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/ and changes regularly. See the Directory of published versions

Resource Profile: Procedure (EU core) [WIP]

Official URL: http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core Version: 0.2.0-ci-build
Draft as of 2025-10-30 Computable Name: ProcedureEuCore

Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).

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

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* Procedure An action that is being or was performed on a patient
... 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
... 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
... 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 CodeableConceptIPS Identification of the procedure
Binding: Procedures - IPS (preferred)
... subject Σ 1..1 Reference(Patient (EU core)) Who the procedure was performed on
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... performed[x] Σ 1..1 When the procedure was performed
.... performedDateTime dateTime
.... performedPeriod Period
.... performedString string
.... performedAge Age
.... performedRange Range
... reasonCode Σ 0..* CodeableConcept Why the procedure was performed (code)
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
... reasonReference Σ 0..* Reference(Condition (EU core) [WIP] | Observation | Procedure (EU core) [WIP] | DiagnosticReport | DocumentReference) Why the procedure was performed (details)
... bodySite Σ 0..* CodeableConceptIPS Target body sites
Binding: SNOMEDCTBodyStructures (preferred)
... outcome Σ 0..1 CodeableConcept Outcome of the procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
... complication 0..* CodeableConcept Complications that occurred during the procedure (code)
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
... complicationDetail 0..* Reference(Condition (EU core) [WIP]) Complications that occurred during the procedure (details)
... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.code Base preferred Procedures - IPS 📦2.0.0 International Patient Summary Implementation Guide vnull
Procedure.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
Procedure.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.complication Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.

Constraints

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

This structure is derived from Procedure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* Procedure An action that is being or was performed on a patient
... text 0..1 Narrative Textual representation of the procedur
... 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
..... value[x] 1..1 Reference(BodyStructure (EU core)) Value of extension
... code 1..1 CodeableConceptIPS Identification of the procedure
Binding: Procedures - IPS (preferred)
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
... performed[x] 1..1 dateTime, Period, string, Age, Range When the procedure was performed
... performer
.... actor 1..1 Reference(PractitionerRole (EU core) | Practitioner (EU core) | Device | Patient (EU core) | RelatedPerson | Organization (EU core)) The reference to the practitioner
.... onBehalfOf 0..1 Reference(Organization (EU core)) Organization the device or practitioner was acting for
... reasonCode 0..* CodeableConcept Why the procedure was performed (code)
... reasonReference 0..* Reference(Condition (EU core) [WIP] | Observation | Procedure (EU core) [WIP] | DiagnosticReport | DocumentReference) Why the procedure was performed (details)
... bodySite 0..* CodeableConceptIPS Target body sites
Binding: SNOMEDCTBodyStructures (preferred)
... outcome 0..1 CodeableConcept Outcome of the procedure
... complication 0..* CodeableConcept Complications that occurred during the procedure (code)
... complicationDetail 0..* Reference(Condition (EU core) [WIP]) Complications that occurred during the procedure (details)
... focalDevice 0..* BackboneElement Device implanted, removed or otherwise manipulated

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Procedure.code Base preferred Procedures - IPS 📦2.0.0 International Patient Summary Implementation Guide vnull
Procedure.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* Procedure An action that is being or was performed on a patient
... 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: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... 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 ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Identifiers for this 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: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
... category Σ 0..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
... code Σ 1..1 CodeableConceptIPS Identification of the procedure
Binding: Procedures - IPS (preferred)
... subject Σ 1..1 Reference(Patient (EU core)) Who the procedure was performed on
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... performed[x] Σ 1..1 When the procedure was performed
.... performedDateTime dateTime
.... performedPeriod Period
.... performedString string
.... performedAge Age
.... performedRange Range
... recorder Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Who recorded the procedure
... asserter Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Person who asserts this procedure
... performer Σ 0..* 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 ?!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 Σ 1..1 Reference(PractitionerRole (EU core) | Practitioner (EU core) | Device | Patient (EU core) | RelatedPerson | Organization (EU core)) The reference to the practitioner
.... onBehalfOf 0..1 Reference(Organization (EU core)) Organization the device or practitioner was acting for
... location Σ 0..1 Reference(Location) Where the procedure happened
... reasonCode Σ 0..* CodeableConcept Why the procedure was performed (code)
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
... reasonReference Σ 0..* Reference(Condition (EU core) [WIP] | Observation | Procedure (EU core) [WIP] | DiagnosticReport | DocumentReference) Why the procedure was performed (details)
... bodySite Σ 0..* CodeableConceptIPS Target body sites
Binding: SNOMEDCTBodyStructures (preferred)
... outcome Σ 0..1 CodeableConcept Outcome of the 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 Complications that occurred during the procedure (code)
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
... complicationDetail 0..* Reference(Condition (EU core) [WIP]) Complications that occurred during the procedure (details)
... 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 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
... 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.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.statusReason Base example Procedure Not Performed Reason (SNOMED-CT) 📍4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.code Base preferred Procedures - IPS 📦2.0.0 International Patient Summary Implementation Guide vnull
Procedure.subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.
Procedure.performer.​function Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
Procedure.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
Procedure.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.complication Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
Procedure.followUp Base example Procedure Follow up Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.focalDevice.​action Base preferred Procedure Device Action Codes 📍4.0.1 FHIR Std.
Procedure.usedCode Base example FHIR Device Types 📍4.0.1 FHIR Std.

Constraints

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* Procedure An action that is being or was performed on a patient
... 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
... 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
... 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 CodeableConceptIPS Identification of the procedure
Binding: Procedures - IPS (preferred)
... subject Σ 1..1 Reference(Patient (EU core)) Who the procedure was performed on
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... performed[x] Σ 1..1 When the procedure was performed
.... performedDateTime dateTime
.... performedPeriod Period
.... performedString string
.... performedAge Age
.... performedRange Range
... reasonCode Σ 0..* CodeableConcept Why the procedure was performed (code)
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
... reasonReference Σ 0..* Reference(Condition (EU core) [WIP] | Observation | Procedure (EU core) [WIP] | DiagnosticReport | DocumentReference) Why the procedure was performed (details)
... bodySite Σ 0..* CodeableConceptIPS Target body sites
Binding: SNOMEDCTBodyStructures (preferred)
... outcome Σ 0..1 CodeableConcept Outcome of the procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
... complication 0..* CodeableConcept Complications that occurred during the procedure (code)
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
... complicationDetail 0..* Reference(Condition (EU core) [WIP]) Complications that occurred during the procedure (details)
... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.code Base preferred Procedures - IPS 📦2.0.0 International Patient Summary Implementation Guide vnull
Procedure.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
Procedure.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.complication Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.

Constraints

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

Differential View

This structure is derived from Procedure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* Procedure An action that is being or was performed on a patient
... text 0..1 Narrative Textual representation of the procedur
... 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
..... value[x] 1..1 Reference(BodyStructure (EU core)) Value of extension
... code 1..1 CodeableConceptIPS Identification of the procedure
Binding: Procedures - IPS (preferred)
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
... performed[x] 1..1 dateTime, Period, string, Age, Range When the procedure was performed
... performer
.... actor 1..1 Reference(PractitionerRole (EU core) | Practitioner (EU core) | Device | Patient (EU core) | RelatedPerson | Organization (EU core)) The reference to the practitioner
.... onBehalfOf 0..1 Reference(Organization (EU core)) Organization the device or practitioner was acting for
... reasonCode 0..* CodeableConcept Why the procedure was performed (code)
... reasonReference 0..* Reference(Condition (EU core) [WIP] | Observation | Procedure (EU core) [WIP] | DiagnosticReport | DocumentReference) Why the procedure was performed (details)
... bodySite 0..* CodeableConceptIPS Target body sites
Binding: SNOMEDCTBodyStructures (preferred)
... outcome 0..1 CodeableConcept Outcome of the procedure
... complication 0..* CodeableConcept Complications that occurred during the procedure (code)
... complicationDetail 0..* Reference(Condition (EU core) [WIP]) Complications that occurred during the procedure (details)
... focalDevice 0..* BackboneElement Device implanted, removed or otherwise manipulated

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Procedure.code Base preferred Procedures - IPS 📦2.0.0 International Patient Summary Implementation Guide vnull
Procedure.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* Procedure An action that is being or was performed on a patient
... 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: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... 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 ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Identifiers for this 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: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
... category Σ 0..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
... code Σ 1..1 CodeableConceptIPS Identification of the procedure
Binding: Procedures - IPS (preferred)
... subject Σ 1..1 Reference(Patient (EU core)) Who the procedure was performed on
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... performed[x] Σ 1..1 When the procedure was performed
.... performedDateTime dateTime
.... performedPeriod Period
.... performedString string
.... performedAge Age
.... performedRange Range
... recorder Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Who recorded the procedure
... asserter Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Person who asserts this procedure
... performer Σ 0..* 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 ?!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 Σ 1..1 Reference(PractitionerRole (EU core) | Practitioner (EU core) | Device | Patient (EU core) | RelatedPerson | Organization (EU core)) The reference to the practitioner
.... onBehalfOf 0..1 Reference(Organization (EU core)) Organization the device or practitioner was acting for
... location Σ 0..1 Reference(Location) Where the procedure happened
... reasonCode Σ 0..* CodeableConcept Why the procedure was performed (code)
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
... reasonReference Σ 0..* Reference(Condition (EU core) [WIP] | Observation | Procedure (EU core) [WIP] | DiagnosticReport | DocumentReference) Why the procedure was performed (details)
... bodySite Σ 0..* CodeableConceptIPS Target body sites
Binding: SNOMEDCTBodyStructures (preferred)
... outcome Σ 0..1 CodeableConcept Outcome of the 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 Complications that occurred during the procedure (code)
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
... complicationDetail 0..* Reference(Condition (EU core) [WIP]) Complications that occurred during the procedure (details)
... 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 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
... 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.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.statusReason Base example Procedure Not Performed Reason (SNOMED-CT) 📍4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.code Base preferred Procedures - IPS 📦2.0.0 International Patient Summary Implementation Guide vnull
Procedure.subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.
Procedure.performer.​function Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
Procedure.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
Procedure.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.complication Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
Procedure.followUp Base example Procedure Follow up Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.focalDevice.​action Base preferred Procedure Device Action Codes 📍4.0.1 FHIR Std.
Procedure.usedCode Base example FHIR Device Types 📍4.0.1 FHIR Std.

Constraints

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

 

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