German Practice Management FHIR Profiles (R4)
0.49.0 - STU1 Germany flag

German Practice Management FHIR Profiles (R4) - Local Development build (v0.49.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Roentgen Procedure (Praxis DE)

Official URL: https://fhir.cognovis.de/praxis/StructureDefinition/roentgen-procedure-praxis-de Version: 0.49.0
Active as of 2026-05-04 Computable Name: RoentgenProcedurePraxisDe
Other Identifiers: OID:2.16.840.1.113883.3.7985.42.212

Roentgen-Prozedur-Profil fuer die deutsche ambulante Praxis. Erbt von IPS Procedure-uv-ips. Dokumentiert Strahlenanwendungen gemaess SS83-SS85 StrlSchG (Roeentgenbuch-Pflicht): Anwender mit Fachkunde (SS14 StrlSchV), rechtfertigende Indikation (ICD-10-GM mit Attestierungsmetadaten), Strahlendosis-Extension und ChargeItem-Verknuepfung fuer strahlenrelevante Abrechnungscodes.

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 0..* ProcedureUvIps An action that is being or was performed on a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:radiationDose S 0..1 (Complex) Radiation Dose
URL: https://fhir.cognovis.de/praxis/StructureDefinition/radiation-dose
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... category SΣ 1..1 CodeableConcept Kategorie: Diagnostische Prozedur (SNOMED 103693007)
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
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 103693007
..... display 1..1 string Representation defined by the system
Fixed Value: Diagnostic procedure
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... code S 1..1 CodeableConceptIPS Bildgebungsverfahren-Code (ImagingProcedureVS, extensible)
Binding: Imaging Procedure Codes (OPS Kapitel 3) (extensible)
Additional BindingsPurpose
Procedures - SNOMED CT IPS Free Set candidate
Absent or Unknown Procedures - IPS candidate
... subject SΣ 1..1 Reference(Patient (IPS)) Patient (Pflichtfeld, Patient-uv-ips gemaess IPS-Elternprofil)
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... performed[x] SΣ 1..1 dateTime Aufnahmedatum (Pflicht gemaess SS85 StrlSchV)
.... Slices for extension Content/Rules for all slices
..... extension:data-absent-reason S 0..1 code performed[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
... Slices for performer SΣ 1..* BackboneElement The people who performed the procedure
Slice: Unordered, Open by value:function.coding.code
.... performer:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... actor Σ 1..1 Reference(Patient (IPS) | RelatedPerson | Device - performer, observer | Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS)) The reference to the practitioner
.... performer:anwender SΣ 1..* BackboneElement Anwender (MTR, durchfuehrende Person gemaess SS14 StrlSchV)
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:fachkunde S 0..1 Coding Anwender Fachkunde Strahlenschutz
URL: https://fhir.cognovis.de/praxis/StructureDefinition/anwender-fachkunde
Binding: Fachkunde Strahlenschutz ValueSet (required)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function SΣ 1..1 CodeableConcept Type of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
...... coding SΣ 1..* Coding Code defined by a terminology system
....... system Σ 0..1 uri Identity of the terminology system
Required Pattern: https://fhir.cognovis.de/praxis/CodeSystem/radiology-role
....... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: MTR
..... actor Σ 1..1 Reference(Patient (IPS) | RelatedPerson | Device - performer, observer | Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS)) The reference to the practitioner
.... performer:strahlenschutzverantwortlicher SΣ 0..1 BackboneElement Strahlenschutzverantwortlicher (Facharzt, Supervision)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function SΣ 1..1 CodeableConcept Type of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
...... coding SΣ 1..* Coding Code defined by a terminology system
....... system Σ 0..1 uri Identity of the terminology system
Required Pattern: https://fhir.cognovis.de/praxis/CodeSystem/radiology-role
....... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: SupervisingRadiologist
..... actor Σ 1..1 Reference(Patient (IPS) | RelatedPerson | Device - performer, observer | Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS)) The reference to the practitioner
... Slices for reasonCode SΣ 1..* CodeableConcept Coded reason procedure performed
Slice: Unordered, Open by value:coding.system
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
.... reasonCode:rechtfertigende-indikation SΣ 1..* CodeableConcept Rechtfertigende Indikation (ICD-10-GM, extensible)
Binding: Rechtfertigende Indikation für Strahlungsanwendung (extensible)
..... Slices for extension Content/Rules for all slices
...... extension:attest 0..1 (Complex) Rechtfertigende Indikation Attest
URL: https://fhir.cognovis.de/praxis/StructureDefinition/rechtfertigende-indikation-attest
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.de/CodeSystem/bfarm/icd-10-gm

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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.code Base extensible Imaging Procedure Codes (OPS Kapitel 3) 📦2026.0.0 Imaging Terminology Package v2026.0
Procedure.performer:anwender.​function Base example Procedure Performer Role Codes 📦4.0.1 FHIR Std.
Procedure.performer:strahlenschutzverantwortlicher.​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.reasonCode:rechtfertigende-indikation Base extensible Rechtfertigende Indikation für Strahlungsanwendung 📦2026.0.0 Imaging Terminology Package 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()

This structure is derived from ProcedureUvIps

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* ProcedureUvIps An action that is being or was performed on a patient
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:radiationDose S 0..1 (Complex) Radiation Dose
URL: https://fhir.cognovis.de/praxis/StructureDefinition/radiation-dose
... category S 1..1 CodeableConcept Kategorie: Diagnostische Prozedur (SNOMED 103693007)
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 103693007
..... display 1..1 string Representation defined by the system
Fixed Value: Diagnostic procedure
... code 1..1 CodeableConceptIPS Bildgebungsverfahren-Code (ImagingProcedureVS, extensible)
Binding: Imaging Procedure Codes (OPS Kapitel 3) (extensible)
... performed[x] 1..1 dateTime Aufnahmedatum (Pflicht gemaess SS85 StrlSchV)
... Slices for performer S 1..* BackboneElement The people who performed the procedure
Slice: Unordered, Open by value:function.coding.code
.... performer:anwender S 1..* BackboneElement Anwender (MTR, durchfuehrende Person gemaess SS14 StrlSchV)
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:fachkunde S 0..1 Coding Anwender Fachkunde Strahlenschutz
URL: https://fhir.cognovis.de/praxis/StructureDefinition/anwender-fachkunde
Binding: Fachkunde Strahlenschutz ValueSet (required)
..... function S 1..1 CodeableConcept Type of performance
...... coding S 1..* Coding Code defined by a terminology system
....... system 0..1 uri Identity of the terminology system
Required Pattern: https://fhir.cognovis.de/praxis/CodeSystem/radiology-role
....... code 1..1 code Symbol in syntax defined by the system
Required Pattern: MTR
.... performer:strahlenschutzverantwortlicher S 0..1 BackboneElement Strahlenschutzverantwortlicher (Facharzt, Supervision)
..... function S 1..1 CodeableConcept Type of performance
...... coding S 1..* Coding Code defined by a terminology system
....... system 0..1 uri Identity of the terminology system
Required Pattern: https://fhir.cognovis.de/praxis/CodeSystem/radiology-role
....... code 1..1 code Symbol in syntax defined by the system
Required Pattern: SupervisingRadiologist
... Slices for reasonCode S 1..* CodeableConcept Coded reason procedure performed
Slice: Unordered, Open by value:coding.system
.... reasonCode:rechtfertigende-indikation S 1..* CodeableConcept Rechtfertigende Indikation (ICD-10-GM, extensible)
Binding: Rechtfertigende Indikation für Strahlungsanwendung (extensible)
..... Slices for extension Content/Rules for all slices
...... extension:attest 0..1 (Complex) Rechtfertigende Indikation Attest
URL: https://fhir.cognovis.de/praxis/StructureDefinition/rechtfertigende-indikation-attest
..... coding S 1..* Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.de/CodeSystem/bfarm/icd-10-gm

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Procedure.code Base extensible Imaging Procedure Codes (OPS Kapitel 3) 📦2026.0.0 Imaging Terminology Package v2026.0
Procedure.reasonCode:rechtfertigende-indikation Base extensible Rechtfertigende Indikation für Strahlungsanwendung 📦2026.0.0 Imaging Terminology Package v2026.0
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* ProcedureUvIps An action that is being or was performed on a patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: 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 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:radiationDose S 0..1 (Complex) Radiation Dose
URL: https://fhir.cognovis.de/praxis/StructureDefinition/radiation-dose
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Identifiers for this procedure
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest) A request for this procedure
... partOf Σ 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
... status ?!Σ 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.
... statusReason Σ 0..1 CodeableConcept Reason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
... category SΣ 1..1 CodeableConcept Kategorie: Diagnostische Prozedur (SNOMED 103693007)
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
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 103693007
..... display 1..1 string Representation defined by the system
Fixed Value: Diagnostic procedure
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... code S 1..1 CodeableConceptIPS Bildgebungsverfahren-Code (ImagingProcedureVS, extensible)
Binding: Imaging Procedure Codes (OPS Kapitel 3) (extensible)
Additional BindingsPurpose
Procedures - SNOMED CT IPS Free Set candidate
Absent or Unknown Procedures - IPS candidate
... subject SΣ 1..1 Reference(Patient (IPS)) Patient (Pflichtfeld, Patient-uv-ips gemaess IPS-Elternprofil)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... performed[x] SΣ 1..1 dateTime Aufnahmedatum (Pflicht gemaess SS85 StrlSchV)
.... 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:data-absent-reason S 0..1 code performed[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
... recorder Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Who recorded the procedure
... asserter Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Person who asserts this procedure
... Slices for performer SΣ 1..* BackboneElement The people who performed the procedure
Slice: Unordered, Open by value:function.coding.code
.... performer: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
..... 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 Σ 1..1 Reference(Patient (IPS) | RelatedPerson | Device - performer, observer | Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS)) The reference to the practitioner
..... onBehalfOf 0..1 Reference(Organization (IPS)) Organization the device or practitioner was acting for
.... performer:anwender SΣ 1..* BackboneElement Anwender (MTR, durchfuehrende Person gemaess SS14 StrlSchV)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:fachkunde S 0..1 Coding Anwender Fachkunde Strahlenschutz
URL: https://fhir.cognovis.de/praxis/StructureDefinition/anwender-fachkunde
Binding: Fachkunde Strahlenschutz ValueSet (required)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function SΣ 1..1 CodeableConcept Type of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of 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
...... coding SΣ 1..* 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
Required Pattern: https://fhir.cognovis.de/praxis/CodeSystem/radiology-role
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: MTR
....... 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
..... actor Σ 1..1 Reference(Patient (IPS) | RelatedPerson | Device - performer, observer | Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS)) The reference to the practitioner
..... onBehalfOf 0..1 Reference(Organization (IPS)) Organization the device or practitioner was acting for
.... performer:strahlenschutzverantwortlicher SΣ 0..1 BackboneElement Strahlenschutzverantwortlicher (Facharzt, Supervision)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function SΣ 1..1 CodeableConcept Type of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of 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
...... coding SΣ 1..* 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
Required Pattern: https://fhir.cognovis.de/praxis/CodeSystem/radiology-role
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: SupervisingRadiologist
....... 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
..... actor Σ 1..1 Reference(Patient (IPS) | RelatedPerson | Device - performer, observer | Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS)) The reference to the practitioner
..... onBehalfOf 0..1 Reference(Organization (IPS)) Organization the device or practitioner was acting for
... location Σ 0..1 Reference(Location) Where the procedure happened
... Slices for reasonCode SΣ 1..* CodeableConcept Coded reason procedure performed
Slice: Unordered, Open by value:coding.system
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
.... reasonCode:rechtfertigende-indikation SΣ 1..* CodeableConcept Rechtfertigende Indikation (ICD-10-GM, extensible)
Binding: Rechtfertigende Indikation für Strahlungsanwendung (extensible)
..... 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:attest 0..1 (Complex) Rechtfertigende Indikation Attest
URL: https://fhir.cognovis.de/praxis/StructureDefinition/rechtfertigende-indikation-attest
..... coding SΣ 1..* 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 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... 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
... reasonReference Σ 0..* Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) The justification that the procedure was performed
... bodySite 0..* CodeableConceptIPS Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example)
... 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 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
... complication 0..* CodeableConcept Complication following the procedure
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
... complicationDetail 0..* Reference(Condition) A condition that is a result of the procedure
... followUp 0..* CodeableConcept Instructions for follow up
Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
... note 0..* Annotation Additional information about the procedure
... focalDevice 0..* BackboneElement Manipulated, implanted, or removed device
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... action 0..1 CodeableConcept Kind of change to device
Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
.... manipulated 1..1 Reference(Device) Device that was changed
... usedReference 0..* Reference(Device | Medication | Substance) Items used during procedure
... usedCode 0..* CodeableConcept Coded items used during the procedure
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.language Base preferred Common Languages 📦4.0.1 FHIR Std.
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.code Base extensible Imaging Procedure Codes (OPS Kapitel 3) 📦2026.0.0 Imaging Terminology Package v2026.0
Procedure.subject.type Base extensible ResourceType 📦4.0.1 FHIR Std.
Procedure.performer.​function Base example Procedure Performer Role Codes 📦4.0.1 FHIR Std.
Procedure.performer:anwender.​function Base example Procedure Performer Role Codes 📦4.0.1 FHIR Std.
Procedure.performer:strahlenschutzverantwortlicher.​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.reasonCode:rechtfertigende-indikation Base extensible Rechtfertigende Indikation für Strahlungsanwendung 📦2026.0.0 Imaging Terminology Package v2026.0
Procedure.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
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.

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()

This structure is derived from ProcedureUvIps

Summary

Mandatory: 10 elements(3 nested mandatory elements)
Must-Support: 13 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Procedure.performer
  • The element 1 is sliced based on the value of Procedure.reasonCode

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* ProcedureUvIps An action that is being or was performed on a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:radiationDose S 0..1 (Complex) Radiation Dose
URL: https://fhir.cognovis.de/praxis/StructureDefinition/radiation-dose
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... category SΣ 1..1 CodeableConcept Kategorie: Diagnostische Prozedur (SNOMED 103693007)
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
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 103693007
..... display 1..1 string Representation defined by the system
Fixed Value: Diagnostic procedure
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... code S 1..1 CodeableConceptIPS Bildgebungsverfahren-Code (ImagingProcedureVS, extensible)
Binding: Imaging Procedure Codes (OPS Kapitel 3) (extensible)
Additional BindingsPurpose
Procedures - SNOMED CT IPS Free Set candidate
Absent or Unknown Procedures - IPS candidate
... subject SΣ 1..1 Reference(Patient (IPS)) Patient (Pflichtfeld, Patient-uv-ips gemaess IPS-Elternprofil)
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... performed[x] SΣ 1..1 dateTime Aufnahmedatum (Pflicht gemaess SS85 StrlSchV)
.... Slices for extension Content/Rules for all slices
..... extension:data-absent-reason S 0..1 code performed[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
... Slices for performer SΣ 1..* BackboneElement The people who performed the procedure
Slice: Unordered, Open by value:function.coding.code
.... performer:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... actor Σ 1..1 Reference(Patient (IPS) | RelatedPerson | Device - performer, observer | Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS)) The reference to the practitioner
.... performer:anwender SΣ 1..* BackboneElement Anwender (MTR, durchfuehrende Person gemaess SS14 StrlSchV)
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:fachkunde S 0..1 Coding Anwender Fachkunde Strahlenschutz
URL: https://fhir.cognovis.de/praxis/StructureDefinition/anwender-fachkunde
Binding: Fachkunde Strahlenschutz ValueSet (required)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function SΣ 1..1 CodeableConcept Type of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
...... coding SΣ 1..* Coding Code defined by a terminology system
....... system Σ 0..1 uri Identity of the terminology system
Required Pattern: https://fhir.cognovis.de/praxis/CodeSystem/radiology-role
....... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: MTR
..... actor Σ 1..1 Reference(Patient (IPS) | RelatedPerson | Device - performer, observer | Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS)) The reference to the practitioner
.... performer:strahlenschutzverantwortlicher SΣ 0..1 BackboneElement Strahlenschutzverantwortlicher (Facharzt, Supervision)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function SΣ 1..1 CodeableConcept Type of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
...... coding SΣ 1..* Coding Code defined by a terminology system
....... system Σ 0..1 uri Identity of the terminology system
Required Pattern: https://fhir.cognovis.de/praxis/CodeSystem/radiology-role
....... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: SupervisingRadiologist
..... actor Σ 1..1 Reference(Patient (IPS) | RelatedPerson | Device - performer, observer | Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS)) The reference to the practitioner
... Slices for reasonCode SΣ 1..* CodeableConcept Coded reason procedure performed
Slice: Unordered, Open by value:coding.system
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
.... reasonCode:rechtfertigende-indikation SΣ 1..* CodeableConcept Rechtfertigende Indikation (ICD-10-GM, extensible)
Binding: Rechtfertigende Indikation für Strahlungsanwendung (extensible)
..... Slices for extension Content/Rules for all slices
...... extension:attest 0..1 (Complex) Rechtfertigende Indikation Attest
URL: https://fhir.cognovis.de/praxis/StructureDefinition/rechtfertigende-indikation-attest
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.de/CodeSystem/bfarm/icd-10-gm

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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.code Base extensible Imaging Procedure Codes (OPS Kapitel 3) 📦2026.0.0 Imaging Terminology Package v2026.0
Procedure.performer:anwender.​function Base example Procedure Performer Role Codes 📦4.0.1 FHIR Std.
Procedure.performer:strahlenschutzverantwortlicher.​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.reasonCode:rechtfertigende-indikation Base extensible Rechtfertigende Indikation für Strahlungsanwendung 📦2026.0.0 Imaging Terminology Package 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()

Differential View

This structure is derived from ProcedureUvIps

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* ProcedureUvIps An action that is being or was performed on a patient
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:radiationDose S 0..1 (Complex) Radiation Dose
URL: https://fhir.cognovis.de/praxis/StructureDefinition/radiation-dose
... category S 1..1 CodeableConcept Kategorie: Diagnostische Prozedur (SNOMED 103693007)
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 103693007
..... display 1..1 string Representation defined by the system
Fixed Value: Diagnostic procedure
... code 1..1 CodeableConceptIPS Bildgebungsverfahren-Code (ImagingProcedureVS, extensible)
Binding: Imaging Procedure Codes (OPS Kapitel 3) (extensible)
... performed[x] 1..1 dateTime Aufnahmedatum (Pflicht gemaess SS85 StrlSchV)
... Slices for performer S 1..* BackboneElement The people who performed the procedure
Slice: Unordered, Open by value:function.coding.code
.... performer:anwender S 1..* BackboneElement Anwender (MTR, durchfuehrende Person gemaess SS14 StrlSchV)
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:fachkunde S 0..1 Coding Anwender Fachkunde Strahlenschutz
URL: https://fhir.cognovis.de/praxis/StructureDefinition/anwender-fachkunde
Binding: Fachkunde Strahlenschutz ValueSet (required)
..... function S 1..1 CodeableConcept Type of performance
...... coding S 1..* Coding Code defined by a terminology system
....... system 0..1 uri Identity of the terminology system
Required Pattern: https://fhir.cognovis.de/praxis/CodeSystem/radiology-role
....... code 1..1 code Symbol in syntax defined by the system
Required Pattern: MTR
.... performer:strahlenschutzverantwortlicher S 0..1 BackboneElement Strahlenschutzverantwortlicher (Facharzt, Supervision)
..... function S 1..1 CodeableConcept Type of performance
...... coding S 1..* Coding Code defined by a terminology system
....... system 0..1 uri Identity of the terminology system
Required Pattern: https://fhir.cognovis.de/praxis/CodeSystem/radiology-role
....... code 1..1 code Symbol in syntax defined by the system
Required Pattern: SupervisingRadiologist
... Slices for reasonCode S 1..* CodeableConcept Coded reason procedure performed
Slice: Unordered, Open by value:coding.system
.... reasonCode:rechtfertigende-indikation S 1..* CodeableConcept Rechtfertigende Indikation (ICD-10-GM, extensible)
Binding: Rechtfertigende Indikation für Strahlungsanwendung (extensible)
..... Slices for extension Content/Rules for all slices
...... extension:attest 0..1 (Complex) Rechtfertigende Indikation Attest
URL: https://fhir.cognovis.de/praxis/StructureDefinition/rechtfertigende-indikation-attest
..... coding S 1..* Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.de/CodeSystem/bfarm/icd-10-gm

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Procedure.code Base extensible Imaging Procedure Codes (OPS Kapitel 3) 📦2026.0.0 Imaging Terminology Package v2026.0
Procedure.reasonCode:rechtfertigende-indikation Base extensible Rechtfertigende Indikation für Strahlungsanwendung 📦2026.0.0 Imaging Terminology Package v2026.0

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* ProcedureUvIps An action that is being or was performed on a patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: 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 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:radiationDose S 0..1 (Complex) Radiation Dose
URL: https://fhir.cognovis.de/praxis/StructureDefinition/radiation-dose
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Identifiers for this procedure
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest) A request for this procedure
... partOf Σ 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
... status ?!Σ 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.
... statusReason Σ 0..1 CodeableConcept Reason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
... category SΣ 1..1 CodeableConcept Kategorie: Diagnostische Prozedur (SNOMED 103693007)
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
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 103693007
..... display 1..1 string Representation defined by the system
Fixed Value: Diagnostic procedure
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... code S 1..1 CodeableConceptIPS Bildgebungsverfahren-Code (ImagingProcedureVS, extensible)
Binding: Imaging Procedure Codes (OPS Kapitel 3) (extensible)
Additional BindingsPurpose
Procedures - SNOMED CT IPS Free Set candidate
Absent or Unknown Procedures - IPS candidate
... subject SΣ 1..1 Reference(Patient (IPS)) Patient (Pflichtfeld, Patient-uv-ips gemaess IPS-Elternprofil)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... performed[x] SΣ 1..1 dateTime Aufnahmedatum (Pflicht gemaess SS85 StrlSchV)
.... 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:data-absent-reason S 0..1 code performed[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
... recorder Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Who recorded the procedure
... asserter Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Person who asserts this procedure
... Slices for performer SΣ 1..* BackboneElement The people who performed the procedure
Slice: Unordered, Open by value:function.coding.code
.... performer: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
..... 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 Σ 1..1 Reference(Patient (IPS) | RelatedPerson | Device - performer, observer | Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS)) The reference to the practitioner
..... onBehalfOf 0..1 Reference(Organization (IPS)) Organization the device or practitioner was acting for
.... performer:anwender SΣ 1..* BackboneElement Anwender (MTR, durchfuehrende Person gemaess SS14 StrlSchV)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:fachkunde S 0..1 Coding Anwender Fachkunde Strahlenschutz
URL: https://fhir.cognovis.de/praxis/StructureDefinition/anwender-fachkunde
Binding: Fachkunde Strahlenschutz ValueSet (required)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function SΣ 1..1 CodeableConcept Type of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of 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
...... coding SΣ 1..* 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
Required Pattern: https://fhir.cognovis.de/praxis/CodeSystem/radiology-role
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: MTR
....... 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
..... actor Σ 1..1 Reference(Patient (IPS) | RelatedPerson | Device - performer, observer | Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS)) The reference to the practitioner
..... onBehalfOf 0..1 Reference(Organization (IPS)) Organization the device or practitioner was acting for
.... performer:strahlenschutzverantwortlicher SΣ 0..1 BackboneElement Strahlenschutzverantwortlicher (Facharzt, Supervision)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... function SΣ 1..1 CodeableConcept Type of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of 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
...... coding SΣ 1..* 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
Required Pattern: https://fhir.cognovis.de/praxis/CodeSystem/radiology-role
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
Required Pattern: SupervisingRadiologist
....... 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
..... actor Σ 1..1 Reference(Patient (IPS) | RelatedPerson | Device - performer, observer | Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS)) The reference to the practitioner
..... onBehalfOf 0..1 Reference(Organization (IPS)) Organization the device or practitioner was acting for
... location Σ 0..1 Reference(Location) Where the procedure happened
... Slices for reasonCode SΣ 1..* CodeableConcept Coded reason procedure performed
Slice: Unordered, Open by value:coding.system
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
.... reasonCode:rechtfertigende-indikation SΣ 1..* CodeableConcept Rechtfertigende Indikation (ICD-10-GM, extensible)
Binding: Rechtfertigende Indikation für Strahlungsanwendung (extensible)
..... 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:attest 0..1 (Complex) Rechtfertigende Indikation Attest
URL: https://fhir.cognovis.de/praxis/StructureDefinition/rechtfertigende-indikation-attest
..... coding SΣ 1..* 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 1..1 uri Identity of the terminology system
Required Pattern: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... 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
... reasonReference Σ 0..* Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) The justification that the procedure was performed
... bodySite 0..* CodeableConceptIPS Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example)
... 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 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
... complication 0..* CodeableConcept Complication following the procedure
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
... complicationDetail 0..* Reference(Condition) A condition that is a result of the procedure
... followUp 0..* CodeableConcept Instructions for follow up
Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
... note 0..* Annotation Additional information about the procedure
... focalDevice 0..* BackboneElement Manipulated, implanted, or removed device
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... action 0..1 CodeableConcept Kind of change to device
Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
.... manipulated 1..1 Reference(Device) Device that was changed
... usedReference 0..* Reference(Device | Medication | Substance) Items used during procedure
... usedCode 0..* CodeableConcept Coded items used during the procedure
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.language Base preferred Common Languages 📦4.0.1 FHIR Std.
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.code Base extensible Imaging Procedure Codes (OPS Kapitel 3) 📦2026.0.0 Imaging Terminology Package v2026.0
Procedure.subject.type Base extensible ResourceType 📦4.0.1 FHIR Std.
Procedure.performer.​function Base example Procedure Performer Role Codes 📦4.0.1 FHIR Std.
Procedure.performer:anwender.​function Base example Procedure Performer Role Codes 📦4.0.1 FHIR Std.
Procedure.performer:strahlenschutzverantwortlicher.​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.reasonCode:rechtfertigende-indikation Base extensible Rechtfertigende Indikation für Strahlungsanwendung 📦2026.0.0 Imaging Terminology Package v2026.0
Procedure.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
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.

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()

This structure is derived from ProcedureUvIps

Summary

Mandatory: 10 elements(3 nested mandatory elements)
Must-Support: 13 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Procedure.performer
  • The element 1 is sliced based on the value of Procedure.reasonCode

 

Other representations of profile: CSV, Excel, Schematron