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