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Resource Profile: Roentgen Procedure (Praxis DE)

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:

• Refer to this Profile: Medical Imaging Charge Item DE
• Examples for this Profile: Procedure/example-dvt-oberkiefer-implantat and Procedure/example-roentgen-procedure-ct-schaedel

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.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	ProcedureUvIps(2.0.1)	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 Constraints: ext-1
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 Constraints: ext-1
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.
category	SΣ	1..1	CodeableConcept	Kategorie: Bildgebendes Verfahren (SNOMED 363679005) 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: 363679005
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SOΣ	1..1	CodeableConceptIPS(2.0.1)	Bildgebungsverfahren-Code (ImagingProcedureVS, extensible) Binding: Imaging Procedure Codes (OPS Kapitel 3) (extensible) Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (IPS) SHALL:handle Consumer (IPS) from Procedure (IPS) SHOULD:display Consumer (IPS) from Procedure (IPS)
subject	SOΣ	1..1	Reference(Patient (IPS)(2.0.1))	Patient (Pflichtfeld, Patient-uv-ips gemaess IPS-Elternprofil) Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (IPS) SHALL:handle Consumer (IPS) from Procedure (IPS) SHOULD:display Consumer (IPS) from Procedure (IPS)
reference	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (IPS) SHALL:handle Consumer (IPS) from Procedure (IPS)
Slices for performed[x]	SOΣ	1..1	dateTime	Aufnahmedatum (Pflicht gemaess SS85 StrlSchV) Slice: Unordered, Closed by type:$this Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (IPS) SHALL:handle Consumer (IPS) from Procedure (IPS) SHOULD:display Consumer (IPS) from Procedure (IPS)
performed[x]:performedDateTime	SOΣ	0..1	dateTime	When the procedure was performed Obligations Actor Source SHOULD:able-to-populate Creator (IPS) from Procedure (IPS) SHALL:handle Consumer (IPS) from Procedure (IPS) SHOULD:display Consumer (IPS) from Procedure (IPS)
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 Constraints: ext-1
actor	Σ	1..1	Reference(Patient (IPS)(2.0.1) | RelatedPerson | Device - Performer or Observer (IPS)(2.0.1) | Practitioner (IPS)(2.0.1) | PractitionerRole (IPS)(2.0.1) | Organization (IPS)(2.0.1))	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 Constraints: ext-1
Slices for extension				Content/Rules for all slices
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 Constraints: ext-1
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)(2.0.1) | RelatedPerson | Device - Performer or Observer (IPS)(2.0.1) | Practitioner (IPS)(2.0.1) | PractitionerRole (IPS)(2.0.1) | Organization (IPS)(2.0.1))	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 Constraints: ext-1
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)(2.0.1) | RelatedPerson | Device - Performer or Observer (IPS)(2.0.1) | Practitioner (IPS)(2.0.1) | PractitionerRole (IPS)(2.0.1) | Organization (IPS)(2.0.1))	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
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	This IG
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	This IG

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	Procedure.implicitRules, Procedure.extension, Procedure.extension:radiationDose, Procedure.modifierExtension, Procedure.status, Procedure.category, Procedure.code, Procedure.subject, Procedure.subject.reference, Procedure.performed[x], Procedure.performed[x]:performedDateTime, Procedure.performer, Procedure.performer.modifierExtension, Procedure.performer.actor, Procedure.performer:anwender, Procedure.performer:anwender.extension, Procedure.performer:anwender.extension:fachkunde, Procedure.performer:anwender.modifierExtension, Procedure.performer:anwender.function, Procedure.performer:anwender.function.coding, Procedure.performer:anwender.function.coding.system, Procedure.performer:anwender.function.coding.code, Procedure.performer:anwender.actor, Procedure.performer:strahlenschutzverantwortlicher, Procedure.performer:strahlenschutzverantwortlicher.modifierExtension, Procedure.performer:strahlenschutzverantwortlicher.function, Procedure.performer:strahlenschutzverantwortlicher.function.coding, Procedure.performer:strahlenschutzverantwortlicher.function.coding.system, Procedure.performer:strahlenschutzverantwortlicher.function.coding.code, Procedure.performer:strahlenschutzverantwortlicher.actor, Procedure.reasonCode, Procedure.reasonCode:rechtfertigende-indikation, Procedure.reasonCode:rechtfertigende-indikation.extension:attest, Procedure.reasonCode:rechtfertigende-indikation.coding, Procedure.reasonCode:rechtfertigende-indikation.coding.system	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Procedure.extension, Procedure.extension:radiationDose, Procedure.modifierExtension, Procedure.performer.modifierExtension, Procedure.performer:anwender.extension, Procedure.performer:anwender.extension:fachkunde, Procedure.performer:anwender.modifierExtension, Procedure.performer:strahlenschutzverantwortlicher.modifierExtension, Procedure.reasonCode:rechtfertigende-indikation.extension:attest	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from ProcedureUvIps

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	ProcedureUvIps(2.0.1)	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: Bildgebendes Verfahren (SNOMED 363679005) 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: 363679005
code		1..1	CodeableConceptIPS(2.0.1)	Bildgebungsverfahren-Code (ImagingProcedureVS, extensible) Binding: Imaging Procedure Codes (OPS Kapitel 3) (extensible)
subject		1..1	Reference(Patient (IPS)(2.0.1))	Patient (Pflichtfeld, Patient-uv-ips gemaess IPS-Elternprofil)
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
Slices for extension				Content/Rules for all slices
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
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	This IG
Procedure.reasonCode:rechtfertigende-indikation	Base	extensible	Rechtfertigende Indikation für Strahlungsanwendung	📦2026.0.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	ProcedureUvIps(2.0.1)	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 Bindings Purpose 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 Constraints: ext-1
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 Constraints: ext-1
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: Bildgebendes Verfahren (SNOMED 363679005) 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: 363679005
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SOΣ	1..1	CodeableConceptIPS(2.0.1)	Bildgebungsverfahren-Code (ImagingProcedureVS, extensible) Binding: Imaging Procedure Codes (OPS Kapitel 3) (extensible) Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (IPS) SHALL:handle Consumer (IPS) from Procedure (IPS) SHOULD:display Consumer (IPS) from Procedure (IPS)
subject	SOΣ	1..1	Reference(Patient (IPS)(2.0.1))	Patient (Pflichtfeld, Patient-uv-ips gemaess IPS-Elternprofil) Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (IPS) SHALL:handle Consumer (IPS) from Procedure (IPS) SHOULD:display Consumer (IPS) from Procedure (IPS)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
reference	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (IPS) SHALL:handle Consumer (IPS) from Procedure (IPS)
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
Slices for performed[x]	SOΣ	1..1	dateTime	Aufnahmedatum (Pflicht gemaess SS85 StrlSchV) Slice: Unordered, Closed by type:$this Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (IPS) SHALL:handle Consumer (IPS) from Procedure (IPS) SHOULD:display Consumer (IPS) from Procedure (IPS)
performed[x]:performedDateTime	SOΣ	0..1	dateTime	When the procedure was performed Obligations Actor Source SHOULD:able-to-populate Creator (IPS) from Procedure (IPS) SHALL:handle Consumer (IPS) from Procedure (IPS) SHOULD:display Consumer (IPS) from Procedure (IPS)
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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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)(2.0.1) | RelatedPerson | Device - Performer or Observer (IPS)(2.0.1) | Practitioner (IPS)(2.0.1) | PractitionerRole (IPS)(2.0.1) | Organization (IPS)(2.0.1))	The reference to the practitioner
onBehalfOf		0..1	Reference(Organization (IPS)(2.0.1))	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 Constraints: ext-1
Slices for extension				Content/Rules for all slices
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 Constraints: ext-1
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)(2.0.1) | RelatedPerson | Device - Performer or Observer (IPS)(2.0.1) | Practitioner (IPS)(2.0.1) | PractitionerRole (IPS)(2.0.1) | Organization (IPS)(2.0.1))	The reference to the practitioner
onBehalfOf		0..1	Reference(Organization (IPS)(2.0.1))	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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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)(2.0.1) | RelatedPerson | Device - Performer or Observer (IPS)(2.0.1) | Practitioner (IPS)(2.0.1) | PractitionerRole (IPS)(2.0.1) | Organization (IPS)(2.0.1))	The reference to the practitioner
onBehalfOf		0..1	Reference(Organization (IPS)(2.0.1))	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
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
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	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (preferred)
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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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.
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	This IG
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	This IG
Procedure.bodySite	Base	preferred	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	Procedure.meta, Procedure.implicitRules, Procedure.language, Procedure.text, Procedure.extension, Procedure.extension:radiationDose, Procedure.modifierExtension, Procedure.identifier, Procedure.instantiatesCanonical, Procedure.instantiatesUri, Procedure.basedOn, Procedure.partOf, Procedure.status, Procedure.statusReason, Procedure.category, Procedure.code, Procedure.subject, Procedure.subject.extension, Procedure.subject.reference, Procedure.subject.type, Procedure.subject.identifier, Procedure.subject.display, Procedure.encounter, Procedure.performed[x], Procedure.performed[x]:performedDateTime, Procedure.recorder, Procedure.asserter, Procedure.performer, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.performer.function, Procedure.performer.actor, Procedure.performer.onBehalfOf, Procedure.performer:anwender, Procedure.performer:anwender.extension, Procedure.performer:anwender.extension:fachkunde, Procedure.performer:anwender.modifierExtension, Procedure.performer:anwender.function, Procedure.performer:anwender.function.extension, Procedure.performer:anwender.function.coding, Procedure.performer:anwender.function.coding.extension, Procedure.performer:anwender.function.coding.system, Procedure.performer:anwender.function.coding.version, Procedure.performer:anwender.function.coding.code, Procedure.performer:anwender.function.coding.display, Procedure.performer:anwender.function.coding.userSelected, Procedure.performer:anwender.function.text, Procedure.performer:anwender.actor, Procedure.performer:anwender.onBehalfOf, Procedure.performer:strahlenschutzverantwortlicher, Procedure.performer:strahlenschutzverantwortlicher.extension, Procedure.performer:strahlenschutzverantwortlicher.modifierExtension, Procedure.performer:strahlenschutzverantwortlicher.function, Procedure.performer:strahlenschutzverantwortlicher.function.extension, Procedure.performer:strahlenschutzverantwortlicher.function.coding, Procedure.performer:strahlenschutzverantwortlicher.function.coding.extension, Procedure.performer:strahlenschutzverantwortlicher.function.coding.system, Procedure.performer:strahlenschutzverantwortlicher.function.coding.version, Procedure.performer:strahlenschutzverantwortlicher.function.coding.code, Procedure.performer:strahlenschutzverantwortlicher.function.coding.display, Procedure.performer:strahlenschutzverantwortlicher.function.coding.userSelected, Procedure.performer:strahlenschutzverantwortlicher.function.text, Procedure.performer:strahlenschutzverantwortlicher.actor, Procedure.performer:strahlenschutzverantwortlicher.onBehalfOf, Procedure.location, Procedure.reasonCode, Procedure.reasonCode:rechtfertigende-indikation, Procedure.reasonCode:rechtfertigende-indikation.extension, Procedure.reasonCode:rechtfertigende-indikation.extension:attest, Procedure.reasonCode:rechtfertigende-indikation.coding, Procedure.reasonCode:rechtfertigende-indikation.coding.extension, Procedure.reasonCode:rechtfertigende-indikation.coding.system, Procedure.reasonCode:rechtfertigende-indikation.coding.version, Procedure.reasonCode:rechtfertigende-indikation.coding.code, Procedure.reasonCode:rechtfertigende-indikation.coding.display, Procedure.reasonCode:rechtfertigende-indikation.coding.userSelected, Procedure.reasonCode:rechtfertigende-indikation.text, Procedure.reasonReference, Procedure.bodySite, Procedure.outcome, Procedure.report, Procedure.complication, Procedure.complicationDetail, Procedure.followUp, Procedure.note, Procedure.focalDevice, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension, Procedure.focalDevice.action, Procedure.focalDevice.manipulated, Procedure.usedReference, Procedure.usedCode	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Procedure.extension, Procedure.extension:radiationDose, Procedure.modifierExtension, Procedure.subject.extension, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.performer:anwender.extension, Procedure.performer:anwender.extension:fachkunde, Procedure.performer:anwender.modifierExtension, Procedure.performer:anwender.function.extension, Procedure.performer:anwender.function.coding.extension, Procedure.performer:strahlenschutzverantwortlicher.extension, Procedure.performer:strahlenschutzverantwortlicher.modifierExtension, Procedure.performer:strahlenschutzverantwortlicher.function.extension, Procedure.performer:strahlenschutzverantwortlicher.function.coding.extension, Procedure.reasonCode:rechtfertigende-indikation.extension, Procedure.reasonCode:rechtfertigende-indikation.extension:attest, Procedure.reasonCode:rechtfertigende-indikation.coding.extension, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension	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:

• https://fhir.cognovis.de/praxis/StructureDefinition/radiation-dose
• https://fhir.cognovis.de/praxis/StructureDefinition/anwender-fachkunde
• https://fhir.cognovis.de/praxis/StructureDefinition/rechtfertigende-indikation-attest

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	ProcedureUvIps(2.0.1)	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 Constraints: ext-1
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 Constraints: ext-1
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.
category	SΣ	1..1	CodeableConcept	Kategorie: Bildgebendes Verfahren (SNOMED 363679005) 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: 363679005
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SOΣ	1..1	CodeableConceptIPS(2.0.1)	Bildgebungsverfahren-Code (ImagingProcedureVS, extensible) Binding: Imaging Procedure Codes (OPS Kapitel 3) (extensible) Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (IPS) SHALL:handle Consumer (IPS) from Procedure (IPS) SHOULD:display Consumer (IPS) from Procedure (IPS)
subject	SOΣ	1..1	Reference(Patient (IPS)(2.0.1))	Patient (Pflichtfeld, Patient-uv-ips gemaess IPS-Elternprofil) Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (IPS) SHALL:handle Consumer (IPS) from Procedure (IPS) SHOULD:display Consumer (IPS) from Procedure (IPS)
reference	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (IPS) SHALL:handle Consumer (IPS) from Procedure (IPS)
Slices for performed[x]	SOΣ	1..1	dateTime	Aufnahmedatum (Pflicht gemaess SS85 StrlSchV) Slice: Unordered, Closed by type:$this Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (IPS) SHALL:handle Consumer (IPS) from Procedure (IPS) SHOULD:display Consumer (IPS) from Procedure (IPS)
performed[x]:performedDateTime	SOΣ	0..1	dateTime	When the procedure was performed Obligations Actor Source SHOULD:able-to-populate Creator (IPS) from Procedure (IPS) SHALL:handle Consumer (IPS) from Procedure (IPS) SHOULD:display Consumer (IPS) from Procedure (IPS)
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 Constraints: ext-1
actor	Σ	1..1	Reference(Patient (IPS)(2.0.1) | RelatedPerson | Device - Performer or Observer (IPS)(2.0.1) | Practitioner (IPS)(2.0.1) | PractitionerRole (IPS)(2.0.1) | Organization (IPS)(2.0.1))	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 Constraints: ext-1
Slices for extension				Content/Rules for all slices
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 Constraints: ext-1
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)(2.0.1) | RelatedPerson | Device - Performer or Observer (IPS)(2.0.1) | Practitioner (IPS)(2.0.1) | PractitionerRole (IPS)(2.0.1) | Organization (IPS)(2.0.1))	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 Constraints: ext-1
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)(2.0.1) | RelatedPerson | Device - Performer or Observer (IPS)(2.0.1) | Practitioner (IPS)(2.0.1) | PractitionerRole (IPS)(2.0.1) | Organization (IPS)(2.0.1))	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
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	This IG
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	This IG

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	Procedure.implicitRules, Procedure.extension, Procedure.extension:radiationDose, Procedure.modifierExtension, Procedure.status, Procedure.category, Procedure.code, Procedure.subject, Procedure.subject.reference, Procedure.performed[x], Procedure.performed[x]:performedDateTime, Procedure.performer, Procedure.performer.modifierExtension, Procedure.performer.actor, Procedure.performer:anwender, Procedure.performer:anwender.extension, Procedure.performer:anwender.extension:fachkunde, Procedure.performer:anwender.modifierExtension, Procedure.performer:anwender.function, Procedure.performer:anwender.function.coding, Procedure.performer:anwender.function.coding.system, Procedure.performer:anwender.function.coding.code, Procedure.performer:anwender.actor, Procedure.performer:strahlenschutzverantwortlicher, Procedure.performer:strahlenschutzverantwortlicher.modifierExtension, Procedure.performer:strahlenschutzverantwortlicher.function, Procedure.performer:strahlenschutzverantwortlicher.function.coding, Procedure.performer:strahlenschutzverantwortlicher.function.coding.system, Procedure.performer:strahlenschutzverantwortlicher.function.coding.code, Procedure.performer:strahlenschutzverantwortlicher.actor, Procedure.reasonCode, Procedure.reasonCode:rechtfertigende-indikation, Procedure.reasonCode:rechtfertigende-indikation.extension:attest, Procedure.reasonCode:rechtfertigende-indikation.coding, Procedure.reasonCode:rechtfertigende-indikation.coding.system	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Procedure.extension, Procedure.extension:radiationDose, Procedure.modifierExtension, Procedure.performer.modifierExtension, Procedure.performer:anwender.extension, Procedure.performer:anwender.extension:fachkunde, Procedure.performer:anwender.modifierExtension, Procedure.performer:strahlenschutzverantwortlicher.modifierExtension, Procedure.reasonCode:rechtfertigende-indikation.extension:attest	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from ProcedureUvIps

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	ProcedureUvIps(2.0.1)	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: Bildgebendes Verfahren (SNOMED 363679005) 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: 363679005
code		1..1	CodeableConceptIPS(2.0.1)	Bildgebungsverfahren-Code (ImagingProcedureVS, extensible) Binding: Imaging Procedure Codes (OPS Kapitel 3) (extensible)
subject		1..1	Reference(Patient (IPS)(2.0.1))	Patient (Pflichtfeld, Patient-uv-ips gemaess IPS-Elternprofil)
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
Slices for extension				Content/Rules for all slices
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
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	This IG
Procedure.reasonCode:rechtfertigende-indikation	Base	extensible	Rechtfertigende Indikation für Strahlungsanwendung	📦2026.0.0	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	ProcedureUvIps(2.0.1)	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 Bindings Purpose 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 Constraints: ext-1
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 Constraints: ext-1
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: Bildgebendes Verfahren (SNOMED 363679005) 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: 363679005
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SOΣ	1..1	CodeableConceptIPS(2.0.1)	Bildgebungsverfahren-Code (ImagingProcedureVS, extensible) Binding: Imaging Procedure Codes (OPS Kapitel 3) (extensible) Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (IPS) SHALL:handle Consumer (IPS) from Procedure (IPS) SHOULD:display Consumer (IPS) from Procedure (IPS)
subject	SOΣ	1..1	Reference(Patient (IPS)(2.0.1))	Patient (Pflichtfeld, Patient-uv-ips gemaess IPS-Elternprofil) Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (IPS) SHALL:handle Consumer (IPS) from Procedure (IPS) SHOULD:display Consumer (IPS) from Procedure (IPS)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
reference	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (IPS) SHALL:handle Consumer (IPS) from Procedure (IPS)
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
Slices for performed[x]	SOΣ	1..1	dateTime	Aufnahmedatum (Pflicht gemaess SS85 StrlSchV) Slice: Unordered, Closed by type:$this Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (IPS) SHALL:handle Consumer (IPS) from Procedure (IPS) SHOULD:display Consumer (IPS) from Procedure (IPS)
performed[x]:performedDateTime	SOΣ	0..1	dateTime	When the procedure was performed Obligations Actor Source SHOULD:able-to-populate Creator (IPS) from Procedure (IPS) SHALL:handle Consumer (IPS) from Procedure (IPS) SHOULD:display Consumer (IPS) from Procedure (IPS)
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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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)(2.0.1) | RelatedPerson | Device - Performer or Observer (IPS)(2.0.1) | Practitioner (IPS)(2.0.1) | PractitionerRole (IPS)(2.0.1) | Organization (IPS)(2.0.1))	The reference to the practitioner
onBehalfOf		0..1	Reference(Organization (IPS)(2.0.1))	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 Constraints: ext-1
Slices for extension				Content/Rules for all slices
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 Constraints: ext-1
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)(2.0.1) | RelatedPerson | Device - Performer or Observer (IPS)(2.0.1) | Practitioner (IPS)(2.0.1) | PractitionerRole (IPS)(2.0.1) | Organization (IPS)(2.0.1))	The reference to the practitioner
onBehalfOf		0..1	Reference(Organization (IPS)(2.0.1))	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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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)(2.0.1) | RelatedPerson | Device - Performer or Observer (IPS)(2.0.1) | Practitioner (IPS)(2.0.1) | PractitionerRole (IPS)(2.0.1) | Organization (IPS)(2.0.1))	The reference to the practitioner
onBehalfOf		0..1	Reference(Organization (IPS)(2.0.1))	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
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
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	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (preferred)
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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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.
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	This IG
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	This IG
Procedure.bodySite	Base	preferred	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	Procedure.meta, Procedure.implicitRules, Procedure.language, Procedure.text, Procedure.extension, Procedure.extension:radiationDose, Procedure.modifierExtension, Procedure.identifier, Procedure.instantiatesCanonical, Procedure.instantiatesUri, Procedure.basedOn, Procedure.partOf, Procedure.status, Procedure.statusReason, Procedure.category, Procedure.code, Procedure.subject, Procedure.subject.extension, Procedure.subject.reference, Procedure.subject.type, Procedure.subject.identifier, Procedure.subject.display, Procedure.encounter, Procedure.performed[x], Procedure.performed[x]:performedDateTime, Procedure.recorder, Procedure.asserter, Procedure.performer, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.performer.function, Procedure.performer.actor, Procedure.performer.onBehalfOf, Procedure.performer:anwender, Procedure.performer:anwender.extension, Procedure.performer:anwender.extension:fachkunde, Procedure.performer:anwender.modifierExtension, Procedure.performer:anwender.function, Procedure.performer:anwender.function.extension, Procedure.performer:anwender.function.coding, Procedure.performer:anwender.function.coding.extension, Procedure.performer:anwender.function.coding.system, Procedure.performer:anwender.function.coding.version, Procedure.performer:anwender.function.coding.code, Procedure.performer:anwender.function.coding.display, Procedure.performer:anwender.function.coding.userSelected, Procedure.performer:anwender.function.text, Procedure.performer:anwender.actor, Procedure.performer:anwender.onBehalfOf, Procedure.performer:strahlenschutzverantwortlicher, Procedure.performer:strahlenschutzverantwortlicher.extension, Procedure.performer:strahlenschutzverantwortlicher.modifierExtension, Procedure.performer:strahlenschutzverantwortlicher.function, Procedure.performer:strahlenschutzverantwortlicher.function.extension, Procedure.performer:strahlenschutzverantwortlicher.function.coding, Procedure.performer:strahlenschutzverantwortlicher.function.coding.extension, Procedure.performer:strahlenschutzverantwortlicher.function.coding.system, Procedure.performer:strahlenschutzverantwortlicher.function.coding.version, Procedure.performer:strahlenschutzverantwortlicher.function.coding.code, Procedure.performer:strahlenschutzverantwortlicher.function.coding.display, Procedure.performer:strahlenschutzverantwortlicher.function.coding.userSelected, Procedure.performer:strahlenschutzverantwortlicher.function.text, Procedure.performer:strahlenschutzverantwortlicher.actor, Procedure.performer:strahlenschutzverantwortlicher.onBehalfOf, Procedure.location, Procedure.reasonCode, Procedure.reasonCode:rechtfertigende-indikation, Procedure.reasonCode:rechtfertigende-indikation.extension, Procedure.reasonCode:rechtfertigende-indikation.extension:attest, Procedure.reasonCode:rechtfertigende-indikation.coding, Procedure.reasonCode:rechtfertigende-indikation.coding.extension, Procedure.reasonCode:rechtfertigende-indikation.coding.system, Procedure.reasonCode:rechtfertigende-indikation.coding.version, Procedure.reasonCode:rechtfertigende-indikation.coding.code, Procedure.reasonCode:rechtfertigende-indikation.coding.display, Procedure.reasonCode:rechtfertigende-indikation.coding.userSelected, Procedure.reasonCode:rechtfertigende-indikation.text, Procedure.reasonReference, Procedure.bodySite, Procedure.outcome, Procedure.report, Procedure.complication, Procedure.complicationDetail, Procedure.followUp, Procedure.note, Procedure.focalDevice, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension, Procedure.focalDevice.action, Procedure.focalDevice.manipulated, Procedure.usedReference, Procedure.usedCode	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Procedure.extension, Procedure.extension:radiationDose, Procedure.modifierExtension, Procedure.subject.extension, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.performer:anwender.extension, Procedure.performer:anwender.extension:fachkunde, Procedure.performer:anwender.modifierExtension, Procedure.performer:anwender.function.extension, Procedure.performer:anwender.function.coding.extension, Procedure.performer:strahlenschutzverantwortlicher.extension, Procedure.performer:strahlenschutzverantwortlicher.modifierExtension, Procedure.performer:strahlenschutzverantwortlicher.function.extension, Procedure.performer:strahlenschutzverantwortlicher.function.coding.extension, Procedure.reasonCode:rechtfertigende-indikation.extension, Procedure.reasonCode:rechtfertigende-indikation.extension:attest, Procedure.reasonCode:rechtfertigende-indikation.coding.extension, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension	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:

• https://fhir.cognovis.de/praxis/StructureDefinition/radiation-dose
• https://fhir.cognovis.de/praxis/StructureDefinition/anwender-fachkunde
• https://fhir.cognovis.de/praxis/StructureDefinition/rechtfertigende-indikation-attest

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