{
  "resourceType": "StructureDefinition",
  "id": "ProfileProcedureProzedur",
  "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Procedure",
  "version": "1.0.8",
  "name": "ProfileProcedureProzedur",
  "title": "Profile - Procedure - Prozedur",
  "status": "active",
  "description": "Dieses Profil beschreibt eine Prozedur in der Medizininformatik-Initiative.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Procedure",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Procedure",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Procedure",
        "path": "Procedure",
        "constraint": [
          {
            "key": "proc-mii-1",
            "severity": "error",
            "human": "Falls die Prozedur per OPS kodiert wird, muss eine SNOMED-CT kodierte Category abgebildet werden",
            "expression": "code.coding.where(system = 'http://fhir.de/CodeSystem/dimdi/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()",
            "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Procedure"
          }
        ]
      },
      {
        "id": "Procedure.id",
        "path": "Procedure.id",
        "mustSupport": true
      },
      {
        "id": "Procedure.meta",
        "path": "Procedure.meta",
        "mustSupport": true
      },
      {
        "id": "Procedure.meta.source",
        "path": "Procedure.meta.source",
        "mustSupport": true
      },
      {
        "id": "Procedure.meta.profile",
        "path": "Procedure.meta.profile",
        "mustSupport": true
      },
      {
        "id": "Procedure.extension",
        "path": "Procedure.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Procedure.extension:recordedDate",
        "path": "Procedure.extension",
        "sliceName": "recordedDate",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/procedure-recordedDate"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:durchfuehrungsabsicht",
        "path": "Procedure.extension",
        "sliceName": "durchfuehrungsabsicht",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Procedure.status",
        "path": "Procedure.status",
        "mustSupport": true
      },
      {
        "id": "Procedure.category",
        "path": "Procedure.category",
        "mustSupport": true
      },
      {
        "id": "Procedure.category.coding",
        "path": "Procedure.category.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "min": 0
      },
      {
        "id": "Procedure.category.coding:sct",
        "path": "Procedure.category.coding",
        "sliceName": "sct",
        "min": 0,
        "max": "1",
        "patternCoding": {
          "system": "http://snomed.info/sct"
        },
        "mustSupport": true,
        "binding": {
          "strength": "preferred",
          "valueSet": "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/ValueSet/procedures-category-sct"
        }
      },
      {
        "id": "Procedure.category.coding:sct.system",
        "path": "Procedure.category.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Procedure.category.coding:sct.code",
        "path": "Procedure.category.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Procedure.code",
        "path": "Procedure.code",
        "min": 1,
        "constraint": [
          {
            "key": "sct-ops-1",
            "severity": "error",
            "human": "Entweder wird die Prozedur mit OPS oder SNOMED-CT kodiert.",
            "expression": "coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/dimdi/ops').exists()",
            "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Procedure"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Procedure.code.coding",
        "path": "Procedure.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Procedure.code.coding:ops",
        "path": "Procedure.code.coding",
        "sliceName": "ops",
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://fhir.de/ValueSet/dimdi/ops"
        }
      },
      {
        "id": "Procedure.code.coding:ops.extension",
        "path": "Procedure.code.coding.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Procedure.code.coding:ops.extension:seitenlokalisation",
        "path": "Procedure.code.coding.extension",
        "sliceName": "seitenlokalisation",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://fhir.de/StructureDefinition/seitenlokalisation"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Procedure.code.coding:ops.system",
        "path": "Procedure.code.coding.system",
        "min": 1,
        "patternUri": "http://fhir.de/CodeSystem/dimdi/ops",
        "mustSupport": true
      },
      {
        "id": "Procedure.code.coding:ops.version",
        "path": "Procedure.code.coding.version",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Procedure.code.coding:ops.code",
        "path": "Procedure.code.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Procedure.code.coding:sct",
        "path": "Procedure.code.coding",
        "sliceName": "sct",
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/ValueSet/procedures-sct"
        }
      },
      {
        "id": "Procedure.code.coding:sct.system",
        "path": "Procedure.code.coding.system",
        "min": 1,
        "patternUri": "http://snomed.info/sct",
        "mustSupport": true
      },
      {
        "id": "Procedure.code.coding:sct.code",
        "path": "Procedure.code.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Procedure.subject",
        "path": "Procedure.subject",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference"
            ]
          }
        ]
      },
      {
        "id": "Procedure.performed[x]",
        "path": "Procedure.performed[x]",
        "min": 1,
        "type": [
          {
            "code": "dateTime"
          },
          {
            "code": "Period"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Procedure.bodySite",
        "path": "Procedure.bodySite",
        "mustSupport": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "BodySite"
            }
          ],
          "strength": "extensible"
        }
      },
      {
        "id": "Procedure.note",
        "path": "Procedure.note",
        "mustSupport": true
      }
    ]
  }
}