RuCoreIG, published by HL7 FHIR Россия. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/fhir-ru/RuCoreIG/ and changes regularly. See the Directory of published versions

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Resource Profile: Core Procedure (Процедура)

Базовый профиль процедуры для российских FHIR-реализаций

Usages:

• Examples for this Profile: Procedure/example-core-procedure-ivanov-consultation-min and Procedure/example-core-procedure-ivanov-consultation

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	An action that is being or was performed on an individual or entity
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	External Identifiers for this procedure Slice: Unordered, Open by value:system
identifier:medicalServiceCode	Σ	0..1	Identifier	Код услуги по Номенклатуре медицинских услуг МЗ РФ
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PLAC
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: urn:oid:1.2.643.5.1.13.13.11.1070
status	?!Σ	1..1	code	Статус процедуры Binding: EventStatus (required)
code	Σ	0..1	CodeableConcept	Код процедуры Binding: Core ValueSet Номенклатура медицинских услуг (required)
subject	Σ	1..1	Reference(Core Patient (Пациент))	Пациент
occurrence[x]	Σ	0..1		Дата и время выполнения процедуры
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceString			string
occurrenceAge			Age
occurrenceRange			Range
occurrenceTiming			Timing
performer	ΣC	0..*	BackboneElement	Исполнитель процедуры Constraints: prc-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	ΣC	1..1	Reference(Core PractitionerRole (Роль медицинского работника))	Who performed the procedure
reason	Σ	0..*	CodeableReference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	Причина выполнения процедуры Binding: ProcedureReasonCodes (extensible)
note		0..*	Annotation	Примечания к процедуре
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Procedure.identifier:medicalServiceCode.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Procedure.identifier:medicalServiceCode.type	extensible	Pattern Value: PLAC http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status From the FHIR Standard
Procedure.code	required	Core_Vs_Nsi_Medical_Services(a valid code from Core CodeSystem Номенклатура медицинских услуг) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-medical-services From this IG
Procedure.reason	extensible	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prc-1	error	Procedure.performer	Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole : onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	An action that is being or was performed on an individual or entity
Slices for identifier		0..*	Identifier	External Identifiers for this procedure Slice: Unordered, Open by value:system
identifier:medicalServiceCode		0..1	Identifier	Код услуги по Номенклатуре медицинских услуг МЗ РФ
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PLAC
system		1..1	uri	The namespace for the identifier value Required Pattern: urn:oid:1.2.643.5.1.13.13.11.1070
status		1..1	code	Статус процедуры Binding: EventStatus (required)
code		0..1	CodeableConcept	Код процедуры Binding: Core ValueSet Номенклатура медицинских услуг (required)
subject		1..1	Reference(Core Patient (Пациент))	Пациент
occurrence[x]		0..1	dateTime, Period, string, Age, Range, Timing	Дата и время выполнения процедуры
performer		0..*	BackboneElement	Исполнитель процедуры
actor		1..1	Reference(Core PractitionerRole (Роль медицинского работника))	Who performed the procedure
reason		0..*	CodeableReference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	Причина выполнения процедуры Binding: ProcedureReasonCodes (extensible)
note		0..*	Annotation	Примечания к процедуре
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status From the FHIR Standard
Procedure.code	required	Core_Vs_Nsi_Medical_Services(a valid code from Core CodeSystem Номенклатура медицинских услуг) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-medical-services From this IG
Procedure.reason	extensible	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	An action that is being or was performed on an individual or entity
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	External Identifiers for this procedure Slice: Unordered, Open by value:system
identifier:medicalServiceCode	Σ	0..1	Identifier	Код услуги по Номенклатуре медицинских услуг МЗ РФ
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PLAC
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: urn:oid:1.2.643.5.1.13.13.11.1070
value	ΣC	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure
partOf	Σ	0..*	Reference(Procedure | Observation | MedicationAdministration)	Part of referenced event
status	?!Σ	1..1	code	Статус процедуры Binding: EventStatus (required)
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: ProcedureNotPerformedReasonSNOMEDCT (example): A code that identifies the reason a procedure was not performed.
category	Σ	0..*	CodeableConcept	Classification of the procedure Binding: ProcedureCategoryCodesSNOMEDCT (example): A code that classifies a procedure for searching, sorting and display purposes.
code	Σ	0..1	CodeableConcept	Код процедуры Binding: Core ValueSet Номенклатура медицинских услуг (required)
subject	Σ	1..1	Reference(Core Patient (Пациент))	Пациент
focus	Σ	0..1	Reference(Patient | Group | RelatedPerson | Practitioner | Organization | CareTeam | PractitionerRole | Specimen)	Who is the target of the procedure when it is not the subject of record only
encounter	Σ	0..1	Reference(Encounter)	The Encounter during which this Procedure was created
occurrence[x]	Σ	0..1		Дата и время выполнения процедуры
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceString			string
occurrenceAge			Age
occurrenceRange			Range
occurrenceTiming			Timing
recorded	Σ	0..1	dateTime	When the procedure was first captured in the subject's record
recorder	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Who recorded the procedure
reported[x]	Σ	0..1		Reported rather than primary record
reportedBoolean			boolean
reportedReference			Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)
performer	ΣC	0..*	BackboneElement	Исполнитель процедуры Constraints: prc-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
actor	ΣC	1..1	Reference(Core PractitionerRole (Роль медицинского работника))	Who performed the procedure
onBehalfOf	C	0..1	Reference(Organization)	Organization the device or practitioner was acting for
period		0..1	Period	When the performer performed the procedure
location	Σ	0..1	Reference(Location)	Where the procedure happened
reason	Σ	0..*	CodeableReference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	Причина выполнения процедуры Binding: ProcedureReasonCodes (extensible)
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: ProcedureOutcomeCodesSNOMEDCT (example): An outcome of a procedure - whether it was resolved or otherwise.
report		0..*	Reference(DiagnosticReport | DocumentReference | Composition)	Any report resulting from the procedure
complication		0..*	CodeableReference(Condition)	Complication following the procedure Binding: ConditionProblemDiagnosisCodes (example): Codes describing complications that resulted from a procedure.
followUp		0..*	CodeableConcept	Instructions for follow up Binding: ProcedureFollowUpCodesSNOMEDCT (example): Specific follow up required for a procedure e.g. removal of sutures.
note		0..*	Annotation	Примечания к процедуре
focalDevice		0..*	BackboneElement	Manipulated, implanted, or removed device
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action		0..1	CodeableConcept	Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
manipulated		1..1	Reference(Device)	Device that was changed
used		0..*	CodeableReference(Device | Medication | Substance | BiologicallyDerivedProduct)	Items used during procedure Binding: DeviceType (example): Codes describing items used during a procedure.
supportingInfo		0..*	Reference(Resource)	Extra information relevant to the procedure
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Procedure.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Procedure.identifier:medicalServiceCode.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Procedure.identifier:medicalServiceCode.type	extensible	Pattern Value: PLAC http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status From the FHIR Standard
Procedure.statusReason	example	ProcedureNotPerformedReasonSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-not-performed-reason From the FHIR Standard
Procedure.category	example	ProcedureCategoryCodesSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-category From the FHIR Standard
Procedure.code	required	Core_Vs_Nsi_Medical_Services(a valid code from Core CodeSystem Номенклатура медицинских услуг) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-medical-services From this IG
Procedure.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role From the FHIR Standard
Procedure.reason	extensible	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard
Procedure.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Procedure.outcome	example	ProcedureOutcomeCodesSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-outcome From the FHIR Standard
Procedure.complication	example	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
Procedure.followUp	example	ProcedureFollowUpCodesSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-followup From the FHIR Standard
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action From the FHIR Standard
Procedure.used	example	DeviceType http://hl7.org/fhir/ValueSet/device-type From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prc-1	error	Procedure.performer	Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole : onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()

This structure is derived from Procedure

Summary

Mandatory: 0 element(2 nested mandatory elements)

Structures

This structure refers to these other structures:

• Core Patient (Пациент) (https://fhir.ru/ig/core/StructureDefinition/core-patient)
• Core PractitionerRole (Роль медицинского работника) (https://fhir.ru/ig/core/StructureDefinition/core-practitionerrole)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Procedure.identifier

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	An action that is being or was performed on an individual or entity
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	External Identifiers for this procedure Slice: Unordered, Open by value:system
identifier:medicalServiceCode	Σ	0..1	Identifier	Код услуги по Номенклатуре медицинских услуг МЗ РФ
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PLAC
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: urn:oid:1.2.643.5.1.13.13.11.1070
status	?!Σ	1..1	code	Статус процедуры Binding: EventStatus (required)
code	Σ	0..1	CodeableConcept	Код процедуры Binding: Core ValueSet Номенклатура медицинских услуг (required)
subject	Σ	1..1	Reference(Core Patient (Пациент))	Пациент
occurrence[x]	Σ	0..1		Дата и время выполнения процедуры
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceString			string
occurrenceAge			Age
occurrenceRange			Range
occurrenceTiming			Timing
performer	ΣC	0..*	BackboneElement	Исполнитель процедуры Constraints: prc-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	ΣC	1..1	Reference(Core PractitionerRole (Роль медицинского работника))	Who performed the procedure
reason	Σ	0..*	CodeableReference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	Причина выполнения процедуры Binding: ProcedureReasonCodes (extensible)
note		0..*	Annotation	Примечания к процедуре
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Procedure.identifier:medicalServiceCode.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Procedure.identifier:medicalServiceCode.type	extensible	Pattern Value: PLAC http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status From the FHIR Standard
Procedure.code	required	Core_Vs_Nsi_Medical_Services(a valid code from Core CodeSystem Номенклатура медицинских услуг) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-medical-services From this IG
Procedure.reason	extensible	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prc-1	error	Procedure.performer	Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole : onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()

Differential View

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	An action that is being or was performed on an individual or entity
Slices for identifier		0..*	Identifier	External Identifiers for this procedure Slice: Unordered, Open by value:system
identifier:medicalServiceCode		0..1	Identifier	Код услуги по Номенклатуре медицинских услуг МЗ РФ
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PLAC
system		1..1	uri	The namespace for the identifier value Required Pattern: urn:oid:1.2.643.5.1.13.13.11.1070
status		1..1	code	Статус процедуры Binding: EventStatus (required)
code		0..1	CodeableConcept	Код процедуры Binding: Core ValueSet Номенклатура медицинских услуг (required)
subject		1..1	Reference(Core Patient (Пациент))	Пациент
occurrence[x]		0..1	dateTime, Period, string, Age, Range, Timing	Дата и время выполнения процедуры
performer		0..*	BackboneElement	Исполнитель процедуры
actor		1..1	Reference(Core PractitionerRole (Роль медицинского работника))	Who performed the procedure
reason		0..*	CodeableReference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	Причина выполнения процедуры Binding: ProcedureReasonCodes (extensible)
note		0..*	Annotation	Примечания к процедуре
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status From the FHIR Standard
Procedure.code	required	Core_Vs_Nsi_Medical_Services(a valid code from Core CodeSystem Номенклатура медицинских услуг) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-medical-services From this IG
Procedure.reason	extensible	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	An action that is being or was performed on an individual or entity
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	External Identifiers for this procedure Slice: Unordered, Open by value:system
identifier:medicalServiceCode	Σ	0..1	Identifier	Код услуги по Номенклатуре медицинских услуг МЗ РФ
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PLAC
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: urn:oid:1.2.643.5.1.13.13.11.1070
value	ΣC	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure
partOf	Σ	0..*	Reference(Procedure | Observation | MedicationAdministration)	Part of referenced event
status	?!Σ	1..1	code	Статус процедуры Binding: EventStatus (required)
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: ProcedureNotPerformedReasonSNOMEDCT (example): A code that identifies the reason a procedure was not performed.
category	Σ	0..*	CodeableConcept	Classification of the procedure Binding: ProcedureCategoryCodesSNOMEDCT (example): A code that classifies a procedure for searching, sorting and display purposes.
code	Σ	0..1	CodeableConcept	Код процедуры Binding: Core ValueSet Номенклатура медицинских услуг (required)
subject	Σ	1..1	Reference(Core Patient (Пациент))	Пациент
focus	Σ	0..1	Reference(Patient | Group | RelatedPerson | Practitioner | Organization | CareTeam | PractitionerRole | Specimen)	Who is the target of the procedure when it is not the subject of record only
encounter	Σ	0..1	Reference(Encounter)	The Encounter during which this Procedure was created
occurrence[x]	Σ	0..1		Дата и время выполнения процедуры
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceString			string
occurrenceAge			Age
occurrenceRange			Range
occurrenceTiming			Timing
recorded	Σ	0..1	dateTime	When the procedure was first captured in the subject's record
recorder	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Who recorded the procedure
reported[x]	Σ	0..1		Reported rather than primary record
reportedBoolean			boolean
reportedReference			Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)
performer	ΣC	0..*	BackboneElement	Исполнитель процедуры Constraints: prc-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
actor	ΣC	1..1	Reference(Core PractitionerRole (Роль медицинского работника))	Who performed the procedure
onBehalfOf	C	0..1	Reference(Organization)	Organization the device or practitioner was acting for
period		0..1	Period	When the performer performed the procedure
location	Σ	0..1	Reference(Location)	Where the procedure happened
reason	Σ	0..*	CodeableReference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	Причина выполнения процедуры Binding: ProcedureReasonCodes (extensible)
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: ProcedureOutcomeCodesSNOMEDCT (example): An outcome of a procedure - whether it was resolved or otherwise.
report		0..*	Reference(DiagnosticReport | DocumentReference | Composition)	Any report resulting from the procedure
complication		0..*	CodeableReference(Condition)	Complication following the procedure Binding: ConditionProblemDiagnosisCodes (example): Codes describing complications that resulted from a procedure.
followUp		0..*	CodeableConcept	Instructions for follow up Binding: ProcedureFollowUpCodesSNOMEDCT (example): Specific follow up required for a procedure e.g. removal of sutures.
note		0..*	Annotation	Примечания к процедуре
focalDevice		0..*	BackboneElement	Manipulated, implanted, or removed device
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action		0..1	CodeableConcept	Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
manipulated		1..1	Reference(Device)	Device that was changed
used		0..*	CodeableReference(Device | Medication | Substance | BiologicallyDerivedProduct)	Items used during procedure Binding: DeviceType (example): Codes describing items used during a procedure.
supportingInfo		0..*	Reference(Resource)	Extra information relevant to the procedure
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Procedure.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Procedure.identifier:medicalServiceCode.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Procedure.identifier:medicalServiceCode.type	extensible	Pattern Value: PLAC http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status From the FHIR Standard
Procedure.statusReason	example	ProcedureNotPerformedReasonSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-not-performed-reason From the FHIR Standard
Procedure.category	example	ProcedureCategoryCodesSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-category From the FHIR Standard
Procedure.code	required	Core_Vs_Nsi_Medical_Services(a valid code from Core CodeSystem Номенклатура медицинских услуг) https://fhir.ru/ig/core/ValueSet/core-vs-nsi-medical-services From this IG
Procedure.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role From the FHIR Standard
Procedure.reason	extensible	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard
Procedure.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Procedure.outcome	example	ProcedureOutcomeCodesSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-outcome From the FHIR Standard
Procedure.complication	example	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
Procedure.followUp	example	ProcedureFollowUpCodesSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-followup From the FHIR Standard
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action From the FHIR Standard
Procedure.used	example	DeviceType http://hl7.org/fhir/ValueSet/device-type From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prc-1	error	Procedure.performer	Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole : onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()

This structure is derived from Procedure

Summary

Mandatory: 0 element(2 nested mandatory elements)

Structures

This structure refers to these other structures:

• Core Patient (Пациент) (https://fhir.ru/ig/core/StructureDefinition/core-patient)
• Core PractitionerRole (Роль медицинского работника) (https://fhir.ru/ig/core/StructureDefinition/core-practitionerrole)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Procedure.identifier

Other representations of profile: CSV, Excel, Schematron