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

Extension: MII EX MTB Leitlinie Dokumentation

Offizielle URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation Version: 2027.0.0-ballot.1
Active Stand: 2026-09-15 Maschinenlesbarer Name: MII_EX_MTB_Leitlinie_Dokumentation

Dokumentation zur Leitlinien-konformen Umsetzung der Prozedur

Context of Use

    This extension may be used on the following element(s)

Inhalt

Diese Erweiterung wird genutzt, um Vortherapien mit dem entsprechenden Therapielinie und Zulassungsstatus annotieren zu können.

Die Angabe der Therapielinie erfolgt ganzzahlig. Über den Zulassungsstatus kann eine Medikamentengabe als in-label, off-label oder leitliniengerecht gekennzeichnet werden.

Es werden in der ersten Version keine Vorgaben gemacht, nach welcher Logik die exakte Bestimmung der Therapielinien zu erfolgen hat (Kontraindikationen, wann Leitlinientherapie ausgereizt ist, etc.).

Dies erfordert übergreifende Abstimmungen, an die sich die MII mit ihrer Erfahrung gerne beteiligt, die aber sektor- und standortübergreifend einheitlich verstanden werden müssen.

Leitliniendokumentation

mii-cs-mtb-zulassungsstatus

Usage info

Usages:

You can also check for usages in the FHIR IG Statistics

Formale Ansichten des Extension-Inhalts

Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.

Diese Struktur ist abgeleitet von Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension MII EX MTB Leitlinie Dokumentation
... Slices for extension Content/Rules for all slices
.... extension:Therapielinie S 0..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "Therapielinie"
..... value[x] S 1..1 unsignedInt Therapielinie
.... extension:Zulassungsstatus S 0..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "Zulassungsstatus"
..... Slices for value[x] 0..1 base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta Value of extension
Slice: Unordered, Open by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
....... coding S 1..1 Coding Zulassungsstatus
........ system 0..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-zulassungsstatus
........ code S 1..1 code Symbol in syntax defined by the system
Binding: MII VS Zulassungsstatus (required)
... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation"
... value[x] 0..0 Value of extension

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Extension.extension:Zulassungsstatus.​value[x]:valueCodeableConcept.​coding.code Base required MII VS Zulassungsstatus 📦2027.0.0-ballot.1 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension MII EX MTB Leitlinie Dokumentation
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:Therapielinie S 0..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "Therapielinie"
..... value[x] S 1..1 unsignedInt Therapielinie
.... extension:Zulassungsstatus S 0..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "Zulassungsstatus"
..... Slices for value[x] 0..1 Value of extension
Slice: Unordered, Open by type:$this
...... valueBase64Binary base64Binary
...... valueBoolean boolean
...... valueCanonical canonical(Any)
...... valueCode code
...... valueDate date
...... valueDateTime dateTime
...... valueDecimal decimal
...... valueId id
...... valueInstant instant
...... valueInteger integer
...... valueMarkdown markdown
...... valueOid oid
...... valuePositiveInt positiveInt
...... valueString string
...... valueTime time
...... valueUnsignedInt unsignedInt
...... valueUri uri
...... valueUrl url
...... valueUuid uuid
...... valueAddress Address
...... valueAge Age
...... valueAnnotation Annotation
...... valueAttachment Attachment
...... valueCodeableConcept CodeableConcept
...... valueCoding Coding
...... valueContactPoint ContactPoint
...... valueCount Count
...... valueDistance Distance
...... valueDuration Duration
...... valueHumanName HumanName
...... valueIdentifier Identifier
...... valueMoney Money
...... valuePeriod Period
...... valueQuantity Quantity
...... valueRange Range
...... valueRatio Ratio
...... valueReference Reference(Any)
...... valueSampledData SampledData
...... valueSignature Signature
...... valueTiming Timing
...... valueContactDetail ContactDetail
...... valueContributor Contributor
...... valueDataRequirement DataRequirement
...... valueExpression Expression
...... valueParameterDefinition ParameterDefinition
...... valueRelatedArtifact RelatedArtifact
...... valueTriggerDefinition TriggerDefinition
...... valueUsageContext UsageContext
...... valueDosage Dosage
...... valueMeta Meta
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... coding SΣ 1..1 Coding Zulassungsstatus
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ 0..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-zulassungsstatus
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
Binding: MII VS Zulassungsstatus (required)
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... text Σ 0..1 string Plain text representation of the concept
... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation"

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Extension.extension:Zulassungsstatus.​value[x]:valueCodeableConcept.​coding.code Base required MII VS Zulassungsstatus 📦2027.0.0-ballot.1 This IG

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Diese Struktur ist abgeleitet von Extension

Summary

Complex Extension: Dokumentation zur Leitlinien-konformen Umsetzung der Prozedur

  • Therapielinie: unsignedInt: An Extension
  • Zulassungsstatus: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta: An Extension

Differential-AnsichtDifferential View

Diese Struktur ist abgeleitet von Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension MII EX MTB Leitlinie Dokumentation
... Slices for extension Content/Rules for all slices
.... extension:Therapielinie S 0..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "Therapielinie"
..... value[x] S 1..1 unsignedInt Therapielinie
.... extension:Zulassungsstatus S 0..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "Zulassungsstatus"
..... Slices for value[x] 0..1 base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta Value of extension
Slice: Unordered, Open by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
....... coding S 1..1 Coding Zulassungsstatus
........ system 0..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-zulassungsstatus
........ code S 1..1 code Symbol in syntax defined by the system
Binding: MII VS Zulassungsstatus (required)
... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation"
... value[x] 0..0 Value of extension

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Extension.extension:Zulassungsstatus.​value[x]:valueCodeableConcept.​coding.code Base required MII VS Zulassungsstatus 📦2027.0.0-ballot.1 This IG

Snapshot-Ansicht

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension MII EX MTB Leitlinie Dokumentation
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:Therapielinie S 0..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "Therapielinie"
..... value[x] S 1..1 unsignedInt Therapielinie
.... extension:Zulassungsstatus S 0..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "Zulassungsstatus"
..... Slices for value[x] 0..1 Value of extension
Slice: Unordered, Open by type:$this
...... valueBase64Binary base64Binary
...... valueBoolean boolean
...... valueCanonical canonical(Any)
...... valueCode code
...... valueDate date
...... valueDateTime dateTime
...... valueDecimal decimal
...... valueId id
...... valueInstant instant
...... valueInteger integer
...... valueMarkdown markdown
...... valueOid oid
...... valuePositiveInt positiveInt
...... valueString string
...... valueTime time
...... valueUnsignedInt unsignedInt
...... valueUri uri
...... valueUrl url
...... valueUuid uuid
...... valueAddress Address
...... valueAge Age
...... valueAnnotation Annotation
...... valueAttachment Attachment
...... valueCodeableConcept CodeableConcept
...... valueCoding Coding
...... valueContactPoint ContactPoint
...... valueCount Count
...... valueDistance Distance
...... valueDuration Duration
...... valueHumanName HumanName
...... valueIdentifier Identifier
...... valueMoney Money
...... valuePeriod Period
...... valueQuantity Quantity
...... valueRange Range
...... valueRatio Ratio
...... valueReference Reference(Any)
...... valueSampledData SampledData
...... valueSignature Signature
...... valueTiming Timing
...... valueContactDetail ContactDetail
...... valueContributor Contributor
...... valueDataRequirement DataRequirement
...... valueExpression Expression
...... valueParameterDefinition ParameterDefinition
...... valueRelatedArtifact RelatedArtifact
...... valueTriggerDefinition TriggerDefinition
...... valueUsageContext UsageContext
...... valueDosage Dosage
...... valueMeta Meta
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... coding SΣ 1..1 Coding Zulassungsstatus
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ 0..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-zulassungsstatus
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
Binding: MII VS Zulassungsstatus (required)
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... text Σ 0..1 string Plain text representation of the concept
... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation"

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Extension.extension:Zulassungsstatus.​value[x]:valueCodeableConcept.​coding.code Base required MII VS Zulassungsstatus 📦2027.0.0-ballot.1 This IG

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Diese Struktur ist abgeleitet von Extension

Summary

Complex Extension: Dokumentation zur Leitlinien-konformen Umsetzung der Prozedur

  • Therapielinie: unsignedInt: An Extension
  • Zulassungsstatus: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta: An Extension

 

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