{
  "description": "Operation nach OPS inklusive Intention, Datum und Komplikationen:",
  "_filename": "StructureDefinition-mii-pr-onko-operation.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.onkologie",
  "date": null,
  "derivation": "constraint",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "name": "MII_PR_Onko_Operation",
  "mapping": [ {
    "name": "Mapping FHIR zu oBDS",
    "identity": "oBDS"
  } ],
  "abstract": false,
  "type": "Procedure",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII PR Onkologie Operation",
  "package_version": "2025.0.0-alpha1",
  "status": "active",
  "id": "5827385c-d131-4077-bf68-7d6f7cd04d32",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-operation",
  "version": "2025.0.0",
  "differential": {
    "element": [ {
      "id": "Procedure",
      "path": "Procedure",
      "mapping": [ {
        "map": "13",
        "comment": "Operation",
        "identity": "oBDS"
      } ]
    }, {
      "id": "Procedure.extension",
      "min": 1,
      "path": "Procedure.extension"
    }, {
      "path": "Procedure.extension",
      "min": 1,
      "definition": "Intention der OP gemäß 13.1 oBDS 2021",
      "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": [ {
        "code": "Extension",
        "profile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-operation-intention" ]
      } ],
      "mustSupport": true,
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Intention der OP"
          } ]
        } ]
      },
      "sliceName": "Intention",
      "max": "1",
      "id": "Procedure.extension:Intention"
    }, {
      "id": "Procedure.extension:Intention.value[x].coding.code",
      "path": "Procedure.extension.value[x].coding.code",
      "mapping": [ {
        "map": "13.1",
        "comment": "Intention der Operation",
        "identity": "oBDS"
      } ]
    }, {
      "id": "Procedure.basedOn",
      "path": "Procedure.basedOn",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/CarePlan" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Procedure.partOf",
      "path": "Procedure.partOf",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Procedure.code.coding:ops",
      "min": 1,
      "path": "Procedure.code.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": "OPS-Kode der Operation"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "OPS code"
          } ]
        } ]
      },
      "sliceName": "ops",
      "definition": "Komplikation der OP gemäß 13.5 oBDS 2021",
      "_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"
          } ]
        } ]
      }
    }, {
      "id": "Procedure.code.coding:ops.version",
      "path": "Procedure.code.coding.version",
      "mapping": [ {
        "map": "13.4",
        "comment": "OPS Version",
        "identity": "oBDS"
      } ]
    }, {
      "id": "Procedure.code.coding:ops.code",
      "path": "Procedure.code.coding.code",
      "mapping": [ {
        "map": "13.3",
        "comment": "OPS",
        "identity": "oBDS"
      } ]
    }, {
      "id": "Procedure.subject",
      "path": "Procedure.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ]
    }, {
      "id": "Procedure.encounter",
      "path": "Procedure.encounter",
      "mustSupport": true
    }, {
      "id": "Procedure.performed[x]",
      "path": "Procedure.performed[x]",
      "type": [ {
        "code": "dateTime"
      } ]
    }, {
      "id": "Procedure.performed[x]:performedDateTime",
      "path": "Procedure.performed[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "mapping": [ {
        "map": "13.2",
        "comment": "OP Datum",
        "identity": "oBDS"
      } ],
      "sliceName": "performedDateTime"
    }, {
      "id": "Procedure.reasonReference",
      "path": "Procedure.reasonReference",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-diagnose-primaertumor", "http://hl7.org/fhir/StructureDefinition/Condition" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Procedure.outcome",
      "path": "Procedure.outcome",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-beurteilung-lokaler-residualstatus"
      },
      "mapping": [ {
        "map": "10.1",
        "comment": "Beurteilung des lokalen Residualstatus nach Abschluss der Operation",
        "identity": "oBDS"
      } ],
      "mustSupport": true
    }, {
      "id": "Procedure.outcome.coding",
      "path": "Procedure.outcome.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": "Lokaler Residualstatus der OP gemäß 10.1 oBDS 2021. Globaler Residualstatus wird prozedurenunabhängig als eigenständige Observation kodiert.",
      "_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."
          } ]
        } ]
      }
    }, {
      "id": "Procedure.outcome.coding.system",
      "path": "Procedure.outcome.coding.system",
      "patternUri": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-residualstatus",
      "mustSupport": true
    }, {
      "id": "Procedure.outcome.coding.code",
      "path": "Procedure.outcome.coding.code",
      "mustSupport": true
    }, {
      "id": "Procedure.complication",
      "path": "Procedure.complication",
      "mapping": [ {
        "map": "13.5",
        "comment": "OP Komplikationen ",
        "identity": "oBDS"
      } ],
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "path": "Procedure.complication",
      "min": 0,
      "_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"
          } ]
        } ]
      },
      "mustSupport": true,
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Komplikation der OP laut oBDS"
          } ]
        } ]
      },
      "sliceName": "compl_obds",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-operation-komplikation"
      },
      "max": "*",
      "id": "Procedure.complication:compl_obds"
    }, {
      "id": "Procedure.complication:compl_obds.coding.system",
      "path": "Procedure.complication.coding.system",
      "patternUri": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-operation-komplikation"
    }, {
      "id": "Procedure.complication:compl_obds.coding.code",
      "min": 1,
      "path": "Procedure.complication.coding.code",
      "mustSupport": true
    }, {
      "path": "Procedure.complication",
      "min": 0,
      "definition": "Komplikation der OP - soweit nicht in 13.1 oBDS 2021 enthalten - als ICD-10-GM",
      "short": "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"
          } ]
        } ]
      },
      "mustSupport": true,
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Komplikation der OP Sonstige ICD-10"
          } ]
        } ]
      },
      "sliceName": "compl_icd10",
      "binding": {
        "strength": "required",
        "valueSet": "http://fhir.de/ValueSet/bfarm/icd-10-gm"
      },
      "max": "*",
      "id": "Procedure.complication:compl_icd10"
    }, {
      "id": "Procedure.complication:compl_icd10.coding.system",
      "min": 1,
      "path": "Procedure.complication.coding.system",
      "patternUri": "http://fhir.de/CodeSystem/bfarm/icd-10-gm"
    }, {
      "id": "Procedure.complication:compl_icd10.coding.code",
      "min": 1,
      "path": "Procedure.complication.coding.code"
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Procedure"
}