{
  "description": "Includes chemotherapy and all types of therapy that do not fall under surgical data or radiotherapy",
  "_filename": "StructureDefinition-cce-core-MedicationStatement-SystemicTherapy.json",
  "package_name": "cce.fhir.minimal",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "SystemicTherapy",
  "abstract": false,
  "type": "MedicationStatement",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "Systemic Therapy",
  "package_version": "0.4.0",
  "status": "draft",
  "id": "36db9b84-ef2e-49fa-9297-1f468ccc921e",
  "kind": "resource",
  "url": "https://www.cancercoreeurope.eu/fhir/StructureDefinition/cce-core-MedicationStatement-SystemicTherapy",
  "version": "0.0.1",
  "differential": {
    "element": [ {
      "id": "MedicationStatement.status",
      "path": "MedicationStatement.status",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.category",
      "min": 1,
      "path": "MedicationStatement.category",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://www.cancercoreeurope.eu/fhir/core/ValueSet/SYSTTherapyTypeVS"
      },
      "mustSupport": true
    }, {
      "id": "MedicationStatement.category.coding",
      "max": "1",
      "min": 1,
      "path": "MedicationStatement.category.coding"
    }, {
      "id": "MedicationStatement.category.coding.code",
      "min": 1,
      "path": "MedicationStatement.category.coding.code",
      "short": "TherapyType",
      "mapping": [ {
        "map": "SYST:SYST_TherapyType",
        "comment": "SYST:SYST_TherapyType",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:dktk:dataelement:36:2, urn:dktk:dataelement:38:2, urn:dktk:dataelement:39:2, urn:dktk:dataelement:40:2, urn:dktk:dataelement:41:3, urn:dktk:dataelement:71:2",
        "identity": "ISO-11179"
      } ],
      "definition": "Surgery, Radiotherapy, Chemotherapy, Immunotherapy, Hormone therapy and Bone marrow transplantation, free text information if other therapy types were used",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]",
      "path": "MedicationStatement.medication[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x].coding",
      "path": "MedicationStatement.medication[x].coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x].coding:ATC",
      "path": "MedicationStatement.medication[x].coding",
      "sliceName": "ATC"
    }, {
      "id": "MedicationStatement.medication[x].coding:ATC.system",
      "path": "MedicationStatement.medication[x].coding.system",
      "fixedUri": "http://fhir.de/CodeSystem/bfarm/atc",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x].coding:ATC.version",
      "path": "MedicationStatement.medication[x].coding.version",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x].coding:ATC.code",
      "path": "MedicationStatement.medication[x].coding.code",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x].text",
      "path": "MedicationStatement.medication[x].text",
      "mapping": [ {
        "map": "SYST:Substanz:SYST_Substance",
        "comment": "SYST:Substanz:SYST_Substance",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:adt:dataelement:91:1",
        "identity": "ISO-11179"
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationStatement.subject",
      "path": "MedicationStatement.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.cancercoreeurope.eu/fhir/StructureDefinition/cce-core-Patient-Patient", "https://www.cancercoreeurope.eu/fhir/StructureDefinition/cce-core-Patient-Pseudonym" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationStatement.subject.reference",
      "min": 1,
      "path": "MedicationStatement.subject.reference",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.context.reference",
      "min": 1,
      "path": "MedicationStatement.context.reference",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.effective[x]",
      "path": "MedicationStatement.effective[x]",
      "type": [ {
        "code": "Period"
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationStatement.effective[x].start",
      "min": 1,
      "path": "MedicationStatement.effective[x].start",
      "short": "Systemic therapy start",
      "mapping": [ {
        "map": "SYST:SYST_Begin_Date",
        "comment": "SYST:SYST_Begin_Date",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:adt:dataelement:90:1",
        "identity": "ISO-11179"
      } ],
      "definition": "Indicates when the systemic therapy was started",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.effective[x].end",
      "path": "MedicationStatement.effective[x].end",
      "short": "Systemic therapy end",
      "mapping": [ {
        "map": "SYST:SYST_End_Date",
        "comment": "SYST:SYST_End_Date",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:adt:dataelement:93:1",
        "identity": "ISO-11179"
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationStatement.reasonReference",
      "path": "MedicationStatement.reasonReference",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.cancercoreeurope.eu/fhir/StructureDefinition/cce-core-Condition-PrimaryDiagnosis" ]
      } ],
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationStatement"
}