## Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure vs http://hl7.org/fhir/us/uds-plus/StructureDefinition/uds-plus-procedure

Left: | US Core Procedure Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure)
Right: | De-Identified UDS Plus Procedure (http://hl7.org/fhir/us/uds-plus/StructureDefinition/uds-plus-procedure)

### Messages

Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure' vs 'http://hl7.org/fhir/us/uds-plus/StructureDefinition/uds-plus-procedure'
Error | StructureDefinition.version | Values for version differ: '9.0.0-ballot' vs '0.1.0'
Information | StructureDefinition.name | Values for name differ: 'USCoreProcedureProfile' vs 'UDSPlusProcedure'
Information | StructureDefinition.title | Values for title differ: 'US Core Procedure Profile' vs 'De-Identified UDS Plus Procedure'
Information | StructureDefinition.date | Values for date differ: '2023-10-17' vs '2026-03-16T10:54:28+00:00'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International / Cross Group Projects'
Information | StructureDefinition.short | Values for short differ: 'An action that is being or was performed on a patient' vs 'De-Identified UDS Plus Procedure'
Information | StructureDefinition.definition | Values for definition differ: 'An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like long term services, counseling, or hypnotherapy.' vs 'The UDS+ profile is based on the Procedure resource and establishes the core elements, extensions, vocabularies and value sets for representing Procedures for UDS+ program.'
Information | StructureDefinition.short | Values for short differ: 'Logical id of this artifact' vs 'The de-identified Procedure identifier created by the health center to send data to UDS+ Data Receiver'
Information | StructureDefinition.definition | Values for definition differ: 'The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.' vs 'De-dentified procedure resource identifier.'
Warning | Procedure.id | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.short | Values for short differ: 'Text summary of the resource, for human interpretation' vs 'Cannot include any text in the resource as part of the de-identified data.'
Information | Procedure.text | Element maximum cardinalities differ: '1' vs '0'
Information | StructureDefinition.short | Values for short differ: 'Contained, inline Resources' vs 'Cannot include any contained resources in the resource as part of the de-identified data.'
Information | Procedure.contained | Element maximum cardinalities differ: '2147483647' vs '0'
Information | StructureDefinition.short | Values for short differ: 'Additional content defined by implementations' vs 'Extension'
Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
Information | StructureDefinition.short | Values for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A request for this procedure' vs 'A request for this procedure'
Warning | Procedure.statusReason | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.short | Values for short differ: 'Encounter associated with the procedure' vs 'Encounter created as part of'
Information | StructureDefinition.short | Values for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: The people who performed the procedure' vs 'The people who performed the procedure'
Warning | Procedure.performer | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.short | Values for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: The reference to the practitioner' vs 'The reference to the practitioner'
Information | StructureDefinition.short | Values for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Coded reason procedure performed' vs 'Coded reason procedure performed'
Information | StructureDefinition.short | Values for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile justifying the reason procedure performed' vs 'The justification that the procedure was performed'
Warning | Procedure.bodySite | Elements differ in definition for mustSupport: 'false' vs 'true'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Procedure |
copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |  | Removed the item 'Used by permission of HL7 International, all rights reserved Creative Commons License'
date | 2023-10-17 | 2026-03-16T10:54:28+00:00 | Values Differ
description | The US Core Procedure Profile inherits from the FHIR [Procedure](https://hl7.org/fhir/R4/procedure.html) resource; refer to it for scope and usage definitions. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) *Procedures* Data Class. It sets minimum expectations for the Procedure resource to record, search, and fetch procedure information associated with a patient. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. | The UDS+ profile is based on the Procedure resource and establishes the core elements, extensions, vocabularies and value sets for representing procedures for UDS+ program. | Values Differ
experimental | false |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#US |
kind | resource |
name | USCoreProcedureProfile | UDSPlusProcedure | Values Differ
publisher | HL7 International / Cross-Group Projects | HL7 International / Cross Group Projects | Values Differ
purpose |  |
status | active |
title | US Core Procedure Profile | De-Identified UDS Plus Procedure | Values Differ
type | Procedure |
url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | http://hl7.org/fhir/us/uds-plus/StructureDefinition/uds-plus-procedure | Values Differ
version | 9.0.0-ballot | 0.1.0 | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Procedure | C | 0..* | Procedure | An action that is being or was performed on a patient Constraints: us-core-7 |  | 0..* | Procedure | De-Identified UDS Plus Procedure |
id | Σ | 0..1 | id | Logical id of this artifact | S Σ | 0..1 | id | The de-identified Procedure identifier created by the health center to send data to UDS+ Data Receiver | Elements differ in definition for mustSupport: 'false' vs 'true'
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |  | 0..0 |  | Cannot include any text in the resource as part of the de-identified data. This profile does not constrain the narrative in regard to content, language, or traceability to data elements | Element maximum cardinalities differ: '1' vs '0'
contained |  | 0..* | Resource | Contained, inline Resources |  | 0..0 |  | Cannot include any contained resources in the resource as part of the de-identified data. | Element maximum cardinalities differ: '2147483647' vs '0'
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | External Identifiers for this procedure | Σ | 0..* | Identifier | External Identifiers for this procedure |
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition |
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | Σ | 0..* | uri | Instantiates external protocol or definition |
basedOn | Σ | 0..* | Reference(US Core CarePlan Profile | US Core ServiceRequest Profile) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A request for this procedure | Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure |
partOf | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event |
status | ?!S Σ C | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: ?? (required) | ?!S Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: ?? (required): A code specifying the state of the procedure. |
statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): A code that identifies the reason a procedure was not performed. | S Σ | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): A code that identifies the reason a procedure was not performed. | Elements differ in definition for mustSupport: 'false' vs 'true'
category | Σ | 0..1 | CodeableConcept | Classification of the procedure Binding: ?? (example): A code that classifies a procedure for searching, sorting and display purposes. | Σ | 0..1 | CodeableConcept | Classification of the procedure Binding: ?? (example): A code that classifies a procedure for searching, sorting and display purposes. |
code | S Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: ?? (preferred): Codes describing the type of Procedure
Additional Bindings | Purpose
?? | Current
| S Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: ?? (extensible): The set of codes indicating the procedures |
subject | S Σ | 1..1 | Reference(US Core Patient Profile S | Group) | Who the procedure was performed on | S Σ | 1..1 | Reference(De-Identified UDS Plus Patient) | Who the procedure was performed on |
encounter | S Σ | 0..1 | Reference(US Core Encounter Profile) | Encounter associated with the procedure | S Σ | 0..1 | Reference(De-Identified UDS Plus Encounter) | Encounter created as part of |
performed[x] | S Σ C | 0..1 | dateTime S, Period, string, Age, Range | When the procedure was performed | S Σ | 0..1 | dateTime, Period, string, Age, Range | When the procedure was performed |
recorder | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure | 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 | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure |
performer | Σ | 0..* | BackboneElement | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: The people who performed the procedure | S Σ | 0..* | BackboneElement | The people who performed the procedure | Elements differ in definition for mustSupport: 'false' vs 'true'
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ?? (example): A code that identifies the role of a performer of the procedure. | Σ | 0..1 | CodeableConcept | Type of performance Binding: ?? (example): A code that identifies the role of a performer of the procedure. |
actor | Σ | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core Patient Profile | US Core RelatedPerson Profile | US Core Device Profile) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: The reference to the practitioner | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner |
onBehalfOf |  | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for |  | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for |
location | Σ | 0..1 | Reference(Location) | Where the procedure happened | Σ | 0..1 | Reference(Location) | Where the procedure happened |
reasonCode | Σ | 0..* | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Coded reason procedure performed Binding: ?? (extensible) | Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ?? (example): A code that identifies the reason a procedure is required. |
reasonReference | Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Profile justifying the reason procedure performed | Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed |
bodySite | Σ | 0..* | CodeableConcept | Target body sites Binding: ?? (example): Codes describing anatomical locations. May include laterality. | S Σ | 0..* | CodeableConcept | Target body sites Binding: ?? (example): Codes describing anatomical locations. May include laterality. | Elements differ in definition for mustSupport: 'false' vs 'true'
outcome | Σ | 0..1 | CodeableConcept | The result of procedure Binding: ?? (example): An outcome of a procedure - whether it was resolved or otherwise. | Σ | 0..1 | CodeableConcept | The result of procedure Binding: ?? (example): An outcome of a procedure - whether it was resolved or otherwise. |
report |  | 0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure |  | 0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure |
complication |  | 0..* | CodeableConcept | Complication following the procedure Binding: ?? (example): Codes describing complications that resulted from a procedure. |  | 0..* | CodeableConcept | Complication following the procedure Binding: ?? (example): Codes describing complications that resulted from a procedure. |
complicationDetail |  | 0..* | Reference(Condition) | A condition that is a result of the procedure |  | 0..* | Reference(Condition) | A condition that is a result of the procedure |
followUp |  | 0..* | CodeableConcept | Instructions for follow up Binding: ?? (example): Specific follow up required for a procedure e.g. removal of sutures. |  | 0..* | CodeableConcept | Instructions for follow up Binding: ?? (example): Specific follow up required for a procedure e.g. removal of sutures. |
note |  | 0..* | Annotation | Additional information about the procedure |  | 0..* | Annotation | Additional information about the procedure |
focalDevice |  | 0..* | BackboneElement | Manipulated, implanted, or removed device |  | 0..* | BackboneElement | Manipulated, implanted, or removed device |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
action |  | 0..1 | CodeableConcept | Kind of change to device Binding: ?? (preferred): A kind of change that happened to the device during the procedure. |  | 0..1 | CodeableConcept | Kind of change to device Binding: ?? (preferred): A kind of change that happened to the device during the procedure. |
manipulated |  | 1..1 | Reference(Device) | Device that was changed |  | 1..1 | Reference(Device) | Device that was changed |
usedReference |  | 0..* | Reference(Device | Medication | Substance) | Items used during procedure |  | 0..* | Reference(Device | Medication | Substance) | Items used during procedure |
usedCode |  | 0..* | CodeableConcept | Coded items used during the procedure Binding: ?? (example): Codes describing items used during a procedure. |  | 0..* | CodeableConcept | Coded items used during the procedure Binding: ?? (example): Codes describing items used during a procedure. |
Documentation for this format