{
  "description": "Systemische Therapie. Dieses Profil beschreibt eine Systemische Therapie für den oBDS. Da die Granularität der Anforderungen des oBDS nicht deckungsgleich mit den FHIR-Profilen für Medikation sind, wurde die Systemische Therapie als Prozedur umgesetzt",
  "_filename": "StructureDefinition-mii-pr-onko-systemische-therapie.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.onkologie",
  "date": null,
  "derivation": "constraint",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "name": "MII_PR_Onko_Systemische_Therapie",
  "mapping": [ {
    "name": "Mapping FHIR zu oBDS",
    "identity": "oBDS"
  } ],
  "abstract": false,
  "type": "Procedure",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII PR Onkologie Systemische Therapie",
  "package_version": "2025.0.0-alpha1",
  "status": "active",
  "id": "e7cddb00-d3a5-4b63-9dd0-686e868c5db8",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-systemische-therapie",
  "version": "2025.0.0",
  "differential": {
    "element": [ {
      "id": "Procedure",
      "path": "Procedure",
      "mapping": [ {
        "map": "16",
        "comment": "Systemische Therapie",
        "identity": "oBDS"
      } ]
    }, {
      "id": "Procedure.extension",
      "min": 1,
      "path": "Procedure.extension"
    }, {
      "id": "Procedure.extension:Intention",
      "max": "1",
      "min": 1,
      "path": "Procedure.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-intention" ]
      } ],
      "sliceName": "Intention",
      "mustSupport": true
    }, {
      "id": "Procedure.extension:Intention.value[x].coding",
      "path": "Procedure.extension.value[x].coding",
      "short": "Intention der systemischen oder abwartenden Therapie",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Intention der systemischen oder abwartenden Therapie"
          } ]
        } ]
      },
      "definition": "Intention der systemischen oder abwartenden Therapie gemäß 16.1 oBDS 2021.",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Intention der systemischen oder abwartenden Therapie gemäß 16.1 oBDS 2021."
          } ]
        } ]
      }
    }, {
      "id": "Procedure.extension:Intention.value[x].coding.code",
      "path": "Procedure.extension.value[x].coding.code",
      "mapping": [ {
        "map": "16.1",
        "comment": "Intention der systemischen Therapie",
        "identity": "oBDS"
      } ]
    }, {
      "id": "Procedure.extension:StellungZurOp",
      "max": "*",
      "min": 0,
      "path": "Procedure.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-stellungzurop" ]
      } ],
      "sliceName": "StellungZurOp",
      "mustSupport": true
    }, {
      "id": "Procedure.extension:StellungZurOp.value[x].coding",
      "path": "Procedure.extension.value[x].coding",
      "short": "Stellung der systemischen Therapie zu einer Operation",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Stellung der systemischen Therapie zu einer Operation"
          } ]
        } ]
      },
      "definition": "Stellung der systemischen Therapie zu einer Operation gemäß 16.2 oBDS 2021.",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Stellung der systemischen Therapie zu einer Operation gemäß 16.2 oBDS 2021."
          } ]
        } ]
      }
    }, {
      "id": "Procedure.extension:StellungZurOp.value[x].coding.code",
      "path": "Procedure.extension.value[x].coding.code",
      "mapping": [ {
        "map": "16.2",
        "comment": "Systemische Therapie Stellung zu operativer Therapie",
        "identity": "oBDS"
      } ]
    }, {
      "id": "Procedure.basedOn",
      "path": "Procedure.basedOn",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/CarePlan" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Procedure.partOf",
      "path": "Procedure.partOf",
      "mustSupport": true
    }, {
      "id": "Procedure.code",
      "path": "Procedure.code",
      "comment": "Primäre Befüllung aus den oBDS / Tumordokumentatiosndaten. Beim Zusammenführen mit Daten aus KIS und anderen Quellen können hier ebenfalls OPS- und SNOMED-CT-Codings hinterlegt werden",
      "definition": "Enthält den Code, der neben der oBDS-spezifischen Kodierungden optional mit Codings für OPS und SNOMED annotiert werden kann"
    }, {
      "id": "Procedure.code.coding",
      "path": "Procedure.code.coding"
    }, {
      "id": "Procedure.code.coding.code",
      "path": "Procedure.code.coding.code",
      "mapping": [ {
        "map": "16.3",
        "comment": "Art der systemischen oder abwartenden Therapie",
        "identity": "oBDS"
      } ]
    }, {
      "path": "Procedure.code.coding",
      "min": 0,
      "definition": "Art der systemischen oder abwartenden Therapie gemäß 16.3 oBDS 2021.",
      "short": "Art der systemischen oder abwartenden Therapie",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Art der systemischen oder abwartenden Therapie gemäß 16.3 oBDS 2021."
          } ]
        } ]
      },
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Art der systemischen oder abwartenden Therapie"
          } ]
        } ]
      },
      "sliceName": "systemische_therapie_art",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-systemische-therapie-art"
      },
      "max": "1",
      "id": "Procedure.code.coding:systemische_therapie_art"
    }, {
      "id": "Procedure.code.coding:systemische_therapie_art.system",
      "min": 1,
      "path": "Procedure.code.coding.system"
    }, {
      "id": "Procedure.code.coding:systemische_therapie_art.code",
      "min": 1,
      "path": "Procedure.code.coding.code"
    }, {
      "id": "Procedure.subject",
      "path": "Procedure.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ]
    }, {
      "id": "Procedure.encounter",
      "path": "Procedure.encounter",
      "mustSupport": true
    }, {
      "id": "Procedure.performed[x]",
      "path": "Procedure.performed[x]",
      "type": [ {
        "code": "Period"
      } ]
    }, {
      "id": "Procedure.performed[x].start",
      "path": "Procedure.performed[x].start",
      "mapping": [ {
        "map": "16.6",
        "comment": "Systemische Therapie Beginn",
        "identity": "oBDS"
      } ]
    }, {
      "id": "Procedure.performed[x].end",
      "path": "Procedure.performed[x].end",
      "mapping": [ {
        "map": "16.8",
        "comment": "Systemische Therapie Ende",
        "identity": "oBDS"
      } ]
    }, {
      "id": "Procedure.performed[x]:performedPeriod",
      "path": "Procedure.performed[x]",
      "type": [ {
        "code": "Period"
      } ],
      "sliceName": "performedPeriod"
    }, {
      "id": "Procedure.performed[x]:performedPeriod.start",
      "min": 1,
      "path": "Procedure.performed[x].start",
      "short": "Startdatum der systemischen oder abwartenden Therapie",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Startdatum der systemischen oder abwartenden Therapie"
          } ]
        } ]
      },
      "definition": "Startdatum der systemischen oder abwartenden Therapie gemäß 16.6 oBDS 2021.",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Startdatum der systemischen oder abwartenden Therapie gemäß 16.6 oBDS 2021."
          } ]
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Procedure.performed[x]:performedPeriod.end",
      "path": "Procedure.performed[x].end",
      "short": "Enddatum der systemischen oder abwartenden Therapie",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Enddatum der systemischen oder abwartenden Therapie"
          } ]
        } ]
      },
      "definition": "Enddatum der systemischen oder abwartenden Therapie gemäß 16.8 oBDS 2021.",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Enddatum der systemischen oder abwartenden Therapie - wenn vorhanden -  gemäß 16.8 oBDS 2021."
          } ]
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Procedure.reasonReference",
      "path": "Procedure.reasonReference",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor", "http://hl7.org/fhir/StructureDefinition/Condition" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Procedure.outcome",
      "path": "Procedure.outcome",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-systemische-therapie-ende-grund"
      },
      "mustSupport": true
    }, {
      "id": "Procedure.outcome.coding",
      "path": "Procedure.outcome.coding",
      "short": "Grund für Ende der systemischen oder abwartenden Therapie",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Grund für Ende der systemischen oder abwartenden Therapie"
          } ]
        } ]
      },
      "definition": "Grund für Ende der systemischen oder abwartenden Therapie gemäß 16.7 oBDS 2021.",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Grund für Ende der systemischen oder abwartenden Therapie gemäß 16.7 oBDS 2021."
          } ]
        } ]
      }
    }, {
      "id": "Procedure.outcome.coding.system",
      "path": "Procedure.outcome.coding.system",
      "mustSupport": true
    }, {
      "id": "Procedure.outcome.coding.code",
      "path": "Procedure.outcome.coding.code",
      "mapping": [ {
        "map": "16.7",
        "comment": "Systemische Therapie Ende Grund",
        "identity": "oBDS"
      } ],
      "mustSupport": true
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Procedure"
}