{
  "resourceType": "StructureDefinition",
  "id": "KBV-PR-AW-Ambulante-Operation-General",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Ambulante_Operation_General",
  "version": "1.3.0",
  "name": "KBV_PR_AW_Ambulante_Operation_General",
  "title": "KBV_PR_AW_Ambulante_Operation_General",
  "status": "draft",
  "description": "Profil für die Zusammenfassung einzelner OPS-Codes zu einer Operation",
  "copyright": "Copyright © [2022], Kassenärztliche Bundesvereinigung (KBV). All rights reserved.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Procedure",
  "baseDefinition": "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Procedure|1.3.0",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Procedure.id",
        "path": "Procedure.id",
        "min": 1
      },
      {
        "id": "Procedure.meta",
        "path": "Procedure.meta",
        "min": 1
      },
      {
        "id": "Procedure.meta.versionId",
        "path": "Procedure.meta.versionId",
        "min": 1
      },
      {
        "id": "Procedure.meta.lastUpdated",
        "path": "Procedure.meta.lastUpdated",
        "min": 1
      },
      {
        "id": "Procedure.meta.profile",
        "path": "Procedure.meta.profile",
        "min": 1,
        "max": "1",
        "fixedCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Ambulante_Operation_General|1.3.0"
      },
      {
        "id": "Procedure.text",
        "path": "Procedure.text",
        "min": 1
      },
      {
        "id": "Procedure.text.status",
        "path": "Procedure.text.status",
        "short": "extensions",
        "fixedCode": "extensions"
      },
      {
        "id": "Procedure.extension",
        "path": "Procedure.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "closed"
        },
        "min": 0
      },
      {
        "id": "Procedure.extension:Dokumentationsdatum",
        "path": "Procedure.extension",
        "sliceName": "Dokumentationsdatum",
        "min": 0,
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:gesamt-Schnitt-Naht-Zeit",
        "path": "Procedure.extension",
        "sliceName": "gesamt-Schnitt-Naht-Zeit",
        "short": "GSNZ",
        "definition": "Gesamt-Schnitt-Naht-Zeit in Minuten",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_EX_AW_Ambulante_Operation_Zusatzinfo"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:gesamt-Schnitt-Naht-Zeit.value[x]",
        "path": "Procedure.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:gesamt-Schnitt-Naht-Zeit.value[x]:valueQuantity",
        "path": "Procedure.extension.value[x]",
        "sliceName": "valueQuantity",
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:gesamt-Schnitt-Naht-Zeit.value[x]:valueQuantity.value",
        "path": "Procedure.extension.value[x].value",
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:gesamt-Schnitt-Naht-Zeit.value[x]:valueQuantity.unit",
        "path": "Procedure.extension.value[x].unit",
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:gesamt-Schnitt-Naht-Zeit.value[x]:valueQuantity.system",
        "path": "Procedure.extension.value[x].system",
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:gesamt-Schnitt-Naht-Zeit.value[x]:valueQuantity.code",
        "path": "Procedure.extension.value[x].code",
        "mustSupport": true
      },
      {
        "id": "Procedure.identifier",
        "path": "Procedure.identifier",
        "max": "0"
      },
      {
        "id": "Procedure.instantiatesCanonical",
        "path": "Procedure.instantiatesCanonical",
        "max": "0"
      },
      {
        "id": "Procedure.instantiatesUri",
        "path": "Procedure.instantiatesUri",
        "max": "0"
      },
      {
        "id": "Procedure.basedOn",
        "path": "Procedure.basedOn",
        "max": "0"
      },
      {
        "id": "Procedure.partOf",
        "path": "Procedure.partOf",
        "max": "0"
      },
      {
        "id": "Procedure.status",
        "path": "Procedure.status",
        "definition": "Der Status einer ambulanten Operation ist immer completed.",
        "fixedCode": "completed"
      },
      {
        "id": "Procedure.statusReason",
        "path": "Procedure.statusReason",
        "max": "0"
      },
      {
        "id": "Procedure.category",
        "path": "Procedure.category",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Procedure.category.coding",
        "path": "Procedure.category.coding",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Procedure.category.coding:snomedCT",
        "path": "Procedure.category.coding",
        "sliceName": "snomedCT",
        "mustSupport": true
      },
      {
        "id": "Procedure.category.coding:snomedCT.system",
        "path": "Procedure.category.coding.system",
        "mustSupport": true
      },
      {
        "id": "Procedure.category.coding:snomedCT.version",
        "path": "Procedure.category.coding.version",
        "mustSupport": true
      },
      {
        "id": "Procedure.category.coding:snomedCT.code",
        "path": "Procedure.category.coding.code",
        "mustSupport": true
      },
      {
        "id": "Procedure.category.coding:snomedCT.display",
        "path": "Procedure.category.coding.display",
        "mustSupport": true
      },
      {
        "id": "Procedure.category.coding:Klassifizierung_der_Ressource",
        "path": "Procedure.category.coding",
        "sliceName": "Klassifizierung_der_Ressource",
        "min": 1,
        "max": "1",
        "patternCoding": {
          "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Ressourcentyp",
          "code": "Ambulante_Operation_General"
        }
      },
      {
        "id": "Procedure.category.coding:Klassifizierung_der_Ressource.system",
        "path": "Procedure.category.coding.system",
        "min": 1
      },
      {
        "id": "Procedure.category.coding:Klassifizierung_der_Ressource.code",
        "path": "Procedure.category.coding.code",
        "min": 1
      },
      {
        "id": "Procedure.category.text",
        "path": "Procedure.category.text",
        "max": "0"
      },
      {
        "id": "Procedure.code",
        "path": "Procedure.code",
        "short": "OPS Code",
        "mustSupport": true
      },
      {
        "id": "Procedure.code.coding",
        "path": "Procedure.code.coding",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Procedure.code.coding:ops",
        "path": "Procedure.code.coding",
        "sliceName": "ops",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Procedure.code.coding:ops.extension",
        "path": "Procedure.code.coding.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "closed"
        },
        "min": 0
      },
      {
        "id": "Procedure.code.coding:ops.extension:Seitenlokalisation",
        "path": "Procedure.code.coding.extension",
        "sliceName": "Seitenlokalisation",
        "min": 0,
        "mustSupport": true
      },
      {
        "id": "Procedure.code.coding:ops.system",
        "path": "Procedure.code.coding.system",
        "mustSupport": true
      },
      {
        "id": "Procedure.code.coding:ops.version",
        "path": "Procedure.code.coding.version",
        "mustSupport": true
      },
      {
        "id": "Procedure.code.coding:ops.code",
        "path": "Procedure.code.coding.code",
        "mustSupport": true
      },
      {
        "id": "Procedure.code.coding:ops.userSelected",
        "path": "Procedure.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Procedure.code.coding:snomed",
        "path": "Procedure.code.coding",
        "sliceName": "snomed",
        "mustSupport": true
      },
      {
        "id": "Procedure.code.coding:snomed.system",
        "path": "Procedure.code.coding.system",
        "mustSupport": true
      },
      {
        "id": "Procedure.code.coding:snomed.version",
        "path": "Procedure.code.coding.version",
        "mustSupport": true
      },
      {
        "id": "Procedure.code.coding:snomed.code",
        "path": "Procedure.code.coding.code",
        "mustSupport": true
      },
      {
        "id": "Procedure.code.coding:snomed.userSelected",
        "path": "Procedure.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Procedure.code.text",
        "path": "Procedure.code.text",
        "short": "Beschreibung des OPS-Codes",
        "definition": "Beschreibung des OPS-Codes"
      },
      {
        "id": "Procedure.subject",
        "path": "Procedure.subject",
        "short": "Patientenbezug",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Patient|1.3.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Procedure.subject.reference",
        "path": "Procedure.subject.reference",
        "min": 1
      },
      {
        "id": "Procedure.subject.type",
        "path": "Procedure.subject.type",
        "max": "0"
      },
      {
        "id": "Procedure.subject.identifier",
        "path": "Procedure.subject.identifier",
        "max": "0"
      },
      {
        "id": "Procedure.subject.display",
        "path": "Procedure.subject.display",
        "max": "0"
      },
      {
        "id": "Procedure.encounter",
        "path": "Procedure.encounter",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Begegnung|1.3.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Procedure.encounter.reference",
        "path": "Procedure.encounter.reference",
        "min": 1
      },
      {
        "id": "Procedure.encounter.type",
        "path": "Procedure.encounter.type",
        "max": "0"
      },
      {
        "id": "Procedure.encounter.identifier",
        "path": "Procedure.encounter.identifier",
        "max": "0"
      },
      {
        "id": "Procedure.encounter.display",
        "path": "Procedure.encounter.display",
        "max": "0"
      },
      {
        "id": "Procedure.performed[x]",
        "path": "Procedure.performed[x]",
        "short": "Datum der Operation",
        "definition": "Datum der Operation",
        "type": [
          {
            "code": "dateTime"
          },
          {
            "code": "Period"
          },
          {
            "code": "string"
          },
          {
            "code": "Age"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Procedure.performed[x]:performedDateTime",
        "path": "Procedure.performed[x]",
        "sliceName": "performedDateTime",
        "short": "Datum der Operation",
        "definition": "Datum der Operation",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Procedure.recorder",
        "path": "Procedure.recorder",
        "max": "0"
      },
      {
        "id": "Procedure.asserter",
        "path": "Procedure.asserter",
        "max": "0"
      },
      {
        "id": "Procedure.performer",
        "path": "Procedure.performer",
        "max": "0"
      },
      {
        "id": "Procedure.location",
        "path": "Procedure.location",
        "max": "0"
      },
      {
        "id": "Procedure.reasonCode",
        "path": "Procedure.reasonCode",
        "definition": "Dieses Attribut dient zur Angabe einer GOP als Begründung zur Durchführung der ambulanten Operation",
        "mustSupport": true
      },
      {
        "id": "Procedure.reasonCode.extension",
        "path": "Procedure.reasonCode.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "closed"
        },
        "min": 0
      },
      {
        "id": "Procedure.reasonCode.extension:sonstige_GOP",
        "path": "Procedure.reasonCode.extension",
        "sliceName": "sonstige_GOP",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_EX_AW_Abrechnung_Sonstige_GOP"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Procedure.reasonCode.extension:sonstige_GOP.value[x]",
        "path": "Procedure.reasonCode.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "Procedure.reasonCode.extension:sonstige_GOP.value[x]:valueCoding",
        "path": "Procedure.reasonCode.extension.value[x]",
        "sliceName": "valueCoding",
        "mustSupport": true
      },
      {
        "id": "Procedure.reasonCode.extension:sonstige_GOP.value[x]:valueCoding.system",
        "path": "Procedure.reasonCode.extension.value[x].system",
        "mustSupport": true
      },
      {
        "id": "Procedure.reasonCode.extension:sonstige_GOP.value[x]:valueCoding.code",
        "path": "Procedure.reasonCode.extension.value[x].code",
        "mustSupport": true
      },
      {
        "id": "Procedure.reasonCode.extension:sonstige_GOP.value[x]:valueCoding.display",
        "path": "Procedure.reasonCode.extension.value[x].display",
        "mustSupport": true
      },
      {
        "id": "Procedure.reasonCode.coding",
        "path": "Procedure.reasonCode.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "description": "BMAe\r\nE-GO\r\nEBM\r\nGOAe\r\nUV_GOAe\r\nUV_GOAe\r\nHzV/Selektiv",
          "rules": "closed"
        },
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Procedure.reasonCode.coding:bmae",
        "path": "Procedure.reasonCode.coding",
        "sliceName": "bmae",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Procedure.reasonCode.coding:bmae.system",
        "path": "Procedure.reasonCode.coding.system",
        "min": 1,
        "fixedUri": "https://fhir.kbv.de/NamingSystem/KBV_NS_AW_BMAE"
      },
      {
        "id": "Procedure.reasonCode.coding:bmae.code",
        "path": "Procedure.reasonCode.coding.code",
        "min": 1
      },
      {
        "id": "Procedure.reasonCode.coding:bmae.userSelected",
        "path": "Procedure.reasonCode.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Procedure.reasonCode.coding:e-go",
        "path": "Procedure.reasonCode.coding",
        "sliceName": "e-go",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Procedure.reasonCode.coding:e-go.system",
        "path": "Procedure.reasonCode.coding.system",
        "min": 1,
        "fixedUri": "https://fhir.kbv.de/NamingSystem/KBV_NS_AW_E-GO"
      },
      {
        "id": "Procedure.reasonCode.coding:e-go.code",
        "path": "Procedure.reasonCode.coding.code",
        "min": 1
      },
      {
        "id": "Procedure.reasonCode.coding:e-go.userSelected",
        "path": "Procedure.reasonCode.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Procedure.reasonCode.coding:ebm",
        "path": "Procedure.reasonCode.coding",
        "sliceName": "ebm",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Procedure.reasonCode.coding:ebm.system",
        "path": "Procedure.reasonCode.coding.system",
        "min": 1,
        "fixedUri": "https://fhir.kbv.de/NamingSystem/KBV_NS_Base_EBM"
      },
      {
        "id": "Procedure.reasonCode.coding:ebm.code",
        "path": "Procedure.reasonCode.coding.code",
        "short": "Leistungsziffer",
        "min": 1
      },
      {
        "id": "Procedure.reasonCode.coding:ebm.userSelected",
        "path": "Procedure.reasonCode.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Procedure.reasonCode.coding:goae",
        "path": "Procedure.reasonCode.coding",
        "sliceName": "goae",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Procedure.reasonCode.coding:goae.system",
        "path": "Procedure.reasonCode.coding.system",
        "min": 1,
        "fixedUri": "https://fhir.kbv.de/NamingSystem/KBV_NS_AW_GOAE"
      },
      {
        "id": "Procedure.reasonCode.coding:goae.code",
        "path": "Procedure.reasonCode.coding.code",
        "short": "Leistungsziffer",
        "min": 1
      },
      {
        "id": "Procedure.reasonCode.coding:goae.userSelected",
        "path": "Procedure.reasonCode.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Procedure.reasonCode.coding:uv-goae",
        "path": "Procedure.reasonCode.coding",
        "sliceName": "uv-goae",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Procedure.reasonCode.coding:uv-goae.system",
        "path": "Procedure.reasonCode.coding.system",
        "min": 1,
        "fixedUri": "https://fhir.kbv.de/NamingSystem/KBV_NS_AW_UV_GOAE"
      },
      {
        "id": "Procedure.reasonCode.coding:uv-goae.code",
        "path": "Procedure.reasonCode.coding.code",
        "short": "Leistungsziffer",
        "min": 1
      },
      {
        "id": "Procedure.reasonCode.coding:uv-goae.userSelected",
        "path": "Procedure.reasonCode.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Procedure.reasonCode.coding:hzv_selektiv",
        "path": "Procedure.reasonCode.coding",
        "sliceName": "hzv_selektiv",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Procedure.reasonCode.coding:hzv_selektiv.system",
        "path": "Procedure.reasonCode.coding.system",
        "min": 1,
        "fixedUri": "https://fhir.kbv.de/NamingSystem/KBV_NS_AW_HZV_Selektiv"
      },
      {
        "id": "Procedure.reasonCode.coding:hzv_selektiv.code",
        "path": "Procedure.reasonCode.coding.code",
        "short": "Leistungsziffer",
        "min": 1
      },
      {
        "id": "Procedure.reasonCode.coding:hzv_selektiv.userSelected",
        "path": "Procedure.reasonCode.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Procedure.reasonCode.text",
        "path": "Procedure.reasonCode.text",
        "max": "0"
      },
      {
        "id": "Procedure.reasonReference",
        "path": "Procedure.reasonReference",
        "max": "0"
      },
      {
        "id": "Procedure.bodySite",
        "path": "Procedure.bodySite",
        "max": "0"
      },
      {
        "id": "Procedure.outcome",
        "path": "Procedure.outcome",
        "max": "0"
      },
      {
        "id": "Procedure.report",
        "path": "Procedure.report",
        "max": "0"
      },
      {
        "id": "Procedure.complication",
        "path": "Procedure.complication",
        "short": "Komplikation",
        "definition": "Sollten Komplikationen bei der Druchführung der ambulanten Operation aufgetreten sein, so können diese in diesem Element festgehalten werden."
      },
      {
        "id": "Procedure.complication.coding",
        "path": "Procedure.complication.coding",
        "max": "0"
      },
      {
        "id": "Procedure.complication.text",
        "path": "Procedure.complication.text",
        "short": "Komplikationsbeschreibung",
        "definition": "Komplikationsbeschreibung",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Procedure.complicationDetail",
        "path": "Procedure.complicationDetail",
        "max": "0"
      },
      {
        "id": "Procedure.followUp",
        "path": "Procedure.followUp",
        "max": "0"
      },
      {
        "id": "Procedure.note",
        "path": "Procedure.note",
        "short": "Operation",
        "definition": "Beschreibung der OP",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Procedure.note.author[x]",
        "path": "Procedure.note.author[x]",
        "max": "0"
      },
      {
        "id": "Procedure.note.time",
        "path": "Procedure.note.time",
        "max": "0"
      },
      {
        "id": "Procedure.note.text",
        "path": "Procedure.note.text",
        "mustSupport": true
      },
      {
        "id": "Procedure.focalDevice",
        "path": "Procedure.focalDevice",
        "max": "0"
      },
      {
        "id": "Procedure.usedReference",
        "path": "Procedure.usedReference",
        "max": "0"
      },
      {
        "id": "Procedure.usedCode",
        "path": "Procedure.usedCode",
        "max": "0"
      }
    ]
  }
}