MII Implementierungsleitfaden Kerndatensatz Basis
2026.0.1 - Release Germany

MII Implementation Guide Core Dataset Base - Downloaded Version 2026.0.1 See the Directory of published versions

## Logisches Modell: MII LM Prozedur - JSON-Profil

Active Stand: 2026-06-15

JSON-Darstellung des mii-lm-prozedur logisches modell.

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    {
      "resourceType" : "StructureDefinition",
      "id" : "mii-lm-prozedur",
      "meta" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-license",
            "valueCode" : "CC-BY-4.0"
          },
          {
            "extension" : [
              {
                "url" : "packageId",
                "valueId" : "de.medizininformatikinitiative.kerndatensatz.base"
              },
              {
                "url" : "version",
                "valueString" : "2026.0.1"
              },
              {
                "url" : "uri",
                "valueUri" : "https://www.medizininformatik-initiative.de/fhir/modul-base"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
          }
        ],
        "profile" : [
          🔗 "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablestructuredefinition"🔗 ,
          "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablestructuredefinition"
        ]
      },
      "language" : "de",
      "text" : {
        "status" : "extensions",
        "div" : "<div xml:lang=\"de\" lang=\"de\"><hr/><p><b>German</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition mii-lm-prozedur</b></p><a name=\"de-mii-lm-prozedur\"> </a><a name=\"de-hcmii-lm-prozedur\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profiles: <a href=\"http://hl7.org/fhir/uv/crmi/STU2/StructureDefinition-crmi-shareablestructuredefinition.html\">CRMI Shareable StructureDefinition</a>, <a href=\"http://hl7.org/fhir/uv/crmi/STU2/StructureDefinition-crmi-publishablestructuredefinition.html\">CRMI Publishable StructureDefinition</a></p></div><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mii-lm-prozedur-definitions.html#Prozedur\" title=\"Logische Repräsentation des Basismoduls Prozedur\">Prozedur</a><a name=\"de-Prozedur\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Element\">Element</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Das Basismodul Prozeduren umfasst die Beschreibung diagnostischer oder therapeutischer Maßnahmen, die als Leistungskomplexe auch für die Abrechnung dokumentiert und kodiert werden, z.B. Operationen.<br/><br/>Elements defined in Ancestors:<a href=\"http://hl7.org/fhir/R4/datatypes.html#Element\" title=\"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.\">@id</a>, <a href=\"http://hl7.org/fhir/R4/datatypes.html#Element\" title=\"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.\">extension</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mii-lm-prozedur-definitions.html#Prozedur.OPSProzedurKodiert\" title=\"Kodierung der durchgeführten Prozedur mittels OPS.\">OPSProzedurKodiert</a><a name=\"de-Prozedur.OPSProzedurKodiert\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Kodierung der durchgeführten Prozedur mittels OPS.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mii-lm-prozedur-definitions.html#Prozedur.OPSProzedurKodiert.VollstaendigerProzedurencode\" title=\"Der vollständige Prozedurencode: Tripel aus OPS-Code, Codesystem (inkl. Version!) und Katalogtext.\">VollstaendigerProzedurencode</a><a name=\"de-Prozedur.OPSProzedurKodiert.VollstaendigerProzedurencode\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Vollständiger Prozedurencode</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mii-lm-prozedur-definitions.html#Prozedur.OPSProzedurKodiert.Seitenlokalisation\" title=\"Seitenlokalisation für die durchgeführte Prozedur gemäß BfArM\">Seitenlokalisation</a><a name=\"de-Prozedur.OPSProzedurKodiert.Seitenlokalisation\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Seitenlokalisation</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mii-lm-prozedur-definitions.html#Prozedur.SNOMEDProzedurKodiert\" title=\"Kodierung der durchgeführten Prozedur mittels SNOMED CT.\">SNOMEDProzedurKodiert</a><a name=\"de-Prozedur.SNOMEDProzedurKodiert\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Kodierung der durchgeführten Prozedur mittels SNOMED CT.</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mii-lm-prozedur-definitions.html#Prozedur.SNOMEDProzedurKodiert.VollstaendigerProzedurencode\" title=\"Der vollständige Prozedurencode: Tripel aus SNOMED-CT-Code, Codesystem (Version optional) und präferierten Namen\">VollstaendigerProzedurencode</a><a name=\"de-Prozedur.SNOMEDProzedurKodiert.VollstaendigerProzedurencode\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Vollständiger Prozedurencode</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mii-lm-prozedur-definitions.html#Prozedur.Koerperstelle\" title=\"Körperstelle der Prozedur mittels SNOMED CT inkl. Lateralität (R, L, B)\">Koerperstelle</a><a name=\"de-Prozedur.Koerperstelle\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Körperstelle<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mii-lm-prozedur-definitions.html#Prozedur.Durchfuehrungsabsicht\" title=\"Intention mit der die Prozedur durchgeführt wird.\">Durchfuehrungsabsicht</a><a name=\"de-Prozedur.Durchfuehrungsabsicht\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Durchführungsabsicht</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mii-lm-prozedur-definitions.html#Prozedur.Durchfuehrungsdatum\" title=\"Das Datum ist der Zeitpunkt, an dem eine Prozedur durchgeführt wurde.\">Durchfuehrungsdatum</a><a name=\"de-Prozedur.Durchfuehrungsdatum\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Durchführungsdatum</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mii-lm-prozedur-definitions.html#Prozedur.Dokumentationsdatum\" title=\"Das Datum ist der Zeitpunkt, an dem eine Prozedur dokumentiert wurde.\">Dokumentationsdatum</a><a name=\"de-Prozedur.Dokumentationsdatum\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Dokumentationsdatum</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mii-lm-prozedur-definitions.html#Prozedur.Freitextbeschreibung\" title=\"Freitextbeschreibung der durchgeführten Prozedur\">Freitextbeschreibung</a><a name=\"de-Prozedur.Freitextbeschreibung\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Freitextbeschreibung</td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
      },
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm",
          "valueCoding" : {
            "system" : "http://hl7.org/fhir/version-algorithm",
            "code" : "semver",
            "display" : "SemVer"
          }
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
          "valueCode" : "shareable"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
          "valueCode" : "publishable"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/artifact-versionPolicy",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/artifact-version-policy-codes",
                "code" : "package",
                "display" : "Package"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/artifact-usage",
          "valueMarkdown" : "Use this logical model as the module-specific information model for the Medical Informatics Initiative core dataset. The model describes clinically or administratively relevant information in a domain-oriented form and provides a bridge between the conceptual content specification and the corresponding technical FHIR profiles. It is a pattern for describing the intended content model and is not intended to be exchanged as a concrete FHIR resource instance. Implementers should use it to understand the scope, semantics, and structure of the module before applying the related FHIR profiles and mappings."
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/resource-approvalDate",
          "valueDate" : "2024-03-07"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod",
          "valuePeriod" : {
            "start" : "2026"
          }
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/artifact-topic",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
                "code" : "C25218"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/artifact-author",
          "valueContactDetail" : {
            "telecom" : [
              {
                "system" : "email",
                "value" : "julian.sass@charite.de"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/artifact-editor",
          "valueContactDetail" : {
            "name" : "Taskforce Core Data Set"
          }
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/artifact-reviewer",
          "valueContactDetail" : {
            "name" : "Interoperability Working Group",
            "telecom" : [
              {
                "system" : "url",
                "value" : "https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/artifact-reviewer",
          "valueContactDetail" : {
            "name" : "National Steering Committee",
            "telecom" : [
              {
                "system" : "url",
                "value" : "https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/artifact-endorser",
          "valueContactDetail" : {
            "name" : "Interoperability Working Group",
            "telecom" : [
              {
                "system" : "url",
                "value" : "https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/artifact-endorser",
          "valueContactDetail" : {
            "name" : "National Steering Committee",
            "telecom" : [
              {
                "system" : "url",
                "value" : "https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee"
              }
            ]
          }
        }
      ],
      "url" : "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/LogicalModel/Prozedur",
      "version" : "2026.0.1",
      "name" : "MII_LM_Prozedur",
      "title" : "MII LM Prozedur",
      "status" : "active",
      "experimental" : false,
      "date" : "2026-06-15",
      "publisher" : "Medical Informatics Initiative (MII)",
      "contact" : [
        {
          "name" : "Medical Informatics Initiative (MII)",
          "telecom" : [
            {
              "system" : "url",
              "value" : "https://www.medizininformatik-initiative.de/en"
            }
          ]
        }
      ],
      "description" : "Logische Repräsentation des Basismoduls Prozedur",
      "jurisdiction" : [
        {
          "coding" : [
            {
              "system" : "urn:iso:std:iso:3166",
              "code" : "DE",
              "display" : "Germany"
            }
          ]
        }
      ],
      "purpose" : "Define the information model for procedures independently of a concrete FHIR resource representation.",
      "fhirVersion" : "4.0.1",
      "mapping" : [
        {
          "identity" : "FHIR",
          "uri" : "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1",
          "name" : "Prozedur LogicalModel FHIR Mapping"
        }
      ],
      "kind" : "logical",
      "abstract" : false,
      "type" : "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/LogicalModel/Prozedur",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Element",
      "derivation" : "specialization",
      "snapshot" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
            "valueString" : "4.0.1"
          }
        ],
        "element" : [
          {
            "id" : "Prozedur",
            "path" : "Prozedur",
            "short" : "Das Basismodul Prozeduren umfasst die Beschreibung diagnostischer oder therapeutischer Maßnahmen, die als Leistungskomplexe auch für die Abrechnung dokumentiert und kodiert werden, z.B. Operationen.",
            "definition" : "Logische Repräsentation des Basismoduls Prozedur",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Element",
              "min" : 0,
              "max" : "*"
            },
            "condition" : [
              "ele-1"
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "isModifier" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Prozedur.id",
            "path" : "Prozedur.id",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "Unique id for inter-element referencing",
            "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                    "valueUrl" : "string"
                  }
                ],
                "code" : "http://hl7.org/fhirpath/System.String"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Prozedur.extension",
            "path" : "Prozedur.extension",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "url"
                }
              ],
              "description" : "Extensions are always sliced by (at least) url",
              "rules" : "open"
            },
            "short" : "Additional content defined by implementations",
            "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
            "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
            "alias" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              },
              {
                "key" : "ext-1",
                "severity" : "error",
                "human" : "Must have either extensions or value[x], not both",
                "expression" : "extension.exists() != value.exists()",
                "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Prozedur.OPSProzedurKodiert",
            "path" : "Prozedur.OPSProzedurKodiert",
            "short" : "Kodierung der durchgeführten Prozedur mittels OPS.",
            "definition" : "Kodierung der durchgeführten Prozedur mittels OPS.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Prozedur.OPSProzedurKodiert",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "BackboneElement"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "mapping" : [
              {
                "identity" : "FHIR",
                "map" : "Procedure.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/ops')"
              }
            ]
          },
          {
            "id" : "Prozedur.OPSProzedurKodiert.id",
            "path" : "Prozedur.OPSProzedurKodiert.id",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "Unique id for inter-element referencing",
            "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                    "valueUrl" : "string"
                  }
                ],
                "code" : "http://hl7.org/fhirpath/System.String"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Prozedur.OPSProzedurKodiert.extension",
            "path" : "Prozedur.OPSProzedurKodiert.extension",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "url"
                }
              ],
              "description" : "Extensions are always sliced by (at least) url",
              "rules" : "open"
            },
            "short" : "Additional content defined by implementations",
            "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
            "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
            "alias" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              },
              {
                "key" : "ext-1",
                "severity" : "error",
                "human" : "Must have either extensions or value[x], not both",
                "expression" : "extension.exists() != value.exists()",
                "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Prozedur.OPSProzedurKodiert.modifierExtension",
            "path" : "Prozedur.OPSProzedurKodiert.modifierExtension",
            "short" : "Extensions that cannot be ignored even if unrecognized",
            "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
            "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
            "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
            "alias" : [
              "extensions",
              "user content",
              "modifiers"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "BackboneElement.modifierExtension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              },
              {
                "key" : "ext-1",
                "severity" : "error",
                "human" : "Must have either extensions or value[x], not both",
                "expression" : "extension.exists() != value.exists()",
                "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
              }
            ],
            "isModifier" : true,
            "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "Prozedur.OPSProzedurKodiert.VollstaendigerProzedurencode",
            "path" : "Prozedur.OPSProzedurKodiert.VollstaendigerProzedurencode",
            "short" : "Vollständiger Prozedurencode",
            "definition" : "Der vollständige Prozedurencode: Tripel aus OPS-Code, Codesystem (inkl. Version!) und Katalogtext.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Prozedur.OPSProzedurKodiert.VollstaendigerProzedurencode",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Coding"
              }
            ],
            "mapping" : [
              {
                "identity" : "FHIR",
                "map" : "Procedure.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/ops')"
              }
            ]
          },
          {
            "id" : "Prozedur.OPSProzedurKodiert.Seitenlokalisation",
            "path" : "Prozedur.OPSProzedurKodiert.Seitenlokalisation",
            "short" : "Seitenlokalisation",
            "definition" : "Seitenlokalisation für die durchgeführte Prozedur gemäß BfArM",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Prozedur.OPSProzedurKodiert.Seitenlokalisation",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Coding"
              }
            ],
            "mapping" : [
              {
                "identity" : "FHIR",
                "map" : "Procedure.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/ops').extension('http://fhir.de/StructureDefinition/seitenlokalisation').value"
              }
            ]
          },
          {
            "id" : "Prozedur.SNOMEDProzedurKodiert",
            "path" : "Prozedur.SNOMEDProzedurKodiert",
            "short" : "Kodierung der durchgeführten Prozedur mittels SNOMED CT.",
            "definition" : "Kodierung der durchgeführten Prozedur mittels SNOMED CT.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Prozedur.SNOMEDProzedurKodiert",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "BackboneElement"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              }
            ],
            "mapping" : [
              {
                "identity" : "FHIR",
                "map" : "Procedure.code.coding.where(system='http://snomed.info/sct')"
              }
            ]
          },
          {
            "id" : "Prozedur.SNOMEDProzedurKodiert.id",
            "path" : "Prozedur.SNOMEDProzedurKodiert.id",
            "representation" : [
              "xmlAttr"
            ],
            "short" : "Unique id for inter-element referencing",
            "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Element.id",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                    "valueUrl" : "string"
                  }
                ],
                "code" : "http://hl7.org/fhirpath/System.String"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Prozedur.SNOMEDProzedurKodiert.extension",
            "path" : "Prozedur.SNOMEDProzedurKodiert.extension",
            "slicing" : {
              "discriminator" : [
                {
                  "type" : "value",
                  "path" : "url"
                }
              ],
              "description" : "Extensions are always sliced by (at least) url",
              "rules" : "open"
            },
            "short" : "Additional content defined by implementations",
            "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
            "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
            "alias" : [
              "extensions",
              "user content"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Element.extension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              },
              {
                "key" : "ext-1",
                "severity" : "error",
                "human" : "Must have either extensions or value[x], not both",
                "expression" : "extension.exists() != value.exists()",
                "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
              }
            ],
            "isModifier" : false,
            "isSummary" : false,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "n/a"
              }
            ]
          },
          {
            "id" : "Prozedur.SNOMEDProzedurKodiert.modifierExtension",
            "path" : "Prozedur.SNOMEDProzedurKodiert.modifierExtension",
            "short" : "Extensions that cannot be ignored even if unrecognized",
            "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
            "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
            "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
            "alias" : [
              "extensions",
              "user content",
              "modifiers"
            ],
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "BackboneElement.modifierExtension",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "Extension"
              }
            ],
            "constraint" : [
              {
                "key" : "ele-1",
                "severity" : "error",
                "human" : "All FHIR elements must have a @value or children",
                "expression" : "hasValue() or (children().count() > id.count())",
                "xpath" : "@value|f:*|h:div",
                "source" : "http://hl7.org/fhir/StructureDefinition/Element"
              },
              {
                "key" : "ext-1",
                "severity" : "error",
                "human" : "Must have either extensions or value[x], not both",
                "expression" : "extension.exists() != value.exists()",
                "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
              }
            ],
            "isModifier" : true,
            "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
            "isSummary" : true,
            "mapping" : [
              {
                "identity" : "rim",
                "map" : "N/A"
              }
            ]
          },
          {
            "id" : "Prozedur.SNOMEDProzedurKodiert.VollstaendigerProzedurencode",
            "path" : "Prozedur.SNOMEDProzedurKodiert.VollstaendigerProzedurencode",
            "short" : "Vollständiger Prozedurencode",
            "definition" : "Der vollständige Prozedurencode: Tripel aus SNOMED-CT-Code, Codesystem (Version optional) und präferierten Namen",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Prozedur.SNOMEDProzedurKodiert.VollstaendigerProzedurencode",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Coding"
              }
            ],
            "mapping" : [
              {
                "identity" : "FHIR",
                "map" : "Procedure.code.coding.where(system='http://snomed.info/sct')"
              }
            ]
          },
          {
            "id" : "Prozedur.Koerperstelle",
            "path" : "Prozedur.Koerperstelle",
            "short" : "Körperstelle",
            "definition" : "Körperstelle der Prozedur mittels SNOMED CT inkl. Lateralität (R, L, B)",
            "min" : 0,
            "max" : "*",
            "base" : {
              "path" : "Prozedur.Koerperstelle",
              "min" : 0,
              "max" : "*"
            },
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "mapping" : [
              {
                "identity" : "FHIR",
                "map" : "Procedure.bodySite"
              }
            ]
          },
          {
            "id" : "Prozedur.Durchfuehrungsabsicht",
            "path" : "Prozedur.Durchfuehrungsabsicht",
            "short" : "Durchführungsabsicht",
            "definition" : "Intention mit der die Prozedur durchgeführt wird.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Prozedur.Durchfuehrungsabsicht",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "Coding"
              }
            ],
            "mapping" : [
              {
                "identity" : "FHIR",
                "map" : "Procedure.extension('https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht').value"
              }
            ]
          },
          {
            "id" : "Prozedur.Durchfuehrungsdatum",
            "path" : "Prozedur.Durchfuehrungsdatum",
            "short" : "Durchführungsdatum",
            "definition" : "Das Datum ist der Zeitpunkt, an dem eine Prozedur durchgeführt wurde.",
            "min" : 1,
            "max" : "1",
            "base" : {
              "path" : "Prozedur.Durchfuehrungsdatum",
              "min" : 1,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "dateTime"
              }
            ],
            "mapping" : [
              {
                "identity" : "FHIR",
                "map" : "Procedure.performedDateTime"
              }
            ]
          },
          {
            "id" : "Prozedur.Dokumentationsdatum",
            "path" : "Prozedur.Dokumentationsdatum",
            "short" : "Dokumentationsdatum",
            "definition" : "Das Datum ist der Zeitpunkt, an dem eine Prozedur dokumentiert wurde.",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Prozedur.Dokumentationsdatum",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "dateTime"
              }
            ],
            "mapping" : [
              {
                "identity" : "FHIR",
                "map" : "Procedure.extension('http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum').value"
              }
            ]
          },
          {
            "id" : "Prozedur.Freitextbeschreibung",
            "path" : "Prozedur.Freitextbeschreibung",
            "short" : "Freitextbeschreibung",
            "definition" : "Freitextbeschreibung der durchgeführten Prozedur",
            "min" : 0,
            "max" : "1",
            "base" : {
              "path" : "Prozedur.Freitextbeschreibung",
              "min" : 0,
              "max" : "1"
            },
            "type" : [
              {
                "code" : "string"
              }
            ],
            "mapping" : [
              {
                "identity" : "FHIR",
                "map" : "Procedure.code.text"
              }
            ]
          }
        ]
      },
      "differential" : {
        "element" : [
          {
            "id" : "Prozedur",
            "path" : "Prozedur",
            "short" : "Das Basismodul Prozeduren umfasst die Beschreibung diagnostischer oder therapeutischer Maßnahmen, die als Leistungskomplexe auch für die Abrechnung dokumentiert und kodiert werden, z.B. Operationen.",
            "definition" : "Logische Repräsentation des Basismoduls Prozedur"
          },
          {
            "id" : "Prozedur.OPSProzedurKodiert",
            "path" : "Prozedur.OPSProzedurKodiert",
            "short" : "Kodierung der durchgeführten Prozedur mittels OPS.",
            "definition" : "Kodierung der durchgeführten Prozedur mittels OPS.",
            "min" : 0,
            "max" : "1",
            "type" : [
              {
                "code" : "BackboneElement"
              }
            ],
            "mapping" : [
              {
                "identity" : "FHIR",
                "map" : "Procedure.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/ops')"
              }
            ]
          },
          {
            "id" : "Prozedur.OPSProzedurKodiert.VollstaendigerProzedurencode",
            "path" : "Prozedur.OPSProzedurKodiert.VollstaendigerProzedurencode",
            "short" : "Vollständiger Prozedurencode",
            "definition" : "Der vollständige Prozedurencode: Tripel aus OPS-Code, Codesystem (inkl. Version!) und Katalogtext.",
            "min" : 0,
            "max" : "1",
            "type" : [
              {
                "code" : "Coding"
              }
            ],
            "mapping" : [
              {
                "identity" : "FHIR",
                "map" : "Procedure.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/ops')"
              }
            ]
          },
          {
            "id" : "Prozedur.OPSProzedurKodiert.Seitenlokalisation",
            "path" : "Prozedur.OPSProzedurKodiert.Seitenlokalisation",
            "short" : "Seitenlokalisation",
            "definition" : "Seitenlokalisation für die durchgeführte Prozedur gemäß BfArM",
            "min" : 0,
            "max" : "1",
            "type" : [
              {
                "code" : "Coding"
              }
            ],
            "mapping" : [
              {
                "identity" : "FHIR",
                "map" : "Procedure.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/ops').extension('http://fhir.de/StructureDefinition/seitenlokalisation').value"
              }
            ]
          },
          {
            "id" : "Prozedur.SNOMEDProzedurKodiert",
            "path" : "Prozedur.SNOMEDProzedurKodiert",
            "short" : "Kodierung der durchgeführten Prozedur mittels SNOMED CT.",
            "definition" : "Kodierung der durchgeführten Prozedur mittels SNOMED CT.",
            "min" : 0,
            "max" : "1",
            "type" : [
              {
                "code" : "BackboneElement"
              }
            ],
            "mapping" : [
              {
                "identity" : "FHIR",
                "map" : "Procedure.code.coding.where(system='http://snomed.info/sct')"
              }
            ]
          },
          {
            "id" : "Prozedur.SNOMEDProzedurKodiert.VollstaendigerProzedurencode",
            "path" : "Prozedur.SNOMEDProzedurKodiert.VollstaendigerProzedurencode",
            "short" : "Vollständiger Prozedurencode",
            "definition" : "Der vollständige Prozedurencode: Tripel aus SNOMED-CT-Code, Codesystem (Version optional) und präferierten Namen",
            "min" : 0,
            "max" : "1",
            "type" : [
              {
                "code" : "Coding"
              }
            ],
            "mapping" : [
              {
                "identity" : "FHIR",
                "map" : "Procedure.code.coding.where(system='http://snomed.info/sct')"
              }
            ]
          },
          {
            "id" : "Prozedur.Koerperstelle",
            "path" : "Prozedur.Koerperstelle",
            "short" : "Körperstelle",
            "definition" : "Körperstelle der Prozedur mittels SNOMED CT inkl. Lateralität (R, L, B)",
            "min" : 0,
            "max" : "*",
            "type" : [
              {
                "code" : "CodeableConcept"
              }
            ],
            "mapping" : [
              {
                "identity" : "FHIR",
                "map" : "Procedure.bodySite"
              }
            ]
          },
          {
            "id" : "Prozedur.Durchfuehrungsabsicht",
            "path" : "Prozedur.Durchfuehrungsabsicht",
            "short" : "Durchführungsabsicht",
            "definition" : "Intention mit der die Prozedur durchgeführt wird.",
            "min" : 0,
            "max" : "1",
            "type" : [
              {
                "code" : "Coding"
              }
            ],
            "mapping" : [
              {
                "identity" : "FHIR",
                "map" : "Procedure.extension('https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht').value"
              }
            ]
          },
          {
            "id" : "Prozedur.Durchfuehrungsdatum",
            "path" : "Prozedur.Durchfuehrungsdatum",
            "short" : "Durchführungsdatum",
            "definition" : "Das Datum ist der Zeitpunkt, an dem eine Prozedur durchgeführt wurde.",
            "min" : 1,
            "max" : "1",
            "type" : [
              {
                "code" : "dateTime"
              }
            ],
            "mapping" : [
              {
                "identity" : "FHIR",
                "map" : "Procedure.performedDateTime"
              }
            ]
          },
          {
            "id" : "Prozedur.Dokumentationsdatum",
            "path" : "Prozedur.Dokumentationsdatum",
            "short" : "Dokumentationsdatum",
            "definition" : "Das Datum ist der Zeitpunkt, an dem eine Prozedur dokumentiert wurde.",
            "min" : 0,
            "max" : "1",
            "type" : [
              {
                "code" : "dateTime"
              }
            ],
            "mapping" : [
              {
                "identity" : "FHIR",
                "map" : "Procedure.extension('http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum').value"
              }
            ]
          },
          {
            "id" : "Prozedur.Freitextbeschreibung",
            "path" : "Prozedur.Freitextbeschreibung",
            "short" : "Freitextbeschreibung",
            "definition" : "Freitextbeschreibung der durchgeführten Prozedur",
            "min" : 0,
            "max" : "1",
            "type" : [
              {
                "code" : "string"
              }
            ],
            "mapping" : [
              {
                "identity" : "FHIR",
                "map" : "Procedure.code.text"
              }
            ]
          }
        ]
      }
    }