diff --git a/fsh-generated/includes/fsh-link-references.md b/fsh-generated/includes/fsh-link-references.md
index 2fbbabd3..cac76448 100644
--- a/fsh-generated/includes/fsh-link-references.md
+++ b/fsh-generated/includes/fsh-link-references.md
@@ -1,6 +1,9 @@
 [MII_CS_Onko_Grading]: CodeSystem-mii-cs-onko-grading.html
+[MII_CS_Onko_Operation_Intention]: CodeSystem-mii-cs-onko-operation-intention.html
+[MII_CS_Onko_Operation_Komplikationen]: CodeSystem-mii-cs-onko-operation-komplikation.html
 [MII_CS_Onko_Primaertumor_Diagnosesicherung]: CodeSystem-mii-cs-onko-primaertumor-diagnosesicherung.html
 [MII_CS_Onko_Primaertumor_Seitenlokalisation]: CodeSystem-mii-cs-onko-primaertumor-seitenlokalisation.html
+[MII_EX_Onko_Operation_Intention]: StructureDefinition-mii-ex-onko-operation-intention.html
 [MII_LM_Onko]: StructureDefinition-mii-lm-onko.html
 [MII_PR_Onko_Anzahl_Befallene_Lymphknoten]: StructureDefinition-mii-pr-onko-anzahl-befallene-lymphknoten.html
 [MII_PR_Onko_Anzahl_Befallene_Sentinel_Lymphknoten]: StructureDefinition-mii-pr-onko-anzahl-befallene-sentinel-lymphknoten.html
@@ -9,6 +12,9 @@
 [MII_PR_Onko_Diagnose]: StructureDefinition-mii-pr-onko-diagnose.html
 [MII_PR_Onko_Grading]: StructureDefinition-mii-pr-onko-grading.html
 [MII_PR_Onko_Specimen]: StructureDefinition-mii-pr-onko-specimen.html
+[MII-PR-Onko-Operation]: StructureDefinition-mii-pr-onko-operation.html
 [MII_VS_Onko_Grading]: ValueSet-mii-vs-onko-grading.html
+[MII_VS_Onko_Operation_Intention]: ValueSet-mii-vs-onko-operation-intention.html
+[MII_VS_Onko_Operation_Komplikation]: ValueSet-mii-vs-onko-operation-komplikation.html
 [MII_VS_Onko_Primaertumor_Diagnosesicherung]: ValueSet-mii-vs-onko-primaertumor-diagnosesicherung.html
 [MII_VS_Onko_Primaertumor_Seitenlokalisation]: ValueSet-mii-vs-onko-primaertumor-seitenlokalisation.html
\ No newline at end of file
diff --git a/fsh-generated/resources/CodeSystem-mii-cs-onko-operation-intention.json b/fsh-generated/resources/CodeSystem-mii-cs-onko-operation-intention.json
new file mode 100644
index 00000000..74758025
--- /dev/null
+++ b/fsh-generated/resources/CodeSystem-mii-cs-onko-operation-intention.json
@@ -0,0 +1,57 @@
+{
+  "resourceType": "CodeSystem",
+  "status": "draft",
+  "content": "complete",
+  "name": "MII_CS_Onko_Operation_Intention",
+  "id": "mii-cs-onko-operation-intention",
+  "title": "MII CS Onkologie Operation Intention",
+  "description": "oBDS-spezifisches Codesystem für Klassifikation von Intention der OP",
+  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-operation-intention",
+  "concept": [
+    {
+      "code": "K",
+      "display": "kurativ"
+    },
+    {
+      "code": "P",
+      "display": "palliativ"
+    },
+    {
+      "code": "D",
+      "display": "diagnostisch"
+    },
+    {
+      "code": "R",
+      "display": "Revision/Komplikation"
+    },
+    {
+      "code": "S",
+      "display": "Sonstiges"
+    },
+    {
+      "code": "X",
+      "display": "fehlende Angabe"
+    }
+  ],
+  "meta": {
+    "profile": [
+      "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
+    ]
+  },
+  "experimental": false,
+  "publisher": "Medizininformatik Initiative",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "url",
+          "value": "https://www.medizininformatik-initiative.de"
+        }
+      ]
+    }
+  ],
+  "version": "2024.0.0-ballot",
+  "caseSensitive": true,
+  "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-operation-intention",
+  "count": 6
+}
diff --git a/fsh-generated/resources/CodeSystem-mii-cs-onko-operation-komplikation.json b/fsh-generated/resources/CodeSystem-mii-cs-onko-operation-komplikation.json
new file mode 100644
index 00000000..ab4271e0
--- /dev/null
+++ b/fsh-generated/resources/CodeSystem-mii-cs-onko-operation-komplikation.json
@@ -0,0 +1,349 @@
+{
+  "resourceType": "CodeSystem",
+  "status": "draft",
+  "content": "complete",
+  "name": "MII_CS_Onko_Operation_Komplikationen",
+  "id": "mii-cs-onko-operation-komplikation",
+  "title": "MII CS Onkologie Operation Komplikationen",
+  "description": "oBDS-spezifisches Codesystem für Klassifikation von Komplikationen während der OP",
+  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-operation-komplikation",
+  "concept": [
+    {
+      "code": "N",
+      "display": "nein"
+    },
+    {
+      "code": "U",
+      "display": "unbekannt"
+    },
+    {
+      "code": "ABD",
+      "display": "Abszess in einem Drainagekanal"
+    },
+    {
+      "code": "ABS",
+      "display": "Abszess, intraabdominaler oder intrathorakaler"
+    },
+    {
+      "code": "ASF",
+      "display": "Abszess, subfaszialer"
+    },
+    {
+      "code": "ANI",
+      "display": "Akute Niereninsuffizienz"
+    },
+    {
+      "code": "AEP",
+      "display": "Alkoholentzugspsychose"
+    },
+    {
+      "code": "ALR",
+      "display": "Allergische Reaktion ohne Schocksymptomatik"
+    },
+    {
+      "code": "ANS",
+      "display": "Anaphylaktischer Schock"
+    },
+    {
+      "code": "AEE",
+      "display": "Anastomoseninsuffizienz einer Enterostomie"
+    },
+    {
+      "code": "API",
+      "display": "Apoplektischer Insult"
+    },
+    {
+      "code": "BIF",
+      "display": "Biliäre Fistel"
+    },
+    {
+      "code": "BOG",
+      "display": "Blutung, obere gastrointestinale (z. B „Stressulkus“)"
+    },
+    {
+      "code": "BOE",
+      "display": "Bolusverlegung eines Endotubus"
+    },
+    {
+      "code": "BSI",
+      "display": "Bronchusstumpfinsuffizienz"
+    },
+    {
+      "code": "CHI",
+      "display": "Cholangitis"
+    },
+    {
+      "code": "DAI",
+      "display": "Darmanastomoseninsuffizienz"
+    },
+    {
+      "code": "DPS",
+      "display": "Darmpassagestörungen (z. B. protrahierte Atonie, Subileus, Ileus)"
+    },
+    {
+      "code": "DIC",
+      "display": "Disseminierte intravasale Koagulopathie"
+    },
+    {
+      "code": "DEP",
+      "display": "Drogenentzugspsychose"
+    },
+    {
+      "code": "DLU",
+      "display": "Druck- und Lagerungsschäden, z. B. Dekubitalulzera"
+    },
+    {
+      "code": "DSI",
+      "display": "Duodenalstumpfinsuffizienz"
+    },
+    {
+      "code": "ENF",
+      "display": "Enterale Fistel"
+    },
+    {
+      "code": "GER",
+      "display": "Gerinnungsstörung"
+    },
+    {
+      "code": "HEM",
+      "display": "Hämatemesis"
+    },
+    {
+      "code": "HUR",
+      "display": "Hämaturie"
+    },
+    {
+      "code": "HAE",
+      "display": "Hämorrhagischer Schock"
+    },
+    {
+      "code": "HFI",
+      "display": "Harnfistel"
+    },
+    {
+      "code": "HNK",
+      "display": "Hautnekrose im Operationsbereich"
+    },
+    {
+      "code": "HZI",
+      "display": "Herzinsuffizienz"
+    },
+    {
+      "code": "HRS",
+      "display": "Herzrhythmusstörungen"
+    },
+    {
+      "code": "HNA",
+      "display": "Hirnnervenausfälle"
+    },
+    {
+      "code": "HOP",
+      "display": "Hirnorganisches Psychosyndrom (z. B. „Durchgangssyndrom“)"
+    },
+    {
+      "code": "HYB",
+      "display": "Hyperbilirubinämie"
+    },
+    {
+      "code": "HYF",
+      "display": "Hypopharynxfistel"
+    },
+    {
+      "code": "IFV",
+      "display": "Ileofemorale Venenthrombose"
+    },
+    {
+      "code": "KAS",
+      "display": "Kardiogener Schock"
+    },
+    {
+      "code": "KES",
+      "display": "Komplikationen einer Stomaanlage"
+    },
+    {
+      "code": "KIM",
+      "display": "Komplikation eines Implantates (Gefäßprothese, Totalendoprothese, Katheter), z. B. Dislokation"
+    },
+    {
+      "code": "KRA",
+      "display": "Krampfanfall"
+    },
+    {
+      "code": "KDS",
+      "display": "Kurzdarmsyndrom"
+    },
+    {
+      "code": "LEV",
+      "display": "Leberversagen"
+    },
+    {
+      "code": "LOE",
+      "display": "Lungenödem"
+    },
+    {
+      "code": "LYF",
+      "display": "Lymphfistel"
+    },
+    {
+      "code": "LYE",
+      "display": "Lymphozele"
+    },
+    {
+      "code": "MES",
+      "display": "Magenentleerungsstörung"
+    },
+    {
+      "code": "MIL",
+      "display": "Mechanischer Ileus"
+    },
+    {
+      "code": "MED",
+      "display": "Mediastinitis"
+    },
+    {
+      "code": "MAT",
+      "display": "Mesenterialarterien- oder -venenthrombose"
+    },
+    {
+      "code": "MYI",
+      "display": "Myokardinfarkt"
+    },
+    {
+      "code": "RNB",
+      "display": "Nachblutung, revisionsbedürftig, anderweitig nicht erwähnt"
+    },
+    {
+      "code": "NAB",
+      "display": "Nachblutung, nicht revisionsbedürftig, anderweitig nicht erwähnt"
+    },
+    {
+      "code": "NIN",
+      "display": "Nahtinsuffizienz, anderweitig nicht erwähnt"
+    },
+    {
+      "code": "OES",
+      "display": "Ösophagitis"
+    },
+    {
+      "code": "OSM",
+      "display": "Osteitis, Osteomyelitis"
+    },
+    {
+      "code": "PAF",
+      "display": "Pankreasfistel"
+    },
+    {
+      "code": "PIT",
+      "display": "Pankreatitis"
+    },
+    {
+      "code": "PAB",
+      "display": "Peranale Blutung"
+    },
+    {
+      "code": "PPA",
+      "display": "Periphere Parese"
+    },
+    {
+      "code": "PAV",
+      "display": "Peripherer arterieller Verschluss (Embolie, Thrombose)"
+    },
+    {
+      "code": "PER",
+      "display": "Peritonitis"
+    },
+    {
+      "code": "PLB",
+      "display": "Platzbauch"
+    },
+    {
+      "code": "PEY",
+      "display": "Pleuraempyem"
+    },
+    {
+      "code": "PLE",
+      "display": "Pleuraerguss"
+    },
+    {
+      "code": "PMN",
+      "display": "Pneumonie"
+    },
+    {
+      "code": "PNT",
+      "display": "Pneumothorax"
+    },
+    {
+      "code": "PDA",
+      "display": "Protrahierte Darmatonie (paralytischer Ileus)"
+    },
+    {
+      "code": "PAE",
+      "display": "Pulmonalarterienembolie"
+    },
+    {
+      "code": "RPA",
+      "display": "Rekurrensparese"
+    },
+    {
+      "code": "RIN",
+      "display": "Respiratorische Insuffizienz"
+    },
+    {
+      "code": "SKI",
+      "display": "Septische Komplikation eines Implantates"
+    },
+    {
+      "code": "SES",
+      "display": "Septischer Schock"
+    },
+    {
+      "code": "SFH",
+      "display": "Störungen des Flüssigkeits-, Elektrolyt- und Säurebasenhaushaltes"
+    },
+    {
+      "code": "STK",
+      "display": "Stomakomplikation (z. B. Blutung, Nekrose, Stenose)"
+    },
+    {
+      "code": "TZP",
+      "display": "Thrombozytopenie"
+    },
+    {
+      "code": "TIA",
+      "display": "(transitorische ischämische Attacke) oder Rind (reversibles ischämisches neurologisches Defizit)"
+    },
+    {
+      "code": "TRZ",
+      "display": "Transfusionszwischenfall"
+    },
+    {
+      "code": "WUH",
+      "display": "Wundhämatom (konservativ therapiert)"
+    },
+    {
+      "code": "WSS",
+      "display": "Wundheilungsstörung, subkutane"
+    }
+  ],
+  "meta": {
+    "profile": [
+      "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
+    ]
+  },
+  "experimental": false,
+  "publisher": "Medizininformatik Initiative",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "url",
+          "value": "https://www.medizininformatik-initiative.de"
+        }
+      ]
+    }
+  ],
+  "version": "2024.0.0-ballot",
+  "caseSensitive": true,
+  "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-operation-komplikation",
+  "count": 79
+}
diff --git a/fsh-generated/resources/ImplementationGuide-mii-ig-onko-de-v2024.json b/fsh-generated/resources/ImplementationGuide-mii-ig-onko-de-v2024.json
index 1dce580e..a3194dce 100644
--- a/fsh-generated/resources/ImplementationGuide-mii-ig-onko-de-v2024.json
+++ b/fsh-generated/resources/ImplementationGuide-mii-ig-onko-de-v2024.json
@@ -42,6 +42,12 @@
       "uri": "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ImplementationGuide/mii-ig-diagnose-de-v2024",
       "id": "de_medizininformatikinitiative_kerndatensatz_diagnose"
     },
+    {
+      "packageId": "de.medizininformatikinitiative.kerndatensatz.prozedur",
+      "version": "2024.0.0-ballot",
+      "uri": "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/ImplementationGuide/mii-ig-prozedur-de-v2024",
+      "id": "de_medizininformatikinitiative_kerndatensatz_prozedur"
+    },
     {
       "packageId": "de.medizininformatikinitiative.kerndatensatz.biobank",
       "version": "1.0.8",
@@ -59,6 +65,22 @@
         "description": "Codes für Histologie Grading. Gibt den Differenzierungsgrad des Tumors entsprechend der aktuellen TNM-Auflage an.",
         "exampleBoolean": false
       },
+      {
+        "reference": {
+          "reference": "CodeSystem/mii-cs-onko-operation-intention"
+        },
+        "name": "MII CS Onkologie Operation Intention",
+        "description": "oBDS-spezifisches Codesystem für Klassifikation von Intention der OP",
+        "exampleBoolean": false
+      },
+      {
+        "reference": {
+          "reference": "CodeSystem/mii-cs-onko-operation-komplikation"
+        },
+        "name": "MII CS Onkologie Operation Komplikationen",
+        "description": "oBDS-spezifisches Codesystem für Klassifikation von Komplikationen während der OP",
+        "exampleBoolean": false
+      },
       {
         "reference": {
           "reference": "CodeSystem/mii-cs-onko-primaertumor-diagnosesicherung"
@@ -75,6 +97,14 @@
         "description": "Codes für Primärtumor Seitenlokalisation, d.h. organspezifische Angabe der betroffenen Seite.",
         "exampleBoolean": false
       },
+      {
+        "reference": {
+          "reference": "StructureDefinition/mii-ex-onko-operation-intention"
+        },
+        "name": "MII EX Onko Operation Intention",
+        "description": "Intention der Operation",
+        "exampleBoolean": false
+      },
       {
         "reference": {
           "reference": "StructureDefinition/mii-lm-onko"
@@ -133,10 +163,10 @@
       },
       {
         "reference": {
-          "reference": "StructureDefinition/mii-pr-onko-specimen"
+          "reference": "StructureDefinition/mii-pr-onko-operation"
         },
-        "name": "MII PR Onkologie Specimen",
-        "description": "Histologie: Dieses Profil beschreibt eine Gewebeprobe in der Onkologie.",
+        "name": "MII PR Onkologie Operation",
+        "description": "Operation nach OPS inklusive Intention, Datum und Komplikationen:",
         "exampleBoolean": false
       },
       {
@@ -147,6 +177,22 @@
         "description": "Codes für Histologie Grading. Gibt den Differenzierungsgrad des Tumors entsprechend der aktuellen TNM-Auflage an.",
         "exampleBoolean": false
       },
+      {
+        "reference": {
+          "reference": "ValueSet/mii-vs-onko-operation-intention"
+        },
+        "name": "MII VS Onkologie Operation Intention",
+        "description": "Value Set für oBDS-Codes für Klassifikation von Intention der OP",
+        "exampleBoolean": false
+      },
+      {
+        "reference": {
+          "reference": "ValueSet/mii-vs-onko-operation-komplikation"
+        },
+        "name": "MII VS Onkologie Operation Komplikationen",
+        "description": "Value Set für oBDS-Codes für Klassifikation von Komplikationen während der OP",
+        "exampleBoolean": false
+      },
       {
         "reference": {
           "reference": "ValueSet/mii-vs-onko-primaertumor-diagnosesicherung"
diff --git a/fsh-generated/resources/StructureDefinition-mii-ex-onko-operation-intention.json b/fsh-generated/resources/StructureDefinition-mii-ex-onko-operation-intention.json
new file mode 100644
index 00000000..c0f7c302
--- /dev/null
+++ b/fsh-generated/resources/StructureDefinition-mii-ex-onko-operation-intention.json
@@ -0,0 +1,90 @@
+{
+  "resourceType": "StructureDefinition",
+  "id": "mii-ex-onko-operation-intention",
+  "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-onko/StructureDefinition/mii-ex-onko-operation-intention",
+  "version": "2024.0.0-ballot",
+  "name": "MII_EX_Onko_Operation_Intention",
+  "title": "MII EX Onko Operation Intention",
+  "status": "draft",
+  "publisher": "Medizininformatik Initiative",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "url",
+          "value": "https://www.medizininformatik-initiative.de"
+        }
+      ]
+    }
+  ],
+  "description": "Intention der Operation",
+  "fhirVersion": "4.0.1",
+  "mapping": [
+    {
+      "identity": "rim",
+      "uri": "http://hl7.org/v3",
+      "name": "RIM Mapping"
+    }
+  ],
+  "kind": "complex-type",
+  "abstract": false,
+  "context": [
+    {
+      "type": "element",
+      "expression": "Procedure"
+    }
+  ],
+  "type": "Extension",
+  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
+  "derivation": "constraint",
+  "differential": {
+    "element": [
+      {
+        "id": "Extension",
+        "path": "Extension",
+        "short": "MII EX Onko Operation Intention",
+        "definition": "Intention der Operation"
+      },
+      {
+        "id": "Extension.extension",
+        "path": "Extension.extension",
+        "max": "0"
+      },
+      {
+        "id": "Extension.url",
+        "path": "Extension.url",
+        "fixedUri": "https://www.medizininformatik-initiative.de/fhir/core/modul-onko/StructureDefinition/mii-ex-onko-operation-intention"
+      },
+      {
+        "id": "Extension.value[x]",
+        "path": "Extension.value[x]",
+        "min": 1,
+        "type": [
+          {
+            "code": "CodeableConcept"
+          }
+        ],
+        "binding": {
+          "strength": "required",
+          "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-operation-intention"
+        }
+      },
+      {
+        "id": "Extension.value[x].coding.system",
+        "path": "Extension.value[x].coding.system",
+        "min": 1,
+        "fixedUri": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-cs-onko-operation-intention"
+      },
+      {
+        "id": "Extension.value[x].coding.code",
+        "path": "Extension.value[x].coding.code",
+        "min": 1
+      },
+      {
+        "id": "Extension.value[x].text",
+        "path": "Extension.value[x].text",
+        "mustSupport": true
+      }
+    ]
+  }
+}
diff --git a/fsh-generated/resources/StructureDefinition-mii-pr-onko-operation.json b/fsh-generated/resources/StructureDefinition-mii-pr-onko-operation.json
new file mode 100644
index 00000000..2d939802
--- /dev/null
+++ b/fsh-generated/resources/StructureDefinition-mii-pr-onko-operation.json
@@ -0,0 +1,117 @@
+{
+  "resourceType": "StructureDefinition",
+  "id": "mii-pr-onko-operation",
+  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-operation",
+  "version": "2024.0.0-ballot",
+  "name": "MII-PR-Onko-Operation",
+  "title": "MII PR Onkologie Operation",
+  "status": "draft",
+  "publisher": "Medizininformatik Initiative",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "url",
+          "value": "https://www.medizininformatik-initiative.de"
+        }
+      ]
+    }
+  ],
+  "description": "Operation nach OPS inklusive Intention, Datum und Komplikationen:",
+  "fhirVersion": "4.0.1",
+  "mapping": [
+    {
+      "identity": "workflow",
+      "uri": "http://hl7.org/fhir/workflow",
+      "name": "Workflow Pattern"
+    },
+    {
+      "identity": "rim",
+      "uri": "http://hl7.org/v3",
+      "name": "RIM Mapping"
+    },
+    {
+      "identity": "w5",
+      "uri": "http://hl7.org/fhir/fivews",
+      "name": "FiveWs Pattern Mapping"
+    },
+    {
+      "identity": "v2",
+      "uri": "http://hl7.org/v2",
+      "name": "HL7 v2 Mapping"
+    }
+  ],
+  "kind": "resource",
+  "abstract": false,
+  "type": "Procedure",
+  "baseDefinition": "https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Procedure",
+  "derivation": "constraint",
+  "differential": {
+    "element": [
+      {
+        "id": "Procedure.extension:intention",
+        "path": "Procedure.extension",
+        "sliceName": "intention",
+        "min": 0,
+        "max": "1",
+        "type": [
+          {
+            "code": "Extension",
+            "profile": [
+              "https://www.medizininformatik-initiative.de/fhir/core/modul-onko/StructureDefinition/mii-ex-onko-operation-intention"
+            ]
+          }
+        ],
+        "mustSupport": true
+      },
+      {
+        "id": "Procedure.code.coding:ops",
+        "path": "Procedure.code.coding",
+        "sliceName": "ops",
+        "min": 1
+      },
+      {
+        "id": "Procedure.complication",
+        "path": "Procedure.complication",
+        "slicing": {
+          "discriminator": [
+            {
+              "type": "pattern",
+              "path": "$this"
+            }
+          ],
+          "rules": "open"
+        },
+        "mustSupport": true
+      },
+      {
+        "id": "Procedure.complication:compl_obds",
+        "path": "Procedure.complication",
+        "sliceName": "compl_obds",
+        "min": 0,
+        "max": "*",
+        "mustSupport": true
+      },
+      {
+        "id": "Procedure.complication:compl_obds.coding",
+        "path": "Procedure.complication.coding",
+        "binding": {
+          "strength": "required",
+          "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-operation-komplikation"
+        }
+      },
+      {
+        "id": "Procedure.complication:compl_icd10",
+        "path": "Procedure.complication",
+        "sliceName": "compl_icd10",
+        "min": 0,
+        "max": "*",
+        "mustSupport": true,
+        "binding": {
+          "strength": "required",
+          "valueSet": "http://fhir.de/ValueSet/bfarm/icd-10-gm"
+        }
+      }
+    ]
+  }
+}
diff --git a/fsh-generated/resources/ValueSet-mii-vs-onko-operation-intention.json b/fsh-generated/resources/ValueSet-mii-vs-onko-operation-intention.json
new file mode 100644
index 00000000..e81ddec2
--- /dev/null
+++ b/fsh-generated/resources/ValueSet-mii-vs-onko-operation-intention.json
@@ -0,0 +1,34 @@
+{
+  "resourceType": "ValueSet",
+  "status": "draft",
+  "name": "MII_VS_Onko_Operation_Intention",
+  "id": "mii-vs-onko-operation-intention",
+  "title": "MII VS Onkologie Operation Intention",
+  "description": "Value Set für oBDS-Codes für Klassifikation von Intention der OP",
+  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-operation-intention",
+  "meta": {
+    "profile": [
+      "http://hl7.org/fhir/StructureDefinition/shareablevalueset"
+    ]
+  },
+  "experimental": false,
+  "publisher": "Medizininformatik Initiative",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "url",
+          "value": "https://www.medizininformatik-initiative.de"
+        }
+      ]
+    }
+  ],
+  "version": "2024.0.0-ballot",
+  "compose": {
+    "include": [
+      {
+        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-cs-onko-operation-intention"
+      }
+    ]
+  }
+}
diff --git a/fsh-generated/resources/ValueSet-mii-vs-onko-operation-komplikation.json b/fsh-generated/resources/ValueSet-mii-vs-onko-operation-komplikation.json
new file mode 100644
index 00000000..9a62e877
--- /dev/null
+++ b/fsh-generated/resources/ValueSet-mii-vs-onko-operation-komplikation.json
@@ -0,0 +1,34 @@
+{
+  "resourceType": "ValueSet",
+  "status": "draft",
+  "name": "MII_VS_Onko_Operation_Komplikation",
+  "id": "mii-vs-onko-operation-komplikation",
+  "title": "MII VS Onkologie Operation Komplikationen",
+  "description": "Value Set für oBDS-Codes für Klassifikation von Komplikationen während der OP",
+  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-operation-komplikation",
+  "meta": {
+    "profile": [
+      "http://hl7.org/fhir/StructureDefinition/shareablevalueset"
+    ]
+  },
+  "experimental": false,
+  "publisher": "Medizininformatik Initiative",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "url",
+          "value": "https://www.medizininformatik-initiative.de"
+        }
+      ]
+    }
+  ],
+  "version": "2024.0.0-ballot",
+  "compose": {
+    "include": [
+      {
+        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-cs-onko-operation-komplikation"
+      }
+    ]
+  }
+}
diff --git a/input/fsh/aliases.fsh b/input/fsh/aliases.fsh
index 658c7e36..e83655de 100644
--- a/input/fsh/aliases.fsh
+++ b/input/fsh/aliases.fsh
@@ -39,4 +39,6 @@ Alias: $mii-vs-onko-primaertumor-seitenlokalisation = https://www.medizininforma
 Alias: $mii-cs-onko-grading = https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-grading
 Alias: $mii-vs-onko-grading = https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-grading
 Alias: $mii-cs-onko-operation-komplikation = https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-cs-onko-operation-komplikation
-Alias: $mii-vs-onko-operation-komplikation = https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-operation-komplikation
\ No newline at end of file
+Alias: $mii-vs-onko-operation-komplikation = https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-operation-komplikation
+Alias: $mii-cs-onko-operation-intention = https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-cs-onko-operation-intention
+Alias: $mii-vs-onko-operation-intention = https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-operation-intention
\ No newline at end of file
diff --git a/input/fsh/oBDS/13_OP/mii-cs-onko-operation-intention.fsh b/input/fsh/oBDS/13_OP/mii-cs-onko-operation-intention.fsh
new file mode 100644
index 00000000..f8a0fc8e
--- /dev/null
+++ b/input/fsh/oBDS/13_OP/mii-cs-onko-operation-intention.fsh
@@ -0,0 +1,19 @@
+CodeSystem: MII_CS_Onko_Operation_Intention
+Id: mii-cs-onko-operation-intention
+Title: "MII CS Onkologie Operation Intention"
+Description: "oBDS-spezifisches Codesystem für Klassifikation von Intention der OP"
+* ^meta.profile = "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
+* ^url = "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-operation-intention"
+* ^status = #draft
+* ^experimental = false
+* insert Publisher
+* insert PR_CS_VS_Version
+* ^caseSensitive = true
+* ^valueSet = "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-operation-intention"
+* ^content = #complete
+* #K "kurativ"
+* #P "palliativ"
+* #D "diagnostisch"
+* #R "Revision/Komplikation"
+* #S "Sonstiges"
+* #X "fehlende Angabe"
diff --git a/input/fsh/oBDS/13_OP/mii-ex-onko-operation-intention.fsh b/input/fsh/oBDS/13_OP/mii-ex-onko-operation-intention.fsh
new file mode 100644
index 00000000..50fa0e45
--- /dev/null
+++ b/input/fsh/oBDS/13_OP/mii-ex-onko-operation-intention.fsh
@@ -0,0 +1,16 @@
+Extension: MII_EX_Onko_Operation_Intention
+Id: mii-ex-onko-operation-intention
+Title: "MII EX Onko Operation Intention"
+Description: "Intention der Operation"
+* ^url = "https://www.medizininformatik-initiative.de/fhir/core/modul-onko/StructureDefinition/mii-ex-onko-operation-intention"
+* insert PR_CS_VS_Version
+* insert Publisher
+* ^context.type = #element
+* ^context.expression = "Procedure"
+* value[x] 1..
+* value[x] only CodeableConcept
+* value[x] from MII_VS_Onko_Operation_Intention (required)
+* valueCodeableConcept.coding.system 1..
+* valueCodeableConcept.coding.system = $mii-cs-onko-operation-intention (exactly)
+* valueCodeableConcept.coding.code 1..
+* valueCodeableConcept.text MS
\ No newline at end of file
diff --git a/input/fsh/oBDS/13_OP/mii-vs-onko-operation-intention.fsh b/input/fsh/oBDS/13_OP/mii-vs-onko-operation-intention.fsh
new file mode 100644
index 00000000..2433aca1
--- /dev/null
+++ b/input/fsh/oBDS/13_OP/mii-vs-onko-operation-intention.fsh
@@ -0,0 +1,11 @@
+ValueSet: MII_VS_Onko_Operation_Intention
+Id: mii-vs-onko-operation-intention
+Title: "MII VS Onkologie Operation Intention"
+Description: "Value Set für oBDS-Codes für Klassifikation von Intention der OP"
+* ^meta.profile = "http://hl7.org/fhir/StructureDefinition/shareablevalueset"
+* ^url = "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-operation-intention"
+* ^status = #draft
+* ^experimental = false
+* insert Publisher
+* insert PR_CS_VS_Version
+* include codes from system $mii-cs-onko-operation-intention
\ No newline at end of file