{
  "resourceType": "StructureDefinition",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_CMR_Procedure_U1_U3_Newborn_Blood_Spot_Screening",
  "version": "1.0.1",
  "name": "KBV_PR_MIO_CMR_Procedure_U1_U3_Newborn_Blood_Spot_Screening",
  "status": "active",
  "publisher": "Kassenärztliche Bundesvereinigung (KBV)",
  "copyright": "Im folgenden Profil können Codes aus den Codesystemen Snomed, Loinc oder Ucum enthalten sein, die dem folgenden Urheberrecht unterliegen: This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of SNOMED International. All rights reserved. SNOMED CT®, was originally created by The College of American Pathologists. SNOMED and SNOMED CT are registered trademarks of SNOMED International. Implementers of these artefacts must have the appropriate SNOMED CT Affiliate license. This material contains content from Loinc (http://loinc.org). Loinc is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (Loinc) Committee and is available at no cost under the license at http://loinc.org/license. Loinc® is a registered United States trademark of Regenstrief Institute, Inc. This product includes all or a portion of the UCUM table, UCUM codes, and UCUM definitions or is derived from it, subject to a license from Regenstrief Institute, Inc. and The UCUM Organization. Your use of the UCUM table, UCUM codes, UCUM definitions also is subject to this license, a copy of which is available at ​http://unitsofmeasure.org. The current complete UCUM table, UCUM Specification are available for download at ​http://unitsofmeasure.org. The UCUM table and UCUM codes are copyright © 1995-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. THE UCUM TABLE (IN ALL FORMATS), UCUM DEFINITIONS, AND SPECIFICATION ARE PROVIDED \"AS IS.\" ANY EXPRESS OR IMPLIED WARRANTIES ARE DISCLAIMED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Procedure",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Procedure",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Procedure",
        "path": "Procedure",
        "short": "Dieses Profil bildet die Blutabnahme im Rahmen des erweiterten Neugeborenen Screenings ab.",
        "constraint": [
          {
            "key": "proc-0",
            "severity": "error",
            "human": "statusReason SHALL only be present, if performed[x] is empty",
            "expression": "statusReason.empty() or performed.empty()",
            "source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_CMR_Procedure_U1_U3_Newborn_Blood_Spot_Screening|1.0.1"
          },
          {
            "key": "proc-1",
            "severity": "error",
            "human": "Extension may be choosen if first blood sampling is choosen",
            "expression": "extension.where(url = 'https://fhir.kbv.de/StructureDefinition/KBV_Ex_MIO_CMR_Early_Collection_Of_Blood').exists() implies (code.coding.code ='425758004:246513007=261422002')",
            "source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_CMR_Procedure_U1_U3_Newborn_Blood_Spot_Screening"
          },
          {
            "key": "proc-2",
            "severity": "error",
            "human": "Year, month, day, hour, minute and second are needed for first sampling",
            "expression": "code.coding.code = '425758004:246513007=261426002' implies performed.toString().length() >= 22",
            "source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_CMR_Procedure_U1_U3_Newborn_Blood_Spot_Screening"
          },
          {
            "key": "proc-3",
            "severity": "error",
            "human": "Year, month and day are needed for second sampling",
            "expression": "(code.coding.code = '425758004:246513007=261426004'  or code.coding.code = '425758004:246513007=261429006') implies performed.toString().length() = 10",
            "source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_CMR_Procedure_U1_U3_Newborn_Blood_Spot_Screening"
          },
          {
            "key": "proc-4",
            "severity": "error",
            "human": "If status is not-done, statusReason must exist",
            "expression": "status ='not-done' implies statusReason.exists()"
          }
        ]
      },
      {
        "id": "Procedure.meta",
        "path": "Procedure.meta",
        "min": 1
      },
      {
        "id": "Procedure.meta.versionId",
        "path": "Procedure.meta.versionId",
        "max": "0"
      },
      {
        "id": "Procedure.meta.lastUpdated",
        "path": "Procedure.meta.lastUpdated",
        "max": "0"
      },
      {
        "id": "Procedure.meta.source",
        "path": "Procedure.meta.source",
        "max": "0"
      },
      {
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        "path": "Procedure.meta.profile",
        "min": 1,
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        "fixedCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_CMR_Procedure_U1_U3_Newborn_Blood_Spot_Screening|1.0.1"
      },
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        "id": "Procedure.meta.security",
        "path": "Procedure.meta.security",
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        "path": "Procedure.meta.tag",
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        "path": "Procedure.implicitRules",
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      {
        "id": "Procedure.language",
        "path": "Procedure.language",
        "max": "0"
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        "id": "Procedure.contained",
        "path": "Procedure.contained",
        "max": "0"
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        "id": "Procedure.extension",
        "path": "Procedure.extension",
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              "path": "url"
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          ],
          "rules": "open"
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      },
      {
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        "path": "Procedure.extension",
        "sliceName": "screeninglabor",
        "max": "1",
        "type": [
          {
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            "profile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_CMR_Executing_Laboratory"
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          }
        ],
        "mustSupport": true
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        "id": "Procedure.extension:screeninglabor.value[x]",
        "path": "Procedure.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:screeninglabor.value[x]:valueReference",
        "path": "Procedure.extension.value[x]",
        "sliceName": "valueReference",
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:screeninglabor.value[x]:valueReference.reference",
        "path": "Procedure.extension.value[x].reference",
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:screeninglabor.value[x]:valueReference.display",
        "path": "Procedure.extension.value[x].display",
        "mustSupport": true
      },
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        "id": "Procedure.extension:erstabnahmeVorVollendeter36Lebensstunde",
        "path": "Procedure.extension",
        "sliceName": "erstabnahmeVorVollendeter36Lebensstunde",
        "max": "1",
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        ],
        "mustSupport": true
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        "id": "Procedure.extension:erstabnahmeVorVollendeter36Lebensstunde.value[x]",
        "path": "Procedure.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:erstabnahmeVorVollendeter36Lebensstunde.value[x]:valueCodeableConcept",
        "path": "Procedure.extension.value[x]",
        "sliceName": "valueCodeableConcept",
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:erstabnahmeVorVollendeter36Lebensstunde.value[x]:valueCodeableConcept.coding",
        "path": "Procedure.extension.value[x].coding",
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:erstabnahmeVorVollendeter36Lebensstunde.value[x]:valueCodeableConcept.text",
        "path": "Procedure.extension.value[x].text",
        "max": "0"
      },
      {
        "id": "Procedure.identifier",
        "path": "Procedure.identifier",
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      {
        "id": "Procedure.instantiatesCanonical",
        "path": "Procedure.instantiatesCanonical",
        "max": "0"
      },
      {
        "id": "Procedure.instantiatesUri",
        "path": "Procedure.instantiatesUri",
        "max": "0"
      },
      {
        "id": "Procedure.basedOn",
        "path": "Procedure.basedOn",
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      {
        "id": "Procedure.partOf",
        "path": "Procedure.partOf",
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        "id": "Procedure.partOf.reference",
        "path": "Procedure.partOf.reference",
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      {
        "id": "Procedure.status",
        "path": "Procedure.status",
        "short": "not-done | completed",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "Completed, Not-Done",
          "valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_MIO_CMR_Procedure_Status"
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      },
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        "id": "Procedure.statusReason",
        "path": "Procedure.statusReason",
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      },
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        "id": "Procedure.statusReason.coding",
        "path": "Procedure.statusReason.coding",
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        "max": "1",
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      },
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        "id": "Procedure.statusReason.coding.system",
        "path": "Procedure.statusReason.coding.system",
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        "fixedUri": "http://snomed.info/sct"
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        "id": "Procedure.statusReason.coding.version",
        "path": "Procedure.statusReason.coding.version",
        "min": 1,
        "fixedString": "http://snomed.info/sct/900000000000207008/version/20210131"
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        "id": "Procedure.statusReason.coding.code",
        "path": "Procedure.statusReason.coding.code",
        "min": 1,
        "fixedCode": "183948000:363589002=428447008"
      },
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        "id": "Procedure.statusReason.coding.display",
        "path": "Procedure.statusReason.coding.display",
        "min": 1
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        "id": "Procedure.statusReason.coding.display.extension",
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              "path": "url"
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          ],
          "rules": "open"
        }
      },
      {
        "id": "Procedure.statusReason.coding.display.extension:anzeigenameStatusReasonSnomed",
        "path": "Procedure.statusReason.coding.display.extension",
        "sliceName": "anzeigenameStatusReasonSnomed",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
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          }
        ],
        "mustSupport": true
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        "id": "Procedure.statusReason.coding.display.extension:anzeigenameStatusReasonSnomed.extension",
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          ],
          "rules": "open"
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      },
      {
        "id": "Procedure.statusReason.coding.display.extension:anzeigenameStatusReasonSnomed.extension:content",
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        "sliceName": "content"
      },
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        "id": "Procedure.statusReason.coding.display.extension:anzeigenameStatusReasonSnomed.extension:content.value[x]",
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          ],
          "rules": "closed"
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        "mustSupport": true
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        "id": "Procedure.statusReason.coding.display.extension:anzeigenameStatusReasonSnomed.extension:content.value[x]:valueString",
        "path": "Procedure.statusReason.coding.display.extension.extension.value[x]",
        "sliceName": "valueString",
        "min": 1,
        "fixedString": "Eltern wünschen keine Untersuchung",
        "mustSupport": true
      },
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        "id": "Procedure.statusReason.coding.userSelected",
        "path": "Procedure.statusReason.coding.userSelected",
        "max": "0"
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        "id": "Procedure.statusReason.text",
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        "id": "Procedure.category",
        "path": "Procedure.category",
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        "id": "Procedure.code",
        "path": "Procedure.code",
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        "mustSupport": true,
        "binding": {
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          "description": "Type of Blood Spot Screening",
          "valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_MIO_CMR_Newborn_Blood_Spot_Screening_Type"
        }
      },
      {
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        "path": "Procedure.code.coding",
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        "max": "1",
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        "id": "Procedure.code.coding.system",
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        "path": "Procedure.code.coding.display",
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        "path": "Procedure.code.coding.display.extension",
        "sliceName": "anzeigenameCodeSnomed",
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        "max": "1",
        "type": [
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          }
        ],
        "mustSupport": true
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      {
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      {
        "id": "Procedure.code.coding.display.extension:anzeigenameCodeSnomed.extension:content.value[x]",
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        "sliceName": "valueString",
        "definition": "In diesem Attribut sollen die entsprechende deutsche Bezeichnung des Loinc oder Snomed-Codes aus der Conceptmap eingetragen werden, also in diesem Fall den Displaynamen des Targetsystems aus https://fhir.kbv.de/ConceptMap/KBV_CM_MIO_CMR_Newborn_Bloodspot_Screening_Type_German",
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        "path": "Procedure.code.text",
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            "code": "Reference",
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        ],
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          ],
          "rules": "closed"
        },
        "type": [
          {
            "code": "dateTime"
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        ],
        "mustSupport": true
      },
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        "id": "Procedure.performed[x]:performedDateTime",
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        ],
        "mustSupport": true
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        "max": "0"
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            "code": "Reference",
            "targetProfile": [
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          }
        ],
        "mustSupport": true
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        "id": "Procedure.asserter.reference",
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        "min": 1,
        "mustSupport": true
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        "max": "0"
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      {
        "id": "Procedure.asserter.display",
        "path": "Procedure.asserter.display",
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      },
      {
        "id": "Procedure.performer",
        "path": "Procedure.performer",
        "max": "0",
        "mustSupport": true
      },
      {
        "id": "Procedure.performer.function",
        "path": "Procedure.performer.function",
        "max": "0"
      },
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        "path": "Procedure.performer.actor.type",
        "max": "0"
      },
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        "id": "Procedure.performer.actor.identifier",
        "path": "Procedure.performer.actor.identifier",
        "max": "0"
      },
      {
        "id": "Procedure.performer.actor.display",
        "path": "Procedure.performer.actor.display",
        "max": "0"
      },
      {
        "id": "Procedure.performer.onBehalfOf",
        "path": "Procedure.performer.onBehalfOf",
        "max": "0"
      },
      {
        "id": "Procedure.location",
        "path": "Procedure.location",
        "max": "0"
      },
      {
        "id": "Procedure.reasonCode",
        "path": "Procedure.reasonCode",
        "max": "0"
      },
      {
        "id": "Procedure.reasonReference",
        "path": "Procedure.reasonReference",
        "max": "0"
      },
      {
        "id": "Procedure.bodySite",
        "path": "Procedure.bodySite",
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      },
      {
        "id": "Procedure.outcome",
        "path": "Procedure.outcome",
        "max": "0"
      },
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        "id": "Procedure.report",
        "path": "Procedure.report",
        "max": "0"
      },
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        "id": "Procedure.complication",
        "path": "Procedure.complication",
        "max": "0"
      },
      {
        "id": "Procedure.complicationDetail",
        "path": "Procedure.complicationDetail",
        "max": "0"
      },
      {
        "id": "Procedure.followUp",
        "path": "Procedure.followUp",
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      },
      {
        "id": "Procedure.note",
        "path": "Procedure.note",
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      },
      {
        "id": "Procedure.focalDevice",
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      },
      {
        "id": "Procedure.usedReference",
        "path": "Procedure.usedReference",
        "max": "0"
      },
      {
        "id": "Procedure.usedCode",
        "path": "Procedure.usedCode",
        "max": "0"
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    ]
  }
}