{
  "description": "Profil zur Erfassung einer Implantation eines Herzschrittmachers, Kardioverter-Defibrillators oder ventrikulären Unterstützungssystems.",
  "_filename": "StructureDefinition-mii-pr-kardio-kardiale-deviceimplantation.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.kardiologie",
  "date": "2025-10-07",
  "derivation": "constraint",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "name": "MII_PR_Kardio_Kardiale_Deviceimplantation",
  "abstract": false,
  "type": "Procedure",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": "MII PR Kardio Kardiale Deviceimplantation",
  "package_version": "2026.0.0-alpha.2",
  "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"
      } ]
    }
  } ],
  "status": "active",
  "id": "e6fd839f-ea34-41b0-a940-434ad306055e",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/StructureDefinition/mii-pr-kardio-kardiale-deviceimplantation",
  "version": "2026.0.0-alpha.1",
  "differential": {
    "element": [ {
      "id": "Procedure.code",
      "path": "Procedure.code",
      "comment": "Hier sollen mindestens ein SNOMED- oder ein OPS-Code angegeben werden.\r\nFür ACRIBiS eignen sich die folgenden Codes (Stand 01.05.2025):\r\n - **ICD**: 395218007 - Implantation of internal cardiac defibrillator (procedure)\r\n - **CRT**: 429064006 - Implantation of cardiac resynchronization therapy implantable pacemaker (procedure)\r\n - **ICD+CRT**: 1236755008 - Implantation of cardiac resynchronization defibrillator system (procedure)\r\n - **unbekannt**: Angabe, dass der genaue Device-Typ unbekannt ist. Abbildung über asked-unknown. Suche der Angabe über Verknüpfung des Devices in der Prozedur \"MII PR Kardio Kardiale Deviceimplantation\" und mittels Angabe des Metaprofils.\r\n - **LVAD**: 232967006 - Implantation of left cardiac ventricular assist device (procedure)\r\n - **RVAD**: 232966002 - Implantation of right cardiac ventricular assist device (procedure)\r\n - **BiVAD**: 232968001 - Implantation of cardiac biventricular assist device (procedure)"
    }, {
      "id": "Procedure.code.coding:sct",
      "path": "Procedure.code.coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/ValueSet/mii-vs-kardio-kardiale-deviceimplantation-scnomedct"
      },
      "sliceName": "sct"
    }, {
      "id": "Procedure.subject",
      "path": "Procedure.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ]
    }, {
      "id": "Procedure.bodySite",
      "path": "Procedure.bodySite",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/ValueSet/mii-vs-kardio-kardiale-deviceimplantation-koerperstelle-snomedct"
      },
      "comment": "Hier soll mindestens ein SNOMED-Code angegeben werden.\r\nFür ACRIBiS müssen die folgenden Codes verwendet werden (Stand 01.05.2025):\r\n - **Herzschrittmacher/Implantierter Defibrillator**: 80891009 - Heart structure (body structure)\r\n - **LVAD**: 87878005 - Left cardiac ventricular structure (body structure)\r\n - **RVAD**: 53085002 - Right cardiac ventricular structure (body structure)\r\n - **BiVAD**: 87878005 - Left cardiac ventricular structure (body structure) **und** 53085002 - Right cardiac ventricular structure (body structure)\r\n"
    }, {
      "id": "Procedure.focalDevice",
      "min": 1,
      "path": "Procedure.focalDevice",
      "mustSupport": true
    }, {
      "id": "Procedure.focalDevice.action",
      "min": 1,
      "path": "Procedure.focalDevice.action",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/device-action"
      },
      "mustSupport": true,
      "patternCodeableConcept": {
        "coding": [ {
          "code": "129338005",
          "system": "http://snomed.info/sct",
          "version": "http://snomed.info/sct/900000000000207008/version/20240701"
        } ]
      }
    }, {
      "id": "Procedure.focalDevice.manipulated",
      "path": "Procedure.focalDevice.manipulated",
      "mustSupport": true
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Procedure"
}