MII IG Kerndatensatz-Modul Onkologie
2027.0.0-ballot.1 - Germany

This page is part of the MII IG Kerndatensatz-Modul Onkologie (v2027.0.0-ballot.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: MII PR Onkologie Mamma Operation

Official URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-mamma-operation Version: 2027.0.0-ballot.1
Active as of 2026-09-15 Computable Name: MII_PR_Onko_Mamma_Operation

Das vorliegende Profil beschreibt operative Eingriffe an der Brust im Rahmen der Mammakarzinom-Behandlung. Es erweitert das allgemeine Operationsprofil um Mamma-spezifische Aspekte und ermöglicht die detaillierte Erfassung von brustchirurgischen Verfahren.

Content

The Breast Operation profile documents surgical procedures on the breast in the context of breast cancer treatment. This profile extends the general MII_PR_Onko_Operation profile with breast-specific aspects and enables the detailed capture of breast surgery procedures.

The profile supports both breast-conserving therapies and mastectomies as well as accompanying procedures such as lymph node removal and the use of intraoperative aids.

Comment note: It remains to be discussed whether preoperative marking should be modeled as a separate extra resource (as currently implemented) or simply as a usedCode with preoperative and intraoperative slices.

The profile is closely linked to other oncological resources:

  • references the primary diagnosis (MII_PR_Onko_Diagnose_Primaertumor) via Procedure.reasonReference
  • references the patient (Patient resource) via Procedure.subject
  • can be linked to parent operations via Procedure.partOf
  • can be linked to a specific treatment case via Procedure.encounter

oBDS context

The profile implements breast-specific operation data as an extension of the general oBDS operation dataset (section 13). Breast surgery comprises various procedures:

Surgical procedures:

  • Breast-conserving therapy (BET): Lumpectomy, segmental resection, quadrantectomy
  • Mastectomy: Simple, modified radical, radical mastectomy
  • Lymph node surgery: Sentinel lymph node biopsy, axillary dissection
  • Reconstructive procedures: Immediate reconstruction, secondary reconstruction

Intraoperative aids:

  • Wire markings: Preoperative localization of non-palpable tumors
  • Seed markings: Radioactive marking for tumor localization
  • Marking clips: Orientation aids for follow-up care
  • Intraoperative imaging: Specimen radiography, ultrasound

Terminology binding

The profile uses a dual coding strategy with SNOMED CT and OPS:

ValueSet: MII VS Onko Mamma Operation SNOMED CT

The codes it contains are listed in the artefact view: MII VS Onkologie Mamma Operation SNOMED CT.

The codes it contains are listed in the artefact view: MII VS Onkologie Mamma Operation SNOMED CT.

ValueSet: MII VS Onko Mamma Operation OPS

The codes it contains are listed in the artefact view: MII VS Onkologie Mamma Operation OPS.

The codes it contains are listed in the artefact view: MII VS Onkologie Mamma Operation OPS.

Mapping dataset to FHIR

The mapping of the dataset fields is documented in the logical model: MII LM Onkologie Organspezifische Zusatzmodule.

Mapping Uniform Oncological Basic Dataset (oBDS) to FHIR

The oBDS mappings are recorded in the artefact view of this profile: MII PR Onkologie Mamma Operation.

Examples

mii-exa-onko-mamma-operation-1

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and their representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure C 0..* MII_PR_Onko_Operation 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
.... extension:Dokumentationsdatum S 0..1 (Complex) Dokumentationsdatum
URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... 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
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... 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 Durchführungsabsicht [SNOMED CT] (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
.... extension:Intention S 1..1 (Complex) Intention der OP
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-intention
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-intention"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: MII VS Onkologie Operation Intention (required)
...... text SΣ 0..1 string Plain text representation of the concept
.... extension:Urgency S 0..1 (Complex) Art des Eingriffs
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-urgency
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-urgency"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: MII VS Onkologie Operation Urgency (required)
...... text SΣ 0..1 string Plain text representation of the concept
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for basedOn SΣ 0..* Reference(CarePlan) A request for this procedure
Slice: Unordered, Open by type:$this.resolve()
.... basedOn:tumorkonferenz SΣ 0..1 Reference(MII PR Onkologie Tumorkonferenz) A request for this procedure
... partOf SΣ 0..* Reference(MII PR Onkologie Operation) Part of referenced event
... status ?!SΣ 1..1 code Status
Binding: EventStatus (required): A code specifying the state of the procedure.
... category SΣ 0..1 CodeableConcept Kategorie
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:sct SΣ 0..1 Coding SNOMED CT Code
Binding: MII VS Prozedur OPS Kategorien [SNOMED CT] (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
... code SΣC 1..1 CodeableConcept Operation der Brust
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:ops SΣ 0..1 CodingOPS OPS-Kode der Operation
Binding: MII VS Onkologie Mamma Operation OPS (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) Seitenlokalisation (OPS-Seitenzusatz R/L/B)
URL: http://fhir.de/StructureDefinition/seitenlokalisation
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ 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 Onkologie Mamma Operation SNOMED CT (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
...... 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
... 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 dateTime Durchführungsdatum
Slice: Unordered, Closed by type:$this
.... performed[x]:performedDateTime SΣ 0..1 dateTime When the procedure was performed
.... performed[x]:performedPeriod SΣ 0..1 Period Durchführungszeitraum
... reasonReference SΣ 0..* Reference(MII PR Onkologie Diagnose Primärtumor) The justification that the procedure was performed
... bodySite SΣ 0..* CodeableConcept Körperstelle
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... Slices for extension Content/Rules for all slices
..... extension:bodySite 0..1 Reference(BodyStructure) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
..... coding:snomed-ct SΣ 0..1 Coding SNOMED CT Code
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
... outcome SΣ 0..1 CodeableConcept The result of procedure
Binding: MII VS Onkologie Beurteilung des lokalen Residualstatus (required)
.... coding Σ 0..* Coding Lokaler Residualstatus
..... system SΣ 0..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-residualstatus
..... code SΣ 0..1 code Symbol in syntax defined by the system
... Slices for complication S 0..* CodeableConcept Complication following the procedure
Slice: Unordered, Open by pattern:$this
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
.... complication:compl_obds S 0..* CodeableConcept Complication following the procedure
Binding: MII VS Onkologie Operation Komplikationen (required)
..... coding Σ 0..* Coding Komplikation der OP laut oBDS
...... system Σ 0..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-operation-komplikation
...... code SΣ 1..1 code Symbol in syntax defined by the system
.... complication:compl_icd10 S 0..* CodeableConcept Complication following the procedure
Binding: Internationale statistische Klassifikation der Krankheiten und verwandter Gesundheitsprobleme . (required)
... note S 0..* Annotation Hinweis
... Slices for usedCode S 0..* CodeableConcept Coded items used during the procedure
Slice: Unordered, Open by pattern:$this
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
.... usedCode:IntraoperativesImaging S 0..* CodeableConcept Intraoperatives Präparateröntgen/Sonografie
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
..... coding Σ 0..* Coding Code defined by a terminology system
Binding: MII VS Onkologie Mamma Intraoperatives Imaging Präparat (extensible)
...... code Σ 0..1 code Symbol in syntax defined by the system
.... usedCode:PraeoperativeMarkierung S 0..* CodeableConcept Präoperative Markierung
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
..... coding Σ 0..* Coding Code defined by a terminology system
Binding: MII VS Onkologie Mamma Präoperative Markierung Modalität (extensible)
...... code Σ 0..1 code Symbol in syntax defined by the system

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.extension:durchfuehrungsabsicht.​value[x] Base required MII VS Prozedur Durchführungsabsicht [SNOMED CT] 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Procedure.extension:Intention.​value[x] Base required MII VS Onkologie Operation Intention 📦2027.0.0-ballot.1 This IG
Procedure.extension:Urgency.​value[x] Base required MII VS Onkologie Operation Urgency 📦2027.0.0-ballot.1 This IG
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.category.coding:sct Base preferred MII VS Prozedur OPS Kategorien [SNOMED CT] 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Procedure.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.code.coding:ops Base required MII VS Onkologie Mamma Operation OPS 📦2027.0.0-ballot.1 This IG
Procedure.code.coding:ops.​extension:Seitenlokalisation.​value[x] Base required KBV_VS_SFHIR_ICD_SEITENLOKALISATION . ⏿1.00 127.0.0.1
Procedure.code.coding:sct Base required MII VS Onkologie Mamma Operation SNOMED CT 📦2027.0.0-ballot.1 This IG
Procedure.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Procedure.outcome Base required MII VS Onkologie Beurteilung des lokalen Residualstatus 📦2027.0.0-ballot.1 This IG
Procedure.complication Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
Procedure.complication:compl_obds Base required MII VS Onkologie Operation Komplikationen 📦2027.0.0-ballot.1 This IG
Procedure.complication:compl_icd10 Base required Internationale statistische Klassifikation der Krankheiten und verwandter Gesundheitsprobleme . ⏿2026 127.0.0.1
Procedure.usedCode Base example FHIR Device Types 📍4.0.1 FHIR Std.
Procedure.usedCode:IntraoperativesImaging Base example FHIR Device Types 📍4.0.1 FHIR Std.
Procedure.usedCode:IntraoperativesImaging.​coding Base extensible MII VS Onkologie Mamma Intraoperatives Imaging Präparat 📦2027.0.0-ballot.1 This IG
Procedure.usedCode:PraeoperativeMarkierung Base example FHIR Device Types 📍4.0.1 FHIR Std.
Procedure.usedCode:PraeoperativeMarkierung.​coding Base extensible MII VS Onkologie Mamma Präoperative Markierung Modalität 📦2027.0.0-ballot.1 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Procedure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Procedure If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Procedure If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Procedure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Procedure A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
ops-regex warning Procedure.code.coding:ops.code In code sind nur gültige OPS-Codes ohne Zusätze erlaubt matches('^[1|3|5|6|8|9]-[a-zA-Z0-9]{3}([.][a-zA-Z0-9]{1,2})?$')
proc-mii-1 error Procedure Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
sct-ops-1 error Procedure.code Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden. coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* MII_PR_Onko_Operation An action that is being or was performed on a patient
... partOf 0..* Reference(MII PR Onkologie Operation) Part of referenced event
... code 1..1 CodeableConcept Operation der Brust
.... Slices for coding Content/Rules for all slices
..... coding:ops 0..1 CodingOPS OPS-Kode der Operation
Binding: MII VS Onkologie Mamma Operation OPS (required)
...... code 1..1 code Der OPS-Code
..... coding:sct 0..1 Coding SNOMED CT Code
Binding: MII VS Onkologie Mamma Operation SNOMED CT (required)
...... code 1..1 code Symbol in syntax defined by the system
... reasonReference 0..* Reference(MII PR Onkologie Diagnose Primärtumor) The justification that the procedure was performed
.... usedCode:IntraoperativesImaging S 0..* CodeableConcept Intraoperatives Präparateröntgen/Sonografie
..... coding 0..* Coding Code defined by a terminology system
Binding: MII VS Onkologie Mamma Intraoperatives Imaging Präparat (extensible)
...... code 0..1 code Symbol in syntax defined by the system
.... usedCode:PraeoperativeMarkierung S 0..* CodeableConcept Präoperative Markierung
..... coding 0..* Coding Code defined by a terminology system
Binding: MII VS Onkologie Mamma Präoperative Markierung Modalität (extensible)
...... code 0..1 code Symbol in syntax defined by the system

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Procedure.code.coding:ops Base required MII VS Onkologie Mamma Operation OPS 📦2027.0.0-ballot.1 This IG
Procedure.code.coding:sct Base required MII VS Onkologie Mamma Operation SNOMED CT 📦2027.0.0-ballot.1 This IG
Procedure.usedCode:IntraoperativesImaging.​coding Base extensible MII VS Onkologie Mamma Intraoperatives Imaging Präparat 📦2027.0.0-ballot.1 This IG
Procedure.usedCode:PraeoperativeMarkierung.​coding Base extensible MII VS Onkologie Mamma Präoperative Markierung Modalität 📦2027.0.0-ballot.1 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure C 0..* MII_PR_Onko_Operation 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
.... 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.
Additional BindingsPurpose
AllLanguages Max Binding
... 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 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:Dokumentationsdatum S 0..1 (Complex) Dokumentationsdatum
URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... 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
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... 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 Durchführungsabsicht [SNOMED CT] (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
...... 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
.... extension:Intention S 1..1 (Complex) Intention der OP
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-intention
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-intention"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: MII VS Onkologie Operation Intention (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
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 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 SΣ 0..1 string Plain text representation of the concept
.... extension:Urgency S 0..1 (Complex) Art des Eingriffs
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-urgency
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-urgency"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: MII VS Onkologie Operation Urgency (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
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-operation-urgency
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 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 SΣ 0..1 string Plain text representation of the concept
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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
... Slices for basedOn SΣ 0..* Reference(CarePlan) A request for this procedure
Slice: Unordered, Open by type:$this.resolve()
.... basedOn:tumorkonferenz SΣ 0..1 Reference(MII PR Onkologie Tumorkonferenz) A request for this procedure
... partOf SΣ 0..* Reference(MII PR Onkologie Operation) Part of referenced event
... status ?!SΣ 1..1 code Status
Binding: EventStatus (required): A code specifying the state of the procedure.
... statusReason Σ 0..1 CodeableConcept Reason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
... category SΣ 0..1 CodeableConcept Kategorie
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:sct SΣ 0..1 Coding SNOMED CT Code
Binding: MII VS Prozedur OPS Kategorien [SNOMED CT] (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
...... 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
.... text Σ 0..1 string Plain text representation of the concept
... code SΣC 1..1 CodeableConcept Operation der Brust
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
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:ops SΣ 0..1 CodingOPS OPS-Kode der Operation
Binding: MII VS Onkologie Mamma Operation OPS (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
...... Slices for extension Content/Rules for all slices
....... extension:Seitenlokalisation S 0..1 (Complex) Seitenlokalisation (OPS-Seitenzusatz R/L/B)
URL: http://fhir.de/StructureDefinition/seitenlokalisation
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ 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
......... 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 Onkologie Mamma Operation SNOMED CT (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
...... 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
.... 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
.... 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
.... 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 dateTime Durchführungsdatum
Slice: Unordered, Closed by type:$this
.... 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... 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 SΣ 0..* Reference(MII PR Onkologie Diagnose Primärtumor) 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
..... extension:bodySite 0..1 Reference(BodyStructure) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
.... 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
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... 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
...... 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 SΣ 0..1 CodeableConcept The result of procedure
Binding: MII VS Onkologie Beurteilung des lokalen Residualstatus (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
.... coding Σ 0..* Coding Lokaler Residualstatus
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 0..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-residualstatus
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 0..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
... report 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
... Slices for complication S 0..* CodeableConcept Complication following the procedure
Slice: Unordered, Open by pattern:$this
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
.... complication:compl_obds S 0..* CodeableConcept Complication following the procedure
Binding: MII VS Onkologie Operation Komplikationen (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
..... coding Σ 0..* Coding Komplikation der OP laut oBDS
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-operation-komplikation
...... 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
..... text Σ 0..1 string Plain text representation of the concept
.... complication:compl_icd10 S 0..* CodeableConcept Complication following the procedure
Binding: Internationale statistische Klassifikation der Krankheiten und verwandter Gesundheitsprobleme . (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
..... coding Σ 0..* Coding Komplikation der OP Sonstige ICD-10
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 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
... 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... 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 0..* Reference(Device | Medication | Substance) Items used during procedure
... Slices for usedCode S 0..* CodeableConcept Coded items used during the procedure
Slice: Unordered, Open by pattern:$this
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
.... usedCode:IntraoperativesImaging S 0..* CodeableConcept Intraoperatives Präparateröntgen/Sonografie
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
Binding: MII VS Onkologie Mamma Intraoperatives Imaging Präparat (extensible)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..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
.... usedCode:PraeoperativeMarkierung S 0..* CodeableConcept Präoperative Markierung
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
Binding: MII VS Onkologie Mamma Präoperative Markierung Modalität (extensible)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Procedure.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Procedure.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Procedure.extension:durchfuehrungsabsicht.​value[x] Base required MII VS Prozedur Durchführungsabsicht [SNOMED CT] 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Procedure.extension:Intention.​value[x] Base required MII VS Onkologie Operation Intention 📦2027.0.0-ballot.1 This IG
Procedure.extension:Urgency.​value[x] Base required MII VS Onkologie Operation Urgency 📦2027.0.0-ballot.1 This IG
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.statusReason Base example Procedure Not Performed Reason (SNOMED-CT) 📍4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.category.coding:sct Base preferred MII VS Prozedur OPS Kategorien [SNOMED CT] 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Procedure.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.code.coding:ops Base required MII VS Onkologie Mamma Operation OPS 📦2027.0.0-ballot.1 This IG
Procedure.code.coding:ops.​extension:Seitenlokalisation.​value[x] Base required KBV_VS_SFHIR_ICD_SEITENLOKALISATION . ⏿1.00 127.0.0.1
Procedure.code.coding:sct Base required MII VS Onkologie Mamma Operation SNOMED CT 📦2027.0.0-ballot.1 This IG
Procedure.subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.
Procedure.encounter.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Procedure.performer.​function Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
Procedure.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
Procedure.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Procedure.outcome Base required MII VS Onkologie Beurteilung des lokalen Residualstatus 📦2027.0.0-ballot.1 This IG
Procedure.complication Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
Procedure.complication:compl_obds Base required MII VS Onkologie Operation Komplikationen 📦2027.0.0-ballot.1 This IG
Procedure.complication:compl_icd10 Base required Internationale statistische Klassifikation der Krankheiten und verwandter Gesundheitsprobleme . ⏿2026 127.0.0.1
Procedure.followUp Base example Procedure Follow up Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.focalDevice.​action Base preferred Procedure Device Action Codes 📍4.0.1 FHIR Std.
Procedure.usedCode Base example FHIR Device Types 📍4.0.1 FHIR Std.
Procedure.usedCode:IntraoperativesImaging Base example FHIR Device Types 📍4.0.1 FHIR Std.
Procedure.usedCode:IntraoperativesImaging.​coding Base extensible MII VS Onkologie Mamma Intraoperatives Imaging Präparat 📦2027.0.0-ballot.1 This IG
Procedure.usedCode:PraeoperativeMarkierung Base example FHIR Device Types 📍4.0.1 FHIR Std.
Procedure.usedCode:PraeoperativeMarkierung.​coding Base extensible MII VS Onkologie Mamma Präoperative Markierung Modalität 📦2027.0.0-ballot.1 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Procedure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Procedure If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Procedure If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Procedure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Procedure A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
ops-regex warning Procedure.code.coding:ops.code In code sind nur gültige OPS-Codes ohne Zusätze erlaubt matches('^[1|3|5|6|8|9]-[a-zA-Z0-9]{3}([.][a-zA-Z0-9]{1,2})?$')
proc-mii-1 error Procedure Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
sct-ops-1 error Procedure.code Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden. coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()

Summary

Must-Support: 3 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Procedure.usedCode

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure C 0..* MII_PR_Onko_Operation 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
.... extension:Dokumentationsdatum S 0..1 (Complex) Dokumentationsdatum
URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... 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
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... 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 Durchführungsabsicht [SNOMED CT] (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
.... extension:Intention S 1..1 (Complex) Intention der OP
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-intention
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-intention"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: MII VS Onkologie Operation Intention (required)
...... text SΣ 0..1 string Plain text representation of the concept
.... extension:Urgency S 0..1 (Complex) Art des Eingriffs
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-urgency
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-urgency"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: MII VS Onkologie Operation Urgency (required)
...... text SΣ 0..1 string Plain text representation of the concept
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for basedOn SΣ 0..* Reference(CarePlan) A request for this procedure
Slice: Unordered, Open by type:$this.resolve()
.... basedOn:tumorkonferenz SΣ 0..1 Reference(MII PR Onkologie Tumorkonferenz) A request for this procedure
... partOf SΣ 0..* Reference(MII PR Onkologie Operation) Part of referenced event
... status ?!SΣ 1..1 code Status
Binding: EventStatus (required): A code specifying the state of the procedure.
... category SΣ 0..1 CodeableConcept Kategorie
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:sct SΣ 0..1 Coding SNOMED CT Code
Binding: MII VS Prozedur OPS Kategorien [SNOMED CT] (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
... code SΣC 1..1 CodeableConcept Operation der Brust
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:ops SΣ 0..1 CodingOPS OPS-Kode der Operation
Binding: MII VS Onkologie Mamma Operation OPS (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) Seitenlokalisation (OPS-Seitenzusatz R/L/B)
URL: http://fhir.de/StructureDefinition/seitenlokalisation
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ 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 Onkologie Mamma Operation SNOMED CT (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
...... 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
... 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 dateTime Durchführungsdatum
Slice: Unordered, Closed by type:$this
.... performed[x]:performedDateTime SΣ 0..1 dateTime When the procedure was performed
.... performed[x]:performedPeriod SΣ 0..1 Period Durchführungszeitraum
... reasonReference SΣ 0..* Reference(MII PR Onkologie Diagnose Primärtumor) The justification that the procedure was performed
... bodySite SΣ 0..* CodeableConcept Körperstelle
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... Slices for extension Content/Rules for all slices
..... extension:bodySite 0..1 Reference(BodyStructure) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
..... coding:snomed-ct SΣ 0..1 Coding SNOMED CT Code
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
... outcome SΣ 0..1 CodeableConcept The result of procedure
Binding: MII VS Onkologie Beurteilung des lokalen Residualstatus (required)
.... coding Σ 0..* Coding Lokaler Residualstatus
..... system SΣ 0..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-residualstatus
..... code SΣ 0..1 code Symbol in syntax defined by the system
... Slices for complication S 0..* CodeableConcept Complication following the procedure
Slice: Unordered, Open by pattern:$this
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
.... complication:compl_obds S 0..* CodeableConcept Complication following the procedure
Binding: MII VS Onkologie Operation Komplikationen (required)
..... coding Σ 0..* Coding Komplikation der OP laut oBDS
...... system Σ 0..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-operation-komplikation
...... code SΣ 1..1 code Symbol in syntax defined by the system
.... complication:compl_icd10 S 0..* CodeableConcept Complication following the procedure
Binding: Internationale statistische Klassifikation der Krankheiten und verwandter Gesundheitsprobleme . (required)
... note S 0..* Annotation Hinweis
... Slices for usedCode S 0..* CodeableConcept Coded items used during the procedure
Slice: Unordered, Open by pattern:$this
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
.... usedCode:IntraoperativesImaging S 0..* CodeableConcept Intraoperatives Präparateröntgen/Sonografie
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
..... coding Σ 0..* Coding Code defined by a terminology system
Binding: MII VS Onkologie Mamma Intraoperatives Imaging Präparat (extensible)
...... code Σ 0..1 code Symbol in syntax defined by the system
.... usedCode:PraeoperativeMarkierung S 0..* CodeableConcept Präoperative Markierung
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
..... coding Σ 0..* Coding Code defined by a terminology system
Binding: MII VS Onkologie Mamma Präoperative Markierung Modalität (extensible)
...... code Σ 0..1 code Symbol in syntax defined by the system

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.extension:durchfuehrungsabsicht.​value[x] Base required MII VS Prozedur Durchführungsabsicht [SNOMED CT] 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Procedure.extension:Intention.​value[x] Base required MII VS Onkologie Operation Intention 📦2027.0.0-ballot.1 This IG
Procedure.extension:Urgency.​value[x] Base required MII VS Onkologie Operation Urgency 📦2027.0.0-ballot.1 This IG
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.category.coding:sct Base preferred MII VS Prozedur OPS Kategorien [SNOMED CT] 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Procedure.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.code.coding:ops Base required MII VS Onkologie Mamma Operation OPS 📦2027.0.0-ballot.1 This IG
Procedure.code.coding:ops.​extension:Seitenlokalisation.​value[x] Base required KBV_VS_SFHIR_ICD_SEITENLOKALISATION . ⏿1.00 127.0.0.1
Procedure.code.coding:sct Base required MII VS Onkologie Mamma Operation SNOMED CT 📦2027.0.0-ballot.1 This IG
Procedure.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Procedure.outcome Base required MII VS Onkologie Beurteilung des lokalen Residualstatus 📦2027.0.0-ballot.1 This IG
Procedure.complication Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
Procedure.complication:compl_obds Base required MII VS Onkologie Operation Komplikationen 📦2027.0.0-ballot.1 This IG
Procedure.complication:compl_icd10 Base required Internationale statistische Klassifikation der Krankheiten und verwandter Gesundheitsprobleme . ⏿2026 127.0.0.1
Procedure.usedCode Base example FHIR Device Types 📍4.0.1 FHIR Std.
Procedure.usedCode:IntraoperativesImaging Base example FHIR Device Types 📍4.0.1 FHIR Std.
Procedure.usedCode:IntraoperativesImaging.​coding Base extensible MII VS Onkologie Mamma Intraoperatives Imaging Präparat 📦2027.0.0-ballot.1 This IG
Procedure.usedCode:PraeoperativeMarkierung Base example FHIR Device Types 📍4.0.1 FHIR Std.
Procedure.usedCode:PraeoperativeMarkierung.​coding Base extensible MII VS Onkologie Mamma Präoperative Markierung Modalität 📦2027.0.0-ballot.1 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Procedure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Procedure If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Procedure If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Procedure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Procedure A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
ops-regex warning Procedure.code.coding:ops.code In code sind nur gültige OPS-Codes ohne Zusätze erlaubt matches('^[1|3|5|6|8|9]-[a-zA-Z0-9]{3}([.][a-zA-Z0-9]{1,2})?$')
proc-mii-1 error Procedure Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
sct-ops-1 error Procedure.code Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden. coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* MII_PR_Onko_Operation An action that is being or was performed on a patient
... partOf 0..* Reference(MII PR Onkologie Operation) Part of referenced event
... code 1..1 CodeableConcept Operation der Brust
.... Slices for coding Content/Rules for all slices
..... coding:ops 0..1 CodingOPS OPS-Kode der Operation
Binding: MII VS Onkologie Mamma Operation OPS (required)
...... code 1..1 code Der OPS-Code
..... coding:sct 0..1 Coding SNOMED CT Code
Binding: MII VS Onkologie Mamma Operation SNOMED CT (required)
...... code 1..1 code Symbol in syntax defined by the system
... reasonReference 0..* Reference(MII PR Onkologie Diagnose Primärtumor) The justification that the procedure was performed
.... usedCode:IntraoperativesImaging S 0..* CodeableConcept Intraoperatives Präparateröntgen/Sonografie
..... coding 0..* Coding Code defined by a terminology system
Binding: MII VS Onkologie Mamma Intraoperatives Imaging Präparat (extensible)
...... code 0..1 code Symbol in syntax defined by the system
.... usedCode:PraeoperativeMarkierung S 0..* CodeableConcept Präoperative Markierung
..... coding 0..* Coding Code defined by a terminology system
Binding: MII VS Onkologie Mamma Präoperative Markierung Modalität (extensible)
...... code 0..1 code Symbol in syntax defined by the system

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Procedure.code.coding:ops Base required MII VS Onkologie Mamma Operation OPS 📦2027.0.0-ballot.1 This IG
Procedure.code.coding:sct Base required MII VS Onkologie Mamma Operation SNOMED CT 📦2027.0.0-ballot.1 This IG
Procedure.usedCode:IntraoperativesImaging.​coding Base extensible MII VS Onkologie Mamma Intraoperatives Imaging Präparat 📦2027.0.0-ballot.1 This IG
Procedure.usedCode:PraeoperativeMarkierung.​coding Base extensible MII VS Onkologie Mamma Präoperative Markierung Modalität 📦2027.0.0-ballot.1 This IG

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure C 0..* MII_PR_Onko_Operation 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
.... 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.
Additional BindingsPurpose
AllLanguages Max Binding
... 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 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:Dokumentationsdatum S 0..1 (Complex) Dokumentationsdatum
URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... 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
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... 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 Durchführungsabsicht [SNOMED CT] (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
...... 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
.... extension:Intention S 1..1 (Complex) Intention der OP
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-intention
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-intention"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: MII VS Onkologie Operation Intention (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
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 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 SΣ 0..1 string Plain text representation of the concept
.... extension:Urgency S 0..1 (Complex) Art des Eingriffs
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-urgency
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-urgency"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: MII VS Onkologie Operation Urgency (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
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-operation-urgency
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 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 SΣ 0..1 string Plain text representation of the concept
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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
... Slices for basedOn SΣ 0..* Reference(CarePlan) A request for this procedure
Slice: Unordered, Open by type:$this.resolve()
.... basedOn:tumorkonferenz SΣ 0..1 Reference(MII PR Onkologie Tumorkonferenz) A request for this procedure
... partOf SΣ 0..* Reference(MII PR Onkologie Operation) Part of referenced event
... status ?!SΣ 1..1 code Status
Binding: EventStatus (required): A code specifying the state of the procedure.
... statusReason Σ 0..1 CodeableConcept Reason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
... category SΣ 0..1 CodeableConcept Kategorie
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:sct SΣ 0..1 Coding SNOMED CT Code
Binding: MII VS Prozedur OPS Kategorien [SNOMED CT] (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
...... 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
.... text Σ 0..1 string Plain text representation of the concept
... code SΣC 1..1 CodeableConcept Operation der Brust
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
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:ops SΣ 0..1 CodingOPS OPS-Kode der Operation
Binding: MII VS Onkologie Mamma Operation OPS (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
...... Slices for extension Content/Rules for all slices
....... extension:Seitenlokalisation S 0..1 (Complex) Seitenlokalisation (OPS-Seitenzusatz R/L/B)
URL: http://fhir.de/StructureDefinition/seitenlokalisation
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ 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
......... 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 Onkologie Mamma Operation SNOMED CT (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
...... 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
.... 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
.... 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
.... 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 dateTime Durchführungsdatum
Slice: Unordered, Closed by type:$this
.... 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... 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 SΣ 0..* Reference(MII PR Onkologie Diagnose Primärtumor) 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
..... extension:bodySite 0..1 Reference(BodyStructure) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
.... 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
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... 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
...... 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 SΣ 0..1 CodeableConcept The result of procedure
Binding: MII VS Onkologie Beurteilung des lokalen Residualstatus (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
.... coding Σ 0..* Coding Lokaler Residualstatus
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 0..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-residualstatus
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 0..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
... report 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
... Slices for complication S 0..* CodeableConcept Complication following the procedure
Slice: Unordered, Open by pattern:$this
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
.... complication:compl_obds S 0..* CodeableConcept Complication following the procedure
Binding: MII VS Onkologie Operation Komplikationen (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
..... coding Σ 0..* Coding Komplikation der OP laut oBDS
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-operation-komplikation
...... 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
..... text Σ 0..1 string Plain text representation of the concept
.... complication:compl_icd10 S 0..* CodeableConcept Complication following the procedure
Binding: Internationale statistische Klassifikation der Krankheiten und verwandter Gesundheitsprobleme . (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
..... coding Σ 0..* Coding Komplikation der OP Sonstige ICD-10
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 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
... 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... 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 0..* Reference(Device | Medication | Substance) Items used during procedure
... Slices for usedCode S 0..* CodeableConcept Coded items used during the procedure
Slice: Unordered, Open by pattern:$this
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
.... usedCode:IntraoperativesImaging S 0..* CodeableConcept Intraoperatives Präparateröntgen/Sonografie
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
Binding: MII VS Onkologie Mamma Intraoperatives Imaging Präparat (extensible)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..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
.... usedCode:PraeoperativeMarkierung S 0..* CodeableConcept Präoperative Markierung
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
Binding: MII VS Onkologie Mamma Präoperative Markierung Modalität (extensible)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Procedure.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Procedure.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Procedure.extension:durchfuehrungsabsicht.​value[x] Base required MII VS Prozedur Durchführungsabsicht [SNOMED CT] 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Procedure.extension:Intention.​value[x] Base required MII VS Onkologie Operation Intention 📦2027.0.0-ballot.1 This IG
Procedure.extension:Urgency.​value[x] Base required MII VS Onkologie Operation Urgency 📦2027.0.0-ballot.1 This IG
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.statusReason Base example Procedure Not Performed Reason (SNOMED-CT) 📍4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.category.coding:sct Base preferred MII VS Prozedur OPS Kategorien [SNOMED CT] 📦2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Procedure.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.code.coding:ops Base required MII VS Onkologie Mamma Operation OPS 📦2027.0.0-ballot.1 This IG
Procedure.code.coding:ops.​extension:Seitenlokalisation.​value[x] Base required KBV_VS_SFHIR_ICD_SEITENLOKALISATION . ⏿1.00 127.0.0.1
Procedure.code.coding:sct Base required MII VS Onkologie Mamma Operation SNOMED CT 📦2027.0.0-ballot.1 This IG
Procedure.subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.
Procedure.encounter.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Procedure.performer.​function Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
Procedure.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
Procedure.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Procedure.outcome Base required MII VS Onkologie Beurteilung des lokalen Residualstatus 📦2027.0.0-ballot.1 This IG
Procedure.complication Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
Procedure.complication:compl_obds Base required MII VS Onkologie Operation Komplikationen 📦2027.0.0-ballot.1 This IG
Procedure.complication:compl_icd10 Base required Internationale statistische Klassifikation der Krankheiten und verwandter Gesundheitsprobleme . ⏿2026 127.0.0.1
Procedure.followUp Base example Procedure Follow up Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.focalDevice.​action Base preferred Procedure Device Action Codes 📍4.0.1 FHIR Std.
Procedure.usedCode Base example FHIR Device Types 📍4.0.1 FHIR Std.
Procedure.usedCode:IntraoperativesImaging Base example FHIR Device Types 📍4.0.1 FHIR Std.
Procedure.usedCode:IntraoperativesImaging.​coding Base extensible MII VS Onkologie Mamma Intraoperatives Imaging Präparat 📦2027.0.0-ballot.1 This IG
Procedure.usedCode:PraeoperativeMarkierung Base example FHIR Device Types 📍4.0.1 FHIR Std.
Procedure.usedCode:PraeoperativeMarkierung.​coding Base extensible MII VS Onkologie Mamma Präoperative Markierung Modalität 📦2027.0.0-ballot.1 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Procedure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Procedure If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Procedure If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Procedure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Procedure A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
ops-regex warning Procedure.code.coding:ops.code In code sind nur gültige OPS-Codes ohne Zusätze erlaubt matches('^[1|3|5|6|8|9]-[a-zA-Z0-9]{3}([.][a-zA-Z0-9]{1,2})?$')
proc-mii-1 error Procedure Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
sct-ops-1 error Procedure.code Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden. coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()

Summary

Must-Support: 3 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Procedure.usedCode

 

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