IHE PCC - Routine Interfacility Patient Transport (RIPT)
2.0.0-draft - ci-build

IHE PCC - Routine Interfacility Patient Transport (RIPT), published by IHE Patient Care Coordination. This is not an authorized publication; it is the continuous build for version 2.0.0-draft). This version is based on the current content of https://github.com/IHE/PCC.RIPT/ and changes regularly. See the Directory of published versions

## Resource Profile: RIPT Procedures

Official URL: http://profiles.ihe.net/PCC/RIPT/StructureDefinition/IHE.PCC.RIPT.Procedures | Version: 2.0.0-draft
Active as of 2023-01-27 | Computable Name: IHE_RIPT_Procedures

This profile represents the constraints applied to the Procedures resource by the Refferal For Interfacility Patient Trasnport (RIPT) FHIR Implementation Guide.

Usage:

- This Resource Profile is not used by any profiles in this Implementation Guide

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Differential Table
- Key Elements Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from ProcedureUvIps

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Procedure |  | 0..* | ProcedureUvIps | An action that is being or was performed on a patient
code |  | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: http://hl7.org/fhir/sid/icd-10 (required)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet
Procedure.code | required | http://hl7.org/fhir/sid/icd-10

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Procedure | S | 0..* | ProcedureUvIps | An action that is being or was performed on a patient
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
Slices for code | S Σ | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Slice: Unordered, Open by pattern:$this Binding: http://hl7.org/fhir/sid/icd-10 (required)
code:absentOrUnknownProcedure | S | 0..1 | CodeableConceptIPS | Code for absent problem or for unknown procedure Binding: Absent or Unknown Procedures - IPS (required): A code to identify absent or unknown procedures
subject | S Σ | 1..1 | Reference(Patient (IPS)) | Who the procedure was performed on
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
performed[x] | S Σ | 1..1 |  | When the procedure was performed
performed[x]:All Types |  |  |  | Content/Rules for all Types
data-absent-reason | S | 0..1 | code | performed[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
performedDateTime |  |  | dateTime |
performedPeriod |  |  | Period |
performedString |  |  | string |
performedAge |  |  | Age |
performedRange |  |  | Range |
bodySite | S | 0..* | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (example)
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet
Procedure.status | required | EventStatus
Procedure.code | required | http://hl7.org/fhir/sid/icd-10
Procedure.code:absentOrUnknownProcedure | required | NoProceduresInfoUvIps
Procedure.bodySite | example | SNOMEDCTBodyStructures

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Procedure | S | 0..* | ProcedureUvIps | An action that is being or was performed on a patient
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 Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
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(CarePlan | ServiceRequest) | A request for this procedure
partOf | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event
status | ?!S Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
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.
Slices for code | S Σ | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Slice: Unordered, Open by pattern:$this Binding: http://hl7.org/fhir/sid/icd-10 (required)
code:absentOrUnknownProcedure | S | 0..1 | CodeableConceptIPS | Code for absent problem or for unknown procedure Binding: Absent or Unknown Procedures - IPS (required): A code to identify absent or unknown procedures
subject | S Σ | 1..1 | Reference(Patient (IPS)) | Who the procedure was performed on
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
performed[x] | S Σ | 1..1 |  | When the procedure was performed
performed[x]:All Types |  |  |  | Content/Rules for all Types
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
data-absent-reason | S | 0..1 | code | performed[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
performedDateTime |  |  | dateTime |
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(Patient (IPS) | RelatedPerson | Device (performer, observer) | Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS)) | The reference to the practitioner
onBehalfOf |  | 0..1 | Reference(Organization (IPS)) | Organization the device or practitioner was acting for
location | Σ | 0..1 | Reference(Location) | Where the procedure happened
reasonCode | Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
reasonReference | Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed
bodySite | S | 0..* | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (example)
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.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet
Procedure.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
Procedure.status | required | EventStatus
Procedure.statusReason | example | ProcedureNotPerformedReason(SNOMED-CT)
Procedure.category | example | ProcedureCategoryCodes(SNOMEDCT)
Procedure.code | required | http://hl7.org/fhir/sid/icd-10
Procedure.code:absentOrUnknownProcedure | required | NoProceduresInfoUvIps
Procedure.subject.type | extensible | ResourceType
Procedure.performer.function | example | ProcedurePerformerRoleCodes
Procedure.reasonCode | example | ProcedureReasonCodes
Procedure.bodySite | example | SNOMEDCTBodyStructures
Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT)
Procedure.complication | example | Condition/Problem/DiagnosisCodes
Procedure.followUp | example | ProcedureFollowUpCodes(SNOMEDCT)
Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodes
Procedure.usedCode | example | FHIRDeviceTypes

This structure is derived from ProcedureUvIps

Summary

Differential View

This structure is derived from ProcedureUvIps

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Procedure |  | 0..* | ProcedureUvIps | An action that is being or was performed on a patient
code |  | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: http://hl7.org/fhir/sid/icd-10 (required)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet
Procedure.code | required | http://hl7.org/fhir/sid/icd-10

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Procedure | S | 0..* | ProcedureUvIps | An action that is being or was performed on a patient
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
Slices for code | S Σ | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Slice: Unordered, Open by pattern:$this Binding: http://hl7.org/fhir/sid/icd-10 (required)
code:absentOrUnknownProcedure | S | 0..1 | CodeableConceptIPS | Code for absent problem or for unknown procedure Binding: Absent or Unknown Procedures - IPS (required): A code to identify absent or unknown procedures
subject | S Σ | 1..1 | Reference(Patient (IPS)) | Who the procedure was performed on
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
performed[x] | S Σ | 1..1 |  | When the procedure was performed
performed[x]:All Types |  |  |  | Content/Rules for all Types
data-absent-reason | S | 0..1 | code | performed[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
performedDateTime |  |  | dateTime |
performedPeriod |  |  | Period |
performedString |  |  | string |
performedAge |  |  | Age |
performedRange |  |  | Range |
bodySite | S | 0..* | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (example)
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet
Procedure.status | required | EventStatus
Procedure.code | required | http://hl7.org/fhir/sid/icd-10
Procedure.code:absentOrUnknownProcedure | required | NoProceduresInfoUvIps
Procedure.bodySite | example | SNOMEDCTBodyStructures

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Procedure | S | 0..* | ProcedureUvIps | An action that is being or was performed on a patient
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 Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
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(CarePlan | ServiceRequest) | A request for this procedure
partOf | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event
status | ?!S Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
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.
Slices for code | S Σ | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Slice: Unordered, Open by pattern:$this Binding: http://hl7.org/fhir/sid/icd-10 (required)
code:absentOrUnknownProcedure | S | 0..1 | CodeableConceptIPS | Code for absent problem or for unknown procedure Binding: Absent or Unknown Procedures - IPS (required): A code to identify absent or unknown procedures
subject | S Σ | 1..1 | Reference(Patient (IPS)) | Who the procedure was performed on
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
performed[x] | S Σ | 1..1 |  | When the procedure was performed
performed[x]:All Types |  |  |  | Content/Rules for all Types
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
data-absent-reason | S | 0..1 | code | performed[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing.
performedDateTime |  |  | dateTime |
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(Patient (IPS) | RelatedPerson | Device (performer, observer) | Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS)) | The reference to the practitioner
onBehalfOf |  | 0..1 | Reference(Organization (IPS)) | Organization the device or practitioner was acting for
location | Σ | 0..1 | Reference(Location) | Where the procedure happened
reasonCode | Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
reasonReference | Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed
bodySite | S | 0..* | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (example)
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.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet
Procedure.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
Procedure.status | required | EventStatus
Procedure.statusReason | example | ProcedureNotPerformedReason(SNOMED-CT)
Procedure.category | example | ProcedureCategoryCodes(SNOMEDCT)
Procedure.code | required | http://hl7.org/fhir/sid/icd-10
Procedure.code:absentOrUnknownProcedure | required | NoProceduresInfoUvIps
Procedure.subject.type | extensible | ResourceType
Procedure.performer.function | example | ProcedurePerformerRoleCodes
Procedure.reasonCode | example | ProcedureReasonCodes
Procedure.bodySite | example | SNOMEDCTBodyStructures
Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT)
Procedure.complication | example | Condition/Problem/DiagnosisCodes
Procedure.followUp | example | ProcedureFollowUpCodes(SNOMEDCT)
Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodes
Procedure.usedCode | example | FHIRDeviceTypes

This structure is derived from ProcedureUvIps

Summary

Other representations of profile: CSV, Excel, Schematron