<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" />
  <snapshot>
    <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" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mz-lm-Procedure" />
        <min value="0" />
        <max value="*" />
      </base>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <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.id">
      <path value="mz-lm-Procedure.id" />
      <representation value="xmlAttr" />
      <short value="Unique id for inter-element referencing" />
      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.extension">
      <path value="mz-lm-Procedure.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional content defined by implementations" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </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" />
      <base>
        <path value="mz-lm-Procedure.ProcedureStartDate" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="dateTime" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <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" />
      <base>
        <path value="mz-lm-Procedure.ProcedureEndDate" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="dateTime" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <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">
      <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="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." />
      <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
      <alias value="VerrichtingType" />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="mz-lm-Procedure.ProcedureType" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <binding>
        <strength value="extensible" />
        <valueSet value="http://medmij.nl/fhir/ValueSet/ProcedureTypeVektisDentalCare" />
      </binding>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CE/CNE/CWE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="CD" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
      </mapping>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-29" />
        <comment value="ProcedureType" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.ProcedureMethod">
      <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="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." />
      <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
      <alias value="VerrichtingMethode" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mz-lm-Procedure.ProcedureMethod" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <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="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CE/CNE/CWE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="CD" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
      </mapping>
      <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">
      <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="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" />
      <base>
        <path value="mz-lm-Procedure.ProcedureAnatomicalLocation" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <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.id">
      <path value="mz-lm-Procedure.ProcedureAnatomicalLocation.id" />
      <representation value="xmlAttr" />
      <short value="Unique id for inter-element referencing" />
      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.ProcedureAnatomicalLocation.extension">
      <path value="mz-lm-Procedure.ProcedureAnatomicalLocation.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional content defined by implementations" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.ProcedureAnatomicalLocation.modifierExtension">
      <path value="mz-lm-Procedure.ProcedureAnatomicalLocation.modifierExtension" />
      <short value="Extensions that cannot be ignored even if unrecognized" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." />
      <alias value="extensions" />
      <alias value="user content" />
      <alias value="modifiers" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="BackboneElement.modifierExtension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <isModifier value="true" />
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.ProcedureAnatomicalLocation.Location">
      <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="mz-lm-Procedure.ProcedureAnatomicalLocation.Location" />
      <short value="Location" />
      <definition value="Localisation on/in the body." />
      <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
      <alias value="Locatie" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="mz-lm-Procedure.ProcedureAnatomicalLocation.Location" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <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="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CE/CNE/CWE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="CD" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
      </mapping>
      <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">
      <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="mz-lm-Procedure.ProcedureAnatomicalLocation.Laterality" />
      <short value="Laterality" />
      <definition value="Laterality adds information about body site to the anatomical location, e.g. left." />
      <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
      <alias value="Lateraliteit" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="mz-lm-Procedure.ProcedureAnatomicalLocation.Laterality" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <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="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CE/CNE/CWE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="CD" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
      </mapping>
      <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">
      <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="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="*" />
      <base>
        <path value="mz-lm-Procedure.Indication" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <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.id">
      <path value="mz-lm-Procedure.Indication.id" />
      <representation value="xmlAttr" />
      <short value="Unique id for inter-element referencing" />
      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.Indication.extension">
      <path value="mz-lm-Procedure.Indication.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional content defined by implementations" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.Indication.modifierExtension">
      <path value="mz-lm-Procedure.Indication.modifierExtension" />
      <short value="Extensions that cannot be ignored even if unrecognized" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." />
      <alias value="extensions" />
      <alias value="user content" />
      <alias value="modifiers" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="BackboneElement.modifierExtension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <isModifier value="true" />
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.Indication.ProblemType">
      <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="mz-lm-Procedure.Indication.ProblemType" />
      <short value="Problem type" />
      <definition value="The type of problem." />
      <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
      <alias value="ProbleemType" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="mz-lm-Procedure.Indication.ProblemType" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <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="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CE/CNE/CWE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="CD" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
      </mapping>
      <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">
      <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="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." />
      <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
      <alias value="ProbleemNaam" />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="mz-lm-Procedure.Indication.ProblemName" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <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="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CE/CNE/CWE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="CD" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
      </mapping>
      <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." />
      <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
      <alias value="NadereSpecificatieProbleemNaam" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="mz-lm-Procedure.Indication.FurtherSpecificationProblemName" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <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">
      <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="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" />
      <base>
        <path value="mz-lm-Procedure.Indication.ProblemAnatomicalLocation" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <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.id">
      <path value="mz-lm-Procedure.Indication.ProblemAnatomicalLocation.id" />
      <representation value="xmlAttr" />
      <short value="Unique id for inter-element referencing" />
      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.Indication.ProblemAnatomicalLocation.extension">
      <path value="mz-lm-Procedure.Indication.ProblemAnatomicalLocation.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional content defined by implementations" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.Indication.ProblemAnatomicalLocation.modifierExtension">
      <path value="mz-lm-Procedure.Indication.ProblemAnatomicalLocation.modifierExtension" />
      <short value="Extensions that cannot be ignored even if unrecognized" />
      <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." />
      <alias value="extensions" />
      <alias value="user content" />
      <alias value="modifiers" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="BackboneElement.modifierExtension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <isModifier value="true" />
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.Indication.ProblemAnatomicalLocation.Location">
      <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="mz-lm-Procedure.Indication.ProblemAnatomicalLocation.Location" />
      <short value="Location" />
      <definition value="Localisation on/in the body." />
      <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
      <alias value="Locatie" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="mz-lm-Procedure.Indication.ProblemAnatomicalLocation.Location" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <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="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CE/CNE/CWE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="CD" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
      </mapping>
      <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">
      <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="mz-lm-Procedure.Indication.ProblemAnatomicalLocation.Laterality" />
      <short value="Laterality" />
      <definition value="Laterality adds information about body site to the anatomical location, e.g. left." />
      <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
      <alias value="Lateraliteit" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="mz-lm-Procedure.Indication.ProblemAnatomicalLocation.Laterality" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <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="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CE/CNE/CWE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="CD" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
      </mapping>
      <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" />
      <base>
        <path value="mz-lm-Procedure.Indication.ProblemStartDate" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="dateTime" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <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" />
      <base>
        <path value="mz-lm-Procedure.Indication.ProblemEndDate" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="dateTime" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <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">
      <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="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." />
      <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
      <alias value="ProbleemStatus" />
      <min value="1" />
      <max value="1" />
      <base>
        <path value="mz-lm-Procedure.Indication.ProblemStatus" />
        <min value="1" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <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="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CE/CNE/CWE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="CD" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
      </mapping>
      <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">
      <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="mz-lm-Procedure.Indication.VerificationStatus" />
      <short value="Verification status" />
      <definition value="Clinical status of the problem or the diagnosis." />
      <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
      <alias value="VerificatieStatus" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="mz-lm-Procedure.Indication.VerificationStatus" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <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="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="CE/CNE/CWE" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="CD" />
      </mapping>
      <mapping>
        <identity value="orim" />
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
      </mapping>
      <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." />
      <comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
      <alias value="Toelichting" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="mz-lm-Procedure.Indication.Comment" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="string" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="mz-dataset-100-beta2-20260401" />
        <map value="mz-dataelement-45" />
        <comment value="Comment" />
      </mapping>
    </element>
    <element id="mz-lm-Procedure.Location">
      <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="mz-lm-Procedure.Location" />
      <short value="Location" />
      <definition value="The healthcare center where the procedure was, is or or will be carried out." />
      <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." />
      <alias value="Locatie" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="mz-lm-Procedure.Location" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Reference" />
        <targetProfile value="http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthcareProvider" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ref-1" />
        <severity value="error" />
        <human value="SHALL have a contained resource if a local reference is provided" />
        <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" />
        <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Reference" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
      </mapping>
      <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">
      <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="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." />
      <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." />
      <alias value="Uitvoerder" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mz-lm-Procedure.Performer" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Reference" />
        <targetProfile value="http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-HealthProfessional" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ref-1" />
        <severity value="error" />
        <human value="SHALL have a contained resource if a local reference is provided" />
        <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" />
        <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Reference" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
      </mapping>
      <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>
  </snapshot>
  <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>