HL7 Czech Hospital Discharge Report Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.0.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/hdr/ and changes regularly. See the Directory of published versions

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Resource Profile: Procedure (HDR CZ)

This profile represents the constraints applied to the Procedure resource by this guide.

Usages:

• Use this Profile: Bundle (HDR CZ)
• Refer to this Profile: Composition (HDR CZ)
• Examples for this Profile: Procedure/CZ-Procedure-HDR-Example-Acute-appendicitis, Procedure/ColonoscopyProcedure, Procedure/Procedure-Appendectomy, Procedure/Procedure-Insert-Pacemaker... Show 3 more, Procedure/Procedure-Insert-Pacemaker2, Procedure/Procedure-No-Procedure and Procedure/ffb1a62f-9050-4e33-af4b-4cdb8203c9e5

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	An action that is being or was performed on a patient This profile also imposes the profile Procedure (HDR)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text		1..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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:bodySite		0..1	(Complex)	The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure"
value[x]		1..1	Reference(Body structure: Laboratory(0.2.0-ci))	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!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.
code	Σ	1..1	CodeableConceptIPS	Identification of the procedure Binding: Procedures - SNOMED CT + Absent/Unknown - IPS (preferred) Additional Bindings Purpose Procedures (SNOMED CT) - IPS candidate
subject	Σ	1..1	Reference(Patient (CZ core))	Who the procedure was performed on
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
performed[x]	Σ	1..1		When the procedure was performed
performed[x]All Types				Content/Rules for all Types
Slices for extension				Content/Rules for all slices
extension:data-absent-reason		0..1	code	performed[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
reasonCode	Σ	0..*	CodeableConcept	Why the procedure was performed (code) Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
reasonReference	Σ	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	Why the procedure was performed (details)
bodySite	Σ	0..*	CodeableConceptIPS	Target body sites Binding: SNOMEDCTBodyStructures (preferred)
outcome	Σ	0..1	CodeableConcept	Outcome of the procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
complication		0..*	CodeableConcept	Complications that occurred during the procedure (code) Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
complicationDetail		0..*	Reference(Condition)	Complications that occurred during the procedure (details)
focalDevice		0..*	BackboneElement	Device implanted, removed or otherwise manipulated
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
manipulated		1..1	Reference(Medical Device (CZ))	Device that was changed
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 From the FHIR Standard
Procedure.code	preferred	ProceduresSnomedAbsentUnknownHdrVS http://hl7.eu/fhir/hdr/ValueSet/procedures-snomed-absent-unknown-eu-hdr
Procedure.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard
Procedure.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-outcome From the FHIR Standard
Procedure.complication	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure			Procedure	This profile also imposes the profile Procedure (HDR)
text		1..1	Narrative	Text summary of the resource, for human interpretation
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:bodySite		0..1	(Complex)	The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
value[x]		1..1	Reference(Body structure: Laboratory(0.2.0-ci))	Value of extension
code		1..1	CodeableConceptIPS	Identification of the procedure Binding: Procedures - SNOMED CT + Absent/Unknown - IPS (preferred) Additional Bindings Purpose Procedures (SNOMED CT) - IPS candidate
subject		1..1	Reference(Patient (CZ core))	Who the procedure was performed on
reference		1..1	string	Literal reference, Relative, internal or absolute URL
performed[x]		1..1	dateTime, Period, string, Age, Range	When the procedure was performed
Slices for extension				Content/Rules for all slices
extension:data-absent-reason		0..1	code	performed[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
performer
actor		1..1	Reference(Practitioner Role (CZ core) | Practitioner (CZ core) | Medical Device (CZ) | Patient (CZ core) | RelatedPerson | Organization (CZ core))	The reference to the practitioner
onBehalfOf		0..1	Reference(Organization (CZ core))	Organization the device or practitioner was acting for
reasonCode		0..*	CodeableConcept	Why the procedure was performed (code)
reasonReference		0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	Why the procedure was performed (details)
bodySite		0..*	CodeableConceptIPS	Target body sites Binding: SNOMEDCTBodyStructures (preferred)
outcome		0..1	CodeableConcept	Outcome of the procedure
complication		0..*	CodeableConcept	Complications that occurred during the procedure (code)
complicationDetail		0..*	Reference(Condition)	Complications that occurred during the procedure (details)
focalDevice		0..*	BackboneElement	Device implanted, removed or otherwise manipulated
manipulated		1..1	Reference(Medical Device (CZ))	Device that was changed
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.code	preferred	ProceduresSnomedAbsentUnknownHdrVS http://hl7.eu/fhir/hdr/ValueSet/procedures-snomed-absent-unknown-eu-hdr
Procedure.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	An action that is being or was performed on a patient This profile also imposes the profile Procedure (HDR)
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		1..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
extension:bodySite		0..1	(Complex)	The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure"
value[x]		1..1	Reference(Body structure: Laboratory(0.2.0-ci))	Value of extension
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	?!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.
code	Σ	1..1	CodeableConceptIPS	Identification of the procedure Binding: Procedures - SNOMED CT + Absent/Unknown - IPS (preferred) Additional Bindings Purpose Procedures (SNOMED CT) - IPS candidate
subject	Σ	1..1	Reference(Patient (CZ core))	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	ΣC	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]	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
extension:data-absent-reason		0..1	code	performed[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
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(Practitioner Role (CZ core) | Practitioner (CZ core) | Medical Device (CZ) | Patient (CZ core) | RelatedPerson | Organization (CZ core))	The reference to the practitioner
onBehalfOf		0..1	Reference(Organization (CZ core))	Organization the device or practitioner was acting for
location	Σ	0..1	Reference(Location)	Where the procedure happened
reasonCode	Σ	0..*	CodeableConcept	Why the procedure was performed (code) Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
reasonReference	Σ	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	Why the procedure was performed (details)
bodySite	Σ	0..*	CodeableConceptIPS	Target body sites Binding: SNOMEDCTBodyStructures (preferred)
outcome	Σ	0..1	CodeableConcept	Outcome of the 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	Complications that occurred during the procedure (code) Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
complicationDetail		0..*	Reference(Condition)	Complications that occurred during the procedure (details)
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	Device implanted, removed or otherwise manipulated
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(Medical Device (CZ))	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	URI
Procedure.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 From the FHIR Standard
Procedure.statusReason	example	ProcedureNotPerformedReason(SNOMED-CT) http://hl7.org/fhir/ValueSet/procedure-not-performed-reason From the FHIR Standard
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-category From the FHIR Standard
Procedure.code	preferred	ProceduresSnomedAbsentUnknownHdrVS http://hl7.eu/fhir/hdr/ValueSet/procedures-snomed-absent-unknown-eu-hdr
Procedure.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Procedure.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role From the FHIR Standard
Procedure.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard
Procedure.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-outcome From the FHIR Standard
Procedure.complication	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
Procedure.followUp	example	ProcedureFollowUpCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-followup From the FHIR Standard
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action From the FHIR Standard
Procedure.usedCode	example	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Procedure

Summary

Mandatory: 4 elements

Structures

This structure refers to these other structures:

• Body structure: Laboratory (http://hl7.eu/fhir/laboratory/StructureDefinition/BodyStructure-eu-lab|0.2.0-ci)
• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core)
• Practitioner Role (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core)
• Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core)
• Medical Device (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device)
• Organization (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure|5.3.0-ballot-tc1
• http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.3.0-ballot-tc1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	An action that is being or was performed on a patient This profile also imposes the profile Procedure (HDR)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text		1..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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:bodySite		0..1	(Complex)	The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure"
value[x]		1..1	Reference(Body structure: Laboratory(0.2.0-ci))	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!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.
code	Σ	1..1	CodeableConceptIPS	Identification of the procedure Binding: Procedures - SNOMED CT + Absent/Unknown - IPS (preferred) Additional Bindings Purpose Procedures (SNOMED CT) - IPS candidate
subject	Σ	1..1	Reference(Patient (CZ core))	Who the procedure was performed on
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
performed[x]	Σ	1..1		When the procedure was performed
performed[x]All Types				Content/Rules for all Types
Slices for extension				Content/Rules for all slices
extension:data-absent-reason		0..1	code	performed[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
reasonCode	Σ	0..*	CodeableConcept	Why the procedure was performed (code) Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
reasonReference	Σ	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	Why the procedure was performed (details)
bodySite	Σ	0..*	CodeableConceptIPS	Target body sites Binding: SNOMEDCTBodyStructures (preferred)
outcome	Σ	0..1	CodeableConcept	Outcome of the procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
complication		0..*	CodeableConcept	Complications that occurred during the procedure (code) Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
complicationDetail		0..*	Reference(Condition)	Complications that occurred during the procedure (details)
focalDevice		0..*	BackboneElement	Device implanted, removed or otherwise manipulated
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
manipulated		1..1	Reference(Medical Device (CZ))	Device that was changed
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 From the FHIR Standard
Procedure.code	preferred	ProceduresSnomedAbsentUnknownHdrVS http://hl7.eu/fhir/hdr/ValueSet/procedures-snomed-absent-unknown-eu-hdr
Procedure.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard
Procedure.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-outcome From the FHIR Standard
Procedure.complication	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure			Procedure	This profile also imposes the profile Procedure (HDR)
text		1..1	Narrative	Text summary of the resource, for human interpretation
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:bodySite		0..1	(Complex)	The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
value[x]		1..1	Reference(Body structure: Laboratory(0.2.0-ci))	Value of extension
code		1..1	CodeableConceptIPS	Identification of the procedure Binding: Procedures - SNOMED CT + Absent/Unknown - IPS (preferred) Additional Bindings Purpose Procedures (SNOMED CT) - IPS candidate
subject		1..1	Reference(Patient (CZ core))	Who the procedure was performed on
reference		1..1	string	Literal reference, Relative, internal or absolute URL
performed[x]		1..1	dateTime, Period, string, Age, Range	When the procedure was performed
Slices for extension				Content/Rules for all slices
extension:data-absent-reason		0..1	code	performed[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
performer
actor		1..1	Reference(Practitioner Role (CZ core) | Practitioner (CZ core) | Medical Device (CZ) | Patient (CZ core) | RelatedPerson | Organization (CZ core))	The reference to the practitioner
onBehalfOf		0..1	Reference(Organization (CZ core))	Organization the device or practitioner was acting for
reasonCode		0..*	CodeableConcept	Why the procedure was performed (code)
reasonReference		0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	Why the procedure was performed (details)
bodySite		0..*	CodeableConceptIPS	Target body sites Binding: SNOMEDCTBodyStructures (preferred)
outcome		0..1	CodeableConcept	Outcome of the procedure
complication		0..*	CodeableConcept	Complications that occurred during the procedure (code)
complicationDetail		0..*	Reference(Condition)	Complications that occurred during the procedure (details)
focalDevice		0..*	BackboneElement	Device implanted, removed or otherwise manipulated
manipulated		1..1	Reference(Medical Device (CZ))	Device that was changed
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.code	preferred	ProceduresSnomedAbsentUnknownHdrVS http://hl7.eu/fhir/hdr/ValueSet/procedures-snomed-absent-unknown-eu-hdr
Procedure.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	An action that is being or was performed on a patient This profile also imposes the profile Procedure (HDR)
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		1..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
extension:bodySite		0..1	(Complex)	The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure"
value[x]		1..1	Reference(Body structure: Laboratory(0.2.0-ci))	Value of extension
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	?!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.
code	Σ	1..1	CodeableConceptIPS	Identification of the procedure Binding: Procedures - SNOMED CT + Absent/Unknown - IPS (preferred) Additional Bindings Purpose Procedures (SNOMED CT) - IPS candidate
subject	Σ	1..1	Reference(Patient (CZ core))	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	ΣC	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]	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
extension:data-absent-reason		0..1	code	performed[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
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(Practitioner Role (CZ core) | Practitioner (CZ core) | Medical Device (CZ) | Patient (CZ core) | RelatedPerson | Organization (CZ core))	The reference to the practitioner
onBehalfOf		0..1	Reference(Organization (CZ core))	Organization the device or practitioner was acting for
location	Σ	0..1	Reference(Location)	Where the procedure happened
reasonCode	Σ	0..*	CodeableConcept	Why the procedure was performed (code) Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
reasonReference	Σ	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	Why the procedure was performed (details)
bodySite	Σ	0..*	CodeableConceptIPS	Target body sites Binding: SNOMEDCTBodyStructures (preferred)
outcome	Σ	0..1	CodeableConcept	Outcome of the 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	Complications that occurred during the procedure (code) Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
complicationDetail		0..*	Reference(Condition)	Complications that occurred during the procedure (details)
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	Device implanted, removed or otherwise manipulated
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(Medical Device (CZ))	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	URI
Procedure.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 From the FHIR Standard
Procedure.statusReason	example	ProcedureNotPerformedReason(SNOMED-CT) http://hl7.org/fhir/ValueSet/procedure-not-performed-reason From the FHIR Standard
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-category From the FHIR Standard
Procedure.code	preferred	ProceduresSnomedAbsentUnknownHdrVS http://hl7.eu/fhir/hdr/ValueSet/procedures-snomed-absent-unknown-eu-hdr
Procedure.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Procedure.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role From the FHIR Standard
Procedure.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard
Procedure.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-outcome From the FHIR Standard
Procedure.complication	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
Procedure.followUp	example	ProcedureFollowUpCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-followup From the FHIR Standard
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action From the FHIR Standard
Procedure.usedCode	example	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Procedure

Summary

Mandatory: 4 elements

Structures

This structure refers to these other structures:

• Body structure: Laboratory (http://hl7.eu/fhir/laboratory/StructureDefinition/BodyStructure-eu-lab|0.2.0-ci)
• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core)
• Practitioner Role (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core)
• Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core)
• Medical Device (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device)
• Organization (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure|5.3.0-ballot-tc1
• http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.3.0-ballot-tc1

Other representations of profile: CSV, Excel, Schematron