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Source1

{
  "resourceType": "StructureDefinition",
  "id": "mii-pr-kardio-kardiale-deviceimplantation",
  "extension": [
    {
      "url": "https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/spdx-license",
            "code": "CC-BY-4.0",
            "display": "Creative Commons Attribution 4.0 International"
          }
        ]
      }
    }
  ],
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/StructureDefinition/mii-pr-kardio-kardiale-deviceimplantation",
  "version": "2026.0.0-alpha.1",
  "name": "MII_PR_Kardio_Kardiale_Deviceimplantation",
  "title": "MII PR Kardio Kardiale Deviceimplantation",
  "status": "active",
  "experimental": false,
  "date": "2025-10-07",
  "publisher": "Medizininformatik Initiative",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "https://www.medizininformatik-initiative.de"
        }
      ]
    }
  ],
  "description": "Profil zur Erfassung einer Implantation eines Herzschrittmachers, Kardioverter-Defibrillators oder ventrikulären Unterstützungssystems.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Procedure",
  "baseDefinition": "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Procedure",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Procedure.code",
        "path": "Procedure.code",
        "comment": "Hier sollen mindestens ein SNOMED- oder ein OPS-Code angegeben werden.\r\nFür ACRIBiS eignen sich die folgenden Codes (Stand 01.05.2025):\r\n - **ICD**: 395218007 - Implantation of internal cardiac defibrillator (procedure)\r\n - **CRT**: 429064006 - Implantation of cardiac resynchronization therapy implantable pacemaker (procedure)\r\n - **ICD+CRT**: 1236755008 - Implantation of cardiac resynchronization defibrillator system (procedure)\r\n - **unbekannt**: Angabe, dass der genaue Device-Typ unbekannt ist. Abbildung über asked-unknown. Suche der Angabe über Verknüpfung des Devices in der Prozedur \"MII PR Kardio Kardiale Deviceimplantation\" und mittels Angabe des Metaprofils.\r\n - **LVAD**: 232967006 - Implantation of left cardiac ventricular assist device (procedure)\r\n - **RVAD**: 232966002 - Implantation of right cardiac ventricular assist device (procedure)\r\n - **BiVAD**: 232968001 - Implantation of cardiac biventricular assist device (procedure)"
      },
      {
        "id": "Procedure.code.coding:sct",
        "path": "Procedure.code.coding",
        "sliceName": "sct",
        "binding": {
          "strength": "required",
          "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/ValueSet/mii-vs-kardio-kardiale-deviceimplantation-scnomedct"
        }
      },
      {
        "id": "Procedure.subject",
        "path": "Procedure.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Patient"
            ]
          }
        ]
      },
      {
        "id": "Procedure.bodySite",
        "path": "Procedure.bodySite",
        "comment": "Hier soll mindestens ein SNOMED-Code angegeben werden.\r\nFür ACRIBiS müssen die folgenden Codes verwendet werden (Stand 01.05.2025):\r\n - **Herzschrittmacher/Implantierter Defibrillator**: 80891009 - Heart structure (body structure)\r\n - **LVAD**: 87878005 - Left cardiac ventricular structure (body structure)\r\n - **RVAD**: 53085002 - Right cardiac ventricular structure (body structure)\r\n - **BiVAD**: 87878005 - Left cardiac ventricular structure (body structure) **und** 53085002 - Right cardiac ventricular structure (body structure)\r\n",
        "binding": {
          "strength": "required",
          "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/ValueSet/mii-vs-kardio-kardiale-deviceimplantation-koerperstelle-snomedct"
        }
      },
      {
        "id": "Procedure.focalDevice",
        "path": "Procedure.focalDevice",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Procedure.focalDevice.action",
        "path": "Procedure.focalDevice.action",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "129338005",
              "system": "http://snomed.info/sct",
              "version": "http://snomed.info/sct/900000000000207008/version/20240701"
            }
          ]
        },
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://hl7.org/fhir/ValueSet/device-action"
        }
      },
      {
        "id": "Procedure.focalDevice.manipulated",
        "path": "Procedure.focalDevice.manipulated",
        "mustSupport": true
      }
    ]
  }
}