MII Implementierungsleitfaden Kerndatensatz Basis
2026.0.1 - Release
Germany
This page is part of the MII Implementation Guide Core Dataset Base (v2026.0.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Offizielle URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Procedure | Version: 2026.0.1 | ||||
| Active Stand: 2026-06-09 | Maschinenlesbarer Name: MII_PR_Prozedur_Procedure | ||||
Eine Prozedur, die an oder für einen Patienten durchgeführt wird oder wurde.
Beispielhafte Anwendungsszenarien:
Dieser Abschnitt enthält detaillierte Implementierungshinweise für das MII-Prozedur-Profil.
Verpflichtende Codierung:
Procedure.code: VERPFLICHTEND Kodierung entweder per OPS oder SNOMED CTOPS-Kodierung:
Procedure.code:ops: OPS (Operationen- und Prozedurenschlüssel) ist das primäre Codiersystem für Prozeduren in DeutschlandProcedure.code:ops.coding.code: Vollständiger ProzedurenkodeProcedure.code:ops.coding.system: Codesystem (http://fhir.de/CodeSystem/bfarm/ops)Procedure.code:ops.coding.version: OPS-VersionsjahrProcedure.code:ops.extension:seitenlokalisation: Seitenlokalisation-ExtensionSNOMED-CT-Kodierung:
Procedure.code:sct: SNOMED-CT-CodierungVerpflichtende Kategorisierung: Procedure.category SNOMED-CT-Kategorisierung auf Basis des Prozedurenkodes.
Mapping von OPS-Klassentiteln: Wenn die Prozedur per OPS kodiert wird, SOLL die Kategorie durch Mapping von OPS-Kapitel-/Klassentiteln auf SNOMED-CT-Konzepte abgeleitet werden. Siehe Abschnitt Terminologien in diesem IG für OPS-zu-SNOMED-CT-Kategorie-Mappings.
Constraint proc-mii-1: Diese Anforderung ist nur relevant, wenn die Prozedur per OPS kodiert wird.
Zweck: Die Kategorisierung ermöglicht:
Procedure.performed[x]:
performedDateTime (einzelner Zeitpunkt) oder performedPeriod (Start- und Endzeitpunkt) angegeben werdenperformedPeriod, wenn sowohl Start- als auch Endzeitpunkt bekannt sind (z.B. chirurgische Eingriffe mit dokumentiertem Start/Ende)performedDateTime für zeitpunktbezogene Prozeduren oder wenn nur ein einzelner Zeitstempel verfügbar istProcedure.extension:Dokumentationsdatum:
performed[x], welches repräsentiert, wann die Prozedur tatsächlich durchgeführt wurdeZweck von bodySite: Procedure.bodySite bietet detaillierte Kodierung der anatomischen Lokalisation für die Prozedur mittels SNOMED CT.
NICHT für Seitenlokalisation: Procedure.bodySite SOLL NICHT verwendet werden, um die Seitenlokalisation (links/rechts/beidseitig) abzubilden. Die Seitenlokalisation ist eine Eigenschaft des Prozedurenkodes selbst.
Darstellung der Seitenlokalisation:
Procedure.code:ops.extension:seitenlokalisationWann bodySite zu verwenden ist:
Procedure.extension:Durchfuehrungsabsicht:
Empfohlene Implementierung:
Verwenden von Procedure.encounter, um von der Prozedur auf den Encounter vom Typ Abteilungskontakt zu referenzieren. Dieser Ansatz etabliert den allgemeinen Aufenthaltskontext für die Prozedur und stellt den zeitlichen und organisatorischen Kontext bereit.
Procedure.status:
status='completed'Procedure.subject:
Usages:
You can also check for usages in the FHIR IG Statistics
Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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C | 0..* | Procedure | An action that is being or was performed on a patient Constraints: proc-mii-1 |
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SΣ | 0..1 | id | Logical id of this artifact |
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SΣ | 0..1 | Meta | Metadata about the resource |
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SΣ | 0..1 | uri | Identifies where the resource comes from |
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SΣ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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S | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
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S | 0..1 | (Complex) | Dokumentationsdatum URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum Constraints: ext-1 |
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0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url | ||
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S | 1..1 | uri | "http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum" |
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S | 1..1 | dateTime | Value of extension |
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S | 0..1 | (Complex) | Durchführungsabsicht URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht |
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0..0 | Extension Slice: Unordered, Open by value:url | ||
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S | 1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht" |
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S | 1..1 | Coding | Value of extension Binding: MII VS Prozedur Durchführungsabsicht [SNOMED CT] (required) |
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SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
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SΣ | 1..1 | code | Symbol in syntax defined by the system |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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?!SΣ | 1..1 | code | Status Binding: EventStatus (required): A code specifying the state of the procedure. |
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SΣ | 0..1 | CodeableConcept | Kategorie Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. |
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SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
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SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur OPS Kategorien [SNOMED CT] (preferred) Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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0..1 | string | Version of the system - if relevant | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
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SΣ | 1..1 | code | Symbol in syntax defined by the system |
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SΣC | 1..1 | CodeableConcept | Code Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Constraints: sct-ops-1 |
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SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
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SΣ | 0..1 | CodingOPS | Operationen- und Prozedurenschlüssel (OPS) Code Binding: MII VS Prozedur OPS (required) Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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Content/Rules for all slices | |||
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S | 0..1 | (Complex) | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation |
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0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url | ||
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S | 1..1 | uri | "http://fhir.de/StructureDefinition/seitenlokalisation" |
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S | 1..1 | Coding | Value of extension Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required) |
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SΣ | 1..1 | uri | Identity of the terminology system |
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SΣ | 1..1 | code | Symbol in syntax defined by the system |
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SΣ | 1..1 | uri | Canonische CodeSystem URL für OPS Fixed Value: http://fhir.de/CodeSystem/bfarm/ops |
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SΣ | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") |
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SΣC | 1..1 | code | Der OPS-Code Constraints: ops-regex Example Einfacher OPS-Code: 5-470 |
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SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur Prozeduren [SNOMED CT] (required) Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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0..1 | string | Version of the system - if relevant | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
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SΣ | 1..1 | code | Symbol in syntax defined by the system |
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SΣ | 1..1 | Reference(Patient | Group) | Who the procedure was performed on |
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SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL |
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SΣ | 0..1 | Reference(Encounter) | Kontakt (Aufenthaltsbezug) |
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SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL |
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SΣ | 1..1 | Durchführungsdatum Slice: Unordered, Closed by type:$this | |
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dateTime | |||
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Period | |||
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SΣ | 0..1 | dateTime | When the procedure was performed |
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SΣ | 0..1 | Period | Durchführungszeitraum |
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SΣ | 0..* | CodeableConcept | Körperstelle Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |
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SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system |
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SΣ | 0..1 | Coding | SNOMED CT Code |
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SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
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SΣ | 0..1 | string | Version of the system - if relevant |
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SΣ | 1..1 | code | Symbol in syntax defined by the system |
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S | 0..* | Annotation | Hinweis |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.extension:durchfuehrungsabsicht.value[x] | Base | required | MII VS Prozedur Durchführungsabsicht [SNOMED CT] | 📦2026.0.1 | This IG |
| Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Procedure.category | Base | example | Procedure Category Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.category.coding:sct | Base | preferred | MII VS Prozedur OPS Kategorien [SNOMED CT] | 📦2026.0.1 | This IG |
| Procedure.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.code.coding:ops | Base | required | MII VS Prozedur OPS | 📦2026.0.1 | This IG |
| Procedure.code.coding:ops.extension:Seitenlokalisation.value[x] | Base | required |
KBV_VS_SFHIR_ICD_SEITENLOKALISATION
|
⏿1.00 | 127.0.0.1 |
| Procedure.code.coding:sct | Base | required | MII VS Prozedur Prozeduren [SNOMED CT] | 📦2026.0.1 | This IG |
| Procedure.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ops-regex | warning | Procedure.code.coding:ops.code | In code sind nur gültige OPS-Codes ohne Zusätze erlaubt |
matches('^[1|3|5|6|8|9]-[a-zA-Z0-9]{3}([.][a-zA-Z0-9]{1,2})?$')
|
| proc-mii-1 | error | Procedure | Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden |
code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
|
| sct-ops-1 | error | Procedure.code | Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden. |
coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()
|
Diese Struktur ist abgeleitet von Procedure
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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C | 0..* | Procedure | An action that is being or was performed on a patient Constraints: proc-mii-1 |
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S | 0..1 | id | Logical id of this artifact |
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S | 0..1 | Meta | Metadata about the resource |
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S | 0..1 | uri | Identifies where the resource comes from |
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S | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
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S | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
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S | 0..1 | (Complex) | Dokumentationsdatum URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum |
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S | 1..1 | uri | identifies the meaning of the extension |
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S | 1..1 | dateTime | Value of extension |
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S | 0..1 | (Complex) | Durchführungsabsicht URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht |
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S | 1..1 | uri | identifies the meaning of the extension |
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S | 1..1 | Coding | Value of extension |
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S | 1..1 | uri | Identity of the terminology system |
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S | 1..1 | code | Symbol in syntax defined by the system |
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S | 1..1 | code | Status |
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S | 0..1 | CodeableConcept | Kategorie |
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S | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
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S | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur OPS Kategorien [SNOMED CT] (preferred) Required Pattern: At least the following |
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S | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
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S | 1..1 | code | Symbol in syntax defined by the system |
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SC | 1..1 | CodeableConcept | Code Constraints: sct-ops-1 |
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S | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
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S | 0..1 | CodingOPS | Operationen- und Prozedurenschlüssel (OPS) Code Binding: MII VS Prozedur OPS (required) Required Pattern: At least the following |
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Content/Rules for all slices | |||
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S | 0..1 | ExtensionSeitenlokalisation | Optional Extensions Element |
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S | 1..1 | uri | identifies the meaning of the extension |
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S | 1..1 | Coding | Value of extension |
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S | 1..1 | uri | Identity of the terminology system |
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S | 1..1 | code | Symbol in syntax defined by the system |
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S | 1..1 | uri | Canonische CodeSystem URL für OPS Fixed Value: http://fhir.de/CodeSystem/bfarm/ops |
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S | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") |
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S | 1..1 | code | Der OPS-Code |
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S | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur Prozeduren [SNOMED CT] (required) Required Pattern: At least the following |
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S | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
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S | 1..1 | code | Symbol in syntax defined by the system |
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S | 1..1 | Reference(Patient | Group) | Who the procedure was performed on |
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S | 0..1 | string | Literal reference, Relative, internal or absolute URL |
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S | 0..1 | Reference(Encounter) | Kontakt (Aufenthaltsbezug) |
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S | 0..1 | string | Literal reference, Relative, internal or absolute URL |
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S | 1..1 | Durchführungsdatum Slice: Unordered, Open by type:$this | |
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dateTime | |||
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Period | |||
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S | 0..1 | dateTime | When the procedure was performed |
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S | 0..1 | Period | Durchführungszeitraum |
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S | 0..* | CodeableConcept | Körperstelle |
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S | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system |
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S | 0..1 | Coding | SNOMED CT Code |
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S | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
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S | 0..1 | string | Version of the system - if relevant |
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S | 1..1 | code | Symbol in syntax defined by the system |
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S | 0..* | Annotation | Hinweis |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.category.coding:sct | Base | preferred | MII VS Prozedur OPS Kategorien [SNOMED CT] | 📦2026.0.1 | This IG |
| Procedure.code.coding:ops | Base | required | MII VS Prozedur OPS | 📦2026.0.1 | This IG |
| Procedure.code.coding:sct | Base | required | MII VS Prozedur Prozeduren [SNOMED CT] | 📦2026.0.1 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| proc-mii-1 | error | Procedure | Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden |
code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
|
| sct-ops-1 | error | Procedure.code | Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden. |
coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
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C | 0..* | Procedure | An action that is being or was performed on a patient Constraints: proc-mii-1 | ||||
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SΣ | 0..1 | id | Logical id of this artifact | ||||
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SΣ | 0..1 | Meta | Metadata about the resource | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | id | Version specific identifier | ||||
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Σ | 0..1 | instant | When the resource version last changed | ||||
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SΣ | 0..1 | uri | Identifies where the resource comes from | ||||
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SΣ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
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Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
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Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
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0..* | Resource | Contained, inline Resources | |||||
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S | 0..* | Extension | Extension Slice: Unordered, Open by value:url | ||||
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S | 0..1 | (Complex) | Dokumentationsdatum URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum Constraints: ext-1 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||||
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S | 1..1 | uri | "http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum" | ||||
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S | 1..1 | dateTime | Value of extension | ||||
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S | 0..1 | (Complex) | Durchführungsabsicht URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | Extension Slice: Unordered, Open by value:url | ||||||
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S | 1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht" | ||||
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S | 1..1 | Coding | Value of extension Binding: MII VS Prozedur Durchführungsabsicht [SNOMED CT] (required) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | External Identifiers for this procedure | ||||
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Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
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Σ | 0..* | uri | Instantiates external protocol or definition | ||||
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Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | ||||
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Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | ||||
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?!SΣ | 1..1 | code | Status Binding: EventStatus (required): A code specifying the state of the procedure. | ||||
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Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | ||||
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SΣ | 0..1 | CodeableConcept | Kategorie Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() |
SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
![]() ![]() ![]() ![]() |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur OPS Kategorien [SNOMED CT] (preferred) Required Pattern: At least the following | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
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SΣC | 1..1 | CodeableConcept | Code Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Constraints: sct-ops-1 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
![]() ![]() ![]() ![]() |
SΣ | 0..1 | CodingOPS | Operationen- und Prozedurenschlüssel (OPS) Code Binding: MII VS Prozedur OPS (required) Required Pattern: At least the following | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() |
Content/Rules for all slices | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
S | 0..1 | (Complex) | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
S | 1..1 | uri | "http://fhir.de/StructureDefinition/seitenlokalisation" | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
S | 1..1 | Coding | Value of extension Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required) | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Identity of the terminology system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Canonische CodeSystem URL für OPS Fixed Value: http://fhir.de/CodeSystem/bfarm/ops | ||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") | ||||
![]() ![]() ![]() ![]() ![]() |
SΣC | 1..1 | code | Der OPS-Code Constraints: ops-regex Example Einfacher OPS-Code: 5-470 | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur Prozeduren [SNOMED CT] (required) Required Pattern: At least the following | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
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SΣ | 1..1 | Reference(Patient | Group) | Who the procedure was performed on | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() |
SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
![]() ![]() ![]() |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
![]() ![]() |
SΣ | 0..1 | Reference(Encounter) | Kontakt (Aufenthaltsbezug) | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() |
SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
![]() ![]() ![]() |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
![]() ![]() ![]() |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
![]() ![]() ![]() |
Σ | 0..1 | string | Text alternative for the resource | ||||
![]() ![]() |
SΣ | 1..1 | Durchführungsdatum Slice: Unordered, Closed by type:$this | |||||
![]() ![]() ![]() |
dateTime | |||||||
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Period | |||||||
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SΣ | 0..1 | dateTime | When the procedure was performed | ||||
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SΣ | 0..1 | Period | Durchführungszeitraum | ||||
![]() ![]() |
Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure | ||||
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Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure | ||||
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Σ | 0..* | BackboneElement | The people who performed the procedure | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
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Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner | ||||
![]() ![]() ![]() |
0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||
![]() ![]() |
Σ | 0..1 | Reference(Location) | Where the procedure happened | ||||
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Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
![]() ![]() |
Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed | ||||
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SΣ | 0..* | CodeableConcept | Körperstelle Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() |
SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system | ||||
![]() ![]() ![]() ![]() |
SΣ | 0..1 | Coding | SNOMED CT Code | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() |
Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. | ||||
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0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||
![]() ![]() |
0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||
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0..* | Reference(Condition) | A condition that is a result of the procedure | |||||
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0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||
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S | 0..* | Annotation | Hinweis | ||||
![]() ![]() |
0..* | BackboneElement | Manipulated, implanted, or removed device | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure. | |||||
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1..1 | Reference(Device) | Device that was changed | |||||
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0..* | Reference(Device | Medication | Substance) | Items used during procedure | |||||
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0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |||||
Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std. |
| Procedure.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| Procedure.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Procedure.extension:durchfuehrungsabsicht.value[x] | Base | required | MII VS Prozedur Durchführungsabsicht [SNOMED CT] | 📦2026.0.1 | This IG |
| Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Procedure.statusReason | Base | example | Procedure Not Performed Reason (SNOMED-CT) | 📍4.0.1 | FHIR Std. |
| Procedure.category | Base | example | Procedure Category Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.category.coding:sct | Base | preferred | MII VS Prozedur OPS Kategorien [SNOMED CT] | 📦2026.0.1 | This IG |
| Procedure.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.code.coding:ops | Base | required | MII VS Prozedur OPS | 📦2026.0.1 | This IG |
| Procedure.code.coding:ops.extension:Seitenlokalisation.value[x] | Base | required |
KBV_VS_SFHIR_ICD_SEITENLOKALISATION
|
⏿1.00 | 127.0.0.1 |
| Procedure.code.coding:sct | Base | required | MII VS Prozedur Prozeduren [SNOMED CT] | 📦2026.0.1 | This IG |
| Procedure.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Procedure.encounter.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Procedure.performer.function | Base | example | Procedure Performer Role Codes | 📍4.0.1 | FHIR Std. |
| Procedure.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std. |
| Procedure.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Procedure.outcome | Base | example | Procedure Outcome Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.complication | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| Procedure.followUp | Base | example | Procedure Follow up Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.focalDevice.action | Base | preferred | Procedure Device Action Codes | 📍4.0.1 | FHIR Std. |
| Procedure.usedCode | Base | example | FHIR Device Types | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ops-regex | warning | Procedure.code.coding:ops.code | In code sind nur gültige OPS-Codes ohne Zusätze erlaubt |
matches('^[1|3|5|6|8|9]-[a-zA-Z0-9]{3}([.][a-zA-Z0-9]{1,2})?$')
|
| proc-mii-1 | error | Procedure | Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden |
code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
|
| sct-ops-1 | error | Procedure.code | Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden. |
coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()
|
Diese Struktur ist abgeleitet von Procedure
Summary
Mandatory: 3 elements(6 nested mandatory elements)
Must-Support: 47 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Schlüsselelemente-Ansicht
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
C | 0..* | Procedure | An action that is being or was performed on a patient Constraints: proc-mii-1 |
![]() ![]() |
SΣ | 0..1 | id | Logical id of this artifact |
![]() ![]() |
SΣ | 0..1 | Meta | Metadata about the resource |
![]() ![]() ![]() |
SΣ | 0..1 | uri | Identifies where the resource comes from |
![]() ![]() ![]() |
SΣ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
S | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
![]() ![]() ![]() |
S | 0..1 | (Complex) | Dokumentationsdatum URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum Constraints: ext-1 |
![]() ![]() ![]() ![]() |
0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url | ||
![]() ![]() ![]() ![]() |
S | 1..1 | uri | "http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum" |
![]() ![]() ![]() ![]() |
S | 1..1 | dateTime | Value of extension |
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S | 0..1 | (Complex) | Durchführungsabsicht URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht |
![]() ![]() ![]() ![]() |
0..0 | Extension Slice: Unordered, Open by value:url | ||
![]() ![]() ![]() ![]() |
S | 1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht" |
![]() ![]() ![]() ![]() |
S | 1..1 | Coding | Value of extension Binding: MII VS Prozedur Durchführungsabsicht [SNOMED CT] (required) |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
?!SΣ | 1..1 | code | Status Binding: EventStatus (required): A code specifying the state of the procedure. |
![]() ![]() |
SΣ | 0..1 | CodeableConcept | Kategorie Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. |
![]() ![]() ![]() |
SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
![]() ![]() ![]() ![]() |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur OPS Kategorien [SNOMED CT] (preferred) Required Pattern: At least the following |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Representation defined by the system | |
![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() |
SΣC | 1..1 | CodeableConcept | Code Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Constraints: sct-ops-1 |
![]() ![]() ![]() |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
![]() ![]() ![]() ![]() |
SΣ | 0..1 | CodingOPS | Operationen- und Prozedurenschlüssel (OPS) Code Binding: MII VS Prozedur OPS (required) Required Pattern: At least the following |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Representation defined by the system | |
![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |
![]() ![]() ![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() ![]() |
S | 0..1 | (Complex) | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url | ||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
S | 1..1 | uri | "http://fhir.de/StructureDefinition/seitenlokalisation" |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
S | 1..1 | Coding | Value of extension Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required) |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Canonische CodeSystem URL für OPS Fixed Value: http://fhir.de/CodeSystem/bfarm/ops |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") |
![]() ![]() ![]() ![]() ![]() |
SΣC | 1..1 | code | Der OPS-Code Constraints: ops-regex Example Einfacher OPS-Code: 5-470 |
![]() ![]() ![]() ![]() |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur Prozeduren [SNOMED CT] (required) Required Pattern: At least the following |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Representation defined by the system | |
![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() |
SΣ | 1..1 | Reference(Patient | Group) | Who the procedure was performed on |
![]() ![]() ![]() |
SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL |
![]() ![]() |
SΣ | 0..1 | Reference(Encounter) | Kontakt (Aufenthaltsbezug) |
![]() ![]() ![]() |
SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL |
![]() ![]() |
SΣ | 1..1 | Durchführungsdatum Slice: Unordered, Closed by type:$this | |
![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() |
Period | |||
![]() ![]() ![]() |
SΣ | 0..1 | dateTime | When the procedure was performed |
![]() ![]() ![]() |
SΣ | 0..1 | Period | Durchführungszeitraum |
![]() ![]() |
SΣ | 0..* | CodeableConcept | Körperstelle Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |
![]() ![]() ![]() |
SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system |
![]() ![]() ![]() ![]() |
SΣ | 0..1 | Coding | SNOMED CT Code |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
![]() ![]() ![]() ![]() ![]() |
SΣ | 0..1 | string | Version of the system - if relevant |
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() |
S | 0..* | Annotation | Hinweis |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.extension:durchfuehrungsabsicht.value[x] | Base | required | MII VS Prozedur Durchführungsabsicht [SNOMED CT] | 📦2026.0.1 | This IG |
| Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Procedure.category | Base | example | Procedure Category Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.category.coding:sct | Base | preferred | MII VS Prozedur OPS Kategorien [SNOMED CT] | 📦2026.0.1 | This IG |
| Procedure.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.code.coding:ops | Base | required | MII VS Prozedur OPS | 📦2026.0.1 | This IG |
| Procedure.code.coding:ops.extension:Seitenlokalisation.value[x] | Base | required |
KBV_VS_SFHIR_ICD_SEITENLOKALISATION
|
⏿1.00 | 127.0.0.1 |
| Procedure.code.coding:sct | Base | required | MII VS Prozedur Prozeduren [SNOMED CT] | 📦2026.0.1 | This IG |
| Procedure.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ops-regex | warning | Procedure.code.coding:ops.code | In code sind nur gültige OPS-Codes ohne Zusätze erlaubt |
matches('^[1|3|5|6|8|9]-[a-zA-Z0-9]{3}([.][a-zA-Z0-9]{1,2})?$')
|
| proc-mii-1 | error | Procedure | Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden |
code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
|
| sct-ops-1 | error | Procedure.code | Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden. |
coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()
|
Differential-Ansicht
Diese Struktur ist abgeleitet von Procedure
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
C | 0..* | Procedure | An action that is being or was performed on a patient Constraints: proc-mii-1 |
![]() ![]() |
S | 0..1 | id | Logical id of this artifact |
![]() ![]() |
S | 0..1 | Meta | Metadata about the resource |
![]() ![]() ![]() |
S | 0..1 | uri | Identifies where the resource comes from |
![]() ![]() ![]() |
S | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
![]() ![]() |
S | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
![]() ![]() ![]() |
S | 0..1 | (Complex) | Dokumentationsdatum URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum |
![]() ![]() ![]() ![]() |
S | 1..1 | uri | identifies the meaning of the extension |
![]() ![]() ![]() ![]() |
S | 1..1 | dateTime | Value of extension |
![]() ![]() ![]() |
S | 0..1 | (Complex) | Durchführungsabsicht URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht |
![]() ![]() ![]() ![]() |
S | 1..1 | uri | identifies the meaning of the extension |
![]() ![]() ![]() ![]() |
S | 1..1 | Coding | Value of extension |
![]() ![]() ![]() ![]() ![]() |
S | 1..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() ![]() |
S | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() |
S | 1..1 | code | Status |
![]() ![]() |
S | 0..1 | CodeableConcept | Kategorie |
![]() ![]() ![]() |
S | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
![]() ![]() ![]() ![]() |
S | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur OPS Kategorien [SNOMED CT] (preferred) Required Pattern: At least the following |
![]() ![]() ![]() ![]() ![]() |
S | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
![]() ![]() ![]() ![]() ![]() |
S | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() |
SC | 1..1 | CodeableConcept | Code Constraints: sct-ops-1 |
![]() ![]() ![]() |
S | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
![]() ![]() ![]() ![]() |
S | 0..1 | CodingOPS | Operationen- und Prozedurenschlüssel (OPS) Code Binding: MII VS Prozedur OPS (required) Required Pattern: At least the following |
![]() ![]() ![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() ![]() |
S | 0..1 | ExtensionSeitenlokalisation | Optional Extensions Element |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
S | 1..1 | uri | identifies the meaning of the extension |
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
S | 1..1 | Coding | Value of extension |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
S | 1..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
S | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() ![]() ![]() ![]() |
S | 1..1 | uri | Canonische CodeSystem URL für OPS Fixed Value: http://fhir.de/CodeSystem/bfarm/ops |
![]() ![]() ![]() ![]() ![]() |
S | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") |
![]() ![]() ![]() ![]() ![]() |
S | 1..1 | code | Der OPS-Code |
![]() ![]() ![]() ![]() |
S | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur Prozeduren [SNOMED CT] (required) Required Pattern: At least the following |
![]() ![]() ![]() ![]() ![]() |
S | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
![]() ![]() ![]() ![]() ![]() |
S | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() |
S | 1..1 | Reference(Patient | Group) | Who the procedure was performed on |
![]() ![]() ![]() |
S | 0..1 | string | Literal reference, Relative, internal or absolute URL |
![]() ![]() |
S | 0..1 | Reference(Encounter) | Kontakt (Aufenthaltsbezug) |
![]() ![]() ![]() |
S | 0..1 | string | Literal reference, Relative, internal or absolute URL |
![]() ![]() |
S | 1..1 | Durchführungsdatum Slice: Unordered, Open by type:$this | |
![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() |
Period | |||
![]() ![]() ![]() |
S | 0..1 | dateTime | When the procedure was performed |
![]() ![]() ![]() |
S | 0..1 | Period | Durchführungszeitraum |
![]() ![]() |
S | 0..* | CodeableConcept | Körperstelle |
![]() ![]() ![]() |
S | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system |
![]() ![]() ![]() ![]() |
S | 0..1 | Coding | SNOMED CT Code |
![]() ![]() ![]() ![]() ![]() |
S | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
![]() ![]() ![]() ![]() ![]() |
S | 0..1 | string | Version of the system - if relevant |
![]() ![]() ![]() ![]() ![]() |
S | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() |
S | 0..* | Annotation | Hinweis |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.category.coding:sct | Base | preferred | MII VS Prozedur OPS Kategorien [SNOMED CT] | 📦2026.0.1 | This IG |
| Procedure.code.coding:ops | Base | required | MII VS Prozedur OPS | 📦2026.0.1 | This IG |
| Procedure.code.coding:sct | Base | required | MII VS Prozedur Prozeduren [SNOMED CT] | 📦2026.0.1 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| proc-mii-1 | error | Procedure | Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden |
code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
|
| sct-ops-1 | error | Procedure.code | Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden. |
coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()
|
Snapshot-AnsichtView
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
C | 0..* | Procedure | An action that is being or was performed on a patient Constraints: proc-mii-1 | ||||
![]() ![]() |
SΣ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
SΣ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() |
Σ | 0..1 | id | Version specific identifier | ||||
![]() ![]() ![]() |
Σ | 0..1 | instant | When the resource version last changed | ||||
![]() ![]() ![]() |
SΣ | 0..1 | uri | Identifies where the resource comes from | ||||
![]() ![]() ![]() |
SΣ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
![]() ![]() ![]() |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
![]() ![]() ![]() |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
S | 0..* | Extension | Extension Slice: Unordered, Open by value:url | ||||
![]() ![]() ![]() |
S | 0..1 | (Complex) | Dokumentationsdatum URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum Constraints: ext-1 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||||
![]() ![]() ![]() ![]() |
S | 1..1 | uri | "http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum" | ||||
![]() ![]() ![]() ![]() |
S | 1..1 | dateTime | Value of extension | ||||
![]() ![]() ![]() |
S | 0..1 | (Complex) | Durchführungsabsicht URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
![]() ![]() ![]() ![]() |
S | 1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht" | ||||
![]() ![]() ![]() ![]() |
S | 1..1 | Coding | Value of extension Binding: MII VS Prozedur Durchführungsabsicht [SNOMED CT] (required) | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() |
Σ | 0..* | Identifier | External Identifiers for this procedure | ||||
![]() ![]() |
Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
![]() ![]() |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
![]() ![]() |
Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | ||||
![]() ![]() |
Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | ||||
![]() ![]() |
?!SΣ | 1..1 | code | Status Binding: EventStatus (required): A code specifying the state of the procedure. | ||||
![]() ![]() |
Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | ||||
![]() ![]() |
SΣ | 0..1 | CodeableConcept | Kategorie Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() |
SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
![]() ![]() ![]() ![]() |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur OPS Kategorien [SNOMED CT] (preferred) Required Pattern: At least the following | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() |
SΣC | 1..1 | CodeableConcept | Code Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Constraints: sct-ops-1 | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
![]() ![]() ![]() ![]() |
SΣ | 0..1 | CodingOPS | Operationen- und Prozedurenschlüssel (OPS) Code Binding: MII VS Prozedur OPS (required) Required Pattern: At least the following | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() |
Content/Rules for all slices | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
S | 0..1 | (Complex) | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
S | 1..1 | uri | "http://fhir.de/StructureDefinition/seitenlokalisation" | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
S | 1..1 | Coding | Value of extension Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required) | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Identity of the terminology system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Canonische CodeSystem URL für OPS Fixed Value: http://fhir.de/CodeSystem/bfarm/ops | ||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") | ||||
![]() ![]() ![]() ![]() ![]() |
SΣC | 1..1 | code | Der OPS-Code Constraints: ops-regex Example Einfacher OPS-Code: 5-470 | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() ![]() |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur Prozeduren [SNOMED CT] (required) Required Pattern: At least the following | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Representation defined by the system | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() |
SΣ | 1..1 | Reference(Patient | Group) | Who the procedure was performed on | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() |
SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
![]() ![]() ![]() |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
![]() ![]() ![]() |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
![]() ![]() ![]() |
Σ | 0..1 | string | Text alternative for the resource | ||||
![]() ![]() |
SΣ | 0..1 | Reference(Encounter) | Kontakt (Aufenthaltsbezug) | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() |
SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
![]() ![]() ![]() |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
![]() ![]() ![]() |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
![]() ![]() ![]() |
Σ | 0..1 | string | Text alternative for the resource | ||||
![]() ![]() |
SΣ | 1..1 | Durchführungsdatum Slice: Unordered, Closed by type:$this | |||||
![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() |
SΣ | 0..1 | dateTime | When the procedure was performed | ||||
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SΣ | 0..1 | Period | Durchführungszeitraum | ||||
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Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure | ||||
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Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure | ||||
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Σ | 0..* | BackboneElement | The people who performed the procedure | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
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Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner | ||||
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0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||
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Σ | 0..1 | Reference(Location) | Where the procedure happened | ||||
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Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
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Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed | ||||
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SΣ | 0..* | CodeableConcept | Körperstelle Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system | ||||
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SΣ | 0..1 | Coding | SNOMED CT Code | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||
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SΣ | 0..1 | string | Version of the system - if relevant | ||||
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SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. | ||||
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0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||
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0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||
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0..* | Reference(Condition) | A condition that is a result of the procedure | |||||
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0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||
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S | 0..* | Annotation | Hinweis | ||||
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0..* | BackboneElement | Manipulated, implanted, or removed device | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure. | |||||
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1..1 | Reference(Device) | Device that was changed | |||||
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0..* | Reference(Device | Medication | Substance) | Items used during procedure | |||||
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0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |||||
Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std. |
| Procedure.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| Procedure.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Procedure.extension:durchfuehrungsabsicht.value[x] | Base | required | MII VS Prozedur Durchführungsabsicht [SNOMED CT] | 📦2026.0.1 | This IG |
| Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Procedure.statusReason | Base | example | Procedure Not Performed Reason (SNOMED-CT) | 📍4.0.1 | FHIR Std. |
| Procedure.category | Base | example | Procedure Category Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.category.coding:sct | Base | preferred | MII VS Prozedur OPS Kategorien [SNOMED CT] | 📦2026.0.1 | This IG |
| Procedure.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.code.coding:ops | Base | required | MII VS Prozedur OPS | 📦2026.0.1 | This IG |
| Procedure.code.coding:ops.extension:Seitenlokalisation.value[x] | Base | required |
KBV_VS_SFHIR_ICD_SEITENLOKALISATION
|
⏿1.00 | 127.0.0.1 |
| Procedure.code.coding:sct | Base | required | MII VS Prozedur Prozeduren [SNOMED CT] | 📦2026.0.1 | This IG |
| Procedure.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Procedure.encounter.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Procedure.performer.function | Base | example | Procedure Performer Role Codes | 📍4.0.1 | FHIR Std. |
| Procedure.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std. |
| Procedure.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Procedure.outcome | Base | example | Procedure Outcome Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.complication | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| Procedure.followUp | Base | example | Procedure Follow up Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.focalDevice.action | Base | preferred | Procedure Device Action Codes | 📍4.0.1 | FHIR Std. |
| Procedure.usedCode | Base | example | FHIR Device Types | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ops-regex | warning | Procedure.code.coding:ops.code | In code sind nur gültige OPS-Codes ohne Zusätze erlaubt |
matches('^[1|3|5|6|8|9]-[a-zA-Z0-9]{3}([.][a-zA-Z0-9]{1,2})?$')
|
| proc-mii-1 | error | Procedure | Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden |
code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
|
| sct-ops-1 | error | Procedure.code | Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden. |
coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()
|
Diese Struktur ist abgeleitet von Procedure
Summary
Mandatory: 3 elements(6 nested mandatory elements)
Must-Support: 47 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
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