HL7 Europe IG Snapshot, published by Lithuanian Medical Library. This guide is not an authorized publication; it is the continuous build for version 0.0.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7LT/ig-eu-ehds/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON

Resource Profile: EU Procedure

A procedure profile for the EU.

Usages:

• Derived from this Profile: IM Imaging Procedure

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
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure(5.0.0)	An action that is being or was performed on an individual or entity
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
subject	Σ	1..1	Reference(Patient (EU base)(0.1.0))	Individual or entity the procedure was performed on
Slices for used		0..*	CodeableReference(Device | Medication | Substance | BiologicallyDerivedProduct)	Items used during procedure Slice: Unordered, Open by type:concept Binding: DeviceType (example): Codes describing items used during a procedure.
used:device		0..1	CodeableReference(Device)	Items used during procedure Binding: DeviceType (example): Codes describing items used during a procedure.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Procedure.status	Base	required	EventStatus	📍5.0.0	FHIR Std.
Procedure.used	Base	example	Device Type	📍5.0.0	FHIR Std.
Procedure.used:device	Base	example	Device Type	📍5.0.0	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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	Procedure.implicitRules, Procedure.modifierExtension, Procedure.status, Procedure.subject, Procedure.used, Procedure.used:device	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	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		0..*	Procedure(5.0.0)	An action that is being or was performed on an individual or entity
subject		1..1	Reference(Patient (EU base)(0.1.0))	Individual or entity the procedure was performed on
bodySite
Slices for extension				Content/Rules for all slices
extension:bodyStructure		0..1	Reference(BodyStructure)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
Slices for used		0..*	CodeableReference(Device | Medication | Substance | BiologicallyDerivedProduct)	Items used during procedure Slice: Unordered, Open by type:concept
used:device		0..1	CodeableReference(Device)	Items used during procedure
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure(5.0.0)	An action that is being or was performed on an individual or entity
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 resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
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
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	Σ	0..*	Identifier	External Identifiers for this 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	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: ProcedureNotPerformedReasonSNOMEDCT (example): A code that identifies the reason a procedure was not performed.
category	Σ	0..*	CodeableConcept	Classification of the procedure Binding: ProcedureCategoryCodesSNOMEDCT (example): A code that classifies a procedure for searching, sorting and display purposes.
code	Σ	0..1	CodeableConcept	Identification of the procedure Binding: ProcedureCodesSNOMEDCT (example): A code to identify a specific procedure .
subject	Σ	1..1	Reference(Patient (EU base)(0.1.0))	Individual or entity the procedure was performed on
focus	Σ	0..1	Reference(Patient | Group | RelatedPerson | Practitioner | Organization | CareTeam | PractitionerRole | Specimen)	Who is the target of the procedure when it is not the subject of record only
encounter	Σ	0..1	Reference(Encounter)	The Encounter during which this Procedure was created
occurrence[x]	Σ	0..1		When the procedure occurred or is occurring
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceString			string
occurrenceAge			Age
occurrenceRange			Range
occurrenceTiming			Timing
recorded	Σ	0..1	dateTime	When the procedure was first captured in the subject's record
recorder	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Who recorded the procedure
reported[x]	Σ	0..1		Reported rather than primary record
reportedBoolean			boolean
reportedReference			Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)
performer	ΣC	0..*	BackboneElement	Who performed the procedure and what they did Constraints: prc-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
function	Σ	0..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
actor	ΣC	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService)	Who performed the procedure
onBehalfOf	C	0..1	Reference(Organization)	Organization the device or practitioner was acting for
period		0..1	Period	When the performer performed the procedure
location	Σ	0..1	Reference(Location)	Where the procedure happened
reason	Σ	0..*	CodeableReference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
extension:bodyStructure		0..1	Reference(BodyStructure)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite Constraints: ext-1
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	The result of procedure Binding: ProcedureOutcomeCodesSNOMEDCT (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..*	CodeableReference(Condition)	Complication following the procedure Binding: ConditionProblemDiagnosisCodes (example): Codes describing complications that resulted from a procedure.
followUp		0..*	CodeableConcept	Instructions for follow up Binding: ProcedureFollowUpCodesSNOMEDCT (example): Specific follow up required for a procedure e.g. removal of sutures.
note		0..*	Annotation	Additional information about the procedure
focalDevice		0..*	BackboneElement	Manipulated, implanted, or removed device
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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
Slices for used		0..*	CodeableReference(Device | Medication | Substance | BiologicallyDerivedProduct)	Items used during procedure Slice: Unordered, Open by type:concept Binding: DeviceType (example): Codes describing items used during a procedure.
used:device		0..1	CodeableReference(Device)	Items used during procedure Binding: DeviceType (example): Codes describing items used during a procedure.
supportingInfo		0..*	Reference(Resource)	Extra information relevant to the procedure
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Procedure.language	Base	required	All Languages	📍5.0.0	FHIR Std.
Procedure.status	Base	required	EventStatus	📍5.0.0	FHIR Std.
Procedure.statusReason	Base	example	Procedure Not Performed Reason (SNOMED-CT)	📍5.0.0	FHIR Std.
Procedure.category	Base	example	Procedure Category Codes (SNOMED CT)	📍5.0.0	FHIR Std.
Procedure.code	Base	example	Procedure Codes (SNOMED CT)	📍5.0.0	FHIR Std.
Procedure.performer.​function	Base	example	Procedure Performer Role Codes	📍5.0.0	FHIR Std.
Procedure.reason	Base	example	Procedure Reason Codes	📍5.0.0	FHIR Std.
Procedure.bodySite	Base	example	SNOMED CT Body Structures	📍5.0.0	FHIR Std.
Procedure.outcome	Base	example	Procedure Outcome Codes (SNOMED CT)	📍5.0.0	FHIR Std.
Procedure.complication	Base	example	Condition/Problem/Diagnosis Codes	📍5.0.0	FHIR Std.
Procedure.followUp	Base	example	Procedure Follow up Codes (SNOMED CT)	📍5.0.0	FHIR Std.
Procedure.focalDevice.​action	Base	preferred	Procedure Device Action Codes	📍5.0.0	FHIR Std.
Procedure.used	Base	example	Device Type	📍5.0.0	FHIR Std.
Procedure.used:device	Base	example	Device Type	📍5.0.0	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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	Procedure.meta, Procedure.implicitRules, Procedure.language, Procedure.text, Procedure.extension, Procedure.modifierExtension, Procedure.identifier, Procedure.instantiatesCanonical, Procedure.instantiatesUri, Procedure.basedOn, Procedure.partOf, Procedure.status, Procedure.statusReason, Procedure.category, Procedure.code, Procedure.subject, Procedure.focus, Procedure.encounter, Procedure.occurrence[x], Procedure.recorded, Procedure.recorder, Procedure.reported[x], Procedure.performer, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.performer.function, Procedure.performer.actor, Procedure.performer.onBehalfOf, Procedure.performer.period, Procedure.location, Procedure.reason, Procedure.bodySite, Procedure.bodySite.extension, Procedure.bodySite.extension:bodyStructure, Procedure.bodySite.coding, Procedure.bodySite.text, Procedure.outcome, Procedure.report, Procedure.complication, Procedure.followUp, Procedure.note, Procedure.focalDevice, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension, Procedure.focalDevice.action, Procedure.focalDevice.manipulated, Procedure.used, Procedure.used:device, Procedure.supportingInfo	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Procedure.extension, Procedure.modifierExtension, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.bodySite.extension, Procedure.bodySite.extension:bodyStructure, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
prc-1	error	Procedure.performer	Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole	onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()

Summary

Structures

This structure refers to these other structures:

• Patient (EU base) (http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu|0.1.0)
• Device (http://hl7.org/fhir/StructureDefinition/Device|5.0.0)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/bodySite|5.2.0

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Procedure.used

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure(5.0.0)	An action that is being or was performed on an individual or entity
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
subject	Σ	1..1	Reference(Patient (EU base)(0.1.0))	Individual or entity the procedure was performed on
Slices for used		0..*	CodeableReference(Device | Medication | Substance | BiologicallyDerivedProduct)	Items used during procedure Slice: Unordered, Open by type:concept Binding: DeviceType (example): Codes describing items used during a procedure.
used:device		0..1	CodeableReference(Device)	Items used during procedure Binding: DeviceType (example): Codes describing items used during a procedure.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Procedure.status	Base	required	EventStatus	📍5.0.0	FHIR Std.
Procedure.used	Base	example	Device Type	📍5.0.0	FHIR Std.
Procedure.used:device	Base	example	Device Type	📍5.0.0	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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	Procedure.implicitRules, Procedure.modifierExtension, Procedure.status, Procedure.subject, Procedure.used, Procedure.used:device	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	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		0..*	Procedure(5.0.0)	An action that is being or was performed on an individual or entity
subject		1..1	Reference(Patient (EU base)(0.1.0))	Individual or entity the procedure was performed on
bodySite
Slices for extension				Content/Rules for all slices
extension:bodyStructure		0..1	Reference(BodyStructure)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
Slices for used		0..*	CodeableReference(Device | Medication | Substance | BiologicallyDerivedProduct)	Items used during procedure Slice: Unordered, Open by type:concept
used:device		0..1	CodeableReference(Device)	Items used during procedure
Documentation for this format

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure(5.0.0)	An action that is being or was performed on an individual or entity
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 resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
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
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	Σ	0..*	Identifier	External Identifiers for this 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	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: ProcedureNotPerformedReasonSNOMEDCT (example): A code that identifies the reason a procedure was not performed.
category	Σ	0..*	CodeableConcept	Classification of the procedure Binding: ProcedureCategoryCodesSNOMEDCT (example): A code that classifies a procedure for searching, sorting and display purposes.
code	Σ	0..1	CodeableConcept	Identification of the procedure Binding: ProcedureCodesSNOMEDCT (example): A code to identify a specific procedure .
subject	Σ	1..1	Reference(Patient (EU base)(0.1.0))	Individual or entity the procedure was performed on
focus	Σ	0..1	Reference(Patient | Group | RelatedPerson | Practitioner | Organization | CareTeam | PractitionerRole | Specimen)	Who is the target of the procedure when it is not the subject of record only
encounter	Σ	0..1	Reference(Encounter)	The Encounter during which this Procedure was created
occurrence[x]	Σ	0..1		When the procedure occurred or is occurring
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceString			string
occurrenceAge			Age
occurrenceRange			Range
occurrenceTiming			Timing
recorded	Σ	0..1	dateTime	When the procedure was first captured in the subject's record
recorder	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Who recorded the procedure
reported[x]	Σ	0..1		Reported rather than primary record
reportedBoolean			boolean
reportedReference			Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)
performer	ΣC	0..*	BackboneElement	Who performed the procedure and what they did Constraints: prc-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
function	Σ	0..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
actor	ΣC	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService)	Who performed the procedure
onBehalfOf	C	0..1	Reference(Organization)	Organization the device or practitioner was acting for
period		0..1	Period	When the performer performed the procedure
location	Σ	0..1	Reference(Location)	Where the procedure happened
reason	Σ	0..*	CodeableReference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
extension:bodyStructure		0..1	Reference(BodyStructure)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite Constraints: ext-1
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	The result of procedure Binding: ProcedureOutcomeCodesSNOMEDCT (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..*	CodeableReference(Condition)	Complication following the procedure Binding: ConditionProblemDiagnosisCodes (example): Codes describing complications that resulted from a procedure.
followUp		0..*	CodeableConcept	Instructions for follow up Binding: ProcedureFollowUpCodesSNOMEDCT (example): Specific follow up required for a procedure e.g. removal of sutures.
note		0..*	Annotation	Additional information about the procedure
focalDevice		0..*	BackboneElement	Manipulated, implanted, or removed device
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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
Slices for used		0..*	CodeableReference(Device | Medication | Substance | BiologicallyDerivedProduct)	Items used during procedure Slice: Unordered, Open by type:concept Binding: DeviceType (example): Codes describing items used during a procedure.
used:device		0..1	CodeableReference(Device)	Items used during procedure Binding: DeviceType (example): Codes describing items used during a procedure.
supportingInfo		0..*	Reference(Resource)	Extra information relevant to the procedure
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Procedure.language	Base	required	All Languages	📍5.0.0	FHIR Std.
Procedure.status	Base	required	EventStatus	📍5.0.0	FHIR Std.
Procedure.statusReason	Base	example	Procedure Not Performed Reason (SNOMED-CT)	📍5.0.0	FHIR Std.
Procedure.category	Base	example	Procedure Category Codes (SNOMED CT)	📍5.0.0	FHIR Std.
Procedure.code	Base	example	Procedure Codes (SNOMED CT)	📍5.0.0	FHIR Std.
Procedure.performer.​function	Base	example	Procedure Performer Role Codes	📍5.0.0	FHIR Std.
Procedure.reason	Base	example	Procedure Reason Codes	📍5.0.0	FHIR Std.
Procedure.bodySite	Base	example	SNOMED CT Body Structures	📍5.0.0	FHIR Std.
Procedure.outcome	Base	example	Procedure Outcome Codes (SNOMED CT)	📍5.0.0	FHIR Std.
Procedure.complication	Base	example	Condition/Problem/Diagnosis Codes	📍5.0.0	FHIR Std.
Procedure.followUp	Base	example	Procedure Follow up Codes (SNOMED CT)	📍5.0.0	FHIR Std.
Procedure.focalDevice.​action	Base	preferred	Procedure Device Action Codes	📍5.0.0	FHIR Std.
Procedure.used	Base	example	Device Type	📍5.0.0	FHIR Std.
Procedure.used:device	Base	example	Device Type	📍5.0.0	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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	Procedure.meta, Procedure.implicitRules, Procedure.language, Procedure.text, Procedure.extension, Procedure.modifierExtension, Procedure.identifier, Procedure.instantiatesCanonical, Procedure.instantiatesUri, Procedure.basedOn, Procedure.partOf, Procedure.status, Procedure.statusReason, Procedure.category, Procedure.code, Procedure.subject, Procedure.focus, Procedure.encounter, Procedure.occurrence[x], Procedure.recorded, Procedure.recorder, Procedure.reported[x], Procedure.performer, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.performer.function, Procedure.performer.actor, Procedure.performer.onBehalfOf, Procedure.performer.period, Procedure.location, Procedure.reason, Procedure.bodySite, Procedure.bodySite.extension, Procedure.bodySite.extension:bodyStructure, Procedure.bodySite.coding, Procedure.bodySite.text, Procedure.outcome, Procedure.report, Procedure.complication, Procedure.followUp, Procedure.note, Procedure.focalDevice, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension, Procedure.focalDevice.action, Procedure.focalDevice.manipulated, Procedure.used, Procedure.used:device, Procedure.supportingInfo	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Procedure.extension, Procedure.modifierExtension, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.bodySite.extension, Procedure.bodySite.extension:bodyStructure, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
prc-1	error	Procedure.performer	Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole	onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()

Summary

Structures

This structure refers to these other structures:

• Patient (EU base) (http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu|0.1.0)
• Device (http://hl7.org/fhir/StructureDefinition/Device|5.0.0)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/bodySite|5.2.0

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Procedure.used

Maturity: 1

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