Moderne Patient:innenabrechnung und Datenkommunikation on FHIR (MOPED)
0.1.0 - ci-build

Moderne Patient:innenabrechnung und Datenkommunikation on FHIR (MOPED), published by ELGA GmbH. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7Austria/ELGA-MOPED-R5/ and changes regularly. See the Directory of published versions

## Resource Profile: MOPED Procedure

Official URL: https://elga.moped.at/StructureDefinition/MopedProcedure | Version: 0.1.0
Draft as of 2025-12-23 | Responsible: ELGA GmbH | Computable Name: MopedProcedure

MOPED Profil der Procedure Ressource für die LDF-Abrechnung

Usages:

- Use this Profile: MOPED Update Bundle KH
- Refer to this Profile: MOPED Composition and MOPED LKFRequest
- Examples for this Profile: Procedure/PJ1Procedure1, Procedure/PJ2Procedure1 and Procedure/PJ2Procedure2

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.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Procedure | C | 0..* | Procedure | An action that is being or was performed on an individual or entity Constraints: moped-externe-Leistung-KH
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:Leistungsanzahl | O | 1..1 | unsignedInt | LKF: Medizinische Leistung – Anzahl URL: https://elga.moped.at/StructureDefinition/moped-ext-Leistungsanzahl
Obligations | Actor
SHALL:populate | Moped KH Actor
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
code | O Σ | 1..1 | CodeableConcept | LKF: Medizinische Leistung – Code Binding: ProcedureCodesSNOMEDCT (example): A code to identify a specific procedure .
Obligations | Actor
SHALL:populate | Moped KH Actor
coding | Σ | 1..* | Coding | Code defined by a terminology system Binding: LKF Leistungskatalog BMSGPK (required)
system | Σ | 0..1 | uri | Identity of the terminology system Required Pattern: https://termgit.elga.gv.at/CodeSystem/lkat-bmsgpk-2025
subject | O Σ | 1..1 | Reference(MOPED Patient) | Individual or entity the procedure was performed on
Obligations | Actor
SHALL:handle | Moped Device Actor
encounter | O Σ | 1..1 | Reference(MOPED Encounter) | The Encounter during which this Procedure was created
Obligations | Actor
SHALL:handle | Moped Device Actor
Slices for occurrence[x] | Σ | 1..1 | dateTime | When the procedure occurred or is occurring Slice: Unordered, Closed by type:$this
occurrence[x]:occurrenceDateTime | O Σ | 1..1 | dateTime | LKF: Medizinische Leistung – Datum der Erbringung; LKF: Medizinische Leistung – Uhrzeit der Erbringung
Obligations | Actor
SHALL:populate | Moped KH Actor
performer | Σ C | 1..1 | BackboneElement | Who performed the procedure and what they did Constraints: prc-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
actor | O Σ C | 1..1 | Reference(MOPED KH Organisationseinheiten | KH Organization) | LKF: Funktionscode/Fachgebiet leistungserbringend; LKF: Krankenanstaltennummer leistungserbringend; Referenz auf die Abteilung mit Funktionscode/Fachgebiet leistungserbringend oder die Krankenanstalt mit Krankenanstaltennummer leistungserbringend bei extern erbrachten Leistungen
Obligations | Actor
SHALL:populate | Moped KH Actor
onBehalfOf | O C | 1..1 | Reference(KH Organization) | Referenz auf die Krankenanstalt, in der der Patient aufgenommen wurde.
Obligations | Actor
SHALL:handle | Moped Device Actor
bodySite | O Σ | 0..* | CodeableConcept | LKF: Medizinische Leistung – Seitenlokalisation Binding: LKF Seitenlokalisation ValueSet (required)
Obligations | Actor
SHALL:populate | Moped KH Actor
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Procedure.status | Base | required | EventStatus | 📍5.0.0 | FHIR Std.
Procedure.code | Base | example | Procedure Codes (SNOMED CT) | 📍5.0.0 | FHIR Std.
Procedure.code.coding | Base | required | LKF Leistungskatalog BMSGPK | 📦0.1.0 | This IG
Procedure.bodySite | Base | required | LKF Seitenlokalisation ValueSet | 📦0.1.0 | This IG

#### 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()`
moped-externe-Leistung-KH | error | Procedure | Wird bei performer.actor eine KHOrganization angegeben so muss sich diese unterscheiden von der referenzierten Krankenanstalt in perfomer.onBehalfOf | ``
prc-1 | error | Procedure.performer | Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole | `onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()`

This structure is derived from Procedure

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Procedure | C | 0..* | Procedure | An action that is being or was performed on an individual or entity Constraints: moped-externe-Leistung-KH
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:Leistungsanzahl | O | 1..1 | unsignedInt | LKF: Medizinische Leistung – Anzahl URL: https://elga.moped.at/StructureDefinition/moped-ext-Leistungsanzahl
Obligations | Actor
SHALL:populate | Moped KH Actor
category |  |  |  |
Slices for coding |  | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system
coding:MELGruppe |  | 0..1 | Coding | MEL Gruppe Binding: LKF medizinische Einzelleistungen (MEL) (required)
system |  | 1..1 | uri | Identity of the terminology system Required Pattern: https://elga.moped.at/CodeSystem/LKFmedizinischeEinzelleistungenCS
code | O | 1..1 | CodeableConcept | LKF: Medizinische Leistung – Code
Obligations | Actor
SHALL:populate | Moped KH Actor
coding |  | 1..* | Coding | Code defined by a terminology system Binding: LKF Leistungskatalog BMSGPK (required)
system |  | 0..1 | uri | Identity of the terminology system Required Pattern: https://termgit.elga.gv.at/CodeSystem/lkat-bmsgpk-2025
subject | O | 1..1 | Reference(MOPED Patient) | Individual or entity the procedure was performed on
Obligations | Actor
SHALL:handle | Moped Device Actor
encounter | O | 1..1 | Reference(MOPED Encounter) | The Encounter during which this Procedure was created
Obligations | Actor
SHALL:handle | Moped Device Actor
Slices for occurrence[x] |  | 1..1 | dateTime | When the procedure occurred or is occurring Slice: Unordered, Open by type:$this
occurrence[x]:occurrenceDateTime | O | 1..1 | dateTime | LKF: Medizinische Leistung – Datum der Erbringung; LKF: Medizinische Leistung – Uhrzeit der Erbringung
Obligations | Actor
SHALL:populate | Moped KH Actor
performer |  | 1..1 | BackboneElement | Who performed the procedure and what they did
actor | O | 1..1 | Reference(MOPED KH Organisationseinheiten | KH Organization) | LKF: Funktionscode/Fachgebiet leistungserbringend; LKF: Krankenanstaltennummer leistungserbringend; Referenz auf die Abteilung mit Funktionscode/Fachgebiet leistungserbringend oder die Krankenanstalt mit Krankenanstaltennummer leistungserbringend bei extern erbrachten Leistungen
Obligations | Actor
SHALL:populate | Moped KH Actor
onBehalfOf | O | 1..1 | Reference(KH Organization) | Referenz auf die Krankenanstalt, in der der Patient aufgenommen wurde.
Obligations | Actor
SHALL:handle | Moped Device Actor
bodySite | O | 0..* | CodeableConcept | LKF: Medizinische Leistung – Seitenlokalisation Binding: LKF Seitenlokalisation ValueSet (required)
Obligations | Actor
SHALL:populate | Moped KH Actor
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Procedure.category.coding:MELGruppe | Base | required | LKF medizinische Einzelleistungen (MEL) | 📦0.1.0 | This IG
Procedure.code.coding | Base | required | LKF Leistungskatalog BMSGPK | 📦0.1.0 | This IG
Procedure.bodySite | Base | required | LKF Seitenlokalisation ValueSet | 📦0.1.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
moped-externe-Leistung-KH | error | Procedure | Wird bei performer.actor eine KHOrganization angegeben so muss sich diese unterscheiden von der referenzierten Krankenanstalt in perfomer.onBehalfOf | ``

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Procedure | C | 0..* | Procedure | An action that is being or was performed on an individual or entity Constraints: moped-externe-Leistung-KH
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
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: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
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 |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:Leistungsanzahl | O | 1..1 | unsignedInt | LKF: Medizinische Leistung – Anzahl URL: https://elga.moped.at/StructureDefinition/moped-ext-Leistungsanzahl
Obligations | Actor
SHALL:populate | Moped KH Actor
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Identifiers for this procedure
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure
partOf | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event
status | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReasonSNOMEDCT (example): A code that identifies the reason a procedure was not performed.
category | Σ | 0..* | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodesSNOMEDCT (example): A code that classifies a procedure for searching, sorting and display purposes.
id |  | 0..1 | id | 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 value:system
coding:MELGruppe | Σ | 0..1 | Coding | MEL Gruppe Binding: LKF medizinische Einzelleistungen (MEL) (required)
id |  | 0..1 | id | 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 Required Pattern: https://elga.moped.at/CodeSystem/LKFmedizinischeEinzelleistungenCS
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ C | 0..1 | code | Symbol in syntax defined by the system
display | Σ C | 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 | O Σ | 1..1 | CodeableConcept | LKF: Medizinische Leistung – Code Binding: ProcedureCodesSNOMEDCT (example): A code to identify a specific procedure .
Obligations | Actor
SHALL:populate | Moped KH Actor
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 1..* | Coding | Code defined by a terminology system Binding: LKF Leistungskatalog BMSGPK (required)
id |  | 0..1 | id | 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://termgit.elga.gv.at/CodeSystem/lkat-bmsgpk-2025
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ C | 0..1 | code | Symbol in syntax defined by the system
display | Σ C | 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 | O Σ | 1..1 | Reference(MOPED Patient) | Individual or entity the procedure was performed on
Obligations | Actor
SHALL:handle | Moped Device Actor
focus | Σ | 0..1 | Reference(Patient | Group | RelatedPerson | Practitioner | Organization | CareTeam | PractitionerRole | Specimen) | Who is the target of the procedure when it is not the subject of record only
encounter | O Σ | 1..1 | Reference(MOPED Encounter) | The Encounter during which this Procedure was created
Obligations | Actor
SHALL:handle | Moped Device Actor
Slices for occurrence[x] | Σ | 1..1 | dateTime | When the procedure occurred or is occurring Slice: Unordered, Closed by type:$this
occurrence[x]:occurrenceDateTime | O Σ | 1..1 | dateTime | LKF: Medizinische Leistung – Datum der Erbringung; LKF: Medizinische Leistung – Uhrzeit der Erbringung
Obligations | Actor
SHALL:populate | Moped KH Actor
recorded | Σ | 0..1 | dateTime | When the procedure was first captured in the subject's record
recorder | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure
reported[x] | Σ | 0..1 |  | Reported rather than primary record
reportedBoolean |  |  | boolean |
reportedReference |  |  | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) |
performer | Σ C | 1..1 | BackboneElement | Who performed the procedure and what they did Constraints: prc-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
actor | O Σ C | 1..1 | Reference(MOPED KH Organisationseinheiten | KH Organization) | LKF: Funktionscode/Fachgebiet leistungserbringend; LKF: Krankenanstaltennummer leistungserbringend; Referenz auf die Abteilung mit Funktionscode/Fachgebiet leistungserbringend oder die Krankenanstalt mit Krankenanstaltennummer leistungserbringend bei extern erbrachten Leistungen
Obligations | Actor
SHALL:populate | Moped KH Actor
onBehalfOf | O C | 1..1 | Reference(KH Organization) | Referenz auf die Krankenanstalt, in der der Patient aufgenommen wurde.
Obligations | Actor
SHALL:handle | Moped Device Actor
period |  | 0..1 | Period | When the performer performed the procedure
location | Σ | 0..1 | Reference(Location) | Where the procedure happened
reason | Σ | 0..* | CodeableReference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
bodySite | O Σ | 0..* | CodeableConcept | LKF: Medizinische Leistung – Seitenlokalisation Binding: LKF Seitenlokalisation ValueSet (required)
Obligations | Actor
SHALL:populate | Moped KH Actor
outcome | Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodesSNOMEDCT (example): An outcome of a procedure - whether it was resolved or otherwise.
report |  | 0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure
complication |  | 0..* | CodeableReference(Condition) | Complication following the procedure Binding: ConditionProblemDiagnosisCodes (example): Codes describing complications that resulted from a procedure.
followUp |  | 0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodesSNOMEDCT (example): Specific follow up required for a procedure e.g. removal of sutures.
note |  | 0..* | Annotation | Additional information about the procedure
focalDevice |  | 0..* | BackboneElement | Manipulated, implanted, or removed device
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
action |  | 0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
manipulated |  | 1..1 | Reference(Device) | Device that was changed
used |  | 0..* | CodeableReference(Device | Medication | Substance | BiologicallyDerivedProduct) | Items used during procedure Binding: DeviceType (example): Codes describing items used during a procedure.
supportingInfo |  | 0..* | Reference(Resource) | Extra information relevant to the procedure
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Procedure.language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
Procedure.status | Base | required | EventStatus | 📍5.0.0 | FHIR Std.
Procedure.statusReason | Base | example | Procedure Not Performed Reason (SNOMED-CT) | 📍5.0.0 | FHIR Std.
Procedure.category | Base | example | Procedure Category Codes (SNOMED CT) | 📍5.0.0 | FHIR Std.
Procedure.category.coding:MELGruppe | Base | required | LKF medizinische Einzelleistungen (MEL) | 📦0.1.0 | This IG
Procedure.code | Base | example | Procedure Codes (SNOMED CT) | 📍5.0.0 | FHIR Std.
Procedure.code.coding | Base | required | LKF Leistungskatalog BMSGPK | 📦0.1.0 | This IG
Procedure.performer.​function | Base | example | Procedure Performer Role Codes | 📍5.0.0 | FHIR Std.
Procedure.reason | Base | example | Procedure Reason Codes | 📍5.0.0 | FHIR Std.
Procedure.bodySite | Base | required | LKF Seitenlokalisation ValueSet | 📦0.1.0 | This IG
Procedure.outcome | Base | example | Procedure Outcome Codes (SNOMED CT) | 📍5.0.0 | FHIR Std.
Procedure.complication | Base | example | Condition/Problem/Diagnosis Codes | 📍5.0.0 | FHIR Std.
Procedure.followUp | Base | example | Procedure Follow up Codes (SNOMED CT) | 📍5.0.0 | FHIR Std.
Procedure.focalDevice.​action | Base | preferred | Procedure Device Action Codes | 📍5.0.0 | FHIR Std.
Procedure.used | Base | example | Device Type | 📍5.0.0 | FHIR Std.

#### 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()`
moped-externe-Leistung-KH | error | Procedure | Wird bei performer.actor eine KHOrganization angegeben so muss sich diese unterscheiden von der referenzierten Krankenanstalt in perfomer.onBehalfOf | ``
prc-1 | error | Procedure.performer | Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole | `onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()`

This structure is derived from Procedure

Summary

Mandatory: 9 elements(1 nested mandatory element)

Structures

This structure refers to these other structures:

- MOPED Patient (https://elga.moped.at/StructureDefinition/MopedPatient)
- MOPED Encounter (https://elga.moped.at/StructureDefinition/MopedEncounter)
- MOPED KH Organisationseinheiten (https://elga.moped.at/StructureDefinition/MopedKHOrganisationseinheit)
- KH Organization (https://elga.moped.at/StructureDefinition/KHOrganization)

Extensions

This structure refers to these extensions:

- https://elga.moped.at/StructureDefinition/moped-ext-Leistungsanzahl

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Procedure.category.coding
- The element 1 is sliced based on the value of Procedure.occurrence[x]

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Procedure | C | 0..* | Procedure | An action that is being or was performed on an individual or entity Constraints: moped-externe-Leistung-KH
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:Leistungsanzahl | O | 1..1 | unsignedInt | LKF: Medizinische Leistung – Anzahl URL: https://elga.moped.at/StructureDefinition/moped-ext-Leistungsanzahl
Obligations | Actor
SHALL:populate | Moped KH Actor
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
code | O Σ | 1..1 | CodeableConcept | LKF: Medizinische Leistung – Code Binding: ProcedureCodesSNOMEDCT (example): A code to identify a specific procedure .
Obligations | Actor
SHALL:populate | Moped KH Actor
coding | Σ | 1..* | Coding | Code defined by a terminology system Binding: LKF Leistungskatalog BMSGPK (required)
system | Σ | 0..1 | uri | Identity of the terminology system Required Pattern: https://termgit.elga.gv.at/CodeSystem/lkat-bmsgpk-2025
subject | O Σ | 1..1 | Reference(MOPED Patient) | Individual or entity the procedure was performed on
Obligations | Actor
SHALL:handle | Moped Device Actor
encounter | O Σ | 1..1 | Reference(MOPED Encounter) | The Encounter during which this Procedure was created
Obligations | Actor
SHALL:handle | Moped Device Actor
Slices for occurrence[x] | Σ | 1..1 | dateTime | When the procedure occurred or is occurring Slice: Unordered, Closed by type:$this
occurrence[x]:occurrenceDateTime | O Σ | 1..1 | dateTime | LKF: Medizinische Leistung – Datum der Erbringung; LKF: Medizinische Leistung – Uhrzeit der Erbringung
Obligations | Actor
SHALL:populate | Moped KH Actor
performer | Σ C | 1..1 | BackboneElement | Who performed the procedure and what they did Constraints: prc-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
actor | O Σ C | 1..1 | Reference(MOPED KH Organisationseinheiten | KH Organization) | LKF: Funktionscode/Fachgebiet leistungserbringend; LKF: Krankenanstaltennummer leistungserbringend; Referenz auf die Abteilung mit Funktionscode/Fachgebiet leistungserbringend oder die Krankenanstalt mit Krankenanstaltennummer leistungserbringend bei extern erbrachten Leistungen
Obligations | Actor
SHALL:populate | Moped KH Actor
onBehalfOf | O C | 1..1 | Reference(KH Organization) | Referenz auf die Krankenanstalt, in der der Patient aufgenommen wurde.
Obligations | Actor
SHALL:handle | Moped Device Actor
bodySite | O Σ | 0..* | CodeableConcept | LKF: Medizinische Leistung – Seitenlokalisation Binding: LKF Seitenlokalisation ValueSet (required)
Obligations | Actor
SHALL:populate | Moped KH Actor
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Procedure.status | Base | required | EventStatus | 📍5.0.0 | FHIR Std.
Procedure.code | Base | example | Procedure Codes (SNOMED CT) | 📍5.0.0 | FHIR Std.
Procedure.code.coding | Base | required | LKF Leistungskatalog BMSGPK | 📦0.1.0 | This IG
Procedure.bodySite | Base | required | LKF Seitenlokalisation ValueSet | 📦0.1.0 | This IG

#### 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()`
moped-externe-Leistung-KH | error | Procedure | Wird bei performer.actor eine KHOrganization angegeben so muss sich diese unterscheiden von der referenzierten Krankenanstalt in perfomer.onBehalfOf | ``
prc-1 | error | Procedure.performer | Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole | `onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()`

Differential View

This structure is derived from Procedure

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Procedure | C | 0..* | Procedure | An action that is being or was performed on an individual or entity Constraints: moped-externe-Leistung-KH
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:Leistungsanzahl | O | 1..1 | unsignedInt | LKF: Medizinische Leistung – Anzahl URL: https://elga.moped.at/StructureDefinition/moped-ext-Leistungsanzahl
Obligations | Actor
SHALL:populate | Moped KH Actor
category |  |  |  |
Slices for coding |  | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system
coding:MELGruppe |  | 0..1 | Coding | MEL Gruppe Binding: LKF medizinische Einzelleistungen (MEL) (required)
system |  | 1..1 | uri | Identity of the terminology system Required Pattern: https://elga.moped.at/CodeSystem/LKFmedizinischeEinzelleistungenCS
code | O | 1..1 | CodeableConcept | LKF: Medizinische Leistung – Code
Obligations | Actor
SHALL:populate | Moped KH Actor
coding |  | 1..* | Coding | Code defined by a terminology system Binding: LKF Leistungskatalog BMSGPK (required)
system |  | 0..1 | uri | Identity of the terminology system Required Pattern: https://termgit.elga.gv.at/CodeSystem/lkat-bmsgpk-2025
subject | O | 1..1 | Reference(MOPED Patient) | Individual or entity the procedure was performed on
Obligations | Actor
SHALL:handle | Moped Device Actor
encounter | O | 1..1 | Reference(MOPED Encounter) | The Encounter during which this Procedure was created
Obligations | Actor
SHALL:handle | Moped Device Actor
Slices for occurrence[x] |  | 1..1 | dateTime | When the procedure occurred or is occurring Slice: Unordered, Open by type:$this
occurrence[x]:occurrenceDateTime | O | 1..1 | dateTime | LKF: Medizinische Leistung – Datum der Erbringung; LKF: Medizinische Leistung – Uhrzeit der Erbringung
Obligations | Actor
SHALL:populate | Moped KH Actor
performer |  | 1..1 | BackboneElement | Who performed the procedure and what they did
actor | O | 1..1 | Reference(MOPED KH Organisationseinheiten | KH Organization) | LKF: Funktionscode/Fachgebiet leistungserbringend; LKF: Krankenanstaltennummer leistungserbringend; Referenz auf die Abteilung mit Funktionscode/Fachgebiet leistungserbringend oder die Krankenanstalt mit Krankenanstaltennummer leistungserbringend bei extern erbrachten Leistungen
Obligations | Actor
SHALL:populate | Moped KH Actor
onBehalfOf | O | 1..1 | Reference(KH Organization) | Referenz auf die Krankenanstalt, in der der Patient aufgenommen wurde.
Obligations | Actor
SHALL:handle | Moped Device Actor
bodySite | O | 0..* | CodeableConcept | LKF: Medizinische Leistung – Seitenlokalisation Binding: LKF Seitenlokalisation ValueSet (required)
Obligations | Actor
SHALL:populate | Moped KH Actor
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Procedure.category.coding:MELGruppe | Base | required | LKF medizinische Einzelleistungen (MEL) | 📦0.1.0 | This IG
Procedure.code.coding | Base | required | LKF Leistungskatalog BMSGPK | 📦0.1.0 | This IG
Procedure.bodySite | Base | required | LKF Seitenlokalisation ValueSet | 📦0.1.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
moped-externe-Leistung-KH | error | Procedure | Wird bei performer.actor eine KHOrganization angegeben so muss sich diese unterscheiden von der referenzierten Krankenanstalt in perfomer.onBehalfOf | ``

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Procedure | C | 0..* | Procedure | An action that is being or was performed on an individual or entity Constraints: moped-externe-Leistung-KH
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
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: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
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 |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:Leistungsanzahl | O | 1..1 | unsignedInt | LKF: Medizinische Leistung – Anzahl URL: https://elga.moped.at/StructureDefinition/moped-ext-Leistungsanzahl
Obligations | Actor
SHALL:populate | Moped KH Actor
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Identifiers for this procedure
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure
partOf | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event
status | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReasonSNOMEDCT (example): A code that identifies the reason a procedure was not performed.
category | Σ | 0..* | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodesSNOMEDCT (example): A code that classifies a procedure for searching, sorting and display purposes.
id |  | 0..1 | id | 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 value:system
coding:MELGruppe | Σ | 0..1 | Coding | MEL Gruppe Binding: LKF medizinische Einzelleistungen (MEL) (required)
id |  | 0..1 | id | 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 Required Pattern: https://elga.moped.at/CodeSystem/LKFmedizinischeEinzelleistungenCS
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ C | 0..1 | code | Symbol in syntax defined by the system
display | Σ C | 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 | O Σ | 1..1 | CodeableConcept | LKF: Medizinische Leistung – Code Binding: ProcedureCodesSNOMEDCT (example): A code to identify a specific procedure .
Obligations | Actor
SHALL:populate | Moped KH Actor
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 1..* | Coding | Code defined by a terminology system Binding: LKF Leistungskatalog BMSGPK (required)
id |  | 0..1 | id | 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://termgit.elga.gv.at/CodeSystem/lkat-bmsgpk-2025
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ C | 0..1 | code | Symbol in syntax defined by the system
display | Σ C | 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 | O Σ | 1..1 | Reference(MOPED Patient) | Individual or entity the procedure was performed on
Obligations | Actor
SHALL:handle | Moped Device Actor
focus | Σ | 0..1 | Reference(Patient | Group | RelatedPerson | Practitioner | Organization | CareTeam | PractitionerRole | Specimen) | Who is the target of the procedure when it is not the subject of record only
encounter | O Σ | 1..1 | Reference(MOPED Encounter) | The Encounter during which this Procedure was created
Obligations | Actor
SHALL:handle | Moped Device Actor
Slices for occurrence[x] | Σ | 1..1 | dateTime | When the procedure occurred or is occurring Slice: Unordered, Closed by type:$this
occurrence[x]:occurrenceDateTime | O Σ | 1..1 | dateTime | LKF: Medizinische Leistung – Datum der Erbringung; LKF: Medizinische Leistung – Uhrzeit der Erbringung
Obligations | Actor
SHALL:populate | Moped KH Actor
recorded | Σ | 0..1 | dateTime | When the procedure was first captured in the subject's record
recorder | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure
reported[x] | Σ | 0..1 |  | Reported rather than primary record
reportedBoolean |  |  | boolean |
reportedReference |  |  | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) |
performer | Σ C | 1..1 | BackboneElement | Who performed the procedure and what they did Constraints: prc-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
actor | O Σ C | 1..1 | Reference(MOPED KH Organisationseinheiten | KH Organization) | LKF: Funktionscode/Fachgebiet leistungserbringend; LKF: Krankenanstaltennummer leistungserbringend; Referenz auf die Abteilung mit Funktionscode/Fachgebiet leistungserbringend oder die Krankenanstalt mit Krankenanstaltennummer leistungserbringend bei extern erbrachten Leistungen
Obligations | Actor
SHALL:populate | Moped KH Actor
onBehalfOf | O C | 1..1 | Reference(KH Organization) | Referenz auf die Krankenanstalt, in der der Patient aufgenommen wurde.
Obligations | Actor
SHALL:handle | Moped Device Actor
period |  | 0..1 | Period | When the performer performed the procedure
location | Σ | 0..1 | Reference(Location) | Where the procedure happened
reason | Σ | 0..* | CodeableReference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
bodySite | O Σ | 0..* | CodeableConcept | LKF: Medizinische Leistung – Seitenlokalisation Binding: LKF Seitenlokalisation ValueSet (required)
Obligations | Actor
SHALL:populate | Moped KH Actor
outcome | Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodesSNOMEDCT (example): An outcome of a procedure - whether it was resolved or otherwise.
report |  | 0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure
complication |  | 0..* | CodeableReference(Condition) | Complication following the procedure Binding: ConditionProblemDiagnosisCodes (example): Codes describing complications that resulted from a procedure.
followUp |  | 0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodesSNOMEDCT (example): Specific follow up required for a procedure e.g. removal of sutures.
note |  | 0..* | Annotation | Additional information about the procedure
focalDevice |  | 0..* | BackboneElement | Manipulated, implanted, or removed device
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
action |  | 0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
manipulated |  | 1..1 | Reference(Device) | Device that was changed
used |  | 0..* | CodeableReference(Device | Medication | Substance | BiologicallyDerivedProduct) | Items used during procedure Binding: DeviceType (example): Codes describing items used during a procedure.
supportingInfo |  | 0..* | Reference(Resource) | Extra information relevant to the procedure
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Procedure.language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
Procedure.status | Base | required | EventStatus | 📍5.0.0 | FHIR Std.
Procedure.statusReason | Base | example | Procedure Not Performed Reason (SNOMED-CT) | 📍5.0.0 | FHIR Std.
Procedure.category | Base | example | Procedure Category Codes (SNOMED CT) | 📍5.0.0 | FHIR Std.
Procedure.category.coding:MELGruppe | Base | required | LKF medizinische Einzelleistungen (MEL) | 📦0.1.0 | This IG
Procedure.code | Base | example | Procedure Codes (SNOMED CT) | 📍5.0.0 | FHIR Std.
Procedure.code.coding | Base | required | LKF Leistungskatalog BMSGPK | 📦0.1.0 | This IG
Procedure.performer.​function | Base | example | Procedure Performer Role Codes | 📍5.0.0 | FHIR Std.
Procedure.reason | Base | example | Procedure Reason Codes | 📍5.0.0 | FHIR Std.
Procedure.bodySite | Base | required | LKF Seitenlokalisation ValueSet | 📦0.1.0 | This IG
Procedure.outcome | Base | example | Procedure Outcome Codes (SNOMED CT) | 📍5.0.0 | FHIR Std.
Procedure.complication | Base | example | Condition/Problem/Diagnosis Codes | 📍5.0.0 | FHIR Std.
Procedure.followUp | Base | example | Procedure Follow up Codes (SNOMED CT) | 📍5.0.0 | FHIR Std.
Procedure.focalDevice.​action | Base | preferred | Procedure Device Action Codes | 📍5.0.0 | FHIR Std.
Procedure.used | Base | example | Device Type | 📍5.0.0 | FHIR Std.

#### 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()`
moped-externe-Leistung-KH | error | Procedure | Wird bei performer.actor eine KHOrganization angegeben so muss sich diese unterscheiden von der referenzierten Krankenanstalt in perfomer.onBehalfOf | ``
prc-1 | error | Procedure.performer | Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole | `onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()`

This structure is derived from Procedure

Summary

Mandatory: 9 elements(1 nested mandatory element)

Structures

This structure refers to these other structures:

- MOPED Patient (https://elga.moped.at/StructureDefinition/MopedPatient)
- MOPED Encounter (https://elga.moped.at/StructureDefinition/MopedEncounter)
- MOPED KH Organisationseinheiten (https://elga.moped.at/StructureDefinition/MopedKHOrganisationseinheit)
- KH Organization (https://elga.moped.at/StructureDefinition/KHOrganization)

Extensions

This structure refers to these extensions:

- https://elga.moped.at/StructureDefinition/moped-ext-Leistungsanzahl

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Procedure.category.coding
- The element 1 is sliced based on the value of Procedure.occurrence[x]

Other representations of profile: CSV, Excel, Schematron