<status value="active" /> <date value="2025-10-31" /> <publisher value="nNGM Konsortium" /> <description value="Medikation der Systemische Therapie. Dieses Profil beschreibt die konkreten Medikationen/Schemata, die im Rahmen der systemischen Therapie dokumentiert wurden. Medikation der Systemische Therapie. Dieses Profil beschreibt die konkreten Medikationen/Schemata, die im Rahmen der systemischen Therapie dokumentiert wurden." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="nNGM-Schema" /> <name value="systemTherapy" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="MedicationStatement" /> <baseDefinition value="https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-systemtherapie-medication-statement" /> <derivation value="constraint" /> <differential> <element id="MedicationStatement"> <path value="MedicationStatement" /> <mapping> <identity value="nNGM-Schema" /> <map value="systemTherapyLine" /> <comment value="Systemische Therapielinie" /> </mapping> </element> <element id="MedicationStatement.extension:CyclesCount"> <path value="MedicationStatement.extension" /> <sliceName value="CyclesCount" /> <type> <code value="Extension" /> <profile value="http://uk-koeln.de/fhir/StructureDefinition/Extension/nNGM/nngm-ex-systemischetherapie-cyclescount" /> </type> <mustSupport value="true" /> <mapping> <identity value="nNGM-Schema" /> <map value="cyclesCount" /> <comment value="Anzahl der Zyklen" /> </mapping> </element> <element id="MedicationStatement.extension:CyclesCount.value[x]"> <path value="MedicationStatement.extension.value[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> <mustSupport value="true" /> <mapping> <identity value="nNGM-Schema" /> <map value="cyclesCount" /> <comment value="Anzahl der Zyklen" /> </mapping> </element> <element id="MedicationStatement.extension:CyclesCount.value[x]:valueDecimal"> <path value="MedicationStatement.extension.value[x]" /> <sliceName value="valueDecimal" /> <min value="1" /> <mustSupport value="true" /> <mapping> <identity value="nNGM-Schema" /> <map value="cyclesCount" /> <comment value="Anzahl der Zyklen" /> </mapping> </element> <element id="MedicationStatement.extension:MaintainceTherapy"> <path value="MedicationStatement.extension" /> <sliceName value="MaintainceTherapy" /> <short value="Ist Erhaltungstherapie" /> <definition value="Ist Erhaltungstherapie" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://uk-koeln.de/fhir/StructureDefinition/nNGM/nngm-ex-systemischetherapie-ismaintaincetherapy" /> </type> <mustSupport value="true" /> <mapping> <identity value="nNGM-Schema" /> <map value="MaintainceTherapy" /> <comment value="Ist Erhaltungstherapie" /> </mapping> </element> <element id="MedicationStatement.extension:MaintainceTherapy.value[x]"> <path value="MedicationStatement.extension.value[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> <mustSupport value="true" /> <mapping> <identity value="nNGM-Schema" /> <map value="MaintainceTherapy" /> <comment value="Ist Erhaltungstherapie" /> </mapping> </element> <element id="MedicationStatement.extension:MaintainceTherapy.value[x]:valueBoolean"> <path value="MedicationStatement.extension.value[x]" /> <sliceName value="valueBoolean" /> <min value="1" /> <mustSupport value="true" /> <mapping> <identity value="nNGM-Schema" /> <map value="MaintainceTherapy" /> <comment value="Ist Erhaltungstherapie" /> </mapping> </element> <element id="MedicationStatement.extension:offLabelUse"> <path value="MedicationStatement.extension" /> <sliceName value="offLabelUse" /> <short value="Ist Off-Label-Use" /> <definition value="Ist Off-Label-Use" /> <type> <code value="Extension" /> <profile value="http://uk-koeln.de/fhir/StructureDefinition/nNGM/nngm-ex-systemischetherapie-offlabeluse" /> </type> <mustSupport value="true" /> <mapping> <identity value="nNGM-Schema" /> <map value="offLabelUse" /> <comment value="Ist Off-Label-Use" /> </mapping> </element> <element id="MedicationStatement.extension:offLabelUse.value[x]"> <path value="MedicationStatement.extension.value[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> <mustSupport value="true" /> <mapping> <identity value="nNGM-Schema" /> <map value="offLabelUse" /> <comment value="Ist Off-Label-Use" /> </mapping> </element> <element id="MedicationStatement.extension:offLabelUse.value[x]:valueBoolean"> <path value="MedicationStatement.extension.value[x]" /> <sliceName value="valueBoolean" /> <min value="1" /> <mustSupport value="true" /> <mapping> <identity value="nNGM-Schema" /> <map value="offLabelUse" /> <comment value="Ist Off-Label-Use" /> </mapping> </element> <element id="MedicationStatement.partOf:systemischeTherapie"> <path value="MedicationStatement.partOf" /> <sliceName value="systemischeTherapie" /> <type> <code value="Reference" /> <targetProfile value="http://uk-koeln.de/fhir/StructureDefinition/Profile-nNGM-Procedure-Systemische-Therapie" /> <targetProfile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-systemische-therapie" /> </type> </element> <element id="MedicationStatement.partOf:systemischeTherapie.reference"> <path value="MedicationStatement.partOf.reference" /> <mustSupport value="true" /> <mapping> <identity value="nNGM-Schema" /> <map value="systemTherapyLine" /> <comment value="Referenz auf Systemische Therapielinie" /> </mapping> </element> <element id="MedicationStatement.medication[x]:medicationCodeableConcept"> <path value="MedicationStatement.medication[x]" /> <sliceName value="medicationCodeableConcept" /> </element> <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding"> <path value="MedicationStatement.medication[x].coding" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe"> <path value="MedicationStatement.medication[x].coding" /> <sliceName value="atcClassDe" /> <short value="Therapieschema" /> <definition value="Vollstaendiger ATC-Katalog Version 2026 mit Einzelwirkstoffen (7-stellige Codes) und Wirkstoffklassen (3-stellige Codes)." /> <binding> <strength value="required" /> <valueSet value="http://uk-koeln.de/fhir/ValueSet/nNGM/nngm-vs-atc-2026" /> </binding> <mapping> <identity value="nNGM-Schema" /> <map value="therapyName" /> <comment value="Therapieschema" /> </mapping> </element> <element id="MedicationStatement.medication[x]:medicationCodeableConcept.coding:atcClassDe.code"> <path value="MedicationStatement.medication[x].coding.code" /> <binding> <strength value="required" /> <valueSet value="http://uk-koeln.de/fhir/ValueSet/nNGM/nngm-vs-atc-2026" /> </binding> <mapping> <identity value="nNGM-Schema" /> <map value="therapyName" /> <comment value="Therapieschema der systemischen Therapie" /> </mapping> </element> <element id="MedicationStatement.medication[x]:medicationCodeableConcept.text"> <path value="MedicationStatement.medication[x].text" /> <short value="Wirkstoff" /> <definition value="Freitext zur Spezifikation der Wirkstoffe bei Verwendung von 3-stelligen ATC-Codes (Wirkstoffklassen) im Therapieschema." /> <maxLength value="200" /> <mustSupport value="true" /> <mapping> <identity value="nNGM-Schema" /> <map value="wirkstoff" /> <comment value="Wirkstoff" /> </mapping> </element> <element id="MedicationStatement.subject"> <path value="MedicationStatement.subject" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://uk-koeln.de/fhir/StructureDefinition/Patient/nNGM/pseudonymisiert" /> <targetProfile value="http://uk-koeln.de/fhir/StructureDefinition/Patient/nNGM/patient" /> </type> </element> <element id="MedicationStatement.subject.reference"> <path value="MedicationStatement.subject.reference" /> <mustSupport value="true" /> </element> <element id="MedicationStatement.effective[x]:effectivePeriod"> <path value="MedicationStatement.effective[x]" /> <sliceName value="effectivePeriod" /> </element> <element id="MedicationStatement.effective[x]:effectivePeriod.start"> <path value="MedicationStatement.effective[x].start" /> <min value="1" /> <mapping> <identity value="nNGM-Schema" /> <map value="therapyStart; noTherapyStart" /> <comment value="Systemische Therapie Beginn" /> </mapping> </element> <element id="MedicationStatement.effective[x]:effectivePeriod.end"> <path value="MedicationStatement.effective[x].end" /> <mapping> <identity value="nNGM-Schema" /> <map value="therapyEnd; noTherapyEnd" /> <comment value="Systemische Therapie Ende" /> </mapping> </element> <element id="MedicationStatement.note.text"> <path value="MedicationStatement.note.text" /> <mapping> <identity value="nNGM-Schema" /> <map value="note" /> <comment value="Bermerkungen" /> </mapping> </element> </differential> </StructureDefinition>