HL7 FHIR Costa Rica - Reportes de Imágenes Médicas
0.0.1-draft - ci-build Costa Rica flag

HL7 FHIR Costa Rica - Reportes de Imágenes Médicas, published by Iniciativa HL7 Costa Rica. This guide is not an authorized publication; it is the continuous build for version 0.0.1-draft built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cr/imaging-report/ and changes regularly. See the Directory of published versions

Resource Profile: CR Procedure - Imaging Acquisition

Official URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-procedure-imaging-acquisition Version:
Standards status: Draft Maturity Level: 0 Computable Name: CRProcedureImagingAcquisition

Copyright/Legal: Utilizado con permiso de HL7 International, todos los derechos reservados Licencia Creative Commons

Perfil para procedimientos de adquisición de imágenes médicas en Costa Rica.

Usages:

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

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 0..* Procedure(5.0.0) An action that is being or was performed on an individual or entity
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:dicomInstanceUid S 0..* (Complex) Información DICOM del procedimiento
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid
Constraints: ext-1
... status ?!SΣ 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.
... category SΣ 1..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodesSNOMEDCT (example): A code that classifies a procedure for searching, sorting and display purposes.
... code SΣ 1..1 CodeableConcept Identification of the procedure
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes (extensible)
... subject SΣ 1..1 Reference(Patient) Individual or entity the procedure was performed on
... performer SΣC 0..* BackboneElement Who performed the procedure and what they did
Constraints: prc-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... actor ΣC 1..1 Reference(Practitioner | Device) Who performed the procedure
... report 0..* Reference(DiagnosticReport) Any report resulting from the procedure

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.status Base required EventStatus 📍5.0.0 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📍5.0.0 FHIR Std.
Procedure.code Base extensible https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes Not State Unknown

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 Procedure.implicitRules, Procedure.extension, Procedure.extension:dicomInstanceUid, Procedure.modifierExtension, Procedure.status, Procedure.category, Procedure.code, Procedure.subject, Procedure.performer, Procedure.performer.modifierExtension, Procedure.performer.actor, Procedure.report All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Procedure.extension, Procedure.extension:dicomInstanceUid, Procedure.modifierExtension, Procedure.performer.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
prc-1 error Procedure.performer Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()

This structure is derived from Procedure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* Procedure(5.0.0) An action that is being or was performed on an individual or entity
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:dicomInstanceUid S 0..* (Complex) Información DICOM del procedimiento
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid
... status S 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
... category S 1..1 CodeableConcept Classification of the procedure
.... coding
..... system 0..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
... subject S 1..1 Reference(Patient) Individual or entity the procedure was performed on
... performer S 0..* BackboneElement Who performed the procedure and what they did
.... actor 1..1 Reference(Practitioner | Device) Who performed the procedure
... report 0..* Reference(DiagnosticReport) Any report resulting from the procedure

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Procedure.code Base extensible https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes Not State Unknown
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* Procedure(5.0.0) An action that is being or was performed on an individual or entity
... 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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... 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 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:dicomInstanceUid S 0..* (Complex) Información DICOM del procedimiento
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... 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 ?!SΣ 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: ProcedureNotPerformedReasonSNOMEDCT (example): A code that identifies the reason a procedure was not performed.
... category SΣ 1..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodesSNOMEDCT (example): A code that classifies a procedure for searching, sorting and display purposes.
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... system Σ 0..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... version Σ 0..1 string Version of the system - if relevant
..... code ΣC 0..1 code Symbol in syntax defined by the system
..... display ΣC 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Identification of the procedure
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes (extensible)
... subject SΣ 1..1 Reference(Patient) Individual or entity the procedure was performed on
... focus Σ 0..1 Reference(Patient | Group | RelatedPerson | Practitioner | Organization | CareTeam | PractitionerRole | Specimen) Who is the target of the procedure when it is not the subject of record only
... encounter Σ 0..1 Reference(Encounter) The Encounter during which this Procedure was created
... occurrence[x] Σ 0..1 When the procedure occurred or is occurring
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceString string
.... occurrenceAge Age
.... occurrenceRange Range
.... occurrenceTiming Timing
... recorded Σ 0..1 dateTime When the procedure was first captured in the subject's record
... recorder Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Who recorded the procedure
... reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)
... performer SΣC 0..* BackboneElement Who performed the procedure and what they did
Constraints: prc-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... function Σ 0..1 CodeableConcept Type of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
.... actor ΣC 1..1 Reference(Practitioner | Device) Who performed the procedure
.... onBehalfOf C 0..1 Reference(Organization) Organization the device or practitioner was acting for
.... period 0..1 Period When the performer performed the procedure
... location Σ 0..1 Reference(Location) Where the procedure happened
... reason Σ 0..* CodeableReference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) The justification that the procedure was performed
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
... bodySite Σ 0..* CodeableConcept Target body sites
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
... outcome Σ 0..1 CodeableConcept The result of procedure
Binding: ProcedureOutcomeCodesSNOMEDCT (example): An outcome of a procedure - whether it was resolved or otherwise.
... report 0..* Reference(DiagnosticReport) Any report resulting from the procedure
... complication 0..* CodeableReference(Condition) Complication following the procedure
Binding: ConditionProblemDiagnosisCodes (example): Codes describing complications that resulted from a procedure.
... followUp 0..* CodeableConcept Instructions for follow up
Binding: ProcedureFollowUpCodesSNOMEDCT (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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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
... used 0..* CodeableReference(Device | Medication | Substance | BiologicallyDerivedProduct) Items used during procedure
Binding: DeviceType (example): Codes describing items used during a procedure.
... supportingInfo 0..* Reference(Resource) Extra information relevant to the procedure

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.language Base required All Languages 📍5.0.0 FHIR Std.
Procedure.status Base required EventStatus 📍5.0.0 FHIR Std.
Procedure.statusReason Base example Procedure Not Performed Reason (SNOMED-CT) 📍5.0.0 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📍5.0.0 FHIR Std.
Procedure.code Base extensible https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes Not State Unknown
Procedure.performer.​function Base example Procedure Performer Role Codes 📍5.0.0 FHIR Std.
Procedure.reason Base example Procedure Reason Codes 📍5.0.0 FHIR Std.
Procedure.bodySite Base example SNOMED CT Body Structures 📍5.0.0 FHIR Std.
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📍5.0.0 FHIR Std.
Procedure.complication Base example Condition/Problem/Diagnosis Codes 📍5.0.0 FHIR Std.
Procedure.followUp Base example Procedure Follow up Codes (SNOMED CT) 📍5.0.0 FHIR Std.
Procedure.focalDevice.​action Base preferred Procedure Device Action Codes 📍5.0.0 FHIR Std.
Procedure.used Base example Device Type 📍5.0.0 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 Procedure.meta, Procedure.implicitRules, Procedure.language, Procedure.text, Procedure.extension, Procedure.extension:dicomInstanceUid, Procedure.modifierExtension, Procedure.identifier, Procedure.instantiatesCanonical, Procedure.instantiatesUri, Procedure.basedOn, Procedure.partOf, Procedure.status, Procedure.statusReason, Procedure.category, Procedure.category.extension, Procedure.category.coding, Procedure.category.coding.extension, Procedure.category.coding.system, Procedure.category.coding.version, Procedure.category.coding.code, Procedure.category.coding.display, Procedure.category.coding.userSelected, Procedure.category.text, Procedure.code, Procedure.subject, Procedure.focus, Procedure.encounter, Procedure.occurrence[x], Procedure.recorded, Procedure.recorder, Procedure.reported[x], Procedure.performer, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.performer.function, Procedure.performer.actor, Procedure.performer.onBehalfOf, Procedure.performer.period, Procedure.location, Procedure.reason, Procedure.bodySite, Procedure.outcome, Procedure.report, Procedure.complication, Procedure.followUp, Procedure.note, Procedure.focalDevice, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension, Procedure.focalDevice.action, Procedure.focalDevice.manipulated, Procedure.used, Procedure.supportingInfo All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Procedure.extension, Procedure.extension:dicomInstanceUid, Procedure.modifierExtension, Procedure.category.extension, Procedure.category.coding.extension, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
prc-1 error Procedure.performer Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* Procedure(5.0.0) An action that is being or was performed on an individual or entity
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:dicomInstanceUid S 0..* (Complex) Información DICOM del procedimiento
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid
Constraints: ext-1
... status ?!SΣ 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.
... category SΣ 1..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodesSNOMEDCT (example): A code that classifies a procedure for searching, sorting and display purposes.
... code SΣ 1..1 CodeableConcept Identification of the procedure
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes (extensible)
... subject SΣ 1..1 Reference(Patient) Individual or entity the procedure was performed on
... performer SΣC 0..* BackboneElement Who performed the procedure and what they did
Constraints: prc-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... actor ΣC 1..1 Reference(Practitioner | Device) Who performed the procedure
... report 0..* Reference(DiagnosticReport) Any report resulting from the procedure

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.status Base required EventStatus 📍5.0.0 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📍5.0.0 FHIR Std.
Procedure.code Base extensible https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes Not State Unknown

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 Procedure.implicitRules, Procedure.extension, Procedure.extension:dicomInstanceUid, Procedure.modifierExtension, Procedure.status, Procedure.category, Procedure.code, Procedure.subject, Procedure.performer, Procedure.performer.modifierExtension, Procedure.performer.actor, Procedure.report All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Procedure.extension, Procedure.extension:dicomInstanceUid, Procedure.modifierExtension, Procedure.performer.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
prc-1 error Procedure.performer Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()

Differential View

This structure is derived from Procedure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* Procedure(5.0.0) An action that is being or was performed on an individual or entity
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:dicomInstanceUid S 0..* (Complex) Información DICOM del procedimiento
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid
... status S 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
... category S 1..1 CodeableConcept Classification of the procedure
.... coding
..... system 0..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
... subject S 1..1 Reference(Patient) Individual or entity the procedure was performed on
... performer S 0..* BackboneElement Who performed the procedure and what they did
.... actor 1..1 Reference(Practitioner | Device) Who performed the procedure
... report 0..* Reference(DiagnosticReport) Any report resulting from the procedure

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Procedure.code Base extensible https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes Not State Unknown

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* Procedure(5.0.0) An action that is being or was performed on an individual or entity
... 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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... 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 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:dicomInstanceUid S 0..* (Complex) Información DICOM del procedimiento
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... 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 ?!SΣ 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: ProcedureNotPerformedReasonSNOMEDCT (example): A code that identifies the reason a procedure was not performed.
... category SΣ 1..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodesSNOMEDCT (example): A code that classifies a procedure for searching, sorting and display purposes.
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... system Σ 0..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... version Σ 0..1 string Version of the system - if relevant
..... code ΣC 0..1 code Symbol in syntax defined by the system
..... display ΣC 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Identification of the procedure
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes (extensible)
... subject SΣ 1..1 Reference(Patient) Individual or entity the procedure was performed on
... focus Σ 0..1 Reference(Patient | Group | RelatedPerson | Practitioner | Organization | CareTeam | PractitionerRole | Specimen) Who is the target of the procedure when it is not the subject of record only
... encounter Σ 0..1 Reference(Encounter) The Encounter during which this Procedure was created
... occurrence[x] Σ 0..1 When the procedure occurred or is occurring
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceString string
.... occurrenceAge Age
.... occurrenceRange Range
.... occurrenceTiming Timing
... recorded Σ 0..1 dateTime When the procedure was first captured in the subject's record
... recorder Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Who recorded the procedure
... reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)
... performer SΣC 0..* BackboneElement Who performed the procedure and what they did
Constraints: prc-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... function Σ 0..1 CodeableConcept Type of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
.... actor ΣC 1..1 Reference(Practitioner | Device) Who performed the procedure
.... onBehalfOf C 0..1 Reference(Organization) Organization the device or practitioner was acting for
.... period 0..1 Period When the performer performed the procedure
... location Σ 0..1 Reference(Location) Where the procedure happened
... reason Σ 0..* CodeableReference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) The justification that the procedure was performed
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
... bodySite Σ 0..* CodeableConcept Target body sites
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
... outcome Σ 0..1 CodeableConcept The result of procedure
Binding: ProcedureOutcomeCodesSNOMEDCT (example): An outcome of a procedure - whether it was resolved or otherwise.
... report 0..* Reference(DiagnosticReport) Any report resulting from the procedure
... complication 0..* CodeableReference(Condition) Complication following the procedure
Binding: ConditionProblemDiagnosisCodes (example): Codes describing complications that resulted from a procedure.
... followUp 0..* CodeableConcept Instructions for follow up
Binding: ProcedureFollowUpCodesSNOMEDCT (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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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
... used 0..* CodeableReference(Device | Medication | Substance | BiologicallyDerivedProduct) Items used during procedure
Binding: DeviceType (example): Codes describing items used during a procedure.
... supportingInfo 0..* Reference(Resource) Extra information relevant to the procedure

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.language Base required All Languages 📍5.0.0 FHIR Std.
Procedure.status Base required EventStatus 📍5.0.0 FHIR Std.
Procedure.statusReason Base example Procedure Not Performed Reason (SNOMED-CT) 📍5.0.0 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📍5.0.0 FHIR Std.
Procedure.code Base extensible https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes Not State Unknown
Procedure.performer.​function Base example Procedure Performer Role Codes 📍5.0.0 FHIR Std.
Procedure.reason Base example Procedure Reason Codes 📍5.0.0 FHIR Std.
Procedure.bodySite Base example SNOMED CT Body Structures 📍5.0.0 FHIR Std.
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📍5.0.0 FHIR Std.
Procedure.complication Base example Condition/Problem/Diagnosis Codes 📍5.0.0 FHIR Std.
Procedure.followUp Base example Procedure Follow up Codes (SNOMED CT) 📍5.0.0 FHIR Std.
Procedure.focalDevice.​action Base preferred Procedure Device Action Codes 📍5.0.0 FHIR Std.
Procedure.used Base example Device Type 📍5.0.0 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 Procedure.meta, Procedure.implicitRules, Procedure.language, Procedure.text, Procedure.extension, Procedure.extension:dicomInstanceUid, Procedure.modifierExtension, Procedure.identifier, Procedure.instantiatesCanonical, Procedure.instantiatesUri, Procedure.basedOn, Procedure.partOf, Procedure.status, Procedure.statusReason, Procedure.category, Procedure.category.extension, Procedure.category.coding, Procedure.category.coding.extension, Procedure.category.coding.system, Procedure.category.coding.version, Procedure.category.coding.code, Procedure.category.coding.display, Procedure.category.coding.userSelected, Procedure.category.text, Procedure.code, Procedure.subject, Procedure.focus, Procedure.encounter, Procedure.occurrence[x], Procedure.recorded, Procedure.recorder, Procedure.reported[x], Procedure.performer, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.performer.function, Procedure.performer.actor, Procedure.performer.onBehalfOf, Procedure.performer.period, Procedure.location, Procedure.reason, Procedure.bodySite, Procedure.outcome, Procedure.report, Procedure.complication, Procedure.followUp, Procedure.note, Procedure.focalDevice, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension, Procedure.focalDevice.action, Procedure.focalDevice.manipulated, Procedure.used, Procedure.supportingInfo All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Procedure.extension, Procedure.extension:dicomInstanceUid, Procedure.modifierExtension, Procedure.category.extension, Procedure.category.coding.extension, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
prc-1 error Procedure.performer Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()

 

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