MII IG Kerndatensatz-Modul Molekulares Tumorboard, published by Medizininformatik-Initiative. This guide is not an authorized publication; it is the continuous build for version 2026.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/medizininformatik-initiative/kerndatensatzmodul-molekulares-tumorboard/ and changes regularly. 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: 2026.0.0 | |||
| Active as of 2026-02-09 | Computable Name: MII_PR_MTB_Therapieplan | |||
Therapieplan gemäß Beschluss des Molekularen Tumorboards
Usages:
- Refer to this Profile: MII PR MTB Behandlungsepisode, MII PR MTB Systemische Therapie and MII PR MTB Systemische Vortherapie
- Examples for this Profile: CarePlan/mii-exa-mtb-kim-musterperson-therapieplan and CarePlan/mii-exa-mtb-therapieplan-kombinationstherapie
- CapabilityStatements using this Profile: MII CPS MTB CapabilityStatement
You can also check for usages in the FHIR IG Statistics
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  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 Slice: Unordered, Open by value:url |
| 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. |
 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 | Protokollauszug |
 subject |
SΣC | 1..1 | Reference(Patient) | Who the care plan is for Constraints: ref-1 |
| encounter |
SΣC | 0..1 | Reference(Encounter) | Encounter created as part of Constraints: ref-1 |
| created |
SΣ | 1..1 | dateTime | Erstellungsdatum |
| addresses |
SΣC | 0..* | Reference(MII PR Onkologie Diagnose Primärtumor) | Health issues this plan addresses Constraints: ref-1 |
 Slices for supportingInfo |
SC | 0..* | Reference(Resource) | Information considered as part of plan Slice: Unordered, Open by type:$this Constraints: ref-1 |
  supportingInfo:Behandlungsepisode |
SC | 0..1 | Reference(MII PR MTB Behandlungsepisode | ClinicalImpression) | Behandlungsepisode Constraints: ref-1 |
| 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 |
| reference |
C | 0..1 | Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) | Activity details defined in specific resource Constraints: ref-1 |
 detail |
C | 0..1 | BackboneElement | In-line definition of activity |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| 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. |
| doNotPerform |
?! | 0..1 | boolean | If true, activity is prohibiting action |
| 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): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter. |
| 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 | MedicationRequest | ServiceRequest) | Detailed therapy recommendation - RequestGroup, MedicationRequest, or ServiceRequest Constraints: ref-1 |
| activity:extended/Therapieempfehlung |
SC | 0..* | BackboneElement | Therapieempfehlung Systemische Therapie 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 Constraints: ref-1 |
| activity:extended/HumangenetischeBeratung |
SC | 0..1 | BackboneElement | Empfehlung Human-genetische Beratung 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 Constraints: ref-1 |
| activity:extended/HistologieEvaluation |
SC | 0..1 | BackboneElement | Empfehlung Histologie-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 Constraints: ref-1 |
| activity:extended/Biopsie |
SC | 0..* | BackboneElement | Empfehlung Biopsie 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 Constraints: ref-1 |
| activity:extended/Studieneinschlussempfehlung |
SC | 0..* | BackboneElement | Studieneinschlussempfehlung 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 Constraints: ref-1 |
| 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 | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| CarePlan.activity.detail.status | Base | required | CarePlanActivityStatus | 📍4.0.1 | FHIR Std. |
| CarePlan.activity:obds.detail.code | Base | required | MII VS Onkologie Therapieempfehlung Typ | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| CarePlan.activity:obds.detail.status | Base | required | CarePlanActivityStatus | 📍4.0.1 | FHIR Std. |
| CarePlan.activity:obds.detail.statusReason | Base | required | MII VS Onkologie Therapieabweichung | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| 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()
|
| ref-1 | error | CarePlan.subject, CarePlan.encounter, CarePlan.addresses, CarePlan.supportingInfo, CarePlan.supportingInfo:Behandlungsepisode, CarePlan.activity.reference, CarePlan.activity:extended.reference, CarePlan.activity:extended/Therapieempfehlung.reference, CarePlan.activity:extended/HumangenetischeBeratung.reference, CarePlan.activity:extended/HistologieEvaluation.reference, CarePlan.activity:extended/Biopsie.reference, CarePlan.activity:extended/Studieneinschlussempfehlung.reference | SHALL have a contained resource if a local reference is provided |
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
|
| 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()
|
This structure is derived from MII_PR_Onko_Tumorkonferenz
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| 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 | Protokollauszug |
| created |
1..1 | dateTime | Erstellungsdatum | |
| 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) | Behandlungsepisode |
| Slices for activity |
Content/Rules for all slices | |||
| activity:extended/Therapieempfehlung |
S | 0..* | BackboneElement | Therapieempfehlung Systemische Therapie |
| 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 | Empfehlung Human-genetische Beratung |
| 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 | Empfehlung Histologie-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 | Empfehlung Biopsie |
| 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 | Studieneinschlussempfehlung |
| reference |
S | 1..1 | Reference(MII PR MTB Studieneinschluss Anfrage) | Activity details defined in specific resource |
| detail |
0..0 | In-line definition of activity | ||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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.
| |||||
| 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 Slice: Unordered, Open by value:url | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||
| 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 |
ΣC | 0..* | Reference(CarePlan) | Fulfills CarePlan Constraints: ref-1 | ||||
| replaces |
ΣC | 0..* | Reference(CarePlan) | CarePlan replaced by this CarePlan Constraints: ref-1 | ||||
| partOf |
ΣC | 0..* | Reference(CarePlan) | Part of referenced CarePlan Constraints: ref-1 | ||||
| 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 | Protokollauszug | ||||
| subject |
SΣC | 1..1 | Reference(Patient) | Who the care plan is for Constraints: ref-1 | ||||
| encounter |
SΣC | 0..1 | Reference(Encounter) | Encounter created as part of Constraints: ref-1 | ||||
| period |
ΣC | 0..1 | Period | Time period plan covers Constraints: per-1 | ||||
| created |
SΣ | 1..1 | dateTime | Erstellungsdatum | ||||
| author |
ΣC | 0..1 | Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) | Who is the designated responsible party Constraints: ref-1 | ||||
| contributor |
C | 0..* | Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) | Who provided the content of the care plan Constraints: ref-1 | ||||
| careTeam |
C | 0..* | Reference(CareTeam) | Who's involved in plan? Constraints: ref-1 | ||||
| addresses |
SΣC | 0..* | Reference(MII PR Onkologie Diagnose Primärtumor) | Health issues this plan addresses Constraints: ref-1 | ||||
| Slices for supportingInfo |
SC | 0..* | Reference(Resource) | Information considered as part of plan Slice: Unordered, Open by type:$this Constraints: ref-1 | ||||
| supportingInfo:Behandlungsepisode |
SC | 0..1 | Reference(MII PR MTB Behandlungsepisode | ClinicalImpression) | Behandlungsepisode Constraints: ref-1 | ||||
| goal |
C | 0..* | Reference(Goal) | Desired outcome of plan Constraints: ref-1 | ||||
| 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 Slice: Unordered, Open by value:url | |||||
| 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 |
C | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. Constraints: ref-1 | ||||
| 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 Constraints: ref-1 | ||||
| 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 Slice: Unordered, Open by value:url | |||||
| 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 |
C | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Why activity is needed Constraints: ref-1 | ||||
| goal |
C | 0..* | Reference(Goal) | Goals this activity relates to Constraints: ref-1 | ||||
| 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 |
C | 0..1 | Reference(Location) | Where it should happen Constraints: ref-1 | ||||
| performer |
C | 0..* | Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) | Who will be responsible? Constraints: ref-1 | ||||
| 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 |
C | 0..1 | SimpleQuantity | How to consume/day? Constraints: qty-3, sqty-1 | ||||
| quantity |
C | 0..1 | SimpleQuantity | How much to administer/supply/consume Constraints: qty-3, sqty-1 | ||||
| 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 Slice: Unordered, Open by value:url | |||||
| 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 |
C | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. Constraints: ref-1 | ||||
| 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 Slice: Unordered, Open by value:url | |||||
| 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): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter. | ||||
| 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 |
C | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Why activity is needed Constraints: ref-1 | ||||
| goal |
C | 0..* | Reference(Goal) | Goals this activity relates to Constraints: ref-1 | ||||
| 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 |
C | 0..1 | Reference(Location) | Where it should happen Constraints: ref-1 | ||||
| performer |
C | 0..* | Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) | Who will be responsible? Constraints: ref-1 | ||||
| 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 |
C | 0..1 | SimpleQuantity | How to consume/day? Constraints: qty-3, sqty-1 | ||||
| quantity |
C | 0..1 | SimpleQuantity | How much to administer/supply/consume Constraints: qty-3, sqty-1 | ||||
| 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 Slice: Unordered, Open by value:url | |||||
| 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 |
C | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. Constraints: ref-1 | ||||
| progress |
S | 0..* | Annotation | Progress notes for recommendation implementation | ||||
| reference |
SC | 1..1 | Reference(MII PR Onkologie Therapieempfehlung Kombinationstherapie | MedicationRequest | ServiceRequest) | Detailed therapy recommendation - RequestGroup, MedicationRequest, or ServiceRequest Constraints: ref-1 | ||||
| activity:extended/Therapieempfehlung |
SC | 0..* | BackboneElement | Therapieempfehlung Systemische Therapie Constraints: cpl-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 |
C | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. Constraints: ref-1 | ||||
| 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 Constraints: ref-1 | ||||
| activity:extended/HumangenetischeBeratung |
SC | 0..1 | BackboneElement | Empfehlung Human-genetische Beratung Constraints: cpl-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 |
C | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. Constraints: ref-1 | ||||
| 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 Constraints: ref-1 | ||||
| activity:extended/HistologieEvaluation |
SC | 0..1 | BackboneElement | Empfehlung Histologie-Evaluation Constraints: cpl-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 |
C | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. Constraints: ref-1 | ||||
| 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 Constraints: ref-1 | ||||
| activity:extended/Biopsie |
SC | 0..* | BackboneElement | Empfehlung Biopsie Constraints: cpl-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 |
C | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. Constraints: ref-1 | ||||
| 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 Constraints: ref-1 | ||||
| activity:extended/Studieneinschlussempfehlung |
SC | 0..* | BackboneElement | Studieneinschlussempfehlung Constraints: cpl-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 |
C | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. Constraints: ref-1 | ||||
| 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 Constraints: ref-1 | ||||
| note |
0..* | Annotation | Comments about the plan | |||||
| 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 | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| 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 | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| 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 | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| 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()
|
| per-1 | error | CarePlan.period | If present, start SHALL have a lower value than end |
start.hasValue().not() or end.hasValue().not() or (start <= end)
|
| qty-3 | error | CarePlan.activity.detail.dailyAmount, CarePlan.activity.detail.quantity, CarePlan.activity:obds.detail.dailyAmount, CarePlan.activity:obds.detail.quantity, CarePlan.activity:extended.detail.dailyAmount, CarePlan.activity:extended.detail.quantity, CarePlan.activity:extended/Therapieempfehlung.detail.dailyAmount, CarePlan.activity:extended/Therapieempfehlung.detail.quantity, CarePlan.activity:extended/HumangenetischeBeratung.detail.dailyAmount, CarePlan.activity:extended/HumangenetischeBeratung.detail.quantity, CarePlan.activity:extended/HistologieEvaluation.detail.dailyAmount, CarePlan.activity:extended/HistologieEvaluation.detail.quantity, CarePlan.activity:extended/Biopsie.detail.dailyAmount, CarePlan.activity:extended/Biopsie.detail.quantity, CarePlan.activity:extended/Studieneinschlussempfehlung.detail.dailyAmount, CarePlan.activity:extended/Studieneinschlussempfehlung.detail.quantity | If a code for the unit is present, the system SHALL also be present |
code.empty() or system.exists()
|
| ref-1 | error | CarePlan.basedOn, CarePlan.replaces, CarePlan.partOf, CarePlan.subject, CarePlan.encounter, CarePlan.author, CarePlan.contributor, CarePlan.careTeam, CarePlan.addresses, CarePlan.supportingInfo, CarePlan.supportingInfo:Behandlungsepisode, CarePlan.goal, CarePlan.activity.outcomeReference, CarePlan.activity.reference, CarePlan.activity.detail.reasonReference, CarePlan.activity.detail.goal, CarePlan.activity.detail.location, CarePlan.activity.detail.performer, CarePlan.activity:obds.outcomeReference, CarePlan.activity:obds.detail.reasonReference, CarePlan.activity:obds.detail.goal, CarePlan.activity:obds.detail.location, CarePlan.activity:obds.detail.performer, CarePlan.activity:extended.outcomeReference, CarePlan.activity:extended.reference, CarePlan.activity:extended.detail.reasonReference, CarePlan.activity:extended.detail.goal, CarePlan.activity:extended.detail.location, CarePlan.activity:extended.detail.performer, CarePlan.activity:extended/Therapieempfehlung.outcomeReference, CarePlan.activity:extended/Therapieempfehlung.reference, CarePlan.activity:extended/Therapieempfehlung.detail.reasonReference, CarePlan.activity:extended/Therapieempfehlung.detail.goal, CarePlan.activity:extended/Therapieempfehlung.detail.location, CarePlan.activity:extended/Therapieempfehlung.detail.performer, CarePlan.activity:extended/HumangenetischeBeratung.outcomeReference, CarePlan.activity:extended/HumangenetischeBeratung.reference, CarePlan.activity:extended/HumangenetischeBeratung.detail.reasonReference, CarePlan.activity:extended/HumangenetischeBeratung.detail.goal, CarePlan.activity:extended/HumangenetischeBeratung.detail.location, CarePlan.activity:extended/HumangenetischeBeratung.detail.performer, CarePlan.activity:extended/HistologieEvaluation.outcomeReference, CarePlan.activity:extended/HistologieEvaluation.reference, CarePlan.activity:extended/HistologieEvaluation.detail.reasonReference, CarePlan.activity:extended/HistologieEvaluation.detail.goal, CarePlan.activity:extended/HistologieEvaluation.detail.location, CarePlan.activity:extended/HistologieEvaluation.detail.performer, CarePlan.activity:extended/Biopsie.outcomeReference, CarePlan.activity:extended/Biopsie.reference, CarePlan.activity:extended/Biopsie.detail.reasonReference, CarePlan.activity:extended/Biopsie.detail.goal, CarePlan.activity:extended/Biopsie.detail.location, CarePlan.activity:extended/Biopsie.detail.performer, CarePlan.activity:extended/Studieneinschlussempfehlung.outcomeReference, CarePlan.activity:extended/Studieneinschlussempfehlung.reference, CarePlan.activity:extended/Studieneinschlussempfehlung.detail.reasonReference, CarePlan.activity:extended/Studieneinschlussempfehlung.detail.goal, CarePlan.activity:extended/Studieneinschlussempfehlung.detail.location, CarePlan.activity:extended/Studieneinschlussempfehlung.detail.performer | SHALL have a contained resource if a local reference is provided |
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
|
| sqty-1 | error | CarePlan.activity.detail.dailyAmount, CarePlan.activity.detail.quantity, CarePlan.activity:obds.detail.dailyAmount, CarePlan.activity:obds.detail.quantity, CarePlan.activity:extended.detail.dailyAmount, CarePlan.activity:extended.detail.quantity, CarePlan.activity:extended/Therapieempfehlung.detail.dailyAmount, CarePlan.activity:extended/Therapieempfehlung.detail.quantity, CarePlan.activity:extended/HumangenetischeBeratung.detail.dailyAmount, CarePlan.activity:extended/HumangenetischeBeratung.detail.quantity, CarePlan.activity:extended/HistologieEvaluation.detail.dailyAmount, CarePlan.activity:extended/HistologieEvaluation.detail.quantity, CarePlan.activity:extended/Biopsie.detail.dailyAmount, CarePlan.activity:extended/Biopsie.detail.quantity, CarePlan.activity:extended/Studieneinschlussempfehlung.detail.dailyAmount, CarePlan.activity:extended/Studieneinschlussempfehlung.detail.quantity | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| 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()
|
This structure is derived from MII_PR_Onko_Tumorkonferenz
Summary
Mandatory: 0 element(5 nested mandatory elements)
Must-Support: 13 elements
Prohibited: 5 elements
Structures
This structure refers to these other structures:
- MII PR MTB Behandlungsepisode (https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-behandlungsepisode)
- MII PR MTB Therapieempfehlung Systemische Therapie (https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-therapieempfehlung)
- MII PR MTB Therapieempfehlung Kombinationstherapie (https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-therapieempfehlung-kombination)
- MII PR MTB Human-genetische Beratung Auftrag (https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-humangenetische-beratung-auftrag)
- MII PR MTB Histologie-Evaluation Auftrag (https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-histologie-evaluation-auftrag)
- MII PR MTB Biopsie Auftrag (https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-biopsie-auftrag)
- MII PR MTB Studieneinschluss Anfrage (https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-studieneinschluss-anfrage)
Slices
This structure defines the following Slices:
- The element 1 is sliced based on the value of CarePlan.supportingInfo
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| 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 Slice: Unordered, Open by value:url |
| 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. |
| 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 | Protokollauszug |
| subject |
SΣC | 1..1 | Reference(Patient) | Who the care plan is for Constraints: ref-1 |
| encounter |
SΣC | 0..1 | Reference(Encounter) | Encounter created as part of Constraints: ref-1 |
| created |
SΣ | 1..1 | dateTime | Erstellungsdatum |
| addresses |
SΣC | 0..* | Reference(MII PR Onkologie Diagnose Primärtumor) | Health issues this plan addresses Constraints: ref-1 |
| Slices for supportingInfo |
SC | 0..* | Reference(Resource) | Information considered as part of plan Slice: Unordered, Open by type:$this Constraints: ref-1 |
| supportingInfo:Behandlungsepisode |
SC | 0..1 | Reference(MII PR MTB Behandlungsepisode | ClinicalImpression) | Behandlungsepisode Constraints: ref-1 |
| 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 |
| reference |
C | 0..1 | Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) | Activity details defined in specific resource Constraints: ref-1 |
| detail |
C | 0..1 | BackboneElement | In-line definition of activity |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| 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. |
| doNotPerform |
?! | 0..1 | boolean | If true, activity is prohibiting action |
| 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): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter. |
| 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 | MedicationRequest | ServiceRequest) | Detailed therapy recommendation - RequestGroup, MedicationRequest, or ServiceRequest Constraints: ref-1 |
| activity:extended/Therapieempfehlung |
SC | 0..* | BackboneElement | Therapieempfehlung Systemische Therapie 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 Constraints: ref-1 |
| activity:extended/HumangenetischeBeratung |
SC | 0..1 | BackboneElement | Empfehlung Human-genetische Beratung 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 Constraints: ref-1 |
| activity:extended/HistologieEvaluation |
SC | 0..1 | BackboneElement | Empfehlung Histologie-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 Constraints: ref-1 |
| activity:extended/Biopsie |
SC | 0..* | BackboneElement | Empfehlung Biopsie 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 Constraints: ref-1 |
| activity:extended/Studieneinschlussempfehlung |
SC | 0..* | BackboneElement | Studieneinschlussempfehlung 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 Constraints: ref-1 |
| 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 | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| CarePlan.activity.detail.status | Base | required | CarePlanActivityStatus | 📍4.0.1 | FHIR Std. |
| CarePlan.activity:obds.detail.code | Base | required | MII VS Onkologie Therapieempfehlung Typ | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| CarePlan.activity:obds.detail.status | Base | required | CarePlanActivityStatus | 📍4.0.1 | FHIR Std. |
| CarePlan.activity:obds.detail.statusReason | Base | required | MII VS Onkologie Therapieabweichung | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| 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()
|
| ref-1 | error | CarePlan.subject, CarePlan.encounter, CarePlan.addresses, CarePlan.supportingInfo, CarePlan.supportingInfo:Behandlungsepisode, CarePlan.activity.reference, CarePlan.activity:extended.reference, CarePlan.activity:extended/Therapieempfehlung.reference, CarePlan.activity:extended/HumangenetischeBeratung.reference, CarePlan.activity:extended/HistologieEvaluation.reference, CarePlan.activity:extended/Biopsie.reference, CarePlan.activity:extended/Studieneinschlussempfehlung.reference | SHALL have a contained resource if a local reference is provided |
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
|
| 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
This structure is derived from MII_PR_Onko_Tumorkonferenz
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| 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 | Protokollauszug |
| created |
1..1 | dateTime | Erstellungsdatum | |
| 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) | Behandlungsepisode |
| Slices for activity |
Content/Rules for all slices | |||
| activity:extended/Therapieempfehlung |
S | 0..* | BackboneElement | Therapieempfehlung Systemische Therapie |
| 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 | Empfehlung Human-genetische Beratung |
| 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 | Empfehlung Histologie-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 | Empfehlung Biopsie |
| 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 | Studieneinschlussempfehlung |
| reference |
S | 1..1 | Reference(MII PR MTB Studieneinschluss Anfrage) | Activity details defined in specific resource |
| detail |
0..0 | In-line definition of activity | ||
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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.
| |||||
| 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 Slice: Unordered, Open by value:url | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||
| 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 |
ΣC | 0..* | Reference(CarePlan) | Fulfills CarePlan Constraints: ref-1 | ||||
| replaces |
ΣC | 0..* | Reference(CarePlan) | CarePlan replaced by this CarePlan Constraints: ref-1 | ||||
| partOf |
ΣC | 0..* | Reference(CarePlan) | Part of referenced CarePlan Constraints: ref-1 | ||||
| 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 | Protokollauszug | ||||
| subject |
SΣC | 1..1 | Reference(Patient) | Who the care plan is for Constraints: ref-1 | ||||
| encounter |
SΣC | 0..1 | Reference(Encounter) | Encounter created as part of Constraints: ref-1 | ||||
| period |
ΣC | 0..1 | Period | Time period plan covers Constraints: per-1 | ||||
| created |
SΣ | 1..1 | dateTime | Erstellungsdatum | ||||
| author |
ΣC | 0..1 | Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) | Who is the designated responsible party Constraints: ref-1 | ||||
| contributor |
C | 0..* | Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam) | Who provided the content of the care plan Constraints: ref-1 | ||||
| careTeam |
C | 0..* | Reference(CareTeam) | Who's involved in plan? Constraints: ref-1 | ||||
| addresses |
SΣC | 0..* | Reference(MII PR Onkologie Diagnose Primärtumor) | Health issues this plan addresses Constraints: ref-1 | ||||
| Slices for supportingInfo |
SC | 0..* | Reference(Resource) | Information considered as part of plan Slice: Unordered, Open by type:$this Constraints: ref-1 | ||||
| supportingInfo:Behandlungsepisode |
SC | 0..1 | Reference(MII PR MTB Behandlungsepisode | ClinicalImpression) | Behandlungsepisode Constraints: ref-1 | ||||
| goal |
C | 0..* | Reference(Goal) | Desired outcome of plan Constraints: ref-1 | ||||
| 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 Slice: Unordered, Open by value:url | |||||
| 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 |
C | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. Constraints: ref-1 | ||||
| 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 Constraints: ref-1 | ||||
| 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 Slice: Unordered, Open by value:url | |||||
| 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 |
C | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Why activity is needed Constraints: ref-1 | ||||
| goal |
C | 0..* | Reference(Goal) | Goals this activity relates to Constraints: ref-1 | ||||
| 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 |
C | 0..1 | Reference(Location) | Where it should happen Constraints: ref-1 | ||||
| performer |
C | 0..* | Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) | Who will be responsible? Constraints: ref-1 | ||||
| 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 |
C | 0..1 | SimpleQuantity | How to consume/day? Constraints: qty-3, sqty-1 | ||||
| quantity |
C | 0..1 | SimpleQuantity | How much to administer/supply/consume Constraints: qty-3, sqty-1 | ||||
| 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 Slice: Unordered, Open by value:url | |||||
| 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 |
C | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. Constraints: ref-1 | ||||
| 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 Slice: Unordered, Open by value:url | |||||
| 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): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter. | ||||
| 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 |
C | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Why activity is needed Constraints: ref-1 | ||||
| goal |
C | 0..* | Reference(Goal) | Goals this activity relates to Constraints: ref-1 | ||||
| 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 |
C | 0..1 | Reference(Location) | Where it should happen Constraints: ref-1 | ||||
| performer |
C | 0..* | Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device) | Who will be responsible? Constraints: ref-1 | ||||
| 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 |
C | 0..1 | SimpleQuantity | How to consume/day? Constraints: qty-3, sqty-1 | ||||
| quantity |
C | 0..1 | SimpleQuantity | How much to administer/supply/consume Constraints: qty-3, sqty-1 | ||||
| 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 Slice: Unordered, Open by value:url | |||||
| 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 |
C | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. Constraints: ref-1 | ||||
| progress |
S | 0..* | Annotation | Progress notes for recommendation implementation | ||||
| reference |
SC | 1..1 | Reference(MII PR Onkologie Therapieempfehlung Kombinationstherapie | MedicationRequest | ServiceRequest) | Detailed therapy recommendation - RequestGroup, MedicationRequest, or ServiceRequest Constraints: ref-1 | ||||
| activity:extended/Therapieempfehlung |
SC | 0..* | BackboneElement | Therapieempfehlung Systemische Therapie Constraints: cpl-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 |
C | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. Constraints: ref-1 | ||||
| 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 Constraints: ref-1 | ||||
| activity:extended/HumangenetischeBeratung |
SC | 0..1 | BackboneElement | Empfehlung Human-genetische Beratung Constraints: cpl-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 |
C | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. Constraints: ref-1 | ||||
| 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 Constraints: ref-1 | ||||
| activity:extended/HistologieEvaluation |
SC | 0..1 | BackboneElement | Empfehlung Histologie-Evaluation Constraints: cpl-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 |
C | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. Constraints: ref-1 | ||||
| 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 Constraints: ref-1 | ||||
| activity:extended/Biopsie |
SC | 0..* | BackboneElement | Empfehlung Biopsie Constraints: cpl-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 |
C | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. Constraints: ref-1 | ||||
| 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 Constraints: ref-1 | ||||
| activity:extended/Studieneinschlussempfehlung |
SC | 0..* | BackboneElement | Studieneinschlussempfehlung Constraints: cpl-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 |
C | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc. Constraints: ref-1 | ||||
| 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 Constraints: ref-1 | ||||
| note |
0..* | Annotation | Comments about the plan | |||||
| 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 | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| 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 | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| 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 | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| 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()
|
| per-1 | error | CarePlan.period | If present, start SHALL have a lower value than end |
start.hasValue().not() or end.hasValue().not() or (start <= end)
|
| qty-3 | error | CarePlan.activity.detail.dailyAmount, CarePlan.activity.detail.quantity, CarePlan.activity:obds.detail.dailyAmount, CarePlan.activity:obds.detail.quantity, CarePlan.activity:extended.detail.dailyAmount, CarePlan.activity:extended.detail.quantity, CarePlan.activity:extended/Therapieempfehlung.detail.dailyAmount, CarePlan.activity:extended/Therapieempfehlung.detail.quantity, CarePlan.activity:extended/HumangenetischeBeratung.detail.dailyAmount, CarePlan.activity:extended/HumangenetischeBeratung.detail.quantity, CarePlan.activity:extended/HistologieEvaluation.detail.dailyAmount, CarePlan.activity:extended/HistologieEvaluation.detail.quantity, CarePlan.activity:extended/Biopsie.detail.dailyAmount, CarePlan.activity:extended/Biopsie.detail.quantity, CarePlan.activity:extended/Studieneinschlussempfehlung.detail.dailyAmount, CarePlan.activity:extended/Studieneinschlussempfehlung.detail.quantity | If a code for the unit is present, the system SHALL also be present |
code.empty() or system.exists()
|
| ref-1 | error | CarePlan.basedOn, CarePlan.replaces, CarePlan.partOf, CarePlan.subject, CarePlan.encounter, CarePlan.author, CarePlan.contributor, CarePlan.careTeam, CarePlan.addresses, CarePlan.supportingInfo, CarePlan.supportingInfo:Behandlungsepisode, CarePlan.goal, CarePlan.activity.outcomeReference, CarePlan.activity.reference, CarePlan.activity.detail.reasonReference, CarePlan.activity.detail.goal, CarePlan.activity.detail.location, CarePlan.activity.detail.performer, CarePlan.activity:obds.outcomeReference, CarePlan.activity:obds.detail.reasonReference, CarePlan.activity:obds.detail.goal, CarePlan.activity:obds.detail.location, CarePlan.activity:obds.detail.performer, CarePlan.activity:extended.outcomeReference, CarePlan.activity:extended.reference, CarePlan.activity:extended.detail.reasonReference, CarePlan.activity:extended.detail.goal, CarePlan.activity:extended.detail.location, CarePlan.activity:extended.detail.performer, CarePlan.activity:extended/Therapieempfehlung.outcomeReference, CarePlan.activity:extended/Therapieempfehlung.reference, CarePlan.activity:extended/Therapieempfehlung.detail.reasonReference, CarePlan.activity:extended/Therapieempfehlung.detail.goal, CarePlan.activity:extended/Therapieempfehlung.detail.location, CarePlan.activity:extended/Therapieempfehlung.detail.performer, CarePlan.activity:extended/HumangenetischeBeratung.outcomeReference, CarePlan.activity:extended/HumangenetischeBeratung.reference, CarePlan.activity:extended/HumangenetischeBeratung.detail.reasonReference, CarePlan.activity:extended/HumangenetischeBeratung.detail.goal, CarePlan.activity:extended/HumangenetischeBeratung.detail.location, CarePlan.activity:extended/HumangenetischeBeratung.detail.performer, CarePlan.activity:extended/HistologieEvaluation.outcomeReference, CarePlan.activity:extended/HistologieEvaluation.reference, CarePlan.activity:extended/HistologieEvaluation.detail.reasonReference, CarePlan.activity:extended/HistologieEvaluation.detail.goal, CarePlan.activity:extended/HistologieEvaluation.detail.location, CarePlan.activity:extended/HistologieEvaluation.detail.performer, CarePlan.activity:extended/Biopsie.outcomeReference, CarePlan.activity:extended/Biopsie.reference, CarePlan.activity:extended/Biopsie.detail.reasonReference, CarePlan.activity:extended/Biopsie.detail.goal, CarePlan.activity:extended/Biopsie.detail.location, CarePlan.activity:extended/Biopsie.detail.performer, CarePlan.activity:extended/Studieneinschlussempfehlung.outcomeReference, CarePlan.activity:extended/Studieneinschlussempfehlung.reference, CarePlan.activity:extended/Studieneinschlussempfehlung.detail.reasonReference, CarePlan.activity:extended/Studieneinschlussempfehlung.detail.goal, CarePlan.activity:extended/Studieneinschlussempfehlung.detail.location, CarePlan.activity:extended/Studieneinschlussempfehlung.detail.performer | SHALL have a contained resource if a local reference is provided |
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
|
| sqty-1 | error | CarePlan.activity.detail.dailyAmount, CarePlan.activity.detail.quantity, CarePlan.activity:obds.detail.dailyAmount, CarePlan.activity:obds.detail.quantity, CarePlan.activity:extended.detail.dailyAmount, CarePlan.activity:extended.detail.quantity, CarePlan.activity:extended/Therapieempfehlung.detail.dailyAmount, CarePlan.activity:extended/Therapieempfehlung.detail.quantity, CarePlan.activity:extended/HumangenetischeBeratung.detail.dailyAmount, CarePlan.activity:extended/HumangenetischeBeratung.detail.quantity, CarePlan.activity:extended/HistologieEvaluation.detail.dailyAmount, CarePlan.activity:extended/HistologieEvaluation.detail.quantity, CarePlan.activity:extended/Biopsie.detail.dailyAmount, CarePlan.activity:extended/Biopsie.detail.quantity, CarePlan.activity:extended/Studieneinschlussempfehlung.detail.dailyAmount, CarePlan.activity:extended/Studieneinschlussempfehlung.detail.quantity | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| 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()
|
This structure is derived from MII_PR_Onko_Tumorkonferenz
Summary
Mandatory: 0 element(5 nested mandatory elements)
Must-Support: 13 elements
Prohibited: 5 elements
Structures
This structure refers to these other structures:
- MII PR MTB Behandlungsepisode (https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-behandlungsepisode)
- MII PR MTB Therapieempfehlung Systemische Therapie (https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-therapieempfehlung)
- MII PR MTB Therapieempfehlung Kombinationstherapie (https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-therapieempfehlung-kombination)
- MII PR MTB Human-genetische Beratung Auftrag (https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-humangenetische-beratung-auftrag)
- MII PR MTB Histologie-Evaluation Auftrag (https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-histologie-evaluation-auftrag)
- MII PR MTB Biopsie Auftrag (https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-biopsie-auftrag)
- MII PR MTB Studieneinschluss Anfrage (https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-studieneinschluss-anfrage)
Slices
This structure defines the following Slices:
- The element 1 is sliced based on the value of CarePlan.supportingInfo
Other representations of profile: CSV, Excel, Schematron