Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure vs http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-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	2025-09-26T13:12:57+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.	Profile for interventions that address Social Determinants of Health.	Values Differ
experimental	false		Removed the item 'false'
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	USCoreProcedureProfile	SDOHCCProcedure	Values Differ
publisher	HL7 International / Cross-Group Projects	HL7 International / Patient Care	Values Differ
purpose
status	active
title	US Core Procedure Profile	SDOHCC Procedure	Values Differ
type	Procedure
url	http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure	http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure	Values Differ
version	8.0.0	3.0.0	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	C	0..*	Procedure	An action that is being or was performed on a patient Constraints: us-core-7
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
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	Example/preferred bindings differ at Procedure.language using binding from USCoreProcedureProfile
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..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
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
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(7.0.0) | US Core ServiceRequest Profile(7.0.0))	𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: A request for this procedure	SΣ	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure Slice: Unordered, Open by profile:resolve()	Elements differ in definition for mustSupport: 'false' vs 'true'
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)	?!SΣC	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: ?? (required)
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: ?? (example): A code that identifies the reason a procedure was not performed.	Σ	0..1	CodeableConcept	Reason for current status Binding: ?? (example): A code that identifies the reason a procedure was not performed.
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.
id						0..1	string	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
Slices for coding					SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this	Added this element
text					Σ	0..1	string	Plain text representation of the concept	Added this element
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: ?? (required): Codes describing the type of Procedure Additional Bindings Purpose Usage ?? Current ?? Extensible SDOHCCProcedure#Procedure.category = digital-access ?? Extensible SDOHCCProcedure#Procedure.category = digital-literacy ?? Extensible SDOHCCProcedure#Procedure.category = educational-attainment ?? Extensible SDOHCCProcedure#Procedure.category = elder-abuse ?? Extensible SDOHCCProcedure#Procedure.category = employment-status ?? Extensible SDOHCCProcedure#Procedure.category = financial-insecurity ?? Extensible SDOHCCProcedure#Procedure.category = food-insecurity ?? Extensible SDOHCCProcedure#Procedure.category = health-insurance-coverage-status ?? Extensible SDOHCCProcedure#Procedure.category = homelessness ?? Extensible SDOHCCProcedure#Procedure.category = housing-instability ?? Extensible SDOHCCProcedure#Procedure.category = inadequate-housing ?? Extensible SDOHCCProcedure#Procedure.category = incarceration-status ?? Extensible SDOHCCProcedure#Procedure.category = intimate-partner-violence ?? Extensible SDOHCCProcedure#Procedure.category = language-access ?? Extensible SDOHCCProcedure#Procedure.category = material-hardship ?? Extensible SDOHCCProcedure#Procedure.category = medical-cost-burden ?? Extensible SDOHCCProcedure#Procedure.category = personal-health-literacy ?? Extensible SDOHCCProcedure#Procedure.category = social-connection ?? Extensible SDOHCCProcedure#Procedure.category = stress ?? Extensible SDOHCCProcedure#Procedure.category = transportation-insecurity ?? Extensible SDOHCCProcedure#Procedure.category = utility-insecurity ?? Extensible SDOHCCProcedure#Procedure.category = veteran-status ?? Required SDOHCCProcedure#Procedure.category = sdoh-category-unspecified
subject	SΣ	1..1	Reference(US Core Patient Profile(7.0.0) S | Group)	Who the procedure was performed on	SΣ	1..1	Reference(US Core Patient Profile(7.0.0))	Who the procedure was performed on
encounter	SΣ	0..1	Reference(US Core Encounter Profile(7.0.0))	Encounter associated with the procedure	SΣ	0..1	Reference(US Core Encounter Profile(7.0.0))	Encounter associated with the procedure
performed[x]	SΣC	0..1	dateTime S, Period, string, Age, Range	When the procedure was performed	SΣC	0..1	dateTime S, 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	Σ	0..*	BackboneElement	The people who performed the procedure
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(7.0.0) | US Core PractitionerRole Profile(7.0.0) | US Core Organization Profile(7.0.0) | US Core Patient Profile(7.0.0) | US Core RelatedPerson Profile(7.0.0) | Device)	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: ?? (extensible)
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 Slice: Unordered, Open by profile:resolve()
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: ?? (example): Codes describing anatomical locations. May include laterality.	Σ	0..*	CodeableConcept	Target body sites Binding: ?? (example): Codes describing anatomical locations. May include laterality.
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.	Example/preferred bindings differ at Procedure.focalDevice.action using binding from USCoreProcedureProfile
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