{
"description": "Logische Repräsentation des Basismoduls Prozedur",
"_filename": "StructureDefinition-mii-lm-prozedur.json",
"package_name": "de.medizininformatikinitiative.kerndatensatz.prozedur",
"date": "2024-12-09",
"derivation": "specialization",
"publisher": "Medizininformatik Initiative",
"fhirVersion": "4.0.1",
"name": "MII_LM_Prozedur",
"mapping": [ {
"name": "Prozedur LogicalModel FHIR Mapping",
"identity": "FHIR"
} ],
"abstract": false,
"type": "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/LogicalModel/Prozedur",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "MII LM Prozedur",
"package_version": "2025.0.0",
"extension": [ {
"url": "https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable",
"valueCodeableConcept": {
"coding": [ {
"code": "CC-BY-4.0",
"system": "http://hl7.org/fhir/spdx-license",
"display": "Creative Commons Attribution 4.0 International"
} ]
}
} ],
"snapshot": {
"element": [ {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Prozedur",
"min": 0,
"definition": "Logische Repräsentation des Basismoduls Prozedur",
"short": "Das Basismodul Prozeduren umfasst die Beschreibung diagnostischer oder therapeutischer Maßnahmen, die als Leistungskomplexe auch für die Abrechnung dokumentiert und kodiert werden, z.B. Operationen.",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "*",
"id": "Prozedur",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Prozedur"
}
}, {
"path": "Prozedur.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Prozedur.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Prozedur.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Prozedur.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Prozedur.OPSProzedurKodiert",
"min": 0,
"definition": "Kodierung der durchgeführten Prozedur mittels OPS.",
"short": "Kodierung der durchgeführten Prozedur mittels OPS.",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Procedure.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/ops')",
"identity": "FHIR"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "1",
"id": "Prozedur.OPSProzedurKodiert",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Prozedur.OPSProzedurKodiert"
}
}, {
"path": "Prozedur.OPSProzedurKodiert.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Prozedur.OPSProzedurKodiert.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Prozedur.OPSProzedurKodiert.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Prozedur.OPSProzedurKodiert.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Prozedur.OPSProzedurKodiert.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Prozedur.OPSProzedurKodiert.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Prozedur.OPSProzedurKodiert.VollstaendigerProzedurencode",
"min": 0,
"definition": "Der vollständige Prozedurencode: Tripel aus OPS-Code, Codesystem (inkl. Version!) und Katalogtext.",
"short": "Vollständiger Prozedurencode",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6",
"identity": "v2"
}, {
"map": "CV",
"identity": "rim"
}, {
"map": "fhir:Coding rdfs:subClassOf dt:CDCoding",
"identity": "orim"
}, {
"map": "Procedure.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/ops')",
"identity": "FHIR"
} ],
"type": [ {
"code": "Coding"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "1",
"id": "Prozedur.OPSProzedurKodiert.VollstaendigerProzedurencode",
"condition": [ "ele-1" ],
"comment": "Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.",
"base": {
"max": "1",
"min": 0,
"path": "Prozedur.OPSProzedurKodiert.VollstaendigerProzedurencode"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Prozedur.OPSProzedurKodiert.Seitenlokalisation",
"min": 0,
"definition": "Seitenlokalisation für die durchgeführte Prozedur gemäß BfArM",
"short": "Seitenlokalisation",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6",
"identity": "v2"
}, {
"map": "CV",
"identity": "rim"
}, {
"map": "fhir:Coding rdfs:subClassOf dt:CDCoding",
"identity": "orim"
}, {
"map": "Procedure.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/ops').extension('http://fhir.de/StructureDefinition/seitenlokalisation').value",
"identity": "FHIR"
} ],
"type": [ {
"code": "Coding"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "1",
"id": "Prozedur.OPSProzedurKodiert.Seitenlokalisation",
"condition": [ "ele-1" ],
"comment": "Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.",
"base": {
"max": "1",
"min": 0,
"path": "Prozedur.OPSProzedurKodiert.Seitenlokalisation"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Prozedur.SNOMEDProzedurKodiert",
"min": 0,
"definition": "Kodierung der durchgeführten Prozedur mittels SNOMED CT.",
"short": "Kodierung der durchgeführten Prozedur mittels SNOMED CT.",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Procedure.code.coding.where(system='http://snomed.info/sct')",
"identity": "FHIR"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "1",
"id": "Prozedur.SNOMEDProzedurKodiert",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Prozedur.SNOMEDProzedurKodiert"
}
}, {
"path": "Prozedur.SNOMEDProzedurKodiert.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Prozedur.SNOMEDProzedurKodiert.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Prozedur.SNOMEDProzedurKodiert.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Prozedur.SNOMEDProzedurKodiert.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Prozedur.SNOMEDProzedurKodiert.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Prozedur.SNOMEDProzedurKodiert.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Prozedur.SNOMEDProzedurKodiert.VollstaendigerProzedurencode",
"min": 0,
"definition": "Der vollständige Prozedurencode: Tripel aus SNOMED-CT-Code, Codesystem (Version optional) und präferierten Namen",
"short": "Vollständiger Prozedurencode",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6",
"identity": "v2"
}, {
"map": "CV",
"identity": "rim"
}, {
"map": "fhir:Coding rdfs:subClassOf dt:CDCoding",
"identity": "orim"
}, {
"map": "Procedure.code.coding.where(system='http://snomed.info/sct')",
"identity": "FHIR"
} ],
"type": [ {
"code": "Coding"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "1",
"id": "Prozedur.SNOMEDProzedurKodiert.VollstaendigerProzedurencode",
"condition": [ "ele-1" ],
"comment": "Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.",
"base": {
"max": "1",
"min": 0,
"path": "Prozedur.SNOMEDProzedurKodiert.VollstaendigerProzedurencode"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Prozedur.Koerperstelle",
"min": 0,
"definition": "Körperstelle der Prozedur mittels SNOMED CT inkl. Lateralität (R, L, B)",
"short": "Körperstelle",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE",
"identity": "v2"
}, {
"map": "CD",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
"identity": "orim"
}, {
"map": "Procedure.bodySite",
"identity": "FHIR"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "*",
"id": "Prozedur.Koerperstelle",
"condition": [ "ele-1" ],
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"base": {
"max": "*",
"min": 0,
"path": "Prozedur.Koerperstelle"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Prozedur.Durchfuehrungsabsicht",
"min": 0,
"definition": "Intention mit der die Prozedur durchgeführt wird.",
"short": "Durchführungsabsicht",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6",
"identity": "v2"
}, {
"map": "CV",
"identity": "rim"
}, {
"map": "fhir:Coding rdfs:subClassOf dt:CDCoding",
"identity": "orim"
}, {
"map": "Procedure.extension('https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht').value",
"identity": "FHIR"
} ],
"type": [ {
"code": "Coding"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "1",
"id": "Prozedur.Durchfuehrungsabsicht",
"condition": [ "ele-1" ],
"comment": "Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.",
"base": {
"max": "1",
"min": 0,
"path": "Prozedur.Durchfuehrungsabsicht"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Prozedur.Durchfuehrungsdatum",
"min": 1,
"definition": "Das Datum ist der Zeitpunkt, an dem eine Prozedur durchgeführt wurde.",
"short": "Durchführungsdatum",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Procedure.performedDateTime",
"identity": "FHIR"
} ],
"type": [ {
"code": "dateTime"
} ],
"max": "1",
"id": "Prozedur.Durchfuehrungsdatum",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 1,
"path": "Prozedur.Durchfuehrungsdatum"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Prozedur.Dokumentationsdatum",
"min": 0,
"definition": "Das Datum ist der Zeitpunkt, an dem eine Prozedur dokumentiert wurde.",
"short": "Dokumentationsdatum",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Procedure.extension('http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum').value",
"identity": "FHIR"
} ],
"type": [ {
"code": "dateTime"
} ],
"max": "1",
"id": "Prozedur.Dokumentationsdatum",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Prozedur.Dokumentationsdatum"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Prozedur.Freitextbeschreibung",
"min": 0,
"definition": "Freitextbeschreibung der durchgeführten Prozedur",
"short": "Freitextbeschreibung",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Procedure.code.text",
"identity": "FHIR"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Prozedur.Freitextbeschreibung",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Prozedur.Freitextbeschreibung"
}
} ]
},
"status": "active",
"id": "670b636e-a361-4898-88cd-ef912e8147ee",
"kind": "logical",
"url": "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/LogicalModel/Prozedur",
"version": "2025.0.0",
"differential": {
"element": [ {
"id": "Prozedur",
"path": "Prozedur",
"short": "Das Basismodul Prozeduren umfasst die Beschreibung diagnostischer oder therapeutischer Maßnahmen, die als Leistungskomplexe auch für die Abrechnung dokumentiert und kodiert werden, z.B. Operationen.",
"definition": "Logische Repräsentation des Basismoduls Prozedur"
}, {
"id": "Prozedur.OPSProzedurKodiert",
"max": "1",
"min": 0,
"path": "Prozedur.OPSProzedurKodiert",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Kodierung der durchgeführten Prozedur mittels OPS.",
"mapping": [ {
"map": "Procedure.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/ops')",
"identity": "FHIR"
} ],
"definition": "Kodierung der durchgeführten Prozedur mittels OPS."
}, {
"id": "Prozedur.OPSProzedurKodiert.VollstaendigerProzedurencode",
"max": "1",
"min": 0,
"path": "Prozedur.OPSProzedurKodiert.VollstaendigerProzedurencode",
"type": [ {
"code": "Coding"
} ],
"short": "Vollständiger Prozedurencode",
"mapping": [ {
"map": "Procedure.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/ops')",
"identity": "FHIR"
} ],
"definition": "Der vollständige Prozedurencode: Tripel aus OPS-Code, Codesystem (inkl. Version!) und Katalogtext."
}, {
"id": "Prozedur.OPSProzedurKodiert.Seitenlokalisation",
"max": "1",
"min": 0,
"path": "Prozedur.OPSProzedurKodiert.Seitenlokalisation",
"type": [ {
"code": "Coding"
} ],
"short": "Seitenlokalisation",
"mapping": [ {
"map": "Procedure.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/ops').extension('http://fhir.de/StructureDefinition/seitenlokalisation').value",
"identity": "FHIR"
} ],
"definition": "Seitenlokalisation für die durchgeführte Prozedur gemäß BfArM"
}, {
"id": "Prozedur.SNOMEDProzedurKodiert",
"max": "1",
"min": 0,
"path": "Prozedur.SNOMEDProzedurKodiert",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Kodierung der durchgeführten Prozedur mittels SNOMED CT.",
"mapping": [ {
"map": "Procedure.code.coding.where(system='http://snomed.info/sct')",
"identity": "FHIR"
} ],
"definition": "Kodierung der durchgeführten Prozedur mittels SNOMED CT."
}, {
"id": "Prozedur.SNOMEDProzedurKodiert.VollstaendigerProzedurencode",
"max": "1",
"min": 0,
"path": "Prozedur.SNOMEDProzedurKodiert.VollstaendigerProzedurencode",
"type": [ {
"code": "Coding"
} ],
"short": "Vollständiger Prozedurencode",
"mapping": [ {
"map": "Procedure.code.coding.where(system='http://snomed.info/sct')",
"identity": "FHIR"
} ],
"definition": "Der vollständige Prozedurencode: Tripel aus SNOMED-CT-Code, Codesystem (Version optional) und präferierten Namen"
}, {
"id": "Prozedur.Koerperstelle",
"max": "*",
"min": 0,
"path": "Prozedur.Koerperstelle",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Körperstelle",
"mapping": [ {
"map": "Procedure.bodySite",
"identity": "FHIR"
} ],
"definition": "Körperstelle der Prozedur mittels SNOMED CT inkl. Lateralität (R, L, B)"
}, {
"id": "Prozedur.Durchfuehrungsabsicht",
"max": "1",
"min": 0,
"path": "Prozedur.Durchfuehrungsabsicht",
"type": [ {
"code": "Coding"
} ],
"short": "Durchführungsabsicht",
"mapping": [ {
"map": "Procedure.extension('https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht').value",
"identity": "FHIR"
} ],
"definition": "Intention mit der die Prozedur durchgeführt wird."
}, {
"id": "Prozedur.Durchfuehrungsdatum",
"max": "1",
"min": 1,
"path": "Prozedur.Durchfuehrungsdatum",
"type": [ {
"code": "dateTime"
} ],
"short": "Durchführungsdatum",
"mapping": [ {
"map": "Procedure.performedDateTime",
"identity": "FHIR"
} ],
"definition": "Das Datum ist der Zeitpunkt, an dem eine Prozedur durchgeführt wurde."
}, {
"id": "Prozedur.Dokumentationsdatum",
"max": "1",
"min": 0,
"path": "Prozedur.Dokumentationsdatum",
"type": [ {
"code": "dateTime"
} ],
"short": "Dokumentationsdatum",
"mapping": [ {
"map": "Procedure.extension('http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum').value",
"identity": "FHIR"
} ],
"definition": "Das Datum ist der Zeitpunkt, an dem eine Prozedur dokumentiert wurde."
}, {
"id": "Prozedur.Freitextbeschreibung",
"max": "1",
"min": 0,
"path": "Prozedur.Freitextbeschreibung",
"type": [ {
"code": "string"
} ],
"short": "Freitextbeschreibung",
"mapping": [ {
"map": "Procedure.code.text",
"identity": "FHIR"
} ],
"definition": "Freitextbeschreibung der durchgeführten Prozedur"
} ]
},
"contact": [ {
"telecom": [ {
"value": "https://www.medizininformatik-initiative.de",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element"
}