{
  "description": "Medikation der Systemische Therapie. Dieses Profil beschreibt die konkreten Medikationen, die im Rahmen der systemische Therapie für den oBDS dokumentiert werden.  Da im oBDS systemische und abwartende Therapie in einem Feld gruppiert sind, werden die Daten für die Systemische und abwartende Therapie sowohl über eine FHIR-Prozedur (systemisch und abwartend) als auch als FHIR-Medikation abgedeckt. ",
  "_filename": "StructureDefinition-mii-pr-onko-systemische-therapie-medikation.json",
  "package_name": "rs/de.medizininformatikinitiative.kerndatensatz.onkologie",
  "date": null,
  "derivation": "constraint",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "name": "MII_PR_Onko_Systemische_Therapie_Medikation",
  "mapping": [ {
    "name": "Mapping FHIR zu oBDS",
    "identity": "oBDS"
  } ],
  "abstract": false,
  "type": "MedicationStatement",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII PR Onkologie Systemische Therapie Medikation",
  "package_version": "2025.0.0-alpha1",
  "status": "active",
  "id": "3423b4ac-495c-4a09-9545-9dcd1256b47c",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-systemische-therapie-medikation",
  "version": "2025.0.0",
  "differential": {
    "element": [ {
      "id": "MedicationStatement.basedOn",
      "path": "MedicationStatement.basedOn",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/CarePlan" ]
      } ]
    }, {
      "id": "MedicationStatement.partOf",
      "min": 1,
      "path": "MedicationStatement.partOf",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "resolve()",
          "type": "profile"
        } ]
      }
    }, {
      "id": "MedicationStatement.partOf:systemischeTherapie",
      "max": "*",
      "min": 1,
      "path": "MedicationStatement.partOf",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Procedure" ]
      } ],
      "sliceName": "systemischeTherapie"
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept",
      "min": 1,
      "path": "MedicationStatement.medication[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "medicationCodeableConcept"
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding",
      "min": 1,
      "path": "MedicationStatement.medication[x].coding",
      "short": "Wirkstoff der systemischen Medikation",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Wirkstoff/ Substanz der systemischen Medikation"
          } ]
        } ]
      },
      "definition": "Wirkstoff der systemischen onkologischen Medikation. Nach Möglichkeit als ATC-kodiert anzugeben. Wirkstoffe sind einzeln zu kodieren. Kombinationstherapien können über MedicationStatement.partOf in übergeordneten MedicationStatements gruppiert werden - in diesem Fall ist bei jedem Wirkstoff unter `MedicationStatement.note.text` das Kürzel des (z.B. chemotherapeutischen) Protokolls zu hinterlegen.",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Wirkstoff / Substanz der systemischen onkologischen Medikation gemäß 16.4  oBDS 2021."
          } ]
        } ]
      }
    }, {
      "id": "MedicationStatement.medication[x]:medicationCodeableConcept.coding.code",
      "path": "MedicationStatement.medication[x].coding.code",
      "mapping": [ {
        "map": "16.4",
        "comment": "Systemische Therapie Substanz",
        "identity": "oBDS"
      } ]
    }, {
      "id": "MedicationStatement.subject",
      "path": "MedicationStatement.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ]
    }, {
      "id": "MedicationStatement.effective[x]:effectivePeriod",
      "path": "MedicationStatement.effective[x]",
      "type": [ {
        "code": "Period"
      } ],
      "sliceName": "effectivePeriod"
    }, {
      "id": "MedicationStatement.effective[x]:effectivePeriod.start",
      "path": "MedicationStatement.effective[x].start",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Startdatum der systemischen Medikation"
          } ]
        } ]
      },
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Startdatum der systemischen Medikation gemäß 16.7 oBDS 2021."
          } ]
        } ]
      },
      "mustSupport": true
    }, {
      "id": "MedicationStatement.effective[x]:effectivePeriod.end",
      "path": "MedicationStatement.effective[x].end",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Enddatum der systemischen Medikation"
          } ]
        } ]
      },
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Enddatum der systemischen Medikation gemäß 16.9 oBDS 2021."
          } ]
        } ]
      },
      "mustSupport": true
    }, {
      "id": "MedicationStatement.note.text",
      "path": "MedicationStatement.note.text",
      "short": "Protokoll",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Protokoll der systemischen Medikation"
          } ]
        } ]
      },
      "mapping": [ {
        "map": "16.6",
        "comment": "Systemische Therapie Protokoll",
        "identity": "oBDS"
      } ],
      "definition": "Protokoll der systemischen Medikation. Bei Angabe eines Schemas sind alle Wirkstoffe in einzelnen Ressourcen unter MedicationStatement.medication[x] gesondert zu kodieren ",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Protokoll der systemischen Medikation gemäß 16.6 oBDS 2021."
          } ]
        } ]
      },
      "mustSupport": true
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationStatement"
}