MII IG Kerndatensatz-Modul Molekulares Tumorboard
2027.0.0-ballot.1 -
Germany
MII IG Kerndatensatz-Modul Molekulares Tumorboard
2027.0.0-ballot.1 -
Germany
This page is part of the MII Implementation Guide Molecular Tumor Board (v2027.0.0-ballot.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
<ClinicalImpression xmlns="http://hl7.org/fhir">
<id value="mii-exa-mtb-behandlungsepisode-1"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-behandlungsepisode|2027.0.0-ballot.1"/>
</meta>
<language value="de"/>
<text>
<status value="extensions"/>
<div xml:lang="de" lang="de"><hr/><p><b>German</b></p><hr/><p class="res-header-id"><b>Generated Narrative: ClinicalImpression mii-exa-mtb-behandlungsepisode-1</b></p><a name="de-mii-exa-mtb-behandlungsepisode-1"> </a><a name="de-hcmii-exa-mtb-behandlungsepisode-1"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-mii-pr-mtb-behandlungsepisode.html">MII PR MTB Behandlungsepisode</a> version: 2027.0.0-ballot.1</p></div><p><b>MII EX MTB Leitlinienbehandlung Status</b>: <a href="CodeSystem-mii-cs-mtb-leitlinienbehandlung-status.html#mii-cs-mtb-leitlinienbehandlung-status-exhausted">MII CS Leitlinienbehandlung Status: exhausted</a> (Leitlinien ausgeschöpft)</p><p><b>status</b>: Completed</p><p><b>subject</b>: <a href="Patient-PatientKimMusterperson.html">Kim Musterperson (no stated gender), DoB: 1956-03-14</a></p><p><b>effective</b>: 2023-03-01 --> 2023-05-31</p><p><b>problem</b>: <a href="Condition-mii-exa-mtb-kim-diagnose.html">Condition Bösartige Neubildung: Peritoneum, nicht näher bezeichnet</a></p><blockquote><p><b>investigation</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 273437007}">Eastern Cooperative Oncology Group scale for physical assessment (assessment scale)</span></p><p><b>item</b>: <a href="Observation-mii-exa-onko-allgemeiner-leistungszustand-ecog.html">Observation ECOG performance status</a></p></blockquote><blockquote><p><b>investigation</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 396927009}">Molecular testing, diagnostic (procedure)</span></p><p><b>item</b>: <a href="DiagnosticReport-mii-exa-mtb-kim-musterperson-ngs-bericht.html">Diagnostic Report for 'Genetic analysis report' for '->Kim Musterperson (no stated gender), DoB: 1956-03-14'</a></p></blockquote><blockquote><p><b>investigation</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 108257001}">Anatomic pathology procedure (procedure)</span></p><p><b>item</b>: <a href="DiagnosticReport-PatientKimMusterperson-MolecularPathologyReport-1.html">Diagnostic Report for 'Pathology synoptic report' for '->Kim Musterperson (no stated gender), DoB: 1956-03-14'</a></p></blockquote><blockquote><p><b>investigation</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 105511-0}">Was consent given</span></p><p><b>item</b>: <a href="Observation-mii-exa-mtb-kim-musterperson-aufklaerung.html">Observation Was consent given</a></p></blockquote><p><b>supportingInfo</b>: </p><ul><li><a href="DiagnosticReport-PatientKimMusterperson-MolecularPathologyReport-1.html">Diagnostic Report for 'Pathology synoptic report' for '->Kim Musterperson (no stated gender), DoB: 1956-03-14'</a></li><li><a href="Procedure-PatientKimMusterperson-SystemicTherapy-1.html">Procedure Zytostatische Chemotherapie, Immuntherapie und antiretrovirale Therapie</a></li><li><a href="Procedure-PatientKimMusterperson-Procedure-4.html">Procedure Computertomographie [CT], nativ</a></li><li><a href="Procedure-PatientKimMusterperson-SystemicTherapy-2.html">Procedure Zytostatische Chemotherapie, Immuntherapie und antiretrovirale Therapie</a></li><li><a href="CarePlan-mii-exa-mtb-kim-musterperson-therapieplan.html">CarePlan: status = active; intent = plan; category = prätherapeutische Tumorkonferenz (Festlegung der Therapiestrategie); created = 2023-03-28</a></li></ul></div>
</text>
<extension
url="https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinienbehandlung-status">
<valueCoding>
<system
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-leitlinienbehandlung-status"/>
<code value="exhausted"/>
</valueCoding>
</extension>
<status value="completed"/>
<subject>🔗
<reference value="Patient/PatientKimMusterperson"/>
</subject>
<effectivePeriod>
<start value="2023-03-01"/>
<end value="2023-05-31"/>
</effectivePeriod>
<problem>🔗
<reference value="Condition/mii-exa-mtb-kim-diagnose"/>
</problem>
<investigation>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="273437007"/>
<display
value="Eastern Cooperative Oncology Group scale for physical assessment (assessment scale)"/>
</coding>
</code>
<item>🔗
<reference
value="Observation/mii-exa-onko-allgemeiner-leistungszustand-ecog"/>
</item>
</investigation>
<investigation>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="396927009"/>
<display value="Molecular testing, diagnostic (procedure)"/>
</coding>
</code>
<item>🔗
<reference
value="DiagnosticReport/mii-exa-mtb-kim-musterperson-ngs-bericht"/>
</item>
</investigation>
<investigation>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="108257001"/>
<display value="Anatomic pathology procedure (procedure)"/>
</coding>
</code>
<item>🔗
<reference
value="DiagnosticReport/PatientKimMusterperson-MolecularPathologyReport-1"/>
</item>
</investigation>
<investigation>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="105511-0"/>
<display value="Was consent given"/>
</coding>
</code>
<item>🔗
<reference
value="Observation/mii-exa-mtb-kim-musterperson-aufklaerung"/>
</item>
</investigation>
<supportingInfo>🔗
<reference
value="DiagnosticReport/PatientKimMusterperson-MolecularPathologyReport-1"/>
</supportingInfo>
<supportingInfo>🔗
<extension
url="https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation">
<extension url="Therapielinie">
<valueUnsignedInt value="1"/>
</extension>
<extension url="Zulassungsstatus">
<valueCodeableConcept>
<coding>
<system
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-zulassungsstatus"/>
<code value="leitlinie"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<reference value="Procedure/PatientKimMusterperson-SystemicTherapy-1"/>
</supportingInfo>
<supportingInfo>🔗
<extension
url="https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation">
<extension url="Therapielinie">
<valueUnsignedInt value="2"/>
</extension>
</extension>
<reference value="Procedure/PatientKimMusterperson-Procedure-4"/>
</supportingInfo>
<supportingInfo>🔗
<extension
url="https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation">
<extension url="Therapielinie">
<valueUnsignedInt value="3"/>
</extension>
<extension url="Zulassungsstatus">
<valueCodeableConcept>
<coding>
<system
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-zulassungsstatus"/>
<code value="in-label"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<reference value="Procedure/PatientKimMusterperson-SystemicTherapy-2"/>
</supportingInfo>
<supportingInfo>🔗
<reference value="CarePlan/mii-exa-mtb-kim-musterperson-therapieplan"/>
</supportingInfo>
</ClinicalImpression>