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

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.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
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.
category | S Σ | 1..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodesSNOMEDCT (example): A code that classifies a procedure for searching, sorting and display purposes.
code | S Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes (extensible)
subject | S Σ | 1..1 | Reference(Patient) | Individual or entity the procedure was performed on
performer | S Σ C | 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 | Σ C | 1..1 | Reference(Practitioner | Device) | Who performed the procedure
report |  | 0..* | Reference(DiagnosticReport) | Any report resulting from the procedure
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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
code | S | 1..1 | CodeableConcept | Identification of the procedure Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes (extensible)
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
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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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 Bindings | Purpose
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 | ?!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: ProcedureNotPerformedReasonSNOMEDCT (example): A code that identifies the reason a procedure was not performed.
category | S Σ | 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 | Σ C | 0..1 | code | Symbol in syntax defined by the system
display | Σ C | 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 | S Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes (extensible)
subject | S Σ | 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 | S Σ C | 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 | Σ C | 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
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()`

This structure is derived from Procedure

Summary

Mandatory: 2 elements
Must-Support: 6 elements

Structures

This structure refers to these other structures:

- Patient (http://hl7.org/fhir/StructureDefinition/Patient|5.0.0)
- Practitioner (http://hl7.org/fhir/StructureDefinition/Practitioner|5.0.0)
- Device (http://hl7.org/fhir/StructureDefinition/Device|5.0.0)
- DiagnosticReport (http://hl7.org/fhir/StructureDefinition/DiagnosticReport|5.0.0)

Extensions

This structure refers to these extensions:

- https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid

Maturity: 0

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
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.
category | S Σ | 1..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodesSNOMEDCT (example): A code that classifies a procedure for searching, sorting and display purposes.
code | S Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes (extensible)
subject | S Σ | 1..1 | Reference(Patient) | Individual or entity the procedure was performed on
performer | S Σ C | 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 | Σ C | 1..1 | Reference(Practitioner | Device) | Who performed the procedure
report |  | 0..* | Reference(DiagnosticReport) | Any report resulting from the procedure
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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
code | S | 1..1 | CodeableConcept | Identification of the procedure Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes (extensible)
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
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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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 Bindings | Purpose
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 | ?!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: ProcedureNotPerformedReasonSNOMEDCT (example): A code that identifies the reason a procedure was not performed.
category | S Σ | 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 | Σ C | 0..1 | code | Symbol in syntax defined by the system
display | Σ C | 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 | S Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes (extensible)
subject | S Σ | 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 | S Σ C | 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 | Σ C | 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
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()`

This structure is derived from Procedure

Summary

Mandatory: 2 elements
Must-Support: 6 elements

Structures

This structure refers to these other structures:

- Patient (http://hl7.org/fhir/StructureDefinition/Patient|5.0.0)
- Practitioner (http://hl7.org/fhir/StructureDefinition/Practitioner|5.0.0)
- Device (http://hl7.org/fhir/StructureDefinition/Device|5.0.0)
- DiagnosticReport (http://hl7.org/fhir/StructureDefinition/DiagnosticReport|5.0.0)

Extensions

This structure refers to these extensions:

- https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid

Maturity: 0

Other representations of profile: CSV, Excel, Schematron