{
  "resourceType": "StructureDefinition",
  "id": "Profile-nNGM-Procedure-Systemische-Therapie",
  "url": "http://uk-koeln.de/fhir/StructureDefinition/Profile-nNGM-Procedure-Systemische-Therapie",
  "version": "0.1.0",
  "name": "Profile_nNGM_Procedure_Systemische_Therapie",
  "title": "Profile - nNGM - Procedure - Systemische Therapie (Therapielinie)",
  "status": "active",
  "date": "2025-12-01",
  "publisher": "nNGM Konsortium",
  "description": "Systemische Therapie(Therapielinie) Profil für das nNGM-Projekt, basierend auf der MII. Systemische Therapie.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "nNGM-Schema",
      "name": "systemTherapy"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Procedure",
  "baseDefinition": "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-systemische-therapie",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Procedure",
        "path": "Procedure",
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "systemTherapy",
            "comment": "Systemische Therapie"
          },
          {
            "identity": "nNGM-Schema",
            "map": "completedTherapy",
            "comment": "Durchgeführte Therapie"
          }
        ]
      },
      {
        "id": "Procedure.extension:Dokumentationsdatum",
        "path": "Procedure.extension",
        "sliceName": "Dokumentationsdatum"
      },
      {
        "id": "Procedure.extension:Dokumentationsdatum.value[x]",
        "path": "Procedure.extension.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "mustSupport": true,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "therapyLineDocumentation",
            "comment": "Therapiedokumentation bis (Datum)"
          }
        ]
      },
      {
        "id": "Procedure.extension:Dokumentationsdatum.value[x]:valueDateTime",
        "path": "Procedure.extension.value[x]",
        "sliceName": "valueDateTime",
        "min": 1,
        "mustSupport": true,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "therapyLineDocumentation",
            "comment": "Therapiedokumentation bis (Datum)"
          }
        ]
      },
      {
        "id": "Procedure.extension:Intention",
        "path": "Procedure.extension",
        "sliceName": "Intention",
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "therapeuticIntention",
            "comment": "Therapeutische Intention"
          }
        ]
      },
      {
        "id": "Procedure.extension:Intention.value[x]",
        "path": "Procedure.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:Intention.value[x].coding",
        "path": "Procedure.extension.value[x].coding",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "therapeuticIntention",
            "comment": "Therapeutische Intention"
          }
        ]
      },
      {
        "id": "Procedure.extension:Intention.value[x].coding.code",
        "path": "Procedure.extension.value[x].coding.code",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "therapeuticIntention",
            "comment": "Therapeutische Intention"
          }
        ]
      },
      {
        "id": "Procedure.extension:StellungZurOp",
        "path": "Procedure.extension",
        "sliceName": "StellungZurOp",
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "positionSurgicalTherapy",
            "comment": "Stellung zu operativer Therapie"
          }
        ]
      },
      {
        "id": "Procedure.extension:StellungZurOp.value[x]",
        "path": "Procedure.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:StellungZurOp.value[x].coding",
        "path": "Procedure.extension.value[x].coding",
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:StellungZurOp.value[x].coding.code",
        "path": "Procedure.extension.value[x].coding.code",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "positionSurgicalTherapy",
            "comment": "Stellung zu operativer Therapie"
          }
        ]
      },
      {
        "id": "Procedure.extension:Therapyline",
        "path": "Procedure.extension",
        "sliceName": "Therapyline",
        "short": "Nummer der Therapie Linie",
        "definition": "Nummer der Therapie Linie",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://uk-koeln.de/fhir/StructureDefinition/Extension/nNGM/nngm-ex-systemischetherapie-therapyline"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "therapyline",
            "comment": "Nummer der Therapie Linie"
          }
        ]
      },
      {
        "id": "Procedure.extension:Therapyline.value[x]",
        "path": "Procedure.extension.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:Therapyline.value[x]:valuePositiveInt",
        "path": "Procedure.extension.value[x]",
        "sliceName": "valuePositiveInt",
        "min": 1,
        "mustSupport": true,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "therapyline",
            "comment": "Nummer der Therapie Linie"
          }
        ]
      },
      {
        "id": "Procedure.extension:BasedOnRecommendation",
        "path": "Procedure.extension",
        "sliceName": "BasedOnRecommendation",
        "short": "Auf Basis einer Therapieempfehlung durchgeführt",
        "definition": "Auf Basis einer Therapieempfehlung durchgeführt",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://uk-koeln.de/fhir/StructureDefinition/nNGM/nngm-ex-systemischetherapie-basedonrecommendation"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "basedOnRecommendation",
            "comment": "Auf Basis einer Therapieempfehlung durchgeführt"
          }
        ]
      },
      {
        "id": "Procedure.extension:BasedOnRecommendation.value[x]",
        "path": "Procedure.extension.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://uk-koeln.de/fhir/ValueSet/nNGM/nngm-vs-systemischetherapie-basedonrecommendation"
        },
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "basedOnRecommendation",
            "comment": "Auf Basis einer Therapieempfehlung durchgeführt"
          }
        ]
      },
      {
        "id": "Procedure.extension:BasedOnRecommendation.value[x]:valueCodeableConcept",
        "path": "Procedure.extension.value[x]",
        "sliceName": "valueCodeableConcept",
        "min": 1,
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://uk-koeln.de/fhir/ValueSet/nNGM/nngm-vs-systemischetherapie-basedonrecommendation"
        },
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "basedOnRecommendation",
            "comment": "Auf Basis einer Therapieempfehlung durchgeführt"
          }
        ]
      },
      {
        "id": "Procedure.extension:TherapyDate",
        "path": "Procedure.extension",
        "sliceName": "TherapyDate",
        "short": "Datum (Therapieempfehlung)",
        "definition": "Datum der Therapieempfehlung im Rahmen der systemischen Therapie.",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://uk-koeln.de/fhir/StructureDefinition/nNGM/nngm-ex-systemischetherapie-therapydate"
            ]
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "therapyDate",
            "comment": "Datum (Therapieempfehlung)"
          }
        ]
      },
      {
        "id": "Procedure.extension:TherapyDate.value[x]",
        "path": "Procedure.extension.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "mustSupport": true,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "therapyDate",
            "comment": "Datum (Therapieempfehlung)"
          }
        ]
      },
      {
        "id": "Procedure.extension:TherapyDate.value[x]:valueDateTime",
        "path": "Procedure.extension.value[x]",
        "sliceName": "valueDateTime",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "therapyDate",
            "comment": "Datum (Therapieempfehlung)"
          }
        ]
      },
      {
        "id": "Procedure.partOf",
        "path": "Procedure.partOf",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://uk-koeln.de/fhir/StructureDefinition/nNGM/Profile-nNGM-Procedure-ResearchStudy-TherapyLineStudy"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "therapyLineStudyParticipation",
            "comment": "Therapie innerhalb einer klinischen Studie"
          }
        ]
      },
      {
        "id": "Procedure.partOf.reference",
        "path": "Procedure.partOf.reference",
        "mustSupport": true
      },
      {
        "id": "Procedure.code.coding:systemische_therapie_art",
        "path": "Procedure.code.coding",
        "sliceName": "systemische_therapie_art",
        "binding": {
          "strength": "required",
          "valueSet": "http://uk-koeln.de/fhir/ValueSet/nNGM/nngm-vs-systemischetherapie-therapieart"
        },
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "noTherapy",
            "comment": "Therapiefreie Zeit / Best Supportive Care"
          }
        ]
      },
      {
        "id": "Procedure.code.coding:systemische_therapie_art.system",
        "path": "Procedure.code.coding.system",
        "mustSupport": true
      },
      {
        "id": "Procedure.code.coding:systemische_therapie_art.code",
        "path": "Procedure.code.coding.code",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "noTherapy",
            "comment": "Therapiefreie Zeit / Best Supportive Care"
          }
        ]
      },
      {
        "id": "Procedure.subject",
        "path": "Procedure.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://uk-koeln.de/fhir/StructureDefinition/Patient/nNGM/pseudonymisiert",
              "http://uk-koeln.de/fhir/StructureDefinition/Patient/nNGM/patient"
            ]
          }
        ]
      },
      {
        "id": "Procedure.subject.reference",
        "path": "Procedure.subject.reference",
        "mustSupport": true
      },
      {
        "id": "Procedure.performed[x]:performedPeriod",
        "path": "Procedure.performed[x]",
        "sliceName": "performedPeriod",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "therapyLineStart",
            "comment": "Beginn der Therapielinie"
          }
        ]
      },
      {
        "id": "Procedure.performed[x]:performedPeriod.start",
        "path": "Procedure.performed[x].start",
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "therapyLineStart",
            "comment": "Beginn der Therapielinie"
          }
        ]
      },
      {
        "id": "Procedure.performed[x]:performedPeriod.end",
        "path": "Procedure.performed[x].end",
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "therapyLineEnd",
            "comment": "Ende der Therapielinie"
          }
        ]
      },
      {
        "id": "Procedure.performer",
        "path": "Procedure.performer",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "therapyExecutionCenter",
            "comment": "Durchführende Einrichtung (Therapieempfehlung)"
          }
        ]
      },
      {
        "id": "Procedure.performer.actor",
        "path": "Procedure.performer.actor",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://uk-koeln.de/fhir/StructureDefinition/Organisation/nNGM",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "therapyExecutionCenter",
            "comment": "Durchführende Einrichtung (Therapieempfehlung); falls keine eindeutige Organisations-ID vorliegt, kann eine referenzierte Organization ohne Identifier und mit Organization.name als Freitextname verwendet werden."
          }
        ]
      },
      {
        "id": "Procedure.performer.actor.reference",
        "path": "Procedure.performer.actor.reference",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "therapyExecutionCenter",
            "comment": "Falls die ID der Organisation nicht vorhanden ist, kann der Freitextname Organization.name als Referenz der Darstellung dienen"
          }
        ]
      },
      {
        "id": "Procedure.reasonReference",
        "path": "Procedure.reasonReference",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://uk-koeln.de/fhir/StructureDefinition/Condition/nNGM/FirstDiagnosis",
              "http://uk-koeln.de/fhir/StructureDefinition/Observation/nNGM/ecog"
            ]
          }
        ]
      },
      {
        "id": "Procedure.reasonReference.reference",
        "path": "Procedure.reasonReference.reference",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "diagnosis",
            "comment": "Referenz auf Erstdiagnose"
          }
        ]
      },
      {
        "id": "Procedure.outcome.coding",
        "path": "Procedure.outcome.coding",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Procedure.outcome.coding.code",
        "path": "Procedure.outcome.coding.code",
        "min": 1,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "reasonForChangeOfTherapy",
            "comment": "Grund für die Änderung der Therapie"
          }
        ]
      },
      {
        "id": "Procedure.note",
        "path": "Procedure.note",
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "note",
            "comment": "Bemerkungen"
          }
        ]
      },
      {
        "id": "Procedure.note.text",
        "path": "Procedure.note.text",
        "mustSupport": true,
        "mapping": [
          {
            "identity": "nNGM-Schema",
            "map": "furtherDetails",
            "comment": "Weitere Angaben (Therapieempfehlung)"
          }
        ]
      }
    ]
  }
}