# MII PR Prozedur Procedure - MII Implementation Guide Core Dataset Base v2026.0.1

## Ressourcenprofil: MII PR Prozedur Procedure 

 
Eine Prozedur, die an oder für einen Patienten durchgeführt wird oder wurde. 

**Beispielhafte Anwendungsszenarien:**

* Dokumentation von bei PatientInnen durchgeführten Prozeduren mittels OPS-Codierung (Operationen- und Prozedurenschlüssel) für Abrechnungs- und Verwaltungszwecke
* Erfassung chirurgischer Eingriffe, diagnostischer Prozeduren und therapeutischer Behandlungen in der klinischen Versorgung
* Unterstützung von Qualitätsmanagement und klinischer Forschung durch standardisierte Prozedurdokumentation
* Ermöglichung prozedurbasierter Analysen und Outcome-Forschung über Gesundheitseinrichtungen hinweg
* Darstellung von Prozeduren mittels SNOMED CT für semantische Interoperabilität neben OPS-Codierung
* Verknüpfung von Prozeduren mit spezifischen Behandlungsfällen zur zeitlichen und kontextuellen Dokumentation

### Profilspezifische Implementierungshinweise

Dieser Abschnitt enthält detaillierte Implementierungshinweise für das MII-Prozedur-Profil.

#### Codierungsanforderungen

**Verpflichtende Codierung:**

* **`Procedure.code`**: VERPFLICHTEND Kodierung entweder per OPS oder SNOMED CT
* Mindestens eine kodierte Prozedur MUSS vorhanden sein
* Weitere Kodierungen aus anderen Terminologien sind OPTIONAL

**OPS-Kodierung:**

* **`Procedure.code:ops`**: OPS (Operationen- und Prozedurenschlüssel) ist das primäre Codiersystem für Prozeduren in Deutschland
* Siehe [OPS-Kodierung - Deutsche Basisprofile] für detaillierte OPS-Codierungsanforderungen
* OPS-Codes umfassen: 
* `Procedure.code:ops.coding.code`: Vollständiger Prozedurenkode
* `Procedure.code:ops.coding.system`: Codesystem (`http://fhir.de/CodeSystem/bfarm/ops`)
* `Procedure.code:ops.coding.version`: OPS-Versionsjahr
* `Procedure.code:ops.extension:seitenlokalisation`: Seitenlokalisation-Extension
 

**SNOMED-CT-Kodierung:**

* **`Procedure.code:sct`**: SNOMED-CT-Codierung
* Kann als primäre Codierung oder neben OPS verwendet werden

#### Kategorisierung

##### Best Practice - SNOMED-CT-Kategorisierung

**Verpflichtende 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:

* Hochstufige Prozedur-Gruppierung für epidemiologische Analysen
* Filterung und Durchsuchen von Prozeduren nach breiten klinischen Kategorien
* Semantische Konsistenz über unterschiedlich kodierte Prozeduren hinweg

#### Zeitliche Informationen

**`Procedure.performed[x]`:**

* Dokumentiert, wann die Prozedur durchgeführt wurde
* **KANN** als `performedDateTime` (einzelner Zeitpunkt) oder `performedPeriod` (Start- und Endzeitpunkt) angegeben werden
* Verwenden Sie `performedPeriod`, wenn sowohl Start- als auch Endzeitpunkt bekannt sind (z.B. chirurgische Eingriffe mit dokumentiertem Start/Ende)
* Verwenden Sie `performedDateTime` für zeitpunktbezogene Prozeduren oder wenn nur ein einzelner Zeitstempel verfügbar ist

**`Procedure.extension:Dokumentationsdatum`:**

* MII-spezifische Extension für das Dokumentationsdatum
* Repräsentiert, wann die Prozedur im System dokumentiert/erfasst wurde
* Unterscheidet sich von `performed[x]`, welches repräsentiert, wann die Prozedur tatsächlich durchgeführt wurde
* Nützlich für Auditing und zeitliche Einordnung der Dokumentation

#### Dokumentation der Körperstelle

##### Best Practice - Körperstelle vs. Seitenlokalisation

**Zweck 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:**

* Für OPS-Codes: Verwenden Sie `Procedure.code:ops.extension:seitenlokalisation`
* Für SNOMED CT: Seitenlokalisation ist im Prozedurkonzept inhärent enthalten (z.B. "Appendektomie des rechten Appendix")

**Wann bodySite zu verwenden ist:**

* Um zusätzliche anatomische Details bereitzustellen, die über das hinausgehen, was der Code spezifiziert
* Um präzise anatomische Strukturen mittels SNOMED-CT-Anatomiekonzepten zu spezifizieren

#### Durchführungsabsicht

**`Procedure.extension:Durchfuehrungsabsicht`:**

* MII-spezifische Extension für die Durchführungsabsicht/den Zweck der Prozedur
* Verwendet SNOMED-CT-Codes zur Klassifizierung der klinischen Absicht: 
* Therapeutische Prozeduren
* Diagnostische Prozeduren
* Prophylaktische Prozeduren
* Palliative Prozeduren
* etc.
 
* Bietet klinischen Kontext für die Prozedur über den Prozedurenkode hinaus

#### Kontaktkontext

##### Best Practice - Prozedur-Kontakt-Beziehungen

**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.

#### Status und Workflow

**`Procedure.status`:**

* Keine Einschränkungen bezüglich des gewählten Status (preparation, in-progress, on-hold, stopped, completed, entered-in-error, unknown)
* Die meisten Prozeduren in der retrospektiven Dokumentation haben `status='completed'`

#### Patientenbezug

**`Procedure.subject`:**

* Referenz auf Patient MUSS stets gegeben sein
* Prozeduren sind inhärent patientenspezifisch und können ohne diese Referenz nicht existieren

**Usages:**

* Examples for this Profile: [Procedure/mii-exa-prozedur-imaging](Procedure-mii-exa-prozedur-imaging.md), [Procedure/mii-exa-prozedur-procedure-2](Procedure-mii-exa-prozedur-procedure-2.md) and [Procedure/mii-exa-prozedur-procedure](Procedure-mii-exa-prozedur-procedure.md)
* CapabilityStatements using this Profile: [MII CPS Prozedur CapabilityStatement](CapabilityStatement-mii-cps-prozedur-capabilitystatement.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/resource/de.medizininformatikinitiative.kerndatensatz.base|current/StructureDefinition/StructureDefinition-mii-pr-prozedur-procedure.json)

### Formale Ansichten des Profilinhalts

 [Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

*  [Schlüsselelemente-Tabelle](#tabs-key) 
*  [Differential-Tabelle](#tabs-diff) 
*  [Snapshot-Tabelle](#tabs-snap) 
*  [Statistiken/Referenzen](#tabs-summ) 
*  [Alle](#tabs-all) 

#### Terminology Bindings

#### Constraints

Diese Struktur ist abgeleitet von [Procedure](http://hl7.org/fhir/R4/procedure.html) 

#### Terminology Bindings (Differential)

#### Constraints

#### Terminology Bindings

#### Constraints

Diese Struktur ist abgeleitet von [Procedure](http://hl7.org/fhir/R4/procedure.html) 

** Summary **

Mandatory: 3 elements(6 nested mandatory elements)
 Must-Support: 47 elements

**Structures**

This structure refers to these other structures:

* [Coding-Profil für OPS (http://fhir.de/StructureDefinition/CodingOPS)](https://simplifier.net/resolve?scope=de.basisprofil.r4@1.5.4&canonical=http://fhir.de/StructureDefinition/CodingOPS)

**Extensions**

This structure refers to these extensions:

* [http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum](https://simplifier.net/resolve?scope=de.basisprofil.r4@1.5.4&canonical=http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum)
* [https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht](StructureDefinition-mii-ex-prozedur-durchfuehrungsabsicht.md)

**Slices**

This structure defines the following [Slices](http://hl7.org/fhir/R4/profiling.html#slices):

* The element 1 is sliced based on the value of Procedure.category.coding
* The element 1 is sliced based on the value of Procedure.code.coding
* The element 1 is sliced based on the value of Procedure.performed[x]
* The element 1 is sliced based on the value of Procedure.bodySite.coding

 **Schlüsselelemente-Ansicht** 

#### Terminology Bindings

#### Constraints

 **Differential-Ansicht** 

Diese Struktur ist abgeleitet von [Procedure](http://hl7.org/fhir/R4/procedure.html) 

#### Terminology Bindings (Differential)

#### Constraints

 **Snapshot-AnsichtView** 

#### Terminology Bindings

#### Constraints

Diese Struktur ist abgeleitet von [Procedure](http://hl7.org/fhir/R4/procedure.html) 

** Summary **

Mandatory: 3 elements(6 nested mandatory elements)
 Must-Support: 47 elements

**Structures**

This structure refers to these other structures:

* [Coding-Profil für OPS (http://fhir.de/StructureDefinition/CodingOPS)](https://simplifier.net/resolve?scope=de.basisprofil.r4@1.5.4&canonical=http://fhir.de/StructureDefinition/CodingOPS)

**Extensions**

This structure refers to these extensions:

* [http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum](https://simplifier.net/resolve?scope=de.basisprofil.r4@1.5.4&canonical=http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum)
* [https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht](StructureDefinition-mii-ex-prozedur-durchfuehrungsabsicht.md)

**Slices**

This structure defines the following [Slices](http://hl7.org/fhir/R4/profiling.html#slices):

* The element 1 is sliced based on the value of Procedure.category.coding
* The element 1 is sliced based on the value of Procedure.code.coding
* The element 1 is sliced based on the value of Procedure.performed[x]
* The element 1 is sliced based on the value of Procedure.bodySite.coding

 

Weitere Repräsentationen des Profils: [CSV](../StructureDefinition-mii-pr-prozedur-procedure.csv), [Excel](../StructureDefinition-mii-pr-prozedur-procedure.xlsx), [Schematron](../StructureDefinition-mii-pr-prozedur-procedure.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "mii-pr-prozedur-procedure",
  "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"]
  },
  "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 profile as the technical FHIR representation of the corresponding Medical Informatics Initiative logical model. The profile constrains a base FHIR resource for the MII module context by specifying how elements are used, which elements are required or not used, which extensions and terminology bindings apply, and how the resource maps to the module-specific content model. Implementers should produce and consume resource instances that conform to this profile when exchanging data for the corresponding MII module."
  },
  {
    "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/Procedure",
  "version" : "2026.0.1",
  "name" : "MII_PR_Prozedur_Procedure",
  "title" : "MII PR Prozedur Procedure",
  "_title" : {
    "extension" : [{
      "extension" : [{
        "url" : "lang",
        "valueCode" : "de-DE"
      },
      {
        "url" : "content",
        "valueString" : "Prozedur"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/translation"
    },
    {
      "extension" : [{
        "url" : "lang",
        "valueCode" : "en-US"
      },
      {
        "url" : "content",
        "valueString" : "Procedure"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/translation"
    }]
  },
  "status" : "active",
  "experimental" : false,
  "date" : "2026-06-09",
  "publisher" : "Medical Informatics Initiative (MII)",
  "contact" : [{
    "name" : "Medical Informatics Initiative (MII)",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.medizininformatik-initiative.de/en"
    }]
  }],
  "description" : "Dieses Profil beschreibt eine Prozedur in der Medizininformatik-Initiative.",
  "_description" : {
    "extension" : [{
      "extension" : [{
        "url" : "lang",
        "valueCode" : "de-DE"
      },
      {
        "url" : "content",
        "valueString" : "Eine Prozedur, die an oder für einen Patienten durchgeführt wird oder wurde."
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/translation"
    },
    {
      "extension" : [{
        "url" : "lang",
        "valueCode" : "en-US"
      },
      {
        "url" : "content",
        "valueString" : "A procedure that is or was performed on or for a patient."
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/translation"
    }]
  },
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "DE",
      "display" : "Germany"
    }]
  }],
  "purpose" : "Constrain the FHIR Procedure resource for consistent exchange of procedures in the MII Procedure module.",
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Procedure",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Procedure",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Procedure",
      "path" : "Procedure",
      "constraint" : [{
        "key" : "proc-mii-1",
        "severity" : "error",
        "human" : "Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden",
        "expression" : "code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()",
        "source" : "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Procedure"
      }]
    },
    {
      "id" : "Procedure.id",
      "path" : "Procedure.id",
      "mustSupport" : true
    },
    {
      "id" : "Procedure.meta",
      "path" : "Procedure.meta",
      "mustSupport" : true
    },
    {
      "id" : "Procedure.meta.source",
      "path" : "Procedure.meta.source",
      "mustSupport" : true
    },
    {
      "id" : "Procedure.meta.profile",
      "path" : "Procedure.meta.profile",
      "mustSupport" : true
    },
    {
      "id" : "Procedure.extension",
      "path" : "Procedure.extension",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "url"
        }],
        "rules" : "open"
      },
      "mustSupport" : true
    },
    {
      "id" : "Procedure.extension:Dokumentationsdatum",
      "path" : "Procedure.extension",
      "sliceName" : "Dokumentationsdatum",
      "short" : "Dokumentationsdatum",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Dokumentationsdatum"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Recorded date"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Dokumentationsdatum der Prozedur, falls abweichend vom Durchführungsdatum",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Dokumentationsdatum der Prozedur, falls abweichend vom Durchführungsdatum"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "The date the procedure was documented, if different from the performed date"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Procedure.extension:Dokumentationsdatum.url",
      "path" : "Procedure.extension.url",
      "mustSupport" : true
    },
    {
      "id" : "Procedure.extension:Dokumentationsdatum.value[x]",
      "path" : "Procedure.extension.value[x]",
      "mustSupport" : true
    },
    {
      "id" : "Procedure.extension:durchfuehrungsabsicht",
      "path" : "Procedure.extension",
      "sliceName" : "durchfuehrungsabsicht",
      "short" : "Durchführungsabsicht",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Durchführungsabsicht"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Intention"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "therapeutisch | palliativ | diagnostisch | präventiv | rehabilitativ | andere",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "therapeutisch | palliativ | diagnostisch | präventiv | rehabilitativ | andere"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "therapeutic | palliative | diagnostic | preventive | rehabilitative | other"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Procedure.extension:durchfuehrungsabsicht.url",
      "path" : "Procedure.extension.url",
      "mustSupport" : true
    },
    {
      "id" : "Procedure.extension:durchfuehrungsabsicht.value[x]",
      "path" : "Procedure.extension.value[x]",
      "mustSupport" : true
    },
    {
      "id" : "Procedure.extension:durchfuehrungsabsicht.value[x].system",
      "path" : "Procedure.extension.value[x].system",
      "mustSupport" : true
    },
    {
      "id" : "Procedure.extension:durchfuehrungsabsicht.value[x].code",
      "path" : "Procedure.extension.value[x].code",
      "mustSupport" : true
    },
    {
      "id" : "Procedure.status",
      "path" : "Procedure.status",
      "short" : "Status",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Status"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Status"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Vorbereitung | in Arbeit | nicht durchgeführt | pausiert | abgebrochen | abgeschlossen | Eingabe fehlerhaft | unbekannt",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Vorbereitung | in Arbeit | nicht durchgeführt | pausiert | abgebrochen | abgeschlossen | Eingabe fehlerhaft | unbekannt"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "mustSupport" : true
    },
    {
      "id" : "Procedure.category",
      "path" : "Procedure.category",
      "short" : "Kategorie",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Kategorie"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Category"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Diagnostische Maßnahmen | Bildgebende Diagnostik | Operationen | Medikamente | Nichtoperative therapeutische Maßnahmen | Ergänzende Maßnahmen",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Diagnostische Maßnahmen | Bildgebende Diagnostik | Operationen | Medikamente | Nichtoperative therapeutische Maßnahmen | Ergänzende Maßnahmen"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Diagnostic procedures | Imaging procedures | Operations | Medications | Non-operative therapeutic procedures | Other procedures"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "mustSupport" : true
    },
    {
      "id" : "Procedure.category.coding",
      "path" : "Procedure.category.coding",
      "slicing" : {
        "discriminator" : [{
          "type" : "pattern",
          "path" : "$this"
        }],
        "rules" : "open"
      },
      "mustSupport" : true
    },
    {
      "id" : "Procedure.category.coding:sct",
      "path" : "Procedure.category.coding",
      "sliceName" : "sct",
      "short" : "SNOMED CT Code",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "SNOMED CT Code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "SNOMED CT code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Ein Verweis auf einen von SNOMED CT definierten Code",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Ein Verweis auf einen von SNOMED CT definierten Code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "A reference to a code defined by SNOMED CT"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "min" : 0,
      "max" : "1",
      "patternCoding" : {
        "system" : "http://snomed.info/sct"
      },
      "mustSupport" : true,
      "binding" : {
        "strength" : "preferred",
        "valueSet" : "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/ValueSet/procedures-category-sct"
      }
    },
    {
      "id" : "Procedure.category.coding:sct.system",
      "path" : "Procedure.category.coding.system",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Procedure.category.coding:sct.code",
      "path" : "Procedure.category.coding.code",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Procedure.code",
      "path" : "Procedure.code",
      "short" : "Code",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Code aus OPS - Operationen- und Prozedurenschlüssel, SNOMED CT oder andere.",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Code aus OPS - Operationen- und Prozedurenschlüssel, SNOMED CT oder andere."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Code from OPS - Operationen- und Prozedurenschlüssel, SNOMED CT or other."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "min" : 1,
      "constraint" : [{
        "key" : "sct-ops-1",
        "severity" : "error",
        "human" : "Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden.",
        "expression" : "coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()",
        "source" : "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Procedure"
      }],
      "mustSupport" : true
    },
    {
      "id" : "Procedure.code.coding",
      "path" : "Procedure.code.coding",
      "slicing" : {
        "discriminator" : [{
          "type" : "pattern",
          "path" : "$this"
        }],
        "rules" : "open"
      },
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Procedure.code.coding:ops",
      "path" : "Procedure.code.coding",
      "sliceName" : "ops",
      "short" : "Operationen- und Prozedurenschlüssel (OPS) Code",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "OPS Code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "OPS code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Ein Verweis auf einen vom Operationen- und Prozedurenschlüssel (OPS) definierten Code",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Ein Verweis auf einen vom Operationen- und Prozedurenschlüssel definierten Code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "A reference to a code defined by the German Procedure Classification OPS"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Coding",
        "profile" : ["http://fhir.de/StructureDefinition/CodingOPS"]
      }],
      "patternCoding" : {
        "system" : "http://fhir.de/CodeSystem/bfarm/ops"
      },
      "mustSupport" : true,
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/ValueSet/mii-vs-prozedur-ops"
      }
    },
    {
      "id" : "Procedure.code.coding:ops.extension:Seitenlokalisation",
      "path" : "Procedure.code.coding.extension",
      "sliceName" : "Seitenlokalisation",
      "mustSupport" : true
    },
    {
      "id" : "Procedure.code.coding:ops.extension:Seitenlokalisation.url",
      "path" : "Procedure.code.coding.extension.url",
      "mustSupport" : true
    },
    {
      "id" : "Procedure.code.coding:ops.extension:Seitenlokalisation.value[x]",
      "path" : "Procedure.code.coding.extension.value[x]",
      "mustSupport" : true
    },
    {
      "id" : "Procedure.code.coding:ops.extension:Seitenlokalisation.value[x].system",
      "path" : "Procedure.code.coding.extension.value[x].system",
      "mustSupport" : true
    },
    {
      "id" : "Procedure.code.coding:ops.extension:Seitenlokalisation.value[x].code",
      "path" : "Procedure.code.coding.extension.value[x].code",
      "mustSupport" : true
    },
    {
      "id" : "Procedure.code.coding:ops.system",
      "path" : "Procedure.code.coding.system",
      "mustSupport" : true
    },
    {
      "id" : "Procedure.code.coding:ops.version",
      "path" : "Procedure.code.coding.version",
      "mustSupport" : true
    },
    {
      "id" : "Procedure.code.coding:ops.code",
      "path" : "Procedure.code.coding.code",
      "mustSupport" : true
    },
    {
      "id" : "Procedure.code.coding:sct",
      "path" : "Procedure.code.coding",
      "sliceName" : "sct",
      "short" : "SNOMED CT Code",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "SNOMED CT Code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "SNOMED CT code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Ein Verweis auf einen von SNOMED CT definierten Code",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Ein Verweis auf einen von SNOMED CT definierten Code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "A reference to a code defined by SNOMED CT"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "min" : 0,
      "max" : "1",
      "patternCoding" : {
        "system" : "http://snomed.info/sct"
      },
      "mustSupport" : true,
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/ValueSet/procedures-sct"
      }
    },
    {
      "id" : "Procedure.code.coding:sct.system",
      "path" : "Procedure.code.coding.system",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Procedure.code.coding:sct.code",
      "path" : "Procedure.code.coding.code",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Procedure.subject",
      "path" : "Procedure.subject",
      "mustSupport" : true
    },
    {
      "id" : "Procedure.subject.reference",
      "path" : "Procedure.subject.reference",
      "mustSupport" : true
    },
    {
      "id" : "Procedure.encounter",
      "path" : "Procedure.encounter",
      "short" : "Kontakt (Aufenthaltsbezug)",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Kontakt"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Encounter"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Kontakt, während dem die Prozedur durchgeführt wurde oder mit dem die Prozedur in Zusammenhang steht.",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Kontakt, während dem die Prozedur durchgeführt wurde oder mit dem die Prozedur in Zusammenhang steht."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "The Encounter during which this Procedure was performed or to which the creation of this record is tightly associated."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "mustSupport" : true
    },
    {
      "id" : "Procedure.encounter.reference",
      "path" : "Procedure.encounter.reference",
      "mustSupport" : true
    },
    {
      "id" : "Procedure.performed[x]",
      "path" : "Procedure.performed[x]",
      "slicing" : {
        "discriminator" : [{
          "type" : "type",
          "path" : "$this"
        }],
        "ordered" : false,
        "rules" : "open"
      },
      "short" : "Durchführungsdatum",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Durchführungsdatum"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Performed date"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Durchführungsdatum oder -zeitraum der Prozedur.",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Durchführungsdatum oder -zeitraum der Prozedur."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "The date or period of time the procedure was performed."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "min" : 1,
      "type" : [{
        "code" : "dateTime"
      },
      {
        "code" : "Period"
      }],
      "mustSupport" : true
    },
    {
      "id" : "Procedure.performed[x]:performedDateTime",
      "path" : "Procedure.performed[x]",
      "sliceName" : "performedDateTime",
      "definition" : "Durchführungsdatum der Prozedur.",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Durchführungsdatum der Prozedur."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "The date the procedure was performed."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      }],
      "mustSupport" : true
    },
    {
      "id" : "Procedure.performed[x]:performedPeriod",
      "path" : "Procedure.performed[x]",
      "sliceName" : "performedPeriod",
      "short" : "Durchführungszeitraum",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Durchführungszeitraum"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Performed period"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Zeitraum, in dem die Prozedur durchgeführt wurde.",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Zeitraum, in dem die Prozedur durchgeführt wurde."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "The period of time the procedure was performed."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Period"
      }],
      "mustSupport" : true
    },
    {
      "id" : "Procedure.bodySite",
      "path" : "Procedure.bodySite",
      "short" : "Körperstelle",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Körperstelle"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Body site"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Körperstelle der Prozedur mittels SNOMED CT inklusive Lateralität.",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Körperstelle der Prozedur mittels SNOMED CT inklusive Lateralität."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "The body site of the procedure using SNOMED CT including laterality."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "mustSupport" : true
    },
    {
      "id" : "Procedure.bodySite.coding",
      "path" : "Procedure.bodySite.coding",
      "slicing" : {
        "discriminator" : [{
          "type" : "pattern",
          "path" : "system"
        }],
        "rules" : "open"
      },
      "mustSupport" : true
    },
    {
      "id" : "Procedure.bodySite.coding:snomed-ct",
      "path" : "Procedure.bodySite.coding",
      "sliceName" : "snomed-ct",
      "short" : "SNOMED CT Code",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "SNOMED CT Code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "SNOMED CT code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Ein Verweis auf einen von SNOMED CT definierten Code",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Ein Verweis auf einen von SNOMED CT definierten Code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "A reference to a code defined by SNOMED CT"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "min" : 0,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Procedure.bodySite.coding:snomed-ct.system",
      "path" : "Procedure.bodySite.coding.system",
      "min" : 1,
      "patternUri" : "http://snomed.info/sct",
      "mustSupport" : true
    },
    {
      "id" : "Procedure.bodySite.coding:snomed-ct.version",
      "path" : "Procedure.bodySite.coding.version",
      "mustSupport" : true
    },
    {
      "id" : "Procedure.bodySite.coding:snomed-ct.code",
      "path" : "Procedure.bodySite.coding.code",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Procedure.note",
      "path" : "Procedure.note",
      "short" : "Hinweis",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Hinweis"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Note"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Zusätzliche Informationen zur Prozedur als Freitext.",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Zusätzliche Informationen zur Prozedur als Freitext."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Additional information about the procedure as free text."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "mustSupport" : true
    }]
  }
}

```
