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{
"resourceType": "StructureDefinition",
"id": "Profile-nNGM-Procedure-Systemische-Therapie",
"url": "http://uk-koeln.de/fhir/StructureDefinition/Profile-nNGM-Procedure-Systemische-Therapie",
"version": "0.1.0",
"name": "Profile_nNGM_Procedure_Systemische_Therapie",
"title": "Profile - nNGM - Procedure - Systemische Therapie (Therapielinie)",
"status": "draft",
"date": "2025-12-01",
"publisher": "nNGM Konsortium",
"description": "Systemische Therapie(Therapielinie) Profil für das nNGM-Projekt, basierend auf der MII. Systemische Therapie.",
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "nNGM-Schema",
"name": "systemTherapy"
}
],
"kind": "resource",
"abstract": false,
"type": "Procedure",
"baseDefinition": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-systemische-therapie",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Procedure",
"path": "Procedure",
"mapping": [
{
"identity": "nNGM-Schema",
"map": "systemTherapy",
"comment": "Systemische Therapie"
}
]
},
{
"id": "Procedure.extension:Dokumentationsdatum",
"path": "Procedure.extension",
"sliceName": "Dokumentationsdatum"
},
{
"id": "Procedure.extension:Dokumentationsdatum.value[x]",
"path": "Procedure.extension.value[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"rules": "open"
},
"mustSupport": true,
"mapping": [
{
"identity": "nNGM-Schema",
"map": "therapyLineDocumentation",
"comment": "Therapiedokumentation bis (Datum)"
}
]
},
{
"id": "Procedure.extension:Dokumentationsdatum.value[x]:valueDateTime",
"path": "Procedure.extension.value[x]",
"sliceName": "valueDateTime",
"min": 1,
"mustSupport": true,
"mapping": [
{
"identity": "nNGM-Schema",
"map": "therapyLineDocumentation",
"comment": "Therapiedokumentation bis (Datum)"
}
]
},
{
"id": "Procedure.extension:Intention",
"path": "Procedure.extension",
"sliceName": "Intention",
"mapping": [
{
"identity": "nNGM-Schema",
"map": "therapeuticIntention",
"comment": "Therapeutische Intention"
}
]
},
{
"id": "Procedure.extension:Intention.value[x]",
"path": "Procedure.extension.value[x]",
"mustSupport": true
},
{
"id": "Procedure.extension:Intention.value[x].coding",
"path": "Procedure.extension.value[x].coding",
"mustSupport": true,
"mapping": [
{
"identity": "nNGM-Schema",
"map": "therapeuticIntention",
"comment": "Therapeutische Intention"
}
]
},
{
"id": "Procedure.extension:Intention.value[x].coding.code",
"path": "Procedure.extension.value[x].coding.code",
"mustSupport": true,
"mapping": [
{
"identity": "nNGM-Schema",
"map": "therapeuticIntention",
"comment": "Therapeutische Intention"
}
]
},
{
"id": "Procedure.extension:StellungZurOp",
"path": "Procedure.extension",
"sliceName": "StellungZurOp",
"mapping": [
{
"identity": "nNGM-Schema",
"map": "positionSurgicalTherapy",
"comment": "Stellung zu operativer Therapie"
}
]
},
{
"id": "Procedure.extension:StellungZurOp.value[x]",
"path": "Procedure.extension.value[x]",
"mustSupport": true
},
{
"id": "Procedure.extension:StellungZurOp.value[x].coding",
"path": "Procedure.extension.value[x].coding",
"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.extension:Therapyline",
"path": "Procedure.extension",
"sliceName": "Therapyline",
"short": "Nummer der Therapie Linie",
"definition": "Nummer der Therapie Linie",
"type": [
{
"code": "Extension",
"profile": [
"http://uk-koeln.de/fhir/StructureDefinition/Extension/nNGM/nngm-ex-systemischetherapie-therapyline"
]
}
],
"mapping": [
{
"identity": "nNGM-Schema",
"map": "therapyline",
"comment": "Nummer der Therapie Linie"
}
]
},
{
"id": "Procedure.extension:Therapyline.value[x]",
"path": "Procedure.extension.value[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"rules": "open"
},
"mustSupport": true
},
{
"id": "Procedure.extension:Therapyline.value[x]:valuePositiveInt",
"path": "Procedure.extension.value[x]",
"sliceName": "valuePositiveInt",
"min": 1,
"mustSupport": true,
"mapping": [
{
"identity": "nNGM-Schema",
"map": "therapyline",
"comment": "Nummer der Therapie Linie"
}
]
},
{
"id": "Procedure.extension:BasedOnRecommendation",
"path": "Procedure.extension",
"sliceName": "BasedOnRecommendation",
"short": "Auf Basis einer Therapieempfehlung durchgeführt",
"definition": "Auf Basis einer Therapieempfehlung durchgeführt",
"type": [
{
"code": "Extension",
"profile": [
"http://uk-koeln.de/fhir/StructureDefinition/nNGM/nngm-ex-systemischetherapie-basedonrecommendation"
]
}
],
"mapping": [
{
"identity": "nNGM-Schema",
"map": "positionSurgicalTherapy",
"comment": "Auf Basis einer Therapieempfehlung durchgeführt"
}
]
},
{
"id": "Procedure.extension:BasedOnRecommendation.value[x]",
"path": "Procedure.extension.value[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"rules": "open"
},
"min": 1,
"mustSupport": true,
"mapping": [
{
"identity": "nNGM-Schema",
"map": "basedOnRecommendation",
"comment": "Auf Basis einer Therapieempfehlung durchgeführt"
}
]
},
{
"id": "Procedure.extension:BasedOnRecommendation.value[x]:valueBoolean",
"path": "Procedure.extension.value[x]",
"sliceName": "valueBoolean",
"min": 1,
"mustSupport": true,
"mapping": [
{
"identity": "nNGM-Schema",
"map": "basedOnRecommendation",
"comment": "Auf Basis einer Therapieempfehlung durchgeführt"
}
]
},
{
"id": "Procedure.partOf",
"path": "Procedure.partOf",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://uk-koeln.de/fhir/StructureDefinition/nNGM/Profile-nNGM-Procedure-ResearchStudy-TherapyLineStudy"
]
}
],
"mapping": [
{
"identity": "nNGM-Schema",
"map": "therapyLineStudyParticipation",
"comment": "Therapie innerhalb einer klinischen Studie"
}
]
},
{
"id": "Procedure.partOf.reference",
"path": "Procedure.partOf.reference",
"mustSupport": true
},
{
"id": "Procedure.code.coding:systemische_therapie_art",
"path": "Procedure.code.coding",
"sliceName": "systemische_therapie_art",
"binding": {
"strength": "required",
"valueSet": "http://uk-koeln.de/fhir/ValueSet/nNGM/nngm-vs-systemischetherapie-therapieart"
},
"mapping": [
{
"identity": "nNGM-Schema",
"map": "noTherapy",
"comment": "Therapiefreie Zeit / Best Supportive Care"
}
]
},
{
"id": "Procedure.code.coding:systemische_therapie_art.system",
"path": "Procedure.code.coding.system",
"mustSupport": true
},
{
"id": "Procedure.code.coding:systemische_therapie_art.code",
"path": "Procedure.code.coding.code",
"mustSupport": true,
"mapping": [
{
"identity": "nNGM-Schema",
"map": "noTherapy",
"comment": "Therapiefreie Zeit / Best Supportive Care"
}
]
},
{
"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": "therapyStart",
"comment": "Systemische Therapie Beginn"
}
]
},
{
"id": "Procedure.performed[x]:performedPeriod.start",
"path": "Procedure.performed[x].start",
"mapping": [
{
"identity": "nNGM-Schema",
"map": "therapyStart",
"comment": "Systemische Therapie Beginn"
}
]
},
{
"id": "Procedure.performed[x]:performedPeriod.end",
"path": "Procedure.performed[x].end",
"mapping": [
{
"identity": "nNGM-Schema",
"map": "therapyEnd",
"comment": "Systemische Therapie Ende"
}
]
},
{
"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
},
{
"id": "Procedure.reasonReference",
"path": "Procedure.reasonReference",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://uk-koeln.de/fhir/StructureDefinition/Condition/nNGM/FirstDiagnosis",
"https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor",
"http://hl7.org/fhir/StructureDefinition/Condition"
]
}
]
},
{
"id": "Procedure.reasonReference.reference",
"path": "Procedure.reasonReference.reference",
"mustSupport": true,
"mapping": [
{
"identity": "nNGM-Schema",
"map": "diagnosis",
"comment": "Referenz auf Erstdiagnose"
}
]
},
{
"id": "Procedure.outcome.coding",
"path": "Procedure.outcome.coding",
"min": 1,
"mustSupport": true
},
{
"id": "Procedure.outcome.coding.code",
"path": "Procedure.outcome.coding.code",
"min": 1,
"mapping": [
{
"identity": "nNGM-Schema",
"map": "reasonForChangeOfTherapy",
"comment": "Grund für die Änderung der Therapie"
}
]
},
{
"id": "Procedure.note",
"path": "Procedure.note",
"mapping": [
{
"identity": "nNGM-Schema",
"map": "note",
"comment": "Bemerkungen"
}
]
},
{
"id": "Procedure.note.text",
"path": "Procedure.note.text",
"mustSupport": true,
"mapping": [
{
"identity": "nNGM-Schema",
"map": "furtherDetails",
"comment": "Weitere Angaben"
}
]
}
]
}
}
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