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 Therapieplan

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

Therapieplan gemäß Beschluss des Molekularen Tumorboards

Inhalt

Dieses Profil beschreibt ein Therapieplan gemäß des Beschlusses des Molekularen Tumorboards.

Inhaltlich basiert er auf dem Tumorboard-Profil des Onkologie-Moduls, in dem bereits Therapiebeschlüsse nach den Kategorien des oBDS kodiert werden konnten. Da im Rahmen des Molekularen Tumorboards jedoch ein Follow-up-Monitoring geplant ist, u.a. um den Status der Therapieempfehlungen zu überprüfen, wurden die Empfehlungen hier als einzelne Datenelemente ausmodelliert, damit sie ihrerseits einzeln referenzierbar sind.

Dies betrifft sowohl (medikamentöse) Therapieempfehlungen (MedicationRequest, bzw. RequestGroup bei Kombinationstherapien) als auch Studieneinschlussempfehlungen und andere diagnostische Verfahren und Dienstleistungen wie Rebiopsien und humangenetische Beratung (ServiceRequest).

Statusangabe

Die Statusangabe eines Therapieplans bezieht sich auf den Umsetzungsstand aller enthaltenen Empfehlungen (siehe Element activity). Es wird empfohlen folgende Statusangaben für die beschriebenen Situationen zu verwenden:

Belegung status Beschreibung
active Empfehlung bzw. Therapieoption in Umsetzung (Regelfall)
revoked Molekularer Tumorboard-Fall ist abgeschlossen
completed Alle Empfehlungen bzw. Therapieoptionen ausgeschöpft oder Patient verstorben

Hinweis: Die Statusangabe eines Therapieplans sollte mit den enthaltenen Empfehlungen (den status-Feldern) semantisch abgestimmt sein.

Inhalt

Mapping Datensatz zu FHIR

Suchparameter

Folgende Suchparameter sind für diese Modul relevant, auch in Kombination:

  1. Der Suchparameter "_id" MUSS unterstützt werden:

    Beispiele:

    GET [base]/CarePlan?_id=12345

    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]/CarePlan?_profile=https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-therapieplan

    Anwendungshinweise: Weitere Informationen zur Suche nach "_profile" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".

  3. Der Suchparameter "identifier" MUSS unterstützt werden:

    Beispiele:

    GET [base]/CarePlan?identifier=123456

    Anwendungshinweise: Weitere Informationen zur Suche nach "identifier" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".

  4. Der Suchparameter "status" MUSS unterstützt werden:

    Beispiele:

    GET [base]/CarePlan?status=active

    Anwendungshinweise: Weitere Informationen zur Suche nach "status" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".

  5. Der Suchparameter "intent" MUSS unterstützt werden:

    Beispiele:

    GET [base]/CarePlan?intent=proposal

    Anwendungshinweise: Weitere Informationen zur Suche nach "intent" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".

  6. Der Suchparameter "category" MUSS unterstützt werden:

    Beispiele:

    GET [base]/CarePlan?category=https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapieplanung-typ|praeth

    Anwendungshinweise: Weitere Informationen zur Suche nach "category" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".

  7. Der Suchparameter "description" MUSS unterstützt werden:

    Beispiele:

    GET [base]/CarePlan?description=contains:Musterperson

    Anwendungshinweise: Weitere Informationen zur Suche nach "description" finden sich in der FHIR-Basisspezifikation - Abschnitt "String Search".

  8. Der Suchparameter "subject" MUSS unterstützt werden:

    Beispiele:

    GET [base]/CarePlan?subject=Patient/example

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

  9. Der Suchparameter "encounter" MUSS unterstützt werden:

    Beispiele:

    GET [base]/CarePlan?encounter=Encounter/example

    Anwendungshinweise: Weitere Informationen zur Suche nach "encounter" finden sich in der FHIR-Basisspezifikation - Abschnitt "Reference Search".

  10. Der Suchparameter "created" MUSS unterstützt werden:

    Beispiele:

    GET [base]/CarePlan?created=eq2021-06-10

    Anwendungshinweise: Weitere Informationen zur Suche nach "created" finden sich in der FHIR-Basisspezifikation - Abschnitt "Date Search".

  11. Der Suchparameter "contributor" MUSS unterstützt werden:

    Beispiele:

    GET [base]/CarePlan?contributor=Practitioner/example

    Anwendungshinweise: Weitere Informationen zur Suche nach "contributor" finden sich in der FHIR-Basisspezifikation - Abschnitt "Reference Search".

  12. Der Suchparameter "condition" MUSS unterstützt werden:

    Beispiele:

    GET [base]/CarePlan?condition=Condition/example

    Anwendungshinweise: Weitere Informationen zur Suche nach "condition" finden sich in der FHIR-Basisspezifikation - Abschnitt "Reference Search".

  13. Der Suchparameter "activity-reference" MUSS unterstützt werden:

    Beispiele:

    GET [base]/CarePlan?activity-reference=MedicationRequest/example

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

  14. Der Suchparameter "activity-code" MUSS unterstützt werden:

    Beispiele:

    GET [base]/CarePlan?activity-code=https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-typ|CH

    Anwendungshinweise: Weitere Informationen zur Suche nach "activity-code" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".

  15. Der Suchparameter "outcome-reference" MUSS unterstützt werden:

    Beispiele:

    GET [base]/CarePlan?outcome-reference=MedicationStatement/example

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

TODO: SP CarePlan.supportingInfo

Beispiele

Beispiel: Beschluss MTB-Fall für Kim Musterperson vom 28.03.2023 (siehe Szenarien)

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
.. CarePlan 0..* MII_PR_Onko_Tumorkonferenz Healthcare plan for patient or group
... 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
... intent ?!SΣ 1..1 code proposal | plan | order | option
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
Required Pattern: plan
... category SΣ 1..1 CodeableConcept Type of plan
Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
.... coding SΣ 1..* Coding Art der Tumorkonferenz / Therapieplanung
Binding: MII VS Onkologie Therapieplanung Typ (required)
..... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapieplanung-typ
..... code SΣ 1..1 code Symbol in syntax defined by the system
... description SΣ 0..1 string Protokollauszug
... subject SΣ 1..1 Reference(Patient) Who the care plan is for
... encounter SΣ 0..1 Reference(Encounter) Encounter created as part of
... created SΣ 1..1 dateTime Erstellungsdatum
... addresses SΣ 0..* Reference(MII PR Onkologie Diagnose Primärtumor) Health issues this plan addresses
... Slices for supportingInfo S 0..* Reference(Resource) Information considered as part of plan
Slice: Unordered, Open by type:$this
.... supportingInfo:Behandlungsepisode S 0..1 Reference(MII PR MTB Behandlungsepisode | ClinicalImpression) Behandlungsepisode
... Slices for activity SC 0..* BackboneElement Therapy recommendations - either oBDS standard categorization or extended molecular protocols
Slice: Unordered, Open by exists:detail, profile:reference.resolve()
Constraints: cpl-3
.... activity:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... activity:obds C 0..* BackboneElement Standard oBDS therapy recommendation with category only
Constraints: cpl-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... detail SC 1..1 BackboneElement In-line definition of activity
Constraints: tumorkonferenz-empfehlung-entscheidung-patient
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... code S 1..1 CodeableConcept Detail type of activity
Binding: MII VS Onkologie Therapieempfehlung Typ (required)
....... coding Σ 0..* Coding Typ der Therapieempfehlung
........ system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-typ
........ code SΣ 1..1 code Symbol in syntax defined by the system
...... status ?!S 1..1 code Status der Therapieempfehlung
Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
...... statusReason S 0..1 CodeableConcept Therapieabweichung aufgrund Patientenwunsch der Therapieempfehlung
Binding: MII VS Onkologie Therapieabweichung (required)
....... coding SΣ 0..* Coding Code defined by a terminology system
........ system Σ 0..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapieabweichung
........ code SΣ 0..1 code Symbol in syntax defined by the system
...... doNotPerform ?! 0..1 boolean If true, activity is prohibiting action
.... activity:extended C 0..* BackboneElement Extended molecular tumor board recommendation with detailed protocols
Constraints: cpl-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... progress S 0..* Annotation Progress notes for recommendation implementation
..... reference SC 1..1 Reference(MII PR Onkologie Therapieempfehlung Kombinationstherapie | MII PR Onkologie Therapieempfehlung Medikation | MII PR Onkologie Therapieempfehlung Operation) Detailed therapy recommendation - RequestGroup, MedicationRequest, or ServiceRequest
.... activity:extended/Therapieempfehlung SC 0..* BackboneElement Therapieempfehlung Systemische Therapie
Constraints: cpl-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... reference SC 1..1 Reference(MII PR MTB Therapieempfehlung Systemische Therapie | MII PR MTB Therapieempfehlung Kombinationstherapie | MedicationRequest | RequestGroup) Activity details defined in specific resource
.... activity:extended/HumangenetischeBeratung SC 0..1 BackboneElement Empfehlung Human-genetische Beratung
Constraints: cpl-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... reference SC 1..1 Reference(MII PR MTB Human-genetische Beratung Auftrag) Activity details defined in specific resource
.... activity:extended/HistologieEvaluation SC 0..1 BackboneElement Empfehlung Histologie-Evaluation
Constraints: cpl-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... reference SC 1..1 Reference(MII PR MTB Histologie-Evaluation Auftrag) Activity details defined in specific resource
.... activity:extended/Biopsie SC 0..* BackboneElement Empfehlung Biopsie
Constraints: cpl-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... reference SC 1..1 Reference(MII PR MTB Biopsie Auftrag) Activity details defined in specific resource
.... activity:extended/Studieneinschlussempfehlung SC 0..* BackboneElement Studieneinschlussempfehlung
Constraints: cpl-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... reference SC 1..1 Reference(MII PR MTB Studieneinschluss Anfrage) Activity details defined in specific resource

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CarePlan.status Base required RequestStatus 📍4.0.1 FHIR Std.
CarePlan.intent Base required Care Plan Intent 📍4.0.1 FHIR Std.
CarePlan.category Base example Care Plan Category 📍4.0.1 FHIR Std.
CarePlan.category.coding Base required MII VS Onkologie Therapieplanung Typ 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
CarePlan.activity:obds.​detail.code Base required MII VS Onkologie Therapieempfehlung Typ 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
CarePlan.activity:obds.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity:obds.​detail.statusReason Base required MII VS Onkologie Therapieabweichung 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
CarePlan.activity:extended.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Therapieempfehlung.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HumangenetischeBeratung.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HistologieEvaluation.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Biopsie.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Studieneinschlussempfehlung.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cpl-3 error CarePlan.activity, CarePlan.activity:obds, CarePlan.activity:extended, CarePlan.activity:extended/Therapieempfehlung, CarePlan.activity:extended/HumangenetischeBeratung, CarePlan.activity:extended/HistologieEvaluation, CarePlan.activity:extended/Biopsie, CarePlan.activity:extended/Studieneinschlussempfehlung Provide a reference or detail, not both detail.empty() or reference.empty()
dom-2 error CarePlan If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error CarePlan 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 CarePlan 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 CarePlan If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice CarePlan 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()
tumorkonferenz-empfehlung-entscheidung-patient error CarePlan.activity:obds.detail Therapieabweichung aufgrund Patientenwunsch: Bei nichtangetretener oder abgebrochener Therapie ist anzugeben, ob dies dem Patientenwunsch entspricht oder ggfs. andere Gründe hat status = 'cancelled' or status = 'stopped' implies statusReason.exists()

Diese Struktur ist abgeleitet von MII_PR_Onko_Tumorkonferenz

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan 0..* MII_PR_Onko_Tumorkonferenz Healthcare plan for patient or group
... meta S 0..1 Meta Metadata about the resource
... status 1..1 code
... description S 0..1 string Protokollauszug
... Slices for supportingInfo 0..* Reference(Resource) Information considered as part of plan
Slice: Unordered, Open by type:$this
.... supportingInfo:Behandlungsepisode S 0..1 Reference(MII PR MTB Behandlungsepisode | ClinicalImpression) Behandlungsepisode
... Slices for activity Content/Rules for all slices
.... activity:extended/Therapieempfehlung S 0..* BackboneElement Therapieempfehlung Systemische Therapie
..... reference S 1..1 Reference(MII PR MTB Therapieempfehlung Systemische Therapie | MII PR MTB Therapieempfehlung Kombinationstherapie | MedicationRequest | RequestGroup) Activity details defined in specific resource
..... detail 0..0 In-line definition of activity
.... activity:extended/HumangenetischeBeratung S 0..1 BackboneElement Empfehlung Human-genetische Beratung
..... reference S 1..1 Reference(MII PR MTB Human-genetische Beratung Auftrag) Activity details defined in specific resource
..... detail 0..0 In-line definition of activity
.... activity:extended/HistologieEvaluation S 0..1 BackboneElement Empfehlung Histologie-Evaluation
..... reference S 1..1 Reference(MII PR MTB Histologie-Evaluation Auftrag) Activity details defined in specific resource
..... detail 0..0 In-line definition of activity
.... activity:extended/Biopsie S 0..* BackboneElement Empfehlung Biopsie
..... reference S 1..1 Reference(MII PR MTB Biopsie Auftrag) Activity details defined in specific resource
..... detail 0..0 In-line definition of activity
.... activity:extended/Studieneinschlussempfehlung S 0..* BackboneElement Studieneinschlussempfehlung
..... reference S 1..1 Reference(MII PR MTB Studieneinschluss Anfrage) Activity details defined in specific resource
..... detail 0..0 In-line definition of activity

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan 0..* MII_PR_Onko_Tumorkonferenz Healthcare plan for patient or group
... 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
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... 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 External Ids for this plan
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan) Fulfills CarePlan
... replaces Σ 0..* Reference(CarePlan) CarePlan replaced by this CarePlan
... partOf Σ 0..* Reference(CarePlan) Part of referenced CarePlan
... status ?!SΣ 1..1 code
Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
... intent ?!SΣ 1..1 code proposal | plan | order | option
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
Required Pattern: plan
... category SΣ 1..1 CodeableConcept Type of plan
Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
.... 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..* Coding Art der Tumorkonferenz / Therapieplanung
Binding: MII VS Onkologie Therapieplanung Typ (required)
..... 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 SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapieplanung-typ
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... 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
... title Σ 0..1 string Human-friendly name for the care plan
... description SΣ 0..1 string Protokollauszug
... subject SΣ 1..1 Reference(Patient) Who the care plan is for
... encounter SΣ 0..1 Reference(Encounter) Encounter created as part of
... period Σ 0..1 Period Time period plan covers
... created SΣ 1..1 dateTime Erstellungsdatum
... author Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Who is the designated responsible party
... contributor 0..* Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Who provided the content of the care plan
... careTeam 0..* Reference(CareTeam) Who's involved in plan?
... addresses SΣ 0..* Reference(MII PR Onkologie Diagnose Primärtumor) Health issues this plan addresses
... Slices for supportingInfo S 0..* Reference(Resource) Information considered as part of plan
Slice: Unordered, Open by type:$this
.... supportingInfo:Behandlungsepisode S 0..1 Reference(MII PR MTB Behandlungsepisode | ClinicalImpression) Behandlungsepisode
... goal 0..* Reference(Goal) Desired outcome of plan
... Slices for activity SC 0..* BackboneElement Therapy recommendations - either oBDS standard categorization or extended molecular protocols
Slice: Unordered, Open by exists:detail, profile:reference.resolve()
Constraints: cpl-3
.... activity:All Slices Content/Rules for all slices
..... 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
..... outcomeCodeableConcept 0..* CodeableConcept Results of the activity
Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
..... outcomeReference 0..* Reference(Resource) Appointment, Encounter, Procedure, etc.
..... progress 0..* Annotation Comments about the activity status/progress
..... reference C 0..1 Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) Activity details defined in specific resource
..... detail C 0..1 BackboneElement In-line definition of activity
...... 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
...... kind 0..1 code Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription
Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.
...... instantiatesCanonical 0..* canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition) Instantiates FHIR protocol or definition
...... instantiatesUri 0..* uri Instantiates external protocol or definition
...... code 0..1 CodeableConcept Detail type of activity
Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.
...... reasonCode 0..* CodeableConcept Why activity should be done or why activity was prohibited
Binding: SNOMEDCTClinicalFindings (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc.
...... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Why activity is needed
...... goal 0..* Reference(Goal) Goals this activity relates to
...... status ?! 1..1 code not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error
Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
...... statusReason 0..1 CodeableConcept Reason for current status
...... doNotPerform ?! 0..1 boolean If true, activity is prohibiting action
...... scheduled[x] 0..1 When activity is to occur
....... scheduledTiming Timing
....... scheduledPeriod Period
....... scheduledString string
...... location 0..1 Reference(Location) Where it should happen
...... performer 0..* Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) Who will be responsible?
...... product[x] 0..1 What is to be administered/supplied
Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.
....... productCodeableConcept CodeableConcept
....... productReference Reference(Medication | Substance)
...... dailyAmount 0..1 SimpleQuantity(4.0.1) How to consume/day?
...... quantity 0..1 SimpleQuantity(4.0.1) How much to administer/supply/consume
...... description 0..1 string Extra info describing activity to perform
.... activity:obds C 0..* BackboneElement Standard oBDS therapy recommendation with category only
Constraints: cpl-3
..... 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
..... outcomeCodeableConcept 0..* CodeableConcept Results of the activity
Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
..... outcomeReference 0..* Reference(Resource) Appointment, Encounter, Procedure, etc.
..... progress 0..* Annotation Comments about the activity status/progress
..... detail SC 1..1 BackboneElement In-line definition of activity
Constraints: tumorkonferenz-empfehlung-entscheidung-patient
...... 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
...... kind 0..1 code Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription
Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.
...... instantiatesCanonical 0..* canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition) Instantiates FHIR protocol or definition
...... instantiatesUri 0..* uri Instantiates external protocol or definition
...... code S 1..1 CodeableConcept Detail type of activity
Binding: MII VS Onkologie Therapieempfehlung Typ (required)
....... 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 Σ 0..* Coding Typ der Therapieempfehlung
........ 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 SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-typ
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ 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
...... reasonCode 0..* CodeableConcept Why activity should be done or why activity was prohibited
Binding: SNOMEDCTClinicalFindings (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc.
...... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Why activity is needed
...... goal 0..* Reference(Goal) Goals this activity relates to
...... status ?!S 1..1 code Status der Therapieempfehlung
Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
...... statusReason S 0..1 CodeableConcept Therapieabweichung aufgrund Patientenwunsch der Therapieempfehlung
Binding: MII VS Onkologie Therapieabweichung (required)
....... 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 0..* Coding Code defined by a terminology system
........ 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-onko/CodeSystem/mii-cs-onko-therapieabweichung
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 0..1 code Symbol in syntax defined by the system
........ 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
...... doNotPerform ?! 0..1 boolean If true, activity is prohibiting action
...... scheduled[x] 0..1 When activity is to occur
....... scheduledTiming Timing
....... scheduledPeriod Period
....... scheduledString string
...... location 0..1 Reference(Location) Where it should happen
...... performer 0..* Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) Who will be responsible?
...... product[x] 0..1 What is to be administered/supplied
Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.
....... productCodeableConcept CodeableConcept
....... productReference Reference(Medication | Substance)
...... dailyAmount 0..1 SimpleQuantity(4.0.1) How to consume/day?
...... quantity 0..1 SimpleQuantity(4.0.1) How much to administer/supply/consume
...... description 0..1 string Extra info describing activity to perform
.... activity:extended C 0..* BackboneElement Extended molecular tumor board recommendation with detailed protocols
Constraints: cpl-3
..... 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
..... outcomeCodeableConcept 0..* CodeableConcept Results of the activity
Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
..... outcomeReference 0..* Reference(Resource) Appointment, Encounter, Procedure, etc.
..... progress S 0..* Annotation Progress notes for recommendation implementation
..... reference SC 1..1 Reference(MII PR Onkologie Therapieempfehlung Kombinationstherapie | MII PR Onkologie Therapieempfehlung Medikation | MII PR Onkologie Therapieempfehlung Operation) Detailed therapy recommendation - RequestGroup, MedicationRequest, or ServiceRequest
.... activity:extended/Therapieempfehlung SC 0..* BackboneElement Therapieempfehlung Systemische Therapie
Constraints: cpl-3
..... 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
..... outcomeCodeableConcept 0..* CodeableConcept Results of the activity
Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
..... outcomeReference 0..* Reference(Resource) Appointment, Encounter, Procedure, etc.
..... progress 0..* Annotation Comments about the activity status/progress
..... reference SC 1..1 Reference(MII PR MTB Therapieempfehlung Systemische Therapie | MII PR MTB Therapieempfehlung Kombinationstherapie | MedicationRequest | RequestGroup) Activity details defined in specific resource
.... activity:extended/HumangenetischeBeratung SC 0..1 BackboneElement Empfehlung Human-genetische Beratung
Constraints: cpl-3
..... 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
..... outcomeCodeableConcept 0..* CodeableConcept Results of the activity
Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
..... outcomeReference 0..* Reference(Resource) Appointment, Encounter, Procedure, etc.
..... progress 0..* Annotation Comments about the activity status/progress
..... reference SC 1..1 Reference(MII PR MTB Human-genetische Beratung Auftrag) Activity details defined in specific resource
.... activity:extended/HistologieEvaluation SC 0..1 BackboneElement Empfehlung Histologie-Evaluation
Constraints: cpl-3
..... 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
..... outcomeCodeableConcept 0..* CodeableConcept Results of the activity
Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
..... outcomeReference 0..* Reference(Resource) Appointment, Encounter, Procedure, etc.
..... progress 0..* Annotation Comments about the activity status/progress
..... reference SC 1..1 Reference(MII PR MTB Histologie-Evaluation Auftrag) Activity details defined in specific resource
.... activity:extended/Biopsie SC 0..* BackboneElement Empfehlung Biopsie
Constraints: cpl-3
..... 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
..... outcomeCodeableConcept 0..* CodeableConcept Results of the activity
Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
..... outcomeReference 0..* Reference(Resource) Appointment, Encounter, Procedure, etc.
..... progress 0..* Annotation Comments about the activity status/progress
..... reference SC 1..1 Reference(MII PR MTB Biopsie Auftrag) Activity details defined in specific resource
.... activity:extended/Studieneinschlussempfehlung SC 0..* BackboneElement Studieneinschlussempfehlung
Constraints: cpl-3
..... 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
..... outcomeCodeableConcept 0..* CodeableConcept Results of the activity
Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
..... outcomeReference 0..* Reference(Resource) Appointment, Encounter, Procedure, etc.
..... progress 0..* Annotation Comments about the activity status/progress
..... reference SC 1..1 Reference(MII PR MTB Studieneinschluss Anfrage) Activity details defined in specific resource
... note 0..* Annotation Comments about the plan

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CarePlan.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
CarePlan.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
CarePlan.language Base preferred Common Languages 📍4.0.1 FHIR Std.
CarePlan.status Base required RequestStatus 📍4.0.1 FHIR Std.
CarePlan.intent Base required Care Plan Intent 📍4.0.1 FHIR Std.
CarePlan.category Base example Care Plan Category 📍4.0.1 FHIR Std.
CarePlan.category.coding Base required MII VS Onkologie Therapieplanung Typ 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
CarePlan.activity.outcomeCodeableConcept Base example Care Plan Activity Outcome 📍4.0.1 FHIR Std.
CarePlan.activity.detail.​kind Base required Care Plan Activity Kind 📍4.0.1 FHIR Std.
CarePlan.activity.detail.​code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
CarePlan.activity.detail.​reasonCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
CarePlan.activity.detail.​status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity.detail.​product[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
CarePlan.activity:obds.​outcomeCodeableConcept Base example Care Plan Activity Outcome 📍4.0.1 FHIR Std.
CarePlan.activity:obds.​detail.kind Base required Care Plan Activity Kind 📍4.0.1 FHIR Std.
CarePlan.activity:obds.​detail.code Base required MII VS Onkologie Therapieempfehlung Typ 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
CarePlan.activity:obds.​detail.reasonCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
CarePlan.activity:obds.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity:obds.​detail.statusReason Base required MII VS Onkologie Therapieabweichung 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
CarePlan.activity:obds.​detail.product[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
CarePlan.activity:extended.​outcomeCodeableConcept Base example Care Plan Activity Outcome 📍4.0.1 FHIR Std.
CarePlan.activity:extended.​detail.kind Base required Care Plan Activity Kind 📍4.0.1 FHIR Std.
CarePlan.activity:extended.​detail.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
CarePlan.activity:extended.​detail.reasonCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
CarePlan.activity:extended.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity:extended.​detail.product[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Therapieempfehlung.​outcomeCodeableConcept Base example Care Plan Activity Outcome 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Therapieempfehlung.​detail.kind Base required Care Plan Activity Kind 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Therapieempfehlung.​detail.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Therapieempfehlung.​detail.reasonCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Therapieempfehlung.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Therapieempfehlung.​detail.product[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HumangenetischeBeratung.​outcomeCodeableConcept Base example Care Plan Activity Outcome 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HumangenetischeBeratung.​detail.kind Base required Care Plan Activity Kind 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HumangenetischeBeratung.​detail.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HumangenetischeBeratung.​detail.reasonCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HumangenetischeBeratung.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HumangenetischeBeratung.​detail.product[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HistologieEvaluation.​outcomeCodeableConcept Base example Care Plan Activity Outcome 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HistologieEvaluation.​detail.kind Base required Care Plan Activity Kind 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HistologieEvaluation.​detail.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HistologieEvaluation.​detail.reasonCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HistologieEvaluation.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HistologieEvaluation.​detail.product[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Biopsie.​outcomeCodeableConcept Base example Care Plan Activity Outcome 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Biopsie.​detail.kind Base required Care Plan Activity Kind 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Biopsie.​detail.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Biopsie.​detail.reasonCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Biopsie.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Biopsie.​detail.product[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Studieneinschlussempfehlung.​outcomeCodeableConcept Base example Care Plan Activity Outcome 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Studieneinschlussempfehlung.​detail.kind Base required Care Plan Activity Kind 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Studieneinschlussempfehlung.​detail.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Studieneinschlussempfehlung.​detail.reasonCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Studieneinschlussempfehlung.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Studieneinschlussempfehlung.​detail.product[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cpl-3 error CarePlan.activity, CarePlan.activity:obds, CarePlan.activity:extended, CarePlan.activity:extended/Therapieempfehlung, CarePlan.activity:extended/HumangenetischeBeratung, CarePlan.activity:extended/HistologieEvaluation, CarePlan.activity:extended/Biopsie, CarePlan.activity:extended/Studieneinschlussempfehlung Provide a reference or detail, not both detail.empty() or reference.empty()
dom-2 error CarePlan If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error CarePlan 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 CarePlan 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 CarePlan If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice CarePlan 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()
tumorkonferenz-empfehlung-entscheidung-patient error CarePlan.activity:obds.detail Therapieabweichung aufgrund Patientenwunsch: Bei nichtangetretener oder abgebrochener Therapie ist anzugeben, ob dies dem Patientenwunsch entspricht oder ggfs. andere Gründe hat status = 'cancelled' or status = 'stopped' implies statusReason.exists()

Schlüsselelemente-Ansicht

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan 0..* MII_PR_Onko_Tumorkonferenz Healthcare plan for patient or group
... 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
... intent ?!SΣ 1..1 code proposal | plan | order | option
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
Required Pattern: plan
... category SΣ 1..1 CodeableConcept Type of plan
Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
.... coding SΣ 1..* Coding Art der Tumorkonferenz / Therapieplanung
Binding: MII VS Onkologie Therapieplanung Typ (required)
..... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapieplanung-typ
..... code SΣ 1..1 code Symbol in syntax defined by the system
... description SΣ 0..1 string Protokollauszug
... subject SΣ 1..1 Reference(Patient) Who the care plan is for
... encounter SΣ 0..1 Reference(Encounter) Encounter created as part of
... created SΣ 1..1 dateTime Erstellungsdatum
... addresses SΣ 0..* Reference(MII PR Onkologie Diagnose Primärtumor) Health issues this plan addresses
... Slices for supportingInfo S 0..* Reference(Resource) Information considered as part of plan
Slice: Unordered, Open by type:$this
.... supportingInfo:Behandlungsepisode S 0..1 Reference(MII PR MTB Behandlungsepisode | ClinicalImpression) Behandlungsepisode
... Slices for activity SC 0..* BackboneElement Therapy recommendations - either oBDS standard categorization or extended molecular protocols
Slice: Unordered, Open by exists:detail, profile:reference.resolve()
Constraints: cpl-3
.... activity:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... activity:obds C 0..* BackboneElement Standard oBDS therapy recommendation with category only
Constraints: cpl-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... detail SC 1..1 BackboneElement In-line definition of activity
Constraints: tumorkonferenz-empfehlung-entscheidung-patient
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... code S 1..1 CodeableConcept Detail type of activity
Binding: MII VS Onkologie Therapieempfehlung Typ (required)
....... coding Σ 0..* Coding Typ der Therapieempfehlung
........ system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-typ
........ code SΣ 1..1 code Symbol in syntax defined by the system
...... status ?!S 1..1 code Status der Therapieempfehlung
Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
...... statusReason S 0..1 CodeableConcept Therapieabweichung aufgrund Patientenwunsch der Therapieempfehlung
Binding: MII VS Onkologie Therapieabweichung (required)
....... coding SΣ 0..* Coding Code defined by a terminology system
........ system Σ 0..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapieabweichung
........ code SΣ 0..1 code Symbol in syntax defined by the system
...... doNotPerform ?! 0..1 boolean If true, activity is prohibiting action
.... activity:extended C 0..* BackboneElement Extended molecular tumor board recommendation with detailed protocols
Constraints: cpl-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... progress S 0..* Annotation Progress notes for recommendation implementation
..... reference SC 1..1 Reference(MII PR Onkologie Therapieempfehlung Kombinationstherapie | MII PR Onkologie Therapieempfehlung Medikation | MII PR Onkologie Therapieempfehlung Operation) Detailed therapy recommendation - RequestGroup, MedicationRequest, or ServiceRequest
.... activity:extended/Therapieempfehlung SC 0..* BackboneElement Therapieempfehlung Systemische Therapie
Constraints: cpl-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... reference SC 1..1 Reference(MII PR MTB Therapieempfehlung Systemische Therapie | MII PR MTB Therapieempfehlung Kombinationstherapie | MedicationRequest | RequestGroup) Activity details defined in specific resource
.... activity:extended/HumangenetischeBeratung SC 0..1 BackboneElement Empfehlung Human-genetische Beratung
Constraints: cpl-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... reference SC 1..1 Reference(MII PR MTB Human-genetische Beratung Auftrag) Activity details defined in specific resource
.... activity:extended/HistologieEvaluation SC 0..1 BackboneElement Empfehlung Histologie-Evaluation
Constraints: cpl-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... reference SC 1..1 Reference(MII PR MTB Histologie-Evaluation Auftrag) Activity details defined in specific resource
.... activity:extended/Biopsie SC 0..* BackboneElement Empfehlung Biopsie
Constraints: cpl-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... reference SC 1..1 Reference(MII PR MTB Biopsie Auftrag) Activity details defined in specific resource
.... activity:extended/Studieneinschlussempfehlung SC 0..* BackboneElement Studieneinschlussempfehlung
Constraints: cpl-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... reference SC 1..1 Reference(MII PR MTB Studieneinschluss Anfrage) Activity details defined in specific resource

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CarePlan.status Base required RequestStatus 📍4.0.1 FHIR Std.
CarePlan.intent Base required Care Plan Intent 📍4.0.1 FHIR Std.
CarePlan.category Base example Care Plan Category 📍4.0.1 FHIR Std.
CarePlan.category.coding Base required MII VS Onkologie Therapieplanung Typ 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
CarePlan.activity:obds.​detail.code Base required MII VS Onkologie Therapieempfehlung Typ 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
CarePlan.activity:obds.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity:obds.​detail.statusReason Base required MII VS Onkologie Therapieabweichung 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
CarePlan.activity:extended.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Therapieempfehlung.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HumangenetischeBeratung.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HistologieEvaluation.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Biopsie.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Studieneinschlussempfehlung.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cpl-3 error CarePlan.activity, CarePlan.activity:obds, CarePlan.activity:extended, CarePlan.activity:extended/Therapieempfehlung, CarePlan.activity:extended/HumangenetischeBeratung, CarePlan.activity:extended/HistologieEvaluation, CarePlan.activity:extended/Biopsie, CarePlan.activity:extended/Studieneinschlussempfehlung Provide a reference or detail, not both detail.empty() or reference.empty()
dom-2 error CarePlan If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error CarePlan 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 CarePlan 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 CarePlan If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice CarePlan 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()
tumorkonferenz-empfehlung-entscheidung-patient error CarePlan.activity:obds.detail Therapieabweichung aufgrund Patientenwunsch: Bei nichtangetretener oder abgebrochener Therapie ist anzugeben, ob dies dem Patientenwunsch entspricht oder ggfs. andere Gründe hat status = 'cancelled' or status = 'stopped' implies statusReason.exists()

Differential-Ansicht

Diese Struktur ist abgeleitet von MII_PR_Onko_Tumorkonferenz

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan 0..* MII_PR_Onko_Tumorkonferenz Healthcare plan for patient or group
... meta S 0..1 Meta Metadata about the resource
... status 1..1 code
... description S 0..1 string Protokollauszug
... Slices for supportingInfo 0..* Reference(Resource) Information considered as part of plan
Slice: Unordered, Open by type:$this
.... supportingInfo:Behandlungsepisode S 0..1 Reference(MII PR MTB Behandlungsepisode | ClinicalImpression) Behandlungsepisode
... Slices for activity Content/Rules for all slices
.... activity:extended/Therapieempfehlung S 0..* BackboneElement Therapieempfehlung Systemische Therapie
..... reference S 1..1 Reference(MII PR MTB Therapieempfehlung Systemische Therapie | MII PR MTB Therapieempfehlung Kombinationstherapie | MedicationRequest | RequestGroup) Activity details defined in specific resource
..... detail 0..0 In-line definition of activity
.... activity:extended/HumangenetischeBeratung S 0..1 BackboneElement Empfehlung Human-genetische Beratung
..... reference S 1..1 Reference(MII PR MTB Human-genetische Beratung Auftrag) Activity details defined in specific resource
..... detail 0..0 In-line definition of activity
.... activity:extended/HistologieEvaluation S 0..1 BackboneElement Empfehlung Histologie-Evaluation
..... reference S 1..1 Reference(MII PR MTB Histologie-Evaluation Auftrag) Activity details defined in specific resource
..... detail 0..0 In-line definition of activity
.... activity:extended/Biopsie S 0..* BackboneElement Empfehlung Biopsie
..... reference S 1..1 Reference(MII PR MTB Biopsie Auftrag) Activity details defined in specific resource
..... detail 0..0 In-line definition of activity
.... activity:extended/Studieneinschlussempfehlung S 0..* BackboneElement Studieneinschlussempfehlung
..... reference S 1..1 Reference(MII PR MTB Studieneinschluss Anfrage) Activity details defined in specific resource
..... detail 0..0 In-line definition of activity

doco Documentation for this format

Snapshot-AnsichtView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan 0..* MII_PR_Onko_Tumorkonferenz Healthcare plan for patient or group
... 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
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... 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 External Ids for this plan
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan) Fulfills CarePlan
... replaces Σ 0..* Reference(CarePlan) CarePlan replaced by this CarePlan
... partOf Σ 0..* Reference(CarePlan) Part of referenced CarePlan
... status ?!SΣ 1..1 code
Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
... intent ?!SΣ 1..1 code proposal | plan | order | option
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan.
Required Pattern: plan
... category SΣ 1..1 CodeableConcept Type of plan
Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
.... 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..* Coding Art der Tumorkonferenz / Therapieplanung
Binding: MII VS Onkologie Therapieplanung Typ (required)
..... 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 SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapieplanung-typ
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... 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
... title Σ 0..1 string Human-friendly name for the care plan
... description SΣ 0..1 string Protokollauszug
... subject SΣ 1..1 Reference(Patient) Who the care plan is for
... encounter SΣ 0..1 Reference(Encounter) Encounter created as part of
... period Σ 0..1 Period Time period plan covers
... created SΣ 1..1 dateTime Erstellungsdatum
... author Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Who is the designated responsible party
... contributor 0..* Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) Who provided the content of the care plan
... careTeam 0..* Reference(CareTeam) Who's involved in plan?
... addresses SΣ 0..* Reference(MII PR Onkologie Diagnose Primärtumor) Health issues this plan addresses
... Slices for supportingInfo S 0..* Reference(Resource) Information considered as part of plan
Slice: Unordered, Open by type:$this
.... supportingInfo:Behandlungsepisode S 0..1 Reference(MII PR MTB Behandlungsepisode | ClinicalImpression) Behandlungsepisode
... goal 0..* Reference(Goal) Desired outcome of plan
... Slices for activity SC 0..* BackboneElement Therapy recommendations - either oBDS standard categorization or extended molecular protocols
Slice: Unordered, Open by exists:detail, profile:reference.resolve()
Constraints: cpl-3
.... activity:All Slices Content/Rules for all slices
..... 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
..... outcomeCodeableConcept 0..* CodeableConcept Results of the activity
Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
..... outcomeReference 0..* Reference(Resource) Appointment, Encounter, Procedure, etc.
..... progress 0..* Annotation Comments about the activity status/progress
..... reference C 0..1 Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) Activity details defined in specific resource
..... detail C 0..1 BackboneElement In-line definition of activity
...... 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
...... kind 0..1 code Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription
Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.
...... instantiatesCanonical 0..* canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition) Instantiates FHIR protocol or definition
...... instantiatesUri 0..* uri Instantiates external protocol or definition
...... code 0..1 CodeableConcept Detail type of activity
Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.
...... reasonCode 0..* CodeableConcept Why activity should be done or why activity was prohibited
Binding: SNOMEDCTClinicalFindings (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc.
...... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Why activity is needed
...... goal 0..* Reference(Goal) Goals this activity relates to
...... status ?! 1..1 code not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error
Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
...... statusReason 0..1 CodeableConcept Reason for current status
...... doNotPerform ?! 0..1 boolean If true, activity is prohibiting action
...... scheduled[x] 0..1 When activity is to occur
....... scheduledTiming Timing
....... scheduledPeriod Period
....... scheduledString string
...... location 0..1 Reference(Location) Where it should happen
...... performer 0..* Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) Who will be responsible?
...... product[x] 0..1 What is to be administered/supplied
Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.
....... productCodeableConcept CodeableConcept
....... productReference Reference(Medication | Substance)
...... dailyAmount 0..1 SimpleQuantity(4.0.1) How to consume/day?
...... quantity 0..1 SimpleQuantity(4.0.1) How much to administer/supply/consume
...... description 0..1 string Extra info describing activity to perform
.... activity:obds C 0..* BackboneElement Standard oBDS therapy recommendation with category only
Constraints: cpl-3
..... 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
..... outcomeCodeableConcept 0..* CodeableConcept Results of the activity
Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
..... outcomeReference 0..* Reference(Resource) Appointment, Encounter, Procedure, etc.
..... progress 0..* Annotation Comments about the activity status/progress
..... detail SC 1..1 BackboneElement In-line definition of activity
Constraints: tumorkonferenz-empfehlung-entscheidung-patient
...... 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
...... kind 0..1 code Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription
Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.
...... instantiatesCanonical 0..* canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition) Instantiates FHIR protocol or definition
...... instantiatesUri 0..* uri Instantiates external protocol or definition
...... code S 1..1 CodeableConcept Detail type of activity
Binding: MII VS Onkologie Therapieempfehlung Typ (required)
....... 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 Σ 0..* Coding Typ der Therapieempfehlung
........ 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 SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-typ
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ 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
...... reasonCode 0..* CodeableConcept Why activity should be done or why activity was prohibited
Binding: SNOMEDCTClinicalFindings (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc.
...... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Why activity is needed
...... goal 0..* Reference(Goal) Goals this activity relates to
...... status ?!S 1..1 code Status der Therapieempfehlung
Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
...... statusReason S 0..1 CodeableConcept Therapieabweichung aufgrund Patientenwunsch der Therapieempfehlung
Binding: MII VS Onkologie Therapieabweichung (required)
....... 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 0..* Coding Code defined by a terminology system
........ 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-onko/CodeSystem/mii-cs-onko-therapieabweichung
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 0..1 code Symbol in syntax defined by the system
........ 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
...... doNotPerform ?! 0..1 boolean If true, activity is prohibiting action
...... scheduled[x] 0..1 When activity is to occur
....... scheduledTiming Timing
....... scheduledPeriod Period
....... scheduledString string
...... location 0..1 Reference(Location) Where it should happen
...... performer 0..* Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) Who will be responsible?
...... product[x] 0..1 What is to be administered/supplied
Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.
....... productCodeableConcept CodeableConcept
....... productReference Reference(Medication | Substance)
...... dailyAmount 0..1 SimpleQuantity(4.0.1) How to consume/day?
...... quantity 0..1 SimpleQuantity(4.0.1) How much to administer/supply/consume
...... description 0..1 string Extra info describing activity to perform
.... activity:extended C 0..* BackboneElement Extended molecular tumor board recommendation with detailed protocols
Constraints: cpl-3
..... 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
..... outcomeCodeableConcept 0..* CodeableConcept Results of the activity
Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
..... outcomeReference 0..* Reference(Resource) Appointment, Encounter, Procedure, etc.
..... progress S 0..* Annotation Progress notes for recommendation implementation
..... reference SC 1..1 Reference(MII PR Onkologie Therapieempfehlung Kombinationstherapie | MII PR Onkologie Therapieempfehlung Medikation | MII PR Onkologie Therapieempfehlung Operation) Detailed therapy recommendation - RequestGroup, MedicationRequest, or ServiceRequest
.... activity:extended/Therapieempfehlung SC 0..* BackboneElement Therapieempfehlung Systemische Therapie
Constraints: cpl-3
..... 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
..... outcomeCodeableConcept 0..* CodeableConcept Results of the activity
Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
..... outcomeReference 0..* Reference(Resource) Appointment, Encounter, Procedure, etc.
..... progress 0..* Annotation Comments about the activity status/progress
..... reference SC 1..1 Reference(MII PR MTB Therapieempfehlung Systemische Therapie | MII PR MTB Therapieempfehlung Kombinationstherapie | MedicationRequest | RequestGroup) Activity details defined in specific resource
.... activity:extended/HumangenetischeBeratung SC 0..1 BackboneElement Empfehlung Human-genetische Beratung
Constraints: cpl-3
..... 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
..... outcomeCodeableConcept 0..* CodeableConcept Results of the activity
Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
..... outcomeReference 0..* Reference(Resource) Appointment, Encounter, Procedure, etc.
..... progress 0..* Annotation Comments about the activity status/progress
..... reference SC 1..1 Reference(MII PR MTB Human-genetische Beratung Auftrag) Activity details defined in specific resource
.... activity:extended/HistologieEvaluation SC 0..1 BackboneElement Empfehlung Histologie-Evaluation
Constraints: cpl-3
..... 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
..... outcomeCodeableConcept 0..* CodeableConcept Results of the activity
Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
..... outcomeReference 0..* Reference(Resource) Appointment, Encounter, Procedure, etc.
..... progress 0..* Annotation Comments about the activity status/progress
..... reference SC 1..1 Reference(MII PR MTB Histologie-Evaluation Auftrag) Activity details defined in specific resource
.... activity:extended/Biopsie SC 0..* BackboneElement Empfehlung Biopsie
Constraints: cpl-3
..... 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
..... outcomeCodeableConcept 0..* CodeableConcept Results of the activity
Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
..... outcomeReference 0..* Reference(Resource) Appointment, Encounter, Procedure, etc.
..... progress 0..* Annotation Comments about the activity status/progress
..... reference SC 1..1 Reference(MII PR MTB Biopsie Auftrag) Activity details defined in specific resource
.... activity:extended/Studieneinschlussempfehlung SC 0..* BackboneElement Studieneinschlussempfehlung
Constraints: cpl-3
..... 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
..... outcomeCodeableConcept 0..* CodeableConcept Results of the activity
Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
..... outcomeReference 0..* Reference(Resource) Appointment, Encounter, Procedure, etc.
..... progress 0..* Annotation Comments about the activity status/progress
..... reference SC 1..1 Reference(MII PR MTB Studieneinschluss Anfrage) Activity details defined in specific resource
... note 0..* Annotation Comments about the plan

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CarePlan.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
CarePlan.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
CarePlan.language Base preferred Common Languages 📍4.0.1 FHIR Std.
CarePlan.status Base required RequestStatus 📍4.0.1 FHIR Std.
CarePlan.intent Base required Care Plan Intent 📍4.0.1 FHIR Std.
CarePlan.category Base example Care Plan Category 📍4.0.1 FHIR Std.
CarePlan.category.coding Base required MII VS Onkologie Therapieplanung Typ 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
CarePlan.activity.outcomeCodeableConcept Base example Care Plan Activity Outcome 📍4.0.1 FHIR Std.
CarePlan.activity.detail.​kind Base required Care Plan Activity Kind 📍4.0.1 FHIR Std.
CarePlan.activity.detail.​code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
CarePlan.activity.detail.​reasonCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
CarePlan.activity.detail.​status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity.detail.​product[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
CarePlan.activity:obds.​outcomeCodeableConcept Base example Care Plan Activity Outcome 📍4.0.1 FHIR Std.
CarePlan.activity:obds.​detail.kind Base required Care Plan Activity Kind 📍4.0.1 FHIR Std.
CarePlan.activity:obds.​detail.code Base required MII VS Onkologie Therapieempfehlung Typ 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
CarePlan.activity:obds.​detail.reasonCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
CarePlan.activity:obds.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity:obds.​detail.statusReason Base required MII VS Onkologie Therapieabweichung 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
CarePlan.activity:obds.​detail.product[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
CarePlan.activity:extended.​outcomeCodeableConcept Base example Care Plan Activity Outcome 📍4.0.1 FHIR Std.
CarePlan.activity:extended.​detail.kind Base required Care Plan Activity Kind 📍4.0.1 FHIR Std.
CarePlan.activity:extended.​detail.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
CarePlan.activity:extended.​detail.reasonCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
CarePlan.activity:extended.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity:extended.​detail.product[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Therapieempfehlung.​outcomeCodeableConcept Base example Care Plan Activity Outcome 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Therapieempfehlung.​detail.kind Base required Care Plan Activity Kind 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Therapieempfehlung.​detail.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Therapieempfehlung.​detail.reasonCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Therapieempfehlung.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Therapieempfehlung.​detail.product[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HumangenetischeBeratung.​outcomeCodeableConcept Base example Care Plan Activity Outcome 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HumangenetischeBeratung.​detail.kind Base required Care Plan Activity Kind 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HumangenetischeBeratung.​detail.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HumangenetischeBeratung.​detail.reasonCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HumangenetischeBeratung.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HumangenetischeBeratung.​detail.product[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HistologieEvaluation.​outcomeCodeableConcept Base example Care Plan Activity Outcome 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HistologieEvaluation.​detail.kind Base required Care Plan Activity Kind 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HistologieEvaluation.​detail.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HistologieEvaluation.​detail.reasonCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HistologieEvaluation.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity:extended/HistologieEvaluation.​detail.product[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Biopsie.​outcomeCodeableConcept Base example Care Plan Activity Outcome 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Biopsie.​detail.kind Base required Care Plan Activity Kind 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Biopsie.​detail.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Biopsie.​detail.reasonCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Biopsie.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Biopsie.​detail.product[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Studieneinschlussempfehlung.​outcomeCodeableConcept Base example Care Plan Activity Outcome 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Studieneinschlussempfehlung.​detail.kind Base required Care Plan Activity Kind 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Studieneinschlussempfehlung.​detail.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Studieneinschlussempfehlung.​detail.reasonCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Studieneinschlussempfehlung.​detail.status Base required CarePlanActivityStatus 📍4.0.1 FHIR Std.
CarePlan.activity:extended/Studieneinschlussempfehlung.​detail.product[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cpl-3 error CarePlan.activity, CarePlan.activity:obds, CarePlan.activity:extended, CarePlan.activity:extended/Therapieempfehlung, CarePlan.activity:extended/HumangenetischeBeratung, CarePlan.activity:extended/HistologieEvaluation, CarePlan.activity:extended/Biopsie, CarePlan.activity:extended/Studieneinschlussempfehlung Provide a reference or detail, not both detail.empty() or reference.empty()
dom-2 error CarePlan If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error CarePlan 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 CarePlan 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 CarePlan If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice CarePlan 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()
tumorkonferenz-empfehlung-entscheidung-patient error CarePlan.activity:obds.detail Therapieabweichung aufgrund Patientenwunsch: Bei nichtangetretener oder abgebrochener Therapie ist anzugeben, ob dies dem Patientenwunsch entspricht oder ggfs. andere Gründe hat status = 'cancelled' or status = 'stopped' implies statusReason.exists()

 

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