FR Document Core (FHIR)
0.1.0 - ci-build
FR Document Core (FHIR), published by Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris. 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/ansforge/interop-IG-fhir-document-core/ and changes regularly. See the Directory of published versions
| Official URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-procedure-document | Version: 0.1.0 | ||||
| Draft as of 2026-08-07 | Computable Name: FRProcedureDocument | ||||
FRProcedureDocument est un profil utilisé pour décrire un acte planifié ou réalisé.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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0..* | Procedure(4.0.1) | An action that is being or was performed on a patient | |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |
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S | 0..1 | CodeableConcept | FR Procedure Priority Extension URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-procedure-priority-extension Binding: ActPriority (20260619134042) (required) Constraints: ext-1 |
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S | 0..* | (Complex) | Voie d'abord URL: http://hl7.org/fhir/StructureDefinition/procedure-approachBodyStructure Constraints: ext-1 |
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0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
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1..1 | uri | "http://hl7.org/fhir/StructureDefinition/procedure-approachBodyStructure" | |
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1..1 | Reference(BodyStructure - FR Body Structure Document(0.1.0)) | Value of extension | |
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S | 0..* | (Complex) | Participant à l'acte URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension Constraints: ext-1 |
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2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |
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Content/Rules for all slices | |||
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1..1 | Extension | Extension Constraints: ext-1 | |
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0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
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1..1 | uri | "type" | |
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0..1 | code | Value of extension Binding: FRValueSetActorTypeDocument (0.1.0) (required) Required Pattern: PART | |
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0..1 | Extension | Type de participation Constraints: ext-1 | |
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0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
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1..1 | uri | "typeCode" | |
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1..1 | Extension | Extension Constraints: ext-1 | |
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0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
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1..1 | uri | "actor" | |
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0..1 | Reference(FR PractitionerRole Document(0.1.0)) | Value of extension | |
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1..1 | uri | "https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension" | |
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S | 0..1 | CodeableConcept | Difficulté de l'acte URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-procedure-difficulty-extension Binding: JdvDifficulteCisis (20260420150251) (example) Constraints: ext-1 |
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?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 |
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Σ | 0..* | Identifier | Identifiant |
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SΣ | 0..* | Reference(Observation | MedicationAdministration - FR Medication Administration Document(0.1.0) | Procedure - FR Procedure Document(0.1.0)) | Événement associé : score (Cormack ou ASA), administration de médicament ou procédure associée à l’acte (ex. produit administré lors d’un acte d’imagerie). |
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?!SΣ | 1..1 | code | Statut de l'acte Binding: EventStatus (required): A code specifying the state of the procedure. |
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SΣ | 1..1 | CodeableConcept | Code d'acte Binding: FRValueSetProcedureCodeDocument (0.1.0) (preferred) |
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SΣ | 1..1 | Reference(FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0)) | Patient concerné |
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SΣ | 0..1 | Reference(Encounter - FR Encounter Document(0.1.0)) | Rencontre associée à l'acte |
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SΣ | 0..1 | Date de l'acte | |
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dateTime | |||
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Period | |||
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string | |||
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Age | |||
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Range | |||
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SΣ | 0..1 | Reference(FR PractitionerRole Document(0.1.0)) | Auteur |
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Σ | 0..1 | Reference(FR PractitionerRole Document(0.1.0) | FR RelatedPerson Document(0.1.0) | FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0)) | Informateur |
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SΣ | 0..* | BackboneElement | Performer |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 |
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Σ | 1..1 | Reference(FR PractitionerRole Document(0.1.0) | Device) | The reference to the practitioner |
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Σ | 0..* | Reference(Condition - FR Condition Document(0.1.0) | DiagnosticReport - FR Diagnostic Report Document(0.1.0) | DiagnosticReport - FR Diagnostic Report Imaging Document(0.1.0) | DiagnosticReport - FR Diagnostic Report BIO chapter Document(0.1.0)) | Motif de l'acte / Justification de la réalisation de l'acte |
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SΣ | 0..* | CodeableConcept | Localisation anatomique Binding: SNOMEDCTBodyStructures (extensible) |
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S | 0..* | Reference(Device) | Réference à un DM |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.extension:participant.extension:type.value[x] | Base | required | ValueSet - FR ValueSet Actor Type Document | 📍0.1.0 | This IG |
| Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Procedure.code | Base | preferred | ValueSet – FR ValueSet Codes d’actes | 📍0.1.0 | This IG |
| Procedure.bodySite | Base | extensible | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | Procedure.implicitRules, Procedure.extension, Procedure.extension:priority, Procedure.extension:approachBodySite, Procedure.extension:approachBodySite.value[x], Procedure.extension:participant, Procedure.extension:participant.extension, Procedure.extension:participant.extension:type, Procedure.extension:participant.extension:type.value[x], Procedure.extension:participant.extension:typeCode, Procedure.extension:participant.extension:actor, Procedure.extension:participant.extension:actor.value[x], Procedure.extension:difficulte, Procedure.modifierExtension, Procedure.identifier, Procedure.partOf, Procedure.status, Procedure.code, Procedure.subject, Procedure.encounter, Procedure.performed[x], Procedure.recorder, Procedure.asserter, Procedure.performer, Procedure.performer.modifierExtension, Procedure.performer.actor, Procedure.reasonReference, Procedure.bodySite, Procedure.usedReference | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Procedure.extension, Procedure.extension:priority, Procedure.extension:approachBodySite, Procedure.extension:participant, Procedure.extension:participant.extension, Procedure.extension:participant.extension:type, Procedure.extension:participant.extension:typeCode, Procedure.extension:participant.extension:actor, Procedure.extension:difficulte, Procedure.modifierExtension, Procedure.performer.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.code | Base | preferred | ValueSet – FR ValueSet Codes d’actes | 📍0.1.0 | This IG |
| Procedure.bodySite | Base | extensible | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
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0..* | Procedure(4.0.1) | An action that is being or was performed on a patient | |||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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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 | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
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S | 0..1 | CodeableConcept | FR Procedure Priority Extension URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-procedure-priority-extension Binding: ActPriority (20260619134042) (required) Constraints: ext-1 | ||||
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S | 0..* | (Complex) | Voie d'abord URL: http://hl7.org/fhir/StructureDefinition/procedure-approachBodyStructure Constraints: ext-1 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||
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1..1 | uri | "http://hl7.org/fhir/StructureDefinition/procedure-approachBodyStructure" | |||||
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1..1 | Reference(BodyStructure - FR Body Structure Document(0.1.0)) | Value of extension | |||||
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S | 0..* | (Complex) | Participant à l'acte URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension Constraints: ext-1 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
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Content/Rules for all slices | |||||||
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1..1 | Extension | Extension Constraints: ext-1 | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||
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1..1 | uri | "type" | |||||
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0..1 | code | Value of extension Binding: FRValueSetActorTypeDocument (0.1.0) (required) Required Pattern: PART | |||||
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0..1 | Extension | Type de participation Constraints: ext-1 | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||
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1..1 | uri | "typeCode" | |||||
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0..1 | CodeableConcept | Value of extension | |||||
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1..1 | Extension | Extension Constraints: ext-1 | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||
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1..1 | uri | "actor" | |||||
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0..1 | Reference(FR PractitionerRole Document(0.1.0)) | Value of extension | |||||
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1..1 | uri | "https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension" | |||||
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S | 0..1 | CodeableConcept | Difficulté de l'acte URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-procedure-difficulty-extension Binding: JdvDifficulteCisis (20260420150251) (example) Constraints: ext-1 | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
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Σ | 0..* | Identifier | Identifiant | ||||
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Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
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Σ | 0..* | uri | Instantiates external protocol or definition | ||||
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Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | ||||
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SΣ | 0..* | Reference(Observation | MedicationAdministration - FR Medication Administration Document(0.1.0) | Procedure - FR Procedure Document(0.1.0)) | Événement associé : score (Cormack ou ASA), administration de médicament ou procédure associée à l’acte (ex. produit administré lors d’un acte d’imagerie). | ||||
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?!SΣ | 1..1 | code | Statut de l'acte Binding: EventStatus (required): A code specifying the state of the procedure. | ||||
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Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | ||||
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Σ | 0..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. | ||||
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SΣ | 1..1 | CodeableConcept | Code d'acte Binding: FRValueSetProcedureCodeDocument (0.1.0) (preferred) | ||||
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SΣ | 1..1 | Reference(FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0)) | Patient concerné | ||||
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SΣ | 0..1 | Reference(Encounter - FR Encounter Document(0.1.0)) | Rencontre associée à l'acte | ||||
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SΣ | 0..1 | Date de l'acte | |||||
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dateTime | |||||||
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Period | |||||||
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string | |||||||
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Age | |||||||
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Range | |||||||
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SΣ | 0..1 | Reference(FR PractitionerRole Document(0.1.0)) | Auteur | ||||
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Σ | 0..1 | Reference(FR PractitionerRole Document(0.1.0) | FR RelatedPerson Document(0.1.0) | FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0)) | Informateur | ||||
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SΣ | 0..* | BackboneElement | Performer | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
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Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
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Σ | 1..1 | Reference(FR PractitionerRole Document(0.1.0) | Device) | The reference to the practitioner | ||||
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0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||
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Σ | 0..1 | Reference(Location) | Where the procedure happened | ||||
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Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
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Σ | 0..* | Reference(Condition - FR Condition Document(0.1.0) | DiagnosticReport - FR Diagnostic Report Document(0.1.0) | DiagnosticReport - FR Diagnostic Report Imaging Document(0.1.0) | DiagnosticReport - FR Diagnostic Report BIO chapter Document(0.1.0)) | Motif de l'acte / Justification de la réalisation de l'acte | ||||
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SΣ | 0..* | CodeableConcept | Localisation anatomique Binding: SNOMEDCTBodyStructures (extensible) | ||||
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Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. | ||||
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0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||
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0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||
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0..* | Reference(Condition) | A condition that is a result of the procedure | |||||
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0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||
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0..* | Annotation | Additional information about the procedure | |||||
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0..* | BackboneElement | Manipulated, implanted, or removed device | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
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0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure. | |||||
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1..1 | Reference(Device) | Device that was changed | |||||
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S | 0..* | Reference(Device) | Réference à un DM | ||||
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0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |||||
Documentation for this format | ||||||||
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | Procedure.meta, Procedure.implicitRules, Procedure.language, Procedure.text, Procedure.extension, Procedure.extension:priority, Procedure.extension:approachBodySite, Procedure.extension:approachBodySite.value[x], Procedure.extension:participant, Procedure.extension:participant.extension, Procedure.extension:participant.extension:type, Procedure.extension:participant.extension:type.value[x], Procedure.extension:participant.extension:typeCode, Procedure.extension:participant.extension:typeCode.value[x], Procedure.extension:participant.extension:actor, Procedure.extension:participant.extension:actor.value[x], Procedure.extension:difficulte, Procedure.modifierExtension, Procedure.identifier, Procedure.instantiatesCanonical, Procedure.instantiatesUri, Procedure.basedOn, Procedure.partOf, Procedure.status, Procedure.statusReason, Procedure.category, Procedure.code, Procedure.subject, Procedure.encounter, Procedure.performed[x], Procedure.recorder, Procedure.asserter, Procedure.performer, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.performer.function, Procedure.performer.actor, Procedure.performer.onBehalfOf, Procedure.location, Procedure.reasonCode, Procedure.reasonReference, Procedure.bodySite, Procedure.outcome, Procedure.report, Procedure.complication, Procedure.complicationDetail, Procedure.followUp, Procedure.note, Procedure.focalDevice, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension, Procedure.focalDevice.action, Procedure.focalDevice.manipulated, Procedure.usedReference, Procedure.usedCode | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Procedure.extension, Procedure.extension:priority, Procedure.extension:approachBodySite, Procedure.extension:participant, Procedure.extension:participant.extension, Procedure.extension:participant.extension:type, Procedure.extension:participant.extension:typeCode, Procedure.extension:participant.extension:actor, Procedure.extension:difficulte, Procedure.modifierExtension, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Summary
Mandatory: 1 element
Must-Support: 14 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Procedure(4.0.1) | An action that is being or was performed on a patient | |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |
![]() ![]() ![]() |
S | 0..1 | CodeableConcept | FR Procedure Priority Extension URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-procedure-priority-extension Binding: ActPriority (20260619134042) (required) Constraints: ext-1 |
![]() ![]() ![]() |
S | 0..* | (Complex) | Voie d'abord URL: http://hl7.org/fhir/StructureDefinition/procedure-approachBodyStructure Constraints: ext-1 |
![]() ![]() ![]() ![]() |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
![]() ![]() ![]() ![]() |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/procedure-approachBodyStructure" | |
![]() ![]() ![]() ![]() |
1..1 | Reference(BodyStructure - FR Body Structure Document(0.1.0)) | Value of extension | |
![]() ![]() ![]() |
S | 0..* | (Complex) | Participant à l'acte URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension Constraints: ext-1 |
![]() ![]() ![]() ![]() |
2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |
![]() ![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() |
1..1 | Extension | Extension Constraints: ext-1 | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | "type" | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | code | Value of extension Binding: FRValueSetActorTypeDocument (0.1.0) (required) Required Pattern: PART | |
![]() ![]() ![]() ![]() ![]() |
0..1 | Extension | Type de participation Constraints: ext-1 | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | "typeCode" | |
![]() ![]() ![]() ![]() ![]() |
1..1 | Extension | Extension Constraints: ext-1 | |
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0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
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1..1 | uri | "actor" | |
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0..1 | Reference(FR PractitionerRole Document(0.1.0)) | Value of extension | |
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1..1 | uri | "https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension" | |
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S | 0..1 | CodeableConcept | Difficulté de l'acte URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-procedure-difficulty-extension Binding: JdvDifficulteCisis (20260420150251) (example) Constraints: ext-1 |
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?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 |
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Σ | 0..* | Identifier | Identifiant |
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SΣ | 0..* | Reference(Observation | MedicationAdministration - FR Medication Administration Document(0.1.0) | Procedure - FR Procedure Document(0.1.0)) | Événement associé : score (Cormack ou ASA), administration de médicament ou procédure associée à l’acte (ex. produit administré lors d’un acte d’imagerie). |
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?!SΣ | 1..1 | code | Statut de l'acte Binding: EventStatus (required): A code specifying the state of the procedure. |
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SΣ | 1..1 | CodeableConcept | Code d'acte Binding: FRValueSetProcedureCodeDocument (0.1.0) (preferred) |
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SΣ | 1..1 | Reference(FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0)) | Patient concerné |
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SΣ | 0..1 | Reference(Encounter - FR Encounter Document(0.1.0)) | Rencontre associée à l'acte |
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SΣ | 0..1 | Date de l'acte | |
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dateTime | |||
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Period | |||
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string | |||
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Age | |||
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Range | |||
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SΣ | 0..1 | Reference(FR PractitionerRole Document(0.1.0)) | Auteur |
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Σ | 0..1 | Reference(FR PractitionerRole Document(0.1.0) | FR RelatedPerson Document(0.1.0) | FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0)) | Informateur |
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SΣ | 0..* | BackboneElement | Performer |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 |
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Σ | 1..1 | Reference(FR PractitionerRole Document(0.1.0) | Device) | The reference to the practitioner |
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Σ | 0..* | Reference(Condition - FR Condition Document(0.1.0) | DiagnosticReport - FR Diagnostic Report Document(0.1.0) | DiagnosticReport - FR Diagnostic Report Imaging Document(0.1.0) | DiagnosticReport - FR Diagnostic Report BIO chapter Document(0.1.0)) | Motif de l'acte / Justification de la réalisation de l'acte |
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SΣ | 0..* | CodeableConcept | Localisation anatomique Binding: SNOMEDCTBodyStructures (extensible) |
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S | 0..* | Reference(Device) | Réference à un DM |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.extension:participant.extension:type.value[x] | Base | required | ValueSet - FR ValueSet Actor Type Document | 📍0.1.0 | This IG |
| Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Procedure.code | Base | preferred | ValueSet – FR ValueSet Codes d’actes | 📍0.1.0 | This IG |
| Procedure.bodySite | Base | extensible | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | Procedure.implicitRules, Procedure.extension, Procedure.extension:priority, Procedure.extension:approachBodySite, Procedure.extension:approachBodySite.value[x], Procedure.extension:participant, Procedure.extension:participant.extension, Procedure.extension:participant.extension:type, Procedure.extension:participant.extension:type.value[x], Procedure.extension:participant.extension:typeCode, Procedure.extension:participant.extension:actor, Procedure.extension:participant.extension:actor.value[x], Procedure.extension:difficulte, Procedure.modifierExtension, Procedure.identifier, Procedure.partOf, Procedure.status, Procedure.code, Procedure.subject, Procedure.encounter, Procedure.performed[x], Procedure.recorder, Procedure.asserter, Procedure.performer, Procedure.performer.modifierExtension, Procedure.performer.actor, Procedure.reasonReference, Procedure.bodySite, Procedure.usedReference | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Procedure.extension, Procedure.extension:priority, Procedure.extension:approachBodySite, Procedure.extension:participant, Procedure.extension:participant.extension, Procedure.extension:participant.extension:type, Procedure.extension:participant.extension:typeCode, Procedure.extension:participant.extension:actor, Procedure.extension:difficulte, Procedure.modifierExtension, Procedure.performer.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.code | Base | preferred | ValueSet – FR ValueSet Codes d’actes | 📍0.1.0 | This IG |
| Procedure.bodySite | Base | extensible | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
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0..* | Procedure(4.0.1) | An action that is being or was performed on a patient | |||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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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 | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
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S | 0..1 | CodeableConcept | FR Procedure Priority Extension URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-procedure-priority-extension Binding: ActPriority (20260619134042) (required) Constraints: ext-1 | ||||
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S | 0..* | (Complex) | Voie d'abord URL: http://hl7.org/fhir/StructureDefinition/procedure-approachBodyStructure Constraints: ext-1 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||
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1..1 | uri | "http://hl7.org/fhir/StructureDefinition/procedure-approachBodyStructure" | |||||
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1..1 | Reference(BodyStructure - FR Body Structure Document(0.1.0)) | Value of extension | |||||
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S | 0..* | (Complex) | Participant à l'acte URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension Constraints: ext-1 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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2..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
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Content/Rules for all slices | |||||||
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1..1 | Extension | Extension Constraints: ext-1 | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||
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1..1 | uri | "type" | |||||
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0..1 | code | Value of extension Binding: FRValueSetActorTypeDocument (0.1.0) (required) Required Pattern: PART | |||||
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0..1 | Extension | Type de participation Constraints: ext-1 | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||
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1..1 | uri | "typeCode" | |||||
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0..1 | CodeableConcept | Value of extension | |||||
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1..1 | Extension | Extension Constraints: ext-1 | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||
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1..1 | uri | "actor" | |||||
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0..1 | Reference(FR PractitionerRole Document(0.1.0)) | Value of extension | |||||
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1..1 | uri | "https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension" | |||||
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S | 0..1 | CodeableConcept | Difficulté de l'acte URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-procedure-difficulty-extension Binding: JdvDifficulteCisis (20260420150251) (example) Constraints: ext-1 | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
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Σ | 0..* | Identifier | Identifiant | ||||
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Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
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Σ | 0..* | uri | Instantiates external protocol or definition | ||||
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Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | ||||
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SΣ | 0..* | Reference(Observation | MedicationAdministration - FR Medication Administration Document(0.1.0) | Procedure - FR Procedure Document(0.1.0)) | Événement associé : score (Cormack ou ASA), administration de médicament ou procédure associée à l’acte (ex. produit administré lors d’un acte d’imagerie). | ||||
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?!SΣ | 1..1 | code | Statut de l'acte Binding: EventStatus (required): A code specifying the state of the procedure. | ||||
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Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | ||||
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Σ | 0..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. | ||||
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SΣ | 1..1 | CodeableConcept | Code d'acte Binding: FRValueSetProcedureCodeDocument (0.1.0) (preferred) | ||||
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SΣ | 1..1 | Reference(FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0)) | Patient concerné | ||||
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SΣ | 0..1 | Reference(Encounter - FR Encounter Document(0.1.0)) | Rencontre associée à l'acte | ||||
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SΣ | 0..1 | Date de l'acte | |||||
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dateTime | |||||||
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Period | |||||||
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string | |||||||
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Age | |||||||
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Range | |||||||
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SΣ | 0..1 | Reference(FR PractitionerRole Document(0.1.0)) | Auteur | ||||
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Σ | 0..1 | Reference(FR PractitionerRole Document(0.1.0) | FR RelatedPerson Document(0.1.0) | FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0)) | Informateur | ||||
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SΣ | 0..* | BackboneElement | Performer | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
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Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
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Σ | 1..1 | Reference(FR PractitionerRole Document(0.1.0) | Device) | The reference to the practitioner | ||||
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0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||
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Σ | 0..1 | Reference(Location) | Where the procedure happened | ||||
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Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
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Σ | 0..* | Reference(Condition - FR Condition Document(0.1.0) | DiagnosticReport - FR Diagnostic Report Document(0.1.0) | DiagnosticReport - FR Diagnostic Report Imaging Document(0.1.0) | DiagnosticReport - FR Diagnostic Report BIO chapter Document(0.1.0)) | Motif de l'acte / Justification de la réalisation de l'acte | ||||
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SΣ | 0..* | CodeableConcept | Localisation anatomique Binding: SNOMEDCTBodyStructures (extensible) | ||||
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Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. | ||||
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0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||
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0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||
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0..* | Reference(Condition) | A condition that is a result of the procedure | |||||
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0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||
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0..* | Annotation | Additional information about the procedure | |||||
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0..* | BackboneElement | Manipulated, implanted, or removed device | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
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0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure. | |||||
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1..1 | Reference(Device) | Device that was changed | |||||
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S | 0..* | Reference(Device) | Réference à un DM | ||||
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0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |||||
Documentation for this format | ||||||||
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | Procedure.meta, Procedure.implicitRules, Procedure.language, Procedure.text, Procedure.extension, Procedure.extension:priority, Procedure.extension:approachBodySite, Procedure.extension:approachBodySite.value[x], Procedure.extension:participant, Procedure.extension:participant.extension, Procedure.extension:participant.extension:type, Procedure.extension:participant.extension:type.value[x], Procedure.extension:participant.extension:typeCode, Procedure.extension:participant.extension:typeCode.value[x], Procedure.extension:participant.extension:actor, Procedure.extension:participant.extension:actor.value[x], Procedure.extension:difficulte, Procedure.modifierExtension, Procedure.identifier, Procedure.instantiatesCanonical, Procedure.instantiatesUri, Procedure.basedOn, Procedure.partOf, Procedure.status, Procedure.statusReason, Procedure.category, Procedure.code, Procedure.subject, Procedure.encounter, Procedure.performed[x], Procedure.recorder, Procedure.asserter, Procedure.performer, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.performer.function, Procedure.performer.actor, Procedure.performer.onBehalfOf, Procedure.location, Procedure.reasonCode, Procedure.reasonReference, Procedure.bodySite, Procedure.outcome, Procedure.report, Procedure.complication, Procedure.complicationDetail, Procedure.followUp, Procedure.note, Procedure.focalDevice, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension, Procedure.focalDevice.action, Procedure.focalDevice.manipulated, Procedure.usedReference, Procedure.usedCode | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Procedure.extension, Procedure.extension:priority, Procedure.extension:approachBodySite, Procedure.extension:participant, Procedure.extension:participant.extension, Procedure.extension:participant.extension:type, Procedure.extension:participant.extension:typeCode, Procedure.extension:participant.extension:actor, Procedure.extension:difficulte, Procedure.modifierExtension, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Summary
Mandatory: 1 element
Must-Support: 14 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron