{
  "description": "Therapieempfehlung für nicht-medikamentöse Interventionen bei seltenen Erkrankungen (z.B. Ernährungstherapie, Gentherapie, Prophylaxe, Früherkennung)",
  "_filename": "StructureDefinition-mii-pr-seltene-therapieempfehlung-nicht-medikamentoes.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.seltene",
  "date": null,
  "derivation": "constraint",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "name": "MII_PR_Seltene_TherapieempfehlungNichtMedikamentoes",
  "abstract": false,
  "type": "ServiceRequest",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII PR SE Therapieempfehlung Nicht-Medikamentös",
  "package_version": "2026.0.0-ballot",
  "status": "draft",
  "id": "25b08d52-32f7-4493-a62c-d6f1f42bb947",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-pr-seltene-therapieempfehlung-nicht-medikamentoes",
  "version": "2026.0.0-ballot",
  "differential": {
    "element": [ {
      "id": "ServiceRequest.extension:Prioritaet",
      "max": "1",
      "min": 0,
      "path": "ServiceRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-empfehlung-prioritaet" ]
      } ],
      "sliceName": "Prioritaet",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.extension:Evidenzgraduierung",
      "max": "1",
      "min": 0,
      "path": "ServiceRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-empfehlung-evidenzgraduierung" ]
      } ],
      "sliceName": "Evidenzgraduierung",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.extension:Publikation",
      "max": "*",
      "min": 0,
      "path": "ServiceRequest.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-empfehlung-publikation" ]
      } ],
      "sliceName": "Publikation",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.status",
      "path": "ServiceRequest.status",
      "comment": "draft: Nicht umgesetzt, active: In Umsetzung, completed: Abgeschlossen",
      "definition": "Status der Umsetzung der nicht-medikamentösen Therapieempfehlung",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.intent",
      "path": "ServiceRequest.intent",
      "short": "proposal",
      "definition": "Da es sich um Empfehlungen handelt, wird hier 'proposal' verwendet",
      "mustSupport": true,
      "patternCode": "proposal"
    }, {
      "id": "ServiceRequest.category",
      "min": 1,
      "path": "ServiceRequest.category",
      "slicing": {
        "rules": "open",
        "description": "Slice für Therapiestrategie-Kategorisierung aus Modellvorhaben GenomSeq",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "path": "ServiceRequest.category",
      "min": 0,
      "definition": "Kategorisierung der nicht-medikamentösen Therapieempfehlung nach Modellvorhaben GenomSeq",
      "short": "Modellvorhaben GenomSeq Therapiestrategie-Typ (Nicht-Medikamentös)",
      "mustSupport": true,
      "sliceName": "MVGenomSeqTherapieStrategie",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/ValueSet/mii-vs-seltene-therapieempfehlung-strategie-nicht-medikamentoes"
      },
      "max": "1",
      "id": "ServiceRequest.category:MVGenomSeqTherapieStrategie",
      "comment": "Dieses Feld ist spezifisch für die Integration mit Modellvorhaben GenomSeq. Es ermöglicht die Kategorisierung gemäß RareDiseasesPlan.recommendedTherapies.strategy. Nur für nicht-medikamentöse Strategien: prophylactic, early-detection, nutrition, other."
    }, {
      "id": "ServiceRequest.category:MVGenomSeqTherapieStrategie.coding",
      "max": "1",
      "min": 1,
      "path": "ServiceRequest.category.coding"
    }, {
      "id": "ServiceRequest.category:MVGenomSeqTherapieStrategie.coding.system",
      "min": 1,
      "path": "ServiceRequest.category.coding.system"
    }, {
      "id": "ServiceRequest.category:MVGenomSeqTherapieStrategie.coding.code",
      "min": 1,
      "path": "ServiceRequest.category.coding.code"
    }, {
      "id": "ServiceRequest.priority",
      "path": "ServiceRequest.priority",
      "definition": "Dringlichkeit der Therapieempfehlung",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.code",
      "min": 1,
      "path": "ServiceRequest.code",
      "short": "Art der nicht-medikamentösen Intervention",
      "definition": "Spezifische Codierung der empfohlenen nicht-medikamentösen Therapie",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.code.coding",
      "path": "ServiceRequest.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "pattern"
        } ]
      }
    }, {
      "id": "ServiceRequest.code.coding:snomed",
      "max": "1",
      "min": 0,
      "path": "ServiceRequest.code.coding",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://hl7.org/fhir/ValueSet/procedure-code"
      },
      "sliceName": "snomed",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.code.coding:snomed.system",
      "min": 1,
      "path": "ServiceRequest.code.coding.system",
      "patternUri": "http://snomed.info/sct"
    }, {
      "id": "ServiceRequest.code.coding:ops",
      "max": "1",
      "min": 0,
      "path": "ServiceRequest.code.coding",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://fhir.de/ValueSet/bfarm/ops"
      },
      "sliceName": "ops",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.code.coding:ops.system",
      "min": 1,
      "path": "ServiceRequest.code.coding.system",
      "patternUri": "http://fhir.de/CodeSystem/bfarm/ops"
    }, {
      "id": "ServiceRequest.code.coding:loinc",
      "max": "1",
      "min": 0,
      "path": "ServiceRequest.code.coding",
      "sliceName": "loinc",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.code.coding:loinc.system",
      "min": 1,
      "path": "ServiceRequest.code.coding.system",
      "patternUri": "http://loinc.org"
    }, {
      "id": "ServiceRequest.code.text",
      "min": 1,
      "path": "ServiceRequest.code.text",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.subject",
      "path": "ServiceRequest.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "short": "Patient, für den die Therapie empfohlen wird",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.encounter",
      "path": "ServiceRequest.encounter",
      "short": "Behandlungskontext der Empfehlung",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.occurrence[x]",
      "path": "ServiceRequest.occurrence[x]",
      "short": "Empfohlener Zeitpunkt oder Zeitraum für die Intervention",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.requester",
      "path": "ServiceRequest.requester",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization" ]
      } ],
      "short": "Empfehlender Arzt/Einrichtung",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.performer",
      "path": "ServiceRequest.performer",
      "short": "Vorgesehener Durchführender der Intervention",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.reasonCode",
      "path": "ServiceRequest.reasonCode",
      "short": "Grund für die Therapieempfehlung (codiert)",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.reasonReference",
      "path": "ServiceRequest.reasonReference",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition", "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport" ]
      } ],
      "short": "Verweis auf zugrundeliegende Diagnose oder Befund",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.supportingInfo",
      "path": "ServiceRequest.supportingInfo",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/DocumentReference", "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport" ]
      } ],
      "short": "Unterstützende Informationen zur Empfehlung",
      "mustSupport": true
    }, {
      "id": "ServiceRequest.note",
      "path": "ServiceRequest.note",
      "short": "Zusätzliche Anmerkungen zur Therapieempfehlung",
      "mustSupport": true
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest"
}