MII IG Molekulares Tumorboard DE v2025

Extensions für Therapieempfehlung: Publikation

Inhalt

Mit dieser Extension können Quellen spezifiziert werden, die den angegebenen Evidenzgrad einer Empfehlung des molekularen Tumorboards belegen. Diese Quellen sollten nach Möglichkeit als DOI oder per PubMed-ID angegeben werden.

Name	Status	Version	Canonical	Basis
MII_EX_MTB_Empfehlung_Publikation	draft	2024.0.0-ballot	https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-publikation	http://hl7.org/fhir/StructureDefinition/Extension

Inhalt

MII_EX_MTB_Empfehlung_Publikation (Extension)	I		Extension	Element id Extension Short description MII EX MTB Empfehlung Publikation Definition Verweis auf Publikation der (einzelnen) Empfehlung Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id Extension.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..0	Extension	There are no (further) constraints on this element Element id Extension.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	Element id Extension.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-publikation Mappings rim: N/A
value[x]	S	1..1		Element id Extension.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Sliced: Unordered, Open, by $this(Type) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueIdentifier		0..1	Identifier	Element id Extension.value[x]:valueIdentifier Short description Identifikator Publikation Definition Eindeutiger Identifikator zur Publikation in einer Publikationsdatenbank Comments Z.B. Document Object Identifier (DOI): https://doi.org/10.3414/ME18-03-0003 oder PubMed Identifier (PMID): http://www.ncbi.nlm.nih.gov/pubmed/30016818 Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id Extension.value[x]:valueIdentifier.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Extension.value[x]:valueIdentifier.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id Extension.value[x]:valueIdentifier.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: N/A rim: Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element id Extension.value[x]:valueIdentifier.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. Data type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.5 rim: Role.code or implied by context
system	S Σ	1..1	uri	Element id Extension.value[x]:valueIdentifier.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Comments Publikationsdatenbank, z.B. DOI: http://doi.org oder PMID: http://www.ncbi.nlm.nih.gov/pubmed Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General http://www.acme.com/identifiers/patient Mappings v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType
value	S Σ	1..1	string	Element id Extension.value[x]:valueIdentifier.value Short description The value that is unique Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments Identifikator zur Publikation, z.B. DOI: 10.1000/182 oder PMID: 30016818 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value
period	Σ	0..1	Period	There are no (further) constraints on this element Element id Extension.value[x]:valueIdentifier.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ	0..1	Reference(Organization)	There are no (further) constraints on this element Element id Extension.value[x]:valueIdentifier.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. Data type Reference(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
valueString		0..1	string	Element id Extension.value[x]:valueString Short description Andere Publikationsquelle Definition Publikationsquelle die nicht über eine Publikationsdatenbank referenzierbar ist Comments Z.B. Whitepaper oder Leitlinie Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A

Verweis auf Publikation der (einzelnen) Empfehlung

Feldname	Hinweise
Extension.value[x]
Extension.value[x]:valueIdentifier.system	Publikationsdatenbank, z.B. DOI: http://doi.org oder PMID: http://www.ncbi.nlm.nih.gov/pubmed
Extension.value[x]:valueIdentifier.value	Identifikator zur Publikation, z.B. DOI: 10.1000/182 oder PMID: 30016818

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="mii-ex-mtb-empfehlung-publikation" />
    <url value="https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-publikation" />
    <version value="2024.0.0-ballot" />
    <name value="MII_EX_MTB_Empfehlung_Publikation" />
    <title value="MII EX MTB Empfehlung Publikation" />
    <status value="draft" />
    <publisher value="Medizininformatik Initiative" />
    <contact>
        <telecom>
            <system value="url" />
            <value value="https://www.medizininformatik-initiative.de" />
        </telecom>
    </contact>
    <description value="Verweis auf Publikation der (einzelnen) Empfehlung" />
    <fhirVersion value="4.0.1" />
    <kind value="complex-type" />
    <abstract value="false" />
    <context>
        <type value="element" />
        <expression value="MedicationRequest" />
    </context>
    <context>
        <type value="element" />
        <expression value="RequestGroup" />
    </context>
    <context>
        <type value="element" />
        <expression value="ServiceRequest" />
    </context>
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="MII EX MTB Empfehlung Publikation" />
            <definition value="Verweis auf Publikation der (einzelnen) Empfehlung" />
        </element>
        <element id="Extension.extension">
            <path value="Extension.extension" />
            <max value="0" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-publikation" />
        </element>
        <element id="Extension.value[x]">
            <path value="Extension.value[x]" />
            <slicing>
                <discriminator>
                    <type value="type" />
                    <path value="$this" />
                </discriminator>
                <ordered value="false" />
                <rules value="open" />
            </slicing>
            <min value="1" />
            <type>
                <code value="string" />
            </type>
            <type>
                <code value="Identifier" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Extension.value[x]:valueIdentifier">
            <path value="Extension.value[x]" />
            <sliceName value="valueIdentifier" />
            <short value="Identifikator Publikation" />
            <definition value="Eindeutiger Identifikator zur Publikation in einer Publikationsdatenbank" />
            <comment value="Z.B. Document Object Identifier (DOI): https://doi.org/10.3414/ME18-03-0003 oder PubMed Identifier (PMID): http://www.ncbi.nlm.nih.gov/pubmed/30016818" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Identifier" />
            </type>
        </element>
        <element id="Extension.value[x]:valueIdentifier.system">
            <path value="Extension.value[x].system" />
            <comment value="Publikationsdatenbank, z.B. DOI: http://doi.org oder PMID: http://www.ncbi.nlm.nih.gov/pubmed" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Extension.value[x]:valueIdentifier.value">
            <path value="Extension.value[x].value" />
            <comment value="Identifikator zur Publikation, z.B. DOI: 10.1000/182 oder PMID: 30016818" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Extension.value[x]:valueString">
            <path value="Extension.value[x]" />
            <sliceName value="valueString" />
            <short value="Andere Publikationsquelle" />
            <definition value="Publikationsquelle die nicht &#252;ber eine Publikationsdatenbank referenzierbar ist" />
            <comment value="Z.B. Whitepaper oder Leitlinie" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="string" />
            </type>
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "id": "mii-ex-mtb-empfehlung-publikation",
    "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-publikation",
    "version": "2024.0.0-ballot",
    "name": "MII_EX_MTB_Empfehlung_Publikation",
    "title": "MII EX MTB Empfehlung Publikation",
    "status": "draft",
    "publisher": "Medizininformatik Initiative",
    "contact":  [
        {
            "telecom":  [
                {
                    "system": "url",
                    "value": "https://www.medizininformatik-initiative.de"
                }
            ]
        }
    ],
    "description": "Verweis auf Publikation der (einzelnen) Empfehlung",
    "fhirVersion": "4.0.1",
    "kind": "complex-type",
    "abstract": false,
    "context":  [
        {
            "expression": "MedicationRequest",
            "type": "element"
        },
        {
            "expression": "RequestGroup",
            "type": "element"
        },
        {
            "expression": "ServiceRequest",
            "type": "element"
        }
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "MII EX MTB Empfehlung Publikation",
                "definition": "Verweis auf Publikation der (einzelnen) Empfehlung"
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "max": "0"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-publikation"
            },
            {
                "id": "Extension.value[x]",
                "path": "Extension.value[x]",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "type",
                            "path": "$this"
                        }
                    ],
                    "ordered": false,
                    "rules": "open"
                },
                "min": 1,
                "type":  [
                    {
                        "code": "string"
                    },
                    {
                        "code": "Identifier"
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Extension.value[x]:valueIdentifier",
                "path": "Extension.value[x]",
                "sliceName": "valueIdentifier",
                "short": "Identifikator Publikation",
                "definition": "Eindeutiger Identifikator zur Publikation in einer Publikationsdatenbank",
                "comment": "Z.B. Document Object Identifier (DOI): https://doi.org/10.3414/ME18-03-0003 oder PubMed Identifier (PMID): http://www.ncbi.nlm.nih.gov/pubmed/30016818",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Identifier"
                    }
                ]
            },
            {
                "id": "Extension.value[x]:valueIdentifier.system",
                "path": "Extension.value[x].system",
                "comment": "Publikationsdatenbank, z.B. DOI: http://doi.org oder PMID: http://www.ncbi.nlm.nih.gov/pubmed",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Extension.value[x]:valueIdentifier.value",
                "path": "Extension.value[x].value",
                "comment": "Identifikator zur Publikation, z.B. DOI: 10.1000/182 oder PMID: 30016818",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Extension.value[x]:valueString",
                "path": "Extension.value[x]",
                "sliceName": "valueString",
                "short": "Andere Publikationsquelle",
                "definition": "Publikationsquelle die nicht über eine Publikationsdatenbank referenzierbar ist",
                "comment": "Z.B. Whitepaper oder Leitlinie",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "string"
                    }
                ]
            }
        ]
    }
}

MII EX MTB Empfehlung Publikation