<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="Profile-nNGM-Procedure-Operation" />
  <url value="http://uk-koeln.de/fhir/StructureDefinition/nNGM/Profile-nNGM-Procedure-Operation" />
  <version value="0.1.0" />
  <name value="Profile_nNGM_Procedure_Operation" />
  <title value="Profile - nNGM - Procedure - Operation" />
  <status value="active" />
  <date value="2025-10-29" />
  <publisher value="nNGM Konsortium" />
  <description value="Procedure-Profil OP für das nNGM-Projekt basierend auf MII-PR_Onko_Operation. Enthält alle Profile-nNGM-Procedure-Operation-Felder und erforderliche Erweiterungen." />
  <fhirVersion value="4.3.0" />
  <mapping>
    <identity value="nNGM-Schema" />
    <name value="operationTherapy" />
    <comment value="Operation" />
  </mapping>
  <kind value="resource" />
  <abstract value="false" />
  <type value="Procedure" />
  <baseDefinition value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-operation" />
  <derivation value="constraint" />
  <differential>
    <element id="Procedure.extension:Dokumentationsdatum">
      <path value="Procedure.extension" />
      <sliceName value="Dokumentationsdatum" />
    </element>
    <element id="Procedure.extension:Dokumentationsdatum.value[x]">
      <path value="Procedure.extension.value[x]" />
      <mustSupport value="false" />
    </element>
    <element id="Procedure.extension:Intention">
      <path value="Procedure.extension" />
      <sliceName value="Intention" />
      <mapping>
        <identity value="nNGM-Schema" />
        <map value="operationIntention" />
        <comment value="Operative Intention" />
      </mapping>
    </element>
    <element id="Procedure.extension:Intention.value[x]">
      <path value="Procedure.extension.value[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:Intention.value[x].coding.system">
      <path value="Procedure.extension.value[x].coding.system" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:Intention.value[x].coding.code">
      <path value="Procedure.extension.value[x].coding.code" />
      <mustSupport value="true" />
      <mapping>
        <identity value="nNGM-Schema" />
        <map value="operationIntention" />
        <comment value="Operative Intention" />
      </mapping>
    </element>
    <element id="Procedure.extension:Lymphadenektomie">
      <path value="Procedure.extension" />
      <sliceName value="Lymphadenektomie" />
      <short value="Lymphadenektomie" />
      <definition value="Lymphadenektomie" />
      <type>
        <code value="Extension" />
        <profile value="http://uk-koeln.de/fhir/StructureDefinition/Extension/nNGM/nngm-ex-operation-lymphadenectomy" />
      </type>
      <mapping>
        <identity value="nNGM-Schema" />
        <map value="lymphadenectomy" />
        <comment value="Lymphadenektomie" />
      </mapping>
    </element>
    <element id="Procedure.extension:Lymphadenektomie.value[x]">
      <path value="Procedure.extension.value[x]" />
      <min value="1" />
      <mustSupport value="true" />
      <mapping>
        <identity value="nNGM-Schema" />
        <map value="lymphadenectomy" />
        <comment value="Lymphadenektomie" />
      </mapping>
    </element>
    <element id="Procedure.extension:Lymphadenektomie.value[x].coding.system">
      <path value="Procedure.extension.value[x].coding.system" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:Lymphadenektomie.value[x].coding.code">
      <path value="Procedure.extension.value[x].coding.code" />
      <mustSupport value="true" />
      <mapping>
        <identity value="nNGM-Schema" />
        <map value="lymphadenectomy" />
        <comment value="Lymphadenektomie" />
      </mapping>
    </element>
    <element id="Procedure.code.coding:ops">
      <path value="Procedure.code.coding" />
      <sliceName value="ops" />
    </element>
    <element id="Procedure.code.coding:ops.extension">
      <path value="Procedure.code.coding.extension" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.code.coding:ops.extension:Seitenlokalisation">
      <path value="Procedure.code.coding.extension" />
      <sliceName value="Seitenlokalisation" />
    </element>
    <element id="Procedure.code.coding:ops.extension:Seitenlokalisation.value[x]">
      <path value="Procedure.code.coding.extension.value[x]" />
      <mustSupport value="true" />
      <mapping>
        <identity value="nNGM-Schema" />
        <map value="sideLocalisation" />
        <comment value="Seitenlokalisation" />
      </mapping>
    </element>
    <element id="Procedure.code.coding:ops.extension:Seitenlokalisation.value[x].code">
      <path value="Procedure.code.coding.extension.value[x].code" />
      <mustSupport value="true" />
      <mapping>
        <identity value="nNGM-Schema" />
        <map value="sideLocalisation" />
        <comment value="Seitenlokalisation" />
      </mapping>
    </element>
    <element id="Procedure.code.coding:ops.code">
      <path value="Procedure.code.coding.code" />
      <mapping>
        <identity value="nNGM-Schema" />
        <map value="typeOfResection" />
        <comment value="Art der Resektion" />
      </mapping>
    </element>
    <element id="Procedure.code.coding:resectionType">
      <path value="Procedure.code.coding" />
      <sliceName value="resectionType" />
      <min value="1" />
      <binding>
        <strength value="extensible" />
        <description value="Art der Resektion" />
        <valueSet value="http://uk-koeln.de/fhir/ValueSet/nNGM/nngm-vs-resectiontype" />
      </binding>
      <mapping>
        <identity value="nNGM-Schema" />
        <map value="resectionType" />
        <comment value="Art der Resektion" />
      </mapping>
    </element>
    <element id="Procedure.code.coding:resectionType.system">
      <path value="Procedure.code.coding.system" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.code.coding:resectionType.code">
      <path value="Procedure.code.coding.code" />
      <min value="1" />
      <mustSupport value="true" />
      <mapping>
        <identity value="nNGM-Schema" />
        <map value="typeOfResection" />
        <comment value="Art der Resektion" />
      </mapping>
    </element>
    <element id="Procedure.code.text">
      <path value="Procedure.code.text" />
      <short value="Sonstige Resektionsart." />
      <definition value="Sonstige Resektionsart. Bitte spezifizieren Sie &quot;Sonstiges&quot;" />
      <mustSupport value="true" />
      <mapping>
        <identity value="nNGM-Schema" />
        <map value="otherTypeOfResection" />
        <comment value="Bitte spezifizieren Sie &quot;Sonstiges&quot;" />
      </mapping>
    </element>
    <element id="Procedure.subject">
      <path value="Procedure.subject" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
        <targetProfile value="http://uk-koeln.de/fhir/StructureDefinition/Patient/nNGM/pseudonymisiert" />
        <targetProfile value="http://uk-koeln.de/fhir/StructureDefinition/Patient/nNGM/patient" />
      </type>
    </element>
    <element id="Procedure.performed[x]:performedDateTime">
      <path value="Procedure.performed[x]" />
      <sliceName value="performedDateTime" />
      <mustSupport value="true" />
      <mapping>
        <identity value="nNGM-Schema" />
        <map value="executionDate" />
        <comment value="Operationsdatum" />
      </mapping>
    </element>
    <element id="Procedure.performer.actor">
      <path value="Procedure.performer.actor" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://uk-koeln.de/fhir/StructureDefinition/Organisation/nNGM" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
      </type>
      <mapping>
        <identity value="nNGM-Schema" />
        <map value="executionCenter" />
        <comment value="Durchführende Einrichtung" />
      </mapping>
    </element>
    <element id="Procedure.reasonReference">
      <path value="Procedure.reasonReference" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://uk-koeln.de/fhir/StructureDefinition/Condition/nNGM/FirstDiagnosis" />
      </type>
    </element>
    <element id="Procedure.bodySite">
      <path value="Procedure.bodySite" />
      <short value="Anatomische Lokalisation" />
      <mapping>
        <identity value="nNGM-Schema" />
        <map value="localisation" />
        <comment value="Andere" />
      </mapping>
    </element>
    <element id="Procedure.bodySite.coding:oBDS-Lokalisation">
      <path value="Procedure.bodySite.coding" />
      <sliceName value="oBDS-Lokalisation" />
      <short value="Lokalisation der OP nach oBDS" />
      <definition value="Lokalisation der OP nach oBDS" />
      <max value="1" />
      <binding>
        <strength value="extensible" />
        <description value="Lokalisation der OP nach oBDS" />
        <valueSet value="http://uk-koeln.de/fhir/ValueSet/nNGM/nngm-vs-lokalisation" />
      </binding>
      <mapping>
        <identity value="nNGM-Schema" />
        <map value="localisation" />
        <comment value="Lokalisation" />
      </mapping>
    </element>
    <element id="Procedure.bodySite.coding:oBDS-Lokalisation.system">
      <path value="Procedure.bodySite.coding.system" />
      <fixedUri value="http://uk-koeln.de/fhir/StructureDefinition/CodeSystem/nNGM/nngm-cs-lokalisation" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.bodySite.coding:oBDS-Lokalisation.code">
      <path value="Procedure.bodySite.coding.code" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.bodySite.text">
      <path value="Procedure.bodySite.text" />
      <short value="Lokalisation (Freitext)" />
      <min value="1" />
      <mustSupport value="true" />
      <mapping>
        <identity value="nNGM-Schema" />
        <map value="localisationOther" />
        <comment value="Andere Lokalisation" />
      </mapping>
    </element>
    <element id="Procedure.outcome">
      <path value="Procedure.outcome" />
      <short value="Resektionsstatus" />
      <mapping>
        <identity value="nNGM-Schema" />
        <map value="resectionStatus" />
        <comment value="Resektionsstatus" />
      </mapping>
    </element>
    <element id="Procedure.outcome.coding">
      <path value="Procedure.outcome.coding" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.outcome.coding.code">
      <path value="Procedure.outcome.coding.code" />
      <mapping>
        <identity value="nNGM-Schema" />
        <map value="resectionStatus" />
        <comment value="Resektionsstatus" />
      </mapping>
    </element>
    <element id="Procedure.complication:outcomeDeath">
      <path value="Procedure.complication" />
      <sliceName value="outcomeDeath" />
      <short value="Ausgang mit Todesfolge" />
      <definition value="Ausgang mit Todesfolge (Ja/Nein/Unbekannt)" />
    </element>
    <element id="Procedure.complication:outcomeDeath.coding">
      <path value="Procedure.complication.coding" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <description value="Ausgang mit Todesfolge (Ja, Nein, Unbekannt)" />
        <valueSet value="http://uk-koeln.de/fhir/ValueSet/nNGM/nngm-vs-jnu" />
      </binding>
    </element>
    <element id="Procedure.complication:outcomeDeath.coding.system">
      <path value="Procedure.complication.coding.system" />
      <fixedUri value="http://uk-koeln.de/fhir/StructureDefinition/CodeSystem/nNGM/nngm-cs-jnu" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.complication:outcomeDeath.coding.code">
      <path value="Procedure.complication.coding.code" />
      <min value="1" />
      <mustSupport value="true" />
      <mapping>
        <identity value="nNGM-Schema" />
        <map value="outcomeDeath" />
        <comment value="Ausgang mit Todesfolge" />
      </mapping>
    </element>
    <element id="Procedure.note">
      <path value="Procedure.note" />
      <short value="Bemerkung" />
      <mapping>
        <identity value="nNGM-Schema" />
        <map value="note" />
        <comment value="Bemerkungen" />
      </mapping>
    </element>
    <element id="Procedure.note.text">
      <path value="Procedure.note.text" />
      <mustSupport value="true" />
      <mapping>
        <identity value="nNGM-Schema" />
        <map value="note" />
        <comment value="Bemerkungen" />
      </mapping>
    </element>
  </differential>
</StructureDefinition>