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
| Official URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-evidenzgraduierung | Version: 2027.0.0-ballot.1 | |||
| Active as of 2026-09-15 | Computable Name: MII_EX_MTB_Empfehlung_Evidenzgraduierung | |||
Evidenzgraduierung der (einzelnen) Empfehlung
Context of Use
This extension may be used on the following element(s)
RequestGroup
MedicationRequest
Observation
This extension specifies the level of evidence, including an optional additional reference, that was assigned to a recommendation by the Molekulares Tumorboard (molecular tumor board).
This level of evidence is based on the highest evidence that can be found for a therapy of this kind in a comparable patient cohort at the time of the MTB. It can be assumed that effective therapies will receive a stronger evidence level over time.
Usage info
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots, and their representations.
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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0..* | Extension | MII EX MTB Empfehlung Evidenzgraduierung | |
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0..0 | Extension | ||
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1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-evidenzgraduierung" | |
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S | 1..1 | CodeableConcept | Evidence Grading |
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S | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
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S | 1..1 | Coding | Evidence Level |
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1..1 | uri | Identity of the terminology system Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-empfehlung-evidenzgrad | |
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S | 1..1 | code | Symbol in syntax defined by the system |
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S | 0..* | Coding | Additional Reference |
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1..1 | uri | Identity of the terminology system Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-empfehlung-evidenzgrad-zusatzverweis | |
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S | 1..1 | code | Symbol in syntax defined by the system |
Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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0..* | Extension | MII EX MTB Empfehlung Evidenzgraduierung | |
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0..1 | string | Unique id for inter-element referencing | |
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0..0 | Extension Slice: Unordered, Open by value:url | ||
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1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-evidenzgraduierung" | |
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S | 1..1 | CodeableConcept | Evidence Grading |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
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SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
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SΣ | 1..1 | Coding | Evidence Level |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
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Σ | 1..1 | uri | Identity of the terminology system Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-empfehlung-evidenzgrad |
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Σ | 0..1 | string | Version of the system - if relevant |
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SΣ | 1..1 | code | Symbol in syntax defined by the system |
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Σ | 0..1 | string | Representation defined by the system |
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Σ | 0..1 | boolean | If this coding was chosen directly by the user |
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SΣ | 0..* | Coding | Additional Reference |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
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Σ | 1..1 | uri | Identity of the terminology system Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-empfehlung-evidenzgrad-zusatzverweis |
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Σ | 0..1 | string | Version of the system - if relevant |
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SΣ | 1..1 | code | Symbol in syntax defined by the system |
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Σ | 0..1 | string | Representation defined by the system |
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Σ | 0..1 | boolean | If this coding was chosen directly by the user |
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Σ | 0..1 | string | Plain text representation of the concept |
Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential ViewDifferential View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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0..* | Extension | MII EX MTB Empfehlung Evidenzgraduierung | |
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0..0 | Extension | ||
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1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-evidenzgraduierung" | |
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S | 1..1 | CodeableConcept | Evidence Grading |
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S | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
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S | 1..1 | Coding | Evidence Level |
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1..1 | uri | Identity of the terminology system Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-empfehlung-evidenzgrad | |
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S | 1..1 | code | Symbol in syntax defined by the system |
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S | 0..* | Coding | Additional Reference |
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1..1 | uri | Identity of the terminology system Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-empfehlung-evidenzgrad-zusatzverweis | |
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S | 1..1 | code | Symbol in syntax defined by the system |
Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Extension | MII EX MTB Empfehlung Evidenzgraduierung | |
![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
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0..0 | Extension Slice: Unordered, Open by value:url | ||
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1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-evidenzgraduierung" | |
![]() ![]() |
S | 1..1 | CodeableConcept | Evidence Grading |
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
![]() ![]() ![]() ![]() |
SΣ | 1..1 | Coding | Evidence Level |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-empfehlung-evidenzgrad |
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system |
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user |
![]() ![]() ![]() ![]() |
SΣ | 0..* | Coding | Additional Reference |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-empfehlung-evidenzgrad-zusatzverweis |
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system |
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user |
![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept |
Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Other representations of profile: CSV, Excel, Schematron