Kerndatensatz Senologie
0.9.0 - ci-build

Kerndatensatz Senologie - Local Development build (v0.9.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: BIH Senologie Strahlentherapie

Official URL: https://www.senologie.org/fhir/StructureDefinition/senologie-strahlentherapie Version: 0.9.0
Draft as of 2026-05-04 Computable Name: Senologie_Strahlentherapie

Procedure für Strahlentherapie aus dotbase Questionnaire 'Strahlentherapie ESP-PECS'. Erbt Gesamtdosis, Boost und Seitenlokalisation von MII Onko Bestrahlung.

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure C 0..* MII_PR_Onko_Strahlentherapie_Bestrahlung_Strahlentherapie 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
.... extension:Dokumentationsdatum S 0..1 dateTime Recorded date
URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum
.... extension:durchfuehrungsabsicht S 0..1 Coding Intention
URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht
Binding: MII VS Prozedur Durchführungsabsicht [SNOMED CT] (required)
.... extension:Gesamtdosis S 0..1 (Complex) MII EX Onko Strahlentherapie Bestrahlung Gesamtdosis
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-bestrahlung-gesamtdosis
..... 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-strahlentherapie-bestrahlung-gesamtdosis"
.... extension:Einzeldosis S 0..1 (Complex) MII EX Onko Strahlentherapie Bestrahlung Einzeldosis
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-bestrahlung-einzeldosis
..... 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-strahlentherapie-bestrahlung-einzeldosis"
.... extension:Boost S 0..1 (Complex) MII EX Onko Strahlentherapie Bestrahlung Boost
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-bestrahlung-boost
..... 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-strahlentherapie-bestrahlung-boost"
.... extension:Applikationsart S 0..1 (Complex) Applikationsart
URL: http://hl7.org/fhir/StructureDefinition/procedure-method
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/procedure-method"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: MII VS Onkologie Strahlentherapie Applikationsart (extensible)
...... coding Σ 0..* Coding Code defined by a terminology system
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-strahlentherapie-applikationsart
....... code SΣ 1..1 code Symbol in syntax defined by the system
.... extension:Intention S 0..1 CodeableConcept Behandlungsintention
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-intention
Binding: MII VS Onkologie Strahlentherapie Intention (required)
.... extension:sessionCount S 0..1 Quantity Anzahl der Bestrahlungssitzungen
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-session-count
.... extension:einzeldosis S 0..1 Quantity Einzeldosis pro Fraktion in Gy
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-einzeldosis
.... extension:simultaneRadiochemotherapie S 0..1 boolean Simultane Radiochemotherapie (H03)
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-simultane-radiochemotherapie
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... basedOn SΣC 0..* Reference(CarePlan) A request for this procedure
Constraints: ref-1
... partOf SΣC 0..* Reference(Procedure | Observation) Zugehörige Strahlentherapie-Session
Constraints: ref-1
... status ?!SΣ 1..1 code Durchgeführt
Binding: EventStatus (required): A code specifying the state of the procedure.
Fixed Value: completed
... category SΣ 0..1 CodeableConcept Category
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... text 0..1 string Plain text representation of the concept
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this

Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... version 0..1 string Version of the system - if relevant
..... display 1..1 string Representation defined by the system
Fixed Value: Radiotherapy (procedure)
..... userSelected 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 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
...... version 0..1 string Version of the system - if relevant
...... 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
Fixed Value: http://snomed.info/sct
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 1287742003
... code SΣC 1..1 CodeableConcept Code
Binding: MII VS Onkologie OPS Strahlentherapie (extensible): A code to identify a specific procedure .
Constraints: sct-ops-1
.... Slices for coding SΣ 1..* Coding Strahlentherapie-Typ
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
...... 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
...... version 0..1 string Version of the system - if relevant
...... 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
Fixed Value: http://snomed.info/sct
...... code SΣ 1..1 code Symbol in syntax defined by the system
.... text Σ 0..1 string Bestrahlung
... subject SΣC 1..1 Reference(Patient) Who the procedure was performed on
Constraints: ref-1
... encounter SΣC 0..1 Reference(Encounter) Encounter
Constraints: ref-1
... Slices for performed[x] SΣ 1..1 Period Performed date
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 Performed period
..... start SΣC 1..1 dateTime Start der Strahlentherapie
..... end SΣC 0..1 dateTime Ende der Strahlentherapie
... reasonReference SΣC 0..* Reference(MII PR Onkologie Diagnose Primärtumor | Condition) Bezogene Diagnose
Constraints: ref-1
... bodySite SΣ 0..1 CodeableConcept Bestrahlungsregion
Binding: MII VS Onkologie Strahlentherapie Zielgebiet (extensible): Codes describing anatomical locations. May include laterality.
.... Slices for extension Content/Rules for all slices
..... extension:Seitenlokalisation S 0..1 (Complex) MII EX Onko Strahlentherapie Bestrahlung Seitenlokalisation
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-bestrahlung-seitenlokalisation
...... 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-strahlentherapie-bestrahlung-seitenlokalisation"
.... Slices for coding SΣ 0..* Coding Zielgebiet
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
... note S 0..* Annotation Detaillierte Beschreibung
... Slices for usedCode S 0..* CodeableConcept Coded items used during the procedure
Slice: Unordered, Open by pattern:coding.system
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
.... usedCode:Strahlenart S 0..1 CodeableConcept Strahlenart
Binding: MII VS Onkologie Strahlentherapie Strahlenart (extensible): Codes describing items used during a procedure.
..... coding Σ 0..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-strahlentherapie-strahlenart
...... code SΣ 1..1 code Symbol in syntax defined by the system

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.extension:Applikationsart.​value[x] Base extensible MII VS Onkologie Strahlentherapie Applikationsart 📦2026.0.3 MII IG Onkologie v2026.0
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
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 extensible MII VS Onkologie OPS Strahlentherapie 📦2026.0.3 MII IG Onkologie v2026.0
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.bodySite Base extensible MII VS Onkologie Strahlentherapie Zielgebiet 📦2026.0.3 MII IG Onkologie v2026.0
Procedure.usedCode Base example FHIR Device Types 📦4.0.1 FHIR Std.
Procedure.usedCode:Strahlenart Base extensible MII VS Onkologie Strahlentherapie Strahlenart 📦2026.0.3 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.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_Strahlentherapie_Bestrahlung_Strahlentherapie

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* MII_PR_Onko_Strahlentherapie_Bestrahlung_Strahlentherapie An action that is being or was performed on a patient
... Slices for extension Content/Rules for all slices
.... extension:Intention 0..1 CodeableConcept Behandlungsintention
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-intention
Binding: MII VS Onkologie Strahlentherapie Intention (required)
.... extension:sessionCount 0..1 Quantity Anzahl der Bestrahlungssitzungen
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-session-count
.... extension:einzeldosis 0..1 Quantity Einzeldosis pro Fraktion in Gy
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-einzeldosis
.... extension:simultaneRadiochemotherapie 0..1 boolean Simultane Radiochemotherapie (H03)
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-simultane-radiochemotherapie
... partOf 0..* Reference(Procedure | Observation) Zugehörige Strahlentherapie-Session
... status 1..1 code Durchgeführt
Fixed Value: completed
.... coding 1..* Coding Strahlentherapie-Typ
.... text 0..1 string Bestrahlung
... reasonReference 0..* Reference(MII PR Onkologie Diagnose Primärtumor | Condition) Bezogene Diagnose
... bodySite 0..1 CodeableConcept Bestrahlungsregion
... note 0..* Annotation Detaillierte Beschreibung

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure C 0..* MII_PR_Onko_Strahlentherapie_Bestrahlung_Strahlentherapie 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.
Additional BindingsPurpose
AllLanguages Max Binding
... 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 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:Dokumentationsdatum S 0..1 dateTime Recorded date
URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum
.... extension:durchfuehrungsabsicht S 0..1 Coding Intention
URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht
Binding: MII VS Prozedur Durchführungsabsicht [SNOMED CT] (required)
.... extension:Gesamtdosis S 0..1 (Complex) MII EX Onko Strahlentherapie Bestrahlung Gesamtdosis
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-bestrahlung-gesamtdosis
..... 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-strahlentherapie-bestrahlung-gesamtdosis"
..... value[x] 0..1 Quantity Strahlentherapie Gesamtdosis (Dosis)
Binding: MII VS Onkologie Strahlentherapie Strahlungseinheit (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
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code Coded form of the unit
.... extension:Einzeldosis S 0..1 (Complex) MII EX Onko Strahlentherapie Bestrahlung Einzeldosis
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-bestrahlung-einzeldosis
..... 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-strahlentherapie-bestrahlung-einzeldosis"
..... value[x] 0..1 Quantity Strahlentherapie Einzeldosis pro Tag (Dosis)
Binding: MII VS Onkologie Strahlentherapie Strahlungseinheit (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
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code Coded form of the unit
.... extension:Boost S 0..1 (Complex) MII EX Onko Strahlentherapie Bestrahlung Boost
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-bestrahlung-boost
..... 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-strahlentherapie-bestrahlung-boost"
..... value[x] 0..1 CodeableConcept Strahlentherapie Boost
Binding: MII VS Onkologie Strahlentherapie Boost (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 Code defined by a terminology system
....... 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
...... text Σ 0..1 string Plain text representation of the concept
.... extension:Applikationsart S 0..1 (Complex) Applikationsart
URL: http://hl7.org/fhir/StructureDefinition/procedure-method
..... 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 "http://hl7.org/fhir/StructureDefinition/procedure-method"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: MII VS Onkologie Strahlentherapie Applikationsart (extensible)
...... 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 Code defined by a terminology system
....... 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: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-strahlentherapie-applikationsart
....... 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
.... extension:Intention S 0..1 CodeableConcept Behandlungsintention
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-intention
Binding: MII VS Onkologie Strahlentherapie Intention (required)
.... extension:sessionCount S 0..1 Quantity Anzahl der Bestrahlungssitzungen
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-session-count
.... extension:einzeldosis S 0..1 Quantity Einzeldosis pro Fraktion in Gy
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-einzeldosis
.... extension:simultaneRadiochemotherapie S 0..1 boolean Simultane Radiochemotherapie (H03)
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-simultane-radiochemotherapie
... 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
... basedOn SΣC 0..* Reference(CarePlan) A request for this procedure
Constraints: ref-1
... partOf SΣC 0..* Reference(Procedure | Observation) Zugehörige Strahlentherapie-Session
Constraints: ref-1
... status ?!SΣ 1..1 code Durchgeführt
Binding: EventStatus (required): A code specifying the state of the procedure.
Fixed Value: completed
... statusReason Σ 0..1 CodeableConcept Reason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
... category SΣ 0..1 CodeableConcept Category
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
Required Pattern: At least the following
.... 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

Fixed Value: (Complex)
..... 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
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 1287742003
...... display Σ 0..1 string Representation defined by the system
Fixed Value: Radiotherapy (procedure)
...... 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: MII VS Onkologie OPS Strahlentherapie (extensible): 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 Strahlentherapie-Typ
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
...... 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
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... 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 Bestrahlung
... subject SΣC 1..1 Reference(Patient) Who the procedure was performed on
Constraints: ref-1
... encounter SΣC 0..1 Reference(Encounter) Encounter
Constraints: ref-1
... Slices for performed[x] SΣ 1..1 Period Performed date
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 Performed period
..... 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 Start der Strahlentherapie
..... end SΣC 0..1 dateTime Ende der Strahlentherapie
... 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) Bezogene Diagnose
Constraints: ref-1
... bodySite SΣ 0..1 CodeableConcept Bestrahlungsregion
Binding: MII VS Onkologie Strahlentherapie Zielgebiet (extensible): Codes describing anatomical locations. May include laterality.
.... 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 (Complex) MII EX Onko Strahlentherapie Bestrahlung Seitenlokalisation
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-bestrahlung-seitenlokalisation
...... 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-strahlentherapie-bestrahlung-seitenlokalisation"
...... value[x] 0..1 CodeableConcept Seitenlokalisation im Zielgebiet
Binding: MII VS Onkologie Primärtumor Seitenlokalisation (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 Zielgebiet Lateralität
........ 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
....... text Σ 0..1 string Plain text representation of the concept
.... Slices for coding SΣ 0..* Coding Zielgebiet
Slice: Unordered, Open by pattern: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 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: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 Σ 0..1 CodeableConcept The result of procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
... 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 Detaillierte Beschreibung
... 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
... Slices for usedCode S 0..* CodeableConcept Coded items used during the procedure
Slice: Unordered, Open by pattern:coding.system
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
.... usedCode:Strahlenart S 0..1 CodeableConcept Strahlenart
Binding: MII VS Onkologie Strahlentherapie Strahlenart (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 Code defined by a terminology system
...... 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: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-strahlentherapie-strahlenart
...... 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

doco 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:Gesamtdosis.​value[x] Base required MII VS Onkologie Strahlentherapie Strahlungseinheit 📦2026.0.3 MII IG Onkologie v2026.0
Procedure.extension:Gesamtdosis.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Procedure.extension:Einzeldosis.​value[x] Base required MII VS Onkologie Strahlentherapie Strahlungseinheit 📦2026.0.3 MII IG Onkologie v2026.0
Procedure.extension:Einzeldosis.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Procedure.extension:Boost.​value[x] Base required MII VS Onkologie Strahlentherapie Boost 📦2026.0.3 MII IG Onkologie v2026.0
Procedure.extension:Applikationsart.​value[x] Base extensible MII VS Onkologie Strahlentherapie Applikationsart 📦2026.0.3 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.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 extensible MII VS Onkologie OPS Strahlentherapie 📦2026.0.3 MII IG Onkologie v2026.0
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.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 extensible MII VS Onkologie Strahlentherapie Zielgebiet 📦2026.0.3 MII IG Onkologie v2026.0
Procedure.bodySite.extension:Seitenlokalisation.​value[x] Base required MII VS Onkologie Primärtumor Seitenlokalisation 📦2026.0.3 MII IG Onkologie v2026.0
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📦4.0.1 FHIR Std.
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 example FHIR Device Types 📦4.0.1 FHIR Std.
Procedure.usedCode:Strahlenart Base extensible MII VS Onkologie Strahlentherapie Strahlenart 📦2026.0.3 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.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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure C 0..* MII_PR_Onko_Strahlentherapie_Bestrahlung_Strahlentherapie 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
.... extension:Dokumentationsdatum S 0..1 dateTime Recorded date
URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum
.... extension:durchfuehrungsabsicht S 0..1 Coding Intention
URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht
Binding: MII VS Prozedur Durchführungsabsicht [SNOMED CT] (required)
.... extension:Gesamtdosis S 0..1 (Complex) MII EX Onko Strahlentherapie Bestrahlung Gesamtdosis
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-bestrahlung-gesamtdosis
..... 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-strahlentherapie-bestrahlung-gesamtdosis"
.... extension:Einzeldosis S 0..1 (Complex) MII EX Onko Strahlentherapie Bestrahlung Einzeldosis
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-bestrahlung-einzeldosis
..... 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-strahlentherapie-bestrahlung-einzeldosis"
.... extension:Boost S 0..1 (Complex) MII EX Onko Strahlentherapie Bestrahlung Boost
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-bestrahlung-boost
..... 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-strahlentherapie-bestrahlung-boost"
.... extension:Applikationsart S 0..1 (Complex) Applikationsart
URL: http://hl7.org/fhir/StructureDefinition/procedure-method
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/procedure-method"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: MII VS Onkologie Strahlentherapie Applikationsart (extensible)
...... coding Σ 0..* Coding Code defined by a terminology system
....... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-strahlentherapie-applikationsart
....... code SΣ 1..1 code Symbol in syntax defined by the system
.... extension:Intention S 0..1 CodeableConcept Behandlungsintention
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-intention
Binding: MII VS Onkologie Strahlentherapie Intention (required)
.... extension:sessionCount S 0..1 Quantity Anzahl der Bestrahlungssitzungen
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-session-count
.... extension:einzeldosis S 0..1 Quantity Einzeldosis pro Fraktion in Gy
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-einzeldosis
.... extension:simultaneRadiochemotherapie S 0..1 boolean Simultane Radiochemotherapie (H03)
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-simultane-radiochemotherapie
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... basedOn SΣC 0..* Reference(CarePlan) A request for this procedure
Constraints: ref-1
... partOf SΣC 0..* Reference(Procedure | Observation) Zugehörige Strahlentherapie-Session
Constraints: ref-1
... status ?!SΣ 1..1 code Durchgeführt
Binding: EventStatus (required): A code specifying the state of the procedure.
Fixed Value: completed
... category SΣ 0..1 CodeableConcept Category
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... text 0..1 string Plain text representation of the concept
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this

Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... version 0..1 string Version of the system - if relevant
..... display 1..1 string Representation defined by the system
Fixed Value: Radiotherapy (procedure)
..... userSelected 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 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
...... version 0..1 string Version of the system - if relevant
...... 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
Fixed Value: http://snomed.info/sct
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 1287742003
... code SΣC 1..1 CodeableConcept Code
Binding: MII VS Onkologie OPS Strahlentherapie (extensible): A code to identify a specific procedure .
Constraints: sct-ops-1
.... Slices for coding SΣ 1..* Coding Strahlentherapie-Typ
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
...... 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
...... version 0..1 string Version of the system - if relevant
...... 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
Fixed Value: http://snomed.info/sct
...... code SΣ 1..1 code Symbol in syntax defined by the system
.... text Σ 0..1 string Bestrahlung
... subject SΣC 1..1 Reference(Patient) Who the procedure was performed on
Constraints: ref-1
... encounter SΣC 0..1 Reference(Encounter) Encounter
Constraints: ref-1
... Slices for performed[x] SΣ 1..1 Period Performed date
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 Performed period
..... start SΣC 1..1 dateTime Start der Strahlentherapie
..... end SΣC 0..1 dateTime Ende der Strahlentherapie
... reasonReference SΣC 0..* Reference(MII PR Onkologie Diagnose Primärtumor | Condition) Bezogene Diagnose
Constraints: ref-1
... bodySite SΣ 0..1 CodeableConcept Bestrahlungsregion
Binding: MII VS Onkologie Strahlentherapie Zielgebiet (extensible): Codes describing anatomical locations. May include laterality.
.... Slices for extension Content/Rules for all slices
..... extension:Seitenlokalisation S 0..1 (Complex) MII EX Onko Strahlentherapie Bestrahlung Seitenlokalisation
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-bestrahlung-seitenlokalisation
...... 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-strahlentherapie-bestrahlung-seitenlokalisation"
.... Slices for coding SΣ 0..* Coding Zielgebiet
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
... note S 0..* Annotation Detaillierte Beschreibung
... Slices for usedCode S 0..* CodeableConcept Coded items used during the procedure
Slice: Unordered, Open by pattern:coding.system
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
.... usedCode:Strahlenart S 0..1 CodeableConcept Strahlenart
Binding: MII VS Onkologie Strahlentherapie Strahlenart (extensible): Codes describing items used during a procedure.
..... coding Σ 0..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-strahlentherapie-strahlenart
...... code SΣ 1..1 code Symbol in syntax defined by the system

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.extension:Applikationsart.​value[x] Base extensible MII VS Onkologie Strahlentherapie Applikationsart 📦2026.0.3 MII IG Onkologie v2026.0
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
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 extensible MII VS Onkologie OPS Strahlentherapie 📦2026.0.3 MII IG Onkologie v2026.0
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.bodySite Base extensible MII VS Onkologie Strahlentherapie Zielgebiet 📦2026.0.3 MII IG Onkologie v2026.0
Procedure.usedCode Base example FHIR Device Types 📦4.0.1 FHIR Std.
Procedure.usedCode:Strahlenart Base extensible MII VS Onkologie Strahlentherapie Strahlenart 📦2026.0.3 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.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_Strahlentherapie_Bestrahlung_Strahlentherapie

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* MII_PR_Onko_Strahlentherapie_Bestrahlung_Strahlentherapie An action that is being or was performed on a patient
... Slices for extension Content/Rules for all slices
.... extension:Intention 0..1 CodeableConcept Behandlungsintention
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-intention
Binding: MII VS Onkologie Strahlentherapie Intention (required)
.... extension:sessionCount 0..1 Quantity Anzahl der Bestrahlungssitzungen
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-session-count
.... extension:einzeldosis 0..1 Quantity Einzeldosis pro Fraktion in Gy
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-einzeldosis
.... extension:simultaneRadiochemotherapie 0..1 boolean Simultane Radiochemotherapie (H03)
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-simultane-radiochemotherapie
... partOf 0..* Reference(Procedure | Observation) Zugehörige Strahlentherapie-Session
... status 1..1 code Durchgeführt
Fixed Value: completed
.... coding 1..* Coding Strahlentherapie-Typ
.... text 0..1 string Bestrahlung
... reasonReference 0..* Reference(MII PR Onkologie Diagnose Primärtumor | Condition) Bezogene Diagnose
... bodySite 0..1 CodeableConcept Bestrahlungsregion
... note 0..* Annotation Detaillierte Beschreibung

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure C 0..* MII_PR_Onko_Strahlentherapie_Bestrahlung_Strahlentherapie 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.
Additional BindingsPurpose
AllLanguages Max Binding
... 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 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:Dokumentationsdatum S 0..1 dateTime Recorded date
URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum
.... extension:durchfuehrungsabsicht S 0..1 Coding Intention
URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht
Binding: MII VS Prozedur Durchführungsabsicht [SNOMED CT] (required)
.... extension:Gesamtdosis S 0..1 (Complex) MII EX Onko Strahlentherapie Bestrahlung Gesamtdosis
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-bestrahlung-gesamtdosis
..... 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-strahlentherapie-bestrahlung-gesamtdosis"
..... value[x] 0..1 Quantity Strahlentherapie Gesamtdosis (Dosis)
Binding: MII VS Onkologie Strahlentherapie Strahlungseinheit (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
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code Coded form of the unit
.... extension:Einzeldosis S 0..1 (Complex) MII EX Onko Strahlentherapie Bestrahlung Einzeldosis
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-bestrahlung-einzeldosis
..... 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-strahlentherapie-bestrahlung-einzeldosis"
..... value[x] 0..1 Quantity Strahlentherapie Einzeldosis pro Tag (Dosis)
Binding: MII VS Onkologie Strahlentherapie Strahlungseinheit (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
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code Coded form of the unit
.... extension:Boost S 0..1 (Complex) MII EX Onko Strahlentherapie Bestrahlung Boost
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-bestrahlung-boost
..... 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-strahlentherapie-bestrahlung-boost"
..... value[x] 0..1 CodeableConcept Strahlentherapie Boost
Binding: MII VS Onkologie Strahlentherapie Boost (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 Code defined by a terminology system
....... 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
...... text Σ 0..1 string Plain text representation of the concept
.... extension:Applikationsart S 0..1 (Complex) Applikationsart
URL: http://hl7.org/fhir/StructureDefinition/procedure-method
..... 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 "http://hl7.org/fhir/StructureDefinition/procedure-method"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: MII VS Onkologie Strahlentherapie Applikationsart (extensible)
...... 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 Code defined by a terminology system
....... 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: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-strahlentherapie-applikationsart
....... 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
.... extension:Intention S 0..1 CodeableConcept Behandlungsintention
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-intention
Binding: MII VS Onkologie Strahlentherapie Intention (required)
.... extension:sessionCount S 0..1 Quantity Anzahl der Bestrahlungssitzungen
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-session-count
.... extension:einzeldosis S 0..1 Quantity Einzeldosis pro Fraktion in Gy
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-einzeldosis
.... extension:simultaneRadiochemotherapie S 0..1 boolean Simultane Radiochemotherapie (H03)
URL: https://www.senologie.org/fhir/StructureDefinition/ex-senologie-simultane-radiochemotherapie
... 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
... basedOn SΣC 0..* Reference(CarePlan) A request for this procedure
Constraints: ref-1
... partOf SΣC 0..* Reference(Procedure | Observation) Zugehörige Strahlentherapie-Session
Constraints: ref-1
... status ?!SΣ 1..1 code Durchgeführt
Binding: EventStatus (required): A code specifying the state of the procedure.
Fixed Value: completed
... statusReason Σ 0..1 CodeableConcept Reason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
... category SΣ 0..1 CodeableConcept Category
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
Required Pattern: At least the following
.... 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

Fixed Value: (Complex)
..... 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
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 1287742003
...... display Σ 0..1 string Representation defined by the system
Fixed Value: Radiotherapy (procedure)
...... 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: MII VS Onkologie OPS Strahlentherapie (extensible): 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 Strahlentherapie-Typ
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
...... 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
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... 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 Bestrahlung
... subject SΣC 1..1 Reference(Patient) Who the procedure was performed on
Constraints: ref-1
... encounter SΣC 0..1 Reference(Encounter) Encounter
Constraints: ref-1
... Slices for performed[x] SΣ 1..1 Period Performed date
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 Performed period
..... 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 Start der Strahlentherapie
..... end SΣC 0..1 dateTime Ende der Strahlentherapie
... 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) Bezogene Diagnose
Constraints: ref-1
... bodySite SΣ 0..1 CodeableConcept Bestrahlungsregion
Binding: MII VS Onkologie Strahlentherapie Zielgebiet (extensible): Codes describing anatomical locations. May include laterality.
.... 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 (Complex) MII EX Onko Strahlentherapie Bestrahlung Seitenlokalisation
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-strahlentherapie-bestrahlung-seitenlokalisation
...... 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-strahlentherapie-bestrahlung-seitenlokalisation"
...... value[x] 0..1 CodeableConcept Seitenlokalisation im Zielgebiet
Binding: MII VS Onkologie Primärtumor Seitenlokalisation (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 Zielgebiet Lateralität
........ 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
....... text Σ 0..1 string Plain text representation of the concept
.... Slices for coding SΣ 0..* Coding Zielgebiet
Slice: Unordered, Open by pattern: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 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: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 Σ 0..1 CodeableConcept The result of procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
... 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 Detaillierte Beschreibung
... 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
... Slices for usedCode S 0..* CodeableConcept Coded items used during the procedure
Slice: Unordered, Open by pattern:coding.system
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
.... usedCode:Strahlenart S 0..1 CodeableConcept Strahlenart
Binding: MII VS Onkologie Strahlentherapie Strahlenart (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 Code defined by a terminology system
...... 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: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-strahlentherapie-strahlenart
...... 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

doco 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:Gesamtdosis.​value[x] Base required MII VS Onkologie Strahlentherapie Strahlungseinheit 📦2026.0.3 MII IG Onkologie v2026.0
Procedure.extension:Gesamtdosis.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Procedure.extension:Einzeldosis.​value[x] Base required MII VS Onkologie Strahlentherapie Strahlungseinheit 📦2026.0.3 MII IG Onkologie v2026.0
Procedure.extension:Einzeldosis.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Procedure.extension:Boost.​value[x] Base required MII VS Onkologie Strahlentherapie Boost 📦2026.0.3 MII IG Onkologie v2026.0
Procedure.extension:Applikationsart.​value[x] Base extensible MII VS Onkologie Strahlentherapie Applikationsart 📦2026.0.3 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.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 extensible MII VS Onkologie OPS Strahlentherapie 📦2026.0.3 MII IG Onkologie v2026.0
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.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 extensible MII VS Onkologie Strahlentherapie Zielgebiet 📦2026.0.3 MII IG Onkologie v2026.0
Procedure.bodySite.extension:Seitenlokalisation.​value[x] Base required MII VS Onkologie Primärtumor Seitenlokalisation 📦2026.0.3 MII IG Onkologie v2026.0
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📦4.0.1 FHIR Std.
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 example FHIR Device Types 📦4.0.1 FHIR Std.
Procedure.usedCode:Strahlenart Base extensible MII VS Onkologie Strahlentherapie Strahlenart 📦2026.0.3 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.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()

 

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