HL7 Europe Discharge Report
1.0.0-ci-build - ci-build 150

HL7 Europe Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-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/discharge-report/ and changes regularly. See the Directory of published versions

Resource Profile: Procedure: obligations

Official URL: http://hl7.eu/fhir/discharge-report/StructureDefinition/procedure-obl-eu-dr Version: 1.0.0-ci-build
Standards status: Informative Maturity Level: 0 Computable Name: ProcedureEuDrObligation

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

This profile defines obligations for the Procedure resource for the purpose of 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: doco
Procedure 0..* ProcedureEuCore An action that is being or was performed on a patient
Procedure.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Procedure.Slices for extension Content/Rules for all slices
Procedure.Slices for extension.extension:recorded 0..1 dateTime Date when the procedure was recorded
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded
Constraints: ext-1
Procedure.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Procedure.identifier This element has obligations. This element is included in summaries. 0..* Identifier Identifier for the procedure
ObligationsActor
SHOULD:able-to-populate Producer
Procedure.status This element is a modifier element. This element has obligations. This element is included in summaries. 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.
ObligationsActor
SHALL:able-to-populate Producer
Procedure.code This element has obligations. This element is included in summaries. 1..1 CodeableConcept Identification of the procedure
Binding: Procedures - IPS (preferred)
ObligationsActor
SHALL:able-to-populate Producer
Procedure.subject This element has obligations. This element is included in summaries. 1..1 Reference(Patient (EU core)) Who the procedure was performed on
ObligationsActor
SHALL:able-to-populate Producer
Procedure.performed[x] This element has obligations. This element is included in summaries. 1..1 When the procedure was performed
ObligationsActor
SHALL:able-to-populate Producer
Procedure.performed[x].performedDateTime dateTime
Procedure.performed[x].performedPeriod Period
Procedure.performed[x].performedString string
Procedure.performed[x].performedAge Age
Procedure.performed[x].performedRange Range
Procedure.bodySite This element has obligations. This element is included in summaries. C 0..* CodeableConcept Target body sites
Binding: SNOMEDCTBodyStructures (preferred)
Constraints: eu-bodysite-1
ObligationsActor
SHOULD:able-to-populate Producer
Procedure.bodySite.Slices for extension Content/Rules for all slices
Procedure.bodySite.Slices for extension.extension:bodySite 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
Procedure.bodySite.Slices for extension.extension:bodySite.extension 0..0 Extension
Slice: Unordered, Open by value:url
Procedure.bodySite.Slices for extension.extension:bodySite.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
Procedure.bodySite.Slices for extension.extension:bodySite.value[x] 1..1 Reference(BodyStructure (EU core)) Value of extension
Procedure.note This element has obligations. 0..* Annotation Additional information about the procedure.
ObligationsActor
SHOULD:able-to-populate Producer

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 📦2.0.1 International Patient Summary Implementation Guide v2.0
Procedure.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Procedure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Procedure If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Procedure If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Procedure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Procedure A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
eu-bodysite-1 error Procedure.bodySite Either a body site code or a reference to a BodyStructure resource SHALL be used, but not both. (coding.empty() and text.empty()) or extension('http://hl7.org/fhir/StructureDefinition/bodySite').empty()
ext-1 error Procedure.extension:recorded, Procedure.modifierExtension, Procedure.bodySite.extension:bodySite Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ProcedureEuCore

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Procedure ProcedureEuCore
Procedure.identifier This element has obligations. 0..* Identifier Identifier for the procedure
ObligationsActor
SHOULD:able-to-populate Producer
Procedure.status This element has obligations. 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
ObligationsActor
SHALL:able-to-populate Producer
Procedure.code This element has obligations. 1..1 CodeableConcept Identification of the procedure
ObligationsActor
SHALL:able-to-populate Producer
Procedure.performed[x] This element has obligations. 1..1 dateTime, Period, string, Age, Range When the procedure was performed
ObligationsActor
SHALL:able-to-populate Producer
Procedure.bodySite This element has obligations. 0..* CodeableConcept Target body sites
ObligationsActor
SHOULD:able-to-populate Producer
Procedure.note This element has obligations. 0..* Annotation Additional information about the procedure.
ObligationsActor
SHOULD:able-to-populate Producer

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Procedure 0..* ProcedureEuCore An action that is being or was performed on a patient
Procedure.id This element is included in summaries. 0..1 id Logical id of this artifact
Procedure.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Procedure.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Procedure.language 0..1 code Language of the procedure
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Procedure.text 0..1 Narrative Textual representation of the procedure
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Procedure.contained 0..* Resource Contained, inline Resources
Procedure.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Procedure.Slices for extension.extension:recorded 0..1 dateTime Date when the procedure was recorded
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded
Constraints: ext-1
Procedure.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Procedure.identifier This element has obligations. This element is included in summaries. 0..* Identifier Identifier for the procedure
ObligationsActor
SHOULD:able-to-populate Producer
Procedure.instantiatesCanonical This element is included in summaries. 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) Instantiates FHIR protocol or definition
Procedure.instantiatesUri This element is included in summaries. 0..* uri Instantiates external protocol or definition
Procedure.basedOn This element is included in summaries. 0..* Reference(CarePlan | ServiceRequest) A request for this procedure
Procedure.partOf This element is included in summaries. 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
Procedure.status This element is a modifier element. This element has obligations. This element is included in summaries. 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.
ObligationsActor
SHALL:able-to-populate Producer
Procedure.statusReason This element is included in summaries. 0..1 CodeableConcept Reason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
Procedure.category This element is included in summaries. 0..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
Procedure.code This element has obligations. This element is included in summaries. 1..1 CodeableConcept Identification of the procedure
Binding: Procedures - IPS (preferred)
ObligationsActor
SHALL:able-to-populate Producer
Procedure.subject This element has obligations. This element is included in summaries. 1..1 Reference(Patient (EU core)) Who the procedure was performed on
ObligationsActor
SHALL:able-to-populate Producer
Procedure.encounter This element is included in summaries. 0..1 Reference(Encounter) Encounter created as part of
Procedure.performed[x] This element has obligations. This element is included in summaries. 1..1 When the procedure was performed
ObligationsActor
SHALL:able-to-populate Producer
Procedure.performed[x].performedDateTime dateTime
Procedure.performed[x].performedPeriod Period
Procedure.performed[x].performedString string
Procedure.performed[x].performedAge Age
Procedure.performed[x].performedRange Range
Procedure.recorder This element is included in summaries. 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) The person or organization who recorded the procedure
Procedure.asserter This element is included in summaries. 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) The person or organization who asserts the procedure
Procedure.performer This element is included in summaries. 0..* BackboneElement The people who performed the procedure
Procedure.performer.id 0..1 string Unique id for inter-element referencing
Procedure.performer.extension 0..* Extension Additional content defined by implementations
Procedure.performer.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Procedure.performer.function This element is included in summaries. 0..1 CodeableConcept Type of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
Procedure.performer.actor This element is included in summaries. 1..1 Reference(PractitionerRole (EU core) | Practitioner (EU core) | Device | Patient (EU core) | RelatedPerson | Organization (EU core)) The reference to the practitioner
Procedure.performer.onBehalfOf 0..1 Reference(Organization (EU core)) Organization the device or practitioner was acting for
Procedure.location This element is included in summaries. 0..1 Reference(Location) Where the procedure happened
Procedure.reasonCode This element is included in summaries. 0..* CodeableConcept Why the procedure was performed (code)
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
Procedure.reasonReference This element is included in summaries. 0..* Reference(Condition (EU core) | Observation | Procedure (EU core) | DiagnosticReport | DocumentReference) Why the procedure was performed (details)
Procedure.bodySite This element has obligations. This element is included in summaries. C 0..* CodeableConcept Target body sites
Binding: SNOMEDCTBodyStructures (preferred)
Constraints: eu-bodysite-1
ObligationsActor
SHOULD:able-to-populate Producer
Procedure.bodySite.id 0..1 string Unique id for inter-element referencing
Procedure.bodySite.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Procedure.bodySite.Slices for extension.extension:bodySite 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
Procedure.bodySite.Slices for extension.extension:bodySite.id 0..1 string Unique id for inter-element referencing
Procedure.bodySite.Slices for extension.extension:bodySite.extension 0..0 Extension
Slice: Unordered, Open by value:url
Procedure.bodySite.Slices for extension.extension:bodySite.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
Procedure.bodySite.Slices for extension.extension:bodySite.value[x] 1..1 Reference(BodyStructure (EU core)) Value of extension
Procedure.bodySite.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
Procedure.bodySite.text This element is included in summaries. 0..1 string Plain text representation of the concept
Procedure.outcome This element is included in summaries. 0..1 CodeableConcept Outcome of the procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
Procedure.report 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
Procedure.complication 0..* CodeableConcept Complications that occurred during the procedure (code)
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
Procedure.complicationDetail 0..* Reference(Condition (EU core)) Complications that occurred during the procedure (details)
Procedure.followUp 0..* CodeableConcept Instructions for follow up
Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
Procedure.note This element has obligations. 0..* Annotation Additional information about the procedure.
ObligationsActor
SHOULD:able-to-populate Producer
Procedure.focalDevice 0..* BackboneElement Device implanted, removed or otherwise manipulated
Procedure.focalDevice.id 0..1 string Unique id for inter-element referencing
Procedure.focalDevice.extension 0..* Extension Additional content defined by implementations
Procedure.focalDevice.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Procedure.focalDevice.action 0..1 CodeableConcept Kind of change to device
Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
Procedure.focalDevice.manipulated 1..1 Reference(Device) Device that was changed
Procedure.usedReference 0..* Reference(Device | Medication (EU core) | Substance) Items used during procedure
Procedure.usedCode 0..* CodeableConcept Device used to perform the procedure (code)
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 📦2.0.1 International Patient Summary Implementation Guide v2.0
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())
eu-bodysite-1 error Procedure.bodySite Either a body site code or a reference to a BodyStructure resource SHALL be used, but not both. (coding.empty() and text.empty()) or extension('http://hl7.org/fhir/StructureDefinition/bodySite').empty()
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ProcedureEuCore

Summary

Maturity: 0

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Procedure 0..* ProcedureEuCore An action that is being or was performed on a patient
Procedure.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Procedure.Slices for extension Content/Rules for all slices
Procedure.Slices for extension.extension:recorded 0..1 dateTime Date when the procedure was recorded
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded
Constraints: ext-1
Procedure.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Procedure.identifier This element has obligations. This element is included in summaries. 0..* Identifier Identifier for the procedure
ObligationsActor
SHOULD:able-to-populate Producer
Procedure.status This element is a modifier element. This element has obligations. This element is included in summaries. 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.
ObligationsActor
SHALL:able-to-populate Producer
Procedure.code This element has obligations. This element is included in summaries. 1..1 CodeableConcept Identification of the procedure
Binding: Procedures - IPS (preferred)
ObligationsActor
SHALL:able-to-populate Producer
Procedure.subject This element has obligations. This element is included in summaries. 1..1 Reference(Patient (EU core)) Who the procedure was performed on
ObligationsActor
SHALL:able-to-populate Producer
Procedure.performed[x] This element has obligations. This element is included in summaries. 1..1 When the procedure was performed
ObligationsActor
SHALL:able-to-populate Producer
Procedure.performed[x].performedDateTime dateTime
Procedure.performed[x].performedPeriod Period
Procedure.performed[x].performedString string
Procedure.performed[x].performedAge Age
Procedure.performed[x].performedRange Range
Procedure.bodySite This element has obligations. This element is included in summaries. C 0..* CodeableConcept Target body sites
Binding: SNOMEDCTBodyStructures (preferred)
Constraints: eu-bodysite-1
ObligationsActor
SHOULD:able-to-populate Producer
Procedure.bodySite.Slices for extension Content/Rules for all slices
Procedure.bodySite.Slices for extension.extension:bodySite 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
Procedure.bodySite.Slices for extension.extension:bodySite.extension 0..0 Extension
Slice: Unordered, Open by value:url
Procedure.bodySite.Slices for extension.extension:bodySite.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
Procedure.bodySite.Slices for extension.extension:bodySite.value[x] 1..1 Reference(BodyStructure (EU core)) Value of extension
Procedure.note This element has obligations. 0..* Annotation Additional information about the procedure.
ObligationsActor
SHOULD:able-to-populate Producer

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 📦2.0.1 International Patient Summary Implementation Guide v2.0
Procedure.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Procedure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Procedure If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Procedure If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Procedure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Procedure A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
eu-bodysite-1 error Procedure.bodySite Either a body site code or a reference to a BodyStructure resource SHALL be used, but not both. (coding.empty() and text.empty()) or extension('http://hl7.org/fhir/StructureDefinition/bodySite').empty()
ext-1 error Procedure.extension:recorded, Procedure.modifierExtension, Procedure.bodySite.extension:bodySite Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from ProcedureEuCore

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Procedure ProcedureEuCore
Procedure.identifier This element has obligations. 0..* Identifier Identifier for the procedure
ObligationsActor
SHOULD:able-to-populate Producer
Procedure.status This element has obligations. 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
ObligationsActor
SHALL:able-to-populate Producer
Procedure.code This element has obligations. 1..1 CodeableConcept Identification of the procedure
ObligationsActor
SHALL:able-to-populate Producer
Procedure.subject This element has obligations. 1..1 Reference(Patient (EU core)) Who the procedure was performed on
ObligationsActor
SHALL:able-to-populate Producer
Procedure.performed[x] This element has obligations. 1..1 dateTime, Period, string, Age, Range When the procedure was performed
ObligationsActor
SHALL:able-to-populate Producer
Procedure.bodySite This element has obligations. 0..* CodeableConcept Target body sites
ObligationsActor
SHOULD:able-to-populate Producer
Procedure.note This element has obligations. 0..* Annotation Additional information about the procedure.
ObligationsActor
SHOULD:able-to-populate Producer

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Procedure 0..* ProcedureEuCore An action that is being or was performed on a patient
Procedure.id This element is included in summaries. 0..1 id Logical id of this artifact
Procedure.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Procedure.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Procedure.language 0..1 code Language of the procedure
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Procedure.text 0..1 Narrative Textual representation of the procedure
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Procedure.contained 0..* Resource Contained, inline Resources
Procedure.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Procedure.Slices for extension.extension:recorded 0..1 dateTime Date when the procedure was recorded
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded
Constraints: ext-1
Procedure.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Procedure.identifier This element has obligations. This element is included in summaries. 0..* Identifier Identifier for the procedure
ObligationsActor
SHOULD:able-to-populate Producer
Procedure.instantiatesCanonical This element is included in summaries. 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) Instantiates FHIR protocol or definition
Procedure.instantiatesUri This element is included in summaries. 0..* uri Instantiates external protocol or definition
Procedure.basedOn This element is included in summaries. 0..* Reference(CarePlan | ServiceRequest) A request for this procedure
Procedure.partOf This element is included in summaries. 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
Procedure.status This element is a modifier element. This element has obligations. This element is included in summaries. 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.
ObligationsActor
SHALL:able-to-populate Producer
Procedure.statusReason This element is included in summaries. 0..1 CodeableConcept Reason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
Procedure.category This element is included in summaries. 0..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
Procedure.code This element has obligations. This element is included in summaries. 1..1 CodeableConcept Identification of the procedure
Binding: Procedures - IPS (preferred)
ObligationsActor
SHALL:able-to-populate Producer
Procedure.subject This element has obligations. This element is included in summaries. 1..1 Reference(Patient (EU core)) Who the procedure was performed on
ObligationsActor
SHALL:able-to-populate Producer
Procedure.encounter This element is included in summaries. 0..1 Reference(Encounter) Encounter created as part of
Procedure.performed[x] This element has obligations. This element is included in summaries. 1..1 When the procedure was performed
ObligationsActor
SHALL:able-to-populate Producer
Procedure.performed[x].performedDateTime dateTime
Procedure.performed[x].performedPeriod Period
Procedure.performed[x].performedString string
Procedure.performed[x].performedAge Age
Procedure.performed[x].performedRange Range
Procedure.recorder This element is included in summaries. 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) The person or organization who recorded the procedure
Procedure.asserter This element is included in summaries. 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) The person or organization who asserts the procedure
Procedure.performer This element is included in summaries. 0..* BackboneElement The people who performed the procedure
Procedure.performer.id 0..1 string Unique id for inter-element referencing
Procedure.performer.extension 0..* Extension Additional content defined by implementations
Procedure.performer.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Procedure.performer.function This element is included in summaries. 0..1 CodeableConcept Type of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
Procedure.performer.actor This element is included in summaries. 1..1 Reference(PractitionerRole (EU core) | Practitioner (EU core) | Device | Patient (EU core) | RelatedPerson | Organization (EU core)) The reference to the practitioner
Procedure.performer.onBehalfOf 0..1 Reference(Organization (EU core)) Organization the device or practitioner was acting for
Procedure.location This element is included in summaries. 0..1 Reference(Location) Where the procedure happened
Procedure.reasonCode This element is included in summaries. 0..* CodeableConcept Why the procedure was performed (code)
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
Procedure.reasonReference This element is included in summaries. 0..* Reference(Condition (EU core) | Observation | Procedure (EU core) | DiagnosticReport | DocumentReference) Why the procedure was performed (details)
Procedure.bodySite This element has obligations. This element is included in summaries. C 0..* CodeableConcept Target body sites
Binding: SNOMEDCTBodyStructures (preferred)
Constraints: eu-bodysite-1
ObligationsActor
SHOULD:able-to-populate Producer
Procedure.bodySite.id 0..1 string Unique id for inter-element referencing
Procedure.bodySite.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Procedure.bodySite.Slices for extension.extension:bodySite 0..1 (Complex) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
Procedure.bodySite.Slices for extension.extension:bodySite.id 0..1 string Unique id for inter-element referencing
Procedure.bodySite.Slices for extension.extension:bodySite.extension 0..0 Extension
Slice: Unordered, Open by value:url
Procedure.bodySite.Slices for extension.extension:bodySite.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/bodySite"
Procedure.bodySite.Slices for extension.extension:bodySite.value[x] 1..1 Reference(BodyStructure (EU core)) Value of extension
Procedure.bodySite.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
Procedure.bodySite.text This element is included in summaries. 0..1 string Plain text representation of the concept
Procedure.outcome This element is included in summaries. 0..1 CodeableConcept Outcome of the procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
Procedure.report 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
Procedure.complication 0..* CodeableConcept Complications that occurred during the procedure (code)
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
Procedure.complicationDetail 0..* Reference(Condition (EU core)) Complications that occurred during the procedure (details)
Procedure.followUp 0..* CodeableConcept Instructions for follow up
Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
Procedure.note This element has obligations. 0..* Annotation Additional information about the procedure.
ObligationsActor
SHOULD:able-to-populate Producer
Procedure.focalDevice 0..* BackboneElement Device implanted, removed or otherwise manipulated
Procedure.focalDevice.id 0..1 string Unique id for inter-element referencing
Procedure.focalDevice.extension 0..* Extension Additional content defined by implementations
Procedure.focalDevice.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Procedure.focalDevice.action 0..1 CodeableConcept Kind of change to device
Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
Procedure.focalDevice.manipulated 1..1 Reference(Device) Device that was changed
Procedure.usedReference 0..* Reference(Device | Medication (EU core) | Substance) Items used during procedure
Procedure.usedCode 0..* CodeableConcept Device used to perform the procedure (code)
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 📦2.0.1 International Patient Summary Implementation Guide v2.0
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())
eu-bodysite-1 error Procedure.bodySite Either a body site code or a reference to a BodyStructure resource SHALL be used, but not both. (coding.empty() and text.empty()) or extension('http://hl7.org/fhir/StructureDefinition/bodySite').empty()
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ProcedureEuCore

Summary

Maturity: 0

 

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