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

Messages

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	2026-03-16T10:49:09+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	SΣ	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	?!SΣC	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: ?? (required)	?!SΣ	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.	SΣ	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	SΣ	1..1	CodeableConcept	Identification of the procedure Binding: ?? (preferred): Codes describing the type of Procedure Additional Bindings Purpose ?? Current	SΣ	1..1	CodeableConcept	Identification of the procedure Binding: ?? (extensible): The set of codes indicating the procedures
subject	SΣ	1..1	Reference(US Core Patient Profile S | Group)	Who the procedure was performed on	SΣ	1..1	Reference(De-Identified UDS Plus Patient)	Who the procedure was performed on
encounter	SΣ	0..1	Reference(US Core Encounter Profile)	Encounter associated with the procedure	SΣ	0..1	Reference(De-Identified UDS Plus Encounter)	Encounter created as part of
performed[x]	SΣC	0..1	dateTime S, Period, string, Age, Range	When the procedure was performed	SΣ	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	SΣ	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.	SΣ	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