MII IG Kerndatensatz-Modul Molekulares Tumorboard, published by Medizininformatik-Initiative. This guide is not an authorized publication; it is the continuous build for version 2026.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/medizininformatik-initiative/kerndatensatzmodul-molekulares-tumorboard/ and changes regularly. See the Directory of published versions
Resource Profile: MII PR MTB Systemische Vortherapie
| Official URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-pr-mtb-systemische-vortherapie | Version: 2026.0.0 | |||
| Active as of 2026-02-09 | Computable Name: MII_PR_MTB_Systemische_Vortherapie | |||
Systemische Vortherapie zum Molekularen Tumorboard
Usages:
- Refer to this Profile: MII PR MTB Behandlungsepisode
- Examples for this Profile: Procedure/MTBChemo1Procedure and Procedure/MTBChemo2Procedure
- CapabilityStatements using this Profile: MII CPS MTB CapabilityStatement
You can also check for usages in the FHIR IG Statistics
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Procedure |
C | 0..* | MII_PR_Onko_Systemische_Therapie | An action that is being or was performed on a patient Constraints: proc-mii-1 |
  id |
SΣ | 0..1 | id | Logical id of this artifact |
  meta |
SΣ | 0..1 | Meta | Metadata about the resource |
 source |
SΣ | 0..1 | uri | Identifies where the resource comes from |
 profile |
SΣ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 Slices for extension |
S | 1..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
  extension:Dokumentationsdatum |
S | 0..1 | dateTime | Dokumentationsdatum URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum |
| extension:durchfuehrungsabsicht |
S | 0..1 | Coding | Durchführungsabsicht URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht Binding: MII VS Prozedur Durchführungsabsicht [SNOMED CT] (required) |
 extension:Intention |
S | 1..1 | (Complex) | MII EX Onko Systemische Therapie Intention URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-intention |
  extension |
0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-intention" | |
 value[x] |
1..1 | CodeableConcept | Value of extension Binding: MII VS Onkologie Systemische Therapie Intention (required) | |
 text |
SΣ | 0..1 | string | Plain text representation of the concept |
| extension:StellungZurOp |
S | 0..* | (Complex) | MII EX Onko Systemische Therapie Stellung zur OP URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-stellungzurop |
| extension |
0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-stellungzurop" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: MII VS Onkologie Systemische Therapie Stellung (required) | |
| text |
SΣ | 0..1 | string | Plain text representation of the concept |
 extension:Leitlinie |
S | 0..1 | (Complex) | MII EX MTB Leitlinie Dokumentation URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
 Slices for basedOn |
SΣC | 0..* | Reference(CarePlan) | A request for this procedure Slice: Unordered, Open by profile:$this Constraints: ref-1 |
| basedOn:Therapieplan |
SΣC | 0..1 | Reference(MII PR MTB Therapieplan) | Therapieplan Constraints: ref-1 |
 partOf |
SΣC | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event Constraints: ref-1 |
| status |
?!SΣ | 1..1 | code | Status Binding: EventStatus (required): A code specifying the state of the procedure. |
| statusReason |
SΣ | 0..1 | CodeableConcept | Abbruchsgrund Systemische Therapie Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. |
 Slices for coding |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
 coding:All Slices |
Content/Rules for all slices | |||
| system |
SΣ | 1..1 | uri | Identity of the terminology system |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
 coding:Therapiestatusgrund |
SΣ | 0..1 | Coding | Therapiestatusgrund Binding: MII VS Therapiestatusgrund (required) |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-therapiestatusgrund |
 code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| category |
SΣ | 0..1 | CodeableConcept | Kategorie Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. |
| Slices for coding |
Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
| coding:sct |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur OPS Kategorien [SNOMED CT] (preferred) Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
 system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
0..1 | code | Symbol in syntax defined by the system | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| code |
SΣC | 1..1 | CodeableConcept | Code Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Constraints: sct-ops-1 |
| Slices for coding |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
| coding:ops |
SΣ | 0..1 | CodingOPS | OPS Code Binding: MII VS Prozedur OPS (required) Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/ops | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
0..1 | code | Symbol in syntax defined by the system | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
 Slices for extension |
Content/Rules for all slices | |||
 extension:Seitenlokalisation |
S | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required) |
| system |
SΣ | 1..1 | uri | Canonische CodeSystem URL für OPS Fixed Value: http://fhir.de/CodeSystem/bfarm/ops |
| version |
SΣ | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") |
| code |
SΣC | 1..1 | code | Der OPS-Code Constraints: ops-regex Example Einfacher OPS-Code: 5-470 |
| coding:sct |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur Prozeduren [SNOMED CT] (required) Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
0..1 | code | Symbol in syntax defined by the system | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| coding:systemische_therapie_art |
SΣ | 0..1 | Coding | Art der systemischen oder abwartenden Therapie Binding: MII VS Onkologie Systemische Therapie Art (required) |
| system |
Σ | 1..1 | uri | Identity of the terminology system |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system |
| subject |
SΣC | 1..1 | Reference(Patient) | Who the procedure was performed on Constraints: ref-1 |
| encounter |
SΣC | 0..1 | Reference(Encounter) | Kontakt Constraints: ref-1 |
| Slices for performed[x] |
SΣ | 1..1 | Period | Durchführungsdatum Slice: Unordered, Open by type:$this |
| performed[x]:All Slices |
Content/Rules for all slices | |||
| start |
ΣC | 0..1 | dateTime | Starting time with inclusive boundary |
| end |
ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing |
| performed[x]:performedDateTime |
Σ | 0..1 | dateTime | When the procedure was performed |
| performed[x]:performedPeriod |
Σ | 0..1 | Period | Durchführungszeitraum |
| start |
SΣC | 1..1 | dateTime | Startdatum der systemischen oder abwartenden Therapie |
| end |
SΣC | 0..1 | dateTime | Enddatum der systemischen oder abwartenden Therapie |
| reasonReference |
SΣC | 0..* | Reference(MII PR Onkologie Diagnose Primärtumor | Condition) | The justification that the procedure was performed Constraints: ref-1 |
| bodySite |
SΣ | 0..* | CodeableConcept | Körperstelle Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |
| Slices for coding |
SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system |
| coding:snomed-ct |
SΣ | 0..1 | Coding | SNOMED CT Code |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
| version |
SΣ | 0..1 | string | Version of the system - if relevant |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| outcome |
SΣ | 0..1 | CodeableConcept | The result of procedure Binding: MII VS Onkologie Systemische Therapie Ende Grund (required): An outcome of a procedure - whether it was resolved or otherwise. |
| coding |
Σ | 0..* | Coding | Grund für Ende der systemischen oder abwartenden Therapie |
| system |
Σ | 0..1 | uri | Identity of the terminology system Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-ende-grund |
| code |
SΣ | 0..1 | code | Symbol in syntax defined by the system |
| note |
S | 0..* | Annotation | Hinweis |
| usedCode |
S | 0..* | CodeableConcept | Coded items used during the procedure Binding: MII VS Onkologie Systemische Therapie Protokolle (extensible): Codes describing items used during a procedure. |
| coding |
Σ | 0..* | Coding | Protokoll der systemischen Therapie |
| system |
SΣ | 1..1 | uri | Identity of the terminology system |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.extension:Intention.value[x] | Base | required | MII VS Onkologie Systemische Therapie Intention | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| Procedure.extension:StellungZurOp.value[x] | Base | required | MII VS Onkologie Systemische Therapie Stellung | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| 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.statusReason.coding:Therapiestatusgrund | Base | required | MII VS Therapiestatusgrund | 📦2026.0.0 | This IG |
| Procedure.category | Base | example | Procedure Category Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| Procedure.category.coding:sct | Base | preferred | MII VS Prozedur OPS Kategorien [SNOMED CT] | 📦2026.0.0 | MII IG Core Dataset Base v2026.0 |
| Procedure.code | Base | example | Procedure Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| Procedure.code.coding:ops | Base | required | MII VS Prozedur OPS | 📦2026.0.0 | MII IG Core Dataset Base v2026.0 |
| Procedure.code.coding:sct | Base | required | MII VS Prozedur Prozeduren [SNOMED CT] | 📦2026.0.0 | MII IG Core Dataset Base v2026.0 |
| Procedure.code.coding:systemische_therapie_art | Base | required | MII VS Onkologie Systemische Therapie Art | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| Procedure.bodySite | Base | example | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| Procedure.outcome | Base | required | MII VS Onkologie Systemische Therapie Ende Grund | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| Procedure.usedCode | Base | extensible | MII VS Onkologie Systemische Therapie Protokolle | 📦2026.0.1 | MII IG Onkologie v2026.0 |
Constraints
| 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})?$')
|
| proc-mii-1 | error | Procedure | Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden |
code.coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists() implies category.coding.where(system = 'http://snomed.info/sct').exists()
|
| ref-1 | error | Procedure.basedOn, Procedure.basedOn:Therapieplan, Procedure.partOf, Procedure.subject, Procedure.encounter, Procedure.reasonReference | SHALL have a contained resource if a local reference is provided |
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
|
| sct-ops-1 | error | Procedure.code | Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden. |
coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()
|
This structure is derived from MII_PR_Onko_Systemische_Therapie
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Procedure |
0..* | MII_PR_Onko_Systemische_Therapie | An action that is being or was performed on a patient | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:Leitlinie |
S | 0..1 | (Complex) | MII EX MTB Leitlinie Dokumentation URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation |
| Slices for basedOn |
0..* | Reference(CarePlan) | A request for this procedure Slice: Unordered, Open by profile:$this | |
| basedOn:Therapieplan |
S | 0..1 | Reference(MII PR MTB Therapieplan) | Therapieplan |
| statusReason |
S | 0..1 | CodeableConcept | Abbruchsgrund Systemische Therapie |
| Slices for coding |
S | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
| coding:All Slices |
Content/Rules for all slices | |||
| system |
S | 1..1 | uri | Identity of the terminology system |
| code |
S | 1..1 | code | Symbol in syntax defined by the system |
| coding:Therapiestatusgrund |
S | 0..1 | Coding | Therapiestatusgrund Binding: MII VS Therapiestatusgrund (required) |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-therapiestatusgrund | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.statusReason.coding:Therapiestatusgrund | Base | required | MII VS Therapiestatusgrund | 📦2026.0.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure |
C | 0..* | MII_PR_Onko_Systemische_Therapie | An action that is being or was performed on a patient Constraints: proc-mii-1 | ||||
| id |
SΣ | 0..1 | id | Logical id of this artifact | ||||
| meta |
SΣ | 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 | Version specific identifier | ||||
| lastUpdated |
Σ | 0..1 | instant | When the resource version last changed | ||||
| source |
SΣ | 0..1 | uri | Identifies where the resource comes from | ||||
| profile |
SΣ | 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". | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| 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 |
S | 1..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| extension:Dokumentationsdatum |
S | 0..1 | dateTime | Dokumentationsdatum URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum | ||||
| extension:durchfuehrungsabsicht |
S | 0..1 | Coding | Durchführungsabsicht URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht Binding: MII VS Prozedur Durchführungsabsicht [SNOMED CT] (required) | ||||
| extension:Intention |
S | 1..1 | (Complex) | MII EX Onko Systemische Therapie Intention URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-intention | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-intention" | |||||
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: MII VS Onkologie Systemische Therapie Intention (required) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Intention der systemischen oder abwartenden Therapie | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
| extension:StellungZurOp |
S | 0..* | (Complex) | MII EX Onko Systemische Therapie Stellung zur OP URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-stellungzurop | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-stellungzurop" | |||||
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: MII VS Onkologie Systemische Therapie Stellung (required) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Stellung der systemischen Therapie zu einer Operation | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-therapie-stellungzurop | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
| extension:Leitlinie |
S | 0..1 | (Complex) | MII EX MTB Leitlinie Dokumentation URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||
| 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 | ||||
| Slices for basedOn |
SΣC | 0..* | Reference(CarePlan) | A request for this procedure Slice: Unordered, Open by profile:$this Constraints: ref-1 | ||||
| basedOn:Therapieplan |
SΣC | 0..1 | Reference(MII PR MTB Therapieplan) | Therapieplan Constraints: ref-1 | ||||
| partOf |
SΣC | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event Constraints: ref-1 | ||||
| status |
?!SΣ | 1..1 | code | Status Binding: EventStatus (required): A code specifying the state of the procedure. | ||||
| statusReason |
SΣ | 0..1 | CodeableConcept | Abbruchsgrund Systemische Therapie Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | ||||
| 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 |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
| coding:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| 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:Therapiestatusgrund |
SΣ | 0..1 | Coding | Therapiestatusgrund Binding: MII VS Therapiestatusgrund (required) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-therapiestatusgrund | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| category |
SΣ | 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:$this | ||||
| coding:sct |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur OPS Kategorien [SNOMED CT] (preferred) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
0..1 | code | Symbol in syntax defined by the system | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| code |
SΣC | 1..1 | CodeableConcept | Code Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Constraints: sct-ops-1 | ||||
| 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 |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
| coding:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 0..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| 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:ops |
SΣ | 0..1 | CodingOPS | OPS Code Binding: MII VS Prozedur OPS (required) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/ops | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
0..1 | code | Symbol in syntax defined by the system | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| 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 |
S | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required) | ||||
| system |
SΣ | 1..1 | uri | Canonische CodeSystem URL für OPS Fixed Value: http://fhir.de/CodeSystem/bfarm/ops | ||||
| version |
SΣ | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") | ||||
| code |
SΣC | 1..1 | code | Der 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:sct |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur Prozeduren [SNOMED CT] (required) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
0..1 | code | Symbol in syntax defined by the system | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| 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:systemische_therapie_art |
SΣ | 0..1 | Coding | Art der systemischen oder abwartenden Therapie Binding: MII VS Onkologie Systemische Therapie Art (required) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
SΣC | 1..1 | Reference(Patient) | Who the procedure was performed on Constraints: ref-1 | ||||
| encounter |
SΣC | 0..1 | Reference(Encounter) | Kontakt Constraints: ref-1 | ||||
| Slices for performed[x] |
SΣ | 1..1 | Period | Durchführungsdatum Slice: Unordered, Open by type:$this | ||||
| performed[x]:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| start |
ΣC | 0..1 | dateTime | Starting time with inclusive boundary | ||||
| end |
ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
| performed[x]:performedDateTime |
Σ | 0..1 | dateTime | When the procedure was performed | ||||
| performed[x]:performedPeriod |
Σ | 0..1 | Period | Durchführungszeitraum | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| start |
SΣC | 1..1 | dateTime | Startdatum der systemischen oder abwartenden Therapie | ||||
| end |
SΣC | 0..1 | dateTime | Enddatum der systemischen oder abwartenden Therapie | ||||
| recorder |
ΣC | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure Constraints: ref-1 | ||||
| asserter |
ΣC | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure Constraints: ref-1 | ||||
| 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 Slice: Unordered, Open by value:url | |||||
| 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 |
ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner Constraints: ref-1 | ||||
| onBehalfOf |
C | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for Constraints: ref-1 | ||||
| location |
ΣC | 0..1 | Reference(Location) | Where the procedure happened Constraints: ref-1 | ||||
| reasonCode |
Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
| reasonReference |
SΣC | 0..* | Reference(MII PR Onkologie Diagnose Primärtumor | Condition) | The justification that the procedure was performed Constraints: ref-1 | ||||
| bodySite |
SΣ | 0..* | CodeableConcept | Körperstelle Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
| 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 |
SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system | ||||
| coding:snomed-ct |
SΣ | 0..1 | Coding | SNOMED CT Code | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||
| version |
SΣ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| outcome |
SΣ | 0..1 | CodeableConcept | The result of procedure Binding: MII VS Onkologie Systemische Therapie Ende Grund (required): An outcome of a procedure - whether it was resolved or otherwise. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Grund für Ende der systemischen oder abwartenden Therapie | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 0..1 | uri | Identity of the terminology system Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-ende-grund | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| report |
C | 0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure Constraints: ref-1 | ||||
| complication |
0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||
| complicationDetail |
C | 0..* | Reference(Condition) | A condition that is a result of the procedure Constraints: ref-1 | ||||
| followUp |
0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||
| note |
S | 0..* | Annotation | Hinweis | ||||
| 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 Slice: Unordered, Open by value:url | |||||
| 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 |
C | 1..1 | Reference(Device) | Device that was changed Constraints: ref-1 | ||||
| usedReference |
C | 0..* | Reference(Device | Medication | Substance) | Items used during procedure Constraints: ref-1 | ||||
| usedCode |
S | 0..* | CodeableConcept | Coded items used during the procedure Binding: MII VS Onkologie Systemische Therapie Protokolle (extensible): Codes describing items used during a procedure. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Protokoll der systemischen Therapie | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| Documentation for this format | ||||||||
Terminology Bindings
| 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.extension:Intention.value[x] | Base | required | MII VS Onkologie Systemische Therapie Intention | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| Procedure.extension:StellungZurOp.value[x] | Base | required | MII VS Onkologie Systemische Therapie Stellung | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| 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.statusReason.coding:Therapiestatusgrund | Base | required | MII VS Therapiestatusgrund | 📦2026.0.0 | This IG |
| Procedure.category | Base | example | Procedure Category Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| Procedure.category.coding:sct | Base | preferred | MII VS Prozedur OPS Kategorien [SNOMED CT] | 📦2026.0.0 | MII IG Core Dataset Base v2026.0 |
| Procedure.code | Base | example | Procedure Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| Procedure.code.coding:ops | Base | required | MII VS Prozedur OPS | 📦2026.0.0 | MII IG Core Dataset Base v2026.0 |
| Procedure.code.coding:sct | Base | required | MII VS Prozedur Prozeduren [SNOMED CT] | 📦2026.0.0 | MII IG Core Dataset Base v2026.0 |
| Procedure.code.coding:systemische_therapie_art | Base | required | MII VS Onkologie Systemische Therapie Art | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| 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 | required | MII VS Onkologie Systemische Therapie Ende Grund | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| 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 | extensible | MII VS Onkologie Systemische Therapie Protokolle | 📦2026.0.1 | MII IG Onkologie v2026.0 |
Constraints
| 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-mii-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()
|
| ref-1 | error | Procedure.basedOn, Procedure.basedOn:Therapieplan, Procedure.partOf, Procedure.subject, Procedure.encounter, Procedure.recorder, Procedure.asserter, Procedure.performer.actor, Procedure.performer.onBehalfOf, Procedure.location, Procedure.reasonReference, Procedure.report, Procedure.complicationDetail, Procedure.focalDevice.manipulated, Procedure.usedReference | SHALL have a contained resource if a local reference is provided |
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
|
| sct-ops-1 | error | Procedure.code | Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden. |
coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()
|
This structure is derived from MII_PR_Onko_Systemische_Therapie
Summary
Mandatory: 0 element(3 nested mandatory elements)
Must-Support: 7 elements
Fixed: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
- The element 1 is sliced based on the value of Procedure.basedOn
- The element 1 is sliced based on the value of Procedure.statusReason.coding
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Procedure |
C | 0..* | MII_PR_Onko_Systemische_Therapie | An action that is being or was performed on a patient Constraints: proc-mii-1 |
| id |
SΣ | 0..1 | id | Logical id of this artifact |
| meta |
SΣ | 0..1 | Meta | Metadata about the resource |
| source |
SΣ | 0..1 | uri | Identifies where the resource comes from |
| profile |
SΣ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
S | 1..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| extension:Dokumentationsdatum |
S | 0..1 | dateTime | Dokumentationsdatum URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum |
| extension:durchfuehrungsabsicht |
S | 0..1 | Coding | Durchführungsabsicht URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht Binding: MII VS Prozedur Durchführungsabsicht [SNOMED CT] (required) |
| extension:Intention |
S | 1..1 | (Complex) | MII EX Onko Systemische Therapie Intention URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-intention |
| extension |
0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-intention" | |
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: MII VS Onkologie Systemische Therapie Intention (required) | |
| text |
SΣ | 0..1 | string | Plain text representation of the concept |
| extension:StellungZurOp |
S | 0..* | (Complex) | MII EX Onko Systemische Therapie Stellung zur OP URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-stellungzurop |
| extension |
0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-stellungzurop" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: MII VS Onkologie Systemische Therapie Stellung (required) | |
| text |
SΣ | 0..1 | string | Plain text representation of the concept |
| extension:Leitlinie |
S | 0..1 | (Complex) | MII EX MTB Leitlinie Dokumentation URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
| Slices for basedOn |
SΣC | 0..* | Reference(CarePlan) | A request for this procedure Slice: Unordered, Open by profile:$this Constraints: ref-1 |
| basedOn:Therapieplan |
SΣC | 0..1 | Reference(MII PR MTB Therapieplan) | Therapieplan Constraints: ref-1 |
| partOf |
SΣC | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event Constraints: ref-1 |
| status |
?!SΣ | 1..1 | code | Status Binding: EventStatus (required): A code specifying the state of the procedure. |
| statusReason |
SΣ | 0..1 | CodeableConcept | Abbruchsgrund Systemische Therapie Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. |
| Slices for coding |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
| coding:All Slices |
Content/Rules for all slices | |||
| system |
SΣ | 1..1 | uri | Identity of the terminology system |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| coding:Therapiestatusgrund |
SΣ | 0..1 | Coding | Therapiestatusgrund Binding: MII VS Therapiestatusgrund (required) |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-therapiestatusgrund |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| category |
SΣ | 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:$this |
| coding:sct |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur OPS Kategorien [SNOMED CT] (preferred) Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
0..1 | code | Symbol in syntax defined by the system | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| code |
SΣC | 1..1 | CodeableConcept | Code Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Constraints: sct-ops-1 |
| Slices for coding |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
| coding:ops |
SΣ | 0..1 | CodingOPS | OPS Code Binding: MII VS Prozedur OPS (required) Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/ops | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
0..1 | code | Symbol in syntax defined by the system | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:Seitenlokalisation |
S | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required) |
| system |
SΣ | 1..1 | uri | Canonische CodeSystem URL für OPS Fixed Value: http://fhir.de/CodeSystem/bfarm/ops |
| version |
SΣ | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") |
| code |
SΣC | 1..1 | code | Der OPS-Code Constraints: ops-regex Example Einfacher OPS-Code: 5-470 |
| coding:sct |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur Prozeduren [SNOMED CT] (required) Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
0..1 | code | Symbol in syntax defined by the system | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
SΣ | 1..1 | uri | Identity of the terminology system |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| coding:systemische_therapie_art |
SΣ | 0..1 | Coding | Art der systemischen oder abwartenden Therapie Binding: MII VS Onkologie Systemische Therapie Art (required) |
| system |
Σ | 1..1 | uri | Identity of the terminology system |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system |
| subject |
SΣC | 1..1 | Reference(Patient) | Who the procedure was performed on Constraints: ref-1 |
| encounter |
SΣC | 0..1 | Reference(Encounter) | Kontakt Constraints: ref-1 |
| Slices for performed[x] |
SΣ | 1..1 | Period | Durchführungsdatum Slice: Unordered, Open by type:$this |
| performed[x]:All Slices |
Content/Rules for all slices | |||
| start |
ΣC | 0..1 | dateTime | Starting time with inclusive boundary |
| end |
ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing |
| performed[x]:performedDateTime |
Σ | 0..1 | dateTime | When the procedure was performed |
| performed[x]:performedPeriod |
Σ | 0..1 | Period | Durchführungszeitraum |
| start |
SΣC | 1..1 | dateTime | Startdatum der systemischen oder abwartenden Therapie |
| end |
SΣC | 0..1 | dateTime | Enddatum der systemischen oder abwartenden Therapie |
| reasonReference |
SΣC | 0..* | Reference(MII PR Onkologie Diagnose Primärtumor | Condition) | The justification that the procedure was performed Constraints: ref-1 |
| bodySite |
SΣ | 0..* | CodeableConcept | Körperstelle Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |
| Slices for coding |
SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system |
| coding:snomed-ct |
SΣ | 0..1 | Coding | SNOMED CT Code |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
| version |
SΣ | 0..1 | string | Version of the system - if relevant |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| outcome |
SΣ | 0..1 | CodeableConcept | The result of procedure Binding: MII VS Onkologie Systemische Therapie Ende Grund (required): An outcome of a procedure - whether it was resolved or otherwise. |
| coding |
Σ | 0..* | Coding | Grund für Ende der systemischen oder abwartenden Therapie |
| system |
Σ | 0..1 | uri | Identity of the terminology system Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-ende-grund |
| code |
SΣ | 0..1 | code | Symbol in syntax defined by the system |
| note |
S | 0..* | Annotation | Hinweis |
| usedCode |
S | 0..* | CodeableConcept | Coded items used during the procedure Binding: MII VS Onkologie Systemische Therapie Protokolle (extensible): Codes describing items used during a procedure. |
| coding |
Σ | 0..* | Coding | Protokoll der systemischen Therapie |
| system |
SΣ | 1..1 | uri | Identity of the terminology system |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.extension:Intention.value[x] | Base | required | MII VS Onkologie Systemische Therapie Intention | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| Procedure.extension:StellungZurOp.value[x] | Base | required | MII VS Onkologie Systemische Therapie Stellung | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| 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.statusReason.coding:Therapiestatusgrund | Base | required | MII VS Therapiestatusgrund | 📦2026.0.0 | This IG |
| Procedure.category | Base | example | Procedure Category Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| Procedure.category.coding:sct | Base | preferred | MII VS Prozedur OPS Kategorien [SNOMED CT] | 📦2026.0.0 | MII IG Core Dataset Base v2026.0 |
| Procedure.code | Base | example | Procedure Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| Procedure.code.coding:ops | Base | required | MII VS Prozedur OPS | 📦2026.0.0 | MII IG Core Dataset Base v2026.0 |
| Procedure.code.coding:sct | Base | required | MII VS Prozedur Prozeduren [SNOMED CT] | 📦2026.0.0 | MII IG Core Dataset Base v2026.0 |
| Procedure.code.coding:systemische_therapie_art | Base | required | MII VS Onkologie Systemische Therapie Art | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| Procedure.bodySite | Base | example | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| Procedure.outcome | Base | required | MII VS Onkologie Systemische Therapie Ende Grund | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| Procedure.usedCode | Base | extensible | MII VS Onkologie Systemische Therapie Protokolle | 📦2026.0.1 | MII IG Onkologie v2026.0 |
Constraints
| 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-mii-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()
|
| ref-1 | error | Procedure.basedOn, Procedure.basedOn:Therapieplan, Procedure.partOf, Procedure.subject, Procedure.encounter, Procedure.reasonReference | SHALL have a contained resource if a local reference is provided |
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
|
| sct-ops-1 | error | Procedure.code | Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden. |
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 MII_PR_Onko_Systemische_Therapie
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Procedure |
0..* | MII_PR_Onko_Systemische_Therapie | An action that is being or was performed on a patient | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:Leitlinie |
S | 0..1 | (Complex) | MII EX MTB Leitlinie Dokumentation URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation |
| Slices for basedOn |
0..* | Reference(CarePlan) | A request for this procedure Slice: Unordered, Open by profile:$this | |
| basedOn:Therapieplan |
S | 0..1 | Reference(MII PR MTB Therapieplan) | Therapieplan |
| statusReason |
S | 0..1 | CodeableConcept | Abbruchsgrund Systemische Therapie |
| Slices for coding |
S | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
| coding:All Slices |
Content/Rules for all slices | |||
| system |
S | 1..1 | uri | Identity of the terminology system |
| code |
S | 1..1 | code | Symbol in syntax defined by the system |
| coding:Therapiestatusgrund |
S | 0..1 | Coding | Therapiestatusgrund Binding: MII VS Therapiestatusgrund (required) |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-therapiestatusgrund | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.statusReason.coding:Therapiestatusgrund | Base | required | MII VS Therapiestatusgrund | 📦2026.0.0 | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure |
C | 0..* | MII_PR_Onko_Systemische_Therapie | An action that is being or was performed on a patient Constraints: proc-mii-1 | ||||
| id |
SΣ | 0..1 | id | Logical id of this artifact | ||||
| meta |
SΣ | 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 | Version specific identifier | ||||
| lastUpdated |
Σ | 0..1 | instant | When the resource version last changed | ||||
| source |
SΣ | 0..1 | uri | Identifies where the resource comes from | ||||
| profile |
SΣ | 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". | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| 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 |
S | 1..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| extension:Dokumentationsdatum |
S | 0..1 | dateTime | Dokumentationsdatum URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum | ||||
| extension:durchfuehrungsabsicht |
S | 0..1 | Coding | Durchführungsabsicht URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht Binding: MII VS Prozedur Durchführungsabsicht [SNOMED CT] (required) | ||||
| extension:Intention |
S | 1..1 | (Complex) | MII EX Onko Systemische Therapie Intention URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-intention | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-intention" | |||||
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: MII VS Onkologie Systemische Therapie Intention (required) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Intention der systemischen oder abwartenden Therapie | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-intention | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
| extension:StellungZurOp |
S | 0..* | (Complex) | MII EX Onko Systemische Therapie Stellung zur OP URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-stellungzurop | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-systemische-therapie-stellungzurop" | |||||
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: MII VS Onkologie Systemische Therapie Stellung (required) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Stellung der systemischen Therapie zu einer Operation | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-therapie-stellungzurop | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
| extension:Leitlinie |
S | 0..1 | (Complex) | MII EX MTB Leitlinie Dokumentation URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/StructureDefinition/mii-ex-mtb-leitlinie-dokumentation | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||
| 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 | ||||
| Slices for basedOn |
SΣC | 0..* | Reference(CarePlan) | A request for this procedure Slice: Unordered, Open by profile:$this Constraints: ref-1 | ||||
| basedOn:Therapieplan |
SΣC | 0..1 | Reference(MII PR MTB Therapieplan) | Therapieplan Constraints: ref-1 | ||||
| partOf |
SΣC | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event Constraints: ref-1 | ||||
| status |
?!SΣ | 1..1 | code | Status Binding: EventStatus (required): A code specifying the state of the procedure. | ||||
| statusReason |
SΣ | 0..1 | CodeableConcept | Abbruchsgrund Systemische Therapie Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | ||||
| 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 |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
| coding:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| 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:Therapiestatusgrund |
SΣ | 0..1 | Coding | Therapiestatusgrund Binding: MII VS Therapiestatusgrund (required) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-therapiestatusgrund | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| category |
SΣ | 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:$this | ||||
| coding:sct |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur OPS Kategorien [SNOMED CT] (preferred) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
0..1 | code | Symbol in syntax defined by the system | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| code |
SΣC | 1..1 | CodeableConcept | Code Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Constraints: sct-ops-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
| coding:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 0..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| 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:ops |
SΣ | 0..1 | CodingOPS | OPS Code Binding: MII VS Prozedur OPS (required) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/ops | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
0..1 | code | Symbol in syntax defined by the system | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| 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 |
S | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required) | ||||
| system |
SΣ | 1..1 | uri | Canonische CodeSystem URL für OPS Fixed Value: http://fhir.de/CodeSystem/bfarm/ops | ||||
| version |
SΣ | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") | ||||
| code |
SΣC | 1..1 | code | Der 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:sct |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Prozedur Prozeduren [SNOMED CT] (required) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
0..1 | code | Symbol in syntax defined by the system | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| 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:systemische_therapie_art |
SΣ | 0..1 | Coding | Art der systemischen oder abwartenden Therapie Binding: MII VS Onkologie Systemische Therapie Art (required) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
SΣC | 1..1 | Reference(Patient) | Who the procedure was performed on Constraints: ref-1 | ||||
| encounter |
SΣC | 0..1 | Reference(Encounter) | Kontakt Constraints: ref-1 | ||||
| Slices for performed[x] |
SΣ | 1..1 | Period | Durchführungsdatum Slice: Unordered, Open by type:$this | ||||
| performed[x]:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| start |
ΣC | 0..1 | dateTime | Starting time with inclusive boundary | ||||
| end |
ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
| performed[x]:performedDateTime |
Σ | 0..1 | dateTime | When the procedure was performed | ||||
| performed[x]:performedPeriod |
Σ | 0..1 | Period | Durchführungszeitraum | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| start |
SΣC | 1..1 | dateTime | Startdatum der systemischen oder abwartenden Therapie | ||||
| end |
SΣC | 0..1 | dateTime | Enddatum der systemischen oder abwartenden Therapie | ||||
| recorder |
ΣC | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure Constraints: ref-1 | ||||
| asserter |
ΣC | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure Constraints: ref-1 | ||||
| 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 Slice: Unordered, Open by value:url | |||||
| 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 |
ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner Constraints: ref-1 | ||||
| onBehalfOf |
C | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for Constraints: ref-1 | ||||
| location |
ΣC | 0..1 | Reference(Location) | Where the procedure happened Constraints: ref-1 | ||||
| reasonCode |
Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
| reasonReference |
SΣC | 0..* | Reference(MII PR Onkologie Diagnose Primärtumor | Condition) | The justification that the procedure was performed Constraints: ref-1 | ||||
| bodySite |
SΣ | 0..* | CodeableConcept | Körperstelle Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
| 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 |
SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system | ||||
| coding:snomed-ct |
SΣ | 0..1 | Coding | SNOMED CT Code | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||
| version |
SΣ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| outcome |
SΣ | 0..1 | CodeableConcept | The result of procedure Binding: MII VS Onkologie Systemische Therapie Ende Grund (required): An outcome of a procedure - whether it was resolved or otherwise. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Grund für Ende der systemischen oder abwartenden Therapie | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 0..1 | uri | Identity of the terminology system Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-therapie-ende-grund | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| report |
C | 0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure Constraints: ref-1 | ||||
| complication |
0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||
| complicationDetail |
C | 0..* | Reference(Condition) | A condition that is a result of the procedure Constraints: ref-1 | ||||
| followUp |
0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||
| note |
S | 0..* | Annotation | Hinweis | ||||
| 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 Slice: Unordered, Open by value:url | |||||
| 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 |
C | 1..1 | Reference(Device) | Device that was changed Constraints: ref-1 | ||||
| usedReference |
C | 0..* | Reference(Device | Medication | Substance) | Items used during procedure Constraints: ref-1 | ||||
| usedCode |
S | 0..* | CodeableConcept | Coded items used during the procedure Binding: MII VS Onkologie Systemische Therapie Protokolle (extensible): Codes describing items used during a procedure. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Protokoll der systemischen Therapie | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| Documentation for this format | ||||||||
Terminology Bindings
| 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.extension:Intention.value[x] | Base | required | MII VS Onkologie Systemische Therapie Intention | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| Procedure.extension:StellungZurOp.value[x] | Base | required | MII VS Onkologie Systemische Therapie Stellung | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| 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.statusReason.coding:Therapiestatusgrund | Base | required | MII VS Therapiestatusgrund | 📦2026.0.0 | This IG |
| Procedure.category | Base | example | Procedure Category Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| Procedure.category.coding:sct | Base | preferred | MII VS Prozedur OPS Kategorien [SNOMED CT] | 📦2026.0.0 | MII IG Core Dataset Base v2026.0 |
| Procedure.code | Base | example | Procedure Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| Procedure.code.coding:ops | Base | required | MII VS Prozedur OPS | 📦2026.0.0 | MII IG Core Dataset Base v2026.0 |
| Procedure.code.coding:sct | Base | required | MII VS Prozedur Prozeduren [SNOMED CT] | 📦2026.0.0 | MII IG Core Dataset Base v2026.0 |
| Procedure.code.coding:systemische_therapie_art | Base | required | MII VS Onkologie Systemische Therapie Art | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| 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 | required | MII VS Onkologie Systemische Therapie Ende Grund | 📦2026.0.1 | MII IG Onkologie v2026.0 |
| 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 | extensible | MII VS Onkologie Systemische Therapie Protokolle | 📦2026.0.1 | MII IG Onkologie v2026.0 |
Constraints
| 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-mii-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()
|
| ref-1 | error | Procedure.basedOn, Procedure.basedOn:Therapieplan, Procedure.partOf, Procedure.subject, Procedure.encounter, Procedure.recorder, Procedure.asserter, Procedure.performer.actor, Procedure.performer.onBehalfOf, Procedure.location, Procedure.reasonReference, Procedure.report, Procedure.complicationDetail, Procedure.focalDevice.manipulated, Procedure.usedReference | SHALL have a contained resource if a local reference is provided |
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
|
| sct-ops-1 | error | Procedure.code | Eine Prozedur MUSS mit OPS oder SNOMED-CT kodiert werden. |
coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://fhir.de/CodeSystem/bfarm/ops').exists()
|
This structure is derived from MII_PR_Onko_Systemische_Therapie
Summary
Mandatory: 0 element(3 nested mandatory elements)
Must-Support: 7 elements
Fixed: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
- The element 1 is sliced based on the value of Procedure.basedOn
- The element 1 is sliced based on the value of Procedure.statusReason.coding
Other representations of profile: CSV, Excel, Schematron