| Active as of 2025-12-17 |
TTL representation of the ISiKProzedur resource profile.
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:StructureDefinition ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "ISiKProzedur"] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition ISiKProzedur</b></p><a name=\"ISiKProzedur\"> </a><a name=\"hcISiKProzedur\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISiKProzedur-definitions.html#Procedure\">Procedure</a><a name=\"Procedure\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( proc-ISiK-1, proc-ISiK-2 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/procedure.html\">Procedure</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">An action that is being or was performed on a patient</span><br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden\" class=\"constraint\">proc-ISiK-1</span><span title=\"null\" class=\"constraint\">, </span><span style=\"font-weight:bold\" title=\"Falls eine codierte Prozedur vorliegt MUSS eine kodierte Category abgebildet werden\" class=\"constraint\">proc-ISiK-2</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISiKProzedur-definitions.html#Procedure.id\">id</a><a name=\"Procedure.id\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#id\">id</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">serverseitige, interne ID des Datensatzes</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISiKProzedur-definitions.html#Procedure.meta\">meta</a><a name=\"Procedure.meta\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISiKProzedur-definitions.html#Procedure.meta.versionId\">versionId</a><a name=\"Procedure.meta.versionId\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#id\">id</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Eindeutiger Name der serverseitigen Version des Datensatzes</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISiKProzedur-definitions.html#Procedure.meta.lastUpdated\">lastUpdated</a><a name=\"Procedure.meta.lastUpdated\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#instant\">instant</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Zeitpunkt der letzten Änderung</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Simple Extension\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISiKProzedur-definitions.html#Procedure.extension\">Slices for extension</a><a name=\"Procedure.extension\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/extensibility.html#Extension\">Extension</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Extension</span><br/><span style=\"font-weight:bold\">Slice: </span>Unordered, Open by value:url</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck124.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISiKProzedur-definitions.html#Procedure.extension:Dokumentationsdatum\" title=\"Extension URL = http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum\">extension:Dokumentationsdatum</a><a name=\"Procedure.extension.2\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Dokumentationsdatum<br/><span style=\"font-weight:bold\">URL: </span><a href=\"https://simplifier.net/resolve?scope=de.basisprofil.r4@1.5.4&canonical=http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum\">http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum</a></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISiKProzedur-definitions.html#Procedure.status\">status</a><a name=\"Procedure.status\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Status</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISiKProzedur-definitions.html#Procedure.category\">category</a><a name=\"Procedure.category\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Kategorie</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck103.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic; font-style: italic\" href=\"StructureDefinition-ISiKProzedur-definitions.html#Procedure.category.coding\">Slices for coding</a><a name=\"Procedure.category.coding\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic; opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5; font-style: italic\">Code defined by a terminology system</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by pattern:system</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1024.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISiKProzedur-definitions.html#Procedure.category.coding:SNOMED-CT\" title=\"Slice SNOMED-CT\">coding:SNOMED-CT</a><a name=\"Procedure.category.coding.2\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"unknown.html\" title=\"Coding\">?pkp-2?</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Code defined by a terminology system</span><br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-ProzedurenKategorieSCT.html\" title=\"https://gematik.de/fhir/isik/ValueSet/ProzedurenKategorieSCT\" class=\"binding\">ProzedurenKategorieSCT</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\" class=\"binding\">preferred</a><span title=\"null\" class=\"binding\">)</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISiKProzedur-definitions.html#Procedure.code\">code</a><a name=\"Procedure.code\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( sct-ops-1, proc-ISiK-3 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Prozeduren-Code<br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"Falls die Prozedur kodiert vorliegt, SOLL mindestens ein OPS oder SNOMED-CT Code angegeben werden.\" class=\"constraint\">sct-ops-1</span><span title=\"null\" class=\"constraint\">, </span><span style=\"font-weight:bold\" title=\"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.\" class=\"constraint\">proc-ISiK-3</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck113.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic; font-style: italic\" href=\"StructureDefinition-ISiKProzedur-definitions.html#Procedure.code.coding\">Slices for coding</a><a name=\"Procedure.code.coding\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic; opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\">Codierte Darstellung der Prozedur</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by pattern:system</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1135.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISiKProzedur-definitions.html#Procedure.code.coding:OPS\" title=\"Slice OPS\">coding:OPS</a><a name=\"Procedure.code.coding.2\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://simplifier.net/resolve?scope=de.basisprofil.r4@1.5.4&canonical=http://fhir.de/StructureDefinition/CodingOPS\" title=\"Coding\">CodingOPS</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">OPS-codierte Darstellung der Prozedur</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11353.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> Slices for extension<a name=\"Procedure.code.coding.extension\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Content/Rules for all slices</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck113524.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISiKProzedur-definitions.html#Procedure.code.coding:OPS.extension:Seitenlokalisation\" title=\"Slice Seitenlokalisation\">extension:Seitenlokalisation</a><a name=\"Procedure.code.coding.extension.2\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"https://simplifier.net/resolve?scope=de.basisprofil.r4@1.5.4&canonical=http://fhir.de/StructureDefinition/seitenlokalisation\" title=\"Extension\">ExtensionSeitenlokalisation</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Seitenlokalisation</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISiKProzedur-definitions.html#Procedure.code.coding:OPS.system\">system</a><a name=\"Procedure.code.coding.system\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Namensraum des Prozeduren-Codes</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISiKProzedur-definitions.html#Procedure.code.coding:OPS.version\">version</a><a name=\"Procedure.code.coding.version\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. `2017`)</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11340.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISiKProzedur-definitions.html#Procedure.code.coding:OPS.code\">code</a><a name=\"Procedure.code.coding.code\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">OPS-Code</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1124.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISiKProzedur-definitions.html#Procedure.code.coding:SNOMED-CT\" title=\"Slice SNOMED-CT\">coding:SNOMED-CT</a><a name=\"Procedure.code.coding.3\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"unknown.html\" title=\"Coding\">?pkp-2?</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">SNOMED-codierte Darstellung der Prozedur<br class=\"binding\"/><span style=\"font-weight:bold\" title=\"null\" class=\"binding\">Binding: </span><a href=\"ValueSet-ProzedurenCodesSCT.html\" title=\"https://gematik.de/fhir/isik/ValueSet/ProzedurenCodesSCT\" class=\"binding\">ProzedurenCodesSCT</a><span title=\"null\" class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\" class=\"binding\">required</a><span title=\"null\" class=\"binding\">)</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISiKProzedur-definitions.html#Procedure.code.text\">text</a><a name=\"Procedure.code.text\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Freitextiche Beschreibung der Prozedur</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISiKProzedur-definitions.html#Procedure.subject\">subject</a><a name=\"Procedure.subject\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/patient.html\">Patient</a> | <a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/group.html\">Group</a>)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Patientenbezug</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISiKProzedur-definitions.html#Procedure.subject.reference\">reference</a><a name=\"Procedure.subject.reference\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Patienten-Link</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISiKProzedur-definitions.html#Procedure.encounter\">encounter</a><a name=\"Procedure.encounter\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/encounter.html\">Encounter</a>)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Aufenthaltsbezug</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISiKProzedur-definitions.html#Procedure.encounter.reference\">reference</a><a name=\"Procedure.encounter.reference\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Encounter-Link</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_choice.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Choice of Types\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISiKProzedur-definitions.html#Procedure.performed[x]\">performed[x]</a><a name=\"Procedure.performed_x_\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Durchführungsdatum oder -Zeitraum</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span title=\"Base StructureDefinition for dateTime Type: A date, date-time or partial date (e.g. just year or year + month). If hours and minutes are specified, a time zone SHALL be populated. The format is a union of the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints but may be zero-filled and may be ignored. Dates SHALL be valid dates.\">performedDateTime</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span title=\"Base StructureDefinition for Period Type: A time period defined by a start and end date and optionally time.\">performedPeriod</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Period\">Period</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ISiKProzedur-definitions.html#Procedure.note\">note</a><a name=\"Procedure.note\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#Annotation\">Annotation</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Notizen</td></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"^^rdf:XMLLiteral ] ] ; # fhir:url [ fhir:v "https://gematik.de/fhir/isik/StructureDefinition/ISiKProzedur"^^xsd:anyURI ; fhir:l <https://gematik.de/fhir/isik/StructureDefinition/ISiKProzedur> ] ; # fhir:version [ fhir:v "6.0.0-rc"] ; # fhir:name [ fhir:v "ISiKProzedur"] ; # fhir:status [ fhir:v "active"] ; # fhir:experimental [ fhir:v false] ; # fhir:date [ fhir:v "2025-12-17"^^xsd:date] ; # fhir:publisher [ fhir:v "gematik GmbH"] ; # fhir:contact ( [ fhir:name [ fhir:v "gematik GmbH" ] ; ( fhir:telecom [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "https://gematik.de" ] ] ) ] ) ; # fhir:description [ fhir:v "Dieses Profil spezifiziert die Minimalanforderungen für die Bereitstellung von Informationen über die Behandlungen/Prozeduren eines Patienten im Rahmen des Bestätigungsverfahrens der gematik.\n### Motivation\nDie Möglichkeit auf eine Übersicht der Prozeduren eines Patienten zuzugreifen, Patienten anhand durchgeführter oder geplanter Prozeduren zu suchen, oder zu prüfen, ob eine konkrete Prozedur bei einem Patienten durchgeführt wurde, sind wichtige Funktionen im klinischen Behandlungsablauf.\n\nIn FHIR werden Prozeduren mit der Procedure-Ressource repräsentiert.\n\nDa die Prozeduren in klinischen Primärsystemen, in der Regel, in OPS-codierter Form vorliegen, fordert ISiK in erster Linie diese Form des Austausches. Falls eine Prozedur zwar dokumentiert aber noch nicht codiert wurde (z.B. wenn die Kodierung erst nach der Entlassung erfolgt), ist alternativ eine Repräsentation als Freitext-Prozedur möglich.\n\n### Kompatibilität\nFür das Profil ISIKProzedur wird eine Kompatibilität mit folgenden Profilen angestrebt; allerdings kann nicht sichergestellt werden, dass Instanzen, die gegen ISIKProzedur valide sind, auch valide sind gegen:\n\n* [Profil Prozedur](https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Procedure) der Medizininformatik Initiative \nHinweise zu Inkompatibilitäten können über die [Portalseite](https://service.gematik.de/servicedesk/customer/portal/16) gemeldet werden."] ; # fhir:fhirVersion [ fhir:v "4.0.1"] ; # fhir:mapping ( [ fhir:identity [ fhir:v "workflow" ] ; fhir:uri [ fhir:v "http://hl7.org/fhir/workflow"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/workflow> ] ; fhir:name [ fhir:v "Workflow Pattern" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:uri [ fhir:v "http://hl7.org/v3"^^xsd:anyURI ; fhir:l <http://hl7.org/v3> ] ; fhir:name [ fhir:v "RIM Mapping" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:uri [ fhir:v "http://hl7.org/fhir/fivews"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/fivews> ] ; fhir:name [ fhir:v "FiveWs Pattern Mapping" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:uri [ fhir:v "http://hl7.org/v2"^^xsd:anyURI ; fhir:l <http://hl7.org/v2> ] ; fhir:name [ fhir:v "HL7 v2 Mapping" ] ] ) ; # fhir:kind [ fhir:v "resource"] ; # fhir:abstract [ fhir:v false] ; # fhir:type [ fhir:v "Procedure"^^xsd:anyURI ; fhir:l fhir:Procedure ] ; # fhir:baseDefinition [ fhir:v "http://hl7.org/fhir/StructureDefinition/Procedure"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Procedure> ] ; # fhir:derivation [ fhir:v "constraint"] ; # fhir:snapshot [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version> ] ; fhir:value [ a fhir:String ; fhir:v "4.0.1" ] ] ) ; ( fhir:element [ fhir:id [ fhir:v "Procedure" ] ; fhir:path [ fhir:v "Procedure" ] ; fhir:short [ fhir:v "An action that is being or was performed on a patient" ] ; fhir:definition [ fhir:v "An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like long term services, counseling, or hypnotherapy." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Procedure" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:constraint [ fhir:key [ fhir:v "dom-2" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ] ; fhir:expression [ fhir:v "contained.contained.empty()" ] ; fhir:xpath [ fhir:v "not(parent::f:contained and f:contained)" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ] [ fhir:key [ fhir:v "dom-3" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" ] ; fhir:expression [ fhir:v "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" ] ; fhir:xpath [ fhir:v "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ] [ fhir:key [ fhir:v "dom-4" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ] ; fhir:expression [ fhir:v "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ] ; fhir:xpath [ fhir:v "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ] [ fhir:key [ fhir:v "dom-5" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If a resource is contained in another resource, it SHALL NOT have a security label" ] ; fhir:expression [ fhir:v "contained.meta.security.empty()" ] ; fhir:xpath [ fhir:v "not(exists(f:contained/*/f:meta/f:security))" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice> ] ; fhir:value [ a fhir:Boolean ; fhir:v true ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation> ] ; fhir:value [ a fhir:Markdown ; fhir:v "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." ] ] ) ; fhir:key [ fhir:v "dom-6" ] ; fhir:severity [ fhir:v "warning" ] ; fhir:human [ fhir:v "A resource should have narrative for robust management" ] ; fhir:expression [ fhir:v "text.`div`.exists()" ] ; fhir:xpath [ fhir:v "exists(f:text/h:div)" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ] [ fhir:key [ fhir:v "proc-ISiK-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden" ] ; fhir:expression [ fhir:v "code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()" ] ; fhir:source [ fhir:v "https://gematik.de/fhir/isik/StructureDefinition/ISiKProzedur"^^xsd:anyURI ; fhir:l <https://gematik.de/fhir/isik/StructureDefinition/ISiKProzedur> ] ] [ fhir:key [ fhir:v "proc-ISiK-2" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Falls eine codierte Prozedur vorliegt MUSS eine kodierte Category abgebildet werden" ] ; fhir:expression [ fhir:v "code.coding.exists() implies category.coding.exists()" ] ; fhir:source [ fhir:v "https://gematik.de/fhir/isik/StructureDefinition/ISiKProzedur"^^xsd:anyURI ; fhir:l <https://gematik.de/fhir/isik/StructureDefinition/ISiKProzedur> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Entity. Role, or Act" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Event" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Procedure[moodCode=EVN]" ] ] ) ] [ fhir:id [ fhir:v "Procedure.id" ] ; fhir:path [ fhir:v "Procedure.id" ] ; fhir:short [ fhir:v "serverseitige, interne ID des Datensatzes" ] ; fhir:definition [ fhir:v "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." ] ; fhir:comment [ fhir:v "**bedingtes Pflichtfeld/bedingtes MS:** Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine `id` verfügen.\n Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine `id`verfügen. " ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Resource.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type> ] ; fhir:value [ a fhir:Url ; fhir:v "id"^^xsd:anyURI ; fhir:l fhir:id ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ; fhir:l <http://hl7.org/fhirpath/System.String> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ] [ fhir:id [ fhir:v "Procedure.meta" ] ; fhir:path [ fhir:v "Procedure.meta" ] ; fhir:short [ fhir:v "Metadata about the resource" ] ; fhir:definition [ fhir:v "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Resource.meta" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Meta"^^xsd:anyURI ; fhir:l fhir:Meta ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ] [ fhir:id [ fhir:v "Procedure.meta.id" ] ; fhir:path [ fhir:v "Procedure.meta.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type> ] ; fhir:value [ a fhir:Url ; fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ; fhir:l <http://hl7.org/fhirpath/System.String> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Procedure.meta.extension" ] ; fhir:path [ fhir:v "Procedure.meta.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Procedure.meta.versionId" ] ; fhir:path [ fhir:v "Procedure.meta.versionId" ] ; fhir:short [ fhir:v "Eindeutiger Name der serverseitigen Version des Datensatzes" ] ; fhir:definition [ fhir:v "The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted." ] ; fhir:comment [ fhir:v "Alle von einem Server bereitgestellten Ressourcen SOLLEN über eine `versionID` verfügen.\n Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine `versionID`verfügen. " ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Meta.versionId" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "id"^^xsd:anyURI ; fhir:l fhir:id ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ] [ fhir:id [ fhir:v "Procedure.meta.lastUpdated" ] ; fhir:path [ fhir:v "Procedure.meta.lastUpdated" ] ; fhir:short [ fhir:v "Zeitpunkt der letzten Änderung" ] ; fhir:definition [ fhir:v "When the resource last changed - e.g. when the version changed." ] ; fhir:comment [ fhir:v "Alle von einem Server bereitgestellten Ressourcen SOLLEN über ein `lastUpdate` verfügen.\n Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über ein `lastUpdate`verfügen. " ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Meta.lastUpdated" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "instant"^^xsd:anyURI ; fhir:l fhir:instant ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ] [ fhir:id [ fhir:v "Procedure.meta.source" ] ; fhir:path [ fhir:v "Procedure.meta.source" ] ; fhir:short [ fhir:v "Identifies where the resource comes from" ] ; fhir:definition [ fhir:v "A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc." ] ; fhir:comment [ fhir:v "In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. \n\nThis element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Meta.source" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "uri"^^xsd:anyURI ; fhir:l fhir:uri ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ] [ fhir:id [ fhir:v "Procedure.meta.profile" ] ; fhir:path [ fhir:v "Procedure.meta.profile" ] ; fhir:short [ fhir:v "Profiles this resource claims to conform to" ] ; fhir:definition [ fhir:v "A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url)." ] ; fhir:comment [ fhir:v "It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Meta.profile" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "canonical"^^xsd:anyURI ; fhir:l fhir:canonical ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/StructureDefinition?version=4.0.1> ] ) ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ] [ fhir:id [ fhir:v "Procedure.meta.security" ] ; fhir:path [ fhir:v "Procedure.meta.security" ] ; fhir:short [ fhir:v "Security Labels applied to this resource" ] ; fhir:definition [ fhir:v "Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure." ] ; fhir:comment [ fhir:v "The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Meta.security" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Coding"^^xsd:anyURI ; fhir:l fhir:Coding ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName> ] ; fhir:value [ a fhir:String ; fhir:v "SecurityLabels" ] ] ) ; fhir:strength [ fhir:v "extensible" ] ; fhir:description [ fhir:v "Security Labels from the Healthcare Privacy and Security Classification System." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/security-labels|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/ValueSet/security-labels?version=4.0.1> ] ] ] [ fhir:id [ fhir:v "Procedure.meta.tag" ] ; fhir:path [ fhir:v "Procedure.meta.tag" ] ; fhir:short [ fhir:v "Tags applied to this resource" ] ; fhir:definition [ fhir:v "Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource." ] ; fhir:comment [ fhir:v "The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Meta.tag" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Coding"^^xsd:anyURI ; fhir:l fhir:Coding ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName> ] ; fhir:value [ a fhir:String ; fhir:v "Tags" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Codes that represent various types of tags, commonly workflow-related; e.g. \"Needs review by Dr. Jones\"." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/common-tags|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/ValueSet/common-tags?version=4.0.1> ] ] ] [ fhir:id [ fhir:v "Procedure.implicitRules" ] ; fhir:path [ fhir:v "Procedure.implicitRules" ] ; fhir:short [ fhir:v "A set of rules under which this content was created" ] ; fhir:definition [ fhir:v "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc." ] ; fhir:comment [ fhir:v "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Resource.implicitRules" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "uri"^^xsd:anyURI ; fhir:l fhir:uri ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation" ] ; fhir:isSummary [ fhir:v true ] ] [ fhir:id [ fhir:v "Procedure.language" ] ; fhir:path [ fhir:v "Procedure.language" ] ; fhir:short [ fhir:v "Language of the resource content" ] ; fhir:definition [ fhir:v "The base language in which the resource is written." ] ; fhir:comment [ fhir:v "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Resource.language" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet> ] ; fhir:value [ a fhir:Canonical ; fhir:v "http://hl7.org/fhir/ValueSet/all-languages"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/ValueSet/all-languages> ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName> ] ; fhir:value [ a fhir:String ; fhir:v "Language" ] ] ) ; fhir:strength [ fhir:v "preferred" ] ; fhir:description [ fhir:v "A human language." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/languages|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/ValueSet/languages?version=4.0.1> ] ] ] [ fhir:id [ fhir:v "Procedure.text" ] ; fhir:path [ fhir:v "Procedure.text" ] ; fhir:short [ fhir:v "Text summary of the resource, for human interpretation" ] ; fhir:definition [ fhir:v "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." ] ; fhir:comment [ fhir:v "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later." ] ; ( fhir:alias [ fhir:v "narrative" ] [ fhir:v "html" ] [ fhir:v "xhtml" ] [ fhir:v "display" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.text" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Narrative"^^xsd:anyURI ; fhir:l fhir:Narrative ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Act.text?" ] ] ) ] [ fhir:id [ fhir:v "Procedure.contained" ] ; fhir:path [ fhir:v "Procedure.contained" ] ; fhir:short [ fhir:v "Contained, inline Resources" ] ; fhir:definition [ fhir:v "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." ] ; fhir:comment [ fhir:v "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels." ] ; ( fhir:alias [ fhir:v "inline resources" ] [ fhir:v "anonymous resources" ] [ fhir:v "contained resources" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.contained" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Resource"^^xsd:anyURI ; fhir:l fhir:Resource ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Procedure.extension" ] ; fhir:path [ fhir:v "Procedure.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Extension" ] ; fhir:definition [ fhir:v "An Extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ] [ fhir:id [ fhir:v "Procedure.extension:Dokumentationsdatum" ] ; fhir:path [ fhir:v "Procedure.extension" ] ; fhir:sliceName [ fhir:v "Dokumentationsdatum" ] ; fhir:short [ fhir:v "Dokumentationsdatum" ] ; fhir:definition [ fhir:v "Dokumentationsdatum der Prozedur, falls abweichend vom Durchführungsdatum" ] ; fhir:comment [ fhir:v "Datum, an dem die Prozedur dokumentiert wurde. \n Es handelt sich hierbei um das fachliche Dokumentationsdatum, nicht zu verwechseln mit dem Datum der technischen Anlage des Datensatzes im Primärsystem. \n Diese beiden Daten *können* jedoch identisch sein." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ; ( fhir:profile [ fhir:v "http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum"^^xsd:anyURI ; fhir:l <http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Procedure"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Procedure> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Procedure.modifierExtension" ] ; fhir:path [ fhir:v "Procedure.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it 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 is allowed to 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)." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "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)." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Procedure.identifier" ] ; fhir:path [ fhir:v "Procedure.identifier" ] ; fhir:short [ fhir:v "External Identifiers for this procedure" ] ; fhir:definition [ fhir:v "Business identifiers assigned to this procedure by the performer or other systems which remain constant as the resource is updated and is propagated from server to server." ] ; fhir:comment [ fhir:v "This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and Person resource instances might share the same social insurance number." ] ; fhir:requirements [ fhir:v "Allows identification of the procedure as it is known by various participating systems and in a way that remains consistent across servers." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.identifier" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Identifier"^^xsd:anyURI ; fhir:l fhir:Identifier ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Event.identifier" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.identifier" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "Some combination of ORC-2 / ORC-3 / OBR-2 / OBR-3 / IPC-1 / IPC-2 / IPC-3 / IPC-4" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".id" ] ] ) ] [ fhir:id [ fhir:v "Procedure.instantiatesCanonical" ] ; fhir:path [ fhir:v "Procedure.instantiatesCanonical" ] ; fhir:short [ fhir:v "Instantiates FHIR protocol or definition" ] ; fhir:definition [ fhir:v "The URL pointing to a FHIR-defined protocol, guideline, order set or other definition that is adhered to in whole or in part by this Procedure." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.instantiatesCanonical" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "canonical"^^xsd:anyURI ; fhir:l fhir:canonical ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/PlanDefinition|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/PlanDefinition?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/ActivityDefinition|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/ActivityDefinition?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Measure|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Measure?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/OperationDefinition|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/OperationDefinition?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Questionnaire|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Questionnaire?version=4.0.1> ] ) ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Event.instantiatesCanonical" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".outboundRelationship[typeCode=DEFN].target" ] ] ) ] [ fhir:id [ fhir:v "Procedure.instantiatesUri" ] ; fhir:path [ fhir:v "Procedure.instantiatesUri" ] ; fhir:short [ fhir:v "Instantiates external protocol or definition" ] ; fhir:definition [ fhir:v "The URL pointing to an externally maintained protocol, guideline, order set or other definition that is adhered to in whole or in part by this Procedure." ] ; fhir:comment [ fhir:v "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.instantiatesUri" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "uri"^^xsd:anyURI ; fhir:l fhir:uri ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Event.instantiatesUri" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".outboundRelationship[typeCode=DEFN].target" ] ] ) ] [ fhir:id [ fhir:v "Procedure.basedOn" ] ; fhir:path [ fhir:v "Procedure.basedOn" ] ; fhir:short [ fhir:v "A request for this procedure" ] ; fhir:definition [ fhir:v "A reference to a resource that contains details of the request for this procedure." ] ; ( fhir:alias [ fhir:v "fulfills" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.basedOn" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ; fhir:l fhir:Reference ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/CarePlan?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/ServiceRequest?version=4.0.1> ] ) ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Event.basedOn" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".outboundRelationship[typeCode=FLFS].target[classCode=(various e.g. PROC, OBS, PCPR, ACT, moodCode=RQO].code" ] ] ) ] [ fhir:id [ fhir:v "Procedure.partOf" ] ; fhir:path [ fhir:v "Procedure.partOf" ] ; fhir:short [ fhir:v "Part of referenced event" ] ; fhir:definition [ fhir:v "A larger event of which this particular procedure is a component or step." ] ; fhir:comment [ fhir:v "The MedicationAdministration resource has a partOf reference to Procedure, but this is not a circular reference. For example, the anesthesia MedicationAdministration is part of the surgical Procedure (MedicationAdministration.partOf = Procedure). For example, the procedure to insert the IV port for an IV medication administration is part of the medication administration (Procedure.partOf = MedicationAdministration)." ] ; ( fhir:alias [ fhir:v "container" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.partOf" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ; fhir:l fhir:Reference ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Procedure?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Observation?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/MedicationAdministration?version=4.0.1> ] ) ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Event.partOf" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".inboundRelationship[typeCode=COMP].source[classCode=SBADM or PROC or OBS, moodCode=EVN]" ] ] ) ] [ fhir:id [ fhir:v "Procedure.status" ] ; fhir:path [ fhir:v "Procedure.status" ] ; fhir:short [ fhir:v "Status" ] ; fhir:definition [ fhir:v "A code specifying the state of the procedure. Generally, this will be the in-progress or completed state." ] ; fhir:comment [ fhir:v "Zeigt den aktuellen Status der Prozedur an. \n **WICHTIGER Hinweis für Implementierer: \n * Alle server-seitigen Implementierungen MÜSSEN in der Lage sein, \n die systemintern möglichen Statuswerte korrekt in FHIR abzubilden, mindestens jedoch die Werte `completed` und `unknown`.\n * Alle client-seitigen Implementierungen MÜSSEN in der Lage sein, sämtliche Status-Codes zu interpretieren und dem Anwender in angemessener Form darstellen zu können, \n beispielsweise durch Ausblenden/Durchstreichen von Prozeduren mit dem status `entered-in-error` und Ausgrauen von Prozeduren, die noch nicht stattgefunden haben, o.ä." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.status" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName> ] ; fhir:value [ a fhir:String ; fhir:v "ProcedureStatus" ] ] ) ; fhir:strength [ fhir:v "required" ] ; fhir:description [ fhir:v "A code specifying the state of the procedure." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/event-status|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/ValueSet/event-status?version=4.0.1> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Event.status" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.status" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "statusCode" ] ] ) ] [ fhir:id [ fhir:v "Procedure.statusReason" ] ; fhir:path [ fhir:v "Procedure.statusReason" ] ; fhir:short [ fhir:v "Reason for current status" ] ; fhir:definition [ fhir:v "Captures the reason for the current state of the procedure." ] ; fhir:comment [ fhir:v "This is generally only used for \"exception\" statuses such as \"not-done\", \"suspended\" or \"aborted\". The reason for performing the event at all is captured in reasonCode, not here." ] ; ( fhir:alias [ fhir:v "Suspended Reason" ] [ fhir:v "Cancelled Reason" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.statusReason" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ; fhir:l fhir:CodeableConcept ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName> ] ; fhir:value [ a fhir:String ; fhir:v "ProcedureNegationReason" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "A code that identifies the reason a procedure was not performed." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/procedure-not-performed-reason|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/ValueSet/procedure-not-performed-reason?version=4.0.1> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Event.statusReason" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".reason.Observation.value" ] ] ) ] [ fhir:id [ fhir:v "Procedure.category" ] ; fhir:path [ fhir:v "Procedure.category" ] ; fhir:short [ fhir:v "Kategorie" ] ; fhir:definition [ fhir:v "A code that classifies the procedure for searching, sorting and display purposes (e.g. \"Surgical Procedure\")." ] ; fhir:comment [ fhir:v "Die Kategorisierung erfolgt vorzugsweise auf Basis von SNOMED CT. Für OPS-codierte Prozeduren MUSS die Kategorie angegeben werden: Sie kann ermittelt werden, \n indem das erste Zeichen des OPS-Codes mit Hilfe einer [ConceptMap](http://fhir.de/ConceptMap/OPS-SNOMED-Category) auf die zutreffende SNOMED-Kategorie gemappt wird.\n \n **Begründung MS:** Die Kategorisierung dient der Verbesserung von Suche und Darstellung." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.category" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ; fhir:l fhir:CodeableConcept ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName> ] ; fhir:value [ a fhir:String ; fhir:v "ProcedureCategory" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "A code that classifies a procedure for searching, sorting and display purposes." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/procedure-category|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/ValueSet/procedure-category?version=4.0.1> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.class" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code" ] ] ) ] [ fhir:id [ fhir:v "Procedure.category.id" ] ; fhir:path [ fhir:v "Procedure.category.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type> ] ; fhir:value [ a fhir:Url ; fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ; fhir:l <http://hl7.org/fhirpath/System.String> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Procedure.category.extension" ] ; fhir:path [ fhir:v "Procedure.category.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Procedure.category.coding" ] ; fhir:path [ fhir:v "Procedure.category.coding" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "pattern" ] ; fhir:path [ fhir:v "system" ] ] ) ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Code defined by a terminology system" ] ; fhir:definition [ fhir:v "A reference to a code defined by a terminology system." ] ; fhir:comment [ fhir:v "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. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." ] ; fhir:requirements [ fhir:v "Allows for alternative encodings within a code system, and translations to other code systems." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "CodeableConcept.coding" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Coding"^^xsd:anyURI ; fhir:l fhir:Coding ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "C*E.1-8, C*E.10-22" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "union(., ./translation)" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" ] ] ) ] [ fhir:id [ fhir:v "Procedure.category.coding:SNOMED-CT" ] ; fhir:path [ fhir:v "Procedure.category.coding" ] ; fhir:sliceName [ fhir:v "SNOMED-CT" ] ; fhir:short [ fhir:v "Code defined by a terminology system" ] ; fhir:definition [ fhir:v "A reference to a code defined by a terminology system." ] ; fhir:comment [ fhir:v "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. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." ] ; fhir:requirements [ fhir:v "Allows for alternative encodings within a code system, and translations to other code systems." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "CodeableConcept.coding" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Coding"^^xsd:anyURI ; fhir:l fhir:Coding ] ; ( fhir:profile [ fhir:v "https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding"^^xsd:anyURI ; fhir:l <https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding> ] ) ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ fhir:strength [ fhir:v "preferred" ] ; fhir:valueSet [ fhir:v "https://gematik.de/fhir/isik/ValueSet/ProzedurenKategorieSCT"^^xsd:anyURI ; fhir:l <https://gematik.de/fhir/isik/ValueSet/ProzedurenKategorieSCT> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "C*E.1-8, C*E.10-22" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "union(., ./translation)" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" ] ] ) ] [ fhir:id [ fhir:v "Procedure.category.text" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable> ] ; fhir:value [ a fhir:Boolean ; fhir:v true ] ] ) ; fhir:path [ fhir:v "Procedure.category.text" ] ; fhir:short [ fhir:v "Plain text representation of the concept" ] ; fhir:definition [ fhir:v "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user." ] ; fhir:comment [ fhir:v "Very often the text is the same as a displayName of one of the codings." ] ; fhir:requirements [ fhir:v "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "CodeableConcept.text" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "C*E.9. But note many systems use C*E.2 for this" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "./originalText[mediaType/code=\"text/plain\"]/data" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" ] ] ) ] [ fhir:id [ fhir:v "Procedure.code" ] ; fhir:path [ fhir:v "Procedure.code" ] ; fhir:short [ fhir:v "Prozeduren-Code" ] ; fhir:definition [ fhir:v "The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. \"Laparoscopic Appendectomy\")." ] ; fhir:comment [ fhir:v "Prozeduren SOLLEN mindestens entweder mit einem OPS-Code oder einem SNOMED-Code aus dem angegebenen ValueSet codiert werden. \n Ist keine Codierung möglich, MUSS statt dessen eine textuelle Beschreibung der Prozedur angegeben werden. \n **Begründung Pflichtfeld:** Ist *weder* eine Codierung *noch* eine textuelle Beschreibung vorhanden, besitzt diese Ressource keine medizinische Aussagefähigkeit." ] ; fhir:requirements [ fhir:v "0..1 to account for primarily narrative only resources." ] ; ( fhir:alias [ fhir:v "type" ] ) ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.code" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ; fhir:l fhir:CodeableConcept ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "sct-ops-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Falls die Prozedur kodiert vorliegt, SOLL mindestens ein OPS oder SNOMED-CT Code angegeben werden." ] ; fhir:expression [ fhir:v "coding.exists() implies coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()" ] ; fhir:source [ fhir:v "https://gematik.de/fhir/isik/StructureDefinition/ISiKProzedur"^^xsd:anyURI ; fhir:l <https://gematik.de/fhir/isik/StructureDefinition/ISiKProzedur> ] ] [ fhir:key [ fhir:v "proc-ISiK-3" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "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." ] ; fhir:expression [ fhir:v "coding.exists().not() implies text.exists()" ] ; fhir:source [ fhir:v "https://gematik.de/fhir/isik/StructureDefinition/ISiKProzedur"^^xsd:anyURI ; fhir:l <https://gematik.de/fhir/isik/StructureDefinition/ISiKProzedur> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName> ] ; fhir:value [ a fhir:String ; fhir:v "ProcedureCode" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "A code to identify a specific procedure ." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/procedure-code|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/ValueSet/procedure-code?version=4.0.1> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Event.code" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.what[x]" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "OBR-44/OBR-45" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".code" ] ] ) ] [ fhir:id [ fhir:v "Procedure.code.id" ] ; fhir:path [ fhir:v "Procedure.code.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type> ] ; fhir:value [ a fhir:Url ; fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ; fhir:l <http://hl7.org/fhirpath/System.String> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Procedure.code.extension" ] ; fhir:path [ fhir:v "Procedure.code.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Procedure.code.coding" ] ; fhir:path [ fhir:v "Procedure.code.coding" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "pattern" ] ; fhir:path [ fhir:v "system" ] ] ) ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Codierte Darstellung der Prozedur" ] ; fhir:definition [ fhir:v "A reference to a code defined by a terminology system." ] ; fhir:comment [ fhir:v "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. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." ] ; fhir:requirements [ fhir:v "Allows for alternative encodings within a code system, and translations to other code systems." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "CodeableConcept.coding" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Coding"^^xsd:anyURI ; fhir:l fhir:Coding ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "C*E.1-8, C*E.10-22" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "union(., ./translation)" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" ] ] ) ] [ fhir:id [ fhir:v "Procedure.code.coding:OPS" ] ; fhir:path [ fhir:v "Procedure.code.coding" ] ; fhir:sliceName [ fhir:v "OPS" ] ; fhir:short [ fhir:v "OPS-codierte Darstellung der Prozedur" ] ; fhir:definition [ fhir:v "A reference to a code defined by a terminology system." ] ; fhir:comment [ fhir:v "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. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." ] ; fhir:requirements [ fhir:v "Allows for alternative encodings within a code system, and translations to other code systems." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "CodeableConcept.coding" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Coding"^^xsd:anyURI ; fhir:l fhir:Coding ] ; ( fhir:profile [ fhir:v "http://fhir.de/StructureDefinition/CodingOPS"^^xsd:anyURI ; fhir:l <http://fhir.de/StructureDefinition/CodingOPS> ] ) ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "C*E.1-8, C*E.10-22" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "union(., ./translation)" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" ] ] ) ] [ fhir:id [ fhir:v "Procedure.code.coding:OPS.id" ] ; fhir:path [ fhir:v "Procedure.code.coding.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type> ] ; fhir:value [ a fhir:Url ; fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ; fhir:l <http://hl7.org/fhirpath/System.String> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Procedure.code.coding:OPS.extension" ] ; fhir:path [ fhir:v "Procedure.code.coding.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Procedure.code.coding:OPS.extension:Seitenlokalisation" ] ; fhir:path [ fhir:v "Procedure.code.coding.extension" ] ; fhir:sliceName [ fhir:v "Seitenlokalisation" ] ; fhir:short [ fhir:v "Seitenlokalisation" ] ; fhir:definition [ fhir:v "Optional Extension Element - found in all resources." ] ; fhir:comment [ fhir:v "**Begründung MS:** Bei OPS-codierten Prozeduren an paarigen Organen oder Körperteilen müssen die Zusatzkennzeichen für die Seitigkeit (R, L oder B) angeben werden" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ; ( fhir:profile [ fhir:v "http://fhir.de/StructureDefinition/seitenlokalisation"^^xsd:anyURI ; fhir:l <http://fhir.de/StructureDefinition/seitenlokalisation> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Procedure.code.coding:OPS.system" ] ; fhir:path [ fhir:v "Procedure.code.coding.system" ] ; fhir:short [ fhir:v "Namensraum des Prozeduren-Codes" ] ; fhir:definition [ fhir:v "The identification of the code system that defines the meaning of the symbol in the code." ] ; fhir:comment [ fhir:v "Hier ist stets der Wert `http://fhir.de/CodeSystem/bfarm/ops` anzugeben." ] ; fhir:requirements [ fhir:v "Need to be unambiguous about the source of the definition of the symbol." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Coding.system" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "uri"^^xsd:anyURI ; fhir:l fhir:uri ] ] ) ; fhir:fixed [ a fhir:Uri ; fhir:v "http://fhir.de/CodeSystem/bfarm/ops"^^xsd:anyURI ; fhir:l <http://fhir.de/CodeSystem/bfarm/ops> ] ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "C*E.3" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "./codeSystem" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" ] ] ) ] [ fhir:id [ fhir:v "Procedure.code.coding:OPS.version" ] ; fhir:path [ fhir:v "Procedure.code.coding.version" ] ; fhir:short [ fhir:v "Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. `2017`)" ] ; fhir:definition [ fhir:v "Bie Verwendung von OPS ist die Angabe der Version zwingend erforderlich.\r\nHierdurch wird der Tatsache Rechnung getragen, dass jede der jährlich neu erscheinenden Fassung von OPS ein neues Codesystem darstellt." ] ; fhir:comment [ fhir:v "**Begründung Pflichtfeld:** Bei Verwendung von OPS ist die Angabe der Version zwingend erforderlich. \n Hierdurch wird der Tatsache Rechnung getragen, dass jede der jährlich neu erscheinenden Fassung von OPS ein neues Codesystem darstellt." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Coding.version" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "C*E.7" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "./codeSystemVersion" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" ] ] ) ] [ fhir:id [ fhir:v "Procedure.code.coding:OPS.code" ] ; fhir:path [ fhir:v "Procedure.code.coding.code" ] ; fhir:short [ fhir:v "OPS-Code" ] ; fhir:definition [ fhir:v "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)." ] ; fhir:comment [ fhir:v "Hier ist der OPS-Code ohne jegliche Zusatzkennzeichen (z.B. Seitenlokalisation) oder Versionsnummern anzugeben." ] ; fhir:requirements [ fhir:v "Need to refer to a particular code in the system." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Coding.code" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ; fhir:l fhir:code ] ] ) ; ( fhir:example [ fhir:label [ fhir:v "Einfacher OPS-Code" ] ; fhir:value [ a fhir:Code ; fhir:v "5-470" ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ops-regex" ] ; fhir:severity [ fhir:v "warning" ] ; fhir:human [ fhir:v "In code sind nur gültige OPS-Codes ohne Zusätze erlaubt" ] ; fhir:expression [ fhir:v "matches('^[1|3|5|6|8|9]-[a-zA-Z0-9]{3}([.][a-zA-Z0-9]{1,2})?$')" ] ; fhir:source [ fhir:v "http://fhir.de/StructureDefinition/CodingOPS"^^xsd:anyURI ; fhir:l <http://fhir.de/StructureDefinition/CodingOPS> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "C*E.1" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "./code" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" ] ] ) ] [ fhir:id [ fhir:v "Procedure.code.coding:OPS.display" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable> ] ; fhir:value [ a fhir:Boolean ; fhir:v true ] ] ) ; fhir:path [ fhir:v "Procedure.code.coding.display" ] ; fhir:short [ fhir:v "Representation defined by the system" ] ; fhir:definition [ fhir:v "A representation of the meaning of the code in the system, following the rules of the system." ] ; fhir:requirements [ fhir:v "Need to be able to carry a human-readable meaning of the code for readers that do not know the system." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Coding.display" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "C*E.2 - but note this is not well followed" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CV.displayName" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" ] ] ) ] [ fhir:id [ fhir:v "Procedure.code.coding:OPS.userSelected" ] ; fhir:path [ fhir:v "Procedure.code.coding.userSelected" ] ; fhir:short [ fhir:v "If this coding was chosen directly by the user" ] ; fhir:definition [ fhir:v "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)." ] ; fhir:comment [ fhir:v "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." ] ; fhir:requirements [ fhir:v "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Coding.userSelected" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "boolean"^^xsd:anyURI ; fhir:l fhir:boolean ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "Sometimes implied by being first" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "CD.codingRationale" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" ] ] ) ] [ fhir:id [ fhir:v "Procedure.code.coding:SNOMED-CT" ] ; fhir:path [ fhir:v "Procedure.code.coding" ] ; fhir:sliceName [ fhir:v "SNOMED-CT" ] ; fhir:short [ fhir:v "SNOMED-codierte Darstellung der Prozedur" ] ; fhir:definition [ fhir:v "A reference to a code defined by a terminology system." ] ; fhir:comment [ fhir:v "**Hintergrund und Begründung zum Must-Support:** Das BfArM hat ein 'Zielbild für eine semantische Strategie' (https://www.bfarm.de/DE/Kodiersysteme/Services/Terminologieserver/Semantik-Strategie/_node.html) verfasst, in dem die Nutzung von international gängigen Basis-Terminologien vorgestellt wird. Dort wird als grundlegende Position dargestellt, dass basierend auf einer Basisterminologie weitere Use Cases bedient werden sollen. Bei Prozeduren wäre das damit eine klinische Dokumentation mit SNOMED CT als internationalem Kodiersystem und einer Ableitung davon zum OPS. Dies ist insbesondere auch wichtig für den Datentransfer in den European Health Data Space, in dem der OPS keine Rolle spielen wird." ] ; fhir:requirements [ fhir:v "Allows for alternative encodings within a code system, and translations to other code systems." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "CodeableConcept.coding" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Coding"^^xsd:anyURI ; fhir:l fhir:Coding ] ; ( fhir:profile [ fhir:v "https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding"^^xsd:anyURI ; fhir:l <https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding> ] ) ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "https://gematik.de/fhir/isik/ValueSet/ProzedurenCodesSCT"^^xsd:anyURI ; fhir:l <https://gematik.de/fhir/isik/ValueSet/ProzedurenCodesSCT> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "C*E.1-8, C*E.10-22" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "union(., ./translation)" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" ] ] ) ] [ fhir:id [ fhir:v "Procedure.code.text" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable> ] ; fhir:value [ a fhir:Boolean ; fhir:v true ] ] ) ; fhir:path [ fhir:v "Procedure.code.text" ] ; fhir:short [ fhir:v "Freitextiche Beschreibung der Prozedur" ] ; fhir:definition [ fhir:v "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user." ] ; fhir:comment [ fhir:v "Die freitextliche Beschreibung kann ergänzend oder anstelle einer codierten Angabe der Prozedur erfolgen." ] ; fhir:requirements [ fhir:v "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "CodeableConcept.text" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "C*E.9. But note many systems use C*E.2 for this" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "./originalText[mediaType/code=\"text/plain\"]/data" ] ] [ fhir:identity [ fhir:v "orim" ] ; fhir:map [ fhir:v "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" ] ] ) ] [ fhir:id [ fhir:v "Procedure.subject" ] ; fhir:path [ fhir:v "Procedure.subject" ] ; fhir:short [ fhir:v "Patientenbezug" ] ; fhir:definition [ fhir:v "The person, animal or group on which the procedure was performed." ] ; fhir:comment [ fhir:v "**Begründung Must-Support:** Ein Patientenbezug der Prozedur MUSS stets zum Zwecke der Nachvollziehbarkeit und Datenintegrität vorliegen." ] ; ( fhir:alias [ fhir:v "patient" ] ) ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.subject" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ; fhir:l fhir:Reference ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Patient?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Group|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Group?version=4.0.1> ] ) ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Event.subject" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.subject[x]" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "PID-3" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".participation[typeCode=SBJ].role" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.subject" ] ] ) ] [ fhir:id [ fhir:v "Procedure.subject.id" ] ; fhir:path [ fhir:v "Procedure.subject.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type> ] ; fhir:value [ a fhir:Url ; fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ; fhir:l <http://hl7.org/fhirpath/System.String> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Procedure.subject.extension" ] ; fhir:path [ fhir:v "Procedure.subject.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Procedure.subject.reference" ] ; fhir:path [ fhir:v "Procedure.subject.reference" ] ; fhir:short [ fhir:v "Patienten-Link" ] ; fhir:definition [ fhir:v "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources." ] ; fhir:comment [ fhir:v "**Begründung MS:** Die Verlinkung auf eine Patienten-Ressource dient der technischen Zuordnung der Dokumentation zu einem Patienten und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc.\nIm ISik Kontext MUSS die referenzierte Ressource konform zu [ISiKPatient](https://gematik.de/fhir/isik/StructureDefinition/ISiKPatient) sein.\nJenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.reference" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; ( fhir:condition [ fhir:v "ref-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Procedure.subject.type" ] ; fhir:path [ fhir:v "Procedure.subject.type" ] ; fhir:short [ fhir:v "Type the reference refers to (e.g. \"Patient\")" ] ; fhir:definition [ fhir:v "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." ] ; fhir:comment [ fhir:v "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.type" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "uri"^^xsd:anyURI ; fhir:l fhir:uri ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName> ] ; fhir:value [ a fhir:String ; fhir:v "FHIRResourceTypeExt" ] ] ) ; fhir:strength [ fhir:v "extensible" ] ; fhir:description [ fhir:v "Aa resource (or, for logical models, the URI of the logical model)." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/resource-types|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/ValueSet/resource-types?version=4.0.1> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Procedure.subject.identifier" ] ; fhir:path [ fhir:v "Procedure.subject.identifier" ] ; fhir:short [ fhir:v "Logical reference, when literal reference is not known" ] ; fhir:definition [ fhir:v "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." ] ; fhir:comment [ fhir:v "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.identifier" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Identifier"^^xsd:anyURI ; fhir:l fhir:Identifier ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".identifier" ] ] ) ] [ fhir:id [ fhir:v "Procedure.subject.display" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable> ] ; fhir:value [ a fhir:Boolean ; fhir:v true ] ] ) ; fhir:path [ fhir:v "Procedure.subject.display" ] ; fhir:short [ fhir:v "Text alternative for the resource" ] ; fhir:definition [ fhir:v "Plain text narrative that identifies the resource in addition to the resource reference." ] ; fhir:comment [ fhir:v "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.display" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Procedure.encounter" ] ; fhir:path [ fhir:v "Procedure.encounter" ] ; fhir:short [ fhir:v "Aufenthaltsbezug" ] ; fhir:definition [ fhir:v "The Encounter during which this Procedure was created or performed or to which the creation of this record is tightly associated." ] ; fhir:comment [ fhir:v "**Begründung Must-Support:** Ein Aufenthaltsbezug der Prozedur MUSS stets zum Zwecke der Nachvollziehbarkeit und Datenintegrität vorliegen." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.encounter" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ; fhir:l fhir:Reference ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Encounter?version=4.0.1> ] ) ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Event.context" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.context" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "PV1-19" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]" ] ] ) ] [ fhir:id [ fhir:v "Procedure.encounter.id" ] ; fhir:path [ fhir:v "Procedure.encounter.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type> ] ; fhir:value [ a fhir:Url ; fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ; fhir:l <http://hl7.org/fhirpath/System.String> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Procedure.encounter.extension" ] ; fhir:path [ fhir:v "Procedure.encounter.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Procedure.encounter.reference" ] ; fhir:path [ fhir:v "Procedure.encounter.reference" ] ; fhir:short [ fhir:v "Encounter-Link" ] ; fhir:definition [ fhir:v "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources." ] ; fhir:comment [ fhir:v "**Begründung Pflichtfeld:** Die Verlinkung auf eine Encounter-Ressource dient der technischen Zuordnung der Dokumentation zu einem Aufenthalt und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc.\nIm ISik Kontext MUSS die referenzierte Ressource konform zu [ISiKKontaktGesundheitseinrichtung](https://gematik.de/fhir/isik/StructureDefinition/ISiKKontaktGesundheitseinrichtung) sein.\nJenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.reference" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; ( fhir:condition [ fhir:v "ref-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Procedure.encounter.type" ] ; fhir:path [ fhir:v "Procedure.encounter.type" ] ; fhir:short [ fhir:v "Type the reference refers to (e.g. \"Patient\")" ] ; fhir:definition [ fhir:v "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." ] ; fhir:comment [ fhir:v "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.type" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "uri"^^xsd:anyURI ; fhir:l fhir:uri ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName> ] ; fhir:value [ a fhir:String ; fhir:v "FHIRResourceTypeExt" ] ] ) ; fhir:strength [ fhir:v "extensible" ] ; fhir:description [ fhir:v "Aa resource (or, for logical models, the URI of the logical model)." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/resource-types|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/ValueSet/resource-types?version=4.0.1> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Procedure.encounter.identifier" ] ; fhir:path [ fhir:v "Procedure.encounter.identifier" ] ; fhir:short [ fhir:v "Logical reference, when literal reference is not known" ] ; fhir:definition [ fhir:v "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." ] ; fhir:comment [ fhir:v "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.identifier" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Identifier"^^xsd:anyURI ; fhir:l fhir:Identifier ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".identifier" ] ] ) ] [ fhir:id [ fhir:v "Procedure.encounter.display" ] ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable> ] ; fhir:value [ a fhir:Boolean ; fhir:v true ] ] ) ; fhir:path [ fhir:v "Procedure.encounter.display" ] ; fhir:short [ fhir:v "Text alternative for the resource" ] ; fhir:definition [ fhir:v "Plain text narrative that identifies the resource in addition to the resource reference." ] ; fhir:comment [ fhir:v "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Reference.display" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Procedure.performed[x]" ] ; fhir:path [ fhir:v "Procedure.performed[x]" ] ; fhir:short [ fhir:v "Durchführungsdatum oder -Zeitraum" ] ; fhir:definition [ fhir:v "Estimated or actual date, date-time, period, or age when the procedure was performed. Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be captured." ] ; fhir:comment [ fhir:v "Es muss mindestens entweder ein (partielles) Durchführungsdatum oder der Beginn des Durchführungszeitraumes angegeben werden.\n **Begründung Pflichtfeld:** Die zeitliche Einordnung einer Prozedur ist in vielen Fällen maßgeblich für deren medizinische Relevanz." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.performed[x]" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "dateTime"^^xsd:anyURI ; fhir:l fhir:dateTime ] ] [ fhir:code [ fhir:v "Period"^^xsd:anyURI ; fhir:l fhir:Period ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Event.occurrence[x]" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.done[x]" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "OBR-7" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".effectiveTime" ] ] ) ] [ fhir:id [ fhir:v "Procedure.recorder" ] ; fhir:path [ fhir:v "Procedure.recorder" ] ; fhir:short [ fhir:v "Who recorded the procedure" ] ; fhir:definition [ fhir:v "Individual who recorded the record and takes responsibility for its content." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.recorder" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ; fhir:l fhir:Reference ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Patient?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/RelatedPerson?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Practitioner?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/PractitionerRole?version=4.0.1> ] ) ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.author" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".participation[typeCode=AUT].role" ] ] ) ] [ fhir:id [ fhir:v "Procedure.asserter" ] ; fhir:path [ fhir:v "Procedure.asserter" ] ; fhir:short [ fhir:v "Person who asserts this procedure" ] ; fhir:definition [ fhir:v "Individual who is making the procedure statement." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.asserter" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ; fhir:l fhir:Reference ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Patient?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/RelatedPerson?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Practitioner?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/PractitionerRole?version=4.0.1> ] ) ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.source" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".participation[typeCode=INF].role" ] ] ) ] [ fhir:id [ fhir:v "Procedure.performer" ] ; fhir:path [ fhir:v "Procedure.performer" ] ; fhir:short [ fhir:v "The people who performed the procedure" ] ; fhir:definition [ fhir:v "Limited to \"real\" people rather than equipment." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.performer" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "BackboneElement"^^xsd:anyURI ; fhir:l fhir:BackboneElement ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Event.performer" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".participation[typeCode=PRF]" ] ] ) ] [ fhir:id [ fhir:v "Procedure.performer.id" ] ; fhir:path [ fhir:v "Procedure.performer.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type> ] ; fhir:value [ a fhir:Url ; fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ; fhir:l <http://hl7.org/fhirpath/System.String> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Procedure.performer.extension" ] ; fhir:path [ fhir:v "Procedure.performer.extension" ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Procedure.performer.modifierExtension" ] ; fhir:path [ fhir:v "Procedure.performer.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ; fhir:definition [ fhir:v "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)." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "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)." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Procedure.performer.function" ] ; fhir:path [ fhir:v "Procedure.performer.function" ] ; fhir:short [ fhir:v "Type of performance" ] ; fhir:definition [ fhir:v "Distinguishes the type of involvement of the performer in the procedure. For example, surgeon, anaesthetist, endoscopist." ] ; fhir:requirements [ fhir:v "Allows disambiguation of the types of involvement of different performers." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.performer.function" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ; fhir:l fhir:CodeableConcept ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName> ] ; fhir:value [ a fhir:String ; fhir:v "ProcedurePerformerRole" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "A code that identifies the role of a performer of the procedure." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/performer-role|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/ValueSet/performer-role?version=4.0.1> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Event.performer.function" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".functionCode" ] ] ) ] [ fhir:id [ fhir:v "Procedure.performer.actor" ] ; fhir:path [ fhir:v "Procedure.performer.actor" ] ; fhir:short [ fhir:v "The reference to the practitioner" ] ; fhir:definition [ fhir:v "The practitioner who was involved in the procedure." ] ; fhir:requirements [ fhir:v "A reference to Device supports use cases, such as pacemakers." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.performer.actor" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ; fhir:l fhir:Reference ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Practitioner?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/PractitionerRole?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Organization?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Patient?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/RelatedPerson?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Device|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Device?version=4.0.1> ] ) ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Event.performer.actor" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.actor" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "ORC-19/PRT-5" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".role" ] ] ) ] [ fhir:id [ fhir:v "Procedure.performer.onBehalfOf" ] ; fhir:path [ fhir:v "Procedure.performer.onBehalfOf" ] ; fhir:short [ fhir:v "Organization the device or practitioner was acting for" ] ; fhir:definition [ fhir:v "The organization the device or practitioner was acting on behalf of." ] ; fhir:requirements [ fhir:v "Practitioners and Devices can be associated with multiple organizations. This element indicates which organization they were acting on behalf of when performing the action." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.performer.onBehalfOf" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ; fhir:l fhir:Reference ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Organization?version=4.0.1> ] ) ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".scoper" ] ] ) ] [ fhir:id [ fhir:v "Procedure.location" ] ; fhir:path [ fhir:v "Procedure.location" ] ; fhir:short [ fhir:v "Where the procedure happened" ] ; fhir:definition [ fhir:v "The location where the procedure actually happened. E.g. a newborn at home, a tracheostomy at a restaurant." ] ; fhir:requirements [ fhir:v "Ties a procedure to where the records are likely kept." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.location" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ; fhir:l fhir:Reference ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Location|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Location?version=4.0.1> ] ) ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.where[x]" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".participation[typeCode=LOC].role[classCode=SDLOC]" ] ] ) ] [ fhir:id [ fhir:v "Procedure.reasonCode" ] ; fhir:path [ fhir:v "Procedure.reasonCode" ] ; fhir:short [ fhir:v "Coded reason procedure performed" ] ; fhir:definition [ fhir:v "The coded reason why the procedure was performed. This may be a coded entity of some type, or may simply be present as text." ] ; fhir:comment [ fhir:v "Use Procedure.reasonCode when a code sufficiently describes the reason. Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative. For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used. Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference. Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.reasonCode" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ; fhir:l fhir:CodeableConcept ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName> ] ; fhir:value [ a fhir:String ; fhir:v "ProcedureReason" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "A code that identifies the reason a procedure is required." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/procedure-reason|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/ValueSet/procedure-reason?version=4.0.1> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Event.reasonCode" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.why[x]" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".reasonCode" ] ] ) ] [ fhir:id [ fhir:v "Procedure.reasonReference" ] ; fhir:path [ fhir:v "Procedure.reasonReference" ] ; fhir:short [ fhir:v "The justification that the procedure was performed" ] ; fhir:definition [ fhir:v "The justification of why the procedure was performed." ] ; fhir:comment [ fhir:v "It is possible for a procedure to be a reason (such as C-Section) for another procedure (such as an epidural). Other examples include endoscopy for dilatation and biopsy (a combination of diagnostic and therapeutic use). \nUse Procedure.reasonCode when a code sufficiently describes the reason. Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative. For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used. Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference. Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.reasonReference" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ; fhir:l fhir:Reference ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Condition|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Condition?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Observation?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Procedure?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/DiagnosticReport?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/DocumentReference?version=4.0.1> ] ) ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Event.reasonReference" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.why[x]" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".reasonCode" ] ] ) ] [ fhir:id [ fhir:v "Procedure.bodySite" ] ; fhir:path [ fhir:v "Procedure.bodySite" ] ; fhir:short [ fhir:v "Target body sites" ] ; fhir:definition [ fhir:v "Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion." ] ; fhir:comment [ fhir:v "If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [procedure-targetbodystructure](http://hl7.org/fhir/R4/extension-procedure-targetbodystructure.html)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.bodySite" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ; fhir:l fhir:CodeableConcept ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName> ] ; fhir:value [ a fhir:String ; fhir:v "BodySite" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Codes describing anatomical locations. May include laterality." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/body-site|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/ValueSet/body-site?version=4.0.1> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "OBX-20" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".targetSiteCode" ] ] ) ] [ fhir:id [ fhir:v "Procedure.outcome" ] ; fhir:path [ fhir:v "Procedure.outcome" ] ; fhir:short [ fhir:v "The result of procedure" ] ; fhir:definition [ fhir:v "The outcome of the procedure - did it resolve the reasons for the procedure being performed?" ] ; fhir:comment [ fhir:v "If outcome contains narrative text only, it can be captured using the CodeableConcept.text." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.outcome" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ; fhir:l fhir:CodeableConcept ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v true ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName> ] ; fhir:value [ a fhir:String ; fhir:v "ProcedureOutcome" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "An outcome of a procedure - whether it was resolved or otherwise." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/procedure-outcome|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/ValueSet/procedure-outcome?version=4.0.1> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".outboundRelationship[typeCode=OUT].target.text" ] ] ) ] [ fhir:id [ fhir:v "Procedure.report" ] ; fhir:path [ fhir:v "Procedure.report" ] ; fhir:short [ fhir:v "Any report resulting from the procedure" ] ; fhir:definition [ fhir:v "This could be a histology result, pathology report, surgical report, etc." ] ; fhir:comment [ fhir:v "There could potentially be multiple reports - e.g. if this was a procedure which took multiple biopsies resulting in a number of anatomical pathology reports." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.report" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ; fhir:l fhir:Reference ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/DiagnosticReport?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/DocumentReference?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Composition?version=4.0.1> ] ) ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN]" ] ] ) ] [ fhir:id [ fhir:v "Procedure.complication" ] ; fhir:path [ fhir:v "Procedure.complication" ] ; fhir:short [ fhir:v "Complication following the procedure" ] ; fhir:definition [ fhir:v "Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the notes, which will typically describe the procedure itself rather than any 'post procedure' issues." ] ; fhir:comment [ fhir:v "If complications are only expressed by the narrative text, they can be captured using the CodeableConcept.text." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.complication" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ; fhir:l fhir:CodeableConcept ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName> ] ; fhir:value [ a fhir:String ; fhir:v "ProcedureComplication" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Codes describing complications that resulted from a procedure." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/condition-code|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/ValueSet/condition-code?version=4.0.1> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=\"complication\", moodCode=EVN].value" ] ] ) ] [ fhir:id [ fhir:v "Procedure.complicationDetail" ] ; fhir:path [ fhir:v "Procedure.complicationDetail" ] ; fhir:short [ fhir:v "A condition that is a result of the procedure" ] ; fhir:definition [ fhir:v "Any complications that occurred during the procedure, or in the immediate post-performance period." ] ; fhir:requirements [ fhir:v "This is used to document a condition that is a result of the procedure, not the condition that was the reason for the procedure." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.complicationDetail" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ; fhir:l fhir:Reference ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Condition|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Condition?version=4.0.1> ] ) ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=\"complication\", moodCode=EVN].value" ] ] ) ] [ fhir:id [ fhir:v "Procedure.followUp" ] ; fhir:path [ fhir:v "Procedure.followUp" ] ; fhir:short [ fhir:v "Instructions for follow up" ] ; fhir:definition [ fhir:v "If the procedure required specific follow up - e.g. removal of sutures. The follow up may be represented as a simple note or could potentially be more complex, in which case the CarePlan resource can be used." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.followUp" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ; fhir:l fhir:CodeableConcept ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName> ] ; fhir:value [ a fhir:String ; fhir:v "ProcedureFollowUp" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Specific follow up required for a procedure e.g. removal of sutures." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/procedure-followup|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/ValueSet/procedure-followup?version=4.0.1> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".outboundRelationship[typeCode=COMP].target[classCode=ACT, moodCode=INT].code" ] ] ) ] [ fhir:id [ fhir:v "Procedure.note" ] ; fhir:path [ fhir:v "Procedure.note" ] ; fhir:short [ fhir:v "Notizen" ] ; fhir:definition [ fhir:v "Any other notes and comments about the procedure." ] ; fhir:comment [ fhir:v "Ergänzende Hinweise und Anmerkungen zur Prozedur" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.note" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Annotation"^^xsd:anyURI ; fhir:l fhir:Annotation ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Event.note" ] ] [ fhir:identity [ fhir:v "v2" ] ; fhir:map [ fhir:v "NTE" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value" ] ] ) ] [ fhir:id [ fhir:v "Procedure.focalDevice" ] ; fhir:path [ fhir:v "Procedure.focalDevice" ] ; fhir:short [ fhir:v "Manipulated, implanted, or removed device" ] ; fhir:definition [ fhir:v "A device that is implanted, removed or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.focalDevice" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "BackboneElement"^^xsd:anyURI ; fhir:l fhir:BackboneElement ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".participation[typeCode=DEV].role[classCode=MANU]" ] ] ) ] [ fhir:id [ fhir:v "Procedure.focalDevice.id" ] ; fhir:path [ fhir:v "Procedure.focalDevice.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type> ] ; fhir:value [ a fhir:Url ; fhir:v "string"^^xsd:anyURI ; fhir:l fhir:string ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ; fhir:l <http://hl7.org/fhirpath/System.String> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Procedure.focalDevice.extension" ] ; fhir:path [ fhir:v "Procedure.focalDevice.extension" ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "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." ] ; fhir:comment [ fhir:v "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." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Procedure.focalDevice.modifierExtension" ] ; fhir:path [ fhir:v "Procedure.focalDevice.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ; fhir:definition [ fhir:v "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)." ] ; fhir:comment [ fhir:v "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." ] ; fhir:requirements [ fhir:v "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)." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v true ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ; fhir:isSummary [ fhir:v true ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Procedure.focalDevice.action" ] ; fhir:path [ fhir:v "Procedure.focalDevice.action" ] ; fhir:short [ fhir:v "Kind of change to device" ] ; fhir:definition [ fhir:v "The kind of change that happened to the device during the procedure." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.focalDevice.action" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ; fhir:l fhir:CodeableConcept ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName> ] ; fhir:value [ a fhir:String ; fhir:v "DeviceActionKind" ] ] ) ; fhir:strength [ fhir:v "preferred" ] ; fhir:description [ fhir:v "A kind of change that happened to the device during the procedure." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/device-action|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/ValueSet/device-action?version=4.0.1> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"procedure device action\"].value=:procedure device action codes" ] ] ) ] [ fhir:id [ fhir:v "Procedure.focalDevice.manipulated" ] ; fhir:path [ fhir:v "Procedure.focalDevice.manipulated" ] ; fhir:short [ fhir:v "Device that was changed" ] ; fhir:definition [ fhir:v "The device that was manipulated (changed) during the procedure." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.focalDevice.manipulated" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ; fhir:l fhir:Reference ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Device|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Device?version=4.0.1> ] ) ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".participation[typeCode=DEV].role[classCode=SDLOC]" ] ] ) ] [ fhir:id [ fhir:v "Procedure.usedReference" ] ; fhir:path [ fhir:v "Procedure.usedReference" ] ; fhir:short [ fhir:v "Items used during procedure" ] ; fhir:definition [ fhir:v "Identifies medications, devices and any other substance used as part of the procedure." ] ; fhir:comment [ fhir:v "For devices actually implanted or removed, use Procedure.device." ] ; fhir:requirements [ fhir:v "Used for tracking contamination, etc." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.usedReference" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ; fhir:l fhir:Reference ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Device|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Device?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Medication|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Medication?version=4.0.1> ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Substance|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Substance?version=4.0.1> ] ) ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".participation[typeCode=DEV].role[classCode=MANU] or\n.participation[typeCode=CSM].role[classCode=ADMM] (for Medication or Substance)" ] ] ) ] [ fhir:id [ fhir:v "Procedure.usedCode" ] ; fhir:path [ fhir:v "Procedure.usedCode" ] ; fhir:short [ fhir:v "Coded items used during the procedure" ] ; fhir:definition [ fhir:v "Identifies coded items that were used as part of the procedure." ] ; fhir:comment [ fhir:v "For devices actually implanted or removed, use Procedure.device." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Procedure.usedCode" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ; fhir:l fhir:CodeableConcept ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v false ] ; fhir:isSummary [ fhir:v false ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName> ] ; fhir:value [ a fhir:String ; fhir:v "ProcedureUsed" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Codes describing items used during a procedure." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/device-kind|4.0.1"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/ValueSet/device-kind?version=4.0.1> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "participation[typeCode=Dev].role[classCode=MANU]" ] ] ) ] ) ] ; # fhir:differential [ ( fhir:element [ fhir:id [ fhir:v "Procedure" ] ; fhir:path [ fhir:v "Procedure" ] ; ( fhir:constraint [ fhir:key [ fhir:v "proc-ISiK-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden" ] ; fhir:expression [ fhir:v "code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()" ] ; fhir:source [ fhir:v "https://gematik.de/fhir/isik/StructureDefinition/ISiKProzedur"^^xsd:anyURI ; fhir:l <https://gematik.de/fhir/isik/StructureDefinition/ISiKProzedur> ] ] [ fhir:key [ fhir:v "proc-ISiK-2" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Falls eine codierte Prozedur vorliegt MUSS eine kodierte Category abgebildet werden" ] ; fhir:expression [ fhir:v "code.coding.exists() implies category.coding.exists()" ] ; fhir:source [ fhir:v "https://gematik.de/fhir/isik/StructureDefinition/ISiKProzedur"^^xsd:anyURI ; fhir:l <https://gematik.de/fhir/isik/StructureDefinition/ISiKProzedur> ] ] ) ] [ fhir:id [ fhir:v "Procedure.id" ] ; fhir:path [ fhir:v "Procedure.id" ] ; fhir:short [ fhir:v "serverseitige, interne ID des Datensatzes" ] ; fhir:comment [ fhir:v "**bedingtes Pflichtfeld/bedingtes MS:** Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine `id` verfügen.\n Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine `id`verfügen. " ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Procedure.meta.versionId" ] ; fhir:path [ fhir:v "Procedure.meta.versionId" ] ; fhir:short [ fhir:v "Eindeutiger Name der serverseitigen Version des Datensatzes" ] ; fhir:comment [ fhir:v "Alle von einem Server bereitgestellten Ressourcen SOLLEN über eine `versionID` verfügen.\n Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine `versionID`verfügen. " ] ] [ fhir:id [ fhir:v "Procedure.meta.lastUpdated" ] ; fhir:path [ fhir:v "Procedure.meta.lastUpdated" ] ; fhir:short [ fhir:v "Zeitpunkt der letzten Änderung" ] ; fhir:comment [ fhir:v "Alle von einem Server bereitgestellten Ressourcen SOLLEN über ein `lastUpdate` verfügen.\n Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über ein `lastUpdate`verfügen. " ] ] [ fhir:id [ fhir:v "Procedure.extension" ] ; fhir:path [ fhir:v "Procedure.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:rules [ fhir:v "open" ] ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Procedure.extension:Dokumentationsdatum" ] ; fhir:path [ fhir:v "Procedure.extension" ] ; fhir:sliceName [ fhir:v "Dokumentationsdatum" ] ; fhir:short [ fhir:v "Dokumentationsdatum" ] ; fhir:comment [ fhir:v "Datum, an dem die Prozedur dokumentiert wurde. \n Es handelt sich hierbei um das fachliche Dokumentationsdatum, nicht zu verwechseln mit dem Datum der technischen Anlage des Datensatzes im Primärsystem. \n Diese beiden Daten *können* jedoch identisch sein." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ; fhir:l fhir:Extension ] ; ( fhir:profile [ fhir:v "http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum"^^xsd:anyURI ; fhir:l <http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum> ] ) ] ) ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Procedure.status" ] ; fhir:path [ fhir:v "Procedure.status" ] ; fhir:short [ fhir:v "Status" ] ; fhir:comment [ fhir:v "Zeigt den aktuellen Status der Prozedur an. \n **WICHTIGER Hinweis für Implementierer: \n * Alle server-seitigen Implementierungen MÜSSEN in der Lage sein, \n die systemintern möglichen Statuswerte korrekt in FHIR abzubilden, mindestens jedoch die Werte `completed` und `unknown`.\n * Alle client-seitigen Implementierungen MÜSSEN in der Lage sein, sämtliche Status-Codes zu interpretieren und dem Anwender in angemessener Form darstellen zu können, \n beispielsweise durch Ausblenden/Durchstreichen von Prozeduren mit dem status `entered-in-error` und Ausgrauen von Prozeduren, die noch nicht stattgefunden haben, o.ä." ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Procedure.category" ] ; fhir:path [ fhir:v "Procedure.category" ] ; fhir:short [ fhir:v "Kategorie" ] ; fhir:comment [ fhir:v "Die Kategorisierung erfolgt vorzugsweise auf Basis von SNOMED CT. Für OPS-codierte Prozeduren MUSS die Kategorie angegeben werden: Sie kann ermittelt werden, \n indem das erste Zeichen des OPS-Codes mit Hilfe einer [ConceptMap](http://fhir.de/ConceptMap/OPS-SNOMED-Category) auf die zutreffende SNOMED-Kategorie gemappt wird.\n \n **Begründung MS:** Die Kategorisierung dient der Verbesserung von Suche und Darstellung." ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Procedure.category.coding" ] ; fhir:path [ fhir:v "Procedure.category.coding" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "pattern" ] ; fhir:path [ fhir:v "system" ] ] ) ; fhir:rules [ fhir:v "open" ] ] ] [ fhir:id [ fhir:v "Procedure.category.coding:SNOMED-CT" ] ; fhir:path [ fhir:v "Procedure.category.coding" ] ; fhir:sliceName [ fhir:v "SNOMED-CT" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; ( fhir:type [ fhir:code [ fhir:v "Coding"^^xsd:anyURI ; fhir:l fhir:Coding ] ; ( fhir:profile [ fhir:v "https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding"^^xsd:anyURI ; fhir:l <https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding> ] ) ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:binding [ fhir:strength [ fhir:v "preferred" ] ; fhir:valueSet [ fhir:v "https://gematik.de/fhir/isik/ValueSet/ProzedurenKategorieSCT"^^xsd:anyURI ; fhir:l <https://gematik.de/fhir/isik/ValueSet/ProzedurenKategorieSCT> ] ] ] [ fhir:id [ fhir:v "Procedure.code" ] ; fhir:path [ fhir:v "Procedure.code" ] ; fhir:short [ fhir:v "Prozeduren-Code" ] ; fhir:comment [ fhir:v "Prozeduren SOLLEN mindestens entweder mit einem OPS-Code oder einem SNOMED-Code aus dem angegebenen ValueSet codiert werden. \n Ist keine Codierung möglich, MUSS statt dessen eine textuelle Beschreibung der Prozedur angegeben werden. \n **Begründung Pflichtfeld:** Ist *weder* eine Codierung *noch* eine textuelle Beschreibung vorhanden, besitzt diese Ressource keine medizinische Aussagefähigkeit." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; ( fhir:constraint [ fhir:key [ fhir:v "sct-ops-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Falls die Prozedur kodiert vorliegt, SOLL mindestens ein OPS oder SNOMED-CT Code angegeben werden." ] ; fhir:expression [ fhir:v "coding.exists() implies coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()" ] ; fhir:source [ fhir:v "https://gematik.de/fhir/isik/StructureDefinition/ISiKProzedur"^^xsd:anyURI ; fhir:l <https://gematik.de/fhir/isik/StructureDefinition/ISiKProzedur> ] ] [ fhir:key [ fhir:v "proc-ISiK-3" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "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." ] ; fhir:expression [ fhir:v "coding.exists().not() implies text.exists()" ] ; fhir:source [ fhir:v "https://gematik.de/fhir/isik/StructureDefinition/ISiKProzedur"^^xsd:anyURI ; fhir:l <https://gematik.de/fhir/isik/StructureDefinition/ISiKProzedur> ] ] ) ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Procedure.code.coding" ] ; fhir:path [ fhir:v "Procedure.code.coding" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "pattern" ] ; fhir:path [ fhir:v "system" ] ] ) ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Codierte Darstellung der Prozedur" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Procedure.code.coding:OPS" ] ; fhir:path [ fhir:v "Procedure.code.coding" ] ; fhir:sliceName [ fhir:v "OPS" ] ; fhir:short [ fhir:v "OPS-codierte Darstellung der Prozedur" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; ( fhir:type [ fhir:code [ fhir:v "Coding"^^xsd:anyURI ; fhir:l fhir:Coding ] ; ( fhir:profile [ fhir:v "http://fhir.de/StructureDefinition/CodingOPS"^^xsd:anyURI ; fhir:l <http://fhir.de/StructureDefinition/CodingOPS> ] ) ] ) ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Procedure.code.coding:OPS.extension:Seitenlokalisation" ] ; fhir:path [ fhir:v "Procedure.code.coding.extension" ] ; fhir:sliceName [ fhir:v "Seitenlokalisation" ] ; fhir:short [ fhir:v "Seitenlokalisation" ] ; fhir:comment [ fhir:v "**Begründung MS:** Bei OPS-codierten Prozeduren an paarigen Organen oder Körperteilen müssen die Zusatzkennzeichen für die Seitigkeit (R, L oder B) angeben werden" ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Procedure.code.coding:OPS.system" ] ; fhir:path [ fhir:v "Procedure.code.coding.system" ] ; fhir:short [ fhir:v "Namensraum des Prozeduren-Codes" ] ; fhir:comment [ fhir:v "Hier ist stets der Wert `http://fhir.de/CodeSystem/bfarm/ops` anzugeben." ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Procedure.code.coding:OPS.version" ] ; fhir:path [ fhir:v "Procedure.code.coding.version" ] ; fhir:short [ fhir:v "Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. `2017`)" ] ; fhir:comment [ fhir:v "**Begründung Pflichtfeld:** Bei Verwendung von OPS ist die Angabe der Version zwingend erforderlich. \n Hierdurch wird der Tatsache Rechnung getragen, dass jede der jährlich neu erscheinenden Fassung von OPS ein neues Codesystem darstellt." ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Procedure.code.coding:OPS.code" ] ; fhir:path [ fhir:v "Procedure.code.coding.code" ] ; fhir:short [ fhir:v "OPS-Code" ] ; fhir:comment [ fhir:v "Hier ist der OPS-Code ohne jegliche Zusatzkennzeichen (z.B. Seitenlokalisation) oder Versionsnummern anzugeben." ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Procedure.code.coding:SNOMED-CT" ] ; fhir:path [ fhir:v "Procedure.code.coding" ] ; fhir:sliceName [ fhir:v "SNOMED-CT" ] ; fhir:short [ fhir:v "SNOMED-codierte Darstellung der Prozedur" ] ; fhir:comment [ fhir:v "**Hintergrund und Begründung zum Must-Support:** Das BfArM hat ein 'Zielbild für eine semantische Strategie' (https://www.bfarm.de/DE/Kodiersysteme/Services/Terminologieserver/Semantik-Strategie/_node.html) verfasst, in dem die Nutzung von international gängigen Basis-Terminologien vorgestellt wird. Dort wird als grundlegende Position dargestellt, dass basierend auf einer Basisterminologie weitere Use Cases bedient werden sollen. Bei Prozeduren wäre das damit eine klinische Dokumentation mit SNOMED CT als internationalem Kodiersystem und einer Ableitung davon zum OPS. Dies ist insbesondere auch wichtig für den Datentransfer in den European Health Data Space, in dem der OPS keine Rolle spielen wird." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; ( fhir:type [ fhir:code [ fhir:v "Coding"^^xsd:anyURI ; fhir:l fhir:Coding ] ; ( fhir:profile [ fhir:v "https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding"^^xsd:anyURI ; fhir:l <https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding> ] ) ] ) ; fhir:mustSupport [ fhir:v true ] ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "https://gematik.de/fhir/isik/ValueSet/ProzedurenCodesSCT"^^xsd:anyURI ; fhir:l <https://gematik.de/fhir/isik/ValueSet/ProzedurenCodesSCT> ] ] ] [ fhir:id [ fhir:v "Procedure.code.text" ] ; fhir:path [ fhir:v "Procedure.code.text" ] ; fhir:short [ fhir:v "Freitextiche Beschreibung der Prozedur" ] ; fhir:comment [ fhir:v "Die freitextliche Beschreibung kann ergänzend oder anstelle einer codierten Angabe der Prozedur erfolgen." ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Procedure.subject" ] ; fhir:path [ fhir:v "Procedure.subject" ] ; fhir:short [ fhir:v "Patientenbezug" ] ; fhir:comment [ fhir:v "**Begründung Must-Support:** Ein Patientenbezug der Prozedur MUSS stets zum Zwecke der Nachvollziehbarkeit und Datenintegrität vorliegen." ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Procedure.subject.reference" ] ; fhir:path [ fhir:v "Procedure.subject.reference" ] ; fhir:short [ fhir:v "Patienten-Link" ] ; fhir:comment [ fhir:v "**Begründung MS:** Die Verlinkung auf eine Patienten-Ressource dient der technischen Zuordnung der Dokumentation zu einem Patienten und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc.\nIm ISik Kontext MUSS die referenzierte Ressource konform zu [ISiKPatient](https://gematik.de/fhir/isik/StructureDefinition/ISiKPatient) sein.\nJenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Procedure.encounter" ] ; fhir:path [ fhir:v "Procedure.encounter" ] ; fhir:short [ fhir:v "Aufenthaltsbezug" ] ; fhir:comment [ fhir:v "**Begründung Must-Support:** Ein Aufenthaltsbezug der Prozedur MUSS stets zum Zwecke der Nachvollziehbarkeit und Datenintegrität vorliegen." ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Procedure.encounter.reference" ] ; fhir:path [ fhir:v "Procedure.encounter.reference" ] ; fhir:short [ fhir:v "Encounter-Link" ] ; fhir:comment [ fhir:v "**Begründung Pflichtfeld:** Die Verlinkung auf eine Encounter-Ressource dient der technischen Zuordnung der Dokumentation zu einem Aufenthalt und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc.\nIm ISik Kontext MUSS die referenzierte Ressource konform zu [ISiKKontaktGesundheitseinrichtung](https://gematik.de/fhir/isik/StructureDefinition/ISiKKontaktGesundheitseinrichtung) sein.\nJenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Procedure.performed[x]" ] ; fhir:path [ fhir:v "Procedure.performed[x]" ] ; fhir:short [ fhir:v "Durchführungsdatum oder -Zeitraum" ] ; fhir:comment [ fhir:v "Es muss mindestens entweder ein (partielles) Durchführungsdatum oder der Beginn des Durchführungszeitraumes angegeben werden.\n **Begründung Pflichtfeld:** Die zeitliche Einordnung einer Prozedur ist in vielen Fällen maßgeblich für deren medizinische Relevanz." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; ( fhir:type [ fhir:code [ fhir:v "dateTime"^^xsd:anyURI ; fhir:l fhir:dateTime ] ] [ fhir:code [ fhir:v "Period"^^xsd:anyURI ; fhir:l fhir:Period ] ] ) ; fhir:mustSupport [ fhir:v true ] ] [ fhir:id [ fhir:v "Procedure.note" ] ; fhir:path [ fhir:v "Procedure.note" ] ; fhir:short [ fhir:v "Notizen" ] ; fhir:comment [ fhir:v "Ergänzende Hinweise und Anmerkungen zur Prozedur" ] ; fhir:mustSupport [ fhir:v true ] ] ) ] . #
IG © 2026+ gematik GmbH. Paket basis#6.0.0-rc basierend auf FHIR 4.0.1. Generiert 2026-02-02
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