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

Resource Profile: MII PR MTB Therapieempfehlung Kombinationstherapie

Official URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-therapieempfehlung-kombination Version: 2027.0.0-ballot.1
Active as of 2026-09-15 Computable Name: MII_PR_MTB_Therapieempfehlung_Kombination

Therapieempfehlung für eine medikamentöse Kombinationstherapie

Content

This profile describes a therapy recommendation for systemic therapy with a combination of several medications.

Status

The status of a combination therapy recommendation refers to its implementation state. It is recommended to use the following status values for the described situations:

Value of status Description
draft Not implemented
active Being implemented
completed Completed or discontinued (patient deceased)

Note: The status should be semantically aligned with that of the decided Therapieplan (therapy plan) (see Therapieplan).

Content

Mapping dataset to FHIR

TODO: FHIR LM for combination therapy

Search parameters

The following search parameters are relevant for this module, including in combination:

  1. The search parameter "_id" MUST be supported:

    Examples:

    GET [base]/RequestGroup?_id=12345

    Usage notes: Further information on searching by "_id" can be found in the FHIR base specification - section "Parameters for all resources".

  2. The search parameter "_profile" MUST be supported:

    Examples:

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

    Usage notes: Further information on searching by "_profile" can be found in the FHIR base specification - section "token".

  3. The search parameter "identifier" MUST be supported:

    Examples:

    GET [base]/RequestGroup?identifier=urn:fdc:medizininformatik-initiative.de:mtb-medications|0001

    Usage notes: Further information on searching by "identifier" can be found in the FHIR base specification - section "token".

  4. The search parameter "intent" MUST be supported:

    Examples:

    GET [base]/RequestGroup?intent=final

    Usage notes: Further information on searching by "intent" can be found in the FHIR base specification - section "token".

  5. The search parameter "subject" MUST be supported:

    Examples:

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

    Usage notes: Further information on searching by "subject" can be found in the FHIR base specification - section "reference".

  6. The search parameter "action-resource" MUST be supported:

    Examples:

    GET [base]/RequestGroup?action-resource=MedicationRequest/example

    Usage notes: Further information on searching by "action-resource" can be found in the FHIR base specification - section "reference".

Examples

Example: Recommendation of a combination therapy consisting of Dabrafenib and Trametinib for Kim Musterperson dated 2023-03-28 (see Scenarios)

The respective MedicationRequests:

And the Medications:

Description

RequestGroup-based profile for combination therapy recommendations.

See also: TherapieempfehlungKombination

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and their representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. RequestGroup 0..* MII_PR_Onko_Therapieempfehlung_Kombinationstherapie A group of related requests
... 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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:Prioritaet S 0..1 decimal MII EX MTB Empfehlung Priorität
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-prioritaet
.... extension:Evidenzgraduierung S 0..1 CodeableConcept MII EX MTB Empfehlung Evidenzgraduierung
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-evidenzgraduierung
.... extension:Publikation S 0..* Identifier MII EX MTB Empfehlung Publikation
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-publikation
... identifier SΣ 0..* Identifier Business identifier
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): Codes identifying the lifecycle stage of a request.
... intent ?!SΣ 1..1 code proposal | option
Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a request.
Required Pattern: proposal
... code SΣ 0..1 CodeableConcept Type of therapy recommendation
Binding: MII VS Onkologie Therapieempfehlung Typ (preferred)
... subject S 1..1 Reference(Patient) Who the request group is about
... encounter S 0..1 Reference(Encounter) Created as part of
... authoredOn S 1..1 dateTime When the request group was authored
... author 0..1 Reference(Practitioner | PractitionerRole) Device or practitioner that authored the request group
... reasonReference S 0..* Reference(MII PR Onkologie Diagnose Primärtumor) Why the request group is needed
... action SC 1..* BackboneElement Proposed actions, if any
Constraints: rqg-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code S 0..* CodeableConcept Empfohlenes Therapieprotokoll
Binding: MII VS Onkologie Systemische Therapie Protokolle (extensible)
.... resource SC 1..1 Reference(MII PR MTB Therapieempfehlung Systemische Therapie | MedicationRequest) The target of the action

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
RequestGroup.status Base required RequestStatus 📍4.0.1 FHIR Std.
RequestGroup.intent Base required RequestIntent 📍4.0.1 FHIR Std.
RequestGroup.code Base preferred MII VS Onkologie Therapieempfehlung Typ 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
RequestGroup.action.​code Base extensible MII VS Onkologie Systemische Therapie Protokolle 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0

Constraints

Id Grade Path(s) Description Expression
dom-2 error RequestGroup If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error RequestGroup 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 RequestGroup 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 RequestGroup If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice RequestGroup 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()
rqg-1 error RequestGroup.action Must have resource or action but not both resource.exists() != action.exists()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. RequestGroup 0..* MII_PR_Onko_Therapieempfehlung_Kombinationstherapie A group of related requests
... meta S 0..1 Meta Metadata about the resource
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:Prioritaet S 0..1 decimal MII EX MTB Empfehlung Priorität
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-prioritaet
.... extension:Evidenzgraduierung S 0..1 CodeableConcept MII EX MTB Empfehlung Evidenzgraduierung
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-evidenzgraduierung
.... extension:Publikation S 0..* Identifier MII EX MTB Empfehlung Publikation
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-publikation
... status 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
... author 0..1 Reference(Practitioner | PractitionerRole) Device or practitioner that authored the request group
... action 1..* BackboneElement Proposed actions, if any
.... resource S 1..1 Reference(MII PR MTB Therapieempfehlung Systemische Therapie | MedicationRequest) The target of the action
.... action 0..0 Individual medications in protocol

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. RequestGroup 0..* MII_PR_Onko_Therapieempfehlung_Kombinationstherapie A group of related requests
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:Prioritaet S 0..1 decimal MII EX MTB Empfehlung Priorität
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-prioritaet
.... extension:Evidenzgraduierung S 0..1 CodeableConcept MII EX MTB Empfehlung Evidenzgraduierung
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-evidenzgraduierung
.... extension:Publikation S 0..* Identifier MII EX MTB Empfehlung Publikation
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-publikation
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Business identifier
... instantiatesCanonical Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn 0..* Reference(Resource) Fulfills plan, proposal, or order
... replaces 0..* Reference(Resource) Request(s) replaced by this request
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): Codes identifying the lifecycle stage of a request.
... intent ?!SΣ 1..1 code proposal | option
Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a request.
Required Pattern: proposal
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... code SΣ 0..1 CodeableConcept Type of therapy recommendation
Binding: MII VS Onkologie Therapieempfehlung Typ (preferred)
... subject S 1..1 Reference(Patient) Who the request group is about
... encounter S 0..1 Reference(Encounter) Created as part of
... authoredOn S 1..1 dateTime When the request group was authored
... author 0..1 Reference(Practitioner | PractitionerRole) Device or practitioner that authored the request group
... reasonCode 0..* CodeableConcept Why the request group is needed
... reasonReference S 0..* Reference(MII PR Onkologie Diagnose Primärtumor) Why the request group is needed
... note 0..* Annotation Additional notes about the response
... action SC 1..* BackboneElement Proposed actions, if any
Constraints: rqg-1
.... 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
.... prefix 0..1 string User-visible prefix for the action (e.g. 1. or A.)
.... title 0..1 string User-visible title
.... description Σ 0..1 string Short description of the action
.... textEquivalent Σ 0..1 string Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system
.... priority 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
.... code S 0..* CodeableConcept Empfohlenes Therapieprotokoll
Binding: MII VS Onkologie Systemische Therapie Protokolle (extensible)
.... documentation 0..* RelatedArtifact Supporting documentation for the intended performer of the action
.... condition 0..* BackboneElement Whether or not the action is applicable
..... 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 1..1 code applicability | start | stop
Binding: ActionConditionKind (required): The kind of condition for the action.
..... expression 0..1 Expression Boolean-valued expression
.... relatedAction 0..* BackboneElement Relationship to another action
..... 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
..... actionId 1..1 id What action this is related to
..... relationship 1..1 code before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end
Binding: ActionRelationshipType (required): Defines the types of relationships between actions.
..... offset[x] 0..1 Time offset for the relationship
...... offsetDuration Duration
...... offsetRange Range
.... timing[x] 0..1 When the action should take place
..... timingDateTime dateTime
..... timingAge Age
..... timingPeriod Period
..... timingDuration Duration
..... timingRange Range
..... timingTiming Timing
.... participant 0..* Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device) Who should perform the action
.... type 0..1 CodeableConcept create | update | remove | fire-event
Binding: ActionType (extensible): The type of action to be performed.
.... groupingBehavior 0..1 code visual-group | logical-group | sentence-group
Binding: ActionGroupingBehavior (required): Defines organization behavior of a group.
.... selectionBehavior 0..1 code any | all | all-or-none | exactly-one | at-most-one | one-or-more
Binding: ActionSelectionBehavior (required): Defines selection behavior of a group.
.... requiredBehavior 0..1 code must | could | must-unless-documented
Binding: ActionRequiredBehavior (required): Defines expectations around whether an action or action group is required.
.... precheckBehavior 0..1 code yes | no
Binding: ActionPrecheckBehavior (required): Defines selection frequency behavior for an action or group.
.... cardinalityBehavior 0..1 code single | multiple
Binding: ActionCardinalityBehavior (required): Defines behavior for an action or a group for how many times that item may be repeated.
.... resource SC 1..1 Reference(MII PR MTB Therapieempfehlung Systemische Therapie | MedicationRequest) The target of the action

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
RequestGroup.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
RequestGroup.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
RequestGroup.language Base preferred Common Languages 📍4.0.1 FHIR Std.
RequestGroup.status Base required RequestStatus 📍4.0.1 FHIR Std.
RequestGroup.intent Base required RequestIntent 📍4.0.1 FHIR Std.
RequestGroup.priority Base required Request priority 📍4.0.1 FHIR Std.
RequestGroup.code Base preferred MII VS Onkologie Therapieempfehlung Typ 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
RequestGroup.action.​priority Base required Request priority 📍4.0.1 FHIR Std.
RequestGroup.action.​code Base extensible MII VS Onkologie Systemische Therapie Protokolle 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
RequestGroup.action.​condition.kind Base required ActionConditionKind 📍4.0.1 FHIR Std.
RequestGroup.action.​relatedAction.relationship Base required ActionRelationshipType 📍4.0.1 FHIR Std.
RequestGroup.action.​type Base extensible ActionType 📍4.0.1 FHIR Std.
RequestGroup.action.​groupingBehavior Base required ActionGroupingBehavior 📍4.0.1 FHIR Std.
RequestGroup.action.​selectionBehavior Base required ActionSelectionBehavior 📍4.0.1 FHIR Std.
RequestGroup.action.​requiredBehavior Base required ActionRequiredBehavior 📍4.0.1 FHIR Std.
RequestGroup.action.​precheckBehavior Base required ActionPrecheckBehavior 📍4.0.1 FHIR Std.
RequestGroup.action.​cardinalityBehavior Base required ActionCardinalityBehavior 📍4.0.1 FHIR Std.
RequestGroup.action.​action.priority Base required Request priority 📍4.0.1 FHIR Std.
RequestGroup.action.​action.condition.kind Base required ActionConditionKind 📍4.0.1 FHIR Std.
RequestGroup.action.​action.relatedAction.​relationship Base required ActionRelationshipType 📍4.0.1 FHIR Std.
RequestGroup.action.​action.type Base extensible ActionType 📍4.0.1 FHIR Std.
RequestGroup.action.​action.groupingBehavior Base required ActionGroupingBehavior 📍4.0.1 FHIR Std.
RequestGroup.action.​action.selectionBehavior Base required ActionSelectionBehavior 📍4.0.1 FHIR Std.
RequestGroup.action.​action.requiredBehavior Base required ActionRequiredBehavior 📍4.0.1 FHIR Std.
RequestGroup.action.​action.precheckBehavior Base required ActionPrecheckBehavior 📍4.0.1 FHIR Std.
RequestGroup.action.​action.cardinalityBehavior Base required ActionCardinalityBehavior 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error RequestGroup If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error RequestGroup 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 RequestGroup 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 RequestGroup If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice RequestGroup 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()
rqg-1 error RequestGroup.action Must have resource or action but not both resource.exists() != action.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. RequestGroup 0..* MII_PR_Onko_Therapieempfehlung_Kombinationstherapie A group of related requests
... 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
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:Prioritaet S 0..1 decimal MII EX MTB Empfehlung Priorität
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-prioritaet
.... extension:Evidenzgraduierung S 0..1 CodeableConcept MII EX MTB Empfehlung Evidenzgraduierung
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-evidenzgraduierung
.... extension:Publikation S 0..* Identifier MII EX MTB Empfehlung Publikation
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-publikation
... identifier SΣ 0..* Identifier Business identifier
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): Codes identifying the lifecycle stage of a request.
... intent ?!SΣ 1..1 code proposal | option
Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a request.
Required Pattern: proposal
... code SΣ 0..1 CodeableConcept Type of therapy recommendation
Binding: MII VS Onkologie Therapieempfehlung Typ (preferred)
... subject S 1..1 Reference(Patient) Who the request group is about
... encounter S 0..1 Reference(Encounter) Created as part of
... authoredOn S 1..1 dateTime When the request group was authored
... author 0..1 Reference(Practitioner | PractitionerRole) Device or practitioner that authored the request group
... reasonReference S 0..* Reference(MII PR Onkologie Diagnose Primärtumor) Why the request group is needed
... action SC 1..* BackboneElement Proposed actions, if any
Constraints: rqg-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code S 0..* CodeableConcept Empfohlenes Therapieprotokoll
Binding: MII VS Onkologie Systemische Therapie Protokolle (extensible)
.... resource SC 1..1 Reference(MII PR MTB Therapieempfehlung Systemische Therapie | MedicationRequest) The target of the action

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
RequestGroup.status Base required RequestStatus 📍4.0.1 FHIR Std.
RequestGroup.intent Base required RequestIntent 📍4.0.1 FHIR Std.
RequestGroup.code Base preferred MII VS Onkologie Therapieempfehlung Typ 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
RequestGroup.action.​code Base extensible MII VS Onkologie Systemische Therapie Protokolle 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0

Constraints

Id Grade Path(s) Description Expression
dom-2 error RequestGroup If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error RequestGroup 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 RequestGroup 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 RequestGroup If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice RequestGroup 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()
rqg-1 error RequestGroup.action Must have resource or action but not both resource.exists() != action.exists()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. RequestGroup 0..* MII_PR_Onko_Therapieempfehlung_Kombinationstherapie A group of related requests
... meta S 0..1 Meta Metadata about the resource
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:Prioritaet S 0..1 decimal MII EX MTB Empfehlung Priorität
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-prioritaet
.... extension:Evidenzgraduierung S 0..1 CodeableConcept MII EX MTB Empfehlung Evidenzgraduierung
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-evidenzgraduierung
.... extension:Publikation S 0..* Identifier MII EX MTB Empfehlung Publikation
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-publikation
... status 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
... author 0..1 Reference(Practitioner | PractitionerRole) Device or practitioner that authored the request group
... action 1..* BackboneElement Proposed actions, if any
.... resource S 1..1 Reference(MII PR MTB Therapieempfehlung Systemische Therapie | MedicationRequest) The target of the action
.... action 0..0 Individual medications in protocol

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. RequestGroup 0..* MII_PR_Onko_Therapieempfehlung_Kombinationstherapie A group of related requests
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:Prioritaet S 0..1 decimal MII EX MTB Empfehlung Priorität
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-prioritaet
.... extension:Evidenzgraduierung S 0..1 CodeableConcept MII EX MTB Empfehlung Evidenzgraduierung
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-evidenzgraduierung
.... extension:Publikation S 0..* Identifier MII EX MTB Empfehlung Publikation
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-publikation
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Business identifier
... instantiatesCanonical Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn 0..* Reference(Resource) Fulfills plan, proposal, or order
... replaces 0..* Reference(Resource) Request(s) replaced by this request
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): Codes identifying the lifecycle stage of a request.
... intent ?!SΣ 1..1 code proposal | option
Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a request.
Required Pattern: proposal
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... code SΣ 0..1 CodeableConcept Type of therapy recommendation
Binding: MII VS Onkologie Therapieempfehlung Typ (preferred)
... subject S 1..1 Reference(Patient) Who the request group is about
... encounter S 0..1 Reference(Encounter) Created as part of
... authoredOn S 1..1 dateTime When the request group was authored
... author 0..1 Reference(Practitioner | PractitionerRole) Device or practitioner that authored the request group
... reasonCode 0..* CodeableConcept Why the request group is needed
... reasonReference S 0..* Reference(MII PR Onkologie Diagnose Primärtumor) Why the request group is needed
... note 0..* Annotation Additional notes about the response
... action SC 1..* BackboneElement Proposed actions, if any
Constraints: rqg-1
.... 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
.... prefix 0..1 string User-visible prefix for the action (e.g. 1. or A.)
.... title 0..1 string User-visible title
.... description Σ 0..1 string Short description of the action
.... textEquivalent Σ 0..1 string Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system
.... priority 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
.... code S 0..* CodeableConcept Empfohlenes Therapieprotokoll
Binding: MII VS Onkologie Systemische Therapie Protokolle (extensible)
.... documentation 0..* RelatedArtifact Supporting documentation for the intended performer of the action
.... condition 0..* BackboneElement Whether or not the action is applicable
..... 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 1..1 code applicability | start | stop
Binding: ActionConditionKind (required): The kind of condition for the action.
..... expression 0..1 Expression Boolean-valued expression
.... relatedAction 0..* BackboneElement Relationship to another action
..... 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
..... actionId 1..1 id What action this is related to
..... relationship 1..1 code before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end
Binding: ActionRelationshipType (required): Defines the types of relationships between actions.
..... offset[x] 0..1 Time offset for the relationship
...... offsetDuration Duration
...... offsetRange Range
.... timing[x] 0..1 When the action should take place
..... timingDateTime dateTime
..... timingAge Age
..... timingPeriod Period
..... timingDuration Duration
..... timingRange Range
..... timingTiming Timing
.... participant 0..* Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device) Who should perform the action
.... type 0..1 CodeableConcept create | update | remove | fire-event
Binding: ActionType (extensible): The type of action to be performed.
.... groupingBehavior 0..1 code visual-group | logical-group | sentence-group
Binding: ActionGroupingBehavior (required): Defines organization behavior of a group.
.... selectionBehavior 0..1 code any | all | all-or-none | exactly-one | at-most-one | one-or-more
Binding: ActionSelectionBehavior (required): Defines selection behavior of a group.
.... requiredBehavior 0..1 code must | could | must-unless-documented
Binding: ActionRequiredBehavior (required): Defines expectations around whether an action or action group is required.
.... precheckBehavior 0..1 code yes | no
Binding: ActionPrecheckBehavior (required): Defines selection frequency behavior for an action or group.
.... cardinalityBehavior 0..1 code single | multiple
Binding: ActionCardinalityBehavior (required): Defines behavior for an action or a group for how many times that item may be repeated.
.... resource SC 1..1 Reference(MII PR MTB Therapieempfehlung Systemische Therapie | MedicationRequest) The target of the action

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
RequestGroup.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
RequestGroup.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
RequestGroup.language Base preferred Common Languages 📍4.0.1 FHIR Std.
RequestGroup.status Base required RequestStatus 📍4.0.1 FHIR Std.
RequestGroup.intent Base required RequestIntent 📍4.0.1 FHIR Std.
RequestGroup.priority Base required Request priority 📍4.0.1 FHIR Std.
RequestGroup.code Base preferred MII VS Onkologie Therapieempfehlung Typ 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
RequestGroup.action.​priority Base required Request priority 📍4.0.1 FHIR Std.
RequestGroup.action.​code Base extensible MII VS Onkologie Systemische Therapie Protokolle 📦2027.0.0-ballot.1 MII IG Kerndatensatz-Modul Onkologie v2027.0
RequestGroup.action.​condition.kind Base required ActionConditionKind 📍4.0.1 FHIR Std.
RequestGroup.action.​relatedAction.relationship Base required ActionRelationshipType 📍4.0.1 FHIR Std.
RequestGroup.action.​type Base extensible ActionType 📍4.0.1 FHIR Std.
RequestGroup.action.​groupingBehavior Base required ActionGroupingBehavior 📍4.0.1 FHIR Std.
RequestGroup.action.​selectionBehavior Base required ActionSelectionBehavior 📍4.0.1 FHIR Std.
RequestGroup.action.​requiredBehavior Base required ActionRequiredBehavior 📍4.0.1 FHIR Std.
RequestGroup.action.​precheckBehavior Base required ActionPrecheckBehavior 📍4.0.1 FHIR Std.
RequestGroup.action.​cardinalityBehavior Base required ActionCardinalityBehavior 📍4.0.1 FHIR Std.
RequestGroup.action.​action.priority Base required Request priority 📍4.0.1 FHIR Std.
RequestGroup.action.​action.condition.kind Base required ActionConditionKind 📍4.0.1 FHIR Std.
RequestGroup.action.​action.relatedAction.​relationship Base required ActionRelationshipType 📍4.0.1 FHIR Std.
RequestGroup.action.​action.type Base extensible ActionType 📍4.0.1 FHIR Std.
RequestGroup.action.​action.groupingBehavior Base required ActionGroupingBehavior 📍4.0.1 FHIR Std.
RequestGroup.action.​action.selectionBehavior Base required ActionSelectionBehavior 📍4.0.1 FHIR Std.
RequestGroup.action.​action.requiredBehavior Base required ActionRequiredBehavior 📍4.0.1 FHIR Std.
RequestGroup.action.​action.precheckBehavior Base required ActionPrecheckBehavior 📍4.0.1 FHIR Std.
RequestGroup.action.​action.cardinalityBehavior Base required ActionCardinalityBehavior 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error RequestGroup If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error RequestGroup 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 RequestGroup 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 RequestGroup If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice RequestGroup 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()
rqg-1 error RequestGroup.action Must have resource or action but not both resource.exists() != action.exists()

 

Other representations of profile: CSV, Excel, Schematron