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Source1

{
  "resourceType": "StructureDefinition",
  "id": "Profile-nNGM-Procedure-Strahlentherapie",
  "url": "http://uk-koeln.de/fhir/StructureDefinition/nNGM/Profile-nNGM-Procedure-Strahlentherapie",
  "version": "0.1.0",
  "name": "Profile_nNGM_Procedure_Strahlentherapie",
  "title": "Profile - nNGM - Procedure - Strahlentherapie",
  "status": "draft",
  "date": "2025-10-31",
  "publisher": "nNGM Konsortium",
  "description": "Strahlentherapie-Profil für das nNGM-Projekt, basierend auf MII_PR_Onko_Strahlentherapie. Mapping zu nNGM-Schema 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",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Procedure.extension:Intention",
        "path": "Procedure.extension",
        "sliceName": "Intention",
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "therapyIntent",
            "comment": "Therapeutische Intention"
          }
        ]
      },
      {
        "id": "Procedure.extension:Intention.value[x]",
        "path": "Procedure.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:Intention.value[x].coding.system",
        "path": "Procedure.extension.value[x].coding.system",
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:Intention.value[x].coding.code",
        "path": "Procedure.extension.value[x].coding.code",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "therapyIntent",
            "comment": "Therapeutische Intention"
          }
        ]
      },
      {
        "id": "Procedure.extension:Intention.value[x].text",
        "path": "Procedure.extension.value[x].text",
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "otherTherapeuticIntention",
            "comment": "Sonstige Intention der Strahlentherapie"
          }
        ]
      },
      {
        "id": "Procedure.extension:StellungZurOp",
        "path": "Procedure.extension",
        "sliceName": "StellungZurOp",
        "short": "Geplant nach OP (adjuvant, neoadjuvant, geplant)",
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "positionSurgicalTherapy",
            "comment": "Stellung zu operativer Therapie"
          }
        ]
      },
      {
        "id": "Procedure.extension:StellungZurOp.value[x]",
        "path": "Procedure.extension.value[x]",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:StellungZurOp.value[x].coding.system",
        "path": "Procedure.extension.value[x].coding.system",
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:StellungZurOp.value[x].coding.code",
        "path": "Procedure.extension.value[x].coding.code",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "positionSurgicalTherapy",
            "comment": "Stellung zu operativer Therapie"
          }
        ]
      },
      {
        "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
      },
      {
        "id": "Procedure.performed[x]:performedPeriod.start",
        "path": "Procedure.performed[x].start",
        "short": "Therapiestart",
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "therapyStart",
            "comment": "Therapiebeginn"
          }
        ]
      },
      {
        "id": "Procedure.performed[x]:performedPeriod.end",
        "path": "Procedure.performed[x].end",
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "therapyEnd",
            "comment": "Therapieende"
          }
        ]
      },
      {
        "id": "Procedure.performer",
        "path": "Procedure.performer",
        "mustSupport": true
      },
      {
        "id": "Procedure.performer.actor",
        "path": "Procedure.performer.actor",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://uk-koeln.de/fhir/StructureDefinition/Organisation/nNGM",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "executionCenter",
            "comment": "Durchführende Einrichtung"
          }
        ]
      },
      {
        "id": "Procedure.performer.actor.reference",
        "path": "Procedure.performer.actor.reference",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "executionCenter",
            "comment": "Referenz zur durchführenden Einrichtung"
          }
        ]
      },
      {
        "id": "Procedure.reasonReference",
        "path": "Procedure.reasonReference",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://uk-koeln.de/fhir/StructureDefinition/Condition/nNGM/FirstDiagnosis"
            ]
          }
        ]
      },
      {
        "id": "Procedure.reasonReference.reference",
        "path": "Procedure.reasonReference.reference",
        "mustSupport": true
      },
      {
        "id": "Procedure.outcome",
        "path": "Procedure.outcome",
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "endOfRadiotherapy",
            "comment": "Grund für Ende der Strahlentherapie"
          }
        ]
      },
      {
        "id": "Procedure.outcome.coding",
        "path": "Procedure.outcome.coding",
        "min": 1,
        "max": "1",
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "endOfRadiotherapy",
            "comment": "Grund für Ende der Strahlentherapie"
          }
        ]
      },
      {
        "id": "Procedure.outcome.coding.code",
        "path": "Procedure.outcome.coding.code",
        "min": 1,
        "binding": {
          "strength": "extensible",
          "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-strahlentherapie-ende-grund"
        },
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "endOfRadiotherapy",
            "comment": "Grund für Ende der Strahlentherapie"
          }
        ]
      },
      {
        "id": "Procedure.note",
        "path": "Procedure.note",
        "short": "Zusätzliche Hinweise/Informationen",
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "note",
            "comment": "Bemerkungen"
          }
        ]
      },
      {
        "id": "Procedure.note.text",
        "path": "Procedure.note.text",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "note",
            "comment": "Bemerkungen"
          }
        ]
      }
    ]
  }
}