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{
"resourceType": "StructureDefinition",
"id": "Profile-nNGM-Procedure-Operation",
"url": "http://uk-koeln.de/fhir/StructureDefinition/nNGM/Profile-nNGM-Procedure-Operation",
"version": "0.1.0",
"name": "Profile_nNGM_Procedure_Operation",
"title": "Profile - nNGM - Procedure - Operation",
"status": "draft",
"date": "2025-10-29",
"publisher": "nNGM Konsortium",
"description": "Procedure-Profil OP für das nNGM-Projekt basierend auf MII-PR_Onko_Operation. Enthält alle Profile-nNGM-Procedure-Operation-Felder und erforderliche Erweiterungen.",
"fhirVersion": "4.3.0",
"kind": "resource",
"abstract": false,
"type": "Procedure",
"baseDefinition": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-operation",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Procedure.extension:Dokumentationsdatum",
"path": "Procedure.extension",
"sliceName": "Dokumentationsdatum"
},
{
"id": "Procedure.extension:Dokumentationsdatum.value[x]",
"path": "Procedure.extension.value[x]",
"mustSupport": false
},
{
"id": "Procedure.extension:Intention",
"path": "Procedure.extension",
"sliceName": "Intention",
"mapping": [
{
"identity": "nNGM-Schema",
"map": "operationIntention",
"comment": "Operative Intention"
}
]
},
{
"id": "Procedure.extension:Intention.value[x]",
"path": "Procedure.extension.value[x]",
"mustSupport": true
},
{
"id": "Procedure.extension:Intention.value[x].coding.system",
"path": "Procedure.extension.value[x].coding.system",
"mustSupport": true
},
{
"id": "Procedure.extension:Intention.value[x].coding.code",
"path": "Procedure.extension.value[x].coding.code",
"mustSupport": true,
"mapping": [
{
"identity": "nNGM-Schema",
"map": "operationIntention",
"comment": "Operative Intention"
}
]
},
{
"id": "Procedure.extension:Lymphadenektomie",
"path": "Procedure.extension",
"sliceName": "Lymphadenektomie",
"short": "Lymphadenektomie",
"definition": "Lymphadenektomie",
"type": [
{
"code": "Extension",
"profile": [
"http://uk-koeln.de/fhir/StructureDefinition/Extension/nNGM/nngm-ex-operation-lymphadenectomy"
]
}
],
"mapping": [
{
"identity": "nNGM-Schema",
"map": "lymphadenectomy",
"comment": "Lymphadenektomie"
}
]
},
{
"id": "Procedure.extension:Lymphadenektomie.value[x]",
"path": "Procedure.extension.value[x]",
"min": 1,
"mustSupport": true,
"mapping": [
{
"identity": "nNGM-Schema",
"map": "lymphadenectomy",
"comment": "Lymphadenektomie"
}
]
},
{
"id": "Procedure.extension:Lymphadenektomie.value[x].coding.system",
"path": "Procedure.extension.value[x].coding.system",
"mustSupport": true
},
{
"id": "Procedure.extension:Lymphadenektomie.value[x].coding.code",
"path": "Procedure.extension.value[x].coding.code",
"mustSupport": true,
"mapping": [
{
"identity": "nNGM-Schema",
"map": "lymphadenectomy",
"comment": "Lymphadenektomie"
}
]
},
{
"id": "Procedure.code.coding:ops",
"path": "Procedure.code.coding",
"sliceName": "ops"
},
{
"id": "Procedure.code.coding:ops.extension",
"path": "Procedure.code.coding.extension",
"mustSupport": true
},
{
"id": "Procedure.code.coding:ops.extension:Seitenlokalisation",
"path": "Procedure.code.coding.extension",
"sliceName": "Seitenlokalisation"
},
{
"id": "Procedure.code.coding:ops.extension:Seitenlokalisation.value[x]",
"path": "Procedure.code.coding.extension.value[x]",
"mustSupport": true,
"mapping": [
{
"identity": "nNGM-Schema",
"map": "sideLocalisation",
"comment": "Seitenlokalisation"
}
]
},
{
"id": "Procedure.code.coding:ops.extension:Seitenlokalisation.value[x].code",
"path": "Procedure.code.coding.extension.value[x].code",
"mustSupport": true,
"mapping": [
{
"identity": "nNGM-Schema",
"map": "sideLocalisation",
"comment": "Seitenlokalisation"
}
]
},
{
"id": "Procedure.code.coding:ops.code",
"path": "Procedure.code.coding.code",
"mapping": [
{
"identity": "nNGM-Schema",
"map": "typeOfResection",
"comment": "Art der Resektion"
}
]
},
{
"id": "Procedure.code.coding:resectionType",
"path": "Procedure.code.coding",
"sliceName": "resectionType",
"min": 1,
"binding": {
"strength": "extensible",
"description": "Art der Resektion",
"valueSet": "http://uk-koeln.de/fhir/ValueSet/nNGM/nngm-vs-resectiontype"
},
"mapping": [
{
"identity": "nNGM-Schema",
"map": "resectionType",
"comment": "Art der Resektion"
}
]
},
{
"id": "Procedure.code.coding:resectionType.system",
"path": "Procedure.code.coding.system",
"mustSupport": true
},
{
"id": "Procedure.code.coding:resectionType.code",
"path": "Procedure.code.coding.code",
"min": 1,
"mustSupport": true,
"mapping": [
{
"identity": "nNGM-Schema",
"map": "typeOfResection",
"comment": "Art der Resektion"
}
]
},
{
"id": "Procedure.code.text",
"path": "Procedure.code.text",
"short": "Sonstige Resektionsart.",
"definition": "Sonstige Resektionsart. Bitte spezifizieren Sie \"Sonstiges\"",
"mustSupport": true,
"mapping": [
{
"identity": "nNGM-Schema",
"map": "otherTypeOfResection",
"comment": "Bitte spezifizieren Sie \"Sonstiges\""
}
]
},
{
"id": "Procedure.subject",
"path": "Procedure.subject",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Patient",
"http://uk-koeln.de/fhir/StructureDefinition/Patient/nNGM/pseudonymisiert",
"http://uk-koeln.de/fhir/StructureDefinition/Patient/nNGM/patient"
]
}
]
},
{
"id": "Procedure.performed[x]:performedDateTime",
"path": "Procedure.performed[x]",
"sliceName": "performedDateTime",
"mustSupport": true,
"mapping": [
{
"identity": "nNGM-Schema",
"map": "executionDate",
"comment": "Operationsdatum"
}
]
},
{
"id": "Procedure.performer.actor",
"path": "Procedure.performer.actor",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://uk-koeln.de/fhir/StructureDefinition/Organisation/nNGM",
"http://hl7.org/fhir/StructureDefinition/Organization",
"http://hl7.org/fhir/StructureDefinition/Practitioner"
]
}
],
"mapping": [
{
"identity": "nNGM-Schema",
"map": "executionCenter",
"comment": "Durchführende Einrichtung"
}
]
},
{
"id": "Procedure.bodySite",
"path": "Procedure.bodySite",
"short": "Anatomische Lokalisation",
"mapping": [
{
"identity": "nNGM-Schema",
"map": "localisation",
"comment": "Andere"
}
]
},
{
"id": "Procedure.bodySite.coding:oBDS-Lokalisation",
"path": "Procedure.bodySite.coding",
"sliceName": "oBDS-Lokalisation",
"short": "Lokalisation der OP nach oBDS",
"definition": "Lokalisation der OP nach oBDS",
"max": "1",
"binding": {
"strength": "extensible",
"description": "Lokalisation der OP nach oBDS",
"valueSet": "http://uk-koeln.de/fhir/ValueSet/nNGM/nngm-vs-lokalisation"
},
"mapping": [
{
"identity": "nNGM-Schema",
"map": "localisation",
"comment": "Lokalisation"
}
]
},
{
"id": "Procedure.bodySite.coding:oBDS-Lokalisation.system",
"path": "Procedure.bodySite.coding.system",
"fixedUri": "http://uk-koeln.de/fhir/StructureDefinition/CodeSystem/nNGM/nngm-cs-lokalisation",
"mustSupport": true
},
{
"id": "Procedure.bodySite.coding:oBDS-Lokalisation.code",
"path": "Procedure.bodySite.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Procedure.bodySite.text",
"path": "Procedure.bodySite.text",
"short": "Lokalisation (Freitext)",
"min": 1,
"mustSupport": true,
"mapping": [
{
"identity": "nNGM-Schema",
"map": "localisationOther",
"comment": "Andere Lokalisation"
}
]
},
{
"id": "Procedure.outcome",
"path": "Procedure.outcome",
"short": "Resektionsstatus",
"mapping": [
{
"identity": "nNGM-Schema",
"map": "resectionStatus",
"comment": "Resektionsstatus"
}
]
},
{
"id": "Procedure.outcome.coding",
"path": "Procedure.outcome.coding",
"mustSupport": true
},
{
"id": "Procedure.outcome.coding.code",
"path": "Procedure.outcome.coding.code",
"mapping": [
{
"identity": "nNGM-Schema",
"map": "resectionStatus",
"comment": "Resektionsstatus"
}
]
},
{
"id": "Procedure.complication:outcomeDeath",
"path": "Procedure.complication",
"sliceName": "outcomeDeath",
"short": "Ausgang mit Todesfolge",
"definition": "Ausgang mit Todesfolge (Ja/Nein/Unbekannt)"
},
{
"id": "Procedure.complication:outcomeDeath.coding",
"path": "Procedure.complication.coding",
"mustSupport": true,
"binding": {
"strength": "extensible",
"description": "Ausgang mit Todesfolge (Ja, Nein, Unbekannt)",
"valueSet": "http://uk-koeln.de/fhir/ValueSet/nNGM/nngm-vs-jnu"
}
},
{
"id": "Procedure.complication:outcomeDeath.coding.system",
"path": "Procedure.complication.coding.system",
"fixedUri": "http://uk-koeln.de/fhir/StructureDefinition/CodeSystem/nNGM/nngm-cs-jnu",
"mustSupport": true
},
{
"id": "Procedure.complication:outcomeDeath.coding.code",
"path": "Procedure.complication.coding.code",
"min": 1,
"mustSupport": true,
"mapping": [
{
"identity": "nNGM-Schema",
"map": "outcomeDeath",
"comment": "Ausgang mit Todesfolge"
}
]
},
{
"id": "Procedure.note",
"path": "Procedure.note",
"short": "Bemerkung",
"mapping": [
{
"identity": "nNGM-Schema",
"map": "note",
"comment": "Bemerkungen"
}
]
},
{
"id": "Procedure.note.text",
"path": "Procedure.note.text",
"mustSupport": true,
"mapping": [
{
"identity": "nNGM-Schema",
"map": "note",
"comment": "Bemerkungen"
}
]
}
]
}
}
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