Kenya Emergency FHIR Implementation Guide
0.1.0 - ci-build
Kenya Emergency FHIR Implementation Guide
0.1.0 - ci-build
Kenya Emergency FHIR Implementation Guide, published by Digital Health Agency (DHA), Kenya. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IntelliSOFT-Consulting/Kenya-Emmergency-FHIR-IG/ and changes regularly. See the Directory of published versions
| Official URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/em-procedure | Version: 0.1.0 | |||
| Active as of 2026-07-20 | Computable Name: EMProcedure | |||
Represents a clinical procedure performed during Kenya emergency medical services and point-of-care workflows, e.g. CPR, endotracheal intubation, wound dressing, or splinting.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Procedure |
0..* | Procedure | An action that is being or was performed on a patient | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!SΣ | 1..1 | code | Workflow status of the procedure Binding: EventStatus (required) |
 category |
SΣ | 0..1 | CodeableConcept | Broad category, e.g. emergency procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (extensible) |
| code |
SΣ | 1..1 | CodeableConcept | The specific procedure performed Binding: Procedure Code Value Set (extensible) |
 subject |
SΣ | 1..1 | Reference(Patient) | Patient on whom the procedure was performed |
| encounter |
SΣ | 1..1 | Reference(Encounter) | Associated encounter, typically EMPOCEncounter |
  performed[x] |
SΣ | 1..1 | When the procedure was performed | |
 performedDateTime |
dateTime | |||
 performedPeriod |
Period | |||
| performer |
SΣ | 0..* | BackboneElement | Who performed the procedure |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| actor |
SΣ | 1..1 | Reference(Practitioner | PractitionerRole) | EMT or clinician who performed the procedure |
| reasonReference |
SΣ | 0..* | Reference(Condition) | Condition being treated |
| bodySite |
Σ | 0..* | CodeableConcept | Anatomical site the procedure was performed on Binding: SNOMEDCTBodyStructures (extensible) |
| outcome |
SΣ | 0..1 | CodeableConcept | Result of the procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (extensible) |
| complication |
0..* | CodeableConcept | Complications arising from the procedure Binding: Condition/Problem/DiagnosisCodes (extensible) | |
| note |
0..* | Annotation | Free-text notes about the procedure | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.status | Base | required | EventStatus | 📦4.0.1 | FHIR Std. |
| Procedure.category | Base | extensible | Procedure Category Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| Procedure.code | Base | extensible | Procedure Code Value Set | 📦0.1.0 | This IG |
| Procedure.bodySite | Base | extensible | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| Procedure.outcome | Base | extensible | Procedure Outcome Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| Procedure.complication | Base | extensible | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std. |
| 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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 | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Procedure
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Procedure |
0..* | Procedure | An action that is being or was performed on a patient | |
 status |
S | 1..1 | code | Workflow status of the procedure Binding: EventStatus (required) |
| category |
S | 0..1 | CodeableConcept | Broad category, e.g. emergency procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (extensible) |
| code |
S | 1..1 | CodeableConcept | The specific procedure performed Binding: Procedure Code Value Set (extensible) |
| subject |
S | 1..1 | Reference(Patient) | Patient on whom the procedure was performed |
| encounter |
S | 1..1 | Reference(Encounter) | Associated encounter, typically EMPOCEncounter |
| performed[x] |
S | 1..1 | When the procedure was performed | |
| performedDateTime |
dateTime | |||
| performedPeriod |
Period | |||
| performer |
S | 0..* | BackboneElement | Who performed the procedure |
| actor |
S | 1..1 | Reference(Practitioner | PractitionerRole) | EMT or clinician who performed the procedure |
| reasonReference |
S | 0..* | Reference(Condition) | Condition being treated |
| bodySite |
0..* | CodeableConcept | Anatomical site the procedure was performed on Binding: SNOMEDCTBodyStructures (extensible) | |
| outcome |
S | 0..1 | CodeableConcept | Result of the procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (extensible) |
| complication |
0..* | CodeableConcept | Complications arising from the procedure Binding: Condition/Problem/DiagnosisCodes (extensible) | |
| note |
0..* | Annotation | Free-text notes about the procedure | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.status | Base | required | EventStatus | 📦4.0.1 | FHIR Std. |
| Procedure.category | Base | extensible | Procedure Category Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| Procedure.code | Base | extensible | Procedure Code Value Set | 📦0.1.0 | This IG |
| Procedure.bodySite | Base | extensible | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| Procedure.outcome | Base | extensible | Procedure Outcome Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| Procedure.complication | Base | extensible | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std. |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure |
0..* | Procedure | An action that is being or was performed on a patient | |||||
| 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: CommonLanguages (preferred): A human language.
| |||||
| 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 | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| 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 |
?!SΣ | 1..1 | code | Workflow status of the procedure Binding: EventStatus (required) | ||||
| statusReason |
Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | ||||
| category |
SΣ | 0..1 | CodeableConcept | Broad category, e.g. emergency procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (extensible) | ||||
| code |
SΣ | 1..1 | CodeableConcept | The specific procedure performed Binding: Procedure Code Value Set (extensible) | ||||
| subject |
SΣ | 1..1 | Reference(Patient) | Patient on whom the procedure was performed | ||||
| encounter |
SΣ | 1..1 | Reference(Encounter) | Associated encounter, typically EMPOCEncounter | ||||
| performed[x] |
SΣ | 1..1 | When the procedure was performed | |||||
| performedDateTime |
dateTime | |||||||
| performedPeriod |
Period | |||||||
| recorder |
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 | ||||
| performer |
SΣ | 0..* | BackboneElement | Who performed the procedure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| function |
Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
| actor |
SΣ | 1..1 | Reference(Practitioner | PractitionerRole) | EMT or clinician who performed the procedure | ||||
| onBehalfOf |
0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||
| location |
Σ | 0..1 | Reference(Location) | Where the procedure happened | ||||
| reasonCode |
Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
| reasonReference |
SΣ | 0..* | Reference(Condition) | Condition being treated | ||||
| bodySite |
Σ | 0..* | CodeableConcept | Anatomical site the procedure was performed on Binding: SNOMEDCTBodyStructures (extensible) | ||||
| outcome |
SΣ | 0..1 | CodeableConcept | Result of the procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (extensible) | ||||
| report |
0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||
| complication |
0..* | CodeableConcept | Complications arising from the procedure Binding: Condition/Problem/DiagnosisCodes (extensible) | |||||
| complicationDetail |
0..* | Reference(Condition) | A condition that is a result of the procedure | |||||
| followUp |
0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||
| note |
0..* | Annotation | Free-text notes 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 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| 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 | |||||
| usedReference |
0..* | Reference(Device | Medication | Substance) | Items used during procedure | |||||
| usedCode |
0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |||||
| Documentation for this format | ||||||||
| 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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 | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Procedure
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Procedure |
0..* | Procedure | An action that is being or was performed on a patient | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!SΣ | 1..1 | code | Workflow status of the procedure Binding: EventStatus (required) |
| category |
SΣ | 0..1 | CodeableConcept | Broad category, e.g. emergency procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (extensible) |
| code |
SΣ | 1..1 | CodeableConcept | The specific procedure performed Binding: Procedure Code Value Set (extensible) |
| subject |
SΣ | 1..1 | Reference(Patient) | Patient on whom the procedure was performed |
| encounter |
SΣ | 1..1 | Reference(Encounter) | Associated encounter, typically EMPOCEncounter |
| performed[x] |
SΣ | 1..1 | When the procedure was performed | |
| performedDateTime |
dateTime | |||
| performedPeriod |
Period | |||
| performer |
SΣ | 0..* | BackboneElement | Who performed the procedure |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| actor |
SΣ | 1..1 | Reference(Practitioner | PractitionerRole) | EMT or clinician who performed the procedure |
| reasonReference |
SΣ | 0..* | Reference(Condition) | Condition being treated |
| bodySite |
Σ | 0..* | CodeableConcept | Anatomical site the procedure was performed on Binding: SNOMEDCTBodyStructures (extensible) |
| outcome |
SΣ | 0..1 | CodeableConcept | Result of the procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (extensible) |
| complication |
0..* | CodeableConcept | Complications arising from the procedure Binding: Condition/Problem/DiagnosisCodes (extensible) | |
| note |
0..* | Annotation | Free-text notes about the procedure | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.status | Base | required | EventStatus | 📦4.0.1 | FHIR Std. |
| Procedure.category | Base | extensible | Procedure Category Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| Procedure.code | Base | extensible | Procedure Code Value Set | 📦0.1.0 | This IG |
| Procedure.bodySite | Base | extensible | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| Procedure.outcome | Base | extensible | Procedure Outcome Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| Procedure.complication | Base | extensible | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std. |
| 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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 | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from Procedure
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Procedure |
0..* | Procedure | An action that is being or was performed on a patient | |
| status |
S | 1..1 | code | Workflow status of the procedure Binding: EventStatus (required) |
| category |
S | 0..1 | CodeableConcept | Broad category, e.g. emergency procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (extensible) |
| code |
S | 1..1 | CodeableConcept | The specific procedure performed Binding: Procedure Code Value Set (extensible) |
| subject |
S | 1..1 | Reference(Patient) | Patient on whom the procedure was performed |
| encounter |
S | 1..1 | Reference(Encounter) | Associated encounter, typically EMPOCEncounter |
| performed[x] |
S | 1..1 | When the procedure was performed | |
| performedDateTime |
dateTime | |||
| performedPeriod |
Period | |||
| performer |
S | 0..* | BackboneElement | Who performed the procedure |
| actor |
S | 1..1 | Reference(Practitioner | PractitionerRole) | EMT or clinician who performed the procedure |
| reasonReference |
S | 0..* | Reference(Condition) | Condition being treated |
| bodySite |
0..* | CodeableConcept | Anatomical site the procedure was performed on Binding: SNOMEDCTBodyStructures (extensible) | |
| outcome |
S | 0..1 | CodeableConcept | Result of the procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (extensible) |
| complication |
0..* | CodeableConcept | Complications arising from the procedure Binding: Condition/Problem/DiagnosisCodes (extensible) | |
| note |
0..* | Annotation | Free-text notes about the procedure | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.status | Base | required | EventStatus | 📦4.0.1 | FHIR Std. |
| Procedure.category | Base | extensible | Procedure Category Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| Procedure.code | Base | extensible | Procedure Code Value Set | 📦0.1.0 | This IG |
| Procedure.bodySite | Base | extensible | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| Procedure.outcome | Base | extensible | Procedure Outcome Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| Procedure.complication | Base | extensible | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std. |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure |
0..* | Procedure | An action that is being or was performed on a patient | |||||
| 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: CommonLanguages (preferred): A human language.
| |||||
| 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 | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| 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 |
?!SΣ | 1..1 | code | Workflow status of the procedure Binding: EventStatus (required) | ||||
| statusReason |
Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | ||||
| category |
SΣ | 0..1 | CodeableConcept | Broad category, e.g. emergency procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (extensible) | ||||
| code |
SΣ | 1..1 | CodeableConcept | The specific procedure performed Binding: Procedure Code Value Set (extensible) | ||||
| subject |
SΣ | 1..1 | Reference(Patient) | Patient on whom the procedure was performed | ||||
| encounter |
SΣ | 1..1 | Reference(Encounter) | Associated encounter, typically EMPOCEncounter | ||||
| performed[x] |
SΣ | 1..1 | When the procedure was performed | |||||
| performedDateTime |
dateTime | |||||||
| performedPeriod |
Period | |||||||
| recorder |
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 | ||||
| performer |
SΣ | 0..* | BackboneElement | Who performed the procedure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| function |
Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
| actor |
SΣ | 1..1 | Reference(Practitioner | PractitionerRole) | EMT or clinician who performed the procedure | ||||
| onBehalfOf |
0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||
| location |
Σ | 0..1 | Reference(Location) | Where the procedure happened | ||||
| reasonCode |
Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
| reasonReference |
SΣ | 0..* | Reference(Condition) | Condition being treated | ||||
| bodySite |
Σ | 0..* | CodeableConcept | Anatomical site the procedure was performed on Binding: SNOMEDCTBodyStructures (extensible) | ||||
| outcome |
SΣ | 0..1 | CodeableConcept | Result of the procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (extensible) | ||||
| report |
0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||
| complication |
0..* | CodeableConcept | Complications arising from the procedure Binding: Condition/Problem/DiagnosisCodes (extensible) | |||||
| complicationDetail |
0..* | Reference(Condition) | A condition that is a result of the procedure | |||||
| followUp |
0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||
| note |
0..* | Annotation | Free-text notes 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 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| 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 | |||||
| usedReference |
0..* | Reference(Device | Medication | Substance) | Items used during procedure | |||||
| usedCode |
0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |||||
| Documentation for this format | ||||||||
| 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
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| 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 | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Procedure
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