{
  "resourceType": "StructureDefinition",
  "meta": {
    "lastUpdated": "2023-10-31T06:47:28.8081057+00:00"
  },
  "url": "https://medico-emr.net/medico/r4/sd/Procedure_OPSurgicalIntervention_1",
  "name": "Procedure_OPSurgicalIntervention_1",
  "status": "active",
  "date": "2019-02-20T10:19:46.2802558+00:00",
  "description": "One instance of this resource represents a surgical intervention.\r\nMultiple of these instances (but at least one) must point via their basedOn-Field to an instance of Procedure-OPCommonInfo-1. That instance in turn represents all the attached surgical interventions applied together.",
  "fhirVersion": "4.0.0",
  "kind": "resource",
  "abstract": false,
  "type": "Procedure",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Procedure",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Procedure",
        "path": "Procedure",
        "definition": "A surgical operation performed on a patient with a certain encounter\r\nThis profile targets the container for 1..n contained procedures - each describing a single procedure within this whole surgical operation."
      },
      {
        "id": "Procedure.id",
        "path": "Procedure.id",
        "short": "OPSurgicalIntervention-####",
        "min": 1
      },
      {
        "id": "Procedure.meta",
        "path": "Procedure.meta",
        "min": 1,
        "type": [
          {
            "code": "Meta",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/Meta_ProfileOnly_1"
            ]
          }
        ]
      },
      {
        "id": "Procedure.meta.lastUpdated",
        "path": "Procedure.meta.lastUpdated",
        "mustSupport": true
      },
      {
        "id": "Procedure.meta.profile",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.meta.profile",
        "fixedCanonical": "https://medico-emr.net/medico/r4/sd/Procedure_OPSurgicalIntervention_1"
      },
      {
        "id": "Procedure.meta.profile.id",
        "path": "Procedure.meta.profile.id",
        "max": "0"
      },
      {
        "id": "Procedure.implicitRules",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.implicitRules",
        "max": "0"
      },
      {
        "id": "Procedure.language",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.language",
        "max": "0"
      },
      {
        "id": "Procedure.text",
        "path": "Procedure.text",
        "max": "0"
      },
      {
        "id": "Procedure.contained",
        "path": "Procedure.contained",
        "max": "0"
      },
      {
        "id": "Procedure.extension:implant",
        "path": "Procedure.extension",
        "sliceName": "implant",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/ext/Procedure_OPSurgicalIntervention_Implant"
            ]
          }
        ]
      },
      {
        "id": "Procedure.extension:implantAccessory",
        "path": "Procedure.extension",
        "sliceName": "implantAccessory",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/ext/Procedure_OPSurgicalIntervention_Implant_Accessory"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Procedure.identifier",
        "path": "Procedure.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "max": "1"
      },
      {
        "id": "Procedure.identifier:medicoResourceId",
        "path": "Procedure.identifier",
        "sliceName": "medicoResourceId",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/Identifier_medicoResourceId_1"
            ]
          }
        ]
      },
      {
        "id": "Procedure.identifier:medicoResourceId.system",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.identifier.system",
        "definition": "Must be a constant underneath https://medico-emr.net/medico/%KUNDE%/sid1/OPSurgicalIntervention",
        "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier\r\nDynamically resolved for validation\r\n--FixedValue=https://medico-emr.net/medico/%KUNDE%/sid1/OPSurgicalIntervention"
      },
      {
        "id": "Procedure.instantiatesCanonical",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.instantiatesCanonical",
        "max": "0"
      },
      {
        "id": "Procedure.instantiatesUri",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.instantiatesUri",
        "max": "0"
      },
      {
        "id": "Procedure.basedOn",
        "path": "Procedure.basedOn",
        "max": "0"
      },
      {
        "id": "Procedure.partOf",
        "path": "Procedure.partOf",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://medico-emr.net/medico/r4/sd/Procedure_OPCommonInfo_1"
            ]
          }
        ]
      },
      {
        "id": "Procedure.partOf.id",
        "path": "Procedure.partOf.id",
        "definition": "The id of the main MedicoProcedure  (profile: MedicoProcedure-OP-Main)",
        "max": "0"
      },
      {
        "id": "Procedure.partOf.reference",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.partOf.reference",
        "min": 1
      },
      {
        "id": "Procedure.partOf.type",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.partOf.type",
        "min": 1,
        "fixedUri": "Procedure"
      },
      {
        "id": "Procedure.partOf.identifier",
        "path": "Procedure.partOf.identifier",
        "max": "0"
      },
      {
        "id": "Procedure.partOf.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.partOf.display",
        "max": "0"
      },
      {
        "id": "Procedure.category",
        "path": "Procedure.category",
        "min": 1
      },
      {
        "id": "Procedure.category.id",
        "path": "Procedure.category.id",
        "max": "0"
      },
      {
        "id": "Procedure.category.coding",
        "path": "Procedure.category.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Procedure.category.coding.id",
        "path": "Procedure.category.coding.id",
        "max": "0"
      },
      {
        "id": "Procedure.category.coding.system",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.category.coding.system",
        "min": 1,
        "fixedUri": "https://medico-emr.net/medico/cs/cs1"
      },
      {
        "id": "Procedure.category.coding.version",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.category.coding.version",
        "max": "0"
      },
      {
        "id": "Procedure.category.coding.code",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.category.coding.code",
        "min": 1,
        "fixedCode": "Procedure"
      },
      {
        "id": "Procedure.category.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.category.coding.display",
        "max": "0"
      },
      {
        "id": "Procedure.category.coding.userSelected",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.category.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Procedure.category.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.category.text",
        "max": "0"
      },
      {
        "id": "Procedure.code",
        "path": "Procedure.code",
        "definition": "main code that the surgical intervention centered on - us\r\nhttps://www.dimdi.de/static/de/klassi/ops/"
      },
      {
        "id": "Procedure.code.id",
        "path": "Procedure.code.id",
        "max": "0"
      },
      {
        "id": "Procedure.code.coding.id",
        "path": "Procedure.code.coding.id",
        "max": "0"
      },
      {
        "id": "Procedure.code.coding.system",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.code.coding.system",
        "definition": "for ops should be https://www.dimdi.de/static/de/klassi/ops/",
        "min": 1
      },
      {
        "id": "Procedure.code.coding.version",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.code.coding.version",
        "max": "0"
      },
      {
        "id": "Procedure.code.coding.code",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.code.coding.code",
        "min": 1
      },
      {
        "id": "Procedure.code.coding.userSelected",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Procedure.subject",
        "path": "Procedure.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Patient"
            ]
          }
        ]
      },
      {
        "id": "Procedure.subject.id",
        "path": "Procedure.subject.id",
        "max": "0"
      },
      {
        "id": "Procedure.subject.identifier",
        "path": "Procedure.subject.identifier",
        "max": "0"
      },
      {
        "id": "Procedure.subject.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.subject.display",
        "max": "0"
      },
      {
        "id": "Procedure.encounter",
        "path": "Procedure.encounter",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/Reference_ContextEncounter_1"
            ],
            "targetProfile": [
              "https://medico-emr.net/medico/r4/sd/Encounter_Case_1"
            ]
          }
        ]
      },
      {
        "id": "Procedure.performed[x]",
        "path": "Procedure.performed[x]",
        "type": [
          {
            "code": "Period"
          }
        ]
      },
      {
        "id": "Procedure.recorder",
        "path": "Procedure.recorder",
        "max": "0"
      },
      {
        "id": "Procedure.asserter",
        "path": "Procedure.asserter",
        "max": "0"
      },
      {
        "id": "Procedure.performer.id",
        "path": "Procedure.performer.id",
        "max": "0"
      },
      {
        "id": "Procedure.performer.function",
        "path": "Procedure.performer.function",
        "min": 1,
        "binding": {
          "strength": "preferred",
          "valueSet": "https://medico-emr.net/medico/r4/vs/Procedure_OP_PerformerRole_1"
        }
      },
      {
        "id": "Procedure.performer.function.id",
        "path": "Procedure.performer.function.id",
        "max": "0"
      },
      {
        "id": "Procedure.performer.function.coding",
        "path": "Procedure.performer.function.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Procedure.performer.function.coding.id",
        "path": "Procedure.performer.function.coding.id",
        "max": "0"
      },
      {
        "id": "Procedure.performer.function.coding.system",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.performer.function.coding.system",
        "min": 1,
        "fixedUri": "https://medico-emr.net/medico/cs/cs1"
      },
      {
        "id": "Procedure.performer.function.coding.version",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.performer.function.coding.version",
        "max": "0"
      },
      {
        "id": "Procedure.performer.function.coding.code",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.performer.function.coding.code",
        "min": 1
      },
      {
        "id": "Procedure.performer.function.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.performer.function.coding.display",
        "max": "0"
      },
      {
        "id": "Procedure.performer.function.coding.userSelected",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.performer.function.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Procedure.performer.function.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.performer.function.text",
        "max": "0"
      },
      {
        "id": "Procedure.performer.actor",
        "path": "Procedure.performer.actor",
        "definition": "The practitioner who was involved in the procedure.\r\nrelative URL, format: Practitioner/Employee-#####, where #### is x8201psr.psr",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://medico-emr.net/medico/r4/sd/Practitioner_Employee_1"
            ]
          }
        ]
      },
      {
        "id": "Procedure.performer.actor.id",
        "path": "Procedure.performer.actor.id",
        "max": "0"
      },
      {
        "id": "Procedure.performer.actor.reference",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.performer.actor.reference",
        "min": 1
      },
      {
        "id": "Procedure.performer.actor.identifier",
        "path": "Procedure.performer.actor.identifier",
        "max": "0"
      },
      {
        "id": "Procedure.performer.onBehalfOf",
        "path": "Procedure.performer.onBehalfOf",
        "max": "0"
      },
      {
        "id": "Procedure.location",
        "path": "Procedure.location",
        "definition": "Procedure is given through the set logical operations (MedicoProcedure-OP-Main) referenced by partOf",
        "max": "0"
      },
      {
        "id": "Procedure.reasonCode",
        "path": "Procedure.reasonCode",
        "max": "0"
      },
      {
        "id": "Procedure.reasonReference",
        "path": "Procedure.reasonReference",
        "max": "0"
      },
      {
        "id": "Procedure.bodySite",
        "path": "Procedure.bodySite",
        "max": "1"
      },
      {
        "id": "Procedure.bodySite.id",
        "path": "Procedure.bodySite.id",
        "max": "0"
      },
      {
        "id": "Procedure.bodySite.coding.id",
        "path": "Procedure.bodySite.coding.id",
        "max": "0"
      },
      {
        "id": "Procedure.bodySite.coding.system",
        "path": "Procedure.bodySite.coding.system",
        "min": 1
      },
      {
        "id": "Procedure.bodySite.coding.version",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.bodySite.coding.version"
      },
      {
        "id": "Procedure.bodySite.coding.code",
        "path": "Procedure.bodySite.coding.code",
        "min": 1
      },
      {
        "id": "Procedure.bodySite.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Procedure.bodySite.coding.display"
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