MII IG Kerndatensatz-Modul Onkologie
2027.0.0-ballot.1 -
Germany
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. For a full list of available versions, see the Directory of published versions
| Offizielle URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-stoma-markierung | Version: 2027.0.0-ballot.1 | |||
| Active Stand: 2026-09-15 | Maschinenlesbarer Name: MII_PR_Onko_KRK_Stoma_Markierung | |||
Dieses Profil beschreibt die präoperative Markierung der geplanten Stoma-Position beim Kolorektalen Karzinom
Dieses Profil beschreibt die präoperative Stomamarkierung beim Kolorektalen Karzinom gemäß oBDS KR7. Die präoperative Stomamarkierung ist ein wichtiger Schritt in der Vorbereitung auf operative Eingriffe, bei denen eine Stomaanlage erforderlich werden könnte, und trägt wesentlich zur Lebensqualität der Patienten bei.
Das Profil basiert auf einer FHIR Procedure-Ressource und dokumentiert sowohl die Durchführung als auch den Status der präoperativen Stomamarkierung.
Die Stomamarkierung ist eine präoperative Maßnahme:
Procedure.subject auf den Patienten (Patient-Ressource)Procedure.encounter mit einem spezifischen Behandlungsfall verknüpft werdenProcedure.reasonReferenceDie Stomamarkierung entspricht dem oBDS-Datenfeld KR7 "Präoperative Stomamarkierung" und dokumentiert, ob eine präoperative Markierung der Stomaposition durchgeführt wurde. Dies ist besonders relevant bei Rektumkarzinomen, wo eine Stomaanlage häufiger erforderlich ist.
Das ValueSet für die Stomamarkierung ist required gebunden und beinhaltet die Codes für die Durchführung sowie den Status der präoperativen Markierung.
Die enthaltenen Codes sind in der Artefaktdarstellung aufgeführt: MII VS Onkologie KRK Stoma Anzeichnung.
Die enthaltenen Codes sind in der Artefaktdarstellung aufgeführt: MII VS Onkologie KRK Stoma Anzeichnung.
Mapping Datensatz zu FHIR
Die Zuordnung der Datensatzfelder ist im logischen Modell dokumentiert: MII LM Onkologie Organspezifische Zusatzmodule.
Mapping Einheitlicher onkologischer Basisdatensatz (oBDS) zu FHIR
Die oBDS-Mappings sind in der Artefaktdarstellung des Profils hinterlegt: MII PR Onkologie KRK Stoma-Markierung.
Beispiele
Usages:
You can also check for usages in the FHIR IG Statistics
Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Procedure |
C | 0..* | MII_PR_Prozedur_Procedure | An action that is being or was performed on a patient Constraints: proc-mii-1 |
  id |
SΣ | 0..1 | id | Logical id of this artifact |
  meta |
SΣ | 0..1 | Meta | Metadata about the resource |
 source |
SΣ | 0..1 | uri | Identifies where the resource comes from |
 profile |
SΣ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 Slices for extension |
S | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
  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 |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!SΣ | 1..1 | code | Status Binding: EventStatus (required): A code specifying the state of the procedure. |
| statusReason |
SΣ | 0..1 | CodeableConcept | Reason for current status Binding: MII VS Onkologie KRK Stoma Status Reason (extensible) |
| category |
SΣ | 1..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:$this Required Pattern: At least the following |
 id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| version |
0..1 | string | Version of the system - if relevant | |
 display |
1..1 | string | Representation defined by the system Fixed Value: Surgical procedure | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| coding:sct |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur OPS Kategorien [SNOMED CT] (preferred) Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| version |
0..1 | string | Version of the system - if relevant | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 387713003 |
| code |
SΣC | 1..1 | CodeableConcept | Stoma-Markierung Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Constraints: sct-ops-1 |
| Slices for coding |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Marking position of planned stoma site (procedure) | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| coding:ops |
SΣ | 0..1 | CodingOPS | Operationen- und Prozedurenschlüssel (OPS) Code Binding: MII VS Prozedur 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) | Optional Extensions Element 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 Fixed Value: 225134005 |
| coding:sct |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur Prozeduren [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 Fixed Value: 225134005 |
 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 | Datum der Stoma-Markierung |
 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 |
| note |
S | 0..* | Annotation | Hinweis |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ops-regex | warning | Procedure.code.coding:ops.code | In code sind nur gültige OPS-Codes ohne Zusätze erlaubt |
matches('^[1|3|5|6|8|9]-[a-zA-Z0-9]{3}([.][a-zA-Z0-9]{1,2})?$')
|
| proc-mii-1 | error | Procedure | Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden |
code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
|
| sct-ops-1 | error | Procedure.code | Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden. |
coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()
|
Diese Struktur ist abgeleitet von MII_PR_Prozedur_Procedure
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Procedure |
0..* | MII_PR_Prozedur_Procedure | An action that is being or was performed on a patient | |
 status |
1..1 | code | Status | |
| statusReason |
S | 0..1 | CodeableConcept | Reason for current status Binding: MII VS Onkologie KRK Stoma Status Reason (extensible) |
| category |
1..1 | CodeableConcept | Kategorie | |
| coding |
0..* | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 387713003 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Surgical procedure | |
| code |
1..1 | CodeableConcept | Stoma-Markierung | |
| coding |
1..* | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 225134005 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Marking position of planned stoma site (procedure) | |
| subject |
1..1 | Reference(Patient) | Who the procedure was performed on | |
| performed[x] |
1..1 | dateTime | Durchführungsdatum | |
| Slices for performed[x] |
Content/Rules for all slices | |||
| performed[x]:performedDateTime |
0..1 | dateTime | Datum der Stoma-Markierung | |
| reasonReference |
S | 0..* | Reference(MII PR Onkologie Diagnose Primärtumor) | The justification that the procedure was performed |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.statusReason | Base | extensible | MII VS Onkologie KRK Stoma Status Reason | 📦2027.0.0-ballot.1 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure |
C | 0..* | MII_PR_Prozedur_Procedure | 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
S | 0..* | Extension | Extension Slice: Unordered, Open by value:url | ||||
| 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 | ||||
| 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 | ||||
| basedOn |
Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | ||||
| partOf |
Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | ||||
| status |
?!SΣ | 1..1 | code | Status Binding: EventStatus (required): A code specifying the state of the procedure. | ||||
| statusReason |
SΣ | 0..1 | CodeableConcept | Reason for current status Binding: MII VS Onkologie KRK Stoma Status Reason (extensible) | ||||
| category |
SΣ | 1..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:$this Required Pattern: At least the following | ||||
| coding:sct |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur OPS Kategorien [SNOMED CT] (preferred) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 387713003 | ||||
| display |
Σ | 0..1 | string | Representation defined by the system Fixed Value: Surgical procedure | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| code |
SΣC | 1..1 | CodeableConcept | Stoma-Markierung Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Constraints: sct-ops-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this Required Pattern: At least the following | ||||
| coding:ops |
SΣ | 0..1 | CodingOPS | Operationen- und Prozedurenschlüssel (OPS) Code Binding: MII VS Prozedur 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) | Optional Extensions Element 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 Fixed Value: 225134005 | ||||
| display |
Σ | 0..1 | string | Representation defined by the system Fixed Value: Marking position of planned stoma site (procedure) | ||||
| 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 Prozedur Prozeduren [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 Fixed Value: 225134005 | ||||
| display |
Σ | 0..1 | string | Representation defined by the system Fixed Value: Marking position of planned stoma site (procedure) | ||||
| 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 | Datum der Stoma-Markierung | ||||
| 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 |
Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. | ||||
| report |
0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||
| complication |
0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||
| complicationDetail |
0..* | Reference(Condition) | A condition that is a result of the procedure | |||||
| followUp |
0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||
| note |
S | 0..* | Annotation | Hinweis | ||||
| focalDevice |
0..* | BackboneElement | Manipulated, implanted, or removed device | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| 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 | |||||
| usedCode |
0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |||||
| Documentation for this format | ||||||||
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ops-regex | warning | Procedure.code.coding:ops.code | In code sind nur gültige OPS-Codes ohne Zusätze erlaubt |
matches('^[1|3|5|6|8|9]-[a-zA-Z0-9]{3}([.][a-zA-Z0-9]{1,2})?$')
|
| proc-mii-1 | error | Procedure | Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden |
code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
|
| sct-ops-1 | error | Procedure.code | Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden. |
coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()
|
Diese Struktur ist abgeleitet von MII_PR_Prozedur_Procedure
Schlüsselelemente-Ansicht
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Procedure |
C | 0..* | MII_PR_Prozedur_Procedure | An action that is being or was performed on a patient Constraints: proc-mii-1 |
| id |
SΣ | 0..1 | id | Logical id of this artifact |
| meta |
SΣ | 0..1 | Meta | Metadata about the resource |
| source |
SΣ | 0..1 | uri | Identifies where the resource comes from |
| profile |
SΣ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
S | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
| 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 |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!SΣ | 1..1 | code | Status Binding: EventStatus (required): A code specifying the state of the procedure. |
| statusReason |
SΣ | 0..1 | CodeableConcept | Reason for current status Binding: MII VS Onkologie KRK Stoma Status Reason (extensible) |
| category |
SΣ | 1..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:$this Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| version |
0..1 | string | Version of the system - if relevant | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Surgical procedure | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| coding:sct |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur OPS Kategorien [SNOMED CT] (preferred) Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| version |
0..1 | string | Version of the system - if relevant | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 387713003 |
| code |
SΣC | 1..1 | CodeableConcept | Stoma-Markierung Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Constraints: sct-ops-1 |
| Slices for coding |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Marking position of planned stoma site (procedure) | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| coding:ops |
SΣ | 0..1 | CodingOPS | Operationen- und Prozedurenschlüssel (OPS) Code Binding: MII VS Prozedur 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) | Optional Extensions Element 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 Fixed Value: 225134005 |
| coding:sct |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur Prozeduren [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 Fixed Value: 225134005 |
| 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 | Datum der Stoma-Markierung |
| 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 |
| note |
S | 0..* | Annotation | Hinweis |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ops-regex | warning | Procedure.code.coding:ops.code | In code sind nur gültige OPS-Codes ohne Zusätze erlaubt |
matches('^[1|3|5|6|8|9]-[a-zA-Z0-9]{3}([.][a-zA-Z0-9]{1,2})?$')
|
| proc-mii-1 | error | Procedure | Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden |
code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
|
| sct-ops-1 | error | Procedure.code | Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden. |
coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()
|
Differential-Ansicht
Diese Struktur ist abgeleitet von MII_PR_Prozedur_Procedure
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Procedure |
0..* | MII_PR_Prozedur_Procedure | An action that is being or was performed on a patient | |
| status |
1..1 | code | Status | |
| statusReason |
S | 0..1 | CodeableConcept | Reason for current status Binding: MII VS Onkologie KRK Stoma Status Reason (extensible) |
| category |
1..1 | CodeableConcept | Kategorie | |
| coding |
0..* | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 387713003 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Surgical procedure | |
| code |
1..1 | CodeableConcept | Stoma-Markierung | |
| coding |
1..* | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 225134005 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Marking position of planned stoma site (procedure) | |
| subject |
1..1 | Reference(Patient) | Who the procedure was performed on | |
| performed[x] |
1..1 | dateTime | Durchführungsdatum | |
| Slices for performed[x] |
Content/Rules for all slices | |||
| performed[x]:performedDateTime |
0..1 | dateTime | Datum der Stoma-Markierung | |
| reasonReference |
S | 0..* | Reference(MII PR Onkologie Diagnose Primärtumor) | The justification that the procedure was performed |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.statusReason | Base | extensible | MII VS Onkologie KRK Stoma Status Reason | 📦2027.0.0-ballot.1 | This IG |
Snapshot-AnsichtView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure |
C | 0..* | MII_PR_Prozedur_Procedure | 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
S | 0..* | Extension | Extension Slice: Unordered, Open by value:url | ||||
| 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 | ||||
| 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 | ||||
| basedOn |
Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | ||||
| partOf |
Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | ||||
| status |
?!SΣ | 1..1 | code | Status Binding: EventStatus (required): A code specifying the state of the procedure. | ||||
| statusReason |
SΣ | 0..1 | CodeableConcept | Reason for current status Binding: MII VS Onkologie KRK Stoma Status Reason (extensible) | ||||
| category |
SΣ | 1..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:$this Required Pattern: At least the following | ||||
| coding:sct |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur OPS Kategorien [SNOMED CT] (preferred) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 387713003 | ||||
| display |
Σ | 0..1 | string | Representation defined by the system Fixed Value: Surgical procedure | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| code |
SΣC | 1..1 | CodeableConcept | Stoma-Markierung Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Constraints: sct-ops-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this Required Pattern: At least the following | ||||
| coding:ops |
SΣ | 0..1 | CodingOPS | Operationen- und Prozedurenschlüssel (OPS) Code Binding: MII VS Prozedur 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) | Optional Extensions Element 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 Fixed Value: 225134005 | ||||
| display |
Σ | 0..1 | string | Representation defined by the system Fixed Value: Marking position of planned stoma site (procedure) | ||||
| 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 Prozedur Prozeduren [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 Fixed Value: 225134005 | ||||
| display |
Σ | 0..1 | string | Representation defined by the system Fixed Value: Marking position of planned stoma site (procedure) | ||||
| 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 | Datum der Stoma-Markierung | ||||
| 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 |
Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. | ||||
| report |
0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||
| complication |
0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||
| complicationDetail |
0..* | Reference(Condition) | A condition that is a result of the procedure | |||||
| followUp |
0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||
| note |
S | 0..* | Annotation | Hinweis | ||||
| focalDevice |
0..* | BackboneElement | Manipulated, implanted, or removed device | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| 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 | |||||
| usedCode |
0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |||||
| Documentation for this format | ||||||||
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ops-regex | warning | Procedure.code.coding:ops.code | In code sind nur gültige OPS-Codes ohne Zusätze erlaubt |
matches('^[1|3|5|6|8|9]-[a-zA-Z0-9]{3}([.][a-zA-Z0-9]{1,2})?$')
|
| proc-mii-1 | error | Procedure | Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden |
code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
|
| sct-ops-1 | error | Procedure.code | Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden. |
coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()
|
Diese Struktur ist abgeleitet von MII_PR_Prozedur_Procedure
Weitere Repräsentationen des Profils: CSV, Excel, Schematron