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 Therapieplan

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

Therapieplan gemäß Beschluss des Molekularen Tumorboards

Content

This profile describes a Therapieplan (therapy plan) according to the decision of the Molekulares Tumorboard (molecular tumor board).

In terms of content, it is based on the tumor board profile of the Oncology module, in which therapy decisions could already be coded according to the categories of the oBDS. However, since a follow-up monitoring is planned within the scope of the Molekulares Tumorboard, among other things to check the status of the therapy recommendations, the recommendations were modeled here as individual data elements so that they in turn are individually referenceable.

This applies both to (drug-based) therapy recommendations (MedicationRequest, or RequestGroup for combination therapies) as well as to study enrollment recommendations and other diagnostic procedures and services such as rebiopsies and human genetic counseling (ServiceRequest).

Status

The status of a Therapieplan refers to the implementation state of all contained recommendations (see element activity). It is recommended to use the following status values for the situations described:

Value of status Description
active Recommendation or therapy option being implemented (normal case)
revoked Molecular tumor board case is closed
completed All recommendations or therapy options exhausted, or patient deceased

Note: The status of a Therapieplan should be semantically consistent with the contained recommendations (the status fields).

Content

Mapping dataset to FHIR

Search parameters

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

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

    Examples:

    GET [base]/CarePlan?_id=12345

    Usage notes: Further information on searching for "_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]/CarePlan?_profile=https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-therapieplan

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

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

    Examples:

    GET [base]/CarePlan?identifier=123456

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

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

    Examples:

    GET [base]/CarePlan?status=active

    Usage notes: Further information on searching for "status" can be found in the FHIR base specification - section "Token Search".

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

    Examples:

    GET [base]/CarePlan?intent=proposal

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

  6. The search parameter "category" MUST be supported:

    Examples:

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

    Usage notes: Further information on searching for "category" can be found in the FHIR base specification - section "Token Search".

  7. The search parameter "description" MUST be supported:

    Examples:

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

    Usage notes: Further information on searching for "description" can be found in the FHIR base specification - section "String Search".

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

    Examples:

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

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

  9. The search parameter "encounter" MUST be supported:

    Examples:

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

    Usage notes: Further information on searching for "encounter" can be found in the FHIR base specification - section "Reference Search".

  10. The search parameter "created" MUST be supported:

    Examples:

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

    Usage notes: Further information on searching for "created" can be found in the FHIR base specification - section "Date Search".

  11. The search parameter "contributor" MUST be supported:

    Examples:

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

    Usage notes: Further information on searching for "contributor" can be found in the FHIR base specification - section "Reference Search".

  12. The search parameter "condition" MUST be supported:

    Examples:

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

    Usage notes: Further information on searching for "condition" can be found in the FHIR base specification - section "Reference Search".

  13. The search parameter "activity-reference" MUST be supported:

    Examples:

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

    Usage notes: Further information on searching for "activity-reference" can be found in the FHIR base specification - section "Reference Search".

  14. The search parameter "activity-code" MUST be supported:

    Examples:

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

    Usage notes: Further information on searching for "activity-code" can be found in the FHIR base specification - section "Token Search".

  15. The search parameter "outcome-reference" MUST be supported:

    Examples:

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

    Usage notes: Further information on searching for "outcome-reference" can be found in the FHIR base specification - section "Reference Search".

TODO: SP CarePlan.supportingInfo

Examples

Example: decision on the MTB case for Kim Musterperson dated 2023-03-28 (see scenarios)

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
.. 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 Protocol Excerpt
... 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 Creation Date
... 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) Treatment Episode
... 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 Therapy Recommendation Systemic Therapy
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 Recommendation for Human Genetic Counseling
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 Recommendation for Histology 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 Recommendation for Biopsy
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 Study Enrollment Recommendation
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()

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 draft | active | on-hold | revoked | completed | entered-in-error | unknown
... description S 0..1 string Protocol Excerpt
... 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) Treatment Episode
... Slices for activity Content/Rules for all slices
.... activity:extended/Therapieempfehlung S 0..* BackboneElement Therapy Recommendation Systemic Therapy
..... 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 Recommendation for Human Genetic Counseling
..... 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 Recommendation for Histology 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 Recommendation for Biopsy
..... 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 Study Enrollment Recommendation
..... 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 draft | active | on-hold | revoked | completed | entered-in-error | unknown
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 Protocol Excerpt
... 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 Creation Date
... 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) Treatment Episode
... 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 Therapy Recommendation Systemic Therapy
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 Recommendation for Human Genetic Counseling
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 Recommendation for Histology 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 Recommendation for Biopsy
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 Study Enrollment Recommendation
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()

Key Elements View

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 Protocol Excerpt
... 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 Creation Date
... 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) Treatment Episode
... 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 Therapy Recommendation Systemic Therapy
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 Recommendation for Human Genetic Counseling
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 Recommendation for Histology 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 Recommendation for Biopsy
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 Study Enrollment Recommendation
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 View

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 draft | active | on-hold | revoked | completed | entered-in-error | unknown
... description S 0..1 string Protocol Excerpt
... 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) Treatment Episode
... Slices for activity Content/Rules for all slices
.... activity:extended/Therapieempfehlung S 0..* BackboneElement Therapy Recommendation Systemic Therapy
..... 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 Recommendation for Human Genetic Counseling
..... 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 Recommendation for Histology 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 Recommendation for Biopsy
..... 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 Study Enrollment Recommendation
..... 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 ViewView

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 draft | active | on-hold | revoked | completed | entered-in-error | unknown
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 Protocol Excerpt
... 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 Creation Date
... 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) Treatment Episode
... 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 Therapy Recommendation Systemic Therapy
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 Recommendation for Human Genetic Counseling
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 Recommendation for Histology 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 Recommendation for Biopsy
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 Study Enrollment Recommendation
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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