Dit Profiel is het resultaat van de vergelijking tussen de zib2017 FHIR Profiel en de implementaties in Epic, Chipsoft, Topicus en Nexus. De elementen die in ieder geval in alle output beschikbaar zullen zijn. Voornamelijk bedoeld voor houvast van een client en voor validatie van output.

Zorginformatiebouwsteen

ZIB Verrichting

View Definition

• ViewDefinition voor Verrichtingen

User-Interface guidance

Een schets van het scherm met labels en sortering informatie

Kolom definities:

Zoeken naar codes

• DHD Verrichtingenthesaurus, CBV en Zorgactiviteiten
• NHG Ingrepenviewer tabel 49

Request

1. Opvragen (search) verrichtingen

   GET <ontsluiten-bronsysteem-base>/Procedure?patient=<fhir_patient_id>

   N.B. Deze request is breder dan de BgZ request, waar alleen de chirugische verrichtingen worden opgevraagd.

Bronsysteem herkennen

De Zorgviewer-backend of Ontsluiten bronsysteem MOET na bevragen van het bronsysteem aan elk resultaat resource een meta-tag toevoegen met de AGB, OID of URA identifier van de zorgaanbieder (zie Organization voor voorbeelden). Dit wordt vervolgens gebruikt in de "Bron" kolom in de Zorgviewer-frontend. N.B. We gebruiken hier een pre-adopt van de FHIR R4 Meta.source.

Toevoegen aan elke response, dus per resource (bij een read) of per Bundle (bij een search):

"meta": {
    "extension": [ {
        "url": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source",
        "valueUri": "urn:oid:2.16.840.1.113883.2.4.3.8"
    } ]
}

Alternatief: Elke entry van een search response Bundle bevat een referentie naar de bijbehorende Patient (<resource>.subject|patient). Elke patient heeft een Patient.managingOrganization en in de gerefereerde Organization.identifier staat vervolgens o.a. de OID van het bronsysyeem. Of je gebruikt de identifiers om een volledige Organization op te zoeken in het adresboek en zie inhoud hier.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Zib Procedure

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Zib Procedure	Procedure
code		0..1	CodeableConcept	ProcedureType
text	S	0..1	string	Plain text representation of the concept
performedPeriod	S	0..1	Period	Date/Period the procedure was performed
performer		0..*	BackboneElement	HealthProfessional | Location::HealthcareProvider
actor		1..1	Reference(nl-core-practitioner | nl-core-organization)	The reference to the practitioner
display	S	0..1	string	Text alternative for the resource
location		0..1	Reference(Location)	Where the procedure happened
display	S	0..1	string	Text alternative for the resource
bodySite
extension	S	0..*	Extension	Extension
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Procedure	C	0..*	Zib Procedure	Procedure pro-1: Reason not done is only permitted if notDone indicator is true
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
procedureMethod		0..1	(Complex)	The method used to perform the procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-method
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/procedure-method"
Slices for valueCodeableConcept				Content/Rules for all slices
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	ProcedureMethod Binding: VerrichtingMethodeCodelijst (extensible): VerrichtingMethodeCodelijst
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for basedOn	Σ	0..*	Reference(CarePlan | ProcedureRequest | ReferralRequest)	A request for this procedure Slice: Unordered, Open by type:$this.resolve()
basedOn:request	Σ	0..*	Reference(HCIM ProcedureRequest)	ProcedureRequest
status	?!Σ	1..1	code	preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
notDone	?!Σ	0..1	boolean	True if procedure was not performed as scheduled
category	Σ	1..1	CodeableConcept	Classification of the procedure Binding: Procedure Category Codes (SNOMED CT) (example): A code that classifies a procedure for searching, sorting and display purposes. Example Example of category code: {"coding":[{"system":"http://snomed.info/sct","code":"387713003","display":"Surgical procedure"}]}
code	Σ	0..1	CodeableConcept	ProcedureType Binding: Procedure Codes (SNOMED CT) (example): A code to identify a specific procedure .
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:VerrichtingTypeCodelijst	Σ	0..*	Coding	ProcedureType Binding: VerrichtingTypeCodelijst (required): The name of the procedure using the Verrichtingenthesaurus DHD.
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
text	SΣ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Group | nl-core-patient)	Who the procedure was performed on
Slices for performed[x]	Σ	0..1	Period	Date/Period the procedure was performed Slice: Unordered, Closed by type:$this
performed[x]:performedPeriod	SΣ	0..1	Period	Date/Period the procedure was performed
performer	Σ	0..*	BackboneElement	HealthProfessional | Location::HealthcareProvider
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
actor	Σ	1..1	Reference(nl-core-practitioner | nl-core-organization)	The reference to the practitioner
Slices for extension				Content/Rules for all slices
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
display	SΣ	0..1	string	Text alternative for the resource
location	Σ	0..1	Reference(Location)	Where the procedure happened
display	SΣ	0..1	string	Text alternative for the resource
bodySite	Σ	0..*	CodeableConcept	ProcedureAnatomicalLocation Binding: VerrichtingAnatomischeLocatieCodelijst (extensible): Anatomical location which is the focus of the procedure.
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
ProcedureLaterality		0..1	(Complex)	ProcedureLaterality URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	BodySite qualifier Binding: VerrichtingLateraliteitCodelijst (extensible): ProcedureLateralityCodelist
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.extension:procedureMethod.valueCodeableConcept:valueCodeableConcept	extensible	VerrichtingMethodeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20171231000000
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status from the FHIR Standard
Procedure.category	example	Procedure Category Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-category from the FHIR Standard
Procedure.code	example	Procedure Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.code.coding:VerrichtingTypeCodelijst	required	VerrichtingTypeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2--20171231000000
Procedure.bodySite	extensible	VerrichtingAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1--20171231000000
Procedure.bodySite.extension:ProcedureLaterality.value[x]:valueCodeableConcept	extensible	VerrichtingLateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.3--20171231000000

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pro-1	error	Procedure	Reason not done is only permitted if notDone indicator is true : notDoneReason.empty() or notDone = true

Name	Flags	Card.	Type	Description & Constraints
Procedure	C	0..*	Zib Procedure	Procedure pro-1: Reason not done is only permitted if notDone indicator is true
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: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
procedureMethod		0..1	(Complex)	The method used to perform the procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-method
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/procedure-method"
Slices for valueCodeableConcept				Content/Rules for all slices
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	ProcedureMethod Binding: VerrichtingMethodeCodelijst (extensible): VerrichtingMethodeCodelijst
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifiers for this procedure
definition	Σ	0..*	Reference(PlanDefinition | ActivityDefinition | HealthcareService)	Instantiates protocol or definition
Slices for basedOn	Σ	0..*	Reference(CarePlan | ProcedureRequest | ReferralRequest)	A request for this procedure Slice: Unordered, Open by type:$this.resolve()
basedOn:request	Σ	0..*	Reference(HCIM ProcedureRequest)	ProcedureRequest
partOf	Σ	0..*	Reference(Procedure | Observation | MedicationAdministration)	Part of referenced event
status	?!Σ	1..1	code	preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
notDone	?!Σ	0..1	boolean	True if procedure was not performed as scheduled
notDoneReason	ΣC	0..1	CodeableConcept	Reason procedure was not performed Binding: Procedure Not Performed Reason (SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category	Σ	1..1	CodeableConcept	Classification of the procedure Binding: Procedure Category Codes (SNOMED CT) (example): A code that classifies a procedure for searching, sorting and display purposes. Example Example of category code: {"coding":[{"system":"http://snomed.info/sct","code":"387713003","display":"Surgical procedure"}]}
code	Σ	0..1	CodeableConcept	ProcedureType Binding: Procedure Codes (SNOMED CT) (example): A code to identify a specific procedure .
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:VerrichtingTypeCodelijst	Σ	0..*	Coding	ProcedureType Binding: VerrichtingTypeCodelijst (required): The name of the procedure using the Verrichtingenthesaurus DHD.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Group | nl-core-patient)	Who the procedure was performed on
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter or episode associated with the procedure
Slices for performed[x]	Σ	0..1	Period	Date/Period the procedure was performed Slice: Unordered, Closed by type:$this
performed[x]:performedPeriod	SΣ	0..1	Period	Date/Period the procedure was performed
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	ProcedureStartDate
end	ΣC	0..1	dateTime	ProcedureEndDate
performer	Σ	0..*	BackboneElement	HealthProfessional | Location::HealthcareProvider
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
role	Σ	0..1	CodeableConcept	The role the actor was in Binding: Procedure Performer Role Codes (example): A code that identifies the role of a performer of the procedure.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:healthProfessionalRole	Σ	0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (required)
text	Σ	0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(nl-core-practitioner | nl-core-organization)	The reference to the practitioner
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Text alternative for the resource
onBehalfOf		0..1	Reference(Organization)	Organization the device or practitioner was acting for
location	Σ	0..1	Reference(Location)	Where the procedure happened
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Text alternative for the resource
reasonCode	Σ	0..*	CodeableConcept	Coded reason procedure performed Binding: Procedure Reason Codes (example): A code that identifies the reason a procedure is required.
reasonReference	Σ	0..*	Reference(HCIM Problem)	Indication
bodySite	Σ	0..*	CodeableConcept	ProcedureAnatomicalLocation Binding: VerrichtingAnatomischeLocatieCodelijst (extensible): Anatomical location which is the focus of the procedure.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
ProcedureLaterality		0..1	(Complex)	ProcedureLaterality URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	BodySite qualifier Binding: VerrichtingLateraliteitCodelijst (extensible): ProcedureLateralityCodelist
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: Procedure Outcome Codes (SNOMED CT) (example): An outcome of a procedure - whether it was resolved or otherwise.
report		0..*	Reference(HCIM TextResult)	Any report resulting from the procedure
complication		0..*	CodeableConcept	Complication following the procedure Binding: Condition/Problem/Diagnosis Codes (example): Codes describing complications that resulted from a procedure.
complicationDetail		0..*	Reference(Condition)	A condition that is a result of the procedure
followUp		0..*	CodeableConcept	Instructions for follow up Binding: Procedure Follow up Codes (SNOMED CT) (example): Specific follow up required for a procedure e.g. removal of sutures.
note		0..*	Annotation	Additional information about the procedure
focalDevice		0..*	BackboneElement	Device changed in procedure
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
action		0..1	CodeableConcept	Kind of change to device Binding: Procedure Device Action Codes (preferred): A kind of change that happened to the device during the procedure.
manipulated		1..1	Reference(HCIM MedicalDevice Product)	MedicalDevice
usedReference		0..*	Reference(Device | Medication | Substance)	Items used during procedure
usedCode		0..*	CodeableConcept	Coded items used during the procedure Binding: FHIR Device Types (example): Codes describing items used during a procedure
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Procedure.extension:procedureMethod.valueCodeableConcept:valueCodeableConcept	extensible	VerrichtingMethodeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20171231000000
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status from the FHIR Standard
Procedure.notDoneReason	example	Procedure Not Performed Reason (SNOMED-CT) http://hl7.org/fhir/ValueSet/procedure-not-performed-reason from the FHIR Standard
Procedure.category	example	Procedure Category Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-category from the FHIR Standard
Procedure.code	example	Procedure Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.code.coding:VerrichtingTypeCodelijst	required	VerrichtingTypeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2--20171231000000
Procedure.performer.role	example	Procedure Performer Role Codes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.performer.role.coding:healthProfessionalRole	required	ZorgverlenerRolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000
Procedure.reasonCode	example	Procedure Reason Codes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
Procedure.bodySite	extensible	VerrichtingAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1--20171231000000
Procedure.bodySite.extension:ProcedureLaterality.value[x]:valueCodeableConcept	extensible	VerrichtingLateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.3--20171231000000
Procedure.outcome	example	Procedure Outcome Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-outcome from the FHIR Standard
Procedure.complication	example	Condition/Problem/Diagnosis Codes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Procedure.followUp	example	Procedure Follow up Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-followup from the FHIR Standard
Procedure.focalDevice.action	preferred	Procedure Device Action Codes http://hl7.org/fhir/ValueSet/device-action from the FHIR Standard
Procedure.usedCode	example	FHIR Device Types http://hl7.org/fhir/ValueSet/device-kind from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pro-1	error	Procedure	Reason not done is only permitted if notDone indicator is true : notDoneReason.empty() or notDone = true

Differential View

This structure is derived from Zib Procedure

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Zib Procedure	Procedure
code		0..1	CodeableConcept	ProcedureType
text	S	0..1	string	Plain text representation of the concept
performedPeriod	S	0..1	Period	Date/Period the procedure was performed
performer		0..*	BackboneElement	HealthProfessional | Location::HealthcareProvider
actor		1..1	Reference(nl-core-practitioner | nl-core-organization)	The reference to the practitioner
display	S	0..1	string	Text alternative for the resource
location		0..1	Reference(Location)	Where the procedure happened
display	S	0..1	string	Text alternative for the resource
bodySite
extension	S	0..*	Extension	Extension
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Procedure	C	0..*	Zib Procedure	Procedure pro-1: Reason not done is only permitted if notDone indicator is true
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
procedureMethod		0..1	(Complex)	The method used to perform the procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-method
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/procedure-method"
Slices for valueCodeableConcept				Content/Rules for all slices
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	ProcedureMethod Binding: VerrichtingMethodeCodelijst (extensible): VerrichtingMethodeCodelijst
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for basedOn	Σ	0..*	Reference(CarePlan | ProcedureRequest | ReferralRequest)	A request for this procedure Slice: Unordered, Open by type:$this.resolve()
basedOn:request	Σ	0..*	Reference(HCIM ProcedureRequest)	ProcedureRequest
status	?!Σ	1..1	code	preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
notDone	?!Σ	0..1	boolean	True if procedure was not performed as scheduled
category	Σ	1..1	CodeableConcept	Classification of the procedure Binding: Procedure Category Codes (SNOMED CT) (example): A code that classifies a procedure for searching, sorting and display purposes. Example Example of category code: {"coding":[{"system":"http://snomed.info/sct","code":"387713003","display":"Surgical procedure"}]}
code	Σ	0..1	CodeableConcept	ProcedureType Binding: Procedure Codes (SNOMED CT) (example): A code to identify a specific procedure .
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:VerrichtingTypeCodelijst	Σ	0..*	Coding	ProcedureType Binding: VerrichtingTypeCodelijst (required): The name of the procedure using the Verrichtingenthesaurus DHD.
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
text	SΣ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Group | nl-core-patient)	Who the procedure was performed on
Slices for performed[x]	Σ	0..1	Period	Date/Period the procedure was performed Slice: Unordered, Closed by type:$this
performed[x]:performedPeriod	SΣ	0..1	Period	Date/Period the procedure was performed
performer	Σ	0..*	BackboneElement	HealthProfessional | Location::HealthcareProvider
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
actor	Σ	1..1	Reference(nl-core-practitioner | nl-core-organization)	The reference to the practitioner
Slices for extension				Content/Rules for all slices
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
display	SΣ	0..1	string	Text alternative for the resource
location	Σ	0..1	Reference(Location)	Where the procedure happened
display	SΣ	0..1	string	Text alternative for the resource
bodySite	Σ	0..*	CodeableConcept	ProcedureAnatomicalLocation Binding: VerrichtingAnatomischeLocatieCodelijst (extensible): Anatomical location which is the focus of the procedure.
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
ProcedureLaterality		0..1	(Complex)	ProcedureLaterality URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	BodySite qualifier Binding: VerrichtingLateraliteitCodelijst (extensible): ProcedureLateralityCodelist
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.extension:procedureMethod.valueCodeableConcept:valueCodeableConcept	extensible	VerrichtingMethodeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20171231000000
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status from the FHIR Standard
Procedure.category	example	Procedure Category Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-category from the FHIR Standard
Procedure.code	example	Procedure Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.code.coding:VerrichtingTypeCodelijst	required	VerrichtingTypeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2--20171231000000
Procedure.bodySite	extensible	VerrichtingAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1--20171231000000
Procedure.bodySite.extension:ProcedureLaterality.value[x]:valueCodeableConcept	extensible	VerrichtingLateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.3--20171231000000

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pro-1	error	Procedure	Reason not done is only permitted if notDone indicator is true : notDoneReason.empty() or notDone = true

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Procedure	C	0..*	Zib Procedure	Procedure pro-1: Reason not done is only permitted if notDone indicator is true
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: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
procedureMethod		0..1	(Complex)	The method used to perform the procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-method
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/procedure-method"
Slices for valueCodeableConcept				Content/Rules for all slices
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	ProcedureMethod Binding: VerrichtingMethodeCodelijst (extensible): VerrichtingMethodeCodelijst
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifiers for this procedure
definition	Σ	0..*	Reference(PlanDefinition | ActivityDefinition | HealthcareService)	Instantiates protocol or definition
Slices for basedOn	Σ	0..*	Reference(CarePlan | ProcedureRequest | ReferralRequest)	A request for this procedure Slice: Unordered, Open by type:$this.resolve()
basedOn:request	Σ	0..*	Reference(HCIM ProcedureRequest)	ProcedureRequest
partOf	Σ	0..*	Reference(Procedure | Observation | MedicationAdministration)	Part of referenced event
status	?!Σ	1..1	code	preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
notDone	?!Σ	0..1	boolean	True if procedure was not performed as scheduled
notDoneReason	ΣC	0..1	CodeableConcept	Reason procedure was not performed Binding: Procedure Not Performed Reason (SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category	Σ	1..1	CodeableConcept	Classification of the procedure Binding: Procedure Category Codes (SNOMED CT) (example): A code that classifies a procedure for searching, sorting and display purposes. Example Example of category code: {"coding":[{"system":"http://snomed.info/sct","code":"387713003","display":"Surgical procedure"}]}
code	Σ	0..1	CodeableConcept	ProcedureType Binding: Procedure Codes (SNOMED CT) (example): A code to identify a specific procedure .
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:VerrichtingTypeCodelijst	Σ	0..*	Coding	ProcedureType Binding: VerrichtingTypeCodelijst (required): The name of the procedure using the Verrichtingenthesaurus DHD.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Group | nl-core-patient)	Who the procedure was performed on
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter or episode associated with the procedure
Slices for performed[x]	Σ	0..1	Period	Date/Period the procedure was performed Slice: Unordered, Closed by type:$this
performed[x]:performedPeriod	SΣ	0..1	Period	Date/Period the procedure was performed
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	ProcedureStartDate
end	ΣC	0..1	dateTime	ProcedureEndDate
performer	Σ	0..*	BackboneElement	HealthProfessional | Location::HealthcareProvider
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
role	Σ	0..1	CodeableConcept	The role the actor was in Binding: Procedure Performer Role Codes (example): A code that identifies the role of a performer of the procedure.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:healthProfessionalRole	Σ	0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (required)
text	Σ	0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(nl-core-practitioner | nl-core-organization)	The reference to the practitioner
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Text alternative for the resource
onBehalfOf		0..1	Reference(Organization)	Organization the device or practitioner was acting for
location	Σ	0..1	Reference(Location)	Where the procedure happened
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Text alternative for the resource
reasonCode	Σ	0..*	CodeableConcept	Coded reason procedure performed Binding: Procedure Reason Codes (example): A code that identifies the reason a procedure is required.
reasonReference	Σ	0..*	Reference(HCIM Problem)	Indication
bodySite	Σ	0..*	CodeableConcept	ProcedureAnatomicalLocation Binding: VerrichtingAnatomischeLocatieCodelijst (extensible): Anatomical location which is the focus of the procedure.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
ProcedureLaterality		0..1	(Complex)	ProcedureLaterality URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	BodySite qualifier Binding: VerrichtingLateraliteitCodelijst (extensible): ProcedureLateralityCodelist
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: Procedure Outcome Codes (SNOMED CT) (example): An outcome of a procedure - whether it was resolved or otherwise.
report		0..*	Reference(HCIM TextResult)	Any report resulting from the procedure
complication		0..*	CodeableConcept	Complication following the procedure Binding: Condition/Problem/Diagnosis Codes (example): Codes describing complications that resulted from a procedure.
complicationDetail		0..*	Reference(Condition)	A condition that is a result of the procedure
followUp		0..*	CodeableConcept	Instructions for follow up Binding: Procedure Follow up Codes (SNOMED CT) (example): Specific follow up required for a procedure e.g. removal of sutures.
note		0..*	Annotation	Additional information about the procedure
focalDevice		0..*	BackboneElement	Device changed in procedure
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
action		0..1	CodeableConcept	Kind of change to device Binding: Procedure Device Action Codes (preferred): A kind of change that happened to the device during the procedure.
manipulated		1..1	Reference(HCIM MedicalDevice Product)	MedicalDevice
usedReference		0..*	Reference(Device | Medication | Substance)	Items used during procedure
usedCode		0..*	CodeableConcept	Coded items used during the procedure Binding: FHIR Device Types (example): Codes describing items used during a procedure
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Procedure.extension:procedureMethod.valueCodeableConcept:valueCodeableConcept	extensible	VerrichtingMethodeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20171231000000
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status from the FHIR Standard
Procedure.notDoneReason	example	Procedure Not Performed Reason (SNOMED-CT) http://hl7.org/fhir/ValueSet/procedure-not-performed-reason from the FHIR Standard
Procedure.category	example	Procedure Category Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-category from the FHIR Standard
Procedure.code	example	Procedure Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.code.coding:VerrichtingTypeCodelijst	required	VerrichtingTypeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2--20171231000000
Procedure.performer.role	example	Procedure Performer Role Codes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.performer.role.coding:healthProfessionalRole	required	ZorgverlenerRolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000
Procedure.reasonCode	example	Procedure Reason Codes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
Procedure.bodySite	extensible	VerrichtingAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1--20171231000000
Procedure.bodySite.extension:ProcedureLaterality.value[x]:valueCodeableConcept	extensible	VerrichtingLateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.3--20171231000000
Procedure.outcome	example	Procedure Outcome Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-outcome from the FHIR Standard
Procedure.complication	example	Condition/Problem/Diagnosis Codes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Procedure.followUp	example	Procedure Follow up Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-followup from the FHIR Standard
Procedure.focalDevice.action	preferred	Procedure Device Action Codes http://hl7.org/fhir/ValueSet/device-action from the FHIR Standard
Procedure.usedCode	example	FHIR Device Types http://hl7.org/fhir/ValueSet/device-kind from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pro-1	error	Procedure	Reason not done is only permitted if notDone indicator is true : notDoneReason.empty() or notDone = true

This structure is derived from Zib Procedure

Summary

Must-Support: 5 elements