<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="mz-lm-Procedure" />
  <text>
    <status value="empty" />
    <div xmlns="http://www.w3.org/1999/xhtml">No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.</div>
  </text>
  <url value="http://medmij.nl/fhir/StructureDefinition/mz-lm-Procedure" />
  <identifier>
    <use value="official" />
    <system value="urn:ietf:rfc:3986" />
    <value value="urn:oid:2.16.528.1.1023.3.1.7" />
  </identifier>
  <name value="MzLmProcedure" />
  <title value="Procedure" />
  <status value="draft" />
  <publisher value="MedMij" />
  <contact>
    <name value="MedMij" />
    <telecom>
      <system value="email" />
      <value value="info@medmij.nl" />
      <use value="work" />
    </telecom>
  </contact>
  <description value="Therapeutic or diagnostic procedure undergone by the patient in dental care." />
  <purpose value="This LogicalModel represents the Procedure Clinical Information Model (CIM) for patient use cases in the context of Dental Care. It is largely based on the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) Procedure v5.2 (2020)](https://zibs.nl/wiki/Procedure-v5.2(2020EN)) adjusted such that it is suitable for implementation purposes in the context of Dental Care. In particular, it uses dental care-specific terminology to indicate the ProcedureType, and the MedicalDevice and Requester concepts from the zib are omitted." />
  <copyright value="Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise." />
  <fhirVersion value="4.0.1" />
  <mapping>
    <identity value="zib-procedure-v5.2-2020EN" />
    <uri value="https://zibs.nl/wiki/Procedure-v5.2(2020EN)" />
    <name value="zib Procedure-v5.2(2020EN)" />
  </mapping>
  <mapping>
    <identity value="mz-dataset-100-beta2-20260401" />
    <name value="Dataset Mondzorg MedMij 1.0.0-beta.2 20260401" />
  </mapping>
  <mapping>
    <identity value="SNOMED" />
    <uri value="http://snomed.info/sct" />
    <name value="SNOMED CT" />
  </mapping>
  <kind value="logical" />
  <abstract value="false" />
  <type value="http://medmij.nl/fhir/StructureDefinition/mz-lm-Procedure" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" />
  <derivation value="specialization" />
  <differential>
    <element id="mz-lm-Procedure">
      <path value="mz-lm-Procedure" />
      <short value="Procedure" />
      <definition value="Therapeutic or diagnostic procedure undergone by the patient in dental care." />
      <alias value="Verrichting" />
      <mapping>
        <identity value="zib-procedure-v5.2-2020EN" />
        <map value="NL-CM:14.1.1" />
        <comment value="Procedure" />
      </mapping>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-26" />
        <comment value="Procedure" />
      </mapping>
      <mapping>
        <identity value="SNOMED" />
        <map value="71388002" />
        <comment value="verrichting" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.ProcedureStartDate">
      <path value="mz-lm-Procedure.ProcedureStartDate" />
      <short value="Procedure start date" />
      <definition value="The start date (and if possible start time) of the procedure. A 'vague' date, such as only the year, is permitted.&#xA;The element offers the option to indicate the start of the period of a series of related procedures." />
      <alias value="VerrichtingStartDatum" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
      <mapping>
        <identity value="zib-procedure-v5.2-2020EN" />
        <map value="NL-CM:14.1.2" />
        <comment value="ProcedureStartDate" />
      </mapping>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-27" />
        <comment value="ProcedureStartDate" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.ProcedureEndDate">
      <path value="mz-lm-Procedure.ProcedureEndDate" />
      <short value="Procedure end date" />
      <definition value="The end date (and if possible end time) of the procedure. A 'vague' date, such as only the year, is permitted.&#xA;The element offers the option to indicate the end of the period of a series of related procedures. The end date element is only used for a procedure that takes some time and is then always applied. If the procedure still continues, the value is left empty." />
      <alias value="VerrichtingEindDatum" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
      <mapping>
        <identity value="zib-procedure-v5.2-2020EN" />
        <map value="NL-CM:14.1.3" />
        <comment value="ProcedureEndDate" />
      </mapping>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-28" />
        <comment value="ProcedureEndDate" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.ProcedureType">
      <path value="mz-lm-Procedure.ProcedureType" />
      <short value="Procedure type" />
      <definition value="The name of the procedure based on the [Prestatiecodelijst Mondzorg (010)](https://tog.vektis.nl/Webinfo.aspx?ID=Prestatiecodelijsten) authored by Vektis." />
      <alias value="VerrichtingType" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="extensible" />
        <valueSet value="http://medmij.nl/fhir/ValueSet/ProcedureTypeVektisDentalCare" />
      </binding>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-29" />
        <comment value="ProcedureType" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.ProcedureMethod">
      <path value="mz-lm-Procedure.ProcedureMethod" />
      <short value="Procedure method" />
      <definition value="The method or technique that was used to perform the procedure, e.g. approach, lavage, pressuring, etc." />
      <alias value="VerrichtingMethode" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20200901000000" />
      </binding>
      <mapping>
        <identity value="zib-procedure-v5.2-2020EN" />
        <map value="NL-CM:14.1.12" />
        <comment value="ProcedureMethod" />
      </mapping>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-30" />
        <comment value="ProcedureMethod" />
      </mapping>
      <mapping>
        <identity value="SNOMED" />
        <map value="260686004" />
        <comment value="methode" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.ProcedureAnatomicalLocation">
      <path value="mz-lm-Procedure.ProcedureAnatomicalLocation" />
      <short value="Procedure anatomical location" />
      <definition value="Anatomical location which is the focus of the procedure." />
      <alias value="VerrichtingAnatomischeLocatie" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="BackboneElement" />
      </type>
      <mapping>
        <identity value="zib-procedure-v5.2-2020EN" />
        <map value="NL-CM:14.1.13" />
        <comment value="ProcedureAnatomicalLocation" />
      </mapping>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-31" />
        <comment value="ProcedureAnatomicalLocation" />
      </mapping>
      <mapping>
        <identity value="SNOMED" />
        <map value="405813007" />
        <comment value="directe locatie van verrichting" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.ProcedureAnatomicalLocation.Location">
      <path value="mz-lm-Procedure.ProcedureAnatomicalLocation.Location" />
      <short value="Location" />
      <definition value="Localisation on/in the body." />
      <alias value="Locatie" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000" />
      </binding>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-32" />
        <comment value="Location" />
      </mapping>
      <mapping>
        <identity value="SNOMED" />
        <map value="363698007" />
        <comment value="locatie van bevinding" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.ProcedureAnatomicalLocation.Laterality">
      <path value="mz-lm-Procedure.ProcedureAnatomicalLocation.Laterality" />
      <short value="Laterality" />
      <definition value="Laterality adds information about body site to the anatomical location, e.g. left." />
      <alias value="Lateraliteit" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.2--20200901000000" />
      </binding>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-33" />
        <comment value="Laterality" />
      </mapping>
      <mapping>
        <identity value="SNOMED" />
        <map value="272741003" />
        <comment value="lateraliteit" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.Indication">
      <path value="mz-lm-Procedure.Indication" />
      <short value="Indication" />
      <definition value="The indication is the reason for the procedure." />
      <alias value="Indicatie" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="BackboneElement" />
      </type>
      <mapping>
        <identity value="zib-procedure-v5.2-2020EN" />
        <map value="NL-CM:14.1.9" />
        <comment value="Indication" />
      </mapping>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-34" />
        <comment value="Indication" />
      </mapping>
      <mapping>
        <identity value="SNOMED" />
        <map value="363702006" />
        <comment value="heeft focus" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.Indication.ProblemType">
      <path value="mz-lm-Procedure.Indication.ProblemType" />
      <short value="Problem type" />
      <definition value="The type of problem." />
      <alias value="ProbleemType" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.1--20200901000000" />
      </binding>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-35" />
        <comment value="ProblemType" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.Indication.ProblemName">
      <path value="mz-lm-Procedure.Indication.ProblemName" />
      <short value="Problem name" />
      <definition value="The problem name defines the problem. Depending on the setting, different code systems can be used." />
      <alias value="ProbleemNaam" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.3--20200901000000" />
      </binding>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-36" />
        <comment value="ProblemName" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.Indication.FurtherSpecificationProblemName">
      <path value="mz-lm-Procedure.Indication.FurtherSpecificationProblemName" />
      <short value="Further specification problem name" />
      <definition value="Further specification of problem name when it is recorded via a thesaurus or code system in which the required level of detail is not (yet) available." />
      <alias value="NadereSpecificatieProbleemNaam" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-37" />
        <comment value="FurtherSpecificationProblemName" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.Indication.ProblemAnatomicalLocation">
      <path value="mz-lm-Procedure.Indication.ProblemAnatomicalLocation" />
      <short value="Problem anatomical location" />
      <definition value="Anatomical location which is the focus of the problem." />
      <alias value="ProbleemAnatomischeLocatie" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="BackboneElement" />
      </type>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-38" />
        <comment value="ProblemAnatomicalLocation" />
      </mapping>
      <mapping>
        <identity value="SNOMED" />
        <map value="405813007" />
        <comment value="directe locatie van verrichting" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.Indication.ProblemAnatomicalLocation.Location">
      <path value="mz-lm-Procedure.Indication.ProblemAnatomicalLocation.Location" />
      <short value="Location" />
      <definition value="Localisation on/in the body." />
      <alias value="Locatie" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000" />
      </binding>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-39" />
        <comment value="Location" />
      </mapping>
      <mapping>
        <identity value="SNOMED" />
        <map value="363698007" />
        <comment value="locatie van bevinding" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.Indication.ProblemAnatomicalLocation.Laterality">
      <path value="mz-lm-Procedure.Indication.ProblemAnatomicalLocation.Laterality" />
      <short value="Laterality" />
      <definition value="Laterality adds information about body site to the anatomical location, e.g. left." />
      <alias value="Lateraliteit" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.20.7.2--20200901000000" />
      </binding>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-40" />
        <comment value="Laterality" />
      </mapping>
      <mapping>
        <identity value="SNOMED" />
        <map value="272741003" />
        <comment value="lateraliteit" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.Indication.ProblemStartDate">
      <path value="mz-lm-Procedure.Indication.ProblemStartDate" />
      <short value="Problem start date" />
      <definition value="Onset of the symptom, complaint, functional limitation, complication or date of diagnosis. A 'vague' date, such as only the year or the month and the year, is permitted." />
      <alias value="ProbleemBeginDatum" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-41" />
        <comment value="ProblemStartDate" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.Indication.ProblemEndDate">
      <path value="mz-lm-Procedure.Indication.ProblemEndDate" />
      <short value="Problem end date" />
      <definition value="Date on which the disorder to which the problem applies, is considered not to be present anymore. This date needs not to be the same as the date of the change in problem status. A 'vague' date, such as only the year or the month and the year, is permitted." />
      <alias value="ProbleemEindDatum" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-42" />
        <comment value="ProblemEndDate" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.Indication.ProblemStatus">
      <path value="mz-lm-Procedure.Indication.ProblemStatus" />
      <short value="Problem status" />
      <definition value="The problem status describes the condition of the problem:&#xA;1. Active problems are problems of which the patient experiences symptoms or for which evidence exists.&#xA;2. Problems with the status 'Inactive' refer to problems that don't affect the patient anymore or of which there is no evidence of existence anymore." />
      <alias value="ProbleemStatus" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.2--20200901000000" />
      </binding>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-43" />
        <comment value="ProblemStatus" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.Indication.VerificationStatus">
      <path value="mz-lm-Procedure.Indication.VerificationStatus" />
      <short value="Verification status" />
      <definition value="Clinical status of the problem or the diagnosis." />
      <alias value="VerificatieStatus" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.5.1.4--20200901000000" />
      </binding>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-44" />
        <comment value="VerificationStatus" />
      </mapping>
      <mapping>
        <identity value="SNOMED" />
        <map value="408729009" />
        <comment value="context van bevinding" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.Indication.Comment">
      <path value="mz-lm-Procedure.Indication.Comment" />
      <short value="Comment" />
      <definition value="Comment by the one who determined or updated the problem." />
      <alias value="Toelichting" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-45" />
        <comment value="Comment" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.Location">
      <path value="mz-lm-Procedure.Location" />
      <short value="Location" />
      <definition value="The healthcare center where the procedure was, is or or will be carried out." />
      <alias value="Locatie" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthcareProvider" />
      </type>
      <mapping>
        <identity value="zib-procedure-v5.2-2020EN" />
        <map value="NL-CM:14.1.5" />
        <comment value="Location" />
      </mapping>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-46" />
        <comment value="Location" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.Performer">
      <path value="mz-lm-Procedure.Performer" />
      <short value="Performer" />
      <definition value="The health professional who carried out the procedure. In most cases, only the medical specialty is entered, and not the name of the health professional." />
      <alias value="Uitvoerder" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthProfessional" />
      </type>
      <mapping>
        <identity value="zib-procedure-v5.2-2020EN" />
        <map value="NL-CM:14.1.6" />
        <comment value="Performer" />
      </mapping>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-47" />
        <comment value="Performer" />
      </mapping>
    </element>
  </differential>
</StructureDefinition>