<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="Procedure" />
  <url value="https://fhir.centraxx.de/StructureDefinition/Surgery" />
  <version value="2025.4.0" />
  <name value="Surgery" />
  <status value="active" />
  <publisher value="Kairos an IQVIA business" />
  <description value="Represents a HDRP Surgery." />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Procedure" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Procedure" />
  <derivation value="constraint" />
  <differential>
    <element id="Procedure.meta">
      <path value="Procedure.meta" />
      <min value="0" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.meta.profile">
      <path value="Procedure.meta.profile" />
      <min value="1" />
      <max value="1" />
      <fixedCanonical value="https://fhir.centraxx.de/StructureDefinition/surgery" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.meta.tag">
      <path value="Procedure.meta.tag" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.meta.tag.system">
      <path value="Procedure.meta.tag.system" />
      <min value="1" />
      <max value="1" />
      <fixedString value="https://fhir.centraxx.de/system/cxxEntity" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.meta.tag.code">
      <path value="Procedure.meta.tag.code" />
      <min value="1" />
      <max value="1" />
      <fixedString value="Surgery" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension">
      <path value="Procedure.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="closed" />
      </slicing>
      <min value="0" />
      <max value="42" />
      <type>
        <code value="Extension" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:updateWithOverwrite">
      <path value="Procedure.extension" />
      <sliceName value="updateWithOverwrite" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/updateWithOverwrite" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:intentionDict">
      <path value="Procedure.extension" />
      <sliceName value="intentionDict" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/intentionDict" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:dateAccuracyDict">
      <path value="Procedure.extension" />
      <sliceName value="dateAccuracyDict" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/dateAccuracyDict" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:captureFinishStateDict">
      <path value="Procedure.extension" />
      <sliceName value="captureFinishStateDict" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/captureFinishStateDict" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:rClassificationDict">
      <path value="Procedure.extension" />
      <sliceName value="rClassificationDict" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/rClassificationDict" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:rClassificationLocalDict">
      <path value="Procedure.extension" />
      <sliceName value="rClassificationLocalDict" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/rClassificationLocalDict" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:complicationsDict">
      <path value="Procedure.extension" />
      <sliceName value="complicationsDict" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/complicationsDict" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:targetPrimaryTumourDict">
      <path value="Procedure.extension" />
      <sliceName value="targetPrimaryTumourDict" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/targetPrimaryTumourDict" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:targetLymphnodeDict">
      <path value="Procedure.extension" />
      <sliceName value="targetLymphnodeDict" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/targetLymphnodeDict" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:targetMetastasisDict">
      <path value="Procedure.extension" />
      <sliceName value="targetMetastasisDict" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/targetMetastasisDict" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:resectionDict">
      <path value="Procedure.extension" />
      <sliceName value="resectionDict" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/resectionDict" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:targetComplicationDict">
      <path value="Procedure.extension" />
      <sliceName value="targetComplicationDict" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/targetComplicationDict" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:targetOtherDict">
      <path value="Procedure.extension" />
      <sliceName value="targetOtherDict" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/targetOtherDict" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:residualLocalisationDict">
      <path value="Procedure.extension" />
      <sliceName value="residualLocalisationDict" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/residualLocalisationDict" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:urgencyDict">
      <path value="Procedure.extension" />
      <sliceName value="urgencyDict" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/urgencyDict" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:successDict">
      <path value="Procedure.extension" />
      <sliceName value="successDict" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/successDict" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:surgicalAccess">
      <path value="Procedure.extension" />
      <sliceName value="surgicalAccess" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/surgicalAccess" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:conceptId">
      <path value="Procedure.extension" />
      <sliceName value="conceptId" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/conceptId" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:therapyStep">
      <path value="Procedure.extension" />
      <sliceName value="therapyStep" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/therapyStep" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:accomplishedByText">
      <path value="Procedure.extension" />
      <sliceName value="accomplishedByText" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/accomplishedByText" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:opDescription">
      <path value="Procedure.extension" />
      <sliceName value="opDescription" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/opDescription" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:opText">
      <path value="Procedure.extension" />
      <sliceName value="opText" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/opText" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:lymphNodesExaminated">
      <path value="Procedure.extension" />
      <sliceName value="lymphNodesExaminated" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/lymphNodesExaminated" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:lymphNodesInfested">
      <path value="Procedure.extension" />
      <sliceName value="lymphNodesInfested" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/lymphNodesInfested" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:lymphNode_1_Examinated">
      <path value="Procedure.extension" />
      <sliceName value="lymphNode_1_Examinated" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/lymphNode_1_Examinated" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:lymphNode_1_Infested">
      <path value="Procedure.extension" />
      <sliceName value="lymphNode_1_Infested" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/lymphNode_1_Infested" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:lymphNode_2_Examinated">
      <path value="Procedure.extension" />
      <sliceName value="lymphNode_2_Examinated" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/lymphNode_2_Examinated" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:lymphNode_2_Infested">
      <path value="Procedure.extension" />
      <sliceName value="lymphNode_2_Infested" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/lymphNode_2_Infested" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:lymphNode_3_Examinated">
      <path value="Procedure.extension" />
      <sliceName value="lymphNode_3_Examinated" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/lymphNode_3_Examinated" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:lymphNode_3_Infested">
      <path value="Procedure.extension" />
      <sliceName value="lymphNode_3_Infested" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/lymphNode_3_Infested" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:lymphNode_4_Examinated">
      <path value="Procedure.extension" />
      <sliceName value="lymphNode_4_Examinated" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/lymphNode_4_Examinated" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:lymphNode_4_Infested">
      <path value="Procedure.extension" />
      <sliceName value="lymphNode_4_Infested" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/lymphNode_4_Infested" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:sentinelsExaminated">
      <path value="Procedure.extension" />
      <sliceName value="sentinelsExaminated" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/sentinelsExaminated" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:sentinelsInfested">
      <path value="Procedure.extension" />
      <sliceName value="sentinelsInfested" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/sentinelsInfested" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:rClassificationSuffix">
      <path value="Procedure.extension" />
      <sliceName value="rClassificationSuffix" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/rClassificationSuffix" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:largestDiameter">
      <path value="Procedure.extension" />
      <sliceName value="largestDiameter" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/largestDiameter" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:distanceResection">
      <path value="Procedure.extension" />
      <sliceName value="distanceResection" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/distanceResection" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:operateur1Text">
      <path value="Procedure.extension" />
      <sliceName value="operateur1Text" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/operateur1Text" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:operateur2Text">
      <path value="Procedure.extension" />
      <sliceName value="operateur2Text" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/operateur2Text" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:asaScore">
      <path value="Procedure.extension" />
      <sliceName value="asaScore" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/asaScore" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:buildingDate">
      <path value="Procedure.extension" />
      <sliceName value="buildingDate" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/surgery/buildingDate" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:tumor">
      <path value="Procedure.extension" />
      <sliceName value="tumor" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/gtdsTherapy/tumor" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.identifier">
      <path value="Procedure.identifier" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <rules value="closed" />
      </slicing>
      <min value="0" />
      <max value="3" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.identifier:surgeryId">
      <path value="Procedure.identifier" />
      <sliceName value="surgeryId" />
      <min value="0" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.identifier:surgeryId.system">
      <path value="Procedure.identifier.system" />
      <min value="1" />
      <max value="1" />
      <fixedString value="https://fhir.centraxx.de/system/surgery/surgeryId" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.identifier:surgeryId.value">
      <path value="Procedure.identifier.value" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.identifier:cxxSurgeryId">
      <path value="Procedure.identifier" />
      <sliceName value="cxxSurgeryId" />
      <min value="0" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.identifier:cxxSurgeryId.system">
      <path value="Procedure.identifier.system" />
      <min value="1" />
      <max value="1" />
      <fixedString value="https://fhir.centraxx.de/system/surgery/cxxSurgeryId" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.identifier:cxxSurgeryId.value">
      <path value="Procedure.identifier.value" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.identifier:xmlId">
      <path value="Procedure.identifier" />
      <sliceName value="xmlId" />
      <min value="0" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.identifier:xmlId.system">
      <path value="Procedure.identifier.system" />
      <min value="1" />
      <max value="1" />
      <fixedString value="https://fhir.centraxx.de/system/surgery/xmlId" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.identifier:xmlId.value">
      <path value="Procedure.identifier.value" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.partOf">
      <path value="Procedure.partOf" />
      <slicing>
        <discriminator>
          <type value="profile" />
          <path value="reference.resolve()" />
        </discriminator>
        <rules value="closed" />
      </slicing>
      <min value="0" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.partOf:progress">
      <path value="Procedure.partOf" />
      <sliceName value="progress" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.centraxx.de/StructureDefinition/Progress" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.status">
      <path value="Procedure.status" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.subject">
      <path value="Procedure.subject" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.centraxx.de/StructureDefinition/Patient" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.encounter">
      <path value="Procedure.encounter" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.centraxx.de/StructureDefinition/Encounter" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.performed[x]">
      <path value="Procedure.performed[x]" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.complicationDetail">
      <path value="Procedure.complicationDetail" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.centraxx.de/StructureDefinition/Condition" />
      </type>
      <mustSupport value="true" />
    </element>
  </differential>
</StructureDefinition>