VRIS - Viljatusravi infosüsteem
0.1.0 - draft

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 2026-07-16 | Computable Name: EEVRISProcedureFertilization

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

Usages:

- Refer to this Profile: CarePlan: EEVRIS Cycle, Observation: EE VRIS Embryo Lifecycle Counts and Observation: EE VRIS Fertilization Counts
- Examples for this Profile: Procedure/procedure-fertilization1

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.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
status | ?!Σ | 1..1 | code | (ee See on kohustuslik!) Binding: EventStatus (required): A code specifying the state of the procedure.
category | Σ | 1..1 | CodeableConcept | (ee Kategooria: viljastamine) 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 | Σ C | 1..* | BackboneElement | (ee Embrüoloog/tegija) Constraints: prc-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
actor | Σ C | 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.
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
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 | **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()`
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()`

This structure is derived from EEVRISProcedure

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Procedure |  | 0..* | EEVRISProcedure | An action that is being or was performed on an individual or entity
category |  | 1..1 | CodeableConcept | (ee Kategooria: viljastamine)
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)
occurrence[x] |  | 1..1 | dateTime | (ee Viljastamise kuupäev ja kellaaeg)
performer |  | 1..* | BackboneElement | (ee Embrüoloog/tegija)
used |  | 1..* | CodeableReference(BiologicallyDerivedProduct: EE VRIS Oocyte | BiologicallyDerivedProduct: EE VRIS Sperm) | (ee Viited munarakkudele ja spermale)
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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 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
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) | A request for this procedure
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 | 1..1 | CodeableConcept | (ee Kategooria: viljastamine) 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. Nt. doonori viide siia, retsipiendi viide subject-i alla?)
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 | Σ C | 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 | Σ C | 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 siia saab panna ükskõik mis referentsi kui vaja! Nt SupplyDelivery?)
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
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 | **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()`
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()`

This structure is derived from EEVRISProcedure

Summary

Mandatory: 5 elements

Structures

This structure refers to these other structures:

- Patient: EE VRIS Recipient (https://fhir.ee/vris/StructureDefinition/ee-vris-recipient)
- Patient: EE VRIS Donor (https://fhir.ee/vris/StructureDefinition/ee-vris-donor)
- Patient: EE VRIS Anonymous Patient (https://fhir.ee/vris/StructureDefinition/ee-vris-donor-anonymous)
- BiologicallyDerivedProduct: EE VRIS Oocyte (https://fhir.ee/vris/StructureDefinition/ee-vris-oocyte)
- BiologicallyDerivedProduct: EE VRIS Sperm (https://fhir.ee/vris/StructureDefinition/ee-vris-sperm)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
status | ?!Σ | 1..1 | code | (ee See on kohustuslik!) Binding: EventStatus (required): A code specifying the state of the procedure.
category | Σ | 1..1 | CodeableConcept | (ee Kategooria: viljastamine) 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 | Σ C | 1..* | BackboneElement | (ee Embrüoloog/tegija) Constraints: prc-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
actor | Σ C | 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.
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
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 | **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()`
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()`

Differential View

This structure is derived from EEVRISProcedure

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Procedure |  | 0..* | EEVRISProcedure | An action that is being or was performed on an individual or entity
category |  | 1..1 | CodeableConcept | (ee Kategooria: viljastamine)
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)
occurrence[x] |  | 1..1 | dateTime | (ee Viljastamise kuupäev ja kellaaeg)
performer |  | 1..* | BackboneElement | (ee Embrüoloog/tegija)
used |  | 1..* | CodeableReference(BiologicallyDerivedProduct: EE VRIS Oocyte | BiologicallyDerivedProduct: EE VRIS Sperm) | (ee Viited munarakkudele ja spermale)
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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 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
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) | A request for this procedure
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 | 1..1 | CodeableConcept | (ee Kategooria: viljastamine) 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. Nt. doonori viide siia, retsipiendi viide subject-i alla?)
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 | Σ C | 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 | Σ C | 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 siia saab panna ükskõik mis referentsi kui vaja! Nt SupplyDelivery?)
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
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 | **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()`
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()`

This structure is derived from EEVRISProcedure

Summary

Mandatory: 5 elements

Structures

This structure refers to these other structures:

- Patient: EE VRIS Recipient (https://fhir.ee/vris/StructureDefinition/ee-vris-recipient)
- Patient: EE VRIS Donor (https://fhir.ee/vris/StructureDefinition/ee-vris-donor)
- Patient: EE VRIS Anonymous Patient (https://fhir.ee/vris/StructureDefinition/ee-vris-donor-anonymous)
- BiologicallyDerivedProduct: EE VRIS Oocyte (https://fhir.ee/vris/StructureDefinition/ee-vris-oocyte)
- BiologicallyDerivedProduct: EE VRIS Sperm (https://fhir.ee/vris/StructureDefinition/ee-vris-sperm)

Other representations of profile: CSV, Excel, Schematron