HL7 Czech Hospital Discharge Report Implementation Guide
0.1.0 - ci-build

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 0.1.0 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

## Resource Profile: Procedure: Obligations

Official URL: https://hl7.cz/fhir/hdr/StructureDefinition/cz-procedure-obl-hdr | Version: 0.1.0
Standards status: Informative | Maturity Level: 0 | Computable Name: CZ_ProcedureObligationsHdr

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 | Creator_L3
SHALL:display | Consumer_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 | Creator_L3
SHALL:display | Consumer_L3
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure"
value[x] |  | 1..1 | Reference(Body structure: Laboratory) | 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 | O Σ | 1..1 | CodeableConceptIPS(2.0.0) | Identification of the procedure Binding: Procedures - SNOMED CT + Absent/Unknown - IPS (preferred)
Additional Bindings | Purpose
ProceduresUvIps (2.0.0) | candidate
Obligations | Actor
SHALL:populate-if-known | Creator_L3
SHALL:display | Consumer_L3
subject | Σ | 1..1 | Reference(Patient (CZ core)) | Who the procedure was performed on
reference | Σ C | 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 | O Σ | 0..1 | dateTime | When the procedure was performed
Obligations | Actor
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_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 | O Σ | 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 | Creator_L3
SHALL:display | Consumer_L3
reasonReference | O Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | Why the procedure was performed (details)
Obligations | Actor
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
outcome | O Σ | 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 | Creator_L3
SHALL:display | Consumer_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 | Creator_L3
SHALL:display | Consumer_L3
complicationDetail | O | 0..* | Reference(Condition) | Complications that occurred during the procedure (details)
Obligations | Actor
SHALL:populate-if-known | Creator_L3
SHALL:display | Consumer_L3
focalDevice | O | 0..* | BackboneElement | Device implanted, removed or otherwise manipulated
Obligations | Actor
SHALL:populate-if-known | Creator_L3
SHALL:display | Consumer_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 | Status | Usage | ValueSet | Version | Source
Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std.
Procedure.code | Base | preferred | Procedures - SNOMED CT + Absent/Unknown - IPS | 📦0.1.0-ballot | HL7 Europe Hospital Discharge Report v0.1
Procedure.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std.
Procedure.outcome | Base | example | Procedure Outcome Codes (SNOMED CT) | 📍4.0.1 | FHIR Std.
Procedure.complication | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | 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().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 | Creator_L3
SHALL:display | Consumer_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 | Creator_L3
SHALL:display | Consumer_L3
code | O | 1..1 | CodeableConceptIPS(2.0.0) | Identification of the procedure
Obligations | Actor
SHALL:populate-if-known | Creator_L3
SHALL:display | Consumer_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 | Creator_L3
SHALL:display | Consumer_L3
reasonCode | O | 0..* | CodeableConcept | Why the procedure was performed (code)
Obligations | Actor
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
reasonReference | O | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | Why the procedure was performed (details)
Obligations | Actor
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
outcome | O | 0..1 | CodeableConcept | Outcome of the procedure
Obligations | Actor
SHALL:populate-if-known | Creator_L3
SHALL:display | Consumer_L3
complication | O | 0..* | CodeableConcept | Complications that occurred during the procedure (code)
Obligations | Actor
SHALL:populate-if-known | Creator_L3
SHALL:display | Consumer_L3
complicationDetail | O | 0..* | Reference(Condition) | Complications that occurred during the procedure (details)
Obligations | Actor
SHALL:populate-if-known | Creator_L3
SHALL:display | Consumer_L3
focalDevice | O | 0..* | BackboneElement | Device implanted, removed or otherwise manipulated
Obligations | Actor
SHALL:populate-if-known | Creator_L3
SHALL:display | Consumer_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 | Creator_L3
SHALL:display | Consumer_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 | Creator_L3
SHALL:display | Consumer_L3
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure"
value[x] |  | 1..1 | Reference(Body structure: Laboratory) | 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 | O Σ | 1..1 | CodeableConceptIPS(2.0.0) | Identification of the procedure Binding: Procedures - SNOMED CT + Absent/Unknown - IPS (preferred)
Additional Bindings | Purpose
ProceduresUvIps (2.0.0) | candidate
Obligations | Actor
SHALL:populate-if-known | Creator_L3
SHALL:display | Consumer_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 | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
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 | O Σ | 0..1 | dateTime | When the procedure was performed
Obligations | Actor
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_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 | O Σ | 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 | Creator_L3
SHALL:display | Consumer_L3
reasonReference | O Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | Why the procedure was performed (details)
Obligations | Actor
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
bodySite | Σ | 0..* | CodeableConceptIPS(2.0.0) | Target body sites Binding: SNOMEDCTBodyStructures (preferred)
outcome | O Σ | 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 | Creator_L3
SHALL:display | Consumer_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 | Creator_L3
SHALL:display | Consumer_L3
complicationDetail | O | 0..* | Reference(Condition) | Complications that occurred during the procedure (details)
Obligations | Actor
SHALL:populate-if-known | Creator_L3
SHALL:display | Consumer_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 | Creator_L3
SHALL:display | Consumer_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 | Status | Usage | ValueSet | Version | Source
Procedure.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std.
Procedure.statusReason | Base | example | Procedure Not Performed Reason (SNOMED-CT) | 📍4.0.1 | FHIR Std.
Procedure.category | Base | example | Procedure Category Codes (SNOMED CT) | 📍4.0.1 | FHIR Std.
Procedure.code | Base | preferred | Procedures - SNOMED CT + Absent/Unknown - IPS | 📦0.1.0-ballot | HL7 Europe Hospital Discharge Report v0.1
Procedure.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
Procedure.performer.​function | Base | example | Procedure Performer Role Codes | 📍4.0.1 | FHIR Std.
Procedure.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std.
Procedure.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.
Procedure.outcome | Base | example | Procedure Outcome Codes (SNOMED CT) | 📍4.0.1 | FHIR Std.
Procedure.complication | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std.
Procedure.followUp | Base | example | Procedure Follow up Codes (SNOMED CT) | 📍4.0.1 | FHIR Std.
Procedure.focalDevice.​action | Base | preferred | Procedure Device Action Codes | 📍4.0.1 | FHIR Std.
Procedure.usedCode | Base | example | FHIR Device Types | 📍4.0.1 | 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().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 | Creator_L3
SHALL:display | Consumer_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 | Creator_L3
SHALL:display | Consumer_L3
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure"
value[x] |  | 1..1 | Reference(Body structure: Laboratory) | 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 | O Σ | 1..1 | CodeableConceptIPS(2.0.0) | Identification of the procedure Binding: Procedures - SNOMED CT + Absent/Unknown - IPS (preferred)
Additional Bindings | Purpose
ProceduresUvIps (2.0.0) | candidate
Obligations | Actor
SHALL:populate-if-known | Creator_L3
SHALL:display | Consumer_L3
subject | Σ | 1..1 | Reference(Patient (CZ core)) | Who the procedure was performed on
reference | Σ C | 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 | O Σ | 0..1 | dateTime | When the procedure was performed
Obligations | Actor
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_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 | O Σ | 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 | Creator_L3
SHALL:display | Consumer_L3
reasonReference | O Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | Why the procedure was performed (details)
Obligations | Actor
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
outcome | O Σ | 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 | Creator_L3
SHALL:display | Consumer_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 | Creator_L3
SHALL:display | Consumer_L3
complicationDetail | O | 0..* | Reference(Condition) | Complications that occurred during the procedure (details)
Obligations | Actor
SHALL:populate-if-known | Creator_L3
SHALL:display | Consumer_L3
focalDevice | O | 0..* | BackboneElement | Device implanted, removed or otherwise manipulated
Obligations | Actor
SHALL:populate-if-known | Creator_L3
SHALL:display | Consumer_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 | Status | Usage | ValueSet | Version | Source
Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std.
Procedure.code | Base | preferred | Procedures - SNOMED CT + Absent/Unknown - IPS | 📦0.1.0-ballot | HL7 Europe Hospital Discharge Report v0.1
Procedure.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std.
Procedure.outcome | Base | example | Procedure Outcome Codes (SNOMED CT) | 📍4.0.1 | FHIR Std.
Procedure.complication | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | 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().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 | Creator_L3
SHALL:display | Consumer_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 | Creator_L3
SHALL:display | Consumer_L3
code | O | 1..1 | CodeableConceptIPS(2.0.0) | Identification of the procedure
Obligations | Actor
SHALL:populate-if-known | Creator_L3
SHALL:display | Consumer_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 | Creator_L3
SHALL:display | Consumer_L3
reasonCode | O | 0..* | CodeableConcept | Why the procedure was performed (code)
Obligations | Actor
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
reasonReference | O | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | Why the procedure was performed (details)
Obligations | Actor
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
outcome | O | 0..1 | CodeableConcept | Outcome of the procedure
Obligations | Actor
SHALL:populate-if-known | Creator_L3
SHALL:display | Consumer_L3
complication | O | 0..* | CodeableConcept | Complications that occurred during the procedure (code)
Obligations | Actor
SHALL:populate-if-known | Creator_L3
SHALL:display | Consumer_L3
complicationDetail | O | 0..* | Reference(Condition) | Complications that occurred during the procedure (details)
Obligations | Actor
SHALL:populate-if-known | Creator_L3
SHALL:display | Consumer_L3
focalDevice | O | 0..* | BackboneElement | Device implanted, removed or otherwise manipulated
Obligations | Actor
SHALL:populate-if-known | Creator_L3
SHALL:display | Consumer_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 | Creator_L3
SHALL:display | Consumer_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 | Creator_L3
SHALL:display | Consumer_L3
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure"
value[x] |  | 1..1 | Reference(Body structure: Laboratory) | 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 | O Σ | 1..1 | CodeableConceptIPS(2.0.0) | Identification of the procedure Binding: Procedures - SNOMED CT + Absent/Unknown - IPS (preferred)
Additional Bindings | Purpose
ProceduresUvIps (2.0.0) | candidate
Obligations | Actor
SHALL:populate-if-known | Creator_L3
SHALL:display | Consumer_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 | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
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 | O Σ | 0..1 | dateTime | When the procedure was performed
Obligations | Actor
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_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 | O Σ | 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 | Creator_L3
SHALL:display | Consumer_L3
reasonReference | O Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | Why the procedure was performed (details)
Obligations | Actor
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
bodySite | Σ | 0..* | CodeableConceptIPS(2.0.0) | Target body sites Binding: SNOMEDCTBodyStructures (preferred)
outcome | O Σ | 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 | Creator_L3
SHALL:display | Consumer_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 | Creator_L3
SHALL:display | Consumer_L3
complicationDetail | O | 0..* | Reference(Condition) | Complications that occurred during the procedure (details)
Obligations | Actor
SHALL:populate-if-known | Creator_L3
SHALL:display | Consumer_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 | Creator_L3
SHALL:display | Consumer_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 | Status | Usage | ValueSet | Version | Source
Procedure.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std.
Procedure.statusReason | Base | example | Procedure Not Performed Reason (SNOMED-CT) | 📍4.0.1 | FHIR Std.
Procedure.category | Base | example | Procedure Category Codes (SNOMED CT) | 📍4.0.1 | FHIR Std.
Procedure.code | Base | preferred | Procedures - SNOMED CT + Absent/Unknown - IPS | 📦0.1.0-ballot | HL7 Europe Hospital Discharge Report v0.1
Procedure.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
Procedure.performer.​function | Base | example | Procedure Performer Role Codes | 📍4.0.1 | FHIR Std.
Procedure.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std.
Procedure.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.
Procedure.outcome | Base | example | Procedure Outcome Codes (SNOMED CT) | 📍4.0.1 | FHIR Std.
Procedure.complication | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std.
Procedure.followUp | Base | example | Procedure Follow up Codes (SNOMED CT) | 📍4.0.1 | FHIR Std.
Procedure.focalDevice.​action | Base | preferred | Procedure Device Action Codes | 📍4.0.1 | FHIR Std.
Procedure.usedCode | Base | example | FHIR Device Types | 📍4.0.1 | 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().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