VRIS - Viljatusravi infosüsteem
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VRIS - Viljatusravi infosüsteem, published by TEHIK. 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/TEHIK-EE/ig-ee-vris/ and changes regularly. See the Directory of published versions

Resource Profile: Procedure: EE VRIS Fertilization

Official URL: https://fhir.ee/vris/StructureDefinition/ee-vris-procedure-fertilization Version: 0.1.0
Draft as of 2026-09-25 Computable Name: EEVRISProcedureFertilization

Profile for oocyte fertilization procedure using IVF, ICSI, or both methods. (ee Munarakkude viljastamise protseduur.)

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* EEVRISProcedure 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
... category Σ 0..1 CodeableConcept (ee Kategooria: viljastamine. Nt. 58533008 |Artificial insemination (procedure)|)
Binding: ProcedureCategoryCodesSNOMEDCT (example): A code that classifies a procedure for searching, sorting and display purposes.
... code Σ 1..1 CodeableConcept (ee Viljastamise meetod IVF, ICSI või IVF+ICSI) NB! LOEND!!!!
Binding: ProcedureCodesSNOMEDCT (example): A code to identify a specific procedure .
... subject Σ 1..1 Reference(Patient: EE VRIS Recipient | Patient: EE VRIS Donor | Patient: EE VRIS Anonymous Patient) (ee Patsient, kelle munarakke viljastati)
... occurrence[x] Σ 1..1 dateTime (ee Viljastamise kuupäev ja kellaaeg)
... performer ΣC 1..* BackboneElement (ee Embrüoloog/tegija)
Constraints: prc-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor ΣC 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) Who performed the procedure
... used 1..* CodeableReference(BiologicallyDerivedProduct: EE VRIS Oocyte | BiologicallyDerivedProduct: EE VRIS Sperm) (ee Viited munarakkudele ja spermale)
Binding: DeviceType (example): Codes describing items used during a procedure.
... supportingInfo 0..* Reference(Resource) (ee Siit kaudu viide broneerimisele)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.status Base required EventStatus 📍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.used Base example Device Type 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from EEVRISProcedure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* EEVRISProcedure An action that is being or was performed on an individual or entity
... category 0..1 CodeableConcept (ee Kategooria: viljastamine. Nt. 58533008 |Artificial insemination (procedure)|)
... code 1..1 CodeableConcept (ee Viljastamise meetod IVF, ICSI või IVF+ICSI) NB! LOEND!!!!
... subject 1..1 Reference(Patient: EE VRIS Recipient | Patient: EE VRIS Donor | Patient: EE VRIS Anonymous Patient) (ee Patsient, kelle munarakke viljastati)
... performer 1..* BackboneElement (ee Embrüoloog/tegija)
... used 1..* CodeableReference(BiologicallyDerivedProduct: EE VRIS Oocyte | BiologicallyDerivedProduct: EE VRIS Sperm) (ee Viited munarakkudele ja spermale)
... supportingInfo 0..* Reference(Resource) (ee Siit kaudu viide broneerimisele)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* EEVRISProcedure 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 BindingsPurpose
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
... modifierExtension ?!Σ 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) (ee Siia tuleb viide CarePlanile, millest osa see protseduur on. NB! Protseduur EI pruugi olla tsükliga seotud, siis tuleb tühjaks jätta.)
... partOf Σ 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
... status ?!Σ 1..1 code (ee See on kohustuslik!)
Binding: EventStatus (required): A code specifying the state of the procedure.
... statusReason Σ 0..1 CodeableConcept (ee STAATUSE Põhjuste LOEND?)
Binding: ProcedureNotPerformedReasonSNOMEDCT (example): A code that identifies the reason a procedure was not performed.
... category Σ 0..1 CodeableConcept (ee Kategooria: viljastamine. Nt. 58533008 |Artificial insemination (procedure)|)
Binding: ProcedureCategoryCodesSNOMEDCT (example): A code that classifies a procedure for searching, sorting and display purposes.
... code Σ 1..1 CodeableConcept (ee Viljastamise meetod IVF, ICSI või IVF+ICSI) NB! LOEND!!!!
Binding: ProcedureCodesSNOMEDCT (example): A code to identify a specific procedure .
... subject Σ 1..1 Reference(Patient: EE VRIS Recipient | Patient: EE VRIS Donor | Patient: EE VRIS Anonymous Patient) (ee Patsient, kelle munarakke viljastati)
... focus Σ 0..1 Reference(Patient | Group | RelatedPerson | Practitioner | Organization | CareTeam | PractitionerRole | Specimen) (ee Kui on vaja lisaks subjektile teist patsienti ka.)
... encounter Σ 0..1 Reference(Encounter) The Encounter during which this Procedure was created
... occurrence[x] Σ 1..1 dateTime (ee Viljastamise kuupäev ja kellaaeg)
... 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 1..* BackboneElement (ee Embrüoloog/tegija)
Constraints: prc-1
.... 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 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) (ee Näiteks: Hävitamise põhjus, mitte-siirdamise põhjus jne. LOEND(id?))
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
... outcome Σ 0..1 CodeableConcept (ee Tegevuse/toimingu/protseduuri/jne jne... TULEMUS. Nb! LOEND)
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) (ee TÜSISTUS. Referents Condition-ressursile või loend. NB! LOEND vajalik)
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 (ee lisainfo)
... used 1..* CodeableReference(BiologicallyDerivedProduct: EE VRIS Oocyte | BiologicallyDerivedProduct: EE VRIS Sperm) (ee Viited munarakkudele ja spermale)
Binding: DeviceType (example): Codes describing items used during a procedure.
... supportingInfo 0..* Reference(Resource) (ee Siit kaudu viide broneerimisele)

doco 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.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.

Constraints

Id Grade Path(s) Description Expression

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* EEVRISProcedure 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
... category Σ 0..1 CodeableConcept (ee Kategooria: viljastamine. Nt. 58533008 |Artificial insemination (procedure)|)
Binding: ProcedureCategoryCodesSNOMEDCT (example): A code that classifies a procedure for searching, sorting and display purposes.
... code Σ 1..1 CodeableConcept (ee Viljastamise meetod IVF, ICSI või IVF+ICSI) NB! LOEND!!!!
Binding: ProcedureCodesSNOMEDCT (example): A code to identify a specific procedure .
... subject Σ 1..1 Reference(Patient: EE VRIS Recipient | Patient: EE VRIS Donor | Patient: EE VRIS Anonymous Patient) (ee Patsient, kelle munarakke viljastati)
... occurrence[x] Σ 1..1 dateTime (ee Viljastamise kuupäev ja kellaaeg)
... performer ΣC 1..* BackboneElement (ee Embrüoloog/tegija)
Constraints: prc-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor ΣC 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) Who performed the procedure
... used 1..* CodeableReference(BiologicallyDerivedProduct: EE VRIS Oocyte | BiologicallyDerivedProduct: EE VRIS Sperm) (ee Viited munarakkudele ja spermale)
Binding: DeviceType (example): Codes describing items used during a procedure.
... supportingInfo 0..* Reference(Resource) (ee Siit kaudu viide broneerimisele)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.status Base required EventStatus 📍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.used Base example Device Type 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

Differential View

This structure is derived from EEVRISProcedure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* EEVRISProcedure An action that is being or was performed on an individual or entity
... category 0..1 CodeableConcept (ee Kategooria: viljastamine. Nt. 58533008 |Artificial insemination (procedure)|)
... code 1..1 CodeableConcept (ee Viljastamise meetod IVF, ICSI või IVF+ICSI) NB! LOEND!!!!
... subject 1..1 Reference(Patient: EE VRIS Recipient | Patient: EE VRIS Donor | Patient: EE VRIS Anonymous Patient) (ee Patsient, kelle munarakke viljastati)
... performer 1..* BackboneElement (ee Embrüoloog/tegija)
... used 1..* CodeableReference(BiologicallyDerivedProduct: EE VRIS Oocyte | BiologicallyDerivedProduct: EE VRIS Sperm) (ee Viited munarakkudele ja spermale)
... supportingInfo 0..* Reference(Resource) (ee Siit kaudu viide broneerimisele)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* EEVRISProcedure 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 BindingsPurpose
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
... modifierExtension ?!Σ 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) (ee Siia tuleb viide CarePlanile, millest osa see protseduur on. NB! Protseduur EI pruugi olla tsükliga seotud, siis tuleb tühjaks jätta.)
... partOf Σ 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
... status ?!Σ 1..1 code (ee See on kohustuslik!)
Binding: EventStatus (required): A code specifying the state of the procedure.
... statusReason Σ 0..1 CodeableConcept (ee STAATUSE Põhjuste LOEND?)
Binding: ProcedureNotPerformedReasonSNOMEDCT (example): A code that identifies the reason a procedure was not performed.
... category Σ 0..1 CodeableConcept (ee Kategooria: viljastamine. Nt. 58533008 |Artificial insemination (procedure)|)
Binding: ProcedureCategoryCodesSNOMEDCT (example): A code that classifies a procedure for searching, sorting and display purposes.
... code Σ 1..1 CodeableConcept (ee Viljastamise meetod IVF, ICSI või IVF+ICSI) NB! LOEND!!!!
Binding: ProcedureCodesSNOMEDCT (example): A code to identify a specific procedure .
... subject Σ 1..1 Reference(Patient: EE VRIS Recipient | Patient: EE VRIS Donor | Patient: EE VRIS Anonymous Patient) (ee Patsient, kelle munarakke viljastati)
... focus Σ 0..1 Reference(Patient | Group | RelatedPerson | Practitioner | Organization | CareTeam | PractitionerRole | Specimen) (ee Kui on vaja lisaks subjektile teist patsienti ka.)
... encounter Σ 0..1 Reference(Encounter) The Encounter during which this Procedure was created
... occurrence[x] Σ 1..1 dateTime (ee Viljastamise kuupäev ja kellaaeg)
... 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 1..* BackboneElement (ee Embrüoloog/tegija)
Constraints: prc-1
.... 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 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) (ee Näiteks: Hävitamise põhjus, mitte-siirdamise põhjus jne. LOEND(id?))
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
... outcome Σ 0..1 CodeableConcept (ee Tegevuse/toimingu/protseduuri/jne jne... TULEMUS. Nb! LOEND)
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) (ee TÜSISTUS. Referents Condition-ressursile või loend. NB! LOEND vajalik)
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 (ee lisainfo)
... used 1..* CodeableReference(BiologicallyDerivedProduct: EE VRIS Oocyte | BiologicallyDerivedProduct: EE VRIS Sperm) (ee Viited munarakkudele ja spermale)
Binding: DeviceType (example): Codes describing items used during a procedure.
... supportingInfo 0..* Reference(Resource) (ee Siit kaudu viide broneerimisele)

doco 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.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.

Constraints

Id Grade Path(s) Description Expression

 

Other representations of profile: CSV, Excel, Schematron