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

Ressourcenprofil: MII PR MTB NGS-Bericht

Offizielle URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-ngs-bericht Version: 2027.0.0-ballot.1
Active Stand: 2026-09-15 Maschinenlesbarer Name: MII_PR_MTB_NGS_Bericht

NGS-Bericht zu einer Probe


Inhalt

Dieses Profil beschreibt den NGS-Bericht, welcher auf Patient und Probe verweist und mehrere Observations als result-Elemente beinhaltet. Die Metadaten des Berichts (Geräte, Kits, Library) werden über GenomicStudy / GenomicStudyAnalysis kodiert.

Inhalt

Mapping Datensatz zu FHIR

Suchparameter

Folgende Suchparameter sind für das Modul Onkologie relevant, auch in Kombination:

  1. Der Suchparameter "_id" MUSS unterstützt werden:

    Beispiele:

    GET [base]/DiagnosticReport?_id=1234

    Anwendungshinweise: Weitere Informationen zur Suche nach "_id" finden sich in der FHIR-Basisspezifikation - Abschnitt "Parameters for all resources".

  2. Der Suchparameter "_profile" MUSS unterstützt werden:

    Beispiele:

    GET [base]/DiagnosticReport?_profile=https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-ngs-bericht

    Anwendungshinweise: Weitere Informationen zur Suche nach "_profile" finden sich in der FHIR-Basisspezifikation - Abschnitt "Parameters for all resources".

  3. Der Suchparameter "subject" MUSS unterstützt werden:

    Beispiele:

    GET [base]/DiagnosticReport?subject=Patient/example-mii-mtb-patient

    Anwendungshinweise: Weitere Informationen zur Suche nach "subject" finden sich in der FHIR-Basisspezifikation - Abschnitt "reference".

  4. Der Suchparameter "issued" MUSS unterstützt werden:

    Beispiele:

    GET [base]/DiagnosticReport?issued=2022-07-13

    Anwendungshinweise: Weitere Informationen zur Suche nach "issued" finden sich in der FHIR-Basisspezifikation - Abschnitt "date".

  5. Der Suchparameter "specimen" MUSS unterstützt werden:

    Beispiele:

    GET [base]/DiagnosticReport?specimen=Specimen/example-mii-mtb-specimen

    Anwendungshinweise: Weitere Informationen zur Suche nach "specimen" finden sich in der FHIR-Basisspezifikation - Abschnitt "reference".

  6. Der Suchparameter "result" MUSS unterstützt werden:

    Beispiele:

    GET [base]/DiagnosticReport?result=Observation/example-mii-mtb-variante-1

    Anwendungshinweise: Weitere Informationen zur Suche nach "result" finden sich in der FHIR-Basisspezifikation - Abschnitt "reference".

Beispiele


Usages:

You can also check for usages in the FHIR IG Statistics

Formale Ansichten des Profilinhalts

Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... meta SΣ 0..1 Meta Metadata about the resource
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
... subject SΣ 0..1 Reference(Patient) Referenz auf Patient
... issued SΣ 0..1 instant Erstellungsdatum
... specimen S 0..* Reference(MII PR Onkologie Specimen | MII PR Patho Specimen | MII PR Biobank Specimen Bioprobe Core | Specimen) Referenz auf Probe
... Slices for result 0..* Reference(Observation) Observations
Slice: Unordered, Open by profile:$this.resolve()
.... result:TumorMutionalBurden S 0..1 Reference(MII PR MTB Mutationslast) Tumor Mutational Burden
.... result:MSI S 0..1 Reference(MII PR MTB Mikrosatelliteninstabilität) Micro-Satellite Instabilities
.... result:Ploidie S 0..1 Reference(MII PR MTB Ploidie) Ploidie
.... result:HRDScore S 0..1 Reference(MII PR MTB HRD Score) HRD-Score
.... result:BRCAness S 0..1 Reference(MII PR MTB BRCAness) BRCAness
.... result:EinfacheVariante S 0..* Reference(MII PR MTB Einfache Variante) Einfache Variante
.... result:CopyNumberVariant S 0..* Reference(MII PR MTB Copy Number Variant) Copy Number Variant
.... result:DNAFusion S 0..* Reference(MII PR MTB DNA Fusion) DNA-Fusion
.... result:RNAFusion S 0..* Reference(MII PR MTB RNA Fusion) RNA-Fusion
.... result:RNASeq S 0..* Reference(MII PR MTB RNA Seq) RNASeq
.... result:MolekularerBiomarkerHER2Status S 0..* Reference(MII PR Biomarker Her2 Status) Molekularer Biomarker HER2 Status
.... result:MolekularerBiomarker S 0..* Reference(MII PR MTB Molekularer Biomarker) Molekularer Biomarker
.... result:Tumorzellgehalt S 0..1 Reference(Observation) Observations

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DiagnosticReport If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
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 DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... meta S 0..1 Meta Metadata about the resource
.... profile S 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... subject S 0..1 Reference(Patient) Referenz auf Patient
... issued S 0..1 instant Erstellungsdatum
... Slices for result 0..* Reference(Observation) Observations
Slice: Unordered, Open by profile:$this.resolve()
.... result:TumorMutionalBurden S 0..1 Reference(MII PR MTB Mutationslast) Tumor Mutational Burden
.... result:MSI S 0..1 Reference(MII PR MTB Mikrosatelliteninstabilität) Micro-Satellite Instabilities
.... result:Ploidie S 0..1 Reference(MII PR MTB Ploidie) Ploidie
.... result:HRDScore S 0..1 Reference(MII PR MTB HRD Score) HRD-Score
.... result:BRCAness S 0..1 Reference(MII PR MTB BRCAness) BRCAness
.... result:EinfacheVariante S 0..* Reference(MII PR MTB Einfache Variante) Einfache Variante
.... result:CopyNumberVariant S 0..* Reference(MII PR MTB Copy Number Variant) Copy Number Variant
.... result:DNAFusion S 0..* Reference(MII PR MTB DNA Fusion) DNA-Fusion
.... result:RNAFusion S 0..* Reference(MII PR MTB RNA Fusion) RNA-Fusion
.... result:RNASeq S 0..* Reference(MII PR MTB RNA Seq) RNASeq
.... result:MolekularerBiomarkerHER2Status S 0..* Reference(MII PR Biomarker Her2 Status) Molekularer Biomarker HER2 Status
.... result:MolekularerBiomarker S 0..* Reference(MII PR MTB Molekularer Biomarker) Molekularer Biomarker
.... result:Tumorzellgehalt S 0..1 Reference(Observation) Observations

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
... basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
... status ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category Σ 0..* CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
... subject SΣ 0..1 Reference(Patient) Referenz auf Patient
... encounter Σ 0..1 Reference(Encounter) Health care event when test ordered
... effective[x] Σ 0..1 Clinically relevant time/time-period for report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued SΣ 0..1 instant Erstellungsdatum
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen S 0..* Reference(MII PR Onkologie Specimen | MII PR Patho Specimen | MII PR Biobank Specimen Bioprobe Core | Specimen) Referenz auf Probe
... Slices for result 0..* Reference(Observation) Observations
Slice: Unordered, Open by profile:$this.resolve()
.... result:TumorMutionalBurden S 0..1 Reference(MII PR MTB Mutationslast) Tumor Mutational Burden
.... result:MSI S 0..1 Reference(MII PR MTB Mikrosatelliteninstabilität) Micro-Satellite Instabilities
.... result:Ploidie S 0..1 Reference(MII PR MTB Ploidie) Ploidie
.... result:HRDScore S 0..1 Reference(MII PR MTB HRD Score) HRD-Score
.... result:BRCAness S 0..1 Reference(MII PR MTB BRCAness) BRCAness
.... result:EinfacheVariante S 0..* Reference(MII PR MTB Einfache Variante) Einfache Variante
.... result:CopyNumberVariant S 0..* Reference(MII PR MTB Copy Number Variant) Copy Number Variant
.... result:DNAFusion S 0..* Reference(MII PR MTB DNA Fusion) DNA-Fusion
.... result:RNAFusion S 0..* Reference(MII PR MTB RNA Fusion) RNA-Fusion
.... result:RNASeq S 0..* Reference(MII PR MTB RNA Seq) RNASeq
.... result:MolekularerBiomarkerHER2Status S 0..* Reference(MII PR Biomarker Her2 Status) Molekularer Biomarker HER2 Status
.... result:MolekularerBiomarker S 0..* Reference(MII PR MTB Molekularer Biomarker) Molekularer Biomarker
.... result:Tumorzellgehalt S 0..1 Reference(Observation) Observations
... imagingStudy 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
... media Σ 0..* BackboneElement Key images associated with this report
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... comment 0..1 string Comment about the image (e.g. explanation)
.... link Σ 1..1 Reference(Media) Reference to the image source
... conclusion 0..1 string Clinical conclusion (interpretation) of test results
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
... presentedForm 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
DiagnosticReport.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
DiagnosticReport.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.0.1 FHIR Std.
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DiagnosticReport If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
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 DiagnosticReport

Summary

Must-Support: 18 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DiagnosticReport.result

Schlüsselelemente-Ansicht

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... meta SΣ 0..1 Meta Metadata about the resource
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
... subject SΣ 0..1 Reference(Patient) Referenz auf Patient
... issued SΣ 0..1 instant Erstellungsdatum
... specimen S 0..* Reference(MII PR Onkologie Specimen | MII PR Patho Specimen | MII PR Biobank Specimen Bioprobe Core | Specimen) Referenz auf Probe
... Slices for result 0..* Reference(Observation) Observations
Slice: Unordered, Open by profile:$this.resolve()
.... result:TumorMutionalBurden S 0..1 Reference(MII PR MTB Mutationslast) Tumor Mutational Burden
.... result:MSI S 0..1 Reference(MII PR MTB Mikrosatelliteninstabilität) Micro-Satellite Instabilities
.... result:Ploidie S 0..1 Reference(MII PR MTB Ploidie) Ploidie
.... result:HRDScore S 0..1 Reference(MII PR MTB HRD Score) HRD-Score
.... result:BRCAness S 0..1 Reference(MII PR MTB BRCAness) BRCAness
.... result:EinfacheVariante S 0..* Reference(MII PR MTB Einfache Variante) Einfache Variante
.... result:CopyNumberVariant S 0..* Reference(MII PR MTB Copy Number Variant) Copy Number Variant
.... result:DNAFusion S 0..* Reference(MII PR MTB DNA Fusion) DNA-Fusion
.... result:RNAFusion S 0..* Reference(MII PR MTB RNA Fusion) RNA-Fusion
.... result:RNASeq S 0..* Reference(MII PR MTB RNA Seq) RNASeq
.... result:MolekularerBiomarkerHER2Status S 0..* Reference(MII PR Biomarker Her2 Status) Molekularer Biomarker HER2 Status
.... result:MolekularerBiomarker S 0..* Reference(MII PR MTB Molekularer Biomarker) Molekularer Biomarker
.... result:Tumorzellgehalt S 0..1 Reference(Observation) Observations

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DiagnosticReport If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
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()

Differential-Ansicht

Diese Struktur ist abgeleitet von DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... meta S 0..1 Meta Metadata about the resource
.... profile S 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... subject S 0..1 Reference(Patient) Referenz auf Patient
... issued S 0..1 instant Erstellungsdatum
... Slices for result 0..* Reference(Observation) Observations
Slice: Unordered, Open by profile:$this.resolve()
.... result:TumorMutionalBurden S 0..1 Reference(MII PR MTB Mutationslast) Tumor Mutational Burden
.... result:MSI S 0..1 Reference(MII PR MTB Mikrosatelliteninstabilität) Micro-Satellite Instabilities
.... result:Ploidie S 0..1 Reference(MII PR MTB Ploidie) Ploidie
.... result:HRDScore S 0..1 Reference(MII PR MTB HRD Score) HRD-Score
.... result:BRCAness S 0..1 Reference(MII PR MTB BRCAness) BRCAness
.... result:EinfacheVariante S 0..* Reference(MII PR MTB Einfache Variante) Einfache Variante
.... result:CopyNumberVariant S 0..* Reference(MII PR MTB Copy Number Variant) Copy Number Variant
.... result:DNAFusion S 0..* Reference(MII PR MTB DNA Fusion) DNA-Fusion
.... result:RNAFusion S 0..* Reference(MII PR MTB RNA Fusion) RNA-Fusion
.... result:RNASeq S 0..* Reference(MII PR MTB RNA Seq) RNASeq
.... result:MolekularerBiomarkerHER2Status S 0..* Reference(MII PR Biomarker Her2 Status) Molekularer Biomarker HER2 Status
.... result:MolekularerBiomarker S 0..* Reference(MII PR MTB Molekularer Biomarker) Molekularer Biomarker
.... result:Tumorzellgehalt S 0..1 Reference(Observation) Observations

doco Documentation for this format

Snapshot-AnsichtView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
... basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
... status ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category Σ 0..* CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
... subject SΣ 0..1 Reference(Patient) Referenz auf Patient
... encounter Σ 0..1 Reference(Encounter) Health care event when test ordered
... effective[x] Σ 0..1 Clinically relevant time/time-period for report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued SΣ 0..1 instant Erstellungsdatum
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen S 0..* Reference(MII PR Onkologie Specimen | MII PR Patho Specimen | MII PR Biobank Specimen Bioprobe Core | Specimen) Referenz auf Probe
... Slices for result 0..* Reference(Observation) Observations
Slice: Unordered, Open by profile:$this.resolve()
.... result:TumorMutionalBurden S 0..1 Reference(MII PR MTB Mutationslast) Tumor Mutational Burden
.... result:MSI S 0..1 Reference(MII PR MTB Mikrosatelliteninstabilität) Micro-Satellite Instabilities
.... result:Ploidie S 0..1 Reference(MII PR MTB Ploidie) Ploidie
.... result:HRDScore S 0..1 Reference(MII PR MTB HRD Score) HRD-Score
.... result:BRCAness S 0..1 Reference(MII PR MTB BRCAness) BRCAness
.... result:EinfacheVariante S 0..* Reference(MII PR MTB Einfache Variante) Einfache Variante
.... result:CopyNumberVariant S 0..* Reference(MII PR MTB Copy Number Variant) Copy Number Variant
.... result:DNAFusion S 0..* Reference(MII PR MTB DNA Fusion) DNA-Fusion
.... result:RNAFusion S 0..* Reference(MII PR MTB RNA Fusion) RNA-Fusion
.... result:RNASeq S 0..* Reference(MII PR MTB RNA Seq) RNASeq
.... result:MolekularerBiomarkerHER2Status S 0..* Reference(MII PR Biomarker Her2 Status) Molekularer Biomarker HER2 Status
.... result:MolekularerBiomarker S 0..* Reference(MII PR MTB Molekularer Biomarker) Molekularer Biomarker
.... result:Tumorzellgehalt S 0..1 Reference(Observation) Observations
... imagingStudy 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
... media Σ 0..* BackboneElement Key images associated with this report
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... comment 0..1 string Comment about the image (e.g. explanation)
.... link Σ 1..1 Reference(Media) Reference to the image source
... conclusion 0..1 string Clinical conclusion (interpretation) of test results
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
... presentedForm 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
DiagnosticReport.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
DiagnosticReport.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.0.1 FHIR Std.
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DiagnosticReport If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
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 DiagnosticReport

Summary

Must-Support: 18 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DiagnosticReport.result

 

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