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Source1

{
  "resourceType": "StructureDefinition",
  "id": "TipluProzedur",
  "url": "https://tiplu.de/fhir/StructureDefinition/TipluProzedur",
  "version": "2.0.3",
  "name": "TipluProzedur",
  "title": "TipluProzedur",
  "status": "active",
  "date": "2026-05-28",
  "publisher": "Tiplu GmbH",
  "contact": [
    {
      "name": "Tiplu GmbH",
      "telecom": [
        {
          "system": "email",
          "value": "fhir@tiplu.de"
        }
      ]
    }
  ],
  "description": "[ISiKProzedur](https://simplifier.net/isik-stufe-5/isikprozedur) (Canonical: https://gematik.de/fhir/isik/StructureDefinition/ISiKProzedur) erweitert um die DRG-Grouper- und §21-relevanten Extensions der Tiplu GmbH. Alle anderen mit MS markierten Felder der ISiK werden auch hier als MS behandelt.\nDieses Profil ist kompatibel mit dem Prozedur Profil aus dem [MII Basismodul Prozedur](https://simplifier.net/mii-basismodul-prozedur-2024/mii_pr_prozedur_procedure) (Canonical: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Procedure).",
  "copyright": "Tiplu GmbH",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Procedure",
  "baseDefinition": "https://gematik.de/fhir/isik/StructureDefinition/ISiKProzedur",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Procedure.meta",
        "path": "Procedure.meta",
        "mustSupport": true
      },
      {
        "id": "Procedure.meta.source",
        "path": "Procedure.meta.source",
        "comment": "Hier soll zukünftig angegeben werden, aus welchem System die Information kommt. Zum aktuellen Zeitpunkt ist die Information nicht befüllt.",
        "mustSupport": true
      },
      {
        "id": "Procedure.meta.profile",
        "path": "Procedure.meta.profile",
        "mustSupport": true
      },
      {
        "id": "Procedure.meta.tag",
        "path": "Procedure.meta.tag",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Procedure.meta.tag:UrsacheBidirektionalGesperrt",
        "path": "Procedure.meta.tag",
        "sliceName": "UrsacheBidirektionalGesperrt",
        "short": "Codes für die Ursache dafür, dass ein Fall bidirektional gesperrt ist.",
        "comment": "Die Prozedur ist im Quellsystem gesperrt für die Rückschreibung und Veränderung durch ein Subsystem",
        "min": 0,
        "max": "*",
        "binding": {
          "strength": "required",
          "valueSet": "https://tiplu.de/fhir/ValueSet/UrsacheBidirektionalGesperrt"
        }
      },
      {
        "id": "Procedure.extension:Beleganaesthesist",
        "path": "Procedure.extension",
        "sliceName": "Beleganaesthesist",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://tiplu.de/fhir/StructureDefinition/Beleganaesthesist"
            ]
          }
        ]
      },
      {
        "id": "Procedure.extension:Beleghebamme",
        "path": "Procedure.extension",
        "sliceName": "Beleghebamme",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://tiplu.de/fhir/StructureDefinition/Beleghebamme"
            ]
          }
        ]
      },
      {
        "id": "Procedure.extension:Belegoperateur",
        "path": "Procedure.extension",
        "sliceName": "Belegoperateur",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://tiplu.de/fhir/StructureDefinition/Belegoperateur"
            ]
          }
        ]
      },
      {
        "id": "Procedure.extension:SNZeit",
        "path": "Procedure.extension",
        "sliceName": "SNZeit",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://tiplu.de/fhir/StructureDefinition/SNZeit"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:durchfuehrungsabsicht",
        "path": "Procedure.extension",
        "sliceName": "durchfuehrungsabsicht",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Procedure.status",
        "path": "Procedure.status",
        "patternCode": "completed"
      },
      {
        "id": "Procedure.category.coding:SNOMED-CT",
        "path": "Procedure.category.coding",
        "sliceName": "SNOMED-CT",
        "comment": "Die Category ist bei Tiplu standardmäßig nicht differenzierbar, weshalb 'other category' festgelegt wird."
      },
      {
        "id": "Procedure.category.coding:SNOMED-CT.code",
        "path": "Procedure.category.coding.code",
        "patternCode": "394841004"
      },
      {
        "id": "Procedure.category.coding:SNOMED-CT.display",
        "path": "Procedure.category.coding.display",
        "patternString": "Other category."
      },
      {
        "id": "Procedure.code.coding",
        "path": "Procedure.code.coding",
        "comment": "Es ist mindestens ein Code nach dem OPS Slice vorhanden.",
        "min": 1
      },
      {
        "id": "Procedure.performer",
        "path": "Procedure.performer",
        "mustSupport": true
      },
      {
        "id": "Procedure.performer.extension",
        "path": "Procedure.performer.extension",
        "short": "Die Period beschreibt die Dauer, die jemand an der Prozedur beteiligt war."
      },
      {
        "id": "Procedure.performer.extension:period",
        "path": "Procedure.performer.extension",
        "sliceName": "period",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.performer.period"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Procedure.performer.function",
        "path": "Procedure.performer.function",
        "mustSupport": true,
        "binding": {
          "strength": "example",
          "valueSet": "https://tiplu.de/fhir/ValueSet/TipluOPRollen"
        }
      },
      {
        "id": "Procedure.performer.function.text",
        "path": "Procedure.performer.function.text",
        "mustSupport": true
      },
      {
        "id": "Procedure.performer.actor",
        "path": "Procedure.performer.actor",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Practitioner"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Procedure.performer.actor.display",
        "path": "Procedure.performer.actor.display",
        "comment": "Wenn zu dem leistungserbringenden Teilnehmer nur der Name bekannt ist, kann statt eines verlinkten Practitioners auch hier der Name angegeben werden.",
        "mustSupport": true
      },
      {
        "id": "Procedure.performer.onBehalfOf",
        "path": "Procedure.performer.onBehalfOf",
        "comment": "Falls keine PractitionerRole hinterlegt werden kann, könnte hier direkt die Referenz auf die Organisation (Fachabteilung) referenziert werden.",
        "mustSupport": true
      },
      {
        "id": "Procedure.report",
        "path": "Procedure.report",
        "comment": "Hier soll ggf. der OP-Bericht referenziert werden.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Composition",
              "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"
            ]
          }
        ],
        "mustSupport": true
      }
    ]
  }
}