WHO Antenatal Care Guideline Implementation Guide
0.3.0 - CI Build International flag

WHO Antenatal Care Guideline Implementation Guide, published by World Health Organization (WHO). This guide is not an authorized publication; it is the continuous build for version 0.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-anc/ and changes regularly. See the Directory of published versions

Resource Profile: Counselling conducted on diet and lifestyle changes to prevent and relieve heartburn

Official URL: http://smart.who.int/anc/StructureDefinition/anc-b10-de29 Version: 0.3.0
Draft as of 2026-10-16 Computable Name: Counsellingconductedondietandlifestylechangestopreventandrelieveheartburn

Usage:Workflow Task: Physiological symptoms counselling

Whether or not counselling for the symptom "heartburn" was done

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: doco
Procedure 0..* ANCProcedure An action that is being or was performed on a patient
Procedure.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Procedure.Slices for extension Content/Rules for all slices
Procedure.Slices for extension.extension:instantiatesCaseFeature This element must be supported. 0..1 canonical(StructureDefinition) Definition of this case feature
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature
Procedure.Slices for extension.extension:caseFeatureType This element must be supported. 0..1 code asserted | inferred
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType
Binding: CPG Case Feature Type (required): Whether the case feature is asserted or inferred
Procedure.Slices for extension.extension:caseFeaturePertinence This element must be supported. 0..1 code weakly-positive | weakly-negative | strongly-positive | strongly-negative | pathognomonic
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence
Binding: CPG Case Feature Pertinence (required): Describes the pertinence of a case feature
Procedure.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Procedure.identifier This element must be supported. This element is included in summaries. 1..* Identifier External Identifiers for this procedure
Procedure.identifier.use This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Procedure.identifier.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
Procedure.identifier.value This element must be supported. This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
Procedure.instantiatesCanonical This element must be supported. This element is included in summaries. 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) Source
Procedure.basedOn This element must be supported. This element is included in summaries. 0..* Reference(CarePlan | ServiceRequest) A request for this procedure
Procedure.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.
Procedure.statusReason This element must be supported. This element is included in summaries. 0..1 CodeableConcept Reason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
Procedure.category This element must be supported. This element is included in summaries. 0..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
Procedure.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept Counselling conducted on diet and lifestyle changes to prevent and relieve heartburn
Binding: Counselling on Diet and Lifestyle Changes to Prevent and Relieve Heartburn (required)
Procedure.subject This element must be supported. This element is included in summaries. 1..1 Reference(ANC Base Patient) Who the procedure was performed on
Procedure.encounter This element must be supported. This element is included in summaries. 0..1 Reference(ANC Base Encounter) Encounter created as part of
Procedure.performed[x] This element must be supported. This element is included in summaries. 1..1 When the procedure was performed
Procedure.performed[x].performedDateTime dateTime
Procedure.performed[x].performedPeriod Period
Procedure.performed[x].performedString string
Procedure.performed[x].performedAge Age
Procedure.performed[x].performedRange Range
Procedure.performer This element must be supported. This element is included in summaries. 0..* BackboneElement The people who performed the procedure
Procedure.performer.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Procedure.performer.actor This element must be supported. This element is included in summaries. 1..1 Reference(ANC Practitioner | ANC PractitionerRole | ANC Base Patient | ANC RelatedPerson) The reference to the practitioner
Procedure.location This element must be supported. This element is included in summaries. 0..1 Reference(ANC Location) Where the procedure happened
Procedure.reasonCode This element must be supported. This element is included in summaries. 0..* CodeableConcept Coded reason procedure performed
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
Procedure.reasonReference This element must be supported. This element is included in summaries. 0..* Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) Pertinent information
Procedure.bodySite This element must be supported. This element is included in summaries. 0..* CodeableConcept Target body sites
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Procedure.outcome This element must be supported. This element is included in summaries. 0..1 CodeableConcept The result of procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
Procedure.report This element must be supported. 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.statusReason Base example Procedure Not Performed Reason (SNOMED-CT) 📦4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📦4.0.1 FHIR Std.
Procedure.code Base required Counselling on Diet and Lifestyle Changes to Prevent and Relieve Heartburn 📦0.3.0 This IG
Procedure.reasonCode Base example Procedure Reason Codes 📦4.0.1 FHIR Std.
Procedure.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📦4.0.1 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Procedure If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Procedure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Procedure A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ANCProcedure

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Procedure 0..* ANCProcedure An action that is being or was performed on a patient
Procedure.code This element must be supported. 1..1 CodeableConcept Counselling conducted on diet and lifestyle changes to prevent and relieve heartburn
Binding: Counselling on Diet and Lifestyle Changes to Prevent and Relieve Heartburn (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Procedure.code Base required Counselling on Diet and Lifestyle Changes to Prevent and Relieve Heartburn 📦0.3.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Procedure 0..* ANCProcedure An action that is being or was performed on a patient
Procedure.id This element is included in summaries. 0..1 id Logical id of this artifact
Procedure.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Procedure.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Procedure.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Procedure.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
Procedure.contained 0..* Resource Contained, inline Resources
Procedure.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Procedure.Slices for extension.extension:instantiatesCaseFeature This element must be supported. 0..1 canonical(StructureDefinition) Definition of this case feature
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature
Procedure.Slices for extension.extension:caseFeatureType This element must be supported. 0..1 code asserted | inferred
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType
Binding: CPG Case Feature Type (required): Whether the case feature is asserted or inferred
Procedure.Slices for extension.extension:caseFeaturePertinence This element must be supported. 0..1 code weakly-positive | weakly-negative | strongly-positive | strongly-negative | pathognomonic
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence
Binding: CPG Case Feature Pertinence (required): Describes the pertinence of a case feature
Procedure.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Procedure.identifier This element must be supported. This element is included in summaries. 1..* Identifier External Identifiers for this procedure
Procedure.identifier.id 0..1 string Unique id for inter-element referencing
Procedure.identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Procedure.identifier.use This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Procedure.identifier.type This element is included in summaries. 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Procedure.identifier.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
Procedure.identifier.value This element must be supported. This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
Procedure.identifier.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Procedure.identifier.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
Procedure.instantiatesCanonical This element must be supported. This element is included in summaries. 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) Source
Procedure.instantiatesUri This element is included in summaries. 0..* uri Instantiates external protocol or definition
Procedure.basedOn This element must be supported. This element is included in summaries. 0..* Reference(CarePlan | ServiceRequest) A request for this procedure
Procedure.partOf This element is included in summaries. 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
Procedure.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.
Procedure.statusReason This element must be supported. This element is included in summaries. 0..1 CodeableConcept Reason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
Procedure.category This element must be supported. This element is included in summaries. 0..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
Procedure.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept Counselling conducted on diet and lifestyle changes to prevent and relieve heartburn
Binding: Counselling on Diet and Lifestyle Changes to Prevent and Relieve Heartburn (required)
Procedure.subject This element must be supported. This element is included in summaries. 1..1 Reference(ANC Base Patient) Who the procedure was performed on
Procedure.encounter This element must be supported. This element is included in summaries. 0..1 Reference(ANC Base Encounter) Encounter created as part of
Procedure.performed[x] This element must be supported. This element is included in summaries. 1..1 When the procedure was performed
Procedure.performed[x].performedDateTime dateTime
Procedure.performed[x].performedPeriod Period
Procedure.performed[x].performedString string
Procedure.performed[x].performedAge Age
Procedure.performed[x].performedRange Range
Procedure.recorder This element is included in summaries. 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Who recorded the procedure
Procedure.asserter This element is included in summaries. 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Person who asserts this procedure
Procedure.performer This element must be supported. This element is included in summaries. 0..* BackboneElement The people who performed the procedure
Procedure.performer.id 0..1 string Unique id for inter-element referencing
Procedure.performer.extension 0..* Extension Additional content defined by implementations
Procedure.performer.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Procedure.performer.function This element is included in summaries. 0..1 CodeableConcept Type of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
Procedure.performer.actor This element must be supported. This element is included in summaries. 1..1 Reference(ANC Practitioner | ANC PractitionerRole | ANC Base Patient | ANC RelatedPerson) The reference to the practitioner
Procedure.performer.onBehalfOf 0..1 Reference(Organization) Organization the device or practitioner was acting for
Procedure.location This element must be supported. This element is included in summaries. 0..1 Reference(ANC Location) Where the procedure happened
Procedure.reasonCode This element must be supported. This element is included in summaries. 0..* CodeableConcept Coded reason procedure performed
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
Procedure.reasonReference This element must be supported. This element is included in summaries. 0..* Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) Pertinent information
Procedure.bodySite This element must be supported. This element is included in summaries. 0..* CodeableConcept Target body sites
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Procedure.outcome This element must be supported. This element is included in summaries. 0..1 CodeableConcept The result of procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
Procedure.report This element must be supported. 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
Procedure.complication 0..* CodeableConcept Complication following the procedure
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
Procedure.complicationDetail 0..* Reference(Condition) A condition that is a result of the procedure
Procedure.followUp 0..* CodeableConcept Instructions for follow up
Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
Procedure.note 0..* Annotation Additional information about the procedure
Procedure.focalDevice 0..* BackboneElement Manipulated, implanted, or removed device
Procedure.focalDevice.id 0..1 string Unique id for inter-element referencing
Procedure.focalDevice.extension 0..* Extension Additional content defined by implementations
Procedure.focalDevice.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Procedure.focalDevice.action 0..1 CodeableConcept Kind of change to device
Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
Procedure.focalDevice.manipulated 1..1 Reference(Device) Device that was changed
Procedure.usedReference 0..* Reference(Device | Medication | Substance) Items used during procedure
Procedure.usedCode 0..* CodeableConcept Coded items used during the procedure
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Procedure.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Procedure.identifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.statusReason Base example Procedure Not Performed Reason (SNOMED-CT) 📦4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📦4.0.1 FHIR Std.
Procedure.code Base required Counselling on Diet and Lifestyle Changes to Prevent and Relieve Heartburn 📦0.3.0 This IG
Procedure.performer.​function Base example Procedure Performer Role Codes 📦4.0.1 FHIR Std.
Procedure.reasonCode Base example Procedure Reason Codes 📦4.0.1 FHIR Std.
Procedure.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📦4.0.1 FHIR Std.
Procedure.complication Base example Condition/Problem/Diagnosis Codes 📦4.0.1 FHIR Std.
Procedure.followUp Base example Procedure Follow up Codes (SNOMED CT) 📦4.0.1 FHIR Std.
Procedure.focalDevice.​action Base preferred Procedure Device Action Codes 📦4.0.1 FHIR Std.
Procedure.usedCode Base example FHIR Device Types 📦4.0.1 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Procedure If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Procedure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Procedure A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ANCProcedure

Summary

Mandatory: 1 element
Must-Support: 1 element

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Procedure 0..* ANCProcedure An action that is being or was performed on a patient
Procedure.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Procedure.Slices for extension Content/Rules for all slices
Procedure.Slices for extension.extension:instantiatesCaseFeature This element must be supported. 0..1 canonical(StructureDefinition) Definition of this case feature
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature
Procedure.Slices for extension.extension:caseFeatureType This element must be supported. 0..1 code asserted | inferred
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType
Binding: CPG Case Feature Type (required): Whether the case feature is asserted or inferred
Procedure.Slices for extension.extension:caseFeaturePertinence This element must be supported. 0..1 code weakly-positive | weakly-negative | strongly-positive | strongly-negative | pathognomonic
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence
Binding: CPG Case Feature Pertinence (required): Describes the pertinence of a case feature
Procedure.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Procedure.identifier This element must be supported. This element is included in summaries. 1..* Identifier External Identifiers for this procedure
Procedure.identifier.use This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Procedure.identifier.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
Procedure.identifier.value This element must be supported. This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
Procedure.instantiatesCanonical This element must be supported. This element is included in summaries. 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) Source
Procedure.basedOn This element must be supported. This element is included in summaries. 0..* Reference(CarePlan | ServiceRequest) A request for this procedure
Procedure.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.
Procedure.statusReason This element must be supported. This element is included in summaries. 0..1 CodeableConcept Reason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
Procedure.category This element must be supported. This element is included in summaries. 0..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
Procedure.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept Counselling conducted on diet and lifestyle changes to prevent and relieve heartburn
Binding: Counselling on Diet and Lifestyle Changes to Prevent and Relieve Heartburn (required)
Procedure.subject This element must be supported. This element is included in summaries. 1..1 Reference(ANC Base Patient) Who the procedure was performed on
Procedure.encounter This element must be supported. This element is included in summaries. 0..1 Reference(ANC Base Encounter) Encounter created as part of
Procedure.performed[x] This element must be supported. This element is included in summaries. 1..1 When the procedure was performed
Procedure.performed[x].performedDateTime dateTime
Procedure.performed[x].performedPeriod Period
Procedure.performed[x].performedString string
Procedure.performed[x].performedAge Age
Procedure.performed[x].performedRange Range
Procedure.performer This element must be supported. This element is included in summaries. 0..* BackboneElement The people who performed the procedure
Procedure.performer.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Procedure.performer.actor This element must be supported. This element is included in summaries. 1..1 Reference(ANC Practitioner | ANC PractitionerRole | ANC Base Patient | ANC RelatedPerson) The reference to the practitioner
Procedure.location This element must be supported. This element is included in summaries. 0..1 Reference(ANC Location) Where the procedure happened
Procedure.reasonCode This element must be supported. This element is included in summaries. 0..* CodeableConcept Coded reason procedure performed
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
Procedure.reasonReference This element must be supported. This element is included in summaries. 0..* Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) Pertinent information
Procedure.bodySite This element must be supported. This element is included in summaries. 0..* CodeableConcept Target body sites
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Procedure.outcome This element must be supported. This element is included in summaries. 0..1 CodeableConcept The result of procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
Procedure.report This element must be supported. 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.statusReason Base example Procedure Not Performed Reason (SNOMED-CT) 📦4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📦4.0.1 FHIR Std.
Procedure.code Base required Counselling on Diet and Lifestyle Changes to Prevent and Relieve Heartburn 📦0.3.0 This IG
Procedure.reasonCode Base example Procedure Reason Codes 📦4.0.1 FHIR Std.
Procedure.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📦4.0.1 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Procedure If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Procedure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Procedure A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from ANCProcedure

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Procedure 0..* ANCProcedure An action that is being or was performed on a patient
Procedure.code This element must be supported. 1..1 CodeableConcept Counselling conducted on diet and lifestyle changes to prevent and relieve heartburn
Binding: Counselling on Diet and Lifestyle Changes to Prevent and Relieve Heartburn (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Procedure.code Base required Counselling on Diet and Lifestyle Changes to Prevent and Relieve Heartburn 📦0.3.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Procedure 0..* ANCProcedure An action that is being or was performed on a patient
Procedure.id This element is included in summaries. 0..1 id Logical id of this artifact
Procedure.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Procedure.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Procedure.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Procedure.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
Procedure.contained 0..* Resource Contained, inline Resources
Procedure.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Procedure.Slices for extension.extension:instantiatesCaseFeature This element must be supported. 0..1 canonical(StructureDefinition) Definition of this case feature
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature
Procedure.Slices for extension.extension:caseFeatureType This element must be supported. 0..1 code asserted | inferred
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType
Binding: CPG Case Feature Type (required): Whether the case feature is asserted or inferred
Procedure.Slices for extension.extension:caseFeaturePertinence This element must be supported. 0..1 code weakly-positive | weakly-negative | strongly-positive | strongly-negative | pathognomonic
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence
Binding: CPG Case Feature Pertinence (required): Describes the pertinence of a case feature
Procedure.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Procedure.identifier This element must be supported. This element is included in summaries. 1..* Identifier External Identifiers for this procedure
Procedure.identifier.id 0..1 string Unique id for inter-element referencing
Procedure.identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Procedure.identifier.use This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Procedure.identifier.type This element is included in summaries. 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Procedure.identifier.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
Procedure.identifier.value This element must be supported. This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
Procedure.identifier.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Procedure.identifier.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
Procedure.instantiatesCanonical This element must be supported. This element is included in summaries. 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) Source
Procedure.instantiatesUri This element is included in summaries. 0..* uri Instantiates external protocol or definition
Procedure.basedOn This element must be supported. This element is included in summaries. 0..* Reference(CarePlan | ServiceRequest) A request for this procedure
Procedure.partOf This element is included in summaries. 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
Procedure.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.
Procedure.statusReason This element must be supported. This element is included in summaries. 0..1 CodeableConcept Reason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
Procedure.category This element must be supported. This element is included in summaries. 0..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
Procedure.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept Counselling conducted on diet and lifestyle changes to prevent and relieve heartburn
Binding: Counselling on Diet and Lifestyle Changes to Prevent and Relieve Heartburn (required)
Procedure.subject This element must be supported. This element is included in summaries. 1..1 Reference(ANC Base Patient) Who the procedure was performed on
Procedure.encounter This element must be supported. This element is included in summaries. 0..1 Reference(ANC Base Encounter) Encounter created as part of
Procedure.performed[x] This element must be supported. This element is included in summaries. 1..1 When the procedure was performed
Procedure.performed[x].performedDateTime dateTime
Procedure.performed[x].performedPeriod Period
Procedure.performed[x].performedString string
Procedure.performed[x].performedAge Age
Procedure.performed[x].performedRange Range
Procedure.recorder This element is included in summaries. 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Who recorded the procedure
Procedure.asserter This element is included in summaries. 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Person who asserts this procedure
Procedure.performer This element must be supported. This element is included in summaries. 0..* BackboneElement The people who performed the procedure
Procedure.performer.id 0..1 string Unique id for inter-element referencing
Procedure.performer.extension 0..* Extension Additional content defined by implementations
Procedure.performer.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Procedure.performer.function This element is included in summaries. 0..1 CodeableConcept Type of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
Procedure.performer.actor This element must be supported. This element is included in summaries. 1..1 Reference(ANC Practitioner | ANC PractitionerRole | ANC Base Patient | ANC RelatedPerson) The reference to the practitioner
Procedure.performer.onBehalfOf 0..1 Reference(Organization) Organization the device or practitioner was acting for
Procedure.location This element must be supported. This element is included in summaries. 0..1 Reference(ANC Location) Where the procedure happened
Procedure.reasonCode This element must be supported. This element is included in summaries. 0..* CodeableConcept Coded reason procedure performed
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
Procedure.reasonReference This element must be supported. This element is included in summaries. 0..* Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) Pertinent information
Procedure.bodySite This element must be supported. This element is included in summaries. 0..* CodeableConcept Target body sites
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Procedure.outcome This element must be supported. This element is included in summaries. 0..1 CodeableConcept The result of procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
Procedure.report This element must be supported. 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
Procedure.complication 0..* CodeableConcept Complication following the procedure
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
Procedure.complicationDetail 0..* Reference(Condition) A condition that is a result of the procedure
Procedure.followUp 0..* CodeableConcept Instructions for follow up
Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
Procedure.note 0..* Annotation Additional information about the procedure
Procedure.focalDevice 0..* BackboneElement Manipulated, implanted, or removed device
Procedure.focalDevice.id 0..1 string Unique id for inter-element referencing
Procedure.focalDevice.extension 0..* Extension Additional content defined by implementations
Procedure.focalDevice.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Procedure.focalDevice.action 0..1 CodeableConcept Kind of change to device
Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
Procedure.focalDevice.manipulated 1..1 Reference(Device) Device that was changed
Procedure.usedReference 0..* Reference(Device | Medication | Substance) Items used during procedure
Procedure.usedCode 0..* CodeableConcept Coded items used during the procedure
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Procedure.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Procedure.identifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.statusReason Base example Procedure Not Performed Reason (SNOMED-CT) 📦4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📦4.0.1 FHIR Std.
Procedure.code Base required Counselling on Diet and Lifestyle Changes to Prevent and Relieve Heartburn 📦0.3.0 This IG
Procedure.performer.​function Base example Procedure Performer Role Codes 📦4.0.1 FHIR Std.
Procedure.reasonCode Base example Procedure Reason Codes 📦4.0.1 FHIR Std.
Procedure.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📦4.0.1 FHIR Std.
Procedure.complication Base example Condition/Problem/Diagnosis Codes 📦4.0.1 FHIR Std.
Procedure.followUp Base example Procedure Follow up Codes (SNOMED CT) 📦4.0.1 FHIR Std.
Procedure.focalDevice.​action Base preferred Procedure Device Action Codes 📦4.0.1 FHIR Std.
Procedure.usedCode Base example FHIR Device Types 📦4.0.1 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Procedure If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Procedure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Procedure A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ANCProcedure

Summary

Mandatory: 1 element
Must-Support: 1 element

 

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