{
  "description": "Dieses Profil bildet eine Prozedur ab. Es erweitert das Profil [KBV_PR_Base_Procedure](https://simplifier.net/base1x0/kbv_pr_base_procedure) und ist kompatibel mit den Profilen [ISiKProzedur](https://simplifier.net/isik-basis-v4/isikprozedur) und [MII_PR_Prozedur_Procedure](https://simplifier.net/mii-basismodul-prozedur-2024/mii_pr_prozedur_procedure).",
  "_filename": "StructureDefinition-MaProcedureProzedur.json",
  "package_name": "ma.ambulanter.fall",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "MaProcedureProzedur",
  "abstract": false,
  "type": "Procedure",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "Prozedur",
  "package_version": "1.0.8",
  "status": "draft",
  "id": "520b184a-7a08-4a5b-b99f-7aa0347338fc",
  "kind": "resource",
  "url": "http://ma-ambulant.de/StructureDefinition/MaProcedureProzedur",
  "version": null,
  "differential": {
    "element": [ {
      "id": "Procedure",
      "path": "Procedure",
      "constraint": [ {
        "key": "proc-ISiK-1",
        "human": "Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden",
        "source": "http://ma-ambulant.de/StructureDefinition/MaProcedureProzedur",
        "severity": "error",
        "expression": "code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()"
      }, {
        "key": "proc-ISiK-2",
        "human": "Falls eine codierte Prozedur vorliegt MUSS eine kodierte Category abgebildet werden",
        "source": "http://ma-ambulant.de/StructureDefinition/MaProcedureProzedur",
        "severity": "error",
        "expression": "code.coding.exists() implies category.coding.exists()"
      } ]
    }, {
      "id": "Procedure.extension:SN-Zeit",
      "max": "1",
      "min": 0,
      "path": "Procedure.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://ma-ambulant.de/StructureDefinition/ExtensionSnZeit" ]
      } ],
      "short": "Extension zur Abbildung der Schnitt-Naht-Zeit",
      "sliceName": "SN-Zeit",
      "mustSupport": true
    }, {
      "id": "Procedure.status",
      "path": "Procedure.status",
      "mustSupport": true
    }, {
      "id": "Procedure.category",
      "path": "Procedure.category",
      "mustSupport": true
    }, {
      "id": "Procedure.category.coding:snomed",
      "path": "Procedure.category.coding",
      "sliceName": "snomed",
      "mustSupport": true
    }, {
      "id": "Procedure.code",
      "path": "Procedure.code",
      "constraint": [ {
        "key": "sct-ops-1",
        "human": "Falls die Prozedur kodiert vorliegt, SOLL mindestens ein OPS oder SNOMED-CT Code angegeben werden.",
        "source": "http://ma-ambulant.de/StructureDefinition/MaProcedureProzedur",
        "severity": "error",
        "expression": "coding.exists() implies coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()"
      }, {
        "key": "proc-ISiK-3",
        "human": "Entweder MUSS eine kodierte Prozedur vorliegen oder eine textuelle Beschreibung. Stattdessen nur Extensions hinzuzufügen (vgl. https://www.hl7.org/fhir/element.html - ele-1), ist explizit nicht erlaubt.",
        "source": "http://ma-ambulant.de/StructureDefinition/MaProcedureProzedur",
        "severity": "error",
        "expression": "coding.exists().not() implies text.exists()"
      } ],
      "mustSupport": true
    }, {
      "id": "Procedure.code.coding",
      "path": "Procedure.code.coding",
      "mustSupport": true
    }, {
      "id": "Procedure.code.coding:ops",
      "path": "Procedure.code.coding",
      "sliceName": "ops",
      "mustSupport": true
    }, {
      "id": "Procedure.code.coding:ops.extension:Seitenlokalisation",
      "path": "Procedure.code.coding.extension",
      "sliceName": "Seitenlokalisation",
      "mustSupport": true
    }, {
      "id": "Procedure.subject",
      "path": "Procedure.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ma-ambulant.de/StructureDefinition/MaPatient", "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Patient", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Group" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Procedure.encounter",
      "path": "Procedure.encounter",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ma-ambulant.de/StructureDefinition/MaEncounterBesuch", "http://hl7.org/fhir/StructureDefinition/Encounter" ]
      } ],
      "short": "Bezug zum Besuch/Aufenthalt",
      "comment": "Aufenthalt (Encounter), während dessen die Prozedur erstellt oder durchgeführt wurde.",
      "mustSupport": true
    }, {
      "id": "Procedure.performed[x]",
      "path": "Procedure.performed[x]",
      "mustSupport": true
    }, {
      "id": "Procedure.focalDevice",
      "path": "Procedure.focalDevice",
      "mustSupport": true
    }, {
      "id": "Procedure.focalDevice.manipulated",
      "path": "Procedure.focalDevice.manipulated",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Procedure"
}