mii-lm-mtb
type: StructureDefinition
node role: treeRoot
id:
  v: mii-lm-mtb
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition mii-lm-mtb Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> mii-lm-mtb 0..* Element MII LM Molekulares Tumorboard Elements defined in Ancestors:@id, <a href="http://hl7.org/fhir/R4/datatypes.html#Element" title="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.">extension #xD; Behandlungsepisode 1..1 BackboneElement Behandlungsepisode #xD; Zeitraum 1..1 Period Zeitraum der Behandlungsepisode #xD; KrankengeschichteFamilie 0..1 Reference(FamilyMemberHistory) Verweis auf Krankengeschichte Familie #xD; Vorbefund 0..* Reference(DiagnosticReport | Observation) Verweis auf Vorbefund #xD; NGSBericht 0..* Reference(DiagnosticReport) Verweis auf NGS Bericht #xD; MolekularPathologieBefund 0..* Reference(DiagnosticReport) Verweis auf Molekular Pathologie Befund #xD; LeitlinieDokumentation 0..1 Extension Leitlinie Dokumentation #xD; LeitlinienbehandlungStatus 0..1 code Status Leitlinienbehandlung #xD; Einwilligung 1..1 BackboneElement Einwilligung #xD; Status 1..1 code Status Einwilligung #xD; Diagnose 1..1 BackboneElement Diagnose #xD; WHOGradZNS 0..1 code WHO-Grad ZNS Tumor #xD; OncoTree 0..1 code OncoTree Classification #xD; TumorausbreitungED 0..1 BackboneElement Tumorausbreitung ED #xD; Wert 1..1 code Wert #xD; Zeitpunkt 1..1 dateTime Zeitpunkt #xD; TumorausbreitungMTB 0..1 BackboneElement Tumorausbreitung MTB #xD; Wert 1..1 code Wert #xD; Zeitpunkt 1..1 dateTime Zeitpunkt #xD; Vortherapie 0..* BackboneElement Vortherapie #xD; Kategorie 0..1 code Kategorie #xD; Startdatum 1..1 dateTime Startdatum #xD; Enddatum 0..1 dateTime Enddatum #xD; Diagno…
url:
  v: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/LogicalModel/mii-lm-mtb
  l: mii-lm-mtb
version:
  v: 2026.0.0
name:
  v: MII_LM_MTB
title:
  v: MII LM Molekulares Tumorboard
status:
  v: active
date:
  v: 2026-02-09T10:07:17+00:00
publisher:
  v: Medizininformatik-Initiative
contact:
  name:
    v: Medizininformatik-Initiative
  telecom:
    system:
      v: url
    value:
      v: https://www.medizininformatik-initiative.de
description:
  v: MII Logical Model Modul Molekulares Tumorboard
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 276
fhir version:
  v: 4.0.1
mapping:
  identity:
    v: mii-map-mtb
  name:
    v: MII MAP Molekulares Tumorboard
  comment:
    v: MII Mappings Modul Molekulares Tumorboard
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
kind:
  v: logical
abstract:
  v: false
type:
  v: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/LogicalModel/mii-lm-mtb
  l: mii-lm-mtb
base definition:
  v: http://hl7.org/fhir/StructureDefinition/Element
  l: Element
derivation:
  v: specialization
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 4.0.1
  element:
    id:
      v: mii-lm-mtb
    path:
      v: mii-lm-mtb
    short:
      v: MII LM Molekulares Tumorboard
    definition:
      v: MII Logical Model Modul Molekulares Tumorboard
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: Element
      min:
        v: 0
      max:
        v: *
    condition:
      v: ele-1
    constraint:
      key:
        v: ele-1
      severity:
        v: error
      human:
        v: All FHIR elements must have a @value or children
      expression:
        v: hasValue() or (children().count() > id.count())
      xpath:
        v: @value|f:*|h:div
      source:
        v: http://hl7.org/fhir/StructureDefinition/Element
        l: Element
    is modifier:
      v: false
    mapping:
      identity:
        v: rim
      map:
        v: n/a
  element:
    id:
      v: mii-lm-mtb.id
    path:
      v: mii-lm-mtb.id
    representation:
      v: xmlAttr
    short:
      v: Unique id for inter-element referencing
    definition:
      v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
    min:
      v: 0
    max:
      v: 1
    base:
      path:
        v: Element.id
      min:
        v: 0
      max:
        v: 1
    type:
      extension:
        value: Url
      code:
        v: http://hl7.org/fhirpath/System.String
        l: System.String
    is modifier:
      v: false
    is summary:
      v: false
    mapping:
      identity:
        v: rim
      map:
        v: n/a
  element:
    id:
      v: mii-lm-mtb.extension
    path:
      v: mii-lm-mtb.extension
    slicing:
      description:
        v: Extensions are always sliced by (at least) url
      rules:
        v: open
    short:
      v: Additional content defined by implementations
    definition:
      v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
    comment:
      v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
    alias:
      v: extensions
    alias:
      v: user content
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: Element.extension
      min:
        v: 0
      max:
        v: *
    type:
      code:
        v: Extension
        l: Extension
    constraint:
      key:
        v: ele-1
      severity:
        v: error
      human:
        v: All FHIR elements must have a @value or children
      expression:
        v: hasValue() or (children().count() > id.count())
      xpath:
        v: @value|f:*|h:div

Url
v: string
l: string

v: value

v: url

key:
  v: ext-1
severity:
  v: error
human:
  v: Must have either extensions or value[x], not both
expression:
  v: extension.exists() != value.exists()
xpath:
  v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
source:
  v: http://hl7.org/fhir/StructureDefinition/Extension
  l: Extension

v: false

v: false

identity:
  v: rim
map:
  v: n/a

id:
  v: mii-lm-mtb.Behandlungsepisode
path:
  v: mii-lm-mtb.Behandlungsepisode
short:
  v: Behandlungsepisode
definition:
  v: Behandlungsepisode
min:
  v: 1
max:
  v: 1
base:
  path:
    v: mii-lm-mtb.Behandlungsepisode
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
mapping:
  identity:
    v: mii-map-mtb
  map:
    v: ClinicalImpression

id:
  v: mii-lm-mtb.Behandlungsepisode.id
path:
  v: mii-lm-mtb.Behandlungsepisode.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: mii-lm-mtb.Behandlungsepisode.extension
path:
  v: mii-lm-mtb.Behandlungsepisode.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: mii-lm-mtb.Behandlungsepisode.modifierExtension
path:
  v: mii-lm-mtb.Behandlungsepisode.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: mii-lm-mtb.Behandlungsepisode.Zeitraum
path:
  v: mii-lm-mtb.Behandlungsepisode.Zeitraum
short:
  v: Zeitraum der Behandlungsepisode
definition:
  v: Zeitraum von Einschluss bis Abschluss im Molekulare Tumorboard
min:
  v: 1
max:
  v: 1
base:
  path:
    v: mii-lm-mtb.Behandlungsepisode.Zeitraum
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
mapping:
  identity:
    v: mii-map-mtb
  map:
    v: ClinicalImpression.effectivePeriod

id:
  v: mii-lm-mtb.Behandlungsepisode.KrankengeschichteFamilie
path:
  v: mii-lm-mtb.Behandlungsepisode.KrankengeschichteFamilie
short:
  v: Verweis auf Krankengeschichte Familie
definition:
  v: Verweis auf die familiäre Krankengeschichte
min:
  v: 0
max:
  v: 1
base:
  path:
    v: mii-lm-mtb.Behandlungsepisode.KrankengeschichteFamilie
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory
    l: FamilyMemberHistory
mapping:
  identity:
    v: mii-map-mtb
  map:
    v: ClinicalImpression.investigation.item:Reference(FamilyMemberHistory)

id:
  v: mii-lm-mtb.Behandlungsepisode.Vorbefund
path:
  v: mii-lm-mtb.Behandlungsepisode.Vorbefund
short:
  v: Verweis auf Vorbefund
definition:
  v: Verweis auf relevanten Vorbefund
min:
  v: 0
max:
  v: *
base:
  path:
    v: mii-lm-mtb.Behandlungsepisode.Vorbefund
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/DiagnosticReport
    l: DiagnosticReport
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Observation
    l: Observation
mapping:
  identity:
    v: mii-map-mtb
  map:
    v: ClinicalImpression.supportingInfo:Reference(DiagnosticReport or Observation)

id:
  v: mii-lm-mtb.Behandlungsepisode.NGSBericht
path:
  v: mii-lm-mtb.Behandlungsepisode.NGSBericht
short:
  v: Verweis auf NGS Bericht
definition:
  v: Verweis auf Next Generation Sequencing Bericht
min:
  v: 0
max:
  v: *
base:
  path:
    v: mii-lm-mtb.Behandlungsepisode.NGSBericht
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/DiagnosticReport
    l: DiagnosticReport
mapping:
  identity:
    v: mii-map-mtb
  map:
    v: ClinicalImpression.investigation.item:Reference(DiagnosticReport)

id:
  v: mii-lm-mtb.Behandlungsepisode.MolekularPathologieBefund
path:
  v: mii-lm-mtb.Behandlungsepisode.MolekularPathologieBefund
short:
  v: Verweis auf Molekular Pathologie Befund
definition:
  v: Verweis auf Molekular Pathologie Befund
min:
  v: 0
max:
  v: *
base:
  path:
    v: mii-lm-mtb.Behandlungsepisode.MolekularPathologieBefund
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/DiagnosticReport
    l: DiagnosticReport
mapping:
  identity:
    v: mii-map-mtb
  map:
    v: ClinicalImpression.investigation.item:Reference(DiagnosticReport)

id:
  v: mii-lm-mtb.Behandlungsepisode.LeitlinieDokumentation
path:
  v: mii-lm-mtb.Behandlungsepisode.LeitlinieDokumentation
short:
  v: Leitlinie Dokumentation
definition:
  v: Dokumentation zur Leitlinien-konformen Umsetzung der Prozedur
min:
  v: 0
max:
  v: 1
base:
  path:
    v: mii-lm-mtb.Behandlungsepisode.LeitlinieDokumentation
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: mii-map-mtb
  map:
    v: ClinicalImpression.supportingInfo.extension(LeitlinieDokumentation)

id:
  v: mii-lm-mtb.Behandlungsepisode.LeitlinienbehandlungStatus
path:
  v: mii-lm-mtb.Behandlungsepisode.LeitlinienbehandlungStatus
short:
  v: Status Leitlinienbehandlung
definition:
  v: Status der Leitlinienbehandlung
min:
  v: 0
max:
  v: 1
base:
  path:
    v: mii-lm-mtb.Behandlungsepisode.LeitlinienbehandlungStatus
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
mapping:
  identity:
    v: mii-map-mtb
  map:
    v: ClinicalImpression.extension(LeitlinenbehandlungStatus)

id:
  v: mii-lm-mtb.Behandlungsepisode.Einwilligung
path:
  v: mii-lm-mtb.Behandlungsepisode.Einwilligung
short:
  v: Einwilligung
definition:
  v: Einwilligung zum Molekularen Tumorboard
min:
  v: 1
max:
  v: 1
base:
  path:
    v: mii-lm-mtb.Behandlungsepisode.Einwilligung
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
mapping:
  identity:
    v: mii-map-mtb
  map:
    v: Observation

id:
  v: mii-lm-mtb.Behandlungsepisode.Einwilligung.id
path:
  v: mii-lm-mtb.Behandlungsepisode.Einwilligung.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
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type:
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    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: mii-lm-mtb.Behandlungsepisode.Einwilligung.extension
path:
  v: mii-lm-mtb.Behandlungsepisode.Einwilligung.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: mii-lm-mtb.Behandlungsepisode.Einwilligung.modifierExtension
path:
  v: mii-lm-mtb.Behandlungsepisode.Einwilligung.modifierExtension
short:
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definition:
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