MII IG Kerndatensatz-Modul Onkologie
2027.0.0-ballot.1 - Germany

This page is part of the MII IG Kerndatensatz-Modul Onkologie (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 Onkologie Therapieempfehlung Kombinationstherapie

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

Dieses Profil beschreibt eine Empfehlung für eine Kombinationstherapie im Rahmen der Tumorkonferenz

This profile describes structured therapy recommendations for combination therapies using RequestGroup. It enables the detailed representation of multi-agent protocols and alternative therapy options for molecular tumor boards.

Content

The RequestGroup profile serves as a "protocol coordinator" between CarePlan recommendations and specific therapy resources (SystemischeTherapie, MedicationRequest, etc.).

It enables the representation of complex therapy recommendations for molecular tumor boards and other tumor conferences that go beyond simple categorizations and require specific drug combinations or therapy options.

Delineation from the oBDS standard recommendation

Aspect oBDS standard recommendation Extended recommendation with RequestGroup
Use Traditional tumor boards Molecular tumor boards, complex protocols
Therapy recommendation activity.detail.code (19.1 oBDS) activity.reference → RequestGroup
Multi-agent therapies Single categorization Detailed protocols with specific agents
FHIR invariants activity.detail used activity.detail disabled (0..0)

Reason: The FHIR R4 invariant cpl-3 prevents the simultaneous use of activity.detail.code and activity.reference. Both approaches are therefore kept as separate slices.

Both variants are now represented in the Tumorkonferenz profile itself, as the slices activity:obds (with activity.detail.code, activity.reference set to 0..0) and activity:extended (with activity.reference 1..1, activity.detail set to 0..0); a separate "Detailed Recommendations" CarePlan profile no longer exists. The structure is described in the artefact view: MII PR Onkologie Tumorkonferenz.

Use cases

Multi-agent therapy protocols

  • Anti-HER2 combination: Trastuzumab + Pertuzumab
  • CDK4/6 + hormone therapy: Palbociclib + Letrozole
  • Triplet therapies: Tucatinib + Trastuzumab + Capecitabine

Alternative therapy options

  • Line therapy: First-, second-, third-line options based on resistance
  • Biomarker-based: Different options depending on mutation status
  • Class-based: "Any CDK4/6 inhibitor" vs. specific selection

Technical architecture

RequestGroup as protocol coordinator

CarePlan.activity.reference → RequestGroup
├── code: oBDS therapy type (ZS, CZ, IM, etc.)
├── basedOn: Reference(CarePlan) [traceability]
└── action[].resource: Reference(SystemischeTherapie)

Therapy type classification

The RequestGroup.code element contains the oBDS therapy type classification:

  • ZS: Targeted substances
  • CZ: Chemotherapy + targeted substances
  • IM: Immune-/antibody therapy
  • CI: Chemo- + immune-/antibody therapy
  • CIZ: Chemo- + immune-/antibody therapy + targeted substances

Important: This classification was originally in CarePlan.activity.detail.code (oBDS 19.1), but is moved to the RequestGroup due to FHIR invariants.

Implementation options

Option 1: Pharmaceutical classes

For class-based recommendations (e.g. "any CDK4/6 inhibitor"):

RequestGroup
├── code: "CZ" (Chemotherapy + targeted substances)
└── action[0].resource: Reference(SystemischeTherapie)
    └── code.text: "CDK4/6 inhibitor (class L01XE) - Palbociclib, Ribociclib or Abemaciclib"

Application: When a molecular tumor board recommends a medication class and leaves the final selection to the treating physician.

Option 2: Specific medication selection

For specific options with selection logic:

RequestGroup
├── code: "ZS" (Targeted substances)
├── action[0].selectionBehavior: #any
├── action[0].requiredBehavior: #must
├── action[0].action[0]: Reference(Trastuzumab) [priority: routine]
├── action[0].action[1]: Reference(T-DM1) [priority: asap]
└── action[0].action[2]: Reference(Tucatinib) [priority: stat]

Application: When a molecular tumor board recommends specific alternatives with clear preferences based on resistance patterns or clinical situation.

FHIR invariant conformance

Problem: FHIR R4 invariant prevents simultaneous use of code and action.resource Solution: This profile accepts both approaches depending on the use case:

  • Option 1: Uses code for therapy type, action.resource for class-level therapy
  • Option 2: Uses code for therapy type, nested action.action.resource for specific options with selectionBehavior

oBDS context

Mapping to oBDS 19.1

RequestGroup.code → "19.1" "Tumor board therapy recommendation type"

Data fields:

  • CH: Chemotherapy
  • HO: Hormone therapy
  • IM: Immune-/antibody therapy
  • ZS: Targeted substances
  • SZ: Stem cell transplantation
  • Combinations: CI, CZ, CIZ, IZ
  • Other: OP, ST, WW, AS, SO

Extended structuring

While the oBDS only captures the therapy type, RequestGroup additionally enables:

  • Specific medications per recommendation
  • Alternative options with priorities
  • Combination logic for multi-agent protocols

Terminology binding

RequestGroup.code:

  • ValueSet: mii-vs-onko-therapieempfehlung-typ
  • Binding: Preferred
  • Source: oBDS therapy types from mii-cs-onko-therapie-typ

The codes it contains are listed in the artefact view: MII VS Onkologie Therapieempfehlung Typ.

Mapping Uniform Oncological Base Dataset (oBDS) to FHIR

The oBDS mappings are recorded in the artefact view of this profile: MII PR Onkologie Therapieempfehlung Kombinationstherapie.

Examples

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..* RequestGroup A group of related requests
... meta Σ 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
... 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 | plan | directive | order | original-order | reflex-order | filler-order | instance-order | 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
... reasonReference S 0..* Reference(MII PR Onkologie Diagnose Primärtumor) Why the request group is needed
... action SC 0..* 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)
.... action SC 0..* BackboneElement Individual medications in protocol
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource SC 0..1 Reference(MII PR Onkologie Therapieempfehlung Medikation) 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 This IG
RequestGroup.action.​code Base extensible MII VS Onkologie Systemische Therapie Protokolle 📦2027.0.0-ballot.1 This IG

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..* RequestGroup A group of related requests
... meta
.... profile S 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... identifier S 0..* Identifier Business identifier
... status S 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
... code S 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
... reasonReference S 0..* Reference(MII PR Onkologie Diagnose Primärtumor) Why the request group is needed
... action S 0..* BackboneElement Proposed actions, if any
.... code S 0..* CodeableConcept Empfohlenes Therapieprotokoll
Binding: MII VS Onkologie Systemische Therapie Protokolle (extensible)
.... action S 0..* BackboneElement Individual medications in protocol
..... resource S 0..1 Reference(MII PR Onkologie Therapieempfehlung Medikation) The target of the action

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
RequestGroup.code Base preferred MII VS Onkologie Therapieempfehlung Typ 📦2027.0.0-ballot.1 This IG
RequestGroup.action.​code Base extensible MII VS Onkologie Systemische Therapie Protokolle 📦2027.0.0-ballot.1 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. RequestGroup 0..* RequestGroup A group of related requests
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 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 | plan | directive | order | original-order | reflex-order | filler-order | instance-order | 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(Device | 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 0..* 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 C 0..1 Reference(Resource) The target of the action
.... action SC 0..* BackboneElement Individual medications in protocol
..... 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 0..* CodeableConcept Code representing the meaning of the action or sub-actions
..... 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 0..1 Reference(MII PR Onkologie Therapieempfehlung Medikation) The target of the action
..... action C 0..* See action (RequestGroup) Sub 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 This IG
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 This IG
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..* RequestGroup A group of related requests
... meta Σ 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
... 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 | plan | directive | order | original-order | reflex-order | filler-order | instance-order | 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
... reasonReference S 0..* Reference(MII PR Onkologie Diagnose Primärtumor) Why the request group is needed
... action SC 0..* 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)
.... action SC 0..* BackboneElement Individual medications in protocol
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource SC 0..1 Reference(MII PR Onkologie Therapieempfehlung Medikation) 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 This IG
RequestGroup.action.​code Base extensible MII VS Onkologie Systemische Therapie Protokolle 📦2027.0.0-ballot.1 This IG

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..* RequestGroup A group of related requests
... meta
.... profile S 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... identifier S 0..* Identifier Business identifier
... status S 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
... code S 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
... reasonReference S 0..* Reference(MII PR Onkologie Diagnose Primärtumor) Why the request group is needed
... action S 0..* BackboneElement Proposed actions, if any
.... code S 0..* CodeableConcept Empfohlenes Therapieprotokoll
Binding: MII VS Onkologie Systemische Therapie Protokolle (extensible)
.... action S 0..* BackboneElement Individual medications in protocol
..... resource S 0..1 Reference(MII PR Onkologie Therapieempfehlung Medikation) The target of the action

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
RequestGroup.code Base preferred MII VS Onkologie Therapieempfehlung Typ 📦2027.0.0-ballot.1 This IG
RequestGroup.action.​code Base extensible MII VS Onkologie Systemische Therapie Protokolle 📦2027.0.0-ballot.1 This IG

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. RequestGroup 0..* RequestGroup A group of related requests
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 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 | plan | directive | order | original-order | reflex-order | filler-order | instance-order | 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(Device | 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 0..* 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 C 0..1 Reference(Resource) The target of the action
.... action SC 0..* BackboneElement Individual medications in protocol
..... 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 0..* CodeableConcept Code representing the meaning of the action or sub-actions
..... 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 0..1 Reference(MII PR Onkologie Therapieempfehlung Medikation) The target of the action
..... action C 0..* See action (RequestGroup) Sub 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 This IG
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 This IG
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()

 

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