medizininformatik-initiative / torch

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Filter Resources by Consent #6

Open juliangruendner opened 4 months ago

juliangruendner commented 4 months ago

For some data extractions the resources have to be filtered by consent, as described here: https://github.com/medizininformatik-initiative/kerndatensatzmodul-consent/wiki/Example-Scenario-MDAT---Consent-based-Access-Control

There is still an ongoing discussion which date to use for each resource to determine whether a consent applies to it: https://github.com/medizininformatik-initiative/kerndatensatz-meta/issues/51 Given this ongoing discussion the algorithm in torch should be implemented to read in a configurable map, which allows one to configure a consentDate by resourceType. Until officially agreed on, the following mapping should be used:

ProfileUrl ConsentDateFieldPath
https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationStatement MedicationStatement.effective[x]
https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/medikationsliste List.date
https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationRequest authoredOn
https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication
https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationAdministration MedicationAdministration.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/sauerstoffsaettigung-im-blut-preduktal-durch-pulsoxymetrie Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-kern Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-rektal Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-trommelfell Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/inspiratorische-sauerstofffraktion-eingestellt Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/extrakorporales-verfahren Procedure.performed[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/linksventrikulaerer-druck Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/systemischer-vaskulaerer-widerstandsindex Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/blutfluss-cardiovasculaeres-geraet Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/horowitz-in-arteriellem-blut Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/dynamische-kompliance Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/spontanes-atemzugvolumen Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/mechanische-atemfrequenz-beatmet Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-achsel Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/blutdruck-generisch Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/maximaler-beatmungsdruck Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpergewicht-percentil-altersabhaengig Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/exspiratorischer-sauerstoffpartialdruck Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/sauerstoffgasfluss Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/zentralvenoeser-blutdruck Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/einstellung-einatmungszeit-beatmung Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/atemzugvolumen-waehrend-beatmung Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/parameter-von-beatmung Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/beatmungszeit-hohem-druck Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/eingestellter-inspiratorischer-gasfluss Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/einstellung-ausatmungszeit-beatmung Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/parameter-von-extrakorporalen-verfahren Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/dauer-haemodialysesitzung Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-stirn Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/ionisiertes-kalzium-nierenersatzverfahren Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/sauerstoffsaettigung-im-blut-postduktal-durch-pulsoxymetrie Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/inspiratorische-sauerstofffraktion Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-gelenk Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/kopfumfang Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/atemfrequenz Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/linksventrikulaerer-herzindex Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/linksventrikulaeres-schlagvolumen-durch-indikatorverduennung Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/linksventrikulaeres-schlagvolumen Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpergroesse Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/sauerstoffsaettigung-im-arteriellen-blut-durch-pulsoxymetrie Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/substituatvolumen Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/atemwegsdruck-bei-null-expiratorischem-gasfluss Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/zeitverhaeltnis-ein-ausatmung Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/beatmungsvolumen-pro-minute-maschineller-beatmung Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/monitoring-und-vitaldaten Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-nasen-rachen-raum Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/spontane-atemfrequenz-beatmet Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/pulmonalarterieller-wedge-druck Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/rechtsventrikulaerer-druck Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/periphere-artierielle-sauerstoffsaettigung Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/linksatrialer-druck Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-halswirbelsaeule Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/icu-device
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-generisch Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/druckdifferenz-beatmung Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/inspiratorischer-gasfluss Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/pulmonalvaskulaerer-widerstandsindex Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/unterstuetzungsdruck-beatmung Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/atemwegsdruck-bei-mittlerem-expiratorischem-gasfluss Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/venoeser-druck Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpergroesse-percentil Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-vaginal Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/atemzugvolumen-einstellung Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/rechtsatrialer-druck Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/mittlerer-beatmungsdruck Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/positiv-endexpiratorischer-druck Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/herzzeitvolumen Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpergewicht Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-speiseroehre Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/substituatfluss Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/endexpiratorischer-kohlendioxidpartialdruck Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-leiste Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/devicemetric-eingestellte-gemessene-parameter-extrakorporale-verfahren
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/linksventrikulaeres-schlagvolumenindex Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/beatmung Procedure.performed[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/beatmungszeit-niedrigem-druck Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/spontanes-mechanisches-atemzugvolumen-waehrend-beatmung Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/pulmonalarterieller-blutdruck Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/spontane-mechanische-atemfrequenz-beatmet Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/haemodialyse-blutfluss Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-nasal Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/puls Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/dauer-extrakorporaler-gasaustausch Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-harnblase Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/ideales-koerpergewicht Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-brust Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-atemwege Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/blutdruck Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-lendenwirbelsaeule Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/exspiratorischer-gasfluss Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/arterieller-druck Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/herzfrequenz Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/linksventrikulaerer-herzindex-durch-indikatorverduennung Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/blutflussindex-extrakorporaler-gasaustausch Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/linksventrikulaerer-schlagvolumenindex-durch-indikatorverduennung Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-unter-der-zunge Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-blut Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/blutfluss-extrakorporaler-gasaustausch Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/intrakranieller-druck-icp Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/devicemetric-eingestellte-gemessene-parameter-beatmung
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-brustwirbelsaeule Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/linksventrikulaeres-herzzeitvolumen-durch-indikatorverduennung Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Substance
https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Organization
https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Specimen Specimen.collection.collected[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/SpecimenCore Specimen.collection.collected[x]
https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Procedure Procedure.performed[x]
https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Vitalstatus Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/PatientPseudonymisiert
https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/ResearchSubject
https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient
https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Todesursache Condition.recordedDate
http://fhir.de/ConsentManagement/StructureDefinition/DocumentReference DocumentReference.date
http://fhir.de/ConsentManagement/StructureDefinition/TemplateFrame
http://fhir.de/ConsentManagement/StructureDefinition/Consent Consent.dateTime
http://fhir.de/ConsentManagement/StructureDefinition/TemplateModule
http://fhir.de/ConsentManagement/StructureDefinition/Domain/Organization
http://fhir.de/ConsentManagement/StructureDefinition/QuestionnaireComposed
http://fhir.de/ConsentManagement/StructureDefinition/Domain/ResearchStudy
http://fhir.de/ConsentManagement/StructureDefinition/QuestionnaireResponse
http://fhir.de/ConsentManagement/StructureDefinition/Provenance Provenance.recorded
http://fhir.de/ConsentManagement/StructureDefinition/Patient
https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/Diagnose Condition.recordedDate
https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung
https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/genotyp Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/medikationsempfehlung Task.authoredOn
https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/empfohlene-folgemassnahme Task.authoredOn
https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/familienanamnese FamilyMemberHistory.date
https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/ergebnis-zusammenfassung Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/molekulargenetischer-befundbericht DiagnosticReport.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/diagnostische-implikation Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/anforderung-genetischer-test ServiceRequest.authoredOn
https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/mikrosatelliteninstabilitaet Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/mutationslast Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/variante Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/therapeutische-implikation Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/untersuchte-region Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/polygener-risiko-score RiskAssessment.occurrence[x]
https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab Observation.effective[x]
https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ServiceRequestLab ServiceRequest.authoredOn
https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/DiagnosticReportLab DiagnosticReport.effective[x]

The algorithm should additionally be configurable to map a ConsentDateFieldPath on Profile level with a fallback on resource level. If a resource cannot be found either on resource or profile level mapping it is to be disgarded. Further some resources do not have relevant ConsentDates as Consent does not directly apply to them (e.g. DeviceMetric) or is implied (e.g. Patient resource)otherwise

The consent within the MII has to be enforced for some data extractions where consent is required for the specific data use project.

To this end an algorithm should be created, which given a bundle of FHIR resources filters them by a consent being given for a specific provision.

The algorithm will assume that all consent resources for the patient are available in the FHIR server where the data resources are kept and that the consent resources adhere to the MII consent profile https://simplifier.net/medizininformatikinitiative-modulconsent/mii_pr_consent_einwilligung

To determine the Consent to be applied to the dataextraction the information from the CCDL should be used. For this any Consent resource found in the CCDL should be used to filter the resources combined in the way it appears in the CCDL.

=> if a ccdl includes two provisions combined using AND, for a resource to pass and be part of the extracted bundle it needs to lie within both provisions periods, as specified below.

PseudoCode for the implementation of the consent filter


// THE ALGORITHM IS FOR EACH PATIENT => all consent and resources mentioned below are always for one patient

//Calculate BC start and end

bcEncounter =  -> find Encounter where Enc.start <= bc.date  and Enc.end >= bc.date    // note that the encounter for a BC is inferred through a date overlap and not a direct link
bcStart =  if bcEncounter -> bcEcnounter.start , else bc.Consent.provision.provision.period.start
bcEnd = bc.Consent.provision.provision.period.end   // note that this is usually bc.Consent.provision.provision.period.start + 5 years

// filter resources

for res in resourceListToBeExtracted:

    // Get resource times which are relevant for the consent calculation

    resConsentStart= if resEncounter -> resEncounter.period.start , else res.consentDate.start
    resConsentEnd = if resEncounter -> resEncouner.period.end, else res.consentDate.end

    // It is possible that resConsentStart = resConsentEnd, but this should not be a problem for the calculation

    if resConsentStart < bcStart:
        remove res
        // Applies to:  R1, R2      (MII BC1)
        // Applies to:  R1, R2, R3  (MII BC2)

    if resConsentEnd > bcEnd:
        remove res
        // Applies to:  R9, R10, R11, R12 (MII BC1)
        // Applies to:  R9, R10, R11, R12 (MII BC2)
image
juliangruendner commented 3 months ago

@kleinertp one thing that still needs to be discussed is what the bcDate is if we are talking about a provision. Can it then be assumed, that bcDate = bc.Consent.provision.provision.period.start ?

kleinertp commented 3 months ago

https://www.ths-greifswald.de/wp-content/uploads/2024/05/berechnung-rechtlich-verbindliches-datum-TFCU.pdf

kleinertp commented 3 months ago

https://tmfev.sharepoint.com/:w:/r/sites/tmf/mi-i/_layouts/15/Doc.aspx?sourcedoc=%7B8EDA1A89-30A7-4198-9A92-64D774EAB28A%7D&file=Durchsetzung_MII-BC_v0.6.docx&action=default&mobileredirect=true

juliangruendner commented 3 months ago

case 2 and 3 above might already be in lncluded in 1 and 2 - TODO @juliangruendner check

kleinertp commented 1 month ago

1.72 weiteres Modul zu klären

juliangruendner commented 1 month ago

old version of algorithm - here only for reference - in new version simplified as some conditions of removal of resources imply other:

// THE ALGORITHM IS FOR EACH PATIENT => all consent and resources mentioned below are always for one patient

//Calculate BC start and end

bcEncounter =  -> find Encounter where Enc.start <= bc.date  and Enc.end >= bc.date    // note that the encounter for a BC is inferred through a date overlap and not a direct link
bcStart =  if bcEncounter -> bcEcnounter.start , else bc.Consent.provision.provision.period.start
bcEnd = bc.Consent.provision.provision.period.end   // note that this is usually bc.Consent.provision.provision.period.start + 5 years

// filter resources

for res in resourceListToBeExtracted:

    // Get resource times which are relevant for the consent calculation

    resConsentStart= if resEncounter -> resEncounter.period.start , else res.clinicalDate.start
    resConsentEnd = if resEncounter -> resEncouner.period.end, else res.clinicalDate.end

    // It is possible that resConsentStart = resConsentEnd, but this should not be a problem for the calculation

    if resConsentStart < bcStart:
        remove res
        // Applies to:  R1, R2      (MII BC1)
        // Applies to:  R1, R2, R3  (MII BC2)

    if resConsentStart > bcEnd:
        remove res
        // Applies to:  R11, R12 (MII BC1)
        // Applies to:  R11, R12 (MII BC2)

    if resConsentEnd < bcStart:
        remove res
        // Applies to:  R1, R2 (MII BC1)
        // Applies to:  R1, R2 (MII BC2)

    if resConsentEnd > bcEnd:
        remove res
        // Applies to:  R9, R10, R11, R12 (MII BC1)
        // Applies to:  R9, R10, R11, R12 (MII BC2)
mosaic-hgw commented 1 week ago

https://www.ths-greifswald.de/wp-content/uploads/2024/05/berechnung-rechtlich-verbindliches-datum-TFCU.pdf

sehr schön: hier bitte den generischen link verwenden, dann bekommt man evtl updates mit: https://www.ths-greifswald.de/gics/consentstate-and-legalconsentdate

juliangruendner commented 1 week ago

profile-to-consent as json:

{
    "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationStatement": "MedicationStatement.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/medikationsliste": "List.date",
    "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationRequest": "authoredOn",
    "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/Medication": "",
    "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationAdministration": "MedicationAdministration.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/sauerstoffsaettigung-im-blut-preduktal-durch-pulsoxymetrie": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-kern": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-rektal": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-trommelfell": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/inspiratorische-sauerstofffraktion-eingestellt": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/extrakorporales-verfahren": "Procedure.performed[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/linksventrikulaerer-druck": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/systemischer-vaskulaerer-widerstandsindex": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/blutfluss-cardiovasculaeres-geraet": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/horowitz-in-arteriellem-blut": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/dynamische-kompliance": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/spontanes-atemzugvolumen": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/mechanische-atemfrequenz-beatmet": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-achsel": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/blutdruck-generisch": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/maximaler-beatmungsdruck": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpergewicht-percentil-altersabhaengig": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/exspiratorischer-sauerstoffpartialdruck": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/sauerstoffgasfluss": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/zentralvenoeser-blutdruck": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/einstellung-einatmungszeit-beatmung": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/atemzugvolumen-waehrend-beatmung": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/parameter-von-beatmung": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/beatmungszeit-hohem-druck": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/eingestellter-inspiratorischer-gasfluss": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/einstellung-ausatmungszeit-beatmung": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/parameter-von-extrakorporalen-verfahren": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/dauer-haemodialysesitzung": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-stirn": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/ionisiertes-kalzium-nierenersatzverfahren": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/sauerstoffsaettigung-im-blut-postduktal-durch-pulsoxymetrie": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/inspiratorische-sauerstofffraktion": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-gelenk": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/kopfumfang": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/atemfrequenz": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/linksventrikulaerer-herzindex": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/linksventrikulaeres-schlagvolumen-durch-indikatorverduennung": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/linksventrikulaeres-schlagvolumen": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpergroesse": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/sauerstoffsaettigung-im-arteriellen-blut-durch-pulsoxymetrie": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/substituatvolumen": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/atemwegsdruck-bei-null-expiratorischem-gasfluss": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/zeitverhaeltnis-ein-ausatmung": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/beatmungsvolumen-pro-minute-maschineller-beatmung": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/monitoring-und-vitaldaten": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-nasen-rachen-raum": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/spontane-atemfrequenz-beatmet": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/pulmonalarterieller-wedge-druck": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/rechtsventrikulaerer-druck": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/periphere-artierielle-sauerstoffsaettigung": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/linksatrialer-druck": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-halswirbelsaeule": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/icu-device": "",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-generisch": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/druckdifferenz-beatmung": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/inspiratorischer-gasfluss": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/pulmonalvaskulaerer-widerstandsindex": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/unterstuetzungsdruck-beatmung": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/atemwegsdruck-bei-mittlerem-expiratorischem-gasfluss": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/venoeser-druck": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpergroesse-percentil": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-vaginal": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/atemzugvolumen-einstellung": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/rechtsatrialer-druck": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/mittlerer-beatmungsdruck": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/positiv-endexpiratorischer-druck": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/herzzeitvolumen": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpergewicht": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-speiseroehre": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/substituatfluss": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/endexpiratorischer-kohlendioxidpartialdruck": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-leiste": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/devicemetric-eingestellte-gemessene-parameter-extrakorporale-verfahren": "",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/linksventrikulaeres-schlagvolumenindex": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/beatmung": "Procedure.performed[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/beatmungszeit-niedrigem-druck": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/spontanes-mechanisches-atemzugvolumen-waehrend-beatmung": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/pulmonalarterieller-blutdruck": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/spontane-mechanische-atemfrequenz-beatmet": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/haemodialyse-blutfluss": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-nasal": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/puls": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/dauer-extrakorporaler-gasaustausch": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-harnblase": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/ideales-koerpergewicht": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-brust": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-atemwege": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/blutdruck": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-lendenwirbelsaeule": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/exspiratorischer-gasfluss": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/arterieller-druck": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/herzfrequenz": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/linksventrikulaerer-herzindex-durch-indikatorverduennung": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/blutflussindex-extrakorporaler-gasaustausch": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/linksventrikulaerer-schlagvolumenindex-durch-indikatorverduennung": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-unter-der-zunge": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-blut": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/blutfluss-extrakorporaler-gasaustausch": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/intrakranieller-druck-icp": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/devicemetric-eingestellte-gemessene-parameter-beatmung": "",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/koerpertemperatur-brustwirbelsaeule": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/linksventrikulaeres-herzzeitvolumen-durch-indikatorverduennung": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Substance": "",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Organization": "",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Specimen": "Specimen.collection.collected[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/SpecimenCore": "Specimen.collection.collected[x]",
    "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Procedure": "Procedure.performed[x]",
    "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Vitalstatus": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/PatientPseudonymisiert": "",
    "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/ResearchSubject": "",
    "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient": "",
    "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Todesursache": "Condition.recordedDate",
    "http://fhir.de/ConsentManagement/StructureDefinition/DocumentReference": "DocumentReference.date",
    "http://fhir.de/ConsentManagement/StructureDefinition/TemplateFrame": "",
    "http://fhir.de/ConsentManagement/StructureDefinition/Consent": "Consent.dateTime",
    "http://fhir.de/ConsentManagement/StructureDefinition/TemplateModule": "",
    "http://fhir.de/ConsentManagement/StructureDefinition/Domain/Organization": "",
    "http://fhir.de/ConsentManagement/StructureDefinition/QuestionnaireComposed": "",
    "http://fhir.de/ConsentManagement/StructureDefinition/Domain/ResearchStudy": "",
    "http://fhir.de/ConsentManagement/StructureDefinition/QuestionnaireResponse": "",
    "http://fhir.de/ConsentManagement/StructureDefinition/Provenance": "Provenance.recorded",
    "http://fhir.de/ConsentManagement/StructureDefinition/Patient": "",
    "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/Diagnose": "Condition.recordedDate",
    "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung": "",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/genotyp": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/medikationsempfehlung": "Task.authoredOn",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/empfohlene-folgemassnahme": "Task.authoredOn",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/familienanamnese": "FamilyMemberHistory.date",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/ergebnis-zusammenfassung": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/molekulargenetischer-befundbericht": "DiagnosticReport.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/diagnostische-implikation": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/anforderung-genetischer-test": "ServiceRequest.authoredOn",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/mikrosatelliteninstabilitaet": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/mutationslast": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/variante": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/therapeutische-implikation": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/untersuchte-region": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/polygener-risiko-score": "RiskAssessment.occurrence[x]",
    "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab": "Observation.effective[x]",
    "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ServiceRequestLab": "ServiceRequest.authoredOn",
    "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/DiagnosticReportLab": "DiagnosticReport.effective[x]"
}