{
  "description": "Umfasst die Chemotherapie und alle Therapiearten, die nicht unter OP-Daten oder Strahlentherapie fällt",
  "_filename": "StructureDefinition-onco-core-MedicationStatement-Systemtherapie.json",
  "package_name": "de.dktk.oncology",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.0",
  "name": "Systemtherapie",
  "abstract": false,
  "type": "MedicationStatement",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "1.1.1",
  "status": "active",
  "id": "fbb7c85a-071e-4ad3-beaa-ea1967acba44",
  "kind": "resource",
  "url": "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-MedicationStatement-Systemtherapie",
  "version": "0.9.0",
  "differential": {
    "element": [ {
      "id": "MedicationStatement.extension",
      "path": "MedicationStatement.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "MedicationStatement.extension:StellungZurOp",
      "path": "MedicationStatement.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-StellungZurOp" ]
      } ],
      "short": "Systemische Therapie Stellung zu operativer Therapie",
      "mapping": [ {
        "map": "SYST:SYST_Stellung_OP",
        "comment": "SYST:SYST_Stellung_OP",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:dktk:dataelement:70:3",
        "comment": "urn:dktk:dataelement:70:3",
        "identity": "ISO-11179"
      } ],
      "sliceName": "StellungZurOp",
      "definition": "Gibt an, in welchem Bezug zu einer operativen Therapie die systemische Therapie steht",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.extension:StellungZurOp.value[x]",
      "path": "MedicationStatement.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.extension:StellungZurOp.value[x].coding.code",
      "path": "MedicationStatement.extension.value[x].coding.code",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.extension:Intention",
      "path": "MedicationStatement.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-SYSTIntention" ]
      } ],
      "short": "Intention Chemotherapie",
      "mapping": [ {
        "map": "SYST:SYST_Intention",
        "comment": "SYST:SYST_Intention",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:dktk:dataelement:69:2",
        "comment": "urn:dktk:dataelement:69:2",
        "identity": "ISO-11179"
      } ],
      "sliceName": "Intention",
      "definition": "Gibt die Intention der Chemotherapie an",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.extension:Intention.value[x]",
      "path": "MedicationStatement.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.extension:LokaleResidualstatus",
      "path": "MedicationStatement.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-LokaleResidualstatus" ]
      } ],
      "mapping": [ {
        "map": "/Residualstatus_Typ/Lokale_Beurteilung_Residualstatus",
        "identity": "ADT"
      } ],
      "sliceName": "LokaleResidualstatus",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.extension:LokaleResidualstatus.value[x]",
      "path": "MedicationStatement.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.extension:LokaleResidualstatus.value[x]:valueReference",
      "path": "MedicationStatement.extension.value[x]",
      "sliceName": "valueReference"
    }, {
      "id": "MedicationStatement.extension:LokaleResidualstatus.value[x]:valueReference.reference",
      "min": 1,
      "path": "MedicationStatement.extension.value[x].reference"
    }, {
      "id": "MedicationStatement.extension:GesamtbeurteilungResidualstatus",
      "path": "MedicationStatement.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-GesamtbeurteilungResidualstatus" ]
      } ],
      "mapping": [ {
        "map": "/Residualstatus_Typ/Gesamtbeurteilung_Residualstatus",
        "identity": "ADT"
      } ],
      "sliceName": "GesamtbeurteilungResidualstatus",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.extension:GesamtbeurteilungResidualstatus.value[x]",
      "path": "MedicationStatement.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.extension:GesamtbeurteilungResidualstatus.value[x]:valueReference",
      "path": "MedicationStatement.extension.value[x]",
      "sliceName": "valueReference"
    }, {
      "id": "MedicationStatement.extension:GesamtbeurteilungResidualstatus.value[x]:valueReference.reference",
      "min": 1,
      "path": "MedicationStatement.extension.value[x].reference"
    }, {
      "id": "MedicationStatement.extension:Protokoll",
      "path": "MedicationStatement.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Extension-SystemischeTherapieProtokoll" ]
      } ],
      "short": "Systemische Therapie Protokoll",
      "mapping": [ {
        "map": "SYST:SYST_Protokoll",
        "comment": "SYST:SYST_Protokoll",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:dktk:dataelement:89:1",
        "comment": "urn:dktk:dataelement:89:1",
        "identity": "ISO-11179"
      } ],
      "sliceName": "Protokoll",
      "definition": "Gibt an, nach welchem Protokoll die Systemtherapie durchgeführt wurde",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.extension:Protokoll.value[x]",
      "path": "MedicationStatement.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.status",
      "path": "MedicationStatement.status",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.category",
      "min": 1,
      "path": "MedicationStatement.category",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://dktk.dkfz.de/fhir/onco/core/ValueSet/SYSTTherapieartVS"
      },
      "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": "Therapieart",
      "mapping": [ {
        "map": "SYST:SYST_Therapieart",
        "comment": "SYST:SYST_Therapieart",
        "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": "OP, Strahlentherapie, Chemotherapie, Immuntherapie, Hormontherapie und Knochenmarktransplantation, Freitextangaben, wenn andere Therapiearten angewendet wurden",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x]",
      "path": "MedicationStatement.medication[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationStatement.medication[x].text",
      "path": "MedicationStatement.medication[x].text",
      "mapping": [ {
        "map": "SYST:Substanz:SYST_Substanz",
        "comment": "SYST:Substanz:SYST_Substanz",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:adt:dataelement:91:1",
        "identity": "ISO-11179"
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationStatement.subject",
      "path": "MedicationStatement.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Patient-Patient", "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Patient-Pseudonym" ]
      } ],
      "mustSupport": true
    }, {
      "id": "MedicationStatement.subject.reference",
      "min": 1,
      "path": "MedicationStatement.subject.reference",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.context",
      "path": "MedicationStatement.context",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Encounter-Fall" ]
      } ],
      "mustSupport": false
    }, {
      "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": "Systemische Therapie Beginn",
      "mapping": [ {
        "map": "SYST:SYST_Beginn_Datum",
        "comment": "SYST:SYST_Beginn_Datum",
        "identity": "ADT-GEKID"
      }, {
        "map": "urn:adt:dataelement:90:1",
        "identity": "ISO-11179"
      } ],
      "definition": "Gibt an, wann die Systemische Therapie begonnen wurde",
      "mustSupport": true
    }, {
      "id": "MedicationStatement.reasonReference",
      "path": "MedicationStatement.reasonReference",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://dktk.dkfz.de/fhir/StructureDefinition/onco-core-Condition-Primaerdiagnose" ]
      } ],
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationStatement"
}