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Source1

{
  "resourceType": "MedicationRequest",
  "id": "mii-exa-mtb-medication-request-trastuzumab-deruxtecan",
  "meta": {
    "profile": [
      "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-therapieempfehlung|2026.0.0"
    ]
  },
  "medicationCodeableConcept": {
    "coding": [
      {
        "code": "L01FD04",
        "system": "http://fhir.de/CodeSystem/bfarm/atc",
        "display": "Trastuzumab deruxtecan",
        "version": "2025"
      }
    ]
  },
  "reasonReference": [
    {
      "reference": "Condition/PatientKimMusterperson-PrimaryDiagnosis-2"
    }
  ],
  "extension": [
    {
      "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-prioritaet",
      "valuePositiveInt": 3
    },
    {
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-empfehlung-evidenzgrad",
            "code": "m1B"
          }
        ]
      },
      "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-evidenzgraduierung"
    },
    {
      "valueIdentifier": {
        "system": "http://www.ncbi.nlm.nih.gov/pubmed",
        "value": "35665782"
      },
      "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-publikation"
    },
    {
      "valueIdentifier": {
        "system": "http://www.ncbi.nlm.nih.gov/pubmed",
        "value": "37870536"
      },
      "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-publikation"
    },
    {
      "valueIdentifier": {
        "system": "http://doi.org",
        "value": "10.1200/JCO.2023.41.17_suppl.LBA3000"
      },
      "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-empfehlung-publikation"
    }
  ],
  "status": "draft",
  "intent": "proposal",
  "authoredOn": "2023-03-28",
  "subject": {
    "reference": "Patient/PatientKimMusterperson"
  }
}