Onconova Implementation Guide
0.2.0 - ci-build

Onconova Implementation Guide - Local Development build (v0.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Extension: Molecular Tumor Board Therapeutic Recommendation

Official URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-molecular-tumor-board-therapeutic-recommendation Version: 0.2.0
Active as of 2026-03-18 Computable Name: MolecularTumorBoardTherapeuticRecommendation

A therapeutic recommendation or follow-up action resulting from a molecular tumor board review.

Context of Use

    This extension may be used on the following element(s)

Usage info

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension C 0..* Extension Molecular Tumor Board Therapeutic Recommendation
Constraints: tumor-board-therapeutic-recommendation-1
... Slices for extension Content/Rules for all slices
.... extension:clinicalTrial SO 0..1 Extension Extension
ObligationsActor
SHALL:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
..... extension 0..0 Extension
..... url 1..1 uri "clinicalTrial"
..... value[x] 0..1 string Value of extension
.... extension:medication SO 0..* Extension Extension
ObligationsActor
SHALL:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
..... extension 0..0 Extension
..... url 1..1 uri "medication"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Antineoplastic Agents Value Set (required)
.... extension:supportingEvidence SO 0..* Extension Extension
ObligationsActor
SHALL:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
..... extension 0..0 Extension
..... url 1..1 uri "supportingEvidence"
..... value[x] 0..1 Reference(Tumor Marker Profile | Genomic Variant Profile | Tumor Mutational Burden Profile | Microsatellite Instability Profile | Loss of Heterozygosity Profile | Homologous Recombination Deficiency Profile | Tumor Neoantigen Burden Profile | Aneuploid Score Profile) Value of extension
.... extension:expectedEffect SO 0..1 Extension Extension
ObligationsActor
SHALL:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
..... extension 0..0 Extension
..... url 1..1 uri "expectedEffect"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Expected Drug Effects Value Set (required)
.... extension:offLabelUse SO 0..1 Extension Extension
ObligationsActor
SHOULD:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
..... extension 0..0 Extension
..... url 1..1 uri "offLabelUse"
..... value[x] 0..1 boolean Value of extension
.... extension:withinSoc SO 0..1 Extension Extension
ObligationsActor
SHOULD:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
..... extension 0..0 Extension
..... url 1..1 uri "withinSoc"
..... value[x] 0..1 boolean Value of extension
... url 1..1 uri "http://onconova.github.io/fhir/StructureDefinition/onconova-ext-molecular-tumor-board-therapeutic-recommendation"
... value[x] 0..0 Value of extension

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension C 0..* Extension Molecular Tumor Board Therapeutic Recommendation
Constraints: tumor-board-therapeutic-recommendation-1
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:clinicalTrial SO 0..1 Extension Extension
ObligationsActor
SHALL:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "clinicalTrial"
..... value[x] 0..1 string Value of extension
.... extension:medication SO 0..* Extension Extension
ObligationsActor
SHALL:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "medication"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Antineoplastic Agents Value Set (required)
.... extension:supportingEvidence SO 0..* Extension Extension
ObligationsActor
SHALL:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "supportingEvidence"
..... value[x] 0..1 Reference(Tumor Marker Profile | Genomic Variant Profile | Tumor Mutational Burden Profile | Microsatellite Instability Profile | Loss of Heterozygosity Profile | Homologous Recombination Deficiency Profile | Tumor Neoantigen Burden Profile | Aneuploid Score Profile) Value of extension
.... extension:expectedEffect SO 0..1 Extension Extension
ObligationsActor
SHALL:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "expectedEffect"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Expected Drug Effects Value Set (required)
.... extension:offLabelUse SO 0..1 Extension Extension
ObligationsActor
SHOULD:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "offLabelUse"
..... value[x] 0..1 boolean Value of extension
.... extension:withinSoc SO 0..1 Extension Extension
ObligationsActor
SHOULD:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "withinSoc"
..... value[x] 0..1 boolean Value of extension
... url 1..1 uri "http://onconova.github.io/fhir/StructureDefinition/onconova-ext-molecular-tumor-board-therapeutic-recommendation"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: A therapeutic recommendation or follow-up action resulting from a molecular tumor board review.

  • clinicalTrial: string: An Extension
  • medication: CodeableConcept: An Extension
  • supportingEvidence: Reference: An Extension
  • expectedEffect: CodeableConcept: An Extension
  • offLabelUse: boolean: An Extension
  • withinSoc: boolean: An Extension

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension C 0..* Extension Molecular Tumor Board Therapeutic Recommendation
Constraints: tumor-board-therapeutic-recommendation-1
... Slices for extension Content/Rules for all slices
.... extension:clinicalTrial SO 0..1 Extension Extension
ObligationsActor
SHALL:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
..... extension 0..0 Extension
..... url 1..1 uri "clinicalTrial"
..... value[x] 0..1 string Value of extension
.... extension:medication SO 0..* Extension Extension
ObligationsActor
SHALL:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
..... extension 0..0 Extension
..... url 1..1 uri "medication"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Antineoplastic Agents Value Set (required)
.... extension:supportingEvidence SO 0..* Extension Extension
ObligationsActor
SHALL:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
..... extension 0..0 Extension
..... url 1..1 uri "supportingEvidence"
..... value[x] 0..1 Reference(Tumor Marker Profile | Genomic Variant Profile | Tumor Mutational Burden Profile | Microsatellite Instability Profile | Loss of Heterozygosity Profile | Homologous Recombination Deficiency Profile | Tumor Neoantigen Burden Profile | Aneuploid Score Profile) Value of extension
.... extension:expectedEffect SO 0..1 Extension Extension
ObligationsActor
SHALL:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
..... extension 0..0 Extension
..... url 1..1 uri "expectedEffect"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Expected Drug Effects Value Set (required)
.... extension:offLabelUse SO 0..1 Extension Extension
ObligationsActor
SHOULD:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
..... extension 0..0 Extension
..... url 1..1 uri "offLabelUse"
..... value[x] 0..1 boolean Value of extension
.... extension:withinSoc SO 0..1 Extension Extension
ObligationsActor
SHOULD:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
..... extension 0..0 Extension
..... url 1..1 uri "withinSoc"
..... value[x] 0..1 boolean Value of extension
... url 1..1 uri "http://onconova.github.io/fhir/StructureDefinition/onconova-ext-molecular-tumor-board-therapeutic-recommendation"
... value[x] 0..0 Value of extension

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension C 0..* Extension Molecular Tumor Board Therapeutic Recommendation
Constraints: tumor-board-therapeutic-recommendation-1
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:clinicalTrial SO 0..1 Extension Extension
ObligationsActor
SHALL:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "clinicalTrial"
..... value[x] 0..1 string Value of extension
.... extension:medication SO 0..* Extension Extension
ObligationsActor
SHALL:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "medication"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Antineoplastic Agents Value Set (required)
.... extension:supportingEvidence SO 0..* Extension Extension
ObligationsActor
SHALL:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "supportingEvidence"
..... value[x] 0..1 Reference(Tumor Marker Profile | Genomic Variant Profile | Tumor Mutational Burden Profile | Microsatellite Instability Profile | Loss of Heterozygosity Profile | Homologous Recombination Deficiency Profile | Tumor Neoantigen Burden Profile | Aneuploid Score Profile) Value of extension
.... extension:expectedEffect SO 0..1 Extension Extension
ObligationsActor
SHALL:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "expectedEffect"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Expected Drug Effects Value Set (required)
.... extension:offLabelUse SO 0..1 Extension Extension
ObligationsActor
SHOULD:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "offLabelUse"
..... value[x] 0..1 boolean Value of extension
.... extension:withinSoc SO 0..1 Extension Extension
ObligationsActor
SHOULD:populate-if-known Creator (Onconova)
SHOULD:persist Consumer (Onconova)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "withinSoc"
..... value[x] 0..1 boolean Value of extension
... url 1..1 uri "http://onconova.github.io/fhir/StructureDefinition/onconova-ext-molecular-tumor-board-therapeutic-recommendation"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: A therapeutic recommendation or follow-up action resulting from a molecular tumor board review.

  • clinicalTrial: string: An Extension
  • medication: CodeableConcept: An Extension
  • supportingEvidence: Reference: An Extension
  • expectedEffect: CodeableConcept: An Extension
  • offLabelUse: boolean: An Extension
  • withinSoc: boolean: An Extension

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path Status Usage ValueSet Version Source
Extension.extension:medication.​value[x] Base required Antineoplastic Agents Value Set 📦0.2.0 This IG
Extension.extension:expectedEffect.​value[x] Base required Expected Drug Effects Value Set 📦0.2.0 This IG

Constraints

Id Grade Path(s) Description Expression
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()
tumor-board-therapeutic-recommendation-1 error Extension Either clinical trial or medication SHALL be present extension('clinicalTrial').exists() or extension('medication').exists()