Studieneinschlussempfehlung.reference",
        "path" : "CarePlan.activity.reference",
        "min" : 1,
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-studieneinschluss-anfrage",
              "http://hl7.org/fhir/StructureDefinition/ServiceRequest"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.activity:UmgesetzteEmpfehlung",
        "path" : "CarePlan.activity",
        "sliceName" : "UmgesetzteEmpfehlung",
        "short" : "Umgesetzte Empfehlung",
        "definition" : "Dokumentation einer umgesetzten Empfehlung",
        "min" : 0,
        "max" : "*",
        "mustSupport" : true
      },
      {
        "id" : "CarePlan.activity:UmgesetzteEmpfehlung.outcomeReference",
        "path" : "CarePlan.activity.outcomeReference",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://www.medizininformatik-initiative.de/fhir/modul-consent/StructureDefinition/mii-pr-consent-einwilligung",
              "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-studie",
              "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-befund",
              "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-systemische-therapie",
              "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-systemische-therapie-medikation",
              "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding",
              "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-report",
              "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Procedure",
              "http://hl7.org/fhir/StructureDefinition/Consent",
              "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
              "http://hl7.org/fhir/StructureDefinition/MedicationStatement",
              "http://hl7.org/fhir/StructureDefinition/Observation",
              "http://hl7.org/fhir/StructureDefinition/Procedure"
            ]
          }
        ],
        "mustSupport" : true
      }
    ]
  },
  "text" : {
  }
}

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