Introduction

This profile is used to represent de-identified Procedure information. The de-identification process has to remove all data elements not explicitly identified as "SUPPORTED" in the profile.

The HHS De-identification Guidance is to be followed to ensure appropriate level of de-identification is performed.

According to the HHS guidance, dates should not have a precision of more than the year. This means month and day cannot be included. This includes Procedure.occurenceDateTime.

In FHIR Resources, text elements and reference.display elements which provide human readable information to the providers may be generated using programs and tools from the data present within the resource. For e.g a Procedure resource text element may contain information such as the Procedure date, patient information. This type of information will enable identification of the individuals. In order to avoid inadvertent revealing of PII/PHI, text elements cannot be included in the De-identified FHIR resource and the submission will be rejected when text elements are present by the validation process.

Ids and References

The original Procedure resource id should not be included in the De-identified Procedure instance. Instead a new id should be created and provided as part of the FHIR resource. The Data Submitter should be capable of using the generated id to relink the data to the original Procedure. All resource references to the Procedure submitted as part of the UDS+ report should refer to newly generated id.

Resource references cannot contain text element as it may contain PHI/PII. The text element for following references are not allowed

• subject
• encounter

Date Truncation

The Data Submitter has to truncate the following dates to only have a precision of year

• performedDateTime
• extension.recordedDate

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	De-Identified UDS Plus Procedure
Procedure.id	S This element must be supported. Σ This element is included in summaries.	0..1	id	The de-identified Procedure identifier created by the health center to send data to UDS+ Data Receiver
Procedure.implicitRules	?! This element is a modifier element. Σ 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:recordedDate	S This element must be supported.	0..1	dateTime	Indicates the recorded date of a clinical event URL: http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-recordedDate-extension
Procedure.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Procedure.status	?! This element is a modifier element. S This element must be supported. Σ 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	S This element must be supported. Σ 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.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Identification of the procedure Binding: US Core Procedure Codes (extensible): The set of codes indicating the procedures
Procedure.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(De-Identified UDS Plus Patient)	Who the procedure was performed on
Procedure.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(De-Identified UDS Plus Encounter)	Encounter created as part of
Procedure.performed[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		When the procedure was performed Constraints: uds-plus-proc-1, uds-plus-proc-1a, uds-plus-proc-1b, uds-plus-proc-2, uds-plus-proc-2a, uds-plus-proc-2b, uds-plus-proc-3, uds-plus-proc-3a, uds-plus-proc-3b
Procedure.performed[x].performedDateTime			dateTime S This target must be supported.
Procedure.performed[x].performedPeriod			Period
Procedure.performed[x].performedAge			Age
Procedure.performed[x].performedString			string
Procedure.performed[x].performedRange			Range
Procedure.performer	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	The people who performed the procedure
Procedure.performer.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Procedure.performer.actor	Σ This element is included in summaries.	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	The reference to the practitioner
Procedure.bodySite	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
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.code	Base	extensible	US Core Procedure Codes	📦6.1.0	US Core v6.1
Procedure.bodySite	Base	example	SNOMED CT Body Structures	📍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()
uds-plus-proc-1	error	Procedure.performed[x]	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-proc-1a	error	Procedure.performed[x]	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-proc-1b	error	Procedure.performed[x]	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'
uds-plus-proc-2	error	Procedure.performed[x]	All Period.start data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-proc-2a	error	Procedure.performed[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.start.exists() implies $this.start.toString() >= '1900'
uds-plus-proc-2b	error	Procedure.performed[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.start.exists() implies $this.start.toString() <= '2030'
uds-plus-proc-3	error	Procedure.performed[x]	All Period.emd data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-proc-3a	error	Procedure.performed[x]	All Period.end data elements should have valid year > 1900	$this is Period and Period.end.exists() implies $this.end.toString() >= '1900'
uds-plus-proc-3b	error	Procedure.performed[x]	All Period.end data elements should have valid year < 2030	$this is Period and Period.end.exists() implies $this.end.toString() <= '2030'

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	De-Identified UDS Plus Procedure
Procedure.id	S This element must be supported.	0..1	id	The de-identified Procedure identifier created by the health center to send data to UDS+ Data Receiver
Procedure.text		0..0		Cannot include any text in the resource as part of the de-identified data.
Procedure.contained		0..0		Cannot include any contained resources in the resource as part of the de-identified data.
Procedure.Slices for extension				Content/Rules for all slices
Procedure.Slices for extension.extension:recordedDate	S This element must be supported.	0..1	dateTime	Indicates the recorded date of a clinical event URL: http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-recordedDate-extension
Procedure.status	S This element must be supported.	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Procedure.statusReason	S This element must be supported.	0..1	CodeableConcept	Reason for current status
Procedure.code	S This element must be supported.	1..1	CodeableConcept	Identification of the procedure Binding: US Core Procedure Codes (extensible): The set of codes indicating the procedures
Procedure.subject	S This element must be supported.	1..1	Reference(De-Identified UDS Plus Patient)	Who the procedure was performed on
Procedure.subject.display		0..0		Text alternative for the resource
Procedure.encounter	S This element must be supported.	0..1	Reference(De-Identified UDS Plus Encounter)	Encounter created as part of
Procedure.encounter.display		0..0		Text alternative for the resource
Procedure.performed[x]	S This element must be supported. C	0..1		When the procedure was performed Constraints: uds-plus-proc-1, uds-plus-proc-1a, uds-plus-proc-1b, uds-plus-proc-2, uds-plus-proc-2a, uds-plus-proc-2b, uds-plus-proc-3, uds-plus-proc-3a, uds-plus-proc-3b
Procedure.performed[x].performedDateTime			dateTime S This target must be supported.
Procedure.performed[x].performedPeriod			Period
Procedure.performed[x].performedAge			Age
Procedure.performed[x].performedString			string
Procedure.performed[x].performedRange			Range
Procedure.recorder
Procedure.recorder.display		0..0		Text alternative for the resource
Procedure.asserter
Procedure.asserter.display		0..0		Text alternative for the resource
Procedure.performer	S This element must be supported.	0..*	BackboneElement	The people who performed the procedure
Procedure.performer.actor
Procedure.performer.actor.display		0..0		Text alternative for the resource
Procedure.bodySite	S This element must be supported.	0..*	CodeableConcept	Target body sites
Procedure.note		0..0		Additional information about the procedure
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Procedure.code	Base	extensible	US Core Procedure Codes	📦6.1.0	US Core v6.1

Constraints

Id	Grade	Path(s)	Description	Expression
uds-plus-proc-1	error	Procedure.performed[x]	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-proc-1a	error	Procedure.performed[x]	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-proc-1b	error	Procedure.performed[x]	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'
uds-plus-proc-2	error	Procedure.performed[x]	All Period.start data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-proc-2a	error	Procedure.performed[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.start.exists() implies $this.start.toString() >= '1900'
uds-plus-proc-2b	error	Procedure.performed[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.start.exists() implies $this.start.toString() <= '2030'
uds-plus-proc-3	error	Procedure.performed[x]	All Period.emd data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-proc-3a	error	Procedure.performed[x]	All Period.end data elements should have valid year > 1900	$this is Period and Period.end.exists() implies $this.end.toString() >= '1900'
uds-plus-proc-3b	error	Procedure.performed[x]	All Period.end data elements should have valid year < 2030	$this is Period and Period.end.exists() implies $this.end.toString() <= '2030'

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	De-Identified UDS Plus Procedure
Procedure.id	S This element must be supported. Σ This element is included in summaries.	0..1	id	The de-identified Procedure identifier created by the health center to send data to UDS+ Data Receiver
Procedure.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Procedure.implicitRules	?! This element is a modifier element. Σ 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 Bindings Purpose AllLanguages Max Binding
Procedure.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Procedure.Slices for extension.extension:recordedDate	S This element must be supported.	0..1	dateTime	Indicates the recorded date of a clinical event URL: http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-recordedDate-extension
Procedure.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Procedure.identifier	Σ This element is included in summaries.	0..*	Identifier	External Identifiers for this procedure
Procedure.instantiatesCanonical	Σ This element is included in summaries.	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
Procedure.instantiatesUri	Σ This element is included in summaries.	0..*	uri	Instantiates external protocol or definition
Procedure.basedOn	Σ This element is included in summaries.	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure
Procedure.partOf	Σ This element is included in summaries.	0..*	Reference(Procedure | Observation | MedicationAdministration)	Part of referenced event
Procedure.status	?! This element is a modifier element. S This element must be supported. Σ 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	S This element must be supported. Σ 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	Σ 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	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Identification of the procedure Binding: US Core Procedure Codes (extensible): The set of codes indicating the procedures
Procedure.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(De-Identified UDS Plus Patient)	Who the procedure was performed on
Procedure.subject.id		0..1	string	Unique id for inter-element referencing
Procedure.subject.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Procedure.subject.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Procedure.subject.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Procedure.subject.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Procedure.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(De-Identified UDS Plus Encounter)	Encounter created as part of
Procedure.encounter.id		0..1	string	Unique id for inter-element referencing
Procedure.encounter.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Procedure.encounter.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Procedure.encounter.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Procedure.encounter.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Procedure.performed[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		When the procedure was performed Constraints: uds-plus-proc-1, uds-plus-proc-1a, uds-plus-proc-1b, uds-plus-proc-2, uds-plus-proc-2a, uds-plus-proc-2b, uds-plus-proc-3, uds-plus-proc-3a, uds-plus-proc-3b
Procedure.performed[x].performedDateTime			dateTime S This target must be supported.
Procedure.performed[x].performedPeriod			Period
Procedure.performed[x].performedAge			Age
Procedure.performed[x].performedString			string
Procedure.performed[x].performedRange			Range
Procedure.recorder	Σ This element is included in summaries.	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Who recorded the procedure
Procedure.recorder.id		0..1	string	Unique id for inter-element referencing
Procedure.recorder.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Procedure.recorder.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Procedure.recorder.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Procedure.recorder.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Procedure.asserter	Σ This element is included in summaries.	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Person who asserts this procedure
Procedure.asserter.id		0..1	string	Unique id for inter-element referencing
Procedure.asserter.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Procedure.asserter.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Procedure.asserter.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Procedure.asserter.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Procedure.performer	S This element must be supported. Σ 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. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Procedure.performer.function	Σ 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	Σ This element is included in summaries.	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	The reference to the practitioner
Procedure.performer.actor.id		0..1	string	Unique id for inter-element referencing
Procedure.performer.actor.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Procedure.performer.actor.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Procedure.performer.actor.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Procedure.performer.actor.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Procedure.performer.onBehalfOf		0..1	Reference(Organization)	Organization the device or practitioner was acting for
Procedure.location	Σ This element is included in summaries.	0..1	Reference(Location)	Where the procedure happened
Procedure.reasonCode	Σ 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	Σ This element is included in summaries.	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed
Procedure.bodySite	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Procedure.outcome	Σ 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		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.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. Σ 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.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Procedure.language	Base	preferred	Common Languages	📍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	extensible	US Core Procedure Codes	📦6.1.0	US Core v6.1
Procedure.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Procedure.encounter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Procedure.recorder.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Procedure.asserter.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Procedure.performer.​function	Base	example	Procedure Performer Role Codes	📍4.0.1	FHIR Std.
Procedure.performer.​actor.type	Base	extensible	ResourceType	📍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()
uds-plus-proc-1	error	Procedure.performed[x]	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-proc-1a	error	Procedure.performed[x]	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-proc-1b	error	Procedure.performed[x]	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'
uds-plus-proc-2	error	Procedure.performed[x]	All Period.start data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-proc-2a	error	Procedure.performed[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.start.exists() implies $this.start.toString() >= '1900'
uds-plus-proc-2b	error	Procedure.performed[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.start.exists() implies $this.start.toString() <= '2030'
uds-plus-proc-3	error	Procedure.performed[x]	All Period.emd data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-proc-3a	error	Procedure.performed[x]	All Period.end data elements should have valid year > 1900	$this is Period and Period.end.exists() implies $this.end.toString() >= '1900'
uds-plus-proc-3b	error	Procedure.performed[x]	All Period.end data elements should have valid year < 2030	$this is Period and Period.end.exists() implies $this.end.toString() <= '2030'

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	De-Identified UDS Plus Procedure
Procedure.id	S This element must be supported. Σ This element is included in summaries.	0..1	id	The de-identified Procedure identifier created by the health center to send data to UDS+ Data Receiver
Procedure.implicitRules	?! This element is a modifier element. Σ 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:recordedDate	S This element must be supported.	0..1	dateTime	Indicates the recorded date of a clinical event URL: http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-recordedDate-extension
Procedure.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Procedure.status	?! This element is a modifier element. S This element must be supported. Σ 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	S This element must be supported. Σ 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.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Identification of the procedure Binding: US Core Procedure Codes (extensible): The set of codes indicating the procedures
Procedure.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(De-Identified UDS Plus Patient)	Who the procedure was performed on
Procedure.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(De-Identified UDS Plus Encounter)	Encounter created as part of
Procedure.performed[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		When the procedure was performed Constraints: uds-plus-proc-1, uds-plus-proc-1a, uds-plus-proc-1b, uds-plus-proc-2, uds-plus-proc-2a, uds-plus-proc-2b, uds-plus-proc-3, uds-plus-proc-3a, uds-plus-proc-3b
Procedure.performed[x].performedDateTime			dateTime S This target must be supported.
Procedure.performed[x].performedPeriod			Period
Procedure.performed[x].performedAge			Age
Procedure.performed[x].performedString			string
Procedure.performed[x].performedRange			Range
Procedure.performer	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	The people who performed the procedure
Procedure.performer.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Procedure.performer.actor	Σ This element is included in summaries.	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	The reference to the practitioner
Procedure.bodySite	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
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.code	Base	extensible	US Core Procedure Codes	📦6.1.0	US Core v6.1
Procedure.bodySite	Base	example	SNOMED CT Body Structures	📍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()
uds-plus-proc-1	error	Procedure.performed[x]	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-proc-1a	error	Procedure.performed[x]	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-proc-1b	error	Procedure.performed[x]	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'
uds-plus-proc-2	error	Procedure.performed[x]	All Period.start data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-proc-2a	error	Procedure.performed[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.start.exists() implies $this.start.toString() >= '1900'
uds-plus-proc-2b	error	Procedure.performed[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.start.exists() implies $this.start.toString() <= '2030'
uds-plus-proc-3	error	Procedure.performed[x]	All Period.emd data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-proc-3a	error	Procedure.performed[x]	All Period.end data elements should have valid year > 1900	$this is Period and Period.end.exists() implies $this.end.toString() >= '1900'
uds-plus-proc-3b	error	Procedure.performed[x]	All Period.end data elements should have valid year < 2030	$this is Period and Period.end.exists() implies $this.end.toString() <= '2030'

Differential View

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	De-Identified UDS Plus Procedure
Procedure.id	S This element must be supported.	0..1	id	The de-identified Procedure identifier created by the health center to send data to UDS+ Data Receiver
Procedure.text		0..0		Cannot include any text in the resource as part of the de-identified data.
Procedure.contained		0..0		Cannot include any contained resources in the resource as part of the de-identified data.
Procedure.Slices for extension				Content/Rules for all slices
Procedure.Slices for extension.extension:recordedDate	S This element must be supported.	0..1	dateTime	Indicates the recorded date of a clinical event URL: http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-recordedDate-extension
Procedure.status	S This element must be supported.	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Procedure.statusReason	S This element must be supported.	0..1	CodeableConcept	Reason for current status
Procedure.code	S This element must be supported.	1..1	CodeableConcept	Identification of the procedure Binding: US Core Procedure Codes (extensible): The set of codes indicating the procedures
Procedure.subject	S This element must be supported.	1..1	Reference(De-Identified UDS Plus Patient)	Who the procedure was performed on
Procedure.subject.display		0..0		Text alternative for the resource
Procedure.encounter	S This element must be supported.	0..1	Reference(De-Identified UDS Plus Encounter)	Encounter created as part of
Procedure.encounter.display		0..0		Text alternative for the resource
Procedure.performed[x]	S This element must be supported. C	0..1		When the procedure was performed Constraints: uds-plus-proc-1, uds-plus-proc-1a, uds-plus-proc-1b, uds-plus-proc-2, uds-plus-proc-2a, uds-plus-proc-2b, uds-plus-proc-3, uds-plus-proc-3a, uds-plus-proc-3b
Procedure.performed[x].performedDateTime			dateTime S This target must be supported.
Procedure.performed[x].performedPeriod			Period
Procedure.performed[x].performedAge			Age
Procedure.performed[x].performedString			string
Procedure.performed[x].performedRange			Range
Procedure.recorder
Procedure.recorder.display		0..0		Text alternative for the resource
Procedure.asserter
Procedure.asserter.display		0..0		Text alternative for the resource
Procedure.performer	S This element must be supported.	0..*	BackboneElement	The people who performed the procedure
Procedure.performer.actor
Procedure.performer.actor.display		0..0		Text alternative for the resource
Procedure.bodySite	S This element must be supported.	0..*	CodeableConcept	Target body sites
Procedure.note		0..0		Additional information about the procedure
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Procedure.code	Base	extensible	US Core Procedure Codes	📦6.1.0	US Core v6.1

Constraints

Id	Grade	Path(s)	Description	Expression
uds-plus-proc-1	error	Procedure.performed[x]	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-proc-1a	error	Procedure.performed[x]	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-proc-1b	error	Procedure.performed[x]	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'
uds-plus-proc-2	error	Procedure.performed[x]	All Period.start data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-proc-2a	error	Procedure.performed[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.start.exists() implies $this.start.toString() >= '1900'
uds-plus-proc-2b	error	Procedure.performed[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.start.exists() implies $this.start.toString() <= '2030'
uds-plus-proc-3	error	Procedure.performed[x]	All Period.emd data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-proc-3a	error	Procedure.performed[x]	All Period.end data elements should have valid year > 1900	$this is Period and Period.end.exists() implies $this.end.toString() >= '1900'
uds-plus-proc-3b	error	Procedure.performed[x]	All Period.end data elements should have valid year < 2030	$this is Period and Period.end.exists() implies $this.end.toString() <= '2030'

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	De-Identified UDS Plus Procedure
Procedure.id	S This element must be supported. Σ This element is included in summaries.	0..1	id	The de-identified Procedure identifier created by the health center to send data to UDS+ Data Receiver
Procedure.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Procedure.implicitRules	?! This element is a modifier element. Σ 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 Bindings Purpose AllLanguages Max Binding
Procedure.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Procedure.Slices for extension.extension:recordedDate	S This element must be supported.	0..1	dateTime	Indicates the recorded date of a clinical event URL: http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-recordedDate-extension
Procedure.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Procedure.identifier	Σ This element is included in summaries.	0..*	Identifier	External Identifiers for this procedure
Procedure.instantiatesCanonical	Σ This element is included in summaries.	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
Procedure.instantiatesUri	Σ This element is included in summaries.	0..*	uri	Instantiates external protocol or definition
Procedure.basedOn	Σ This element is included in summaries.	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure
Procedure.partOf	Σ This element is included in summaries.	0..*	Reference(Procedure | Observation | MedicationAdministration)	Part of referenced event
Procedure.status	?! This element is a modifier element. S This element must be supported. Σ 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	S This element must be supported. Σ 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	Σ 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	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Identification of the procedure Binding: US Core Procedure Codes (extensible): The set of codes indicating the procedures
Procedure.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(De-Identified UDS Plus Patient)	Who the procedure was performed on
Procedure.subject.id		0..1	string	Unique id for inter-element referencing
Procedure.subject.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Procedure.subject.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Procedure.subject.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Procedure.subject.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Procedure.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(De-Identified UDS Plus Encounter)	Encounter created as part of
Procedure.encounter.id		0..1	string	Unique id for inter-element referencing
Procedure.encounter.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Procedure.encounter.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Procedure.encounter.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Procedure.encounter.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Procedure.performed[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		When the procedure was performed Constraints: uds-plus-proc-1, uds-plus-proc-1a, uds-plus-proc-1b, uds-plus-proc-2, uds-plus-proc-2a, uds-plus-proc-2b, uds-plus-proc-3, uds-plus-proc-3a, uds-plus-proc-3b
Procedure.performed[x].performedDateTime			dateTime S This target must be supported.
Procedure.performed[x].performedPeriod			Period
Procedure.performed[x].performedAge			Age
Procedure.performed[x].performedString			string
Procedure.performed[x].performedRange			Range
Procedure.recorder	Σ This element is included in summaries.	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Who recorded the procedure
Procedure.recorder.id		0..1	string	Unique id for inter-element referencing
Procedure.recorder.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Procedure.recorder.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Procedure.recorder.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Procedure.recorder.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Procedure.asserter	Σ This element is included in summaries.	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Person who asserts this procedure
Procedure.asserter.id		0..1	string	Unique id for inter-element referencing
Procedure.asserter.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Procedure.asserter.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Procedure.asserter.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Procedure.asserter.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Procedure.performer	S This element must be supported. Σ 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. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Procedure.performer.function	Σ 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	Σ This element is included in summaries.	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	The reference to the practitioner
Procedure.performer.actor.id		0..1	string	Unique id for inter-element referencing
Procedure.performer.actor.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Procedure.performer.actor.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
Procedure.performer.actor.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Procedure.performer.actor.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Procedure.performer.onBehalfOf		0..1	Reference(Organization)	Organization the device or practitioner was acting for
Procedure.location	Σ This element is included in summaries.	0..1	Reference(Location)	Where the procedure happened
Procedure.reasonCode	Σ 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	Σ This element is included in summaries.	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed
Procedure.bodySite	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Procedure.outcome	Σ 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		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.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. Σ 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.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Procedure.language	Base	preferred	Common Languages	📍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	extensible	US Core Procedure Codes	📦6.1.0	US Core v6.1
Procedure.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Procedure.encounter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Procedure.recorder.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Procedure.asserter.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Procedure.performer.​function	Base	example	Procedure Performer Role Codes	📍4.0.1	FHIR Std.
Procedure.performer.​actor.type	Base	extensible	ResourceType	📍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()
uds-plus-proc-1	error	Procedure.performed[x]	All dateTime data elements should be truncated to a year only for de-identified resources.	$this is DateTime implies $this.toString().length() = 4
uds-plus-proc-1a	error	Procedure.performed[x]	All dateTime data elements should have valid year > 1900	$this is DateTime implies $this.toString() >= '1900'
uds-plus-proc-1b	error	Procedure.performed[x]	All dateTime data elements should have valid year < 2030	$this is DateTime implies $this.toString() <= '2030'
uds-plus-proc-2	error	Procedure.performed[x]	All Period.start data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.start.exists() implies $this.start.toString().length() = 4
uds-plus-proc-2a	error	Procedure.performed[x]	All Period.start data elements should have valid year > 1900	$this is Period and Period.start.exists() implies $this.start.toString() >= '1900'
uds-plus-proc-2b	error	Procedure.performed[x]	All Period.start data elements should have valid year < 2030	$this is Period and Period.start.exists() implies $this.start.toString() <= '2030'
uds-plus-proc-3	error	Procedure.performed[x]	All Period.emd data elements should be truncated to a year only for de-identified resources.	$this is Period and Period.end.exists() implies $this.end.toString().length() = 4
uds-plus-proc-3a	error	Procedure.performed[x]	All Period.end data elements should have valid year > 1900	$this is Period and Period.end.exists() implies $this.end.toString() >= '1900'
uds-plus-proc-3b	error	Procedure.performed[x]	All Period.end data elements should have valid year < 2030	$this is Period and Period.end.exists() implies $this.end.toString() <= '2030'

This structure is derived from Procedure

Summary

Mandatory: 3 elements
Must-Support: 10 elements
Prohibited: 8 elements

Structures

This structure refers to these other structures:

• De-Identified UDS Plus Patient (http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/de-identified-uds-plus-patient)
• De-Identified UDS Plus Encounter (http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-encounter)

Extensions

This structure refers to these extensions:

• http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-recordedDate-extension

Maturity: 2