{
"description": "Logische Repräsentation des Basismoduls Prozedur",
"_filename": "StructureDefinition-mii-lm-prozedur.json",
"package_name": "de.medizininformatikinitiative.kerndatensatz.base",
"date": "2026-09-01",
"derivation": "specialization",
"meta": {
"profile": [ "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablestructuredefinition", "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablestructuredefinition" ],
"extension": [ {
"url": "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-license",
"valueCode": "CC-BY-4.0"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/package-source",
"extension": [ {
"url": "packageId",
"valueId": "de.medizininformatikinitiative.kerndatensatz.base"
}, {
"url": "version",
"valueString": "2027.0.0-ballot.rc1"
}, {
"url": "uri",
"valueUri": "https://www.medizininformatik-initiative.de/fhir/modul-base"
} ]
} ]
},
"publisher": "Medical Informatics Initiative (MII)",
"fhirVersion": "4.0.1",
"jurisdiction": [ {
"coding": [ {
"code": "DE",
"system": "urn:iso:std:iso:3166",
"display": "Germany"
} ]
} ],
"purpose": "Define the information model for procedures independently of a concrete FHIR resource representation.",
"name": "MII_LM_Prozedur",
"mapping": [ {
"uri": "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1",
"name": "Prozedur LogicalModel FHIR Mapping",
"identity": "FHIR"
} ],
"abstract": false,
"type": "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/LogicalModel/Prozedur",
"experimental": "false",
"resourceType": "StructureDefinition",
"title": "MII LM Prozedur",
"package_version": "2027.0.0-ballot.rc1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm",
"valueCoding": {
"code": "semver",
"system": "http://hl7.org/fhir/version-algorithm",
"display": "SemVer"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode": "shareable"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode": "publishable"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/artifact-versionPolicy",
"valueCodeableConcept": {
"coding": [ {
"code": "package",
"system": "http://terminology.hl7.org/CodeSystem/artifact-version-policy-codes",
"display": "Package",
"version": "3.0.0"
} ]
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/artifact-usage",
"valueMarkdown": "Use this logical model as the module-specific information model for the Medical Informatics Initiative core dataset. The model describes clinically or administratively relevant information in a domain-oriented form and provides a bridge between the conceptual content specification and the corresponding technical FHIR profiles. It is a pattern for describing the intended content model and is not intended to be exchanged as a concrete FHIR resource instance. Implementers should use it to understand the scope, semantics, and structure of the module before applying the related FHIR profiles and mappings."
}, {
"url": "http://hl7.org/fhir/StructureDefinition/resource-approvalDate",
"valueDate": "2024-03-07"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod",
"valuePeriod": {
"start": "2027"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/artifact-topic",
"valueCodeableConcept": {
"coding": [ {
"code": "C25218",
"system": "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl"
} ]
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/artifact-author",
"valueContactDetail": {
"telecom": [ {
"value": "julian.sass@charite.de",
"system": "email"
} ]
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/artifact-editor",
"valueContactDetail": {
"name": "Taskforce Core Data Set"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/artifact-reviewer",
"valueContactDetail": {
"name": "Interoperability Working Group",
"telecom": [ {
"value": "https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group",
"system": "url"
} ]
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/artifact-reviewer",
"valueContactDetail": {
"name": "National Steering Committee",
"telecom": [ {
"value": "https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee",
"system": "url"
} ]
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/artifact-endorser",
"valueContactDetail": {
"name": "Interoperability Working Group",
"telecom": [ {
"value": "https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group",
"system": "url"
} ]
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/artifact-endorser",
"valueContactDetail": {
"name": "National Steering Committee",
"telecom": [ {
"value": "https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee",
"system": "url"
} ]
}
} ],
"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",
"isModifier": false,
"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"
} ],
"max": "*",
"id": "Prozedur",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Element"
}
}, {
"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.",
"isModifier": false,
"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"
},
"isSummary": false
}, {
"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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"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"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Prozedur.extension",
"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"
},
"isSummary": false
}, {
"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": "Procedure.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/ops')",
"identity": "FHIR"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "1",
"id": "Prozedur.OPSProzedurKodiert",
"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.",
"isModifier": false,
"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"
},
"isSummary": false
}, {
"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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"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"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Prozedur.OPSProzedurKodiert.extension",
"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"
},
"isSummary": false
}, {
"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](http://hl7.org/fhir/R4/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"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Prozedur.OPSProzedurKodiert.modifierExtension",
"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
}, {
"path": "Prozedur.OPSProzedurKodiert.VollstaendigerProzedurencode",
"min": 0,
"definition": "Der vollständige Prozedurencode: Tripel aus OPS-Code, Codesystem (inkl. Version!) und Katalogtext.",
"short": "Vollständiger Prozedurencode",
"mapping": [ {
"map": "Procedure.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/ops')",
"identity": "FHIR"
} ],
"type": [ {
"code": "Coding"
} ],
"max": "1",
"id": "Prozedur.OPSProzedurKodiert.VollstaendigerProzedurencode",
"base": {
"max": "1",
"min": 0,
"path": "Prozedur.OPSProzedurKodiert.VollstaendigerProzedurencode"
}
}, {
"path": "Prozedur.OPSProzedurKodiert.Seitenlokalisation",
"min": 0,
"definition": "Seitenlokalisation für die durchgeführte Prozedur gemäß BfArM",
"short": "Seitenlokalisation",
"mapping": [ {
"map": "Procedure.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/ops').extension('http://fhir.de/StructureDefinition/seitenlokalisation').value",
"identity": "FHIR"
} ],
"type": [ {
"code": "Coding"
} ],
"max": "1",
"id": "Prozedur.OPSProzedurKodiert.Seitenlokalisation",
"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": "Procedure.code.coding.where(system='http://snomed.info/sct')",
"identity": "FHIR"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "1",
"id": "Prozedur.SNOMEDProzedurKodiert",
"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.",
"isModifier": false,
"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"
},
"isSummary": false
}, {
"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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"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"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Prozedur.SNOMEDProzedurKodiert.extension",
"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"
},
"isSummary": false
}, {
"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](http://hl7.org/fhir/R4/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"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Prozedur.SNOMEDProzedurKodiert.modifierExtension",
"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
}, {
"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": "Procedure.code.coding.where(system='http://snomed.info/sct')",
"identity": "FHIR"
} ],
"type": [ {
"code": "Coding"
} ],
"max": "1",
"id": "Prozedur.SNOMEDProzedurKodiert.VollstaendigerProzedurencode",
"base": {
"max": "1",
"min": 0,
"path": "Prozedur.SNOMEDProzedurKodiert.VollstaendigerProzedurencode"
}
}, {
"path": "Prozedur.Koerperstelle",
"min": 0,
"definition": "Körperstelle der Prozedur mittels SNOMED CT inkl. Lateralität (R, L, B)",
"short": "Körperstelle",
"mapping": [ {
"map": "Procedure.bodySite",
"identity": "FHIR"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "*",
"id": "Prozedur.Koerperstelle",
"base": {
"max": "*",
"min": 0,
"path": "Prozedur.Koerperstelle"
}
}, {
"path": "Prozedur.DetaillierteAnatomischeStruktur",
"min": 0,
"definition": "Detaillierte Angaben zu der patientenbezogenen anatomischen Struktur oder Lokalisation, auf die sich die Prozedur bezieht. Das Element kann verwendet werden, wenn die kodierte Angabe der Körperstelle allein nicht die für den Anwendungsfall erforderliche Genauigkeit bietet.",
"short": "Detaillierte anatomische Struktur",
"mapping": [ {
"map": "Procedure.bodySite.extension('http://hl7.org/fhir/StructureDefinition/bodySite').valueReference",
"identity": "FHIR"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/BodyStructure" ]
} ],
"max": "*",
"id": "Prozedur.DetaillierteAnatomischeStruktur",
"base": {
"max": "*",
"min": 0,
"path": "Prozedur.DetaillierteAnatomischeStruktur"
}
}, {
"path": "Prozedur.Durchfuehrungsabsicht",
"min": 0,
"definition": "Intention mit der die Prozedur durchgeführt wird.",
"short": "Durchführungsabsicht",
"mapping": [ {
"map": "Procedure.extension('https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht').value",
"identity": "FHIR"
} ],
"type": [ {
"code": "Coding"
} ],
"max": "1",
"id": "Prozedur.Durchfuehrungsabsicht",
"base": {
"max": "1",
"min": 0,
"path": "Prozedur.Durchfuehrungsabsicht"
}
}, {
"path": "Prozedur.Durchfuehrungsdatum",
"min": 1,
"definition": "Das Datum ist der Zeitpunkt, an dem eine Prozedur durchgeführt wurde.",
"short": "Durchführungsdatum",
"mapping": [ {
"map": "Procedure.performedDateTime",
"identity": "FHIR"
} ],
"type": [ {
"code": "dateTime"
} ],
"max": "1",
"id": "Prozedur.Durchfuehrungsdatum",
"base": {
"max": "1",
"min": 1,
"path": "Prozedur.Durchfuehrungsdatum"
}
}, {
"path": "Prozedur.Dokumentationsdatum",
"min": 0,
"definition": "Das Datum ist der Zeitpunkt, an dem eine Prozedur dokumentiert wurde.",
"short": "Dokumentationsdatum",
"mapping": [ {
"map": "Procedure.extension('http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum').value",
"identity": "FHIR"
} ],
"type": [ {
"code": "dateTime"
} ],
"max": "1",
"id": "Prozedur.Dokumentationsdatum",
"base": {
"max": "1",
"min": 0,
"path": "Prozedur.Dokumentationsdatum"
}
}, {
"path": "Prozedur.Freitextbeschreibung",
"min": 0,
"definition": "Freitextbeschreibung der durchgeführten Prozedur",
"short": "Freitextbeschreibung",
"mapping": [ {
"map": "Procedure.code.text",
"identity": "FHIR"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Prozedur.Freitextbeschreibung",
"base": {
"max": "1",
"min": 0,
"path": "Prozedur.Freitextbeschreibung"
}
} ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "4.0.1"
} ]
},
"status": "active",
"id": "aed02eda-a381-41f6-b286-30a203cca8c4",
"kind": "logical",
"url": "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/LogicalModel/Prozedur",
"version": "2027.0.0-ballot.rc1",
"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.DetaillierteAnatomischeStruktur",
"max": "*",
"min": 0,
"path": "Prozedur.DetaillierteAnatomischeStruktur",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/BodyStructure" ]
} ],
"short": "Detaillierte anatomische Struktur",
"mapping": [ {
"map": "Procedure.bodySite.extension('http://hl7.org/fhir/StructureDefinition/bodySite').valueReference",
"identity": "FHIR"
} ],
"definition": "Detaillierte Angaben zu der patientenbezogenen anatomischen Struktur oder Lokalisation, auf die sich die Prozedur bezieht. Das Element kann verwendet werden, wenn die kodierte Angabe der Körperstelle allein nicht die für den Anwendungsfall erforderliche Genauigkeit bietet."
}, {
"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": [ {
"name": "Medical Informatics Initiative (MII)",
"telecom": [ {
"value": "https://www.medizininformatik-initiative.de/en",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element"
}