HL7 Europe Base and Core FHIR IG
0.2.0-ci-build - ci-build
150
HL7 Europe Base and Core FHIR IG
0.2.0-ci-build - ci-build
150
HL7 Europe Base and Core FHIR IG, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.2.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/base-r5/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.eu/fhir/base-r5/StructureDefinition/procedure-eu-core | Version: 0.2.0-ci-build | |||
| Draft as of 2025-11-03 | Computable Name: ProcedureEuCore | |||
Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0). |
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This profile represents the constraints applied to the Procedure resource by this guide.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  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 |
 text |
0..1 | Narrative | Textual representation of the procedur 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 |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:bodySite |
0..1 | (Complex) | The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure | |
  extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure" | |
  value[x] |
1..1 | Reference(BodyStructure (EU core)) | Value of extension | |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| identifier |
Σ | 0..* | Identifier | Identifier for the procedure |
| status |
?!Σ | 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. |
| code |
Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: Procedures - IPS  (preferred) |
| subject |
Σ | 1..1 | Reference(Patient (EU core)) | Individual or entity the procedure was performed on |
 occurrence[x] |
Σ | 1..1 | When the procedure occurred or is occurring | |
| occurrenceDateTime |
dateTime | |||
| occurrencePeriod |
Period | |||
| occurrenceString |
string | |||
| occurrenceAge |
Age | |||
| occurrenceRange |
Range | |||
 occurrenceTiming |
Timing | |||
| reason |
Σ | 0..* | CodeableReference(Condition (EU core) [WIP] | Observation | Procedure (EU core) [WIP] | DiagnosticReport | DocumentReference) | Why the procedure was performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. |
| bodySite |
Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (preferred) |
| outcome |
Σ | 0..1 | CodeableConcept | Outcome of the procedure Binding: ProcedureOutcomeCodesSNOMEDCT (example): An outcome of a procedure - whether it was resolved or otherwise. |
| complication |
0..* | CodeableReference(Condition (EU core) [WIP]) | Complication following the procedure Binding: ConditionProblemDiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |
| note |
0..* | Annotation | Additional information about the procedure. | |
| focalDevice |
0..* | BackboneElement | Device implanted, removed or otherwise manipulated | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| manipulated |
1..1 | Reference(Device) | Device that was changed | |
| used |
0..* | CodeableReference(Device | Medication (EU core) [WIP] | Substance | BiologicallyDerivedProduct) | Device used to perform the procedure Binding: DeviceType (example): Codes describing items used during a procedure. | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.status | Base | required | EventStatus | 📍5.0.0 | FHIR Std. |
| Procedure.code | Base | preferred |
Procedures - IPS
|
⏿2.0.0-ballot | tx.hl7europe.eu |
| Procedure.reason | Base | example | Procedure Reason Codes | 📍5.0.0 | FHIR Std. |
| Procedure.bodySite | Base | preferred | SNOMED CT Body Structures | 📦5.0.0 | FHIR Std. |
| Procedure.outcome | Base | example | Procedure Outcome Codes (SNOMED CT) | 📍5.0.0 | FHIR Std. |
| Procedure.complication | Base | example | Condition/Problem/Diagnosis Codes | 📍5.0.0 | FHIR Std. |
| Procedure.used | Base | example | Device Type | 📍5.0.0 | 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().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()
|
This structure is derived from Procedure
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.code | Base | preferred |
Procedures - IPS
|
⏿2.0.0-ballot | tx.hl7europe.eu |
| Procedure.bodySite | Base | preferred | SNOMED CT Body Structures | 📦5.0.0 | FHIR Std. |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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
| |||||
| text |
0..1 | Narrative | Textual representation of the procedur 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 |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:bodySite |
0..1 | (Complex) | The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure" | |||||
| value[x] |
1..1 | Reference(BodyStructure (EU core)) | Value of extension | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Identifier for the procedure | ||||
| 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 | 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 |
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 | 1..1 | CodeableConcept | Identification of the procedure Binding: Procedures - IPS (preferred) | ||||
| subject |
Σ | 1..1 | Reference(Patient (EU core)) | Individual or entity the procedure was performed on | ||||
| 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 | 1..1 | When the procedure occurred or is occurring | |||||
| 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 | Who performed the procedure and what they did 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(PractitionerRole (EU core) | Practitioner (EU core) | Device | Patient (EU core) | RelatedPerson | Organization (EU core)) | Who performed the procedure | ||||
| onBehalfOf |
C | 0..1 | Reference(Organization (EU core)) | 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 (EU core) [WIP] | Observation | Procedure (EU core) [WIP] | DiagnosticReport | DocumentReference) | Why the procedure was performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
| bodySite |
Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (preferred) | ||||
| outcome |
Σ | 0..1 | CodeableConcept | Outcome of the 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 (EU core) [WIP]) | 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 | Additional information about the procedure. | |||||
| focalDevice |
0..* | BackboneElement | Device implanted, removed or otherwise manipulated | |||||
| 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 (EU core) [WIP] | Substance | BiologicallyDerivedProduct) | Device used to perform the 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 | ||||||||
| 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().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: 2 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 an individual or entity | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| text |
0..1 | Narrative | Textual representation of the procedur 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 |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:bodySite |
0..1 | (Complex) | The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure" | |
| value[x] |
1..1 | Reference(BodyStructure (EU core)) | Value of extension | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| identifier |
Σ | 0..* | Identifier | Identifier for the procedure |
| status |
?!Σ | 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. |
| code |
Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: Procedures - IPS (preferred) |
| subject |
Σ | 1..1 | Reference(Patient (EU core)) | Individual or entity the procedure was performed on |
| occurrence[x] |
Σ | 1..1 | When the procedure occurred or is occurring | |
| occurrenceDateTime |
dateTime | |||
| occurrencePeriod |
Period | |||
| occurrenceString |
string | |||
| occurrenceAge |
Age | |||
| occurrenceRange |
Range | |||
| occurrenceTiming |
Timing | |||
| reason |
Σ | 0..* | CodeableReference(Condition (EU core) [WIP] | Observation | Procedure (EU core) [WIP] | DiagnosticReport | DocumentReference) | Why the procedure was performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. |
| bodySite |
Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (preferred) |
| outcome |
Σ | 0..1 | CodeableConcept | Outcome of the procedure Binding: ProcedureOutcomeCodesSNOMEDCT (example): An outcome of a procedure - whether it was resolved or otherwise. |
| complication |
0..* | CodeableReference(Condition (EU core) [WIP]) | Complication following the procedure Binding: ConditionProblemDiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |
| note |
0..* | Annotation | Additional information about the procedure. | |
| focalDevice |
0..* | BackboneElement | Device implanted, removed or otherwise manipulated | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| manipulated |
1..1 | Reference(Device) | Device that was changed | |
| used |
0..* | CodeableReference(Device | Medication (EU core) [WIP] | Substance | BiologicallyDerivedProduct) | Device used to perform the procedure Binding: DeviceType (example): Codes describing items used during a procedure. | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.status | Base | required | EventStatus | 📍5.0.0 | FHIR Std. |
| Procedure.code | Base | preferred |
Procedures - IPS
|
⏿2.0.0-ballot | tx.hl7europe.eu |
| Procedure.reason | Base | example | Procedure Reason Codes | 📍5.0.0 | FHIR Std. |
| Procedure.bodySite | Base | preferred | SNOMED CT Body Structures | 📦5.0.0 | FHIR Std. |
| Procedure.outcome | Base | example | Procedure Outcome Codes (SNOMED CT) | 📍5.0.0 | FHIR Std. |
| Procedure.complication | Base | example | Condition/Problem/Diagnosis Codes | 📍5.0.0 | FHIR Std. |
| Procedure.used | Base | example | Device Type | 📍5.0.0 | 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().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()
|
Differential View
This structure is derived from Procedure
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.code | Base | preferred |
Procedures - IPS
|
⏿2.0.0-ballot | tx.hl7europe.eu |
| Procedure.bodySite | Base | preferred | SNOMED CT Body Structures | 📦5.0.0 | FHIR Std. |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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
| |||||
| text |
0..1 | Narrative | Textual representation of the procedur 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 |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:bodySite |
0..1 | (Complex) | The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure" | |||||
| value[x] |
1..1 | Reference(BodyStructure (EU core)) | Value of extension | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Identifier for the procedure | ||||
| 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 | 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 |
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 | 1..1 | CodeableConcept | Identification of the procedure Binding: Procedures - IPS (preferred) | ||||
| subject |
Σ | 1..1 | Reference(Patient (EU core)) | Individual or entity the procedure was performed on | ||||
| 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 | 1..1 | When the procedure occurred or is occurring | |||||
| 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 | Who performed the procedure and what they did 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(PractitionerRole (EU core) | Practitioner (EU core) | Device | Patient (EU core) | RelatedPerson | Organization (EU core)) | Who performed the procedure | ||||
| onBehalfOf |
C | 0..1 | Reference(Organization (EU core)) | 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 (EU core) [WIP] | Observation | Procedure (EU core) [WIP] | DiagnosticReport | DocumentReference) | Why the procedure was performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
| bodySite |
Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (preferred) | ||||
| outcome |
Σ | 0..1 | CodeableConcept | Outcome of the 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 (EU core) [WIP]) | 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 | Additional information about the procedure. | |||||
| focalDevice |
0..* | BackboneElement | Device implanted, removed or otherwise manipulated | |||||
| 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 (EU core) [WIP] | Substance | BiologicallyDerivedProduct) | Device used to perform the 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 | ||||||||
| 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().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: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron
IG © 2024+ HL7 Europe. Package hl7.fhir.eu.base-r5#0.2.0-ci-build based on FHIR 5.0.0. Generated 2025-11-03
