Profile Comparison between https://gematik.de/fhir/isik/StructureDefinition/ISiKProzedur vs http://hl7.eu/fhir/hdr/StructureDefinition/procedure-obl-eu-hdr

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/Procedure	http://hl7.eu/fhir/hdr/StructureDefinition/procedure-eu-hdr	Values Differ
copyright		Used by permission of HL7 Europe, all rights reserved Creative Commons License	Added the item 'Used by permission of HL7 Europe, all rights reserved Creative Commons License'
date	2025-06-26	2025-06-03T12:48:49+02:00	Values Differ
description	Dieses Profil spezifiziert die Minimalanforderungen für die Bereitstellung von Informationen über die Behandlungen/Prozeduren eines Patienten im Rahmen des Bestätigungsverfahrens der gematik. ### Motivation Die Möglichkeit auf eine Übersicht der Prozeduren eines Patienten zuzugreifen, Patienten anhand durchgeführter oder geplanter Prozeduren zu suchen, oder zu prüfen, ob eine konkrete Prozedur bei einem Patienten durchgeführt wurde, sind wichtige Funktionen im klinischen Behandlungsablauf. In FHIR werden Prozeduren mit der Procedure-Ressource repräsentiert. Da die Prozeduren in klinischen Primärsystemen, in der Regel, in OPS-codierter Form vorliegen, fordert ISiK in erster Linie diese Form des Austausches. Falls eine Prozedur zwar dokumentiert aber noch nicht codiert wurde (z.B. wenn die Kodierung erst nach der Entlassung erfolgt), ist alternativ eine Repräsentation als Freitext-Prozedur möglich. ### Kompatibilität Für das Profil ISIKProzedur wird eine Kompatibilität mit folgenden Profilen angestrebt; allerdings kann nicht sichergestellt werden, dass Instanzen, die gegen ISIKProzedur valide sind, auch valide sind gegen: * [Profil Prozedur](https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Procedure) der Medizininformatik Initiative Hinweise zu Inkompatibilitäten können über die [Portalseite](https://service.gematik.de/servicedesk/customer/portal/16) gemeldet werden.	This profile defines obligations for the Procedure resource by this guide.	Values Differ
experimental	false		Removed the item 'false'
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]		http://unstats.un.org/unsd/methods/m49/m49.htm#150	Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
kind	resource
name	ISiKProzedur	ProcedureEuHdrObligation	Values Differ
publisher	gematik GmbH	HL7 Europe	Values Differ
purpose
status	active	draft	Values Differ
title		Procedure: obligations	Added the item 'Procedure: obligations'
type	Procedure
url	https://gematik.de/fhir/isik/StructureDefinition/ISiKProzedur	http://hl7.eu/fhir/hdr/StructureDefinition/procedure-obl-eu-hdr	Values Differ
version	5.0.0	0.1.0-ballot	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
Procedure	C	0..*	Procedure	An action that is being or was performed on a patient proc-ISiK-1: Falls die Prozedur per OPS kodiert wird, MUSS eine SNOMED-CT kodierte Category abgebildet werden proc-ISiK-2: Falls eine codierte Prozedur vorliegt MUSS eine kodierte Category abgebildet werden		0..*	ProcedureEuHdr	An action that is being or was performed on a patient This profile also imposes the profile Procedure (IPS)
id	Σ	0..1	string	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation	O	0..1	Narrative	Textual representation of the procedur Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr SHOULD:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
Slices for extension	S	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Extension Slice: Unordered, Open by value:url	Elements differ in definition for mustSupport: 'true' vs 'false'
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifiers for this procedure	Σ	0..*	Identifier	External Identifiers for this procedure
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure	Σ	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure
partOf	Σ	0..*	Reference(Procedure | Observation | MedicationAdministration)	Part of referenced event	Σ	0..*	Reference(Procedure | Observation | MedicationAdministration)	Part of referenced event
status	?!SΣ	1..1	code	Status Binding: ?? (required): A code specifying the state of the procedure.	?!OΣ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: ?? (required): A code specifying the state of the procedure. Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr SHOULD:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr	Elements differ in definition for mustSupport: 'true' vs 'false'
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: ?? (example): A code that identifies the reason a procedure was not performed.	Σ	0..1	CodeableConcept	Reason for current status Binding: ?? (example): A code that identifies the reason a procedure was not performed.
category	SΣ	0..1	CodeableConcept	Kategorie Binding: ?? (example): A code that classifies a procedure for searching, sorting and display purposes.	Σ	0..1	CodeableConcept	Classification of the procedure Binding: ?? (example): A code that classifies a procedure for searching, sorting and display purposes.	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system					Removed this element
text	Σ	0..1	string	Plain text representation of the concept					Removed this element
code	SΣC	1..1	CodeableConcept	Prozeduren-Code Binding: ?? (example): A code to identify a specific procedure . sct-ops-1: Falls die Prozedur kodiert vorliegt, SOLL mindestens ein OPS oder SNOMED-CT Code angegeben werden. proc-ISiK-3: Entweder MUSS eine kodierte Prozedur vorliegen oder eine textuelle Beschreibung. Stattdessen nur Extensions hinzuzufügen (vgl. https://www.hl7.org/fhir/element.html - ele-1), ist explizit nicht erlaubt.	OΣ	1..1	??	Identification of the procedure Binding: ?? (preferred) Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr SHALL:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr	Elements differ in definition for mustSupport: 'true' vs 'false' Example/preferred bindings differ at Procedure.code using binding from ProcedureEuHdrObligation
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
Slices for coding	SΣ	0..*	Coding	Codierte Darstellung der Prozedur Slice: Unordered, Open by pattern:system					Removed this element
text	SΣ	0..1	string	Freitextiche Beschreibung der Prozedur					Removed this element
subject	SΣ	1..1	Reference(Patient | Group)	Patientenbezug	OΣ	1..1	Reference(Patient (EU core))	Who the procedure was performed on Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr SHALL:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing		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		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Patienten-Link	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL	Elements differ in definition for mustSupport: 'true' vs 'false'
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource	Σ	0..1	string	Text alternative for the resource
encounter	SΣ	0..1	Reference(Encounter)	Aufenthaltsbezug	Σ	0..1	Reference(Encounter)	Encounter created as part of	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
reference	SΣC	1..1	string	Encounter-Link					Removed this element
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).					Removed this element
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known					Removed this element
display	Σ	0..1	string	Text alternative for the resource					Removed this element
performed[x]	SΣ	1..1	dateTime, Period	Durchführungsdatum oder -Zeitraum	OΣ	1..1	dateTime, Period, string, Age, Range	When the procedure was performed Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr SHALL:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr	Elements differ in definition for mustSupport: 'true' vs 'false'
id						0..1	string	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
recorder	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Who recorded the procedure	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	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Person who asserts this procedure
performer	Σ	0..*	BackboneElement	The people who performed the procedure	Σ	0..*	BackboneElement	The people who performed the procedure
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performance Binding: ?? (example): A code that identifies the role of a performer of the procedure.	Σ	0..1	CodeableConcept	Type of performance Binding: ?? (example): A code that identifies the role of a performer of the procedure.
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	The reference to the practitioner	OΣ	1..1	Reference(PractitionerRole (EU core) | Practitioner (EU core) | Device | Patient (EU core) | RelatedPerson | Organization (EU core))	The reference to the practitioner Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr SHOULD:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr	Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device]]) vs Reference([CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core]])
onBehalfOf		0..1	Reference(Organization)	Organization the device or practitioner was acting for		0..1	Reference(Organization (EU core))	Organization the device or practitioner was acting for
location	Σ	0..1	Reference(Location)	Where the procedure happened	Σ	0..1	Reference(Location)	Where the procedure happened
reasonCode	Σ	0..*	CodeableConcept	Coded reason procedure performed Binding: ?? (example): A code that identifies the reason a procedure is required.	OΣ	0..*	CodeableConcept	Why the procedure was performed (code) Binding: ?? (example): A code that identifies the reason a procedure is required. Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr MAY:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr
reasonReference	Σ	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed	OΣ	0..*	Reference(Condition (HDR) | Observation | Procedure (HDR) | DiagnosticReport | DocumentReference)	Why the procedure was performed (details) Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr MAY:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: ?? (example): Codes describing anatomical locations. May include laterality.	OΣ	0..*	??	Target body sites Binding: ?? (preferred) Obligations Actor SHALL:handle http://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr MAY:able-to-populate http://hl7.eu/fhir/laboratory/actor-creator-eu-hdr
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: ?? (example): An outcome of a procedure - whether it was resolved or otherwise.	Σ	0..1	CodeableConcept	Outcome of the procedure Binding: ?? (example): An outcome of a procedure - whether it was resolved or otherwise.
report		0..*	Reference(DiagnosticReport | DocumentReference | Composition)	Any report resulting from the procedure		0..*	Reference(DiagnosticReport | DocumentReference | Composition)	Any report resulting from the procedure
complication		0..*	CodeableConcept	Complication following the procedure Binding: ?? (example): Codes describing complications that resulted from a procedure.		0..*	CodeableConcept	Complications that occurred during the procedure (code) Binding: ?? (example): Codes describing complications that resulted from a procedure.
complicationDetail		0..*	Reference(Condition)	A condition that is a result of the procedure		0..*	Reference(Condition)	Complications that occurred during the procedure (details)
followUp		0..*	CodeableConcept	Instructions for follow up Binding: ?? (example): Specific follow up required for a procedure e.g. removal of sutures.		0..*	CodeableConcept	Instructions for follow up Binding: ?? (example): Specific follow up required for a procedure e.g. removal of sutures.
note	S	0..*	Annotation	Notizen		0..*	Annotation	Additional information about the procedure	Elements differ in definition for mustSupport: 'true' vs 'false'
focalDevice		0..*	BackboneElement	Manipulated, implanted, or removed device		0..*	BackboneElement	Device implanted, removed or otherwise manipulated
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action		0..1	CodeableConcept	Kind of change to device Binding: ?? (preferred): A kind of change that happened to the device during the procedure.		0..1	CodeableConcept	Kind of change to device Binding: ?? (preferred): A kind of change that happened to the device during the procedure.
manipulated		1..1	Reference(Device)	Device that was changed		1..1	Reference(Device (HDR))	Device that was changed
usedReference		0..*	Reference(Device | Medication | Substance)	Items used during procedure		0..*	Reference(Device | Medication | Substance)	Items used during procedure
usedCode		0..*	CodeableConcept	Coded items used during the procedure Binding: ?? (example): Codes describing items used during a procedure.		0..*	CodeableConcept	Coded items used during the procedure Binding: ?? (example): Codes describing items used during a procedure.
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