| Left: | Procedure (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ips) |
| Right: | US Core Procedure Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure) |
| Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ips' vs 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure' |
| Error | StructureDefinition.version | Values for version differ: '2.0.1' vs '10.0.0-ballot' |
| Information | StructureDefinition.name | Values for name differ: 'ProcedureUvIps' vs 'USCoreProcedureProfile' |
| Information | StructureDefinition.title | Values for title differ: 'Procedure (IPS)' vs 'US Core Procedure Profile' |
| Information | StructureDefinition.date | Values for date differ: '2024-06-19T10:50:07-05:00' vs '2023-10-17' |
| Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Patient Care' vs 'HL7 International / Cross-Group Projects' |
| Information | StructureDefinition.jurisdiction | Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001' |
| Information | StructureDefinition.jurisdiction | Added the item 'urn:iso:std:iso:3166#US' |
| Error | StructureDefinition.baseDefinition | Values for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1' vs 'http://hl7.org/fhir/StructureDefinition/Procedure' |
| Information | StructureDefinition.short | Values for short differ: 'Additional content defined by implementations' vs 'Extension' |
| Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension' |
| Information | StructureDefinition.short | Values for short differ: 'A request for this procedure' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A request for this procedure' |
| Warning | Procedure.status | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | StructureDefinition.short | Values for short differ: 'Reason for current status' vs 'Reason the procedure was not performed' |
| Warning | Procedure.statusReason | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | StructureDefinition.definition | Values for definition differ: 'Identification of the procedure or recording of 'absence of relevant procedures' or of 'procedures unknown'.' vs 'The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. 'Laparoscopic Appendectomy').' |
| Information | StructureDefinition.definition | Values for definition differ: 'The person on which the procedure was performed.' vs 'The person, animal or group on which the procedure was performed.' |
| Information | StructureDefinition.short | Values for short differ: 'Encounter created as part of' vs 'Encounter associated with the procedure' |
| Warning | Procedure.encounter | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | Procedure.performed[x] | Element minimum cardinalities differ: '1' vs '0' |
| 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' |
| Error | Procedure.performer.actor | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips|2.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1], CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/Device-observer-uv-ips|2.0.1], CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/Practitioner-uv-ips|2.0.1], CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/PractitionerRole-uv-ips|2.0.1], CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/Organization-uv-ips|2.0.1]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-device]]) |
| Information | StructureDefinition.short | Values for short differ: 'Coded reason procedure performed' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Coded reason procedure performed' |
| Information | StructureDefinition.short | Values for short differ: 'The justification that the procedure was performed' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile justifying the reason procedure performed' |
| Name | Value | Comments | |
|---|---|---|---|
 abstract | false | ||
| baseDefinition | http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1 | http://hl7.org/fhir/StructureDefinition/Procedure |
|
| copyright | |||
| date | 2024-06-19T10:50:07-05:00 | 2023-10-17 |
|
| description | This profile represents the constraints applied to the Procedure resource by the IPS project, which specifies an entry of the History of Procedure for the international patient summary based on the FHIR standard R4. | 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] | http://unstats.un.org/unsd/methods/m49/m49.htm#001 |
| |
 jurisdiction[1] | urn:iso:std:iso:3166#US |
| |
| kind | resource | ||
| name | ProcedureUvIps | USCoreProcedureProfile |
|
| publisher | HL7 International / Patient Care | HL7 International / Cross-Group Projects |
|
| purpose | |||
| status | active | ||
| title | Procedure (IPS) | US Core Procedure Profile |
|
| type | Procedure | ||
| url | http://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ips | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure |
|
| version | 2.0.1 | 10.0.0-ballot |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 Procedure | 0..* | Procedure(4.0.1) | An action that is being or was performed on a patient | C | 0..* | Procedure | An action that is being or was performed on a patient Constraints: us-core-7 | ||||||||||
| id | 0..1 | id | Logical id of this artifact | 0..1 | id | Logical id of this artifact | |||||||||||
| meta | 0..1 | Meta | Metadata about the resource | 0..1 | Meta | Metadata about the resource | |||||||||||
| implicitRules | 0..1 | uri | A set of rules under which this content was created | 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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | 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 | 0..* | Resource | Contained, inline Resources | |||||||||||
 extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
 modifierExtension | 0..* | Extension | Extensions that cannot be ignored | 0..* | Extension | Extensions that cannot be ignored | |||||||||||
| identifier | 0..* | Identifier | External Identifiers for this procedure | 0..* | Identifier | External Identifiers for this procedure | |||||||||||
| instantiatesCanonical | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | |||||||||||
| instantiatesUri | 0..* | uri | Instantiates external protocol or definition | 0..* | uri | Instantiates external protocol or definition | |||||||||||
| basedOn | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | 0..* | Reference(US Core CarePlan Profile | US Core ServiceRequest Profile) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A request for this procedure | |||||||||||
| partOf | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | |||||||||||
| status | 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. | C | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: ?? (required) |
| |||||||||
| statusReason | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): A code that identifies the reason a procedure was not performed. | 0..1 | CodeableConcept | Reason the procedure was not performed Binding: ?? (extensible) |
| ||||||||||
| category | 0..1 | CodeableConcept | Classification of the procedure Binding: ?? (example): A code that classifies a procedure for searching, sorting and display purposes. | 0..1 | CodeableConcept | Classification of the procedure Binding: ?? (example): A code that classifies a procedure for searching, sorting and display purposes. | |||||||||||
| code | 1..1 | ??  | Identification of the procedure Binding: ?? (preferred): SNOMED CT procedure code set or a code for absent/unknown procedure
| 1..1 | CodeableConcept | Identification of the procedure Binding: ?? (extensible): Codes describing the type of Procedure | |||||||||||
| subject | 1..1 | Reference(Patient (IPS)(2.0.1)) | Who the procedure was performed on
| 1..1 | Reference(US Core Patient Profile | Group) | Who the procedure was performed on | |||||||||||
 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 |
| |||||||||||||
| reference | C | 1..1 | string | Literal reference, Relative, internal or absolute URL
|
| ||||||||||||
| type | 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 | 0..1 | Identifier | Logical reference, when literal reference is not known |
| |||||||||||||
| display | 0..1 | string | Text alternative for the resource |
| |||||||||||||
| encounter | 0..1 | Reference(Encounter) | Encounter created as part of | 0..1 | Reference(US Core Encounter Profile) | Encounter associated with the procedure |
| ||||||||||
| Slices for performed[x] | 1..1 | dateTime, Period, string, Age, Range | When the procedure was performed Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | C | 0..1 | dateTime , Period, string, Age, Range | When the procedure was performed |
| |||||||||
| recorder | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure | |||||||||||
| asserter | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure | |||||||||||
| performer | 0..* | BackboneElement | The people who performed the procedure | 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 | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| function | 0..1 | CodeableConcept | Type of performance Binding: ?? (example): A code that identifies the role of a performer of the procedure. | 0..1 | CodeableConcept | Type of performance Binding: ?? (example): A code that identifies the role of a performer of the procedure. | |||||||||||
| actor | 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 | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core Patient Profile | US Core RelatedPerson Profile | US Core Device Profile) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: The reference to the practitioner |
| ||||||||||
| onBehalfOf | 0..1 | Reference(Organization (IPS)(2.0.1)) | Organization the device or practitioner was acting for | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||||||||
| location | 0..1 | Reference(Location) | Where the procedure happened | 0..1 | Reference(Location) | Where the procedure happened | |||||||||||
| reasonCode | 0..* | CodeableConcept | Coded reason procedure performed Binding: ?? (example): A code that identifies the reason a procedure is required. | 0..* | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Coded reason procedure performed Binding: ?? (extensible) | |||||||||||
| reasonReference | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile justifying the reason procedure performed | |||||||||||
| bodySite | 0..* | CodeableConcept | Target body sites Binding: ?? (preferred) | 0..* | CodeableConcept | Target body sites Binding: ?? (example): Codes describing anatomical locations. May include laterality. | |||||||||||
| outcome | 0..1 | CodeableConcept | The result of procedure Binding: ?? (example): An outcome of a procedure - whether it was resolved or otherwise. | 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 | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 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 | |||||||||||||||||