HL7 Europe Patient Summary
0.0.1-ci - ci-build 150

HL7 Europe Patient Summary, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.0.1-ci built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/eps/ and changes regularly. See the Directory of published versions

Resource Profile: Procedure (EPS)

Official URL: http://hl7.eu/fhir/eps/StructureDefinition/procedure-eu-eps Version: 0.0.1-ci
Draft as of 2025-06-20 Computable Name: ProcedureEuEps

Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License

This profile represents the constraints applied to the Procedure resource by this guide.

Usages:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* ProcedureUvIps(2.0.0) 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 1..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code SOΣ 1..1 CodeableConceptIPS(2.0.0) Identification of the procedure
Binding: Procedures - IPS (preferred): SNOMED CT procedure code set or a code for absent/unknown procedure
Additional BindingsPurpose
eHDSI Procedure . candidate
Absent or Unknown Procedures - IPS candidate
ObligationsActor
SHALL:populate-if-known Producer (IPS) from Procedure (IPS)
SHALL:handle Consumer (IPS) from Procedure (IPS)
SHOULD:display Consumer (IPS) from Procedure (IPS)
... subject SOΣ 1..1 Reference(Patient (EPS)) Who the procedure was performed on
ObligationsActor
SHALL:populate-if-known Producer (IPS) from Procedure (IPS)
SHALL:handle Consumer (IPS) from Procedure (IPS)
SHOULD:display Consumer (IPS) from Procedure (IPS)
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known Producer (IPS) from Procedure (IPS)
SHALL:handle Consumer (IPS) from Procedure (IPS)
SHOULD:display Consumer (IPS) from Procedure (IPS)
... Slices for performed[x] SOΣ 1..1 When the procedure was performed
Slice: Unordered, Closed by type:$this
ObligationsActor
SHALL:populate-if-known Producer (IPS) from Procedure (IPS)
SHALL:handle Consumer (IPS) from Procedure (IPS)
SHOULD:display Consumer (IPS) from Procedure (IPS)
.... performed[x]:All Slices Content/Rules for all slices
..... performed[x]All Types Content/Rules for all Types
...... Slices for extension Content/Rules for all slices
....... extension:data-absent-reason 0..1 code performed[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
.... performedDateTime dateTime
.... performedPeriod Period
.... performedString string
.... performedAge Age
.... performedRange Range
.... performed[x]:performedDateTime SOΣ 0..1 dateTime When the procedure was performed
ObligationsActor
SHOULD:populate-if-known Producer (IPS) from Procedure (IPS)
SHALL:handle Consumer (IPS) from Procedure (IPS)
SHOULD:display Consumer (IPS) from Procedure (IPS)
... 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 (EPS) | Observation | Procedure (EPS) | DiagnosticReport | DocumentReference) The justification that the procedure was performed
... bodySite Σ 0..* CodeableConceptIPS(2.0.0) 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) 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 (EPS)) Device that was changed

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
From the FHIR Standard
Procedure.codepreferredProceduresUvIps
http://hl7.org/fhir/uv/ips/ValueSet/procedures-uv-ips
Procedure.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
From the FHIR Standard
Procedure.bodySitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
From the FHIR Standard
Procedure.outcomeexampleProcedureOutcomeCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-outcome
From the FHIR Standard
Procedure.complicationexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorProcedureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorProcedureIf 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-4errorProcedureIf 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-5errorProcedureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceProcedureA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from ProcedureUvIps

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure ProcedureUvIps(2.0.0)
... text 1..1 Narrative Text summary of the resource, for human interpretation
... code 1..1 CodeableConceptIPS(2.0.0) Identification of the procedure
Binding: Procedures - IPS (preferred): SNOMED CT procedure code set or a code for absent/unknown procedure
Additional BindingsPurpose
eHDSI Procedure . candidate
Absent or Unknown Procedures - IPS candidate
... subject 1..1 Reference(Patient (EPS)) Who the procedure was performed on
.... Slices for extension Content/Rules for all slices
..... extension:data-absent-reason 0..1 code performed[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
... performer
.... actor 1..1 Reference(PractitionerRole (EU core) | Practitioner (EU core) | Device - Performer or Observer (IPS)(2.0.0) | Patient (EPS) | 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 (EPS) | Observation | Procedure (EPS) | DiagnosticReport | DocumentReference) The justification that the procedure was performed
... bodySite 0..* CodeableConceptIPS(2.0.0) 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) Complications that occurred during the procedure (details)
... focalDevice 0..* BackboneElement Device implanted, removed or otherwise manipulated
.... manipulated 1..1 Reference(Device (EPS)) Device that was changed

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Procedure.codepreferredProceduresUvIps
http://hl7.org/fhir/uv/ips/ValueSet/procedures-uv-ips
Procedure.bodySitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
From the FHIR Standard
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* ProcedureUvIps(2.0.0) 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 1..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 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 SOΣ 1..1 CodeableConceptIPS(2.0.0) Identification of the procedure
Binding: Procedures - IPS (preferred): SNOMED CT procedure code set or a code for absent/unknown procedure
Additional BindingsPurpose
eHDSI Procedure . candidate
Absent or Unknown Procedures - IPS candidate
ObligationsActor
SHALL:populate-if-known Producer (IPS) from Procedure (IPS)
SHALL:handle Consumer (IPS) from Procedure (IPS)
SHOULD:display Consumer (IPS) from Procedure (IPS)
... subject SOΣ 1..1 Reference(Patient (EPS)) Who the procedure was performed on
ObligationsActor
SHALL:populate-if-known Producer (IPS) from Procedure (IPS)
SHALL:handle Consumer (IPS) from Procedure (IPS)
SHOULD:display Consumer (IPS) from Procedure (IPS)
.... 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 SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known Producer (IPS) from Procedure (IPS)
SHALL:handle Consumer (IPS) from Procedure (IPS)
SHOULD:display Consumer (IPS) from Procedure (IPS)
.... 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
... Slices for performed[x] SOΣ 1..1 When the procedure was performed
Slice: Unordered, Closed by type:$this
ObligationsActor
SHALL:populate-if-known Producer (IPS) from Procedure (IPS)
SHALL:handle Consumer (IPS) from Procedure (IPS)
SHOULD:display Consumer (IPS) from Procedure (IPS)
.... performed[x]:All Slices Content/Rules for all slices
..... performed[x]All Types Content/Rules for all Types
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... extension:data-absent-reason 0..1 code performed[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
.... performedDateTime dateTime
.... performedPeriod Period
.... performedString string
.... performedAge Age
.... performedRange Range
.... performed[x]:performedDateTime SOΣ 0..1 dateTime When the procedure was performed
ObligationsActor
SHOULD:populate-if-known Producer (IPS) from Procedure (IPS)
SHALL:handle Consumer (IPS) from Procedure (IPS)
SHOULD:display Consumer (IPS) from Procedure (IPS)
... 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 - Performer or Observer (IPS)(2.0.0) | Patient (EPS) | 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 (EPS) | Observation | Procedure (EPS) | DiagnosticReport | DocumentReference) The justification that the procedure was performed
... bodySite Σ 0..* CodeableConceptIPS(2.0.0) 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) 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 (EPS)) 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

PathConformanceValueSetURI
Procedure.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
From the FHIR Standard
Procedure.statusReasonexampleProcedureNotPerformedReason(SNOMED-CT)
http://hl7.org/fhir/ValueSet/procedure-not-performed-reason
From the FHIR Standard
Procedure.categoryexampleProcedureCategoryCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-category
From the FHIR Standard
Procedure.codepreferredProceduresUvIps
http://hl7.org/fhir/uv/ips/ValueSet/procedures-uv-ips
Procedure.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
Procedure.performer.functionexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
From the FHIR Standard
Procedure.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
From the FHIR Standard
Procedure.bodySitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
From the FHIR Standard
Procedure.outcomeexampleProcedureOutcomeCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-outcome
From the FHIR Standard
Procedure.complicationexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
From the FHIR Standard
Procedure.followUpexampleProcedureFollowUpCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-followup
From the FHIR Standard
Procedure.focalDevice.actionpreferredProcedureDeviceActionCodes
http://hl7.org/fhir/ValueSet/device-action
From the FHIR Standard
Procedure.usedCodeexampleFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorProcedureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorProcedureIf 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-4errorProcedureIf 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-5errorProcedureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceProcedureA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* ProcedureUvIps(2.0.0) 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 1..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code SOΣ 1..1 CodeableConceptIPS(2.0.0) Identification of the procedure
Binding: Procedures - IPS (preferred): SNOMED CT procedure code set or a code for absent/unknown procedure
Additional BindingsPurpose
eHDSI Procedure . candidate
Absent or Unknown Procedures - IPS candidate
ObligationsActor
SHALL:populate-if-known Producer (IPS) from Procedure (IPS)
SHALL:handle Consumer (IPS) from Procedure (IPS)
SHOULD:display Consumer (IPS) from Procedure (IPS)
... subject SOΣ 1..1 Reference(Patient (EPS)) Who the procedure was performed on
ObligationsActor
SHALL:populate-if-known Producer (IPS) from Procedure (IPS)
SHALL:handle Consumer (IPS) from Procedure (IPS)
SHOULD:display Consumer (IPS) from Procedure (IPS)
.... reference SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known Producer (IPS) from Procedure (IPS)
SHALL:handle Consumer (IPS) from Procedure (IPS)
SHOULD:display Consumer (IPS) from Procedure (IPS)
... Slices for performed[x] SOΣ 1..1 When the procedure was performed
Slice: Unordered, Closed by type:$this
ObligationsActor
SHALL:populate-if-known Producer (IPS) from Procedure (IPS)
SHALL:handle Consumer (IPS) from Procedure (IPS)
SHOULD:display Consumer (IPS) from Procedure (IPS)
.... performed[x]:All Slices Content/Rules for all slices
..... performed[x]All Types Content/Rules for all Types
...... Slices for extension Content/Rules for all slices
....... extension:data-absent-reason 0..1 code performed[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
.... performedDateTime dateTime
.... performedPeriod Period
.... performedString string
.... performedAge Age
.... performedRange Range
.... performed[x]:performedDateTime SOΣ 0..1 dateTime When the procedure was performed
ObligationsActor
SHOULD:populate-if-known Producer (IPS) from Procedure (IPS)
SHALL:handle Consumer (IPS) from Procedure (IPS)
SHOULD:display Consumer (IPS) from Procedure (IPS)
... 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 (EPS) | Observation | Procedure (EPS) | DiagnosticReport | DocumentReference) The justification that the procedure was performed
... bodySite Σ 0..* CodeableConceptIPS(2.0.0) 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) 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 (EPS)) Device that was changed

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
From the FHIR Standard
Procedure.codepreferredProceduresUvIps
http://hl7.org/fhir/uv/ips/ValueSet/procedures-uv-ips
Procedure.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
From the FHIR Standard
Procedure.bodySitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
From the FHIR Standard
Procedure.outcomeexampleProcedureOutcomeCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-outcome
From the FHIR Standard
Procedure.complicationexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorProcedureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorProcedureIf 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-4errorProcedureIf 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-5errorProcedureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceProcedureA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from ProcedureUvIps

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure ProcedureUvIps(2.0.0)
... text 1..1 Narrative Text summary of the resource, for human interpretation
... code 1..1 CodeableConceptIPS(2.0.0) Identification of the procedure
Binding: Procedures - IPS (preferred): SNOMED CT procedure code set or a code for absent/unknown procedure
Additional BindingsPurpose
eHDSI Procedure . candidate
Absent or Unknown Procedures - IPS candidate
... subject 1..1 Reference(Patient (EPS)) Who the procedure was performed on
.... Slices for extension Content/Rules for all slices
..... extension:data-absent-reason 0..1 code performed[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
... performer
.... actor 1..1 Reference(PractitionerRole (EU core) | Practitioner (EU core) | Device - Performer or Observer (IPS)(2.0.0) | Patient (EPS) | 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 (EPS) | Observation | Procedure (EPS) | DiagnosticReport | DocumentReference) The justification that the procedure was performed
... bodySite 0..* CodeableConceptIPS(2.0.0) 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) Complications that occurred during the procedure (details)
... focalDevice 0..* BackboneElement Device implanted, removed or otherwise manipulated
.... manipulated 1..1 Reference(Device (EPS)) Device that was changed

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Procedure.codepreferredProceduresUvIps
http://hl7.org/fhir/uv/ips/ValueSet/procedures-uv-ips
Procedure.bodySitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
From the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* ProcedureUvIps(2.0.0) 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 1..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 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 SOΣ 1..1 CodeableConceptIPS(2.0.0) Identification of the procedure
Binding: Procedures - IPS (preferred): SNOMED CT procedure code set or a code for absent/unknown procedure
Additional BindingsPurpose
eHDSI Procedure . candidate
Absent or Unknown Procedures - IPS candidate
ObligationsActor
SHALL:populate-if-known Producer (IPS) from Procedure (IPS)
SHALL:handle Consumer (IPS) from Procedure (IPS)
SHOULD:display Consumer (IPS) from Procedure (IPS)
... subject SOΣ 1..1 Reference(Patient (EPS)) Who the procedure was performed on
ObligationsActor
SHALL:populate-if-known Producer (IPS) from Procedure (IPS)
SHALL:handle Consumer (IPS) from Procedure (IPS)
SHOULD:display Consumer (IPS) from Procedure (IPS)
.... 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 SOΣC 1..1 string Literal reference, Relative, internal or absolute URL
ObligationsActor
SHALL:populate-if-known Producer (IPS) from Procedure (IPS)
SHALL:handle Consumer (IPS) from Procedure (IPS)
SHOULD:display Consumer (IPS) from Procedure (IPS)
.... 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
... Slices for performed[x] SOΣ 1..1 When the procedure was performed
Slice: Unordered, Closed by type:$this
ObligationsActor
SHALL:populate-if-known Producer (IPS) from Procedure (IPS)
SHALL:handle Consumer (IPS) from Procedure (IPS)
SHOULD:display Consumer (IPS) from Procedure (IPS)
.... performed[x]:All Slices Content/Rules for all slices
..... performed[x]All Types Content/Rules for all Types
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... extension:data-absent-reason 0..1 code performed[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
.... performedDateTime dateTime
.... performedPeriod Period
.... performedString string
.... performedAge Age
.... performedRange Range
.... performed[x]:performedDateTime SOΣ 0..1 dateTime When the procedure was performed
ObligationsActor
SHOULD:populate-if-known Producer (IPS) from Procedure (IPS)
SHALL:handle Consumer (IPS) from Procedure (IPS)
SHOULD:display Consumer (IPS) from Procedure (IPS)
... 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 - Performer or Observer (IPS)(2.0.0) | Patient (EPS) | 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 (EPS) | Observation | Procedure (EPS) | DiagnosticReport | DocumentReference) The justification that the procedure was performed
... bodySite Σ 0..* CodeableConceptIPS(2.0.0) 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) 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 (EPS)) 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

PathConformanceValueSetURI
Procedure.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
From the FHIR Standard
Procedure.statusReasonexampleProcedureNotPerformedReason(SNOMED-CT)
http://hl7.org/fhir/ValueSet/procedure-not-performed-reason
From the FHIR Standard
Procedure.categoryexampleProcedureCategoryCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-category
From the FHIR Standard
Procedure.codepreferredProceduresUvIps
http://hl7.org/fhir/uv/ips/ValueSet/procedures-uv-ips
Procedure.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
Procedure.performer.functionexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
From the FHIR Standard
Procedure.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
From the FHIR Standard
Procedure.bodySitepreferredSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
From the FHIR Standard
Procedure.outcomeexampleProcedureOutcomeCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-outcome
From the FHIR Standard
Procedure.complicationexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
From the FHIR Standard
Procedure.followUpexampleProcedureFollowUpCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-followup
From the FHIR Standard
Procedure.focalDevice.actionpreferredProcedureDeviceActionCodes
http://hl7.org/fhir/ValueSet/device-action
From the FHIR Standard
Procedure.usedCodeexampleFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorProcedureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorProcedureIf 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-4errorProcedureIf 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-5errorProcedureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceProcedureA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

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