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: Obligations

This profile defines obligations for a procedure in FHIR for the purpose of this guide.

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..*	CZ_ProcedureHdr	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	O	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 Obligations Actor SHALL:able-to-populate HdrCreator-L3 SHALL:display HdrConsumer-L3
Slices for extension				Content/Rules for all slices
extension:bodySite	O	0..1	(Complex)	The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
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	OΣ	1..1	CodeableConceptIPS	Identification of the procedure Binding: Procedures - SNOMED CT + Absent/Unknown - IPS (preferred) Additional Bindings Purpose Procedures (SNOMED CT) - IPS candidate Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
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
Slices for performed[x]	Σ	1..1		When the procedure was performed Slice: Unordered, Open by type:$this
performed[x]:All Slices				Content/Rules for all slices
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
performed[x]:performedDateTime	OΣ	0..1	dateTime	When the procedure was performed Obligations Actor SHALL:able-to-populate HdrCreator-L3 SHALL:display HdrConsumer-L3
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)
reasonCode	OΣ	0..*	CodeableConcept	Why the procedure was performed (code) Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. Obligations Actor SHALL:able-to-populate HdrCreator-L3 SHALL:display HdrConsumer-L3
reasonReference	OΣ	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	Why the procedure was performed (details) Obligations Actor SHALL:able-to-populate HdrCreator-L3 SHALL:display HdrConsumer-L3
outcome	OΣ	0..1	CodeableConcept	Outcome of the procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
complication	O	0..*	CodeableConcept	Complications that occurred during the procedure (code) Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
complicationDetail	O	0..*	Reference(Condition)	Complications that occurred during the procedure (details) Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
focalDevice	O	0..*	BackboneElement	Device implanted, removed or otherwise manipulated Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
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|4.0.1 From the FHIR Standard
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-outcome|4.0.1 From the FHIR Standard
Procedure.complication	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code|4.0.1 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 CZ_ProcedureHdr

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	CZ_ProcedureHdr	An action that is being or was performed on a patient This profile also imposes the profile Procedure (HDR)
text	O	1..1	Narrative	Text summary of the resource, for human interpretation Obligations Actor SHALL:able-to-populate HdrCreator-L3 SHALL:display HdrConsumer-L3
Slices for extension				Content/Rules for all slices
extension:bodySite	O	0..1	PRTargetBodyStructure(5.2.0)	The target point for this procedure Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
code	O	1..1	CodeableConceptIPS	Identification of the procedure Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
Slices for performed[x]		1..1	dateTime, Period, string, Age, Range	When the procedure was performed Slice: Unordered, Open by type:$this
performed[x]:performedDateTime	O	0..1	dateTime	When the procedure was performed Obligations Actor SHALL:able-to-populate HdrCreator-L3 SHALL:display HdrConsumer-L3
reasonCode	O	0..*	CodeableConcept	Why the procedure was performed (code) Obligations Actor SHALL:able-to-populate HdrCreator-L3 SHALL:display HdrConsumer-L3
reasonReference	O	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	Why the procedure was performed (details) Obligations Actor SHALL:able-to-populate HdrCreator-L3 SHALL:display HdrConsumer-L3
outcome	O	0..1	CodeableConcept	Outcome of the procedure Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
complication	O	0..*	CodeableConcept	Complications that occurred during the procedure (code) Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
complicationDetail	O	0..*	Reference(Condition)	Complications that occurred during the procedure (details) Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
focalDevice	O	0..*	BackboneElement	Device implanted, removed or otherwise manipulated Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	CZ_ProcedureHdr	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	O	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 Obligations Actor SHALL:able-to-populate HdrCreator-L3 SHALL:display HdrConsumer-L3
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:bodySite	O	0..1	(Complex)	The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
id		0..1	id	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	OΣ	1..1	CodeableConceptIPS	Identification of the procedure Binding: Procedures - SNOMED CT + Absent/Unknown - IPS (preferred) Additional Bindings Purpose Procedures (SNOMED CT) - IPS candidate Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
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
Slices for performed[x]	Σ	1..1		When the procedure was performed Slice: Unordered, Open by type:$this
performed[x]:All Slices				Content/Rules for all slices
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
performed[x]:performedDateTime	OΣ	0..1	dateTime	When the procedure was performed Obligations Actor SHALL:able-to-populate HdrCreator-L3 SHALL:display HdrConsumer-L3
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)
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	OΣ	0..*	CodeableConcept	Why the procedure was performed (code) Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. Obligations Actor SHALL:able-to-populate HdrCreator-L3 SHALL:display HdrConsumer-L3
reasonReference	OΣ	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	Why the procedure was performed (details) Obligations Actor SHALL:able-to-populate HdrCreator-L3 SHALL:display HdrConsumer-L3
bodySite	Σ	0..*	CodeableConceptIPS	Target body sites Binding: SNOMEDCTBodyStructures (preferred)
outcome	OΣ	0..1	CodeableConcept	Outcome of the procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
report		0..*	Reference(DiagnosticReport | DocumentReference | Composition)	Any report resulting from the procedure
complication	O	0..*	CodeableConcept	Complications that occurred during the procedure (code) Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
complicationDetail	O	0..*	Reference(Condition)	Complications that occurred during the procedure (details) Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
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	O	0..*	BackboneElement	Device implanted, removed or otherwise manipulated Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
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|4.0.1 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|4.0.1 From the FHIR Standard
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-category|4.0.1 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|4.0.1 From the FHIR Standard
Procedure.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role|4.0.1 From the FHIR Standard
Procedure.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason|4.0.1 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|4.0.1 From the FHIR Standard
Procedure.complication	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code|4.0.1 From the FHIR Standard
Procedure.followUp	example	ProcedureFollowUpCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-followup|4.0.1 From the FHIR Standard
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action|4.0.1 From the FHIR Standard
Procedure.usedCode	example	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind|4.0.1 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 CZ_ProcedureHdr

Summary

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Procedure.performed[x]

Maturity: 0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	CZ_ProcedureHdr	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	O	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 Obligations Actor SHALL:able-to-populate HdrCreator-L3 SHALL:display HdrConsumer-L3
Slices for extension				Content/Rules for all slices
extension:bodySite	O	0..1	(Complex)	The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
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	OΣ	1..1	CodeableConceptIPS	Identification of the procedure Binding: Procedures - SNOMED CT + Absent/Unknown - IPS (preferred) Additional Bindings Purpose Procedures (SNOMED CT) - IPS candidate Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
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
Slices for performed[x]	Σ	1..1		When the procedure was performed Slice: Unordered, Open by type:$this
performed[x]:All Slices				Content/Rules for all slices
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
performed[x]:performedDateTime	OΣ	0..1	dateTime	When the procedure was performed Obligations Actor SHALL:able-to-populate HdrCreator-L3 SHALL:display HdrConsumer-L3
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)
reasonCode	OΣ	0..*	CodeableConcept	Why the procedure was performed (code) Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. Obligations Actor SHALL:able-to-populate HdrCreator-L3 SHALL:display HdrConsumer-L3
reasonReference	OΣ	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	Why the procedure was performed (details) Obligations Actor SHALL:able-to-populate HdrCreator-L3 SHALL:display HdrConsumer-L3
outcome	OΣ	0..1	CodeableConcept	Outcome of the procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
complication	O	0..*	CodeableConcept	Complications that occurred during the procedure (code) Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
complicationDetail	O	0..*	Reference(Condition)	Complications that occurred during the procedure (details) Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
focalDevice	O	0..*	BackboneElement	Device implanted, removed or otherwise manipulated Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
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|4.0.1 From the FHIR Standard
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-outcome|4.0.1 From the FHIR Standard
Procedure.complication	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code|4.0.1 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 CZ_ProcedureHdr

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	CZ_ProcedureHdr	An action that is being or was performed on a patient This profile also imposes the profile Procedure (HDR)
text	O	1..1	Narrative	Text summary of the resource, for human interpretation Obligations Actor SHALL:able-to-populate HdrCreator-L3 SHALL:display HdrConsumer-L3
Slices for extension				Content/Rules for all slices
extension:bodySite	O	0..1	PRTargetBodyStructure(5.2.0)	The target point for this procedure Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
code	O	1..1	CodeableConceptIPS	Identification of the procedure Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
Slices for performed[x]		1..1	dateTime, Period, string, Age, Range	When the procedure was performed Slice: Unordered, Open by type:$this
performed[x]:performedDateTime	O	0..1	dateTime	When the procedure was performed Obligations Actor SHALL:able-to-populate HdrCreator-L3 SHALL:display HdrConsumer-L3
reasonCode	O	0..*	CodeableConcept	Why the procedure was performed (code) Obligations Actor SHALL:able-to-populate HdrCreator-L3 SHALL:display HdrConsumer-L3
reasonReference	O	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	Why the procedure was performed (details) Obligations Actor SHALL:able-to-populate HdrCreator-L3 SHALL:display HdrConsumer-L3
outcome	O	0..1	CodeableConcept	Outcome of the procedure Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
complication	O	0..*	CodeableConcept	Complications that occurred during the procedure (code) Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
complicationDetail	O	0..*	Reference(Condition)	Complications that occurred during the procedure (details) Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
focalDevice	O	0..*	BackboneElement	Device implanted, removed or otherwise manipulated Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	CZ_ProcedureHdr	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	O	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 Obligations Actor SHALL:able-to-populate HdrCreator-L3 SHALL:display HdrConsumer-L3
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:bodySite	O	0..1	(Complex)	The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
id		0..1	id	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	OΣ	1..1	CodeableConceptIPS	Identification of the procedure Binding: Procedures - SNOMED CT + Absent/Unknown - IPS (preferred) Additional Bindings Purpose Procedures (SNOMED CT) - IPS candidate Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
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
Slices for performed[x]	Σ	1..1		When the procedure was performed Slice: Unordered, Open by type:$this
performed[x]:All Slices				Content/Rules for all slices
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
performed[x]:performedDateTime	OΣ	0..1	dateTime	When the procedure was performed Obligations Actor SHALL:able-to-populate HdrCreator-L3 SHALL:display HdrConsumer-L3
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)
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	OΣ	0..*	CodeableConcept	Why the procedure was performed (code) Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. Obligations Actor SHALL:able-to-populate HdrCreator-L3 SHALL:display HdrConsumer-L3
reasonReference	OΣ	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	Why the procedure was performed (details) Obligations Actor SHALL:able-to-populate HdrCreator-L3 SHALL:display HdrConsumer-L3
bodySite	Σ	0..*	CodeableConceptIPS	Target body sites Binding: SNOMEDCTBodyStructures (preferred)
outcome	OΣ	0..1	CodeableConcept	Outcome of the procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
report		0..*	Reference(DiagnosticReport | DocumentReference | Composition)	Any report resulting from the procedure
complication	O	0..*	CodeableConcept	Complications that occurred during the procedure (code) Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
complicationDetail	O	0..*	Reference(Condition)	Complications that occurred during the procedure (details) Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
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	O	0..*	BackboneElement	Device implanted, removed or otherwise manipulated Obligations Actor SHALL:populate-if-known HdrCreator-L3 SHALL:display HdrConsumer-L3
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|4.0.1 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|4.0.1 From the FHIR Standard
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-category|4.0.1 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|4.0.1 From the FHIR Standard
Procedure.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role|4.0.1 From the FHIR Standard
Procedure.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason|4.0.1 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|4.0.1 From the FHIR Standard
Procedure.complication	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code|4.0.1 From the FHIR Standard
Procedure.followUp	example	ProcedureFollowUpCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-followup|4.0.1 From the FHIR Standard
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action|4.0.1 From the FHIR Standard
Procedure.usedCode	example	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind|4.0.1 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 CZ_ProcedureHdr

Summary

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Procedure.performed[x]

Maturity: 0

Other representations of profile: CSV, Excel, Schematron