Clinical Core
1.4.0 - STU1
Clinical Core
1.4.0 - STU1
Clinical Core, published by eHealth Platform. This guide is not an authorized publication; it is the continuous build for version 1.4.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/core-clinical/ and changes regularly. See the Directory of published versions
| Official URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-procedure | Version: 1.4.0 | ||||
| Active as of 2026-10-31 | Computable Name: BeProcedure | ||||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.200.5.42.17 | |||||
Placeholder profile for contextualising the FHIR resource
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  Procedure |
0..* | Procedure | An action that is being or was performed on a patient | |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
  Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
   extension:recorded |
1..1 | dateTime | R5: When the procedure was first captured in the subject's record (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded Constraints: ext-1 | |
 extension:surgicalApproach |
0..* | CodeableConcept | Surgical approach URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-surgical-approach | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
 identifier |
1..* | Identifier | External Identifiers for this procedure | |
 basedOn |
0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | |
| partOf |
0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | |
| status |
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. | |
| category |
0..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. | |
| code |
1..1 | CodeableConcept | Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . | |
| subject |
1..1 | Reference(BePatient) | Who the procedure was performed on | |
 performed[x] |
1..1 | When the procedure was performed | ||
| performedDateTime |
dateTime | |||
 performedPeriod |
Period | |||
| recorder |
1..1 | Reference(BePatient | BePractitioner | BePractitionerRole) | Who recorded the procedure | |
| asserter |
0..1 | Reference(BePatient | BePractitioner | BePractitionerRole) | Person who asserts this procedure | |
| performer |
0..1 | BackboneElement | The people who performed the procedure | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| actor |
1..1 | Reference(BePatient | BePractitioner | BePractitionerRole) | The reference to the practitioner | |
| location |
0..1 | Reference(Location) | Where the procedure happened | |
| reasonCode |
0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | |
| reasonReference |
0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed | |
| bodySite |
0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |
  Slices for extension |
Content/Rules for all slices | |||
 extension:laterality |
0..1 | Coding | Body laterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality ValueSet (required) | |
| extension:topography |
0..1 | CodeableConcept | Body topography URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-body-topography Binding: Body Topography ValueSet (preferred) | |
| outcome |
0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. | |
| report |
0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |
| note |
0..* | Annotation | Additional information about the procedure | |
| focalDevice |
0..* | BackboneElement | Manipulated, implanted, or removed device | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| manipulated |
1..1 | Reference(Device) | Device that was changed | |
| usedReference |
0..* | Reference(Device | Medication | Substance) | Items used during procedure | |
| usedCode |
0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Procedure.category | Base | example | Procedure Category Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.code | Base | example | Procedure Codes (SNOMED CT) | 📍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.usedCode | Base | example | FHIR Device Types | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Procedure
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Procedure |
0..* | Procedure | An action that is being or was performed on a patient | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:recorded |
1..1 | dateTime | R5: When the procedure was first captured in the subject's record (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded | |
| extension:surgicalApproach |
0..* | CodeableConcept | Surgical approach URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-surgical-approach | |
 identifier |
1..* | Identifier | External Identifiers for this procedure | |
| basedOn |
0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | |
| partOf |
0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | |
| status |
1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown | |
| category |
0..1 | CodeableConcept | Classification of the procedure | |
| code |
1..1 | CodeableConcept | Identification of the procedure | |
| subject |
1..1 | Reference(BePatient) | Who the procedure was performed on | |
| performed[x] |
1..1 | When the procedure was performed | ||
| performedDateTime |
dateTime | |||
| performedPeriod |
Period | |||
| recorder |
1..1 | Reference(BePatient | BePractitioner | BePractitionerRole) | Who recorded the procedure | |
| asserter |
0..1 | Reference(BePatient | BePractitioner | BePractitionerRole) | Person who asserts this procedure | |
| performer |
0..1 | BackboneElement | The people who performed the procedure | |
| actor |
1..1 | Reference(BePatient | BePractitioner | BePractitionerRole) | The reference to the practitioner | |
| location |
0..1 | Reference(Location) | Where the procedure happened | |
| reasonCode |
0..* | CodeableConcept | Coded reason procedure performed | |
| reasonReference |
0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed | |
| bodySite |
||||
| Slices for extension |
Content/Rules for all slices | |||
| extension:laterality |
0..1 | Coding | Body laterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality ValueSet (required) | |
| extension:topography |
0..1 | CodeableConcept | Body topography URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-body-topography Binding: Body Topography ValueSet (preferred) | |
| outcome |
0..1 | CodeableConcept | The result of procedure | |
| report |
0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |
| note |
0..* | Annotation | Additional information about the procedure | |
| focalDevice |
0..* | BackboneElement | Manipulated, implanted, or removed device | |
| usedReference |
0..* | Reference(Device | Medication | Substance) | Items used during procedure | |
| usedCode |
0..* | CodeableConcept | Coded items used during the procedure | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure |
0..* | Procedure | An action that is being or was performed on a patient | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:recorded |
1..1 | dateTime | R5: When the procedure was first captured in the subject's record (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded Constraints: ext-1 | |||||
| extension:surgicalApproach |
0..* | CodeableConcept | Surgical approach URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-surgical-approach | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
1..* | Identifier | External Identifiers for this procedure | |||||
| instantiatesCanonical |
0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| basedOn |
0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | |||||
| partOf |
0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | |||||
| status |
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. | |||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | |||||
| category |
0..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. | |||||
| code |
1..1 | CodeableConcept | Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . | |||||
| subject |
1..1 | Reference(BePatient) | Who the procedure was performed on | |||||
| encounter |
0..1 | Reference(Encounter) | Encounter created as part of | |||||
| performed[x] |
1..1 | When the procedure was performed | ||||||
| performedDateTime |
dateTime | |||||||
| performedPeriod |
Period | |||||||
| recorder |
1..1 | Reference(BePatient | BePractitioner | BePractitionerRole) | Who recorded the procedure | |||||
| asserter |
0..1 | Reference(BePatient | BePractitioner | BePractitionerRole) | Person who asserts this procedure | |||||
| performer |
0..1 | BackboneElement | The people who performed the procedure | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| function |
0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | |||||
| actor |
1..1 | Reference(BePatient | BePractitioner | BePractitionerRole) | The reference to the practitioner | |||||
| onBehalfOf |
0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||
| location |
0..1 | Reference(Location) | Where the procedure happened | |||||
| reasonCode |
0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | |||||
| reasonReference |
0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed | |||||
| bodySite |
0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:laterality |
0..1 | Coding | Body laterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality ValueSet (required) | |||||
| extension:topography |
0..1 | CodeableConcept | Body topography URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-body-topography Binding: Body Topography ValueSet (preferred) | |||||
| coding |
0..* | Coding | Code defined by a terminology system | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| outcome |
0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (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..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||
| complicationDetail |
0..* | Reference(Condition) | A condition that is a result of the procedure | |||||
| followUp |
0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||
| note |
0..* | Annotation | Additional information about the procedure | |||||
| 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 |
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 | |||||
| usedReference |
0..* | Reference(Device | Medication | Substance) | Items used during procedure | |||||
| usedCode |
0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |||||
| Documentation for this format | ||||||||
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Procedure
Summary
Mandatory: 6 elements
Must-Support: 24 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Procedure |
0..* | Procedure | An action that is being or was performed on a patient | |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:recorded |
1..1 | dateTime | R5: When the procedure was first captured in the subject's record (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded Constraints: ext-1 | |
| extension:surgicalApproach |
0..* | CodeableConcept | Surgical approach URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-surgical-approach | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| identifier |
1..* | Identifier | External Identifiers for this procedure | |
| basedOn |
0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | |
| partOf |
0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | |
| status |
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. | |
| category |
0..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. | |
| code |
1..1 | CodeableConcept | Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . | |
| subject |
1..1 | Reference(BePatient) | Who the procedure was performed on | |
| performed[x] |
1..1 | When the procedure was performed | ||
| performedDateTime |
dateTime | |||
| performedPeriod |
Period | |||
| recorder |
1..1 | Reference(BePatient | BePractitioner | BePractitionerRole) | Who recorded the procedure | |
| asserter |
0..1 | Reference(BePatient | BePractitioner | BePractitionerRole) | Person who asserts this procedure | |
| performer |
0..1 | BackboneElement | The people who performed the procedure | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| actor |
1..1 | Reference(BePatient | BePractitioner | BePractitionerRole) | The reference to the practitioner | |
| location |
0..1 | Reference(Location) | Where the procedure happened | |
| reasonCode |
0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | |
| reasonReference |
0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed | |
| bodySite |
0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:laterality |
0..1 | Coding | Body laterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality ValueSet (required) | |
| extension:topography |
0..1 | CodeableConcept | Body topography URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-body-topography Binding: Body Topography ValueSet (preferred) | |
| outcome |
0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. | |
| report |
0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |
| note |
0..* | Annotation | Additional information about the procedure | |
| focalDevice |
0..* | BackboneElement | Manipulated, implanted, or removed device | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| manipulated |
1..1 | Reference(Device) | Device that was changed | |
| usedReference |
0..* | Reference(Device | Medication | Substance) | Items used during procedure | |
| usedCode |
0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Procedure.category | Base | example | Procedure Category Codes (SNOMED CT) | 📍4.0.1 | FHIR Std. |
| Procedure.code | Base | example | Procedure Codes (SNOMED CT) | 📍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.usedCode | Base | example | FHIR Device Types | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from Procedure
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Procedure |
0..* | Procedure | An action that is being or was performed on a patient | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:recorded |
1..1 | dateTime | R5: When the procedure was first captured in the subject's record (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded | |
| extension:surgicalApproach |
0..* | CodeableConcept | Surgical approach URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-surgical-approach | |
| identifier |
1..* | Identifier | External Identifiers for this procedure | |
| basedOn |
0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | |
| partOf |
0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | |
| status |
1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown | |
| category |
0..1 | CodeableConcept | Classification of the procedure | |
| code |
1..1 | CodeableConcept | Identification of the procedure | |
| subject |
1..1 | Reference(BePatient) | Who the procedure was performed on | |
| performed[x] |
1..1 | When the procedure was performed | ||
| performedDateTime |
dateTime | |||
| performedPeriod |
Period | |||
| recorder |
1..1 | Reference(BePatient | BePractitioner | BePractitionerRole) | Who recorded the procedure | |
| asserter |
0..1 | Reference(BePatient | BePractitioner | BePractitionerRole) | Person who asserts this procedure | |
| performer |
0..1 | BackboneElement | The people who performed the procedure | |
| actor |
1..1 | Reference(BePatient | BePractitioner | BePractitionerRole) | The reference to the practitioner | |
| location |
0..1 | Reference(Location) | Where the procedure happened | |
| reasonCode |
0..* | CodeableConcept | Coded reason procedure performed | |
| reasonReference |
0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed | |
| bodySite |
||||
| Slices for extension |
Content/Rules for all slices | |||
| extension:laterality |
0..1 | Coding | Body laterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality ValueSet (required) | |
| extension:topography |
0..1 | CodeableConcept | Body topography URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-body-topography Binding: Body Topography ValueSet (preferred) | |
| outcome |
0..1 | CodeableConcept | The result of procedure | |
| report |
0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |
| note |
0..* | Annotation | Additional information about the procedure | |
| focalDevice |
0..* | BackboneElement | Manipulated, implanted, or removed device | |
| usedReference |
0..* | Reference(Device | Medication | Substance) | Items used during procedure | |
| usedCode |
0..* | CodeableConcept | Coded items used during the procedure | |
| Documentation for this format | ||||
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure |
0..* | Procedure | An action that is being or was performed on a patient | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:recorded |
1..1 | dateTime | R5: When the procedure was first captured in the subject's record (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded Constraints: ext-1 | |||||
| extension:surgicalApproach |
0..* | CodeableConcept | Surgical approach URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-surgical-approach | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
1..* | Identifier | External Identifiers for this procedure | |||||
| instantiatesCanonical |
0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| basedOn |
0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | |||||
| partOf |
0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | |||||
| status |
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. | |||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | |||||
| category |
0..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. | |||||
| code |
1..1 | CodeableConcept | Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . | |||||
| subject |
1..1 | Reference(BePatient) | Who the procedure was performed on | |||||
| encounter |
0..1 | Reference(Encounter) | Encounter created as part of | |||||
| performed[x] |
1..1 | When the procedure was performed | ||||||
| performedDateTime |
dateTime | |||||||
| performedPeriod |
Period | |||||||
| recorder |
1..1 | Reference(BePatient | BePractitioner | BePractitionerRole) | Who recorded the procedure | |||||
| asserter |
0..1 | Reference(BePatient | BePractitioner | BePractitionerRole) | Person who asserts this procedure | |||||
| performer |
0..1 | BackboneElement | The people who performed the procedure | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| function |
0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | |||||
| actor |
1..1 | Reference(BePatient | BePractitioner | BePractitionerRole) | The reference to the practitioner | |||||
| onBehalfOf |
0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||
| location |
0..1 | Reference(Location) | Where the procedure happened | |||||
| reasonCode |
0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | |||||
| reasonReference |
0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed | |||||
| bodySite |
0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:laterality |
0..1 | Coding | Body laterality URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality Binding: Laterality ValueSet (required) | |||||
| extension:topography |
0..1 | CodeableConcept | Body topography URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-body-topography Binding: Body Topography ValueSet (preferred) | |||||
| coding |
0..* | Coding | Code defined by a terminology system | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| outcome |
0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (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..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||
| complicationDetail |
0..* | Reference(Condition) | A condition that is a result of the procedure | |||||
| followUp |
0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||
| note |
0..* | Annotation | Additional information about the procedure | |||||
| 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 |
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 | |||||
| usedReference |
0..* | Reference(Device | Medication | Substance) | Items used during procedure | |||||
| usedCode |
0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |||||
| Documentation for this format | ||||||||
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Procedure
Summary
Mandatory: 6 elements
Must-Support: 24 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron
IG © 2021+ eHealth Platform.
Package hl7.fhir.be.core-clinical#1.4.0 based on FHIR 4.0.1.
Generated
2026-10-31
Links:
Table of Contents |
QA Report
