HL7 Czech PS Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/ps/ and changes regularly. See the Directory of published versions

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Resource Profile: Procedure (CZ PS)

This profile represents the constraints applied to the Procedure resource by the Czech Patient Summary FHIR Implementation Guide. A record of an action that is or was performed on or for a patient is represented in the patient summary as an instance of a Procedure resource constrained by this profile.

Usages:

• Derived from this Profile: Procedure: Obligations
• Use this Profile: Bundle (CZ PS)
• Refer to this Profile: Composition (CZ PS) and Procedure (CZ PS)

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

• Key Elements Table
• Differential Table
• Snapshot Table
• Obligations
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	ProcedureEuEps	An action that is being or was performed on a patient This profile also imposes the profile Procedure (IPS) (2.0.1)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:recorded		0..1	dateTime	Date when the procedure was recorded URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	The status of the procedure Binding: EventStatus (required): A code specifying the state of the procedure.
code	OΣ	1..1	CodeableConceptIPS(2.0.1)	Identification of the procedure Binding: ProceduresUvIps (2.0.1) (preferred) Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (EPS) SHALL:handle Consumer (IPS) from Procedure (EPS) SHOULD:display Consumer (IPS) from Procedure (EPS)
subject	OΣ	1..1	Reference(Patient (EU core)(2.0.0))	Who the procedure was performed on Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (EPS) SHALL:handle Consumer (IPS) from Procedure (EPS) SHOULD:display Consumer (IPS) from Procedure (EPS)
reference	OΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (EPS) SHALL:handle Consumer (IPS) from Procedure (EPS)
Slices for performed[x]	OΣ	1..1		When the procedure was performed Slice: Unordered, Open by type:$this Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (EPS) SHALL:handle Consumer (IPS) from Procedure (EPS) SHOULD:display Consumer (IPS) from Procedure (EPS)
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
performed[x]:performedDateTime	OΣ	0..1	dateTime	When the procedure was performed Obligations Actor Source SHOULD:able-to-populate Creator (IPS) from Procedure (EPS) SHALL:handle Consumer (IPS) from Procedure (EPS) SHOULD:display Consumer (IPS) from Procedure (EPS)
reasonReference	Σ	0..*	Reference(Condition (CZ core)(1.1.0) | Observation | Procedure (CZ PS) | DiagnosticReport (CZ core)(1.1.0) | DocumentReference)	Why the procedure was performed (details)
Documentation for this format

Name	Consumer (IPS)	Creator (IPS)
Procedure
Slices for extension
code	SHALL:handle SHOULD:display	SHALL:populate-if-known
subject	SHALL:handle SHOULD:display	SHALL:populate-if-known
reference	SHALL:handle	SHALL:populate-if-known
Slices for performed[x]	SHALL:handle SHOULD:display	SHALL:populate-if-known
performed[x]:performedDateTime	SHALL:handle SHOULD:display	SHOULD:able-to-populate
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 - IPS	📍2.0.1	International Patient Summary Implementation Guide v2.0

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	Procedure.extension:recorded, Procedure.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure			ProcedureEuEps	This profile also imposes the profile Procedure (IPS) (2.0.1)
performer
actor		1..1	Reference(Practitioner (CZ core)(1.1.0) | Practitioner Role (CZ core)(1.1.0) | Patient (EPS) | Related Person (CZ core)(1.1.0) | Organization (CZ core)(1.1.0))	The reference to the practitioner
onBehalfOf		0..1	Reference(Organization (CZ core)(1.1.0))	Organization the device or practitioner was acting for
reasonReference		0..*	Reference(Condition (CZ core)(1.1.0) | Observation | Procedure (CZ PS) | DiagnosticReport (CZ core)(1.1.0) | DocumentReference)	Why the procedure was performed (details)
Documentation for this format

Name
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	ProcedureEuEps	An action that is being or was performed on a patient This profile also imposes the profile Procedure (IPS) (2.0.1)
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 procedure Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Textual representation of the procedure 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:recorded		0..1	dateTime	Date when the procedure was recorded URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier for the 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	The status of the procedure 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(2.0.1)	Identification of the procedure Binding: ProceduresUvIps (2.0.1) (preferred) Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (EPS) SHALL:handle Consumer (IPS) from Procedure (EPS) SHOULD:display Consumer (IPS) from Procedure (EPS)
subject	OΣ	1..1	Reference(Patient (EU core)(2.0.0))	Who the procedure was performed on Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (EPS) SHALL:handle Consumer (IPS) from Procedure (EPS) SHOULD:display Consumer (IPS) from Procedure (EPS)
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	OΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (EPS) SHALL:handle Consumer (IPS) from Procedure (EPS)
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]	OΣ	1..1		When the procedure was performed Slice: Unordered, Open by type:$this Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (EPS) SHALL:handle Consumer (IPS) from Procedure (EPS) SHOULD:display Consumer (IPS) from Procedure (EPS)
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
performed[x]:performedDateTime	OΣ	0..1	dateTime	When the procedure was performed Obligations Actor Source SHOULD:able-to-populate Creator (IPS) from Procedure (EPS) SHALL:handle Consumer (IPS) from Procedure (EPS) SHOULD:display Consumer (IPS) from Procedure (EPS)
recorder	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	The person or organization who recorded the procedure
asserter	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	The person or organization who asserts the 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 (CZ core)(1.1.0) | Practitioner Role (CZ core)(1.1.0) | Patient (EPS) | Related Person (CZ core)(1.1.0) | Organization (CZ core)(1.1.0))	The reference to the practitioner
onBehalfOf		0..1	Reference(Organization (CZ core)(1.1.0))	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 (CZ core)(1.1.0) | Observation | Procedure (CZ PS) | DiagnosticReport (CZ core)(1.1.0) | DocumentReference)	Why the procedure was performed (details)
bodySite	ΣC	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (preferred) Constraints: eu-bodysite-1
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:bodySite		0..1	(Complex)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
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/bodySite"
value[x]		1..1	Reference(BodyStructure (EU core)(2.0.0))	Value of extension
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
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 (EU core)(2.0.0))	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(Device)	Device that was changed
usedReference		0..*	Reference(Device | Medication (EU core)(2.0.0) | Substance)	Items used during procedure
usedCode		0..*	CodeableConcept	Device used to perform the procedure (code) Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

Name	Consumer (IPS)	Creator (IPS)
Procedure
Slices for extension
code	SHALL:handle SHOULD:display	SHALL:populate-if-known
subject	SHALL:handle SHOULD:display	SHALL:populate-if-known
reference	SHALL:handle	SHALL:populate-if-known
Slices for performed[x]	SHALL:handle SHOULD:display	SHALL:populate-if-known
performed[x]:performedDateTime	SHALL:handle SHOULD:display	SHOULD:able-to-populate
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 - IPS	📍2.0.1	International Patient Summary Implementation Guide v2.0
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())
eu-bodysite-1	error	Procedure.bodySite	Either a body site code or a reference to a BodyStructure resource SHALL be used, but not both.	(coding.empty() and text.empty()) or extension('http://hl7.org/fhir/StructureDefinition/bodySite').empty()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Name	Consumer (IPS)	Creator (IPS)
Procedure
Slices for extension
code	SHALL:handle SHOULD:display	SHALL:populate-if-known
subject	SHALL:handle SHOULD:display	SHALL:populate-if-known
reference	SHALL:handle	SHALL:populate-if-known
Slices for performed[x]	SHALL:handle SHOULD:display	SHALL:populate-if-known
performed[x]:performedDateTime	SHALL:handle SHOULD:display	SHOULD:able-to-populate
Documentation for this format

Summary

Structures

This structure refers to these other structures:

• Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core|1.1.0)
• Practitioner Role (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core|1.1.0)
• Patient (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/patient-eu-eps)
• Related Person (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-relatedPerson-core|1.1.0)
• Organization (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core|1.1.0)
• Condition (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/condition-cz-core|1.1.0)
• Procedure (CZ PS) (https://hl7.cz/fhir/ps/StructureDefinition/cz-procedure-ps)
• DiagnosticReport (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/diagnosticReport-cz-core|1.1.0)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	ProcedureEuEps	An action that is being or was performed on a patient This profile also imposes the profile Procedure (IPS) (2.0.1)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:recorded		0..1	dateTime	Date when the procedure was recorded URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	The status of the procedure Binding: EventStatus (required): A code specifying the state of the procedure.
code	OΣ	1..1	CodeableConceptIPS(2.0.1)	Identification of the procedure Binding: ProceduresUvIps (2.0.1) (preferred) Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (EPS) SHALL:handle Consumer (IPS) from Procedure (EPS) SHOULD:display Consumer (IPS) from Procedure (EPS)
subject	OΣ	1..1	Reference(Patient (EU core)(2.0.0))	Who the procedure was performed on Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (EPS) SHALL:handle Consumer (IPS) from Procedure (EPS) SHOULD:display Consumer (IPS) from Procedure (EPS)
reference	OΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (EPS) SHALL:handle Consumer (IPS) from Procedure (EPS)
Slices for performed[x]	OΣ	1..1		When the procedure was performed Slice: Unordered, Open by type:$this Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (EPS) SHALL:handle Consumer (IPS) from Procedure (EPS) SHOULD:display Consumer (IPS) from Procedure (EPS)
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
performed[x]:performedDateTime	OΣ	0..1	dateTime	When the procedure was performed Obligations Actor Source SHOULD:able-to-populate Creator (IPS) from Procedure (EPS) SHALL:handle Consumer (IPS) from Procedure (EPS) SHOULD:display Consumer (IPS) from Procedure (EPS)
reasonReference	Σ	0..*	Reference(Condition (CZ core)(1.1.0) | Observation | Procedure (CZ PS) | DiagnosticReport (CZ core)(1.1.0) | DocumentReference)	Why the procedure was performed (details)
Documentation for this format

Name	Consumer (IPS)	Creator (IPS)
Procedure
Slices for extension
code	SHALL:handle SHOULD:display	SHALL:populate-if-known
subject	SHALL:handle SHOULD:display	SHALL:populate-if-known
reference	SHALL:handle	SHALL:populate-if-known
Slices for performed[x]	SHALL:handle SHOULD:display	SHALL:populate-if-known
performed[x]:performedDateTime	SHALL:handle SHOULD:display	SHOULD:able-to-populate
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 - IPS	📍2.0.1	International Patient Summary Implementation Guide v2.0

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	Procedure.extension:recorded, Procedure.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure			ProcedureEuEps	This profile also imposes the profile Procedure (IPS) (2.0.1)
performer
actor		1..1	Reference(Practitioner (CZ core)(1.1.0) | Practitioner Role (CZ core)(1.1.0) | Patient (EPS) | Related Person (CZ core)(1.1.0) | Organization (CZ core)(1.1.0))	The reference to the practitioner
onBehalfOf		0..1	Reference(Organization (CZ core)(1.1.0))	Organization the device or practitioner was acting for
reasonReference		0..*	Reference(Condition (CZ core)(1.1.0) | Observation | Procedure (CZ PS) | DiagnosticReport (CZ core)(1.1.0) | DocumentReference)	Why the procedure was performed (details)
Documentation for this format

Name
Documentation for this format

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	ProcedureEuEps	An action that is being or was performed on a patient This profile also imposes the profile Procedure (IPS) (2.0.1)
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 procedure Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Textual representation of the procedure 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:recorded		0..1	dateTime	Date when the procedure was recorded URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier for the 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	The status of the procedure 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(2.0.1)	Identification of the procedure Binding: ProceduresUvIps (2.0.1) (preferred) Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (EPS) SHALL:handle Consumer (IPS) from Procedure (EPS) SHOULD:display Consumer (IPS) from Procedure (EPS)
subject	OΣ	1..1	Reference(Patient (EU core)(2.0.0))	Who the procedure was performed on Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (EPS) SHALL:handle Consumer (IPS) from Procedure (EPS) SHOULD:display Consumer (IPS) from Procedure (EPS)
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	OΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (EPS) SHALL:handle Consumer (IPS) from Procedure (EPS)
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]	OΣ	1..1		When the procedure was performed Slice: Unordered, Open by type:$this Obligations Actor Source SHALL:populate-if-known Creator (IPS) from Procedure (EPS) SHALL:handle Consumer (IPS) from Procedure (EPS) SHOULD:display Consumer (IPS) from Procedure (EPS)
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
performed[x]:performedDateTime	OΣ	0..1	dateTime	When the procedure was performed Obligations Actor Source SHOULD:able-to-populate Creator (IPS) from Procedure (EPS) SHALL:handle Consumer (IPS) from Procedure (EPS) SHOULD:display Consumer (IPS) from Procedure (EPS)
recorder	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	The person or organization who recorded the procedure
asserter	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	The person or organization who asserts the 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 (CZ core)(1.1.0) | Practitioner Role (CZ core)(1.1.0) | Patient (EPS) | Related Person (CZ core)(1.1.0) | Organization (CZ core)(1.1.0))	The reference to the practitioner
onBehalfOf		0..1	Reference(Organization (CZ core)(1.1.0))	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 (CZ core)(1.1.0) | Observation | Procedure (CZ PS) | DiagnosticReport (CZ core)(1.1.0) | DocumentReference)	Why the procedure was performed (details)
bodySite	ΣC	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (preferred) Constraints: eu-bodysite-1
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:bodySite		0..1	(Complex)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
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/bodySite"
value[x]		1..1	Reference(BodyStructure (EU core)(2.0.0))	Value of extension
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
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 (EU core)(2.0.0))	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(Device)	Device that was changed
usedReference		0..*	Reference(Device | Medication (EU core)(2.0.0) | Substance)	Items used during procedure
usedCode		0..*	CodeableConcept	Device used to perform the procedure (code) Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

Name	Consumer (IPS)	Creator (IPS)
Procedure
Slices for extension
code	SHALL:handle SHOULD:display	SHALL:populate-if-known
subject	SHALL:handle SHOULD:display	SHALL:populate-if-known
reference	SHALL:handle	SHALL:populate-if-known
Slices for performed[x]	SHALL:handle SHOULD:display	SHALL:populate-if-known
performed[x]:performedDateTime	SHALL:handle SHOULD:display	SHOULD:able-to-populate
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 - IPS	📍2.0.1	International Patient Summary Implementation Guide v2.0
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())
eu-bodysite-1	error	Procedure.bodySite	Either a body site code or a reference to a BodyStructure resource SHALL be used, but not both.	(coding.empty() and text.empty()) or extension('http://hl7.org/fhir/StructureDefinition/bodySite').empty()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Name	Consumer (IPS)	Creator (IPS)
Procedure
Slices for extension
code	SHALL:handle SHOULD:display	SHALL:populate-if-known
subject	SHALL:handle SHOULD:display	SHALL:populate-if-known
reference	SHALL:handle	SHALL:populate-if-known
Slices for performed[x]	SHALL:handle SHOULD:display	SHALL:populate-if-known
performed[x]:performedDateTime	SHALL:handle SHOULD:display	SHOULD:able-to-populate
Documentation for this format

Summary

Structures

This structure refers to these other structures:

• Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core|1.1.0)
• Practitioner Role (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core|1.1.0)
• Patient (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/patient-eu-eps)
• Related Person (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-relatedPerson-core|1.1.0)
• Organization (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core|1.1.0)
• Condition (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/condition-cz-core|1.1.0)
• Procedure (CZ PS) (https://hl7.cz/fhir/ps/StructureDefinition/cz-procedure-ps)
• DiagnosticReport (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/diagnosticReport-cz-core|1.1.0)

Other representations of profile: CSV, Excel, Schematron