MII IG Modul Kardio DE
2027.0.0-ballot -
Germany
MII IG Modul Kardio DE
2027.0.0-ballot -
Germany
MII IG Modul Kardio DE - Local Development build (v2027.0.0-ballot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Offizielle URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/StructureDefinition/mii-pr-kardio-ekg-durchfuehrung | Version: 2027.0.0-ballot | |||
| Draft Stand: 2025-07-30 | Maschinenlesbarer Name: MII_PR_Kardio_EKG_Durchfuehrung | |||
Profil zur Erfassung der Durchführung eines EKG.
Usages:
You can also check for usages in the FHIR IG Statistics
Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Procedure |
C | 0..* | MII_PR_Prozedur_Procedure(2027.0.0-ballot) | An action that is being or was performed on a patient Constraints: proc-mii-1 |
  id |
SΣ | 0..1 | id | Logical id of this artifact |
  meta |
SΣ | 0..1 | Meta | Metadata about the resource |
 source |
SΣ | 0..1 | uri | Identifies where the resource comes from |
 profile |
SΣ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 Slices for extension |
S | 0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 |
  extension:Dokumentationsdatum |
S | 0..1 | (Complex) | Dokumentationsdatum URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum Constraints: ext-1 |
  extension |
0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | ||
| url |
S | 1..1 | uri | "http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum" |
 value[x] |
S | 1..1 | dateTime | Value of extension |
 extension:durchfuehrungsabsicht |
S | 0..1 | (Complex) | Durchführungsabsicht URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht Constraints: ext-1 |
 extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
| url |
S | 1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht" |
 value[x] |
S | 1..1 | Coding | Value of extension Binding: MII_VS_Prozedur_Durchfuehrungsabsicht_SNOMEDCT (2027.0.0-ballot) (required) |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 |
| status |
?!SΣ | 1..1 | code | Status Binding: EventStatus (required): A code specifying the state of the procedure. |
| category |
SΣ | 0..1 | CodeableConcept | Kategorie Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. |
  Slices for coding |
SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
| coding:sct |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII_VS_Prozedur_OpsKategorien_SNOMEDCT (2027.0.0-ballot) (preferred) Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| version |
0..1 | string | Version of the system - if relevant | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 165197003 |
| code |
SΣC | 1..1 | CodeableConcept | Code Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Constraints: sct-ops-1 |
| Slices for coding |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
 coding:All Slices |
Content/Rules for all slices | |||
 system |
SΣ | 1..1 | uri | Identity of the terminology system |
| version |
SΣ | 1..1 | string | Version of the system - if relevant |
 code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| coding:ops |
SΣ | 0..1 | CodingOPS(1.6.0) | Operationen- und Prozedurenschlüssel (OPS) Code Binding: MII_VS_Prozedur_OPS (2027.0.0-ballot) (required) Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
 Slices for extension |
Content/Rules for all slices | |||
 extension:Seitenlokalisation |
S | 0..1 | (Complex) | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Constraints: ext-1 |
| extension |
0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | ||
| url |
S | 1..1 | uri | "http://fhir.de/StructureDefinition/seitenlokalisation" |
| value[x] |
S | 1..1 | Coding | Value of extension Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION  (required) |
| system |
SΣ | 1..1 | uri | Identity of the terminology system |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| system |
SΣ | 1..1 | uri | Canonische CodeSystem URL für OPS Fixed Value: http://fhir.de/CodeSystem/bfarm/ops |
| version |
SΣ | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") |
| code |
SΣC | 1..1 | code | Der OPS-Code Constraints: ops-regex Example Einfacher OPS-Code: 5-470 |
| coding:sct |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII_VS_Kardio_EKG_Prozedur_SNOMEDCT (2027.0.0-ballot) (required) Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| version |
SΣ | 1..1 | string | Version of the system - if relevant |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
 subject |
SΣ | 1..1 | Reference(Patient) | Who the procedure was performed on |
| reference |
SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL |
| encounter |
SΣ | 0..1 | Reference(Encounter) | Kontakt (Aufenthaltsbezug) |
| reference |
SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL |
| Slices for performed[x] |
SΣ | 1..1 | Durchführungsdatum Slice: Unordered, Closed by type:$this | |
| performedDateTime |
dateTime | |||
| performedPeriod |
Period | |||
| performed[x]:performedDateTime |
SΣ | 0..1 | dateTime | When the procedure was performed |
| performed[x]:performedPeriod |
SΣ | 0..1 | Period | Durchführungszeitraum |
| bodySite |
SΣ | 0..* | CodeableConcept | Körperstelle Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |
| Slices for extension |
Content/Rules for all slices | |||
| extension:bodySite |
0..1 | Reference(BodyStructure) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite Constraints: ext-1 | |
| Slices for coding |
SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system |
| coding:snomed-ct |
SΣ | 0..1 | Coding | SNOMED CT Code Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
| version |
SΣ | 0..1 | string | Version of the system - if relevant |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 80891009 |
| note |
S | 0..* | Annotation | Hinweis |
| usedReference |
S | 1..* | Reference(Device) | Items used during procedure |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | Procedure.meta, Procedure.meta.source, Procedure.meta.profile, Procedure.implicitRules, Procedure.extension, Procedure.extension:Dokumentationsdatum, Procedure.extension:Dokumentationsdatum.value[x], Procedure.extension:durchfuehrungsabsicht, Procedure.extension:durchfuehrungsabsicht.value[x], Procedure.extension:durchfuehrungsabsicht.value[x].system, Procedure.extension:durchfuehrungsabsicht.value[x].code, Procedure.modifierExtension, Procedure.status, Procedure.category, Procedure.category.coding, Procedure.category.coding:sct, Procedure.category.coding:sct.system, Procedure.category.coding:sct.code, Procedure.code, Procedure.code.coding, Procedure.code.coding.system, Procedure.code.coding.version, Procedure.code.coding.code, Procedure.code.coding:ops, Procedure.code.coding:ops.extension:Seitenlokalisation, Procedure.code.coding:ops.extension:Seitenlokalisation.value[x], Procedure.code.coding:ops.extension:Seitenlokalisation.value[x].system, Procedure.code.coding:ops.extension:Seitenlokalisation.value[x].code, Procedure.code.coding:ops.system, Procedure.code.coding:ops.version, Procedure.code.coding:ops.code, Procedure.code.coding:sct, Procedure.code.coding:sct.system, Procedure.code.coding:sct.version, Procedure.code.coding:sct.code, Procedure.subject, Procedure.subject.reference, Procedure.encounter, Procedure.encounter.reference, Procedure.performed[x], Procedure.performed[x]:performedDateTime, Procedure.performed[x]:performedPeriod, Procedure.bodySite, Procedure.bodySite.extension:bodySite, Procedure.bodySite.coding, Procedure.bodySite.coding:snomed-ct, Procedure.bodySite.coding:snomed-ct.system, Procedure.bodySite.coding:snomed-ct.version, Procedure.bodySite.coding:snomed-ct.code, Procedure.note, Procedure.usedReference | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Procedure.extension, Procedure.extension:Dokumentationsdatum, Procedure.extension:durchfuehrungsabsicht, Procedure.modifierExtension, Procedure.code.coding:ops.extension:Seitenlokalisation, Procedure.bodySite.extension:bodySite | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ops-regex | warning | Procedure.code.coding:ops.code | In code sind nur gültige OPS-Codes ohne Zusätze erlaubt |
matches('^[1|3|5|6|8|9]-[a-zA-Z0-9]{3}([.][a-zA-Z0-9]{1,2})?$')
|
| proc-mii-1 | error | Procedure | Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden |
code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
|
| sct-ops-1 | error | Procedure.code | Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden. |
coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()
|
Diese Struktur ist abgeleitet von MII_PR_Prozedur_Procedure
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Procedure |
0..* | MII_PR_Prozedur_Procedure(2027.0.0-ballot) | An action that is being or was performed on a patient | |
| category |
||||
| Slices for coding |
Content/Rules for all slices | |||
| coding:sct |
0..1 | Coding | SNOMED CT Code Required Pattern: At least the following | |
 system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 165197003 | |
| code |
||||
| coding |
1..* | Coding | Code defined by a terminology system | |
| system |
S | 1..1 | uri | Identity of the terminology system |
| version |
S | 1..1 | string | Version of the system - if relevant |
| code |
S | 1..1 | code | Symbol in syntax defined by the system |
| Slices for coding |
Content/Rules for all slices | |||
| coding:sct |
0..1 | Coding | SNOMED CT Code Binding: MII_VS_Kardio_EKG_Prozedur_SNOMEDCT (2027.0.0-ballot) (required) | |
| version |
S | 1..1 | string | Version of the system - if relevant |
| subject |
1..1 | Reference(Patient) | Who the procedure was performed on | |
| bodySite |
||||
| Slices for coding |
Content/Rules for all slices | |||
| coding:snomed-ct |
0..1 | Coding | SNOMED CT Code Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 80891009 | |
| usedReference |
S | 1..* | Reference(Device) | Items used during procedure |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.code.coding:sct | Base | required | MII VS Kardio EKG Prozedur [SNOMED CT] | 📍2027.0.0-ballot | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure |
C | 0..* | MII_PR_Prozedur_Procedure(2027.0.0-ballot) | An action that is being or was performed on a patient Constraints: proc-mii-1 | ||||
| id |
SΣ | 0..1 | id | Logical id of this artifact | ||||
| meta |
SΣ | 0..1 | Meta | Metadata about the resource | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| versionId |
Σ | 0..1 | id | Version specific identifier | ||||
| lastUpdated |
Σ | 0..1 | instant | When the resource version last changed | ||||
| source |
SΣ | 0..1 | uri | Identifies where the resource comes from | ||||
| profile |
SΣ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
S | 0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||
| extension:Dokumentationsdatum |
S | 0..1 | (Complex) | Dokumentationsdatum URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum Constraints: ext-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||
| url |
S | 1..1 | uri | "http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum" | ||||
| value[x] |
S | 1..1 | dateTime | Value of extension | ||||
| extension:durchfuehrungsabsicht |
S | 0..1 | (Complex) | Durchführungsabsicht URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht Constraints: ext-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||
| url |
S | 1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht" | ||||
| value[x] |
S | 1..1 | Coding | Value of extension Binding: MII_VS_Prozedur_Durchfuehrungsabsicht_SNOMEDCT (2027.0.0-ballot) (required) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
| identifier |
Σ | 0..* | Identifier | External Identifiers for this procedure | ||||
| instantiatesCanonical |
Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn |
Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | ||||
| partOf |
Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | ||||
| status |
?!SΣ | 1..1 | code | Status Binding: EventStatus (required): A code specifying the state of the procedure. | ||||
| statusReason |
Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | ||||
| category |
SΣ | 0..1 | CodeableConcept | Kategorie Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| Slices for coding |
SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
| coding:sct |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII_VS_Prozedur_OpsKategorien_SNOMEDCT (2027.0.0-ballot) (preferred) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 165197003 | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| code |
SΣC | 1..1 | CodeableConcept | Code Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Constraints: sct-ops-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| Slices for coding |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
| coding:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system | ||||
| version |
SΣ | 1..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:ops |
SΣ | 0..1 | CodingOPS(1.6.0) | Operationen- und Prozedurenschlüssel (OPS) Code Binding: MII_VS_Prozedur_OPS (2027.0.0-ballot) (required) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:Seitenlokalisation |
S | 0..1 | (Complex) | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Constraints: ext-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||
| url |
S | 1..1 | uri | "http://fhir.de/StructureDefinition/seitenlokalisation" | ||||
| value[x] |
S | 1..1 | Coding | Value of extension Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| system |
SΣ | 1..1 | uri | Canonische CodeSystem URL für OPS Fixed Value: http://fhir.de/CodeSystem/bfarm/ops | ||||
| version |
SΣ | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") | ||||
| code |
SΣC | 1..1 | code | Der OPS-Code Constraints: ops-regex Example Einfacher OPS-Code: 5-470 | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:sct |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII_VS_Kardio_EKG_Prozedur_SNOMEDCT (2027.0.0-ballot) (required) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
SΣ | 1..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
SΣ | 1..1 | Reference(Patient) | Who the procedure was performed on | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| reference |
SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| encounter |
SΣ | 0..1 | Reference(Encounter) | Kontakt (Aufenthaltsbezug) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| reference |
SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| Slices for performed[x] |
SΣ | 1..1 | Durchführungsdatum Slice: Unordered, Closed by type:$this | |||||
| performedDateTime |
dateTime | |||||||
| performedPeriod |
Period | |||||||
| performed[x]:performedDateTime |
SΣ | 0..1 | dateTime | When the procedure was performed | ||||
| performed[x]:performedPeriod |
SΣ | 0..1 | Period | Durchführungszeitraum | ||||
| recorder |
Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure | ||||
| asserter |
Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure | ||||
| performer |
Σ | 0..* | BackboneElement | The people who performed the procedure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| function |
Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
| actor |
Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner | ||||
| onBehalfOf |
0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||
| location |
Σ | 0..1 | Reference(Location) | Where the procedure happened | ||||
| reasonCode |
Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
| reasonReference |
Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed | ||||
| bodySite |
SΣ | 0..* | CodeableConcept | Körperstelle Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:bodySite |
0..1 | Reference(BodyStructure) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite Constraints: ext-1 | |||||
| Slices for coding |
SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system | ||||
| coding:snomed-ct |
SΣ | 0..1 | Coding | SNOMED CT Code Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||
| version |
SΣ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 80891009 | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| outcome |
Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. | ||||
| report |
0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||
| complication |
0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||
| complicationDetail |
0..* | Reference(Condition) | A condition that is a result of the procedure | |||||
| followUp |
0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||
| note |
S | 0..* | Annotation | Hinweis | ||||
| focalDevice |
0..* | BackboneElement | Manipulated, implanted, or removed device | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| action |
0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure. | |||||
| manipulated |
1..1 | Reference(Device) | Device that was changed | |||||
| usedReference |
S | 1..* | Reference(Device) | Items used during procedure | ||||
| usedCode |
0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |||||
| Documentation for this format | ||||||||
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | Procedure.meta, Procedure.meta.extension, Procedure.meta.versionId, Procedure.meta.lastUpdated, Procedure.meta.source, Procedure.meta.profile, Procedure.meta.security, Procedure.meta.tag, Procedure.implicitRules, Procedure.language, Procedure.text, Procedure.extension, Procedure.extension:Dokumentationsdatum, Procedure.extension:Dokumentationsdatum.value[x], Procedure.extension:durchfuehrungsabsicht, Procedure.extension:durchfuehrungsabsicht.value[x], Procedure.extension:durchfuehrungsabsicht.value[x].extension, Procedure.extension:durchfuehrungsabsicht.value[x].system, Procedure.extension:durchfuehrungsabsicht.value[x].version, Procedure.extension:durchfuehrungsabsicht.value[x].code, Procedure.extension:durchfuehrungsabsicht.value[x].display, Procedure.extension:durchfuehrungsabsicht.value[x].userSelected, Procedure.modifierExtension, Procedure.identifier, Procedure.instantiatesCanonical, Procedure.instantiatesUri, Procedure.basedOn, Procedure.partOf, Procedure.status, Procedure.statusReason, Procedure.category, Procedure.category.extension, Procedure.category.coding, Procedure.category.coding:sct, Procedure.category.coding:sct.extension, Procedure.category.coding:sct.system, Procedure.category.coding:sct.version, Procedure.category.coding:sct.code, Procedure.category.coding:sct.display, Procedure.category.coding:sct.userSelected, Procedure.category.text, Procedure.code, Procedure.code.extension, Procedure.code.coding, Procedure.code.coding.extension, Procedure.code.coding.system, Procedure.code.coding.version, Procedure.code.coding.code, Procedure.code.coding.display, Procedure.code.coding.userSelected, Procedure.code.coding:ops, Procedure.code.coding:ops.extension, Procedure.code.coding:ops.extension:Seitenlokalisation, Procedure.code.coding:ops.extension:Seitenlokalisation.value[x], Procedure.code.coding:ops.extension:Seitenlokalisation.value[x].extension, Procedure.code.coding:ops.extension:Seitenlokalisation.value[x].system, Procedure.code.coding:ops.extension:Seitenlokalisation.value[x].version, Procedure.code.coding:ops.extension:Seitenlokalisation.value[x].code, Procedure.code.coding:ops.extension:Seitenlokalisation.value[x].display, Procedure.code.coding:ops.extension:Seitenlokalisation.value[x].userSelected, Procedure.code.coding:ops.system, Procedure.code.coding:ops.version, Procedure.code.coding:ops.code, Procedure.code.coding:ops.display, Procedure.code.coding:ops.userSelected, Procedure.code.coding:sct, Procedure.code.coding:sct.extension, Procedure.code.coding:sct.system, Procedure.code.coding:sct.version, Procedure.code.coding:sct.code, Procedure.code.coding:sct.display, Procedure.code.coding:sct.userSelected, Procedure.code.text, Procedure.subject, Procedure.subject.extension, Procedure.subject.reference, Procedure.subject.type, Procedure.subject.identifier, Procedure.subject.display, Procedure.encounter, Procedure.encounter.extension, Procedure.encounter.reference, Procedure.encounter.type, Procedure.encounter.identifier, Procedure.encounter.display, Procedure.performed[x], Procedure.performed[x]:performedDateTime, Procedure.performed[x]:performedPeriod, Procedure.recorder, Procedure.asserter, Procedure.performer, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.performer.function, Procedure.performer.actor, Procedure.performer.onBehalfOf, Procedure.location, Procedure.reasonCode, Procedure.reasonReference, Procedure.bodySite, Procedure.bodySite.extension, Procedure.bodySite.extension:bodySite, Procedure.bodySite.coding, Procedure.bodySite.coding:snomed-ct, Procedure.bodySite.coding:snomed-ct.extension, Procedure.bodySite.coding:snomed-ct.system, Procedure.bodySite.coding:snomed-ct.version, Procedure.bodySite.coding:snomed-ct.code, Procedure.bodySite.coding:snomed-ct.display, Procedure.bodySite.coding:snomed-ct.userSelected, Procedure.bodySite.text, Procedure.outcome, Procedure.report, Procedure.complication, Procedure.complicationDetail, Procedure.followUp, Procedure.note, Procedure.focalDevice, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension, Procedure.focalDevice.action, Procedure.focalDevice.manipulated, Procedure.usedReference, Procedure.usedCode | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Procedure.meta.extension, Procedure.extension, Procedure.extension:Dokumentationsdatum, Procedure.extension:durchfuehrungsabsicht, Procedure.extension:durchfuehrungsabsicht.value[x].extension, Procedure.modifierExtension, Procedure.category.extension, Procedure.category.coding:sct.extension, Procedure.code.extension, Procedure.code.coding.extension, Procedure.code.coding:ops.extension, Procedure.code.coding:ops.extension:Seitenlokalisation, Procedure.code.coding:ops.extension:Seitenlokalisation.value[x].extension, Procedure.code.coding:sct.extension, Procedure.subject.extension, Procedure.encounter.extension, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.bodySite.extension, Procedure.bodySite.extension:bodySite, Procedure.bodySite.coding:snomed-ct.extension, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ops-regex | warning | Procedure.code.coding:ops.code | In code sind nur gültige OPS-Codes ohne Zusätze erlaubt |
matches('^[1|3|5|6|8|9]-[a-zA-Z0-9]{3}([.][a-zA-Z0-9]{1,2})?$')
|
| proc-mii-1 | error | Procedure | Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden |
code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
|
| sct-ops-1 | error | Procedure.code | Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden. |
coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()
|
Diese Struktur ist abgeleitet von MII_PR_Prozedur_Procedure
Schlüsselelemente-Ansicht
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Procedure |
C | 0..* | MII_PR_Prozedur_Procedure(2027.0.0-ballot) | An action that is being or was performed on a patient Constraints: proc-mii-1 |
| id |
SΣ | 0..1 | id | Logical id of this artifact |
| meta |
SΣ | 0..1 | Meta | Metadata about the resource |
| source |
SΣ | 0..1 | uri | Identifies where the resource comes from |
| profile |
SΣ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
S | 0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 |
| extension:Dokumentationsdatum |
S | 0..1 | (Complex) | Dokumentationsdatum URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum Constraints: ext-1 |
| extension |
0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | ||
| url |
S | 1..1 | uri | "http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum" |
| value[x] |
S | 1..1 | dateTime | Value of extension |
| extension:durchfuehrungsabsicht |
S | 0..1 | (Complex) | Durchführungsabsicht URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht Constraints: ext-1 |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
| url |
S | 1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht" |
| value[x] |
S | 1..1 | Coding | Value of extension Binding: MII_VS_Prozedur_Durchfuehrungsabsicht_SNOMEDCT (2027.0.0-ballot) (required) |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 |
| status |
?!SΣ | 1..1 | code | Status Binding: EventStatus (required): A code specifying the state of the procedure. |
| category |
SΣ | 0..1 | CodeableConcept | Kategorie Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. |
| Slices for coding |
SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
| coding:sct |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII_VS_Prozedur_OpsKategorien_SNOMEDCT (2027.0.0-ballot) (preferred) Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| version |
0..1 | string | Version of the system - if relevant | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 165197003 |
| code |
SΣC | 1..1 | CodeableConcept | Code Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Constraints: sct-ops-1 |
| Slices for coding |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
| coding:All Slices |
Content/Rules for all slices | |||
| system |
SΣ | 1..1 | uri | Identity of the terminology system |
| version |
SΣ | 1..1 | string | Version of the system - if relevant |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| coding:ops |
SΣ | 0..1 | CodingOPS(1.6.0) | Operationen- und Prozedurenschlüssel (OPS) Code Binding: MII_VS_Prozedur_OPS (2027.0.0-ballot) (required) Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:Seitenlokalisation |
S | 0..1 | (Complex) | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Constraints: ext-1 |
| extension |
0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | ||
| url |
S | 1..1 | uri | "http://fhir.de/StructureDefinition/seitenlokalisation" |
| value[x] |
S | 1..1 | Coding | Value of extension Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required) |
| system |
SΣ | 1..1 | uri | Identity of the terminology system |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| system |
SΣ | 1..1 | uri | Canonische CodeSystem URL für OPS Fixed Value: http://fhir.de/CodeSystem/bfarm/ops |
| version |
SΣ | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") |
| code |
SΣC | 1..1 | code | Der OPS-Code Constraints: ops-regex Example Einfacher OPS-Code: 5-470 |
| coding:sct |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII_VS_Kardio_EKG_Prozedur_SNOMEDCT (2027.0.0-ballot) (required) Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| version |
SΣ | 1..1 | string | Version of the system - if relevant |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| subject |
SΣ | 1..1 | Reference(Patient) | Who the procedure was performed on |
| reference |
SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL |
| encounter |
SΣ | 0..1 | Reference(Encounter) | Kontakt (Aufenthaltsbezug) |
| reference |
SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL |
| Slices for performed[x] |
SΣ | 1..1 | Durchführungsdatum Slice: Unordered, Closed by type:$this | |
| performedDateTime |
dateTime | |||
| performedPeriod |
Period | |||
| performed[x]:performedDateTime |
SΣ | 0..1 | dateTime | When the procedure was performed |
| performed[x]:performedPeriod |
SΣ | 0..1 | Period | Durchführungszeitraum |
| bodySite |
SΣ | 0..* | CodeableConcept | Körperstelle Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |
| Slices for extension |
Content/Rules for all slices | |||
| extension:bodySite |
0..1 | Reference(BodyStructure) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite Constraints: ext-1 | |
| Slices for coding |
SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system |
| coding:snomed-ct |
SΣ | 0..1 | Coding | SNOMED CT Code Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
| version |
SΣ | 0..1 | string | Version of the system - if relevant |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 80891009 |
| note |
S | 0..* | Annotation | Hinweis |
| usedReference |
S | 1..* | Reference(Device) | Items used during procedure |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | Procedure.meta, Procedure.meta.source, Procedure.meta.profile, Procedure.implicitRules, Procedure.extension, Procedure.extension:Dokumentationsdatum, Procedure.extension:Dokumentationsdatum.value[x], Procedure.extension:durchfuehrungsabsicht, Procedure.extension:durchfuehrungsabsicht.value[x], Procedure.extension:durchfuehrungsabsicht.value[x].system, Procedure.extension:durchfuehrungsabsicht.value[x].code, Procedure.modifierExtension, Procedure.status, Procedure.category, Procedure.category.coding, Procedure.category.coding:sct, Procedure.category.coding:sct.system, Procedure.category.coding:sct.code, Procedure.code, Procedure.code.coding, Procedure.code.coding.system, Procedure.code.coding.version, Procedure.code.coding.code, Procedure.code.coding:ops, Procedure.code.coding:ops.extension:Seitenlokalisation, Procedure.code.coding:ops.extension:Seitenlokalisation.value[x], Procedure.code.coding:ops.extension:Seitenlokalisation.value[x].system, Procedure.code.coding:ops.extension:Seitenlokalisation.value[x].code, Procedure.code.coding:ops.system, Procedure.code.coding:ops.version, Procedure.code.coding:ops.code, Procedure.code.coding:sct, Procedure.code.coding:sct.system, Procedure.code.coding:sct.version, Procedure.code.coding:sct.code, Procedure.subject, Procedure.subject.reference, Procedure.encounter, Procedure.encounter.reference, Procedure.performed[x], Procedure.performed[x]:performedDateTime, Procedure.performed[x]:performedPeriod, Procedure.bodySite, Procedure.bodySite.extension:bodySite, Procedure.bodySite.coding, Procedure.bodySite.coding:snomed-ct, Procedure.bodySite.coding:snomed-ct.system, Procedure.bodySite.coding:snomed-ct.version, Procedure.bodySite.coding:snomed-ct.code, Procedure.note, Procedure.usedReference | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Procedure.extension, Procedure.extension:Dokumentationsdatum, Procedure.extension:durchfuehrungsabsicht, Procedure.modifierExtension, Procedure.code.coding:ops.extension:Seitenlokalisation, Procedure.bodySite.extension:bodySite | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ops-regex | warning | Procedure.code.coding:ops.code | In code sind nur gültige OPS-Codes ohne Zusätze erlaubt |
matches('^[1|3|5|6|8|9]-[a-zA-Z0-9]{3}([.][a-zA-Z0-9]{1,2})?$')
|
| proc-mii-1 | error | Procedure | Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden |
code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
|
| sct-ops-1 | error | Procedure.code | Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden. |
coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()
|
Differential-Ansicht
Diese Struktur ist abgeleitet von MII_PR_Prozedur_Procedure
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Procedure |
0..* | MII_PR_Prozedur_Procedure(2027.0.0-ballot) | An action that is being or was performed on a patient | |
| category |
||||
| Slices for coding |
Content/Rules for all slices | |||
| coding:sct |
0..1 | Coding | SNOMED CT Code Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 165197003 | |
| code |
||||
| coding |
1..* | Coding | Code defined by a terminology system | |
| system |
S | 1..1 | uri | Identity of the terminology system |
| version |
S | 1..1 | string | Version of the system - if relevant |
| code |
S | 1..1 | code | Symbol in syntax defined by the system |
| Slices for coding |
Content/Rules for all slices | |||
| coding:sct |
0..1 | Coding | SNOMED CT Code Binding: MII_VS_Kardio_EKG_Prozedur_SNOMEDCT (2027.0.0-ballot) (required) | |
| version |
S | 1..1 | string | Version of the system - if relevant |
| subject |
1..1 | Reference(Patient) | Who the procedure was performed on | |
| bodySite |
||||
| Slices for coding |
Content/Rules for all slices | |||
| coding:snomed-ct |
0..1 | Coding | SNOMED CT Code Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 80891009 | |
| usedReference |
S | 1..* | Reference(Device) | Items used during procedure |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.code.coding:sct | Base | required | MII VS Kardio EKG Prozedur [SNOMED CT] | 📍2027.0.0-ballot | This IG |
Snapshot-AnsichtView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure |
C | 0..* | MII_PR_Prozedur_Procedure(2027.0.0-ballot) | An action that is being or was performed on a patient Constraints: proc-mii-1 | ||||
| id |
SΣ | 0..1 | id | Logical id of this artifact | ||||
| meta |
SΣ | 0..1 | Meta | Metadata about the resource | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| versionId |
Σ | 0..1 | id | Version specific identifier | ||||
| lastUpdated |
Σ | 0..1 | instant | When the resource version last changed | ||||
| source |
SΣ | 0..1 | uri | Identifies where the resource comes from | ||||
| profile |
SΣ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
S | 0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||
| extension:Dokumentationsdatum |
S | 0..1 | (Complex) | Dokumentationsdatum URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum Constraints: ext-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||
| url |
S | 1..1 | uri | "http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum" | ||||
| value[x] |
S | 1..1 | dateTime | Value of extension | ||||
| extension:durchfuehrungsabsicht |
S | 0..1 | (Complex) | Durchführungsabsicht URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht Constraints: ext-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||
| url |
S | 1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht" | ||||
| value[x] |
S | 1..1 | Coding | Value of extension Binding: MII_VS_Prozedur_Durchfuehrungsabsicht_SNOMEDCT (2027.0.0-ballot) (required) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
| identifier |
Σ | 0..* | Identifier | External Identifiers for this procedure | ||||
| instantiatesCanonical |
Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn |
Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | ||||
| partOf |
Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | ||||
| status |
?!SΣ | 1..1 | code | Status Binding: EventStatus (required): A code specifying the state of the procedure. | ||||
| statusReason |
Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | ||||
| category |
SΣ | 0..1 | CodeableConcept | Kategorie Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| Slices for coding |
SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
| coding:sct |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII_VS_Prozedur_OpsKategorien_SNOMEDCT (2027.0.0-ballot) (preferred) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 165197003 | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| code |
SΣC | 1..1 | CodeableConcept | Code Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Constraints: sct-ops-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| Slices for coding |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
| coding:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system | ||||
| version |
SΣ | 1..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:ops |
SΣ | 0..1 | CodingOPS(1.6.0) | Operationen- und Prozedurenschlüssel (OPS) Code Binding: MII_VS_Prozedur_OPS (2027.0.0-ballot) (required) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:Seitenlokalisation |
S | 0..1 | (Complex) | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Constraints: ext-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||
| url |
S | 1..1 | uri | "http://fhir.de/StructureDefinition/seitenlokalisation" | ||||
| value[x] |
S | 1..1 | Coding | Value of extension Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| system |
SΣ | 1..1 | uri | Canonische CodeSystem URL für OPS Fixed Value: http://fhir.de/CodeSystem/bfarm/ops | ||||
| version |
SΣ | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") | ||||
| code |
SΣC | 1..1 | code | Der OPS-Code Constraints: ops-regex Example Einfacher OPS-Code: 5-470 | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:sct |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII_VS_Kardio_EKG_Prozedur_SNOMEDCT (2027.0.0-ballot) (required) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
SΣ | 1..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
SΣ | 1..1 | Reference(Patient) | Who the procedure was performed on | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| reference |
SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| encounter |
SΣ | 0..1 | Reference(Encounter) | Kontakt (Aufenthaltsbezug) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| reference |
SΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| Slices for performed[x] |
SΣ | 1..1 | Durchführungsdatum Slice: Unordered, Closed by type:$this | |||||
| performedDateTime |
dateTime | |||||||
| performedPeriod |
Period | |||||||
| performed[x]:performedDateTime |
SΣ | 0..1 | dateTime | When the procedure was performed | ||||
| performed[x]:performedPeriod |
SΣ | 0..1 | Period | Durchführungszeitraum | ||||
| recorder |
Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure | ||||
| asserter |
Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure | ||||
| performer |
Σ | 0..* | BackboneElement | The people who performed the procedure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| function |
Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
| actor |
Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner | ||||
| onBehalfOf |
0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||
| location |
Σ | 0..1 | Reference(Location) | Where the procedure happened | ||||
| reasonCode |
Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
| reasonReference |
Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed | ||||
| bodySite |
SΣ | 0..* | CodeableConcept | Körperstelle Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:bodySite |
0..1 | Reference(BodyStructure) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite Constraints: ext-1 | |||||
| Slices for coding |
SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system | ||||
| coding:snomed-ct |
SΣ | 0..1 | Coding | SNOMED CT Code Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||
| version |
SΣ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 80891009 | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| outcome |
Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. | ||||
| report |
0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||
| complication |
0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||
| complicationDetail |
0..* | Reference(Condition) | A condition that is a result of the procedure | |||||
| followUp |
0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||
| note |
S | 0..* | Annotation | Hinweis | ||||
| focalDevice |
0..* | BackboneElement | Manipulated, implanted, or removed device | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| action |
0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure. | |||||
| manipulated |
1..1 | Reference(Device) | Device that was changed | |||||
| usedReference |
S | 1..* | Reference(Device) | Items used during procedure | ||||
| usedCode |
0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |||||
| Documentation for this format | ||||||||
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | Procedure.meta, Procedure.meta.extension, Procedure.meta.versionId, Procedure.meta.lastUpdated, Procedure.meta.source, Procedure.meta.profile, Procedure.meta.security, Procedure.meta.tag, Procedure.implicitRules, Procedure.language, Procedure.text, Procedure.extension, Procedure.extension:Dokumentationsdatum, Procedure.extension:Dokumentationsdatum.value[x], Procedure.extension:durchfuehrungsabsicht, Procedure.extension:durchfuehrungsabsicht.value[x], Procedure.extension:durchfuehrungsabsicht.value[x].extension, Procedure.extension:durchfuehrungsabsicht.value[x].system, Procedure.extension:durchfuehrungsabsicht.value[x].version, Procedure.extension:durchfuehrungsabsicht.value[x].code, Procedure.extension:durchfuehrungsabsicht.value[x].display, Procedure.extension:durchfuehrungsabsicht.value[x].userSelected, Procedure.modifierExtension, Procedure.identifier, Procedure.instantiatesCanonical, Procedure.instantiatesUri, Procedure.basedOn, Procedure.partOf, Procedure.status, Procedure.statusReason, Procedure.category, Procedure.category.extension, Procedure.category.coding, Procedure.category.coding:sct, Procedure.category.coding:sct.extension, Procedure.category.coding:sct.system, Procedure.category.coding:sct.version, Procedure.category.coding:sct.code, Procedure.category.coding:sct.display, Procedure.category.coding:sct.userSelected, Procedure.category.text, Procedure.code, Procedure.code.extension, Procedure.code.coding, Procedure.code.coding.extension, Procedure.code.coding.system, Procedure.code.coding.version, Procedure.code.coding.code, Procedure.code.coding.display, Procedure.code.coding.userSelected, Procedure.code.coding:ops, Procedure.code.coding:ops.extension, Procedure.code.coding:ops.extension:Seitenlokalisation, Procedure.code.coding:ops.extension:Seitenlokalisation.value[x], Procedure.code.coding:ops.extension:Seitenlokalisation.value[x].extension, Procedure.code.coding:ops.extension:Seitenlokalisation.value[x].system, Procedure.code.coding:ops.extension:Seitenlokalisation.value[x].version, Procedure.code.coding:ops.extension:Seitenlokalisation.value[x].code, Procedure.code.coding:ops.extension:Seitenlokalisation.value[x].display, Procedure.code.coding:ops.extension:Seitenlokalisation.value[x].userSelected, Procedure.code.coding:ops.system, Procedure.code.coding:ops.version, Procedure.code.coding:ops.code, Procedure.code.coding:ops.display, Procedure.code.coding:ops.userSelected, Procedure.code.coding:sct, Procedure.code.coding:sct.extension, Procedure.code.coding:sct.system, Procedure.code.coding:sct.version, Procedure.code.coding:sct.code, Procedure.code.coding:sct.display, Procedure.code.coding:sct.userSelected, Procedure.code.text, Procedure.subject, Procedure.subject.extension, Procedure.subject.reference, Procedure.subject.type, Procedure.subject.identifier, Procedure.subject.display, Procedure.encounter, Procedure.encounter.extension, Procedure.encounter.reference, Procedure.encounter.type, Procedure.encounter.identifier, Procedure.encounter.display, Procedure.performed[x], Procedure.performed[x]:performedDateTime, Procedure.performed[x]:performedPeriod, Procedure.recorder, Procedure.asserter, Procedure.performer, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.performer.function, Procedure.performer.actor, Procedure.performer.onBehalfOf, Procedure.location, Procedure.reasonCode, Procedure.reasonReference, Procedure.bodySite, Procedure.bodySite.extension, Procedure.bodySite.extension:bodySite, Procedure.bodySite.coding, Procedure.bodySite.coding:snomed-ct, Procedure.bodySite.coding:snomed-ct.extension, Procedure.bodySite.coding:snomed-ct.system, Procedure.bodySite.coding:snomed-ct.version, Procedure.bodySite.coding:snomed-ct.code, Procedure.bodySite.coding:snomed-ct.display, Procedure.bodySite.coding:snomed-ct.userSelected, Procedure.bodySite.text, Procedure.outcome, Procedure.report, Procedure.complication, Procedure.complicationDetail, Procedure.followUp, Procedure.note, Procedure.focalDevice, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension, Procedure.focalDevice.action, Procedure.focalDevice.manipulated, Procedure.usedReference, Procedure.usedCode | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Procedure.meta.extension, Procedure.extension, Procedure.extension:Dokumentationsdatum, Procedure.extension:durchfuehrungsabsicht, Procedure.extension:durchfuehrungsabsicht.value[x].extension, Procedure.modifierExtension, Procedure.category.extension, Procedure.category.coding:sct.extension, Procedure.code.extension, Procedure.code.coding.extension, Procedure.code.coding:ops.extension, Procedure.code.coding:ops.extension:Seitenlokalisation, Procedure.code.coding:ops.extension:Seitenlokalisation.value[x].extension, Procedure.code.coding:sct.extension, Procedure.subject.extension, Procedure.encounter.extension, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.bodySite.extension, Procedure.bodySite.extension:bodySite, Procedure.bodySite.coding:snomed-ct.extension, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ops-regex | warning | Procedure.code.coding:ops.code | In code sind nur gültige OPS-Codes ohne Zusätze erlaubt |
matches('^[1|3|5|6|8|9]-[a-zA-Z0-9]{3}([.][a-zA-Z0-9]{1,2})?$')
|
| proc-mii-1 | error | Procedure | Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden |
code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
|
| sct-ops-1 | error | Procedure.code | Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden. |
coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()
|
Diese Struktur ist abgeleitet von MII_PR_Prozedur_Procedure
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