abstractbaseDefinitioncopyrightdescriptionexperimentalfhirVersionjurisdiction
jurisdiction[0]kindnamepublisherpurposestatustitletypeurl| Left: | US Core Procedure Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure) |
| Right: | US Core Procedure Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure) |
| Information | StructureDefinition.short | Values for short differ: 'The people who performed the procedure' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: The people who performed the procedure' |
| Information | StructureDefinition.short | Values for short differ: 'The reference to the practitioner' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: The reference to the practitioner' |
| Name | Value | Comments | |
|---|---|---|---|
| abstract | false | ||
| baseDefinition | http://hl7.org/fhir/StructureDefinition/Procedure | ||
| copyright | Used by permission of HL7 International, all rights reserved Creative Commons License | ||
| description | The US Core Procedure Profile inherits from the FHIR [Procedure](https://hl7.org/fhir/R4/procedure.html) resource; refer to it for scope and usage definitions. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) *Procedures* Data Class. It sets minimum expectations for the Procedure resource to record, search, and fetch procedure information associated with a patient. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. | ||
| experimental | false | ||
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
| jurisdiction[0] | urn:iso:std:iso:3166#US | ||
| kind | resource | ||
| name | USCoreProcedureProfile | ||
| publisher | HL7 International / Cross-Group Projects | ||
| purpose | |||
| status | active | ||
| title | US Core Procedure Profile | ||
| type | Procedure | ||
| url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | ||
| 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 us-core-7: Performed SHALL be present if the status is 'completed' or 'in-progress' | C | 0..* | Procedure | An action that is being or was performed on a patient us-core-7: Performed SHALL be present if the status is 'completed' or 'in-progress' | |||||||||
 id | Σ | 0..1 | id | 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.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||
| contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
 extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
 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(US Core CarePlan Profile | US Core ServiceRequest Profile) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A request for this procedure | Σ | 0..* | Reference(US Core CarePlan Profile | US Core ServiceRequest Profile) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: 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 | ?!SΣC | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: ?? (required) | ?!SΣC | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: ?? (required) | |||||||||
| 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 | Σ | 0..1 | CodeableConcept | Classification of the procedure 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. | |||||||||
| code | SΣ | 1..1 | CodeableConcept | Identification of the procedure Binding: ?? (preferred): Codes describing the type of Procedure
| SΣ | 1..1 | CodeableConcept | Identification of the procedure Binding: ?? (preferred): Codes describing the type of Procedure
| |||||||||
| subject | SΣ | 1..1 | Reference(US Core Patient Profile S | Group) | Who the procedure was performed on | SΣ | 1..1 | Reference(US Core Patient Profile S | Group) | Who the procedure was performed on | |||||||||
| encounter | SΣ | 0..1 | Reference(US Core Encounter Profile) | Encounter associated with the procedure | SΣ | 0..1 | Reference(US Core Encounter Profile) | Encounter associated with the procedure | |||||||||
| performed[x] | SΣC | 0..1 | dateTime S, Period, string, Age, Range | When the procedure was performed | SΣC | 0..1 | dateTime S, Period, string, Age, Range | When the procedure was performed | |||||||||
| 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 | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: 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 | Σ | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core Patient Profile | US Core RelatedPerson Profile | Device) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: The reference to the practitioner | |||||||||
| onBehalfOf | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | 0..1 | Reference(Organization) | 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 | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Coded reason procedure performed Binding: ?? (extensible) | Σ | 0..* | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Coded reason procedure performed Binding: ?? (extensible) | |||||||||
| reasonReference | Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile justifying the reason procedure performed | Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile justifying the reason procedure performed | |||||||||
| bodySite | Σ | 0..* | CodeableConcept | Target body sites Binding: ?? (example): Codes describing anatomical locations. May include laterality. | Σ | 0..* | CodeableConcept | Target body sites Binding: ?? (example): Codes describing anatomical locations. May include laterality. | |||||||||
| 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 | The result of 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 | Complication following the procedure 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) | A condition that is a result of the procedure | |||||||||||
| 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 | 0..* | Annotation | Additional information about the procedure | 0..* | Annotation | Additional information about the procedure | |||||||||||
| focalDevice | 0..* | BackboneElement | Manipulated, implanted, or removed device | 0..* | BackboneElement | Manipulated, implanted, or removed device | |||||||||||
| 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) | 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. | |||||||||||
| Documentation for this format | |||||||||||||||||