QI-Core Implementation Guide
7.0.2 - STU 7 United States of America flag

QI-Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 7.0.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-qi-core/ and changes regularly. See the Directory of published versions

Resource Profile: QICore Procedure Not Done

Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedurenotdone Version: 7.0.2
Standards status: Trial-use Maturity Level: 4 Computable Name: QICoreProcedureNotDone

Negative profile of Procedure for decision support/quality metrics. Indicates that a procedure was not done for a reason.

"Must Have", "QI Elements" and "primary code path" are defined in the QI-Core Must Support section.
Must Have:
  • subject: (QI) Who the procedure was performed on
  • code: (QI) What procedure
  • status: (QI) not-done
QI Elements:
  • performed[x]: (QI) When the procedure was performed
  • reasonCode: (QI) Coded reason procedure performed
  • reasonReference: (QI) The justification that the procedure was performed
  • basedOn: (QI) A request for this procedure
  • code.extension(codeOptions): (QI) Url of a value set of candidate procedures
  • statusReason: (QI) Reason for the current status
  • extension(recorded): (QI) When the procedure was first captured in the subject's record
Primary code path: code
(PCPath) This element is the primary code path for this resource CQL Retrieve

Usage

The Procedure profile defines the conformance expectations for a Procedure, regardless of whether it is a positive or negative statement. The ProcedureDone and ProcedureNotDone profiles represent the positive and negative statements for a procedure.

To create an expression indicating existence of a procedure, use the profile QICoreProcedureDone; to specifically request information that a procedure intentionally did not occur for a medical, patient or system reason, use the profile QICoreProcedureNotDone.

The following example illustrates the use of the ProcedureNotDone profile:

define "Intermittent Pneumatic Compression Devices Not Applied":
  [ProcedureNotDone: "Application of Intermittent Pneumatic Compression Devices (IPC)"] DeviceNotApplied
    where DeviceNotApplied.statusReason in "Medical Reason" 
      or DeviceNotApplied.statusReason in "Patient Refusal"

For a more complete discussion of representation of negation within QI-Core and quality improvement artifacts, see the Negation in QI-Core topic.

See the patterns page for implementation and usage patterns.

Examples

Negation Example with valusetProcedure not performed due to complications; indicates that none of the procedures in the given `codeOptions` value set were performed.
Negation Example with codeProcedure not performed due to complications; indicates that a specific procedure, by code, was not performed.

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure C 0..* QICoreProcedure An action that is being or was performed on a patient
Constraints: us-core-7, prc-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:recorded 0..1 dateTime (QI) When the procedure was first captured in the subject's record
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... statusReason Σ 1..1 CodeableConcept (QI) Reason for the current status
Binding: QICore Negation Reason Codes (extensible): The reason the procedure was not done
... code SΣC 1..1 CodeableConcept (QI) What procedure
Binding: US Core Procedure Codes (preferred): Codes describing the type of Procedure
Additional BindingsPurpose
US Core Procedure Codes Current
.... Slices for extension Content/Rules for all slices
..... extension:codeOptions C 0..1 canonical(ValueSet) (QI) Url of a value set of candidate procedures
URL: http://hl7.org/fhir/StructureDefinition/codeOptions
... subject SΣ 1..1 Reference(QICore Patient) (QI) Who the procedure was performed on
... encounter SΣ 0..1 Reference(US Core Encounter Profile) Encounter associated with the procedure
... performed[x] SΣC 0..1 (QI) When the procedure was performed
.... performedDateTime dateTime S
.... performedPeriod Period
.... performedString string
.... performedAge Age
.... performedRange Range

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.status Base required EventStatus 📦4.0.1 FHIR Std.
Procedure.statusReason Base extensible QICore Negation Reason Codes 📦7.0.2 This IG
Procedure.code Base preferred US Core Procedure Codes 📦7.0.0 US Core v7.0

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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
prc-1 error Procedure to indicate what procedure, either at least one coding in the code or a codeOptions extension shall be provided code.extension('http://hl7.org/fhir/StructureDefinition/codeOptions').exists() xor code.coding.exists()
us-core-7 error Procedure Performed SHALL be present if the status is 'completed' or 'in-progress' (status='completed' or status='in-progress') implies performed.exists()

This structure is derived from QICoreProcedure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* QICoreProcedure An action that is being or was performed on a patient
... Slices for extension Content/Rules for all slices
.... extension:recorded 0..1 dateTime (QI) When the procedure was first captured in the subject's record
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded
... status 1..1 code (QI) not-done
Fixed Value: not-done
... statusReason 1..1 CodeableConcept (QI) Reason for the current status
Binding: QICore Negation Reason Codes (extensible): The reason the procedure was not done

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Procedure.statusReason Base extensible QICore Negation Reason Codes 📦7.0.2 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure C 0..* QICoreProcedure An action that is being or was performed on a patient
Constraints: us-core-7, prc-1
... 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 BindingsPurpose
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 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:recorded 0..1 dateTime (QI) When the procedure was first captured in the subject's record
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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(QICore CarePlan | QICore ServiceRequest) (QI) A request for this procedure
... partOf Σ 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
... status ?!SΣC 1..1 code (QI) not-done
Binding: EventStatus (required)
Fixed Value: not-done
... statusReason Σ 1..1 CodeableConcept (QI) Reason for the current status
Binding: QICore Negation Reason Codes (extensible): The reason the procedure was not done
... category Σ 0..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
... code SΣC 1..1 CodeableConcept (QI) What procedure
Binding: US Core Procedure Codes (preferred): Codes describing the type of Procedure
Additional BindingsPurpose
US Core Procedure Codes Current
.... 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
..... extension:codeOptions C 0..1 canonical(ValueSet) (QI) Url of a value set of candidate procedures
URL: http://hl7.org/fhir/StructureDefinition/codeOptions
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(QICore Patient) (QI) Who the procedure was performed on
... encounter SΣ 0..1 Reference(US Core Encounter Profile) Encounter associated with the procedure
... performed[x] SΣC 0..1 (QI) When the procedure was performed
.... performedDateTime dateTime S
.... performedPeriod Period
.... performedString string
.... performedAge Age
.... performedRange Range
... 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
... performer Σ 0..* BackboneElement The people who performed the procedure
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... 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(QICore Practitioner | QICore Organization | QICore Patient | QICore RelatedPerson) The reference to the practitioner
.... onBehalfOf 0..1 Reference(Organization) Organization the device or practitioner was acting for
... location Σ 0..1 Reference(Location) Where the procedure happened
... reasonCode Σ 0..* CodeableConcept (QI) Coded reason procedure performed
Binding: US Core Condition Codes (extensible)
... reasonReference Σ 0..* Reference(QICore Condition Encounter Diagnosis | QICore Condition Problems Health Concerns | QICore DiagnosticReport Profile for Report and Note Exchange | US Core DocumentReference Profile) (QI) The justification that the procedure was performed
... bodySite Σ 0..* CodeableConcept Target body sites
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... 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.

doco 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 extensible QICore Negation Reason Codes 📦7.0.2 This IG
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📦4.0.1 FHIR Std.
Procedure.code Base preferred US Core Procedure Codes 📦7.0.0 US Core v7.0
Procedure.performer.​function Base example Procedure Performer Role Codes 📦4.0.1 FHIR Std.
Procedure.reasonCode Base extensible US Core Condition Codes 📦7.0.0 US Core v7.0
Procedure.bodySite Base example 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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
prc-1 error Procedure to indicate what procedure, either at least one coding in the code or a codeOptions extension shall be provided code.extension('http://hl7.org/fhir/StructureDefinition/codeOptions').exists() xor code.coding.exists()
us-core-7 error Procedure Performed SHALL be present if the status is 'completed' or 'in-progress' (status='completed' or status='in-progress') implies performed.exists()

This structure is derived from QICoreProcedure

Summary

Mandatory: 2 elements
Fixed: 1 element

Extensions

This structure refers to these extensions:

Maturity: 4

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure C 0..* QICoreProcedure An action that is being or was performed on a patient
Constraints: us-core-7, prc-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:recorded 0..1 dateTime (QI) When the procedure was first captured in the subject's record
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... statusReason Σ 1..1 CodeableConcept (QI) Reason for the current status
Binding: QICore Negation Reason Codes (extensible): The reason the procedure was not done
... code SΣC 1..1 CodeableConcept (QI) What procedure
Binding: US Core Procedure Codes (preferred): Codes describing the type of Procedure
Additional BindingsPurpose
US Core Procedure Codes Current
.... Slices for extension Content/Rules for all slices
..... extension:codeOptions C 0..1 canonical(ValueSet) (QI) Url of a value set of candidate procedures
URL: http://hl7.org/fhir/StructureDefinition/codeOptions
... subject SΣ 1..1 Reference(QICore Patient) (QI) Who the procedure was performed on
... encounter SΣ 0..1 Reference(US Core Encounter Profile) Encounter associated with the procedure
... performed[x] SΣC 0..1 (QI) When the procedure was performed
.... performedDateTime dateTime S
.... performedPeriod Period
.... performedString string
.... performedAge Age
.... performedRange Range

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.status Base required EventStatus 📦4.0.1 FHIR Std.
Procedure.statusReason Base extensible QICore Negation Reason Codes 📦7.0.2 This IG
Procedure.code Base preferred US Core Procedure Codes 📦7.0.0 US Core v7.0

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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
prc-1 error Procedure to indicate what procedure, either at least one coding in the code or a codeOptions extension shall be provided code.extension('http://hl7.org/fhir/StructureDefinition/codeOptions').exists() xor code.coding.exists()
us-core-7 error Procedure Performed SHALL be present if the status is 'completed' or 'in-progress' (status='completed' or status='in-progress') implies performed.exists()

Differential View

This structure is derived from QICoreProcedure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* QICoreProcedure An action that is being or was performed on a patient
... Slices for extension Content/Rules for all slices
.... extension:recorded 0..1 dateTime (QI) When the procedure was first captured in the subject's record
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded
... status 1..1 code (QI) not-done
Fixed Value: not-done
... statusReason 1..1 CodeableConcept (QI) Reason for the current status
Binding: QICore Negation Reason Codes (extensible): The reason the procedure was not done

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Procedure.statusReason Base extensible QICore Negation Reason Codes 📦7.0.2 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure C 0..* QICoreProcedure An action that is being or was performed on a patient
Constraints: us-core-7, prc-1
... 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 BindingsPurpose
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 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:recorded 0..1 dateTime (QI) When the procedure was first captured in the subject's record
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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(QICore CarePlan | QICore ServiceRequest) (QI) A request for this procedure
... partOf Σ 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
... status ?!SΣC 1..1 code (QI) not-done
Binding: EventStatus (required)
Fixed Value: not-done
... statusReason Σ 1..1 CodeableConcept (QI) Reason for the current status
Binding: QICore Negation Reason Codes (extensible): The reason the procedure was not done
... category Σ 0..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
... code SΣC 1..1 CodeableConcept (QI) What procedure
Binding: US Core Procedure Codes (preferred): Codes describing the type of Procedure
Additional BindingsPurpose
US Core Procedure Codes Current
.... 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
..... extension:codeOptions C 0..1 canonical(ValueSet) (QI) Url of a value set of candidate procedures
URL: http://hl7.org/fhir/StructureDefinition/codeOptions
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(QICore Patient) (QI) Who the procedure was performed on
... encounter SΣ 0..1 Reference(US Core Encounter Profile) Encounter associated with the procedure
... performed[x] SΣC 0..1 (QI) When the procedure was performed
.... performedDateTime dateTime S
.... performedPeriod Period
.... performedString string
.... performedAge Age
.... performedRange Range
... 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
... performer Σ 0..* BackboneElement The people who performed the procedure
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... 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(QICore Practitioner | QICore Organization | QICore Patient | QICore RelatedPerson) The reference to the practitioner
.... onBehalfOf 0..1 Reference(Organization) Organization the device or practitioner was acting for
... location Σ 0..1 Reference(Location) Where the procedure happened
... reasonCode Σ 0..* CodeableConcept (QI) Coded reason procedure performed
Binding: US Core Condition Codes (extensible)
... reasonReference Σ 0..* Reference(QICore Condition Encounter Diagnosis | QICore Condition Problems Health Concerns | QICore DiagnosticReport Profile for Report and Note Exchange | US Core DocumentReference Profile) (QI) The justification that the procedure was performed
... bodySite Σ 0..* CodeableConcept Target body sites
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... 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.

doco 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 extensible QICore Negation Reason Codes 📦7.0.2 This IG
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📦4.0.1 FHIR Std.
Procedure.code Base preferred US Core Procedure Codes 📦7.0.0 US Core v7.0
Procedure.performer.​function Base example Procedure Performer Role Codes 📦4.0.1 FHIR Std.
Procedure.reasonCode Base extensible US Core Condition Codes 📦7.0.0 US Core v7.0
Procedure.bodySite Base example 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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
prc-1 error Procedure to indicate what procedure, either at least one coding in the code or a codeOptions extension shall be provided code.extension('http://hl7.org/fhir/StructureDefinition/codeOptions').exists() xor code.coding.exists()
us-core-7 error Procedure Performed SHALL be present if the status is 'completed' or 'in-progress' (status='completed' or status='in-progress') implies performed.exists()

This structure is derived from QICoreProcedure

Summary

Mandatory: 2 elements
Fixed: 1 element

Extensions

This structure refers to these extensions:

Maturity: 4

 

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