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Source1

{
  "resourceType": "StructureDefinition",
  "id": "Profile-nNGM-Procedure-Bestrahlung",
  "url": "http://uk-koeln.de/fhir/StructureDefinition/nNGM/Profile-nNGM-Procedure-Bestrahlung",
  "version": "0.1.0",
  "name": "Profile_nNGM_Procedure_Bestrahlung",
  "title": "Profile - nNGM - Procedure - Bestrahlung",
  "status": "draft",
  "date": "2025-10-31",
  "publisher": "nNGM Konsortium",
  "description": "Bestrahlungs-Profil für das nNGM-Projekt, basierend auf MII_PR_Onko_Strahlentherapie_Bestrahlung_Strahlentherapie. Mapping zu nNGM-Schema radiotherapyList/radiotherapy.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Procedure",
  "baseDefinition": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-strahlentherapie-bestrahlung-strahlentherapie",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Procedure.extension:Gesamtdosis",
        "path": "Procedure.extension",
        "sliceName": "Gesamtdosis",
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "totalDose"
          }
        ]
      },
      {
        "id": "Procedure.extension:Gesamtdosis.value[x]",
        "path": "Procedure.extension.value[x]",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:Gesamtdosis.value[x].value",
        "path": "Procedure.extension.value[x].value",
        "min": 1,
        "mustSupport": true,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "totalDose",
            "comment": "Gesamtdosis"
          }
        ]
      },
      {
        "id": "Procedure.extension:Gesamtdosis.value[x].unit",
        "path": "Procedure.extension.value[x].unit",
        "fixedString": "Gy",
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:Einzeldosis",
        "path": "Procedure.extension",
        "sliceName": "Einzeldosis",
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "singleDose",
            "comment": "Strahlentherapie Einzeldosis pro Tag"
          }
        ]
      },
      {
        "id": "Procedure.extension:Einzeldosis.value[x]",
        "path": "Procedure.extension.value[x]",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:Einzeldosis.value[x].value",
        "path": "Procedure.extension.value[x].value",
        "min": 1,
        "mustSupport": true,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "singleDose",
            "comment": "Strahlentherapie Einzeldosis pro Tag"
          }
        ]
      },
      {
        "id": "Procedure.extension:Einzeldosis.value[x].unit",
        "path": "Procedure.extension.value[x].unit",
        "fixedString": "Gy",
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:Boost",
        "path": "Procedure.extension",
        "sliceName": "Boost"
      },
      {
        "id": "Procedure.extension:Boost.value[x]",
        "path": "Procedure.extension.value[x]",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:Boost.value[x].coding",
        "path": "Procedure.extension.value[x].coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:Boost.value[x].coding.code",
        "path": "Procedure.extension.value[x].coding.code",
        "min": 1,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "boostExecuted",
            "comment": "Boost durchgeführt"
          }
        ]
      },
      {
        "id": "Procedure.subject",
        "path": "Procedure.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://uk-koeln.de/fhir/StructureDefinition/Patient/nNGM/pseudonymisiert",
              "http://uk-koeln.de/fhir/StructureDefinition/Patient/nNGM/patient"
            ]
          }
        ]
      },
      {
        "id": "Procedure.subject.reference",
        "path": "Procedure.subject.reference",
        "mustSupport": true
      },
      {
        "id": "Procedure.performed[x]:performedPeriod",
        "path": "Procedure.performed[x]",
        "sliceName": "performedPeriod",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "executionGroup"
          }
        ]
      },
      {
        "id": "Procedure.performed[x]:performedPeriod.start",
        "path": "Procedure.performed[x].start",
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "therapyStart"
          }
        ]
      },
      {
        "id": "Procedure.performed[x]:performedPeriod.end",
        "path": "Procedure.performed[x].end",
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "therapyEnd"
          }
        ]
      },
      {
        "id": "Procedure.reasonReference",
        "path": "Procedure.reasonReference",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://uk-koeln.de/fhir/StructureDefinition/Condition/nNGM/FirstDiagnosis"
            ]
          }
        ]
      },
      {
        "id": "Procedure.bodySite",
        "path": "Procedure.bodySite",
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "radiationTargetSide",
            "comment": "Seite Zielgebiet"
          }
        ]
      },
      {
        "id": "Procedure.bodySite.extension:Seitenlokalisation",
        "path": "Procedure.bodySite.extension",
        "sliceName": "Seitenlokalisation"
      },
      {
        "id": "Procedure.bodySite.extension:Seitenlokalisation.value[x]",
        "path": "Procedure.bodySite.extension.value[x]",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Procedure.bodySite.extension:Seitenlokalisation.value[x].coding.system",
        "path": "Procedure.bodySite.extension.value[x].coding.system",
        "mustSupport": true
      },
      {
        "id": "Procedure.bodySite.extension:Seitenlokalisation.value[x].coding.code",
        "path": "Procedure.bodySite.extension.value[x].coding.code",
        "min": 1,
        "mustSupport": true,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "radiationTargetSide",
            "comment": "Seite Zielgebiet"
          }
        ]
      },
      {
        "id": "Procedure.bodySite.coding",
        "path": "Procedure.bodySite.coding",
        "binding": {
          "strength": "extensible",
          "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-strahlentherapie-zielgebiet"
        }
      },
      {
        "id": "Procedure.bodySite.coding.code",
        "path": "Procedure.bodySite.coding.code",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "radiationTarget",
            "comment": "Zielgebiet"
          }
        ]
      },
      {
        "id": "Procedure.usedCode:Strahlenart",
        "path": "Procedure.usedCode",
        "sliceName": "Strahlenart"
      },
      {
        "id": "Procedure.usedCode:Strahlenart.coding.code",
        "path": "Procedure.usedCode.coding.code",
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "typeOfRadiation",
            "comment": "Strahlentherapie Strahlenart"
          }
        ]
      }
    ]
  }
}