<StructureDefinition xmlns="http://hl7.org/fhir">
  <meta>
    <lastUpdated value="2023-10-31T06:47:28.8081057+00:00" />
  </meta>
  <url value="https://medico-emr.net/medico/r4/sd/Procedure_OPSurgicalIntervention_1" />
  <name value="Procedure_OPSurgicalIntervention_1" />
  <status value="active" />
  <date value="2019-02-20T10:19:46.2802558+00:00" />
  <description value="One instance of this resource represents a surgical intervention.&#xD;&#xA;Multiple 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 value="4.0.0" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Procedure" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Procedure" />
  <derivation value="constraint" />
  <differential>
    <element id="Procedure">
      <path value="Procedure" />
      <definition value="A surgical operation performed on a patient with a certain encounter&#xD;&#xA;This profile targets the container for 1..n contained procedures - each describing a single procedure within this whole surgical operation." />
    </element>
    <element id="Procedure.id">
      <path value="Procedure.id" />
      <short value="OPSurgicalIntervention-####" />
      <min value="1" />
    </element>
    <element id="Procedure.meta">
      <path value="Procedure.meta" />
      <min value="1" />
      <type>
        <code value="Meta" />
        <profile value="https://medico-emr.net/medico/r4/sd/Meta_ProfileOnly_1" />
      </type>
    </element>
    <element id="Procedure.meta.lastUpdated">
      <path value="Procedure.meta.lastUpdated" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.meta.profile">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Procedure.meta.profile" />
      <fixedCanonical value="https://medico-emr.net/medico/r4/sd/Procedure_OPSurgicalIntervention_1" />
    </element>
    <element id="Procedure.meta.profile.id">
      <path value="Procedure.meta.profile.id" />
      <max value="0" />
    </element>
    <element id="Procedure.implicitRules">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Procedure.implicitRules" />
      <max value="0" />
    </element>
    <element id="Procedure.language">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Procedure.language" />
      <max value="0" />
    </element>
    <element id="Procedure.text">
      <path value="Procedure.text" />
      <max value="0" />
    </element>
    <element id="Procedure.contained">
      <path value="Procedure.contained" />
      <max value="0" />
    </element>
    <element id="Procedure.extension:implant">
      <path value="Procedure.extension" />
      <sliceName value="implant" />
      <type>
        <code value="Extension" />
        <profile value="https://medico-emr.net/medico/r4/sd/ext/Procedure_OPSurgicalIntervention_Implant" />
      </type>
    </element>
    <element id="Procedure.extension:implantAccessory">
      <path value="Procedure.extension" />
      <sliceName value="implantAccessory" />
      <type>
        <code value="Extension" />
        <profile value="https://medico-emr.net/medico/r4/sd/ext/Procedure_OPSurgicalIntervention_Implant_Accessory" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="Procedure.identifier">
      <path value="Procedure.identifier" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Procedure.identifier:medicoResourceId">
      <path value="Procedure.identifier" />
      <sliceName value="medicoResourceId" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Identifier" />
        <profile value="https://medico-emr.net/medico/r4/sd/Identifier_medicoResourceId_1" />
      </type>
    </element>
    <element id="Procedure.identifier:medicoResourceId.system">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Procedure.identifier.system" />
      <definition value="Must be a constant underneath https://medico-emr.net/medico/%KUNDE%/sid1/OPSurgicalIntervention" />
      <comment value="see http://en.wikipedia.org/wiki/Uniform_resource_identifier&#xD;&#xA;Dynamically resolved for validation&#xD;&#xA;--FixedValue=https://medico-emr.net/medico/%KUNDE%/sid1/OPSurgicalIntervention" />
    </element>
    <element id="Procedure.instantiatesCanonical">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Procedure.instantiatesCanonical" />
      <max value="0" />
    </element>
    <element id="Procedure.instantiatesUri">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Procedure.instantiatesUri" />
      <max value="0" />
    </element>
    <element id="Procedure.basedOn">
      <path value="Procedure.basedOn" />
      <max value="0" />
    </element>
    <element id="Procedure.partOf">
      <path value="Procedure.partOf" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://medico-emr.net/medico/r4/sd/Procedure_OPCommonInfo_1" />
      </type>
    </element>
    <element id="Procedure.partOf.id">
      <path value="Procedure.partOf.id" />
      <definition value="The id of the main MedicoProcedure  (profile: MedicoProcedure-OP-Main)" />
      <max value="0" />
    </element>
    <element id="Procedure.partOf.reference">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Procedure.partOf.reference" />
      <min value="1" />
    </element>
    <element id="Procedure.partOf.type">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Procedure.partOf.type" />
      <min value="1" />
      <fixedUri value="Procedure" />
    </element>
    <element id="Procedure.partOf.identifier">
      <path value="Procedure.partOf.identifier" />
      <max value="0" />
    </element>
    <element id="Procedure.partOf.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Procedure.partOf.display" />
      <max value="0" />
    </element>
    <element id="Procedure.category">
      <path value="Procedure.category" />
      <min value="1" />
    </element>
    <element id="Procedure.category.id">
      <path value="Procedure.category.id" />
      <max value="0" />
    </element>
    <element id="Procedure.category.coding">
      <path value="Procedure.category.coding" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Procedure.category.coding.id">
      <path value="Procedure.category.coding.id" />
      <max value="0" />
    </element>
    <element id="Procedure.category.coding.system">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Procedure.category.coding.system" />
      <min value="1" />
      <fixedUri value="https://medico-emr.net/medico/cs/cs1" />
    </element>
    <element id="Procedure.category.coding.version">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Procedure.category.coding.version" />
      <max value="0" />
    </element>
    <element id="Procedure.category.coding.code">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Procedure.category.coding.code" />
      <min value="1" />
      <fixedCode value="Procedure" />
    </element>
    <element id="Procedure.category.coding.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
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        <valueCode value="4.0.0" />
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      <path value="Procedure.category.coding.display" />
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    <element id="Procedure.category.coding.userSelected">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
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        <valueCode value="4.0.0" />
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    <element id="Procedure.category.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
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        <valueCode value="4.0.0" />
      </extension>
      <path value="Procedure.category.text" />
      <max value="0" />
    </element>
    <element id="Procedure.code">
      <path value="Procedure.code" />
      <definition value="main code that the surgical intervention centered on - us&#xD;&#xA;https://www.dimdi.de/static/de/klassi/ops/" />
    </element>
    <element id="Procedure.code.id">
      <path value="Procedure.code.id" />
      <max value="0" />
    </element>
    <element id="Procedure.code.coding.id">
      <path value="Procedure.code.coding.id" />
      <max value="0" />
    </element>
    <element id="Procedure.code.coding.system">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Procedure.code.coding.system" />
      <definition value="for ops should be https://www.dimdi.de/static/de/klassi/ops/" />
      <min value="1" />
    </element>
    <element id="Procedure.code.coding.version">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
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        <valueCode value="4.0.0" />
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      <path value="Procedure.code.coding.version" />
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    <element id="Procedure.code.coding.code">
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        <valueCode value="normative" />
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      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
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      <path value="Procedure.code.coding.code" />
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    <element id="Procedure.code.coding.userSelected">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
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        <valueCode value="4.0.0" />
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      <path value="Procedure.code.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Procedure.subject">
      <path value="Procedure.subject" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
      </type>
    </element>
    <element id="Procedure.subject.id">
      <path value="Procedure.subject.id" />
      <max value="0" />
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    <element id="Procedure.subject.identifier">
      <path value="Procedure.subject.identifier" />
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    <element id="Procedure.subject.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
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        <valueCode value="4.0.0" />
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      <path value="Procedure.subject.display" />
      <max value="0" />
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    <element id="Procedure.encounter">
      <path value="Procedure.encounter" />
      <min value="1" />
      <type>
        <code value="Reference" />
        <profile value="https://medico-emr.net/medico/r4/sd/Reference_ContextEncounter_1" />
        <targetProfile value="https://medico-emr.net/medico/r4/sd/Encounter_Case_1" />
      </type>
    </element>
    <element id="Procedure.performed[x]">
      <path value="Procedure.performed[x]" />
      <type>
        <code value="Period" />
      </type>
    </element>
    <element id="Procedure.recorder">
      <path value="Procedure.recorder" />
      <max value="0" />
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    <element id="Procedure.asserter">
      <path value="Procedure.asserter" />
      <max value="0" />
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    <element id="Procedure.performer.id">
      <path value="Procedure.performer.id" />
      <max value="0" />
    </element>
    <element id="Procedure.performer.function">
      <path value="Procedure.performer.function" />
      <min value="1" />
      <binding>
        <strength value="preferred" />
        <valueSet value="https://medico-emr.net/medico/r4/vs/Procedure_OP_PerformerRole_1" />
      </binding>
    </element>
    <element id="Procedure.performer.function.id">
      <path value="Procedure.performer.function.id" />
      <max value="0" />
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    <element id="Procedure.performer.function.coding">
      <path value="Procedure.performer.function.coding" />
      <min value="1" />
      <max value="1" />
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    <element id="Procedure.performer.function.coding.id">
      <path value="Procedure.performer.function.coding.id" />
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      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
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        <valueCode value="4.0.0" />
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      <path value="Procedure.performer.function.coding.system" />
      <min value="1" />
      <fixedUri value="https://medico-emr.net/medico/cs/cs1" />
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        <valueCode value="normative" />
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    <element id="Procedure.performer.actor">
      <path value="Procedure.performer.actor" />
      <definition value="The practitioner who was involved in the procedure.&#xD;&#xA;relative URL, format: Practitioner/Employee-#####, where #### is x8201psr.psr" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://medico-emr.net/medico/r4/sd/Practitioner_Employee_1" />
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      <path value="Procedure.location" />
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      <path value="Procedure.reasonCode" />
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      <path value="Procedure.reasonReference" />
      <max value="0" />
    </element>
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      <path value="Procedure.bodySite" />
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      <path value="Procedure.bodySite.coding.id" />
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      <path value="Procedure.bodySite.coding.version" />
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      <path value="Procedure.bodySite.text" />
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    <element id="Procedure.outcome">
      <path value="Procedure.outcome" />
      <max value="0" />
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    <element id="Procedure.report">
      <path value="Procedure.report" />
      <max value="0" />
    </element>
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      <path value="Procedure.complication" />
      <max value="0" />
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      <path value="Procedure.complicationDetail" />
      <max value="0" />
    </element>
    <element id="Procedure.followUp">
      <path value="Procedure.followUp" />
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    </element>
    <element id="Procedure.note">
      <path value="Procedure.note" />
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    </element>
    <element id="Procedure.focalDevice">
      <path value="Procedure.focalDevice" />
      <max value="0" />
    </element>
    <element id="Procedure.usedReference">
      <path value="Procedure.usedReference" />
      <max value="0" />
    </element>
  </differential>
</StructureDefinition>