FHIR Extensions Pack
5.3.0-ballot-tc1 - (September 2025 Ballot) International flag

FHIR Extensions Pack, published by HL7 International / FHIR Infrastructure. This guide is not an authorized publication; it is the continuous build for version 5.3.0-ballot-tc1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-extensions/ and changes regularly. See the Directory of published versions

Extension: Procedure Directed By

Official URL: http://hl7.org/fhir/StructureDefinition/procedure-directedBy Version: 5.3.0-ballot-tc1
Standards status: Trial-use Maturity Level: 3 Responsible: HL7 International / Patient Care Computable Name: PRDirectedBy
Other Identifiers: OID:2.16.840.1.113883.4.642.5.1278

The target of the extension is a distinct actor from the requester and has decision-making authority over the service and takes direct responsibility to manage the service.

Context of Use

This extension may be used on the following element(s)

Usage info

Usages:

  • This Extension is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Changes since version 5.2.0:

  • No changes

    • Formal Views of Extension Content

    Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

    This structure is derived from Extension

    Summary

    Simple Extension with the type CodeableConcept, Reference: The target of the extension is a distinct actor from the requester and has decision-making authority over the service and takes direct responsibility to manage the service.

    Maturity: 3

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..1 Extension Who has decision-making authority
    ... extension 0..0
    ... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/procedure-directedBy"
    ... value[x] 1..1 Value of extension
    .... valueCodeableConcept CodeableConcept
    .... valueReference Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)

    doco Documentation for this format
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..1 Extension Who has decision-making authority
    ... id 0..1 id Unique id for inter-element referencing
    ... extension 0..0
    ... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/procedure-directedBy"
    .... valueCodeableConcept CodeableConcept
    .... valueReference Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)

    doco Documentation for this format

    This structure is derived from Extension

    Summary

    Simple Extension with the type CodeableConcept, Reference: The target of the extension is a distinct actor from the requester and has decision-making authority over the service and takes direct responsibility to manage the service.

    Maturity: 3

    Differential View

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..1 Extension Who has decision-making authority
    ... extension 0..0
    ... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/procedure-directedBy"
    ... value[x] 1..1 Value of extension
    .... valueCodeableConcept CodeableConcept
    .... valueReference Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)

    doco Documentation for this format

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..1 Extension Who has decision-making authority
    ... id 0..1 id Unique id for inter-element referencing
    ... extension 0..0
    ... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/procedure-directedBy"
    .... valueCodeableConcept CodeableConcept
    .... valueReference Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)

    doco Documentation for this format

     

    Other representations of profile: CSV, Excel, Schematron

    Constraints

    IdGradePath(s)DetailsRequirements
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() or (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()

    R4B

    The extension is not used in R4B

    • Duplicate Resource http://hl7.org/fhir/StructureDefinition/procedure-directedBy of type StructureDefinition (existing version 4.3.0, new version 5.3.0-ballot-tc1)

    R4

    The extension is not used in R4

    • Duplicate Resource http://hl7.org/fhir/StructureDefinition/procedure-directedBy of type StructureDefinition (existing version 4.0.1, new version 5.3.0-ballot-tc1)

    R3

    The extension is represented a little differently in R3:

    • Adjust the extension context ServiceRequest to Basic
    • Note: Extensions that have been modified for R3 are still draft while real-world experience is collected
    Name Flags Card. Type Description & Constraints      Filter: Filters doco
    . . Extension 0..1 Extension Who has decision-making authority
    . . . extension 0 .. 0
    . . . url 1 .. 1 uri "http://hl7.org/fhir/StructureDefinition/procedure-directedBy"
    . . . value[x] 1.. 1 Value of extension
    . . . . valueCodeableConcept CodeableConcept
    . . . . valueReference Reference ( Patient | RelatedPerson | Practitioner | PractitionerRole )

    doco Documentation for this format

    Search Parameters for this Extension

    (none found)