| Official URL: https://gematik.de/fhir/isik/StructureDefinition/ISiKProzedur-obl | Version: 6.0.0-rc | |||
| Active as of 2026-04-02 | Computable Name: ISiKProzedur_obl | |||
Obligation-Profil für ISiKProzedur. Leitet vom strukturellen Basis-Profil ab und setzt akteurspezifische FHIR-Obligations für Producer (Server) und Consumer (Client).
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
  Procedure |
C | 0..* | ISiKProzedur | An action that is being or was performed on a patient This is an obligation profile that only contains obligations and additional bindings Constraints: proc-ISiK-1, proc-ISiK-2 | ||||||
  id |
OΣ | 0..1 | id | serverseitige, interne ID des Datensatzes
| ||||||
  Slices for extension |
O | 0..* | Extension | Extension Slice: Unordered, Open by value:url
| ||||||
   extension:Dokumentationsdatum |
O | 0..1 | dateTime | Dokumentationsdatum der Prozedur URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum
| ||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||
| status |
?!OΣ | 1..1 | code | Status Binding: EventStatus (required): A code specifying the state of the procedure.
| ||||||
 category |
OΣ | 0..1 | CodeableConcept | Kategorie Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
| ||||||
  Slices for coding |
Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system | ||||||
 coding:SNOMED-CT |
OΣ | 0..1 | ISiKSnomedCTCoding | Code defined by a terminology system Binding: ProzedurenKategorieSCT (preferred)
| ||||||
| code |
OΣC | 0..1 | CodeableConcept | Prozeduren-Code Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Constraints: sct-ops-1, proc-ISiK-3
| ||||||
| Slices for coding |
OΣ | 0..* | Coding | Codierte Darstellung der Prozedur Slice: Unordered, Open by pattern:system
| ||||||
 coding:OPS |
OΣ | 0..1 | CodingOPS(1.6.0-ballot) | OPS-codierte Darstellung der Prozedur
| ||||||
  Slices for extension |
Content/Rules for all slices | |||||||||
 extension:Seitenlokalisation |
O | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
| ||||||
 system |
OΣ | 1..1 | uri | Namensraum des Prozeduren-Codes Fixed Value: http://fhir.de/CodeSystem/bfarm/ops
| ||||||
| version |
OΣ | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. `2017`)
| ||||||
 code |
OΣC | 1..1 | code | OPS-Code Constraints: ops-regex Example Einfacher OPS-Code: 5-470
| ||||||
| coding:SNOMED-CT |
OΣ | 0..1 | ISiKSnomedCTCoding | SNOMED-codierte Darstellung der Prozedur Binding: ProzedurenCodesSCT (required)
| ||||||
 text |
OΣ | 0..1 | string | Freitextiche Beschreibung der Prozedur
| ||||||
 subject |
OΣ | 1..1 | Reference(Patient | Group) | Patientenbezug
| ||||||
| reference |
OΣC | 0..1 | string | Patienten-Link
| ||||||
| encounter |
OΣ | 0..1 | Reference(Encounter) | Aufenthaltsbezug
| ||||||
| reference |
OΣC | 0..1 | string | Encounter-Link
| ||||||
 performed[x] |
OΣ | 0..1 | Durchführungsdatum oder -Zeitraum
| |||||||
| performedDateTime |
dateTime | |||||||||
| performedPeriod |
Period | |||||||||
| note |
O | 0..* | Annotation | Notizen
| ||||||
| Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Procedure.category | Base | example | Procedure Category Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.category.coding:SNOMED-CT | Base | preferred | ProzedurenKategorieSCT | 📦6.0.0-rc | This IG |
| Procedure.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.code.coding:SNOMED-CT | Base | required | ProzedurenCodesSCT | 📦6.0.0-rc | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ops-regex | warning | Procedure.code.coding:OPS.code | In code sind nur gültige OPS-Codes ohne Zusätze erlaubt |
matches('^[1|3|5|6|8|9]-[a-zA-Z0-9]{3}([.][a-zA-Z0-9]{1,2})?$')
|
| proc-ISiK-1 | error | Procedure | Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden |
code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
|
| proc-ISiK-2 | error | Procedure | Falls eine codierte Prozedur vorliegt MUSS eine kodierte Category abgebildet werden |
code.coding.exists() implies category.coding.exists()
|
| proc-ISiK-3 | error | Procedure.code | Entweder MUSS eine kodierte Prozedur vorliegen oder eine textuelle Beschreibung. Stattdessen nur Extensions hinzuzufügen (vgl. https://www.hl7.org/fhir/element.html - ele-1), ist explizit nicht erlaubt. |
coding.exists().not() implies text.exists()
|
| sct-ops-1 | error | Procedure.code | Falls die Prozedur kodiert vorliegt, SOLL mindestens ein OPS oder SNOMED-CT Code angegeben werden. |
coding.exists() implies coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()
|
This structure is derived from ISiKProzedur
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Procedure |
0..* | ISiKProzedur | An action that is being or was performed on a patient This is an obligation profile that only contains obligations and additional bindings | |||||||
 id |
O | 0..1 | id | serverseitige, interne ID des Datensatzes
| ||||||
| extension |
O | 0..* | Extension | Extension
| ||||||
| Slices for extension |
Content/Rules for all slices | |||||||||
| extension:Dokumentationsdatum |
O | 0..1 | ExtensionProzedurDokumentationsdatum(1.6.0-ballot) | Dokumentationsdatum der Prozedur
| ||||||
| status |
O | 1..1 | code | Status
| ||||||
| category |
O | 0..1 | CodeableConcept | Kategorie
| ||||||
| Slices for coding |
Content/Rules for all slices | |||||||||
| coding:SNOMED-CT |
O | 0..1 | ISiKSnomedCTCoding | Code defined by a terminology system
| ||||||
| code |
O | 0..1 | CodeableConcept | Prozeduren-Code
| ||||||
| coding |
O | 0..* | Coding | Codierte Darstellung der Prozedur
| ||||||
| Slices for coding |
Content/Rules for all slices | |||||||||
| coding:OPS |
O | 0..1 | CodingOPS(1.6.0-ballot) | OPS-codierte Darstellung der Prozedur
| ||||||
| Slices for extension |
Content/Rules for all slices | |||||||||
| extension:Seitenlokalisation |
O | 0..1 | ExtensionSeitenlokalisation(1.6.0-ballot) | Optional Extensions Element
| ||||||
| system |
O | 1..1 | uri | Namensraum des Prozeduren-Codes
| ||||||
| version |
O | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. `2017`)
| ||||||
| code |
O | 1..1 | code | OPS-Code
| ||||||
| coding:SNOMED-CT |
O | 0..1 | ISiKSnomedCTCoding | SNOMED-codierte Darstellung der Prozedur
| ||||||
| text |
O | 0..1 | string | Freitextiche Beschreibung der Prozedur
| ||||||
| subject |
O | 1..1 | Reference(Patient | Group) | Patientenbezug
| ||||||
| reference |
O | 0..1 | string | Patienten-Link
| ||||||
| encounter |
O | 0..1 | Reference(Encounter) | Aufenthaltsbezug
| ||||||
| reference |
O | 0..1 | string | Encounter-Link
| ||||||
| performed[x] |
O | 0..1 | dateTime, Period | Durchführungsdatum oder -Zeitraum
| ||||||
| note |
O | 0..* | Annotation | Notizen
| ||||||
| Documentation for this format | ||||||||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Procedure |
C | 0..* | ISiKProzedur | An action that is being or was performed on a patient This is an obligation profile that only contains obligations and additional bindings Constraints: proc-ISiK-1, proc-ISiK-2 | ||||||
| id |
OΣ | 0..1 | id | serverseitige, interne ID des Datensatzes
| ||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||
| versionId |
Σ | 0..1 | id | Eindeutiger Name der serverseitigen Version des Datensatzes | ||||||
| lastUpdated |
Σ | 0..1 | instant | Zeitpunkt der letzten Änderung | ||||||
| source |
Σ | 0..1 | uri | Identifies where the resource comes from | ||||||
| profile |
Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||||
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||||
| tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||
| Slices for extension |
O | 0..* | Extension | Extension Slice: Unordered, Open by value:url
| ||||||
| extension:Dokumentationsdatum |
O | 0..1 | dateTime | Dokumentationsdatum der Prozedur URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum
| ||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||
| identifier |
Σ | 0..* | Identifier | External Identifiers for this procedure | ||||||
| instantiatesCanonical |
Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||||
| basedOn |
Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | ||||||
| partOf |
Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | ||||||
| status |
?!OΣ | 1..1 | code | Status Binding: EventStatus (required): A code specifying the state of the procedure.
| ||||||
| statusReason |
Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | ||||||
| category |
OΣ | 0..1 | CodeableConcept | Kategorie Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
| ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||
| Slices for coding |
Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system | ||||||
| coding:SNOMED-CT |
OΣ | 0..1 | ISiKSnomedCTCoding | Code defined by a terminology system Binding: ProzedurenKategorieSCT (preferred)
| ||||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||||
| code |
OΣC | 0..1 | CodeableConcept | Prozeduren-Code Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Constraints: sct-ops-1, proc-ISiK-3
| ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||
| Slices for coding |
OΣ | 0..* | Coding | Codierte Darstellung der Prozedur Slice: Unordered, Open by pattern:system
| ||||||
| coding:OPS |
OΣ | 0..1 | CodingOPS(1.6.0-ballot) | OPS-codierte Darstellung der Prozedur
| ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||
| extension:Seitenlokalisation |
O | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
| ||||||
| system |
OΣ | 1..1 | uri | Namensraum des Prozeduren-Codes Fixed Value: http://fhir.de/CodeSystem/bfarm/ops
| ||||||
| version |
OΣ | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. `2017`)
| ||||||
| code |
OΣC | 1..1 | code | OPS-Code Constraints: ops-regex Example Einfacher OPS-Code: 5-470
| ||||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||||
| coding:SNOMED-CT |
OΣ | 0..1 | ISiKSnomedCTCoding | SNOMED-codierte Darstellung der Prozedur Binding: ProzedurenCodesSCT (required)
| ||||||
| text |
OΣ | 0..1 | string | Freitextiche Beschreibung der Prozedur
| ||||||
| subject |
OΣ | 1..1 | Reference(Patient | Group) | Patientenbezug
| ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||
| reference |
OΣC | 0..1 | string | Patienten-Link
| ||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||
| encounter |
OΣ | 0..1 | Reference(Encounter) | Aufenthaltsbezug
| ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||
| reference |
OΣC | 0..1 | string | Encounter-Link
| ||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||
| performed[x] |
OΣ | 0..1 | Durchführungsdatum oder -Zeitraum
| |||||||
| performedDateTime |
dateTime | |||||||||
| performedPeriod |
Period | |||||||||
| recorder |
Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure | ||||||
| asserter |
Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure | ||||||
| performer |
Σ | 0..* | BackboneElement | The people who performed the procedure | ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||
| function |
Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||||
| actor |
Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner | ||||||
| onBehalfOf |
0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||||
| location |
Σ | 0..1 | Reference(Location) | Where the procedure happened | ||||||
| reasonCode |
Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||||
| reasonReference |
Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed | ||||||
| bodySite |
Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||
| extension:BodyStructureReference |
0..1 | Reference(BodyStructure) | Referenz auf eine BodyStructure-Ressource URL: http://hl7.org/fhir/StructureDefinition/bodySite | |||||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||||
| outcome |
Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. | ||||||
| report |
0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||||
| complication |
0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||||
| complicationDetail |
0..* | Reference(Condition) | A condition that is a result of the procedure | |||||||
| followUp |
0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||||
| note |
O | 0..* | Annotation | Notizen
| ||||||
| focalDevice |
0..* | BackboneElement | Manipulated, implanted, or removed device | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||
| action |
0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure. | |||||||
| manipulated |
1..1 | Reference(Device) | Device that was changed | |||||||
| usedReference |
0..* | Reference(Device | Medication | Substance) | Items used during procedure | |||||||
| usedCode |
0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |||||||
| Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std. |
| Procedure.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| Procedure.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Procedure.statusReason | Base | example | Procedure Not Performed Reason (SNOMED-CT) | 📍4.0.1 | FHIR Std. |
| Procedure.category | Base | example | Procedure Category Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.category.coding:SNOMED-CT | Base | preferred | ProzedurenKategorieSCT | 📦6.0.0-rc | This IG |
| Procedure.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.code.coding:SNOMED-CT | Base | required | ProzedurenCodesSCT | 📦6.0.0-rc | This IG |
| Procedure.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Procedure.encounter.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Procedure.performer.function | Base | example | Procedure Performer Role Codes | 📍4.0.1 | FHIR Std. |
| Procedure.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std. |
| Procedure.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Procedure.outcome | Base | example | Procedure Outcome Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.complication | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| Procedure.followUp | Base | example | Procedure Follow up Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.focalDevice.action | Base | preferred | Procedure Device Action Codes | 📍4.0.1 | FHIR Std. |
| Procedure.usedCode | Base | example | FHIR Device Types | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ops-regex | warning | Procedure.code.coding:OPS.code | In code sind nur gültige OPS-Codes ohne Zusätze erlaubt |
matches('^[1|3|5|6|8|9]-[a-zA-Z0-9]{3}([.][a-zA-Z0-9]{1,2})?$')
|
| proc-ISiK-1 | error | Procedure | Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden |
code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
|
| proc-ISiK-2 | error | Procedure | Falls eine codierte Prozedur vorliegt MUSS eine kodierte Category abgebildet werden |
code.coding.exists() implies category.coding.exists()
|
| proc-ISiK-3 | error | Procedure.code | Entweder MUSS eine kodierte Prozedur vorliegen oder eine textuelle Beschreibung. Stattdessen nur Extensions hinzuzufügen (vgl. https://www.hl7.org/fhir/element.html - ele-1), ist explizit nicht erlaubt. |
coding.exists().not() implies text.exists()
|
| sct-ops-1 | error | Procedure.code | Falls die Prozedur kodiert vorliegt, SOLL mindestens ein OPS oder SNOMED-CT Code angegeben werden. |
coding.exists() implies coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()
|
This structure is derived from ISiKProzedur
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Procedure |
C | 0..* | ISiKProzedur | An action that is being or was performed on a patient This is an obligation profile that only contains obligations and additional bindings Constraints: proc-ISiK-1, proc-ISiK-2 | ||||||
| id |
OΣ | 0..1 | id | serverseitige, interne ID des Datensatzes
| ||||||
| Slices for extension |
O | 0..* | Extension | Extension Slice: Unordered, Open by value:url
| ||||||
| extension:Dokumentationsdatum |
O | 0..1 | dateTime | Dokumentationsdatum der Prozedur URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum
| ||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||
| status |
?!OΣ | 1..1 | code | Status Binding: EventStatus (required): A code specifying the state of the procedure.
| ||||||
| category |
OΣ | 0..1 | CodeableConcept | Kategorie Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
| ||||||
| Slices for coding |
Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system | ||||||
| coding:SNOMED-CT |
OΣ | 0..1 | ISiKSnomedCTCoding | Code defined by a terminology system Binding: ProzedurenKategorieSCT (preferred)
| ||||||
| code |
OΣC | 0..1 | CodeableConcept | Prozeduren-Code Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Constraints: sct-ops-1, proc-ISiK-3
| ||||||
| Slices for coding |
OΣ | 0..* | Coding | Codierte Darstellung der Prozedur Slice: Unordered, Open by pattern:system
| ||||||
| coding:OPS |
OΣ | 0..1 | CodingOPS(1.6.0-ballot) | OPS-codierte Darstellung der Prozedur
| ||||||
| Slices for extension |
Content/Rules for all slices | |||||||||
| extension:Seitenlokalisation |
O | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
| ||||||
| system |
OΣ | 1..1 | uri | Namensraum des Prozeduren-Codes Fixed Value: http://fhir.de/CodeSystem/bfarm/ops
| ||||||
| version |
OΣ | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. `2017`)
| ||||||
| code |
OΣC | 1..1 | code | OPS-Code Constraints: ops-regex Example Einfacher OPS-Code: 5-470
| ||||||
| coding:SNOMED-CT |
OΣ | 0..1 | ISiKSnomedCTCoding | SNOMED-codierte Darstellung der Prozedur Binding: ProzedurenCodesSCT (required)
| ||||||
| text |
OΣ | 0..1 | string | Freitextiche Beschreibung der Prozedur
| ||||||
| subject |
OΣ | 1..1 | Reference(Patient | Group) | Patientenbezug
| ||||||
| reference |
OΣC | 0..1 | string | Patienten-Link
| ||||||
| encounter |
OΣ | 0..1 | Reference(Encounter) | Aufenthaltsbezug
| ||||||
| reference |
OΣC | 0..1 | string | Encounter-Link
| ||||||
| performed[x] |
OΣ | 0..1 | Durchführungsdatum oder -Zeitraum
| |||||||
| performedDateTime |
dateTime | |||||||||
| performedPeriod |
Period | |||||||||
| note |
O | 0..* | Annotation | Notizen
| ||||||
| Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Procedure.category | Base | example | Procedure Category Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.category.coding:SNOMED-CT | Base | preferred | ProzedurenKategorieSCT | 📦6.0.0-rc | This IG |
| Procedure.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.code.coding:SNOMED-CT | Base | required | ProzedurenCodesSCT | 📦6.0.0-rc | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ops-regex | warning | Procedure.code.coding:OPS.code | In code sind nur gültige OPS-Codes ohne Zusätze erlaubt |
matches('^[1|3|5|6|8|9]-[a-zA-Z0-9]{3}([.][a-zA-Z0-9]{1,2})?$')
|
| proc-ISiK-1 | error | Procedure | Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden |
code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
|
| proc-ISiK-2 | error | Procedure | Falls eine codierte Prozedur vorliegt MUSS eine kodierte Category abgebildet werden |
code.coding.exists() implies category.coding.exists()
|
| proc-ISiK-3 | error | Procedure.code | Entweder MUSS eine kodierte Prozedur vorliegen oder eine textuelle Beschreibung. Stattdessen nur Extensions hinzuzufügen (vgl. https://www.hl7.org/fhir/element.html - ele-1), ist explizit nicht erlaubt. |
coding.exists().not() implies text.exists()
|
| sct-ops-1 | error | Procedure.code | Falls die Prozedur kodiert vorliegt, SOLL mindestens ein OPS oder SNOMED-CT Code angegeben werden. |
coding.exists() implies coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()
|
Differential View
This structure is derived from ISiKProzedur
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Procedure |
0..* | ISiKProzedur | An action that is being or was performed on a patient This is an obligation profile that only contains obligations and additional bindings | |||||||
| id |
O | 0..1 | id | serverseitige, interne ID des Datensatzes
| ||||||
| extension |
O | 0..* | Extension | Extension
| ||||||
| Slices for extension |
Content/Rules for all slices | |||||||||
| extension:Dokumentationsdatum |
O | 0..1 | ExtensionProzedurDokumentationsdatum(1.6.0-ballot) | Dokumentationsdatum der Prozedur
| ||||||
| status |
O | 1..1 | code | Status
| ||||||
| category |
O | 0..1 | CodeableConcept | Kategorie
| ||||||
| Slices for coding |
Content/Rules for all slices | |||||||||
| coding:SNOMED-CT |
O | 0..1 | ISiKSnomedCTCoding | Code defined by a terminology system
| ||||||
| code |
O | 0..1 | CodeableConcept | Prozeduren-Code
| ||||||
| coding |
O | 0..* | Coding | Codierte Darstellung der Prozedur
| ||||||
| Slices for coding |
Content/Rules for all slices | |||||||||
| coding:OPS |
O | 0..1 | CodingOPS(1.6.0-ballot) | OPS-codierte Darstellung der Prozedur
| ||||||
| Slices for extension |
Content/Rules for all slices | |||||||||
| extension:Seitenlokalisation |
O | 0..1 | ExtensionSeitenlokalisation(1.6.0-ballot) | Optional Extensions Element
| ||||||
| system |
O | 1..1 | uri | Namensraum des Prozeduren-Codes
| ||||||
| version |
O | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. `2017`)
| ||||||
| code |
O | 1..1 | code | OPS-Code
| ||||||
| coding:SNOMED-CT |
O | 0..1 | ISiKSnomedCTCoding | SNOMED-codierte Darstellung der Prozedur
| ||||||
| text |
O | 0..1 | string | Freitextiche Beschreibung der Prozedur
| ||||||
| subject |
O | 1..1 | Reference(Patient | Group) | Patientenbezug
| ||||||
| reference |
O | 0..1 | string | Patienten-Link
| ||||||
| encounter |
O | 0..1 | Reference(Encounter) | Aufenthaltsbezug
| ||||||
| reference |
O | 0..1 | string | Encounter-Link
| ||||||
| performed[x] |
O | 0..1 | dateTime, Period | Durchführungsdatum oder -Zeitraum
| ||||||
| note |
O | 0..* | Annotation | Notizen
| ||||||
| Documentation for this format | ||||||||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Procedure |
C | 0..* | ISiKProzedur | An action that is being or was performed on a patient This is an obligation profile that only contains obligations and additional bindings Constraints: proc-ISiK-1, proc-ISiK-2 | ||||||
| id |
OΣ | 0..1 | id | serverseitige, interne ID des Datensatzes
| ||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||
| versionId |
Σ | 0..1 | id | Eindeutiger Name der serverseitigen Version des Datensatzes | ||||||
| lastUpdated |
Σ | 0..1 | instant | Zeitpunkt der letzten Änderung | ||||||
| source |
Σ | 0..1 | uri | Identifies where the resource comes from | ||||||
| profile |
Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||||
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||||
| tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||
| Slices for extension |
O | 0..* | Extension | Extension Slice: Unordered, Open by value:url
| ||||||
| extension:Dokumentationsdatum |
O | 0..1 | dateTime | Dokumentationsdatum der Prozedur URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum
| ||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||
| identifier |
Σ | 0..* | Identifier | External Identifiers for this procedure | ||||||
| instantiatesCanonical |
Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||||
| basedOn |
Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | ||||||
| partOf |
Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | ||||||
| status |
?!OΣ | 1..1 | code | Status Binding: EventStatus (required): A code specifying the state of the procedure.
| ||||||
| statusReason |
Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | ||||||
| category |
OΣ | 0..1 | CodeableConcept | Kategorie Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
| ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||
| Slices for coding |
Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system | ||||||
| coding:SNOMED-CT |
OΣ | 0..1 | ISiKSnomedCTCoding | Code defined by a terminology system Binding: ProzedurenKategorieSCT (preferred)
| ||||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||||
| code |
OΣC | 0..1 | CodeableConcept | Prozeduren-Code Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Constraints: sct-ops-1, proc-ISiK-3
| ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||
| Slices for coding |
OΣ | 0..* | Coding | Codierte Darstellung der Prozedur Slice: Unordered, Open by pattern:system
| ||||||
| coding:OPS |
OΣ | 0..1 | CodingOPS(1.6.0-ballot) | OPS-codierte Darstellung der Prozedur
| ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||
| extension:Seitenlokalisation |
O | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
| ||||||
| system |
OΣ | 1..1 | uri | Namensraum des Prozeduren-Codes Fixed Value: http://fhir.de/CodeSystem/bfarm/ops
| ||||||
| version |
OΣ | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. `2017`)
| ||||||
| code |
OΣC | 1..1 | code | OPS-Code Constraints: ops-regex Example Einfacher OPS-Code: 5-470
| ||||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||||
| coding:SNOMED-CT |
OΣ | 0..1 | ISiKSnomedCTCoding | SNOMED-codierte Darstellung der Prozedur Binding: ProzedurenCodesSCT (required)
| ||||||
| text |
OΣ | 0..1 | string | Freitextiche Beschreibung der Prozedur
| ||||||
| subject |
OΣ | 1..1 | Reference(Patient | Group) | Patientenbezug
| ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||
| reference |
OΣC | 0..1 | string | Patienten-Link
| ||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||
| encounter |
OΣ | 0..1 | Reference(Encounter) | Aufenthaltsbezug
| ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||
| reference |
OΣC | 0..1 | string | Encounter-Link
| ||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||
| performed[x] |
OΣ | 0..1 | Durchführungsdatum oder -Zeitraum
| |||||||
| performedDateTime |
dateTime | |||||||||
| performedPeriod |
Period | |||||||||
| recorder |
Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure | ||||||
| asserter |
Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure | ||||||
| performer |
Σ | 0..* | BackboneElement | The people who performed the procedure | ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||
| function |
Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||||
| actor |
Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner | ||||||
| onBehalfOf |
0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||||
| location |
Σ | 0..1 | Reference(Location) | Where the procedure happened | ||||||
| reasonCode |
Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||||
| reasonReference |
Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed | ||||||
| bodySite |
Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||
| extension:BodyStructureReference |
0..1 | Reference(BodyStructure) | Referenz auf eine BodyStructure-Ressource URL: http://hl7.org/fhir/StructureDefinition/bodySite | |||||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||||
| outcome |
Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. | ||||||
| report |
0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||||
| complication |
0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||||
| complicationDetail |
0..* | Reference(Condition) | A condition that is a result of the procedure | |||||||
| followUp |
0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||||
| note |
O | 0..* | Annotation | Notizen
| ||||||
| focalDevice |
0..* | BackboneElement | Manipulated, implanted, or removed device | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||
| action |
0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure. | |||||||
| manipulated |
1..1 | Reference(Device) | Device that was changed | |||||||
| usedReference |
0..* | Reference(Device | Medication | Substance) | Items used during procedure | |||||||
| usedCode |
0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |||||||
| Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std. |
| Procedure.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| Procedure.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Procedure.statusReason | Base | example | Procedure Not Performed Reason (SNOMED-CT) | 📍4.0.1 | FHIR Std. |
| Procedure.category | Base | example | Procedure Category Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.category.coding:SNOMED-CT | Base | preferred | ProzedurenKategorieSCT | 📦6.0.0-rc | This IG |
| Procedure.code | Base | example | Procedure Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.code.coding:SNOMED-CT | Base | required | ProzedurenCodesSCT | 📦6.0.0-rc | This IG |
| Procedure.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Procedure.encounter.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Procedure.performer.function | Base | example | Procedure Performer Role Codes | 📍4.0.1 | FHIR Std. |
| Procedure.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std. |
| Procedure.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Procedure.outcome | Base | example | Procedure Outcome Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.complication | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| Procedure.followUp | Base | example | Procedure Follow up Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.focalDevice.action | Base | preferred | Procedure Device Action Codes | 📍4.0.1 | FHIR Std. |
| Procedure.usedCode | Base | example | FHIR Device Types | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ops-regex | warning | Procedure.code.coding:OPS.code | In code sind nur gültige OPS-Codes ohne Zusätze erlaubt |
matches('^[1|3|5|6|8|9]-[a-zA-Z0-9]{3}([.][a-zA-Z0-9]{1,2})?$')
|
| proc-ISiK-1 | error | Procedure | Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden |
code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
|
| proc-ISiK-2 | error | Procedure | Falls eine codierte Prozedur vorliegt MUSS eine kodierte Category abgebildet werden |
code.coding.exists() implies category.coding.exists()
|
| proc-ISiK-3 | error | Procedure.code | Entweder MUSS eine kodierte Prozedur vorliegen oder eine textuelle Beschreibung. Stattdessen nur Extensions hinzuzufügen (vgl. https://www.hl7.org/fhir/element.html - ele-1), ist explizit nicht erlaubt. |
coding.exists().not() implies text.exists()
|
| sct-ops-1 | error | Procedure.code | Falls die Prozedur kodiert vorliegt, SOLL mindestens ein OPS oder SNOMED-CT Code angegeben werden. |
coding.exists() implies coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()
|
This structure is derived from ISiKProzedur
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