// Definition combined system therapy --------------------------------------------------------------------------------- RuleSet: SystemTherapyMedicationStatement(text, dateTime, procedure, parent, atc, doseValue, doseUnit, doseUnitCode) * partOf[+] = Reference(Procedure/{procedure}) * partOf[+] = Reference(MedicationStatement/{parent}) * status = #completed * medicationCodeableConcept.coding[atcClassDe] = $ATC_DE{atc} * subject = Reference(Patient/PatientKimMusterperson) * effectiveDateTime = {dateTime} * note.text = {text} * dosage.doseAndRate.doseQuantity.value = {doseValue} * dosage.doseAndRate.doseQuantity.unit = {doseUnit} * dosage.doseAndRate.doseQuantity.code = {doseUnitCode} * dosage.doseAndRate.doseQuantity.system = $UCUM // MedicationStatements Carboplatin + Doxorubicin --------------------------------------------------------------------- Instance: MTBChemo1Procedure InstanceOf: MII_PR_MTB_Systemische_Vortherapie Usage: #example Description: "Carboplatin AUC5 d1, pegliposomales Doxorubicin 30 mg/m2, d1, Wdh. d28; Sechs Zyklen ab 04.01.2023" * extension[Intention].valueCodeableConcept.coding[0] = $mii-cs-onko-intention#K * status = #completed * category.coding[sct] = $SCT#277132007 // Therapeutic procedure | alternativ 18629005 Administration of medicine? * code.coding[sct] = $SCT#367336001 // Chemotherapy * code.coding[systemische_therapie_art] = $mii-cs-onko-therapie-typ#CH // Chemotherapy * subject = Reference(Patient/PatientKimMusterperson) * performedPeriod.start = "2023-01-04" * performedPeriod.end = "2023-05-24" * outcome.coding[+] = $mii-cs-onko-therapie-grund-ende#W * outcome.text = "Reguläres Ende mit Substanzwechsel" // 04.01.2023 Z1 Carboplatin AUC5 d1, pegliposomales Doxorubicin 30 mg/m2, d1, Wdh. d28 Instance: MTBChemo1MedicationStatement1 InstanceOf: MII_PR_Medikation_MedicationStatement Usage: #example * partOf[+] = Reference(Procedure/MTBChemo1Procedure) * status = #completed * medicationCodeableConcept.text = "Z1 Carboplatin AUC5 d1, pegliposomales Doxorubicin 30 mg/m2, d1" * subject = Reference(Patient/PatientKimMusterperson) * effectiveDateTime = "2023-01-04" Instance: MTBChemo1MedicationStatement1-1 InstanceOf: MII_PR_Onko_Systemische_Therapie_Medikation Usage: #example * insert SystemTherapyMedicationStatement("Z1 Carboplatin AUC5 d1\, pegliposomales Doxorubicin 30 mg/m2 d1", "2023-01-04", MTBChemo1Procedure, MTBChemo1MedicationStatement1, #L01XA02, 5, "AUC", #mg.min/ml) Instance: MTBChemo1MedicationStatement1-2 InstanceOf: MII_PR_Onko_Systemische_Therapie_Medikation Usage: #example * insert SystemTherapyMedicationStatement("Z1 Carboplatin AUC5 d1\, pegliposomales Doxorubicin 30 mg/m2 d1", "2023-01-04", MTBChemo1Procedure, MTBChemo1MedicationStatement1, #L01DB01, 30, "mg/m2", #mg/m2) // 01.02.2023 Z2 Carboplatin AUC5 d1, pegliposomales Doxorubicin 30 mg/m2, d1, Wdh. d28 Instance: MTBChemo1MedicationStatement2 InstanceOf: MII_PR_Medikation_MedicationStatement Usage: #example * partOf[+] = Reference(Procedure/MTBChemo1Procedure) * status = #completed * medicationCodeableConcept.text = "Z2 Carboplatin AUC5 d1, pegliposomales Doxorubicin 30 mg/m2, d1" * subject = Reference(Patient/PatientKimMusterperson) * effectiveDateTime = "2023-02-01" Instance: MTBChemo1MedicationStatement2-1 InstanceOf: MII_PR_Onko_Systemische_Therapie_Medikation Usage: #example * insert SystemTherapyMedicationStatement("Z2 Carboplatin AUC5 d1\, pegliposomales Doxorubicin 30 mg/m2 d1", "2023-02-01", MTBChemo1Procedure, MTBChemo1MedicationStatement2, #L01XA02, 5, "AUC", #mg.min/ml) Instance: MTBChemo1MedicationStatement2-2 InstanceOf: MII_PR_Onko_Systemische_Therapie_Medikation Usage: #example * insert SystemTherapyMedicationStatement("Z2 Carboplatin AUC5 d1\, pegliposomales Doxorubicin 30 mg/m2 d1", "2023-02-01", MTBChemo1Procedure, MTBChemo1MedicationStatement2, #L01DB01, 30, "mg/m2", #mg/m2) // 01.03.2023 Z3 Carboplatin AUC5 d1, pegliposomales Doxorubicin 30 mg/m2, d1, Wdh. d28 Instance: MTBChemo1MedicationStatement3 InstanceOf: MII_PR_Medikation_MedicationStatement Usage: #example * partOf[+] = Reference(Procedure/MTBChemo1Procedure) * status = #completed * medicationCodeableConcept.text = "Z3 Carboplatin AUC5 d1, pegliposomales Doxorubicin 30 mg/m2, d1" * subject = Reference(Patient/PatientKimMusterperson) * effectiveDateTime = "2023-03-01" Instance: MTBChemo1MedicationStatement3-1 InstanceOf: MII_PR_Onko_Systemische_Therapie_Medikation Usage: #example * insert SystemTherapyMedicationStatement("Z3 Carboplatin AUC5 d1\, pegliposomales Doxorubicin 30 mg/m2 d1", "2023-03-01", MTBChemo1Procedure, MTBChemo1MedicationStatement3, #L01XA02, 5, "AUC", #mg.min/ml) Instance: MTBChemo1MedicationStatement3-2 InstanceOf: MII_PR_Onko_Systemische_Therapie_Medikation Usage: #example * insert SystemTherapyMedicationStatement("Z3 Carboplatin AUC5 d1\, pegliposomales Doxorubicin 30 mg/m2 d1", "2023-03-01", MTBChemo1Procedure, MTBChemo1MedicationStatement3, #L01DB01, 30, "mg/m2", #mg/m2) // 29.03.2023 Z4 Carboplatin AUC5 d1, pegliposomales Doxorubicin 30 mg/m2, d1, Wdh. d28 Instance: MTBChemo1MedicationStatement4 InstanceOf: MII_PR_Medikation_MedicationStatement Usage: #example * partOf[+] = Reference(Procedure/MTBChemo1Procedure) * status = #completed * medicationCodeableConcept.text = "Z4 Carboplatin AUC5 d1, pegliposomales Doxorubicin 30 mg/m2, d1" * subject = Reference(Patient/PatientKimMusterperson) * effectiveDateTime = "2023-03-29" Instance: MTBChemo1MedicationStatement4-1 InstanceOf: MII_PR_Onko_Systemische_Therapie_Medikation Usage: #example * insert SystemTherapyMedicationStatement("Z4 Carboplatin AUC5 d1\, pegliposomales Doxorubicin 30 mg/m2 d1", "2023-03-29", MTBChemo1Procedure, MTBChemo1MedicationStatement4, #L01XA02, 5, "AUC", #mg.min/ml) Instance: MTBChemo1MedicationStatement4-2 InstanceOf: MII_PR_Onko_Systemische_Therapie_Medikation Usage: #example * insert SystemTherapyMedicationStatement("Z4 Carboplatin AUC5 d1\, pegliposomales Doxorubicin 30 mg/m2 d1", "2023-03-29", MTBChemo1Procedure, MTBChemo1MedicationStatement4, #L01DB01, 30, "mg/m2", #mg/m2) // 26.04.2023 Z5 Carboplatin AUC5 d1, pegliposomales Doxorubicin 30 mg/m2, d1, Wdh. d28 Instance: MTBChemo1MedicationStatement5 InstanceOf: MII_PR_Medikation_MedicationStatement Usage: #example * partOf[+] = Reference(Procedure/MTBChemo1Procedure) * status = #completed * medicationCodeableConcept.text = "Z5 Carboplatin AUC5 d1, pegliposomales Doxorubicin 30 mg/m2, d1" * subject = Reference(Patient/PatientKimMusterperson) * effectiveDateTime = "2023-04-26" Instance: MTBChemo1MedicationStatement5-1 InstanceOf: MII_PR_Onko_Systemische_Therapie_Medikation Usage: #example * insert SystemTherapyMedicationStatement("Z5 Carboplatin AUC5 d1\, pegliposomales Doxorubicin 30 mg/m2 d1", "2023-04-26", MTBChemo1Procedure, MTBChemo1MedicationStatement5, #L01XA02, 5, "AUC", #mg.min/ml) Instance: MTBChemo1MedicationStatement5-2 InstanceOf: MII_PR_Onko_Systemische_Therapie_Medikation Usage: #example * insert SystemTherapyMedicationStatement("Z5 Carboplatin AUC5 d1\, pegliposomales Doxorubicin 30 mg/m2 d1", "2023-04-26", MTBChemo1Procedure, MTBChemo1MedicationStatement5, #L01DB01, 30, "mg/m2", #mg/m2) // 24.05.2023 Z6 Carboplatin AUC5 d1, pegliposomales Doxorubicin 30 mg/m2, d1, Wdh. d28 Instance: MTBChemo1MedicationStatement6 InstanceOf: MII_PR_Medikation_MedicationStatement Usage: #example * partOf[+] = Reference(Procedure/MTBChemo1Procedure) * status = #completed * medicationCodeableConcept.text = "Z6 Carboplatin AUC5 d1, pegliposomales Doxorubicin 30 mg/m2, d1" * subject = Reference(Patient/PatientKimMusterperson) * effectiveDateTime = "2023-05-24" Instance: MTBChemo1MedicationStatement6-1 InstanceOf: MII_PR_Onko_Systemische_Therapie_Medikation Usage: #example * insert SystemTherapyMedicationStatement("Z6 Carboplatin AUC5 d1\, pegliposomales Doxorubicin 30 mg/m2 d1", "2023-05-24", MTBChemo1Procedure, MTBChemo1MedicationStatement6, #L01XA02, 5, "AUC", #mg.min/ml) Instance: MTBChemo1MedicationStatement6-2 InstanceOf: MII_PR_Onko_Systemische_Therapie_Medikation Usage: #example * insert SystemTherapyMedicationStatement("Z6 Carboplatin AUC5 d1\, pegliposomales Doxorubicin 30 mg/m2 d1", "2023-05-24", MTBChemo1Procedure, MTBChemo1MedicationStatement6, #L01DB01, 30, "mg/m2", #mg/m2) // MedicationStatements Mirvetuximab soravtansine --------------------------------------------------------------------- // DAS entsteht quasi erst im DIZ, Muss / Kann Followup hierauf zeigen? Zei Instance: MTBChemo2Procedure InstanceOf: MII_PR_MTB_Systemische_Vortherapie Usage: #example Description: "Mirvetuximab soravtansine 6mg/kg KG, Wdh d22; Sechs Zyklen ab 24.06.2023" * extension[Intention].valueCodeableConcept.coding[0] = $mii-cs-onko-intention#K * basedOn[Therapieplan] = Reference(mii-exa-mtb-kim-musterperson-therapieplan) * status = #completed * category.coding[sct] = $SCT#277132007 // Therapeutic procedure | alternativ 18629005 Administration of medicine? * code.coding[sct] = $SCT#367336001 // Chemotherapy * code.coding[systemische_therapie_art] = $mii-cs-onko-therapie-typ#CH // Chemotherapy * subject = Reference(Patient/PatientKimMusterperson) * performedPeriod.start = "2023-06-24" * performedPeriod.end = "2023-10-12" * outcome.coding[+] = $mii-cs-onko-therapie-grund-ende#E * outcome.text = "Reguläres Ende" // 24.06.2023 Z1 Mirvetuximab soravtansine 6mg/kg KG, Wdh d22 Instance: MTBChemo2MedicationStatement1 InstanceOf: MII_PR_Medikation_MedicationStatement Usage: #example * partOf[+] = Reference(Procedure/MTBChemo2Procedure) * status = #completed * basedOn = Reference(MedicationRequest/mii-exa-mtb-medication-request-mirvetuximab) * medicationCodeableConcept.coding[atcClassDe] = $ATC_DE#L01FX26 * medicationCodeableConcept.coding[atcClassDe].version = "2025" * subject = Reference(Patient/PatientKimMusterperson) * effectiveDateTime = "2023-06-24" * note.text = "Z1 Mirvetuximab soravtansine 6mg/kg KG, Wdh d22" * dosage.doseAndRate.doseQuantity.value = 6 * dosage.doseAndRate.doseQuantity.unit = "mg/kg KG" * dosage.doseAndRate.doseQuantity.code = #mg/kg{KG} * dosage.doseAndRate.doseQuantity.system = $UCUM // 16.07.2023 Z2 Mirvetuximab soravtansine 6mg/kg KG, Wdh d22 Instance: MTBChemo2MedicationStatement2 InstanceOf: MII_PR_Medikation_MedicationStatement Usage: #example * partOf[+] = Reference(Procedure/MTBChemo2Procedure) * status = #completed * basedOn = Reference(MedicationRequest/mii-exa-mtb-medication-request-mirvetuximab) * medicationCodeableConcept.coding[atcClassDe] = $ATC_DE#L01FX26 * medicationCodeableConcept.coding[atcClassDe].version = "2025" * subject = Reference(Patient/PatientKimMusterperson) * effectiveDateTime = "2023-07-16" * note.text = "Z2 Mirvetuximab soravtansine 6mg/kg KG, Wdh d22" * dosage.doseAndRate.doseQuantity.value = 6 * dosage.doseAndRate.doseQuantity.unit = "mg/kg KG" * dosage.doseAndRate.doseQuantity.code = #mg/kg{KG} * dosage.doseAndRate.doseQuantity.system = $UCUM // 07.08.2023 Z3 Mirvetuximab soravtansine 6mg/kg KG, Wdh d22 Instance: MTBChemo2MedicationStatement3 InstanceOf: MII_PR_Medikation_MedicationStatement Usage: #example * partOf[+] = Reference(Procedure/MTBChemo2Procedure) * status = #completed * basedOn = Reference(MedicationRequest/mii-exa-mtb-medication-request-mirvetuximab) * medicationCodeableConcept.coding[atcClassDe] = $ATC_DE#L01FX26 * medicationCodeableConcept.coding[atcClassDe].version = "2025" * subject = Reference(Patient/PatientKimMusterperson) * effectiveDateTime = "2023-08-07" * note.text = "Z3 Mirvetuximab soravtansine 6mg/kg KG, Wdh d22" * dosage.doseAndRate.doseQuantity.value = 6 * dosage.doseAndRate.doseQuantity.unit = "mg/kg KG" * dosage.doseAndRate.doseQuantity.code = #mg/kg{KG} * dosage.doseAndRate.doseQuantity.system = $UCUM // 29.08.2023 Z4 Mirvetuximab soravtansine 6mg/kg KG, Wdh d22 Instance: MTBChemo2MedicationStatement4 InstanceOf: MII_PR_Medikation_MedicationStatement Usage: #example * partOf[+] = Reference(Procedure/MTBChemo2Procedure) * status = #completed * basedOn = Reference(MedicationRequest/mii-exa-mtb-medication-request-mirvetuximab) * medicationCodeableConcept.coding[atcClassDe] = $ATC_DE#L01FX26 * medicationCodeableConcept.coding[atcClassDe].version = "2025" * subject = Reference(Patient/PatientKimMusterperson) * effectiveDateTime = "2023-08-29" * note.text = "Z4 Mirvetuximab soravtansine 6mg/kg KG, Wdh d22" * dosage.doseAndRate.doseQuantity.value = 6 * dosage.doseAndRate.doseQuantity.unit = "mg/kg KG" * dosage.doseAndRate.doseQuantity.code = #mg/kg{KG} * dosage.doseAndRate.doseQuantity.system = $UCUM // 20.09.2023 Z5 Mirvetuximab soravtansine 6mg/kg KG, Wdh d22 Instance: MTBChemo2MedicationStatement5 InstanceOf: MII_PR_Medikation_MedicationStatement Usage: #example * partOf[+] = Reference(Procedure/MTBChemo2Procedure) * status = #completed * basedOn = Reference(MedicationRequest/mii-exa-mtb-medication-request-mirvetuximab) * medicationCodeableConcept.coding[atcClassDe] = $ATC_DE#L01FX26 * medicationCodeableConcept.coding[atcClassDe].version = "2025" * subject = Reference(Patient/PatientKimMusterperson) * effectiveDateTime = "2023-09-20" * note.text = "Z5 Mirvetuximab soravtansine 6mg/kg KG, Wdh d22" * dosage.doseAndRate.doseQuantity.value = 6 * dosage.doseAndRate.doseQuantity.unit = "mg/kg KG" * dosage.doseAndRate.doseQuantity.code = #mg/kg{KG} * dosage.doseAndRate.doseQuantity.system = $UCUM // 12.10.2023 Z6 Mirvetuximab soravtansine 6mg/kg KG, Wdh d22 Instance: MTBChemo2MedicationStatement6 InstanceOf: MII_PR_Medikation_MedicationStatement Usage: #example * partOf[+] = Reference(Procedure/MTBChemo2Procedure) * status = #completed * basedOn = Reference(MedicationRequest/mii-exa-mtb-medication-request-mirvetuximab) * medicationCodeableConcept.coding[atcClassDe] = $ATC_DE#L01FX26 * medicationCodeableConcept.coding[atcClassDe].version = "2025" * subject = Reference(Patient/PatientKimMusterperson) * effectiveDateTime = "2023-10-12" * note.text = "Z6 Mirvetuximab soravtansine 6mg/kg KG, Wdh d22" * dosage.doseAndRate.doseQuantity.value = 6 * dosage.doseAndRate.doseQuantity.unit = "mg/kg KG" * dosage.doseAndRate.doseQuantity.code = #mg/kg{KG} * dosage.doseAndRate.doseQuantity.system = $UCUM