description: 'Operation nach OPS inklusive Intention, Datum und Komplikationen:'
package_name: de.medizininformatikinitiative.kerndatensatz.onkologie
derivation: constraint
name: MII_PR_Onko_Operation
type: Procedure
elements:
  encounter: {mustSupport: true, index: 11}
  performed:
    choices: [performedDateTime]
    index: 16
    slicing:
      slices:
        performedDateTime:
          match: {}
          schema:
            choices: [performedDateTime]
            index: 16
  outcome:
    binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-beurteilung-lokaler-residualstatus'}
    mustSupport: true
    index: 19
    elements:
      coding:
        short: Lokaler Residualstatus
        _short:
          extension:
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: de-DE}
            - {url: content, valueString: Lokaler Residualstatus}
        _definition:
          extension:
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: de-DE}
            - {url: content, valueString: Lokaler Residualstatus der OP gemäß 10.1 oBDS 2021. Globaler Residualstatus wird prozedurenunabhängig als eigenständige Observation kodiert.}
        index: 20
        elements:
          system:
            pattern: {type: Uri, value: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-residualstatus'}
            mustSupport: true
            index: 21
          code: {mustSupport: true, index: 22}
  extension:
    index: 0
    slicing:
      slices:
        Intention:
          match: {}
          schema:
            short: Intention der OP
            _definition:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Intention der OP gemäß 13.1 oBDS 2021}
            type: Extension
            mustSupport: true
            _short:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Intention der OP}
            url: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-intention
            index: 1
            elements:
              value[x]:
                elements:
                  coding:
                    elements:
                      code: {index: 2}
        Urgency:
          match: {}
          schema:
            short: Art des Eingriffs
            _definition:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Modalität der Eingriffsdurchführung - Elektiveingriff vs. Notfalleingriff - gemäß KR6 oBDS 2021}
            type: Extension
            mustSupport: true
            _short:
              extension:
              - url: http://hl7.org/fhir/StructureDefinition/translation
                extension:
                - {url: lang, valueCode: de-DE}
                - {url: content, valueString: Art des Eingriffs}
            url: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-urgency
            index: 3
            elements:
              value[x]:
                elements:
                  coding:
                    elements:
                      code: {index: 4}
  complication:
    mustSupport: true
    index: 23
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: pattern}
      min: null
      slices:
        compl_obds:
          match: {}
          schema:
            binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-operation-komplikation'}
            mustSupport: true
            array: true
            index: 24
            elements:
              coding:
                short: Komplikation der OP laut oBDS
                _short:
                  extension:
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: de-DE}
                    - {url: content, valueString: Komplikation der OP laut oBDS}
                _definition:
                  extension:
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: de-DE}
                    - {url: content, valueString: Komplikation der OP gemäß 13.5 oBDS 2021}
                index: 25
                elements:
                  system:
                    pattern: {type: Uri, value: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-operation-komplikation'}
                    index: 26
                  code: {mustSupport: true, index: 27}
                required: [code]
        compl_icd10:
          match: {}
          schema:
            binding: {strength: required, valueSet: 'http://fhir.de/ValueSet/bfarm/icd-10-gm'}
            mustSupport: true
            array: true
            index: 28
            elements:
              coding:
                short: Komplikation der OP Sonstige ICD-10
                _short:
                  extension:
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: de-DE}
                    - {url: content, valueString: Komplikation der OP Sonstige ICD-10}
                _definition:
                  extension:
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: de-DE}
                    - {url: content, valueString: Komplikation der OP - soweit nicht in 13.1 oBDS 2021 enthalten - als ICD-10-GM}
                index: 29
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://fhir.de/CodeSystem/bfarm/icd-10-gm'}
                    index: 30
                  code: {index: 31}
                required: [system, code]
  performedDateTime:
    type: dateTime
    choiceOf: performed
    index: 17
    slicing:
      slices:
        performedDateTime:
          match: {}
          schema: {type: dateTime, choiceOf: performed, index: 17}
  code:
    elements:
      coding:
        short: OPS-Kode der Operation
        _short:
          extension:
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: de-DE}
            - {url: content, valueString: OPS-Kode der Operation}
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: en-US}
            - {url: content, valueString: OPS code}
        _definition:
          extension:
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: de-DE}
            - {url: content, valueString: OPS-Kode der Operation gemäß 13.3 oBDS 2021}
          - url: http://hl7.org/fhir/StructureDefinition/translation
            extension:
            - {url: lang, valueCode: en-US}
            - {url: content, valueString: A reference to a code defined by the German Procedure Classification OPS}
        index: 7
        slicing:
          slices:
            ops:
              match: {}
              schema:
                short: OPS-Kode der Operation
                _short:
                  extension:
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: de-DE}
                    - {url: content, valueString: OPS-Kode der Operation}
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: en-US}
                    - {url: content, valueString: OPS code}
                _definition:
                  extension:
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: de-DE}
                    - {url: content, valueString: OPS-Kode der Operation gemäß 13.3 oBDS 2021}
                  - url: http://hl7.org/fhir/StructureDefinition/translation
                    extension:
                    - {url: lang, valueCode: en-US}
                    - {url: content, valueString: A reference to a code defined by the German Procedure Classification OPS}
                index: 7
                elements:
                  version: {index: 8}
                  code: {index: 9}
  basedOn:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/CarePlan']
    index: 5
  partOf:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Observation', 'http://hl7.org/fhir/StructureDefinition/Procedure']
    index: 6
  subject:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 10
  reasonReference:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Condition', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor']
    index: 18
package_version: 2026.0.0-ballot
extensions:
  Intention:
    url: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-intention
    short: Intention der OP
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Intention der OP gemäß 13.1 oBDS 2021}
    type: Extension
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Intention der OP}
    index: 1
    elements:
      value[x]:
        elements:
          coding:
            elements:
              code: {index: 2}
  Urgency:
    url: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-urgency
    short: Art des Eingriffs
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Modalität der Eingriffsdurchführung - Elektiveingriff vs. Notfalleingriff - gemäß KR6 oBDS 2021}
    type: Extension
    mustSupport: true
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Art des Eingriffs}
    index: 3
    elements:
      value[x]:
        elements:
          coding:
            elements:
              code: {index: 4}
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-operation
base: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Procedure
version: 2026.0.0-ballot
required: [extension]