HL7 Europe Patient Summary
1.0.0-ci-build - ci-build
150
HL7 Europe Patient Summary
1.0.0-ci-build - 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 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/eps/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.eu/fhir/eps/StructureDefinition/procedure-eu-eps | Version: 1.0.0-ci-build | |||
| Standards status: Draft | Maturity Level: 1 | 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:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
  Procedure |
0..* | ProcedureEuCore | An action that is being or was performed on a patient This profile also imposes the profile Procedure (IPS) | |||||||||
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
  Slices for extension |
Content/Rules for all slices | |||||||||||
   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 | |||||||||
 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 | |||||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| status |
?!Σ | 1..1 | code | The status of the procedure Binding: EventStatus (required): A code specifying the state of the procedure. | ||||||||
 code |
OΣ | 1..1 | CodeableConceptIPS | Identification of the procedure Binding: Procedures - IPS (preferred)
| ||||||||
| subject |
OΣ | 1..1 | Reference(Patient (EU core)) | Who the procedure was performed on
| ||||||||
 reference |
OΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
| Slices for performed[x] |
OΣ | 1..1 | When the procedure was performed Slice: Unordered, Open by type:$this
| |||||||||
 performedDateTime |
dateTime | |||||||||||
| performedPeriod |
Period | |||||||||||
| performedString |
string | |||||||||||
| performedAge |
Age | |||||||||||
| performedRange |
Range | |||||||||||
| performed[x]:performedDateTime |
OΣ | 0..1 | dateTime | When the procedure was performed
| ||||||||
| reasonReference |
Σ | 0..* | Reference(Condition (EU core) | Observation | Procedure (EPS) | DiagnosticReport (EU core) | DocumentReference) | Why the procedure was performed (details) | ||||||||
| Documentation for this format | ||||||||||||
| 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 v2.0 |
| 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 ProcedureEuCore
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Procedure |
0..* | ProcedureEuCore | An action that is being or was performed on a patient This profile also imposes the profile Procedure (IPS) | |||||||||
| 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.
| |||||||||
| 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 | |||||||||
| 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 | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
Σ | 0..* | Identifier | Identifier for the procedure | ||||||||
| instantiatesCanonical |
Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||||||
| basedOn |
Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | ||||||||
| partOf |
Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | ||||||||
| status |
?!Σ | 1..1 | code | The status of the procedure 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 |
OΣ | 1..1 | CodeableConceptIPS | Identification of the procedure Binding: Procedures - IPS (preferred)
| ||||||||
| subject |
OΣ | 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 |
OΣC | 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 | ||||||||
| Slices for performed[x] |
OΣ | 1..1 | When the procedure was performed Slice: Unordered, Open by type:$this
| |||||||||
| performedDateTime |
dateTime | |||||||||||
| performedPeriod |
Period | |||||||||||
| performedString |
string | |||||||||||
| performedAge |
Age | |||||||||||
| performedRange |
Range | |||||||||||
| performed[x]:performedDateTime |
OΣ | 0..1 | dateTime | When the procedure was performed
| ||||||||
| 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) | 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 (EU core) | Observation | Procedure (EPS) | DiagnosticReport (EU core) | DocumentReference) | Why the procedure was performed (details) | ||||||||
| bodySite |
Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (preferred) | ||||||||
| 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:bodySite |
0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite | |||||||||
 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/bodySite" | |||||||||
| value[x] |
1..1 | Reference(BodyStructure (EU core)) | Value of extension | |||||||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||||||
| 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)) | 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 (EU core) | Substance) | Items used during procedure | |||||||||
| usedCode |
0..* | CodeableConcept | Device used to perform the procedure (code) Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |||||||||
| Documentation for this format | ||||||||||||
| 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 v2.0 |
| 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. |
| 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 ProcedureEuCore
Summary
Mandatory: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 1
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Procedure |
0..* | ProcedureEuCore | An action that is being or was performed on a patient This profile also imposes the profile Procedure (IPS) | |||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| 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 | |||||||||
| 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 | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| status |
?!Σ | 1..1 | code | The status of the procedure Binding: EventStatus (required): A code specifying the state of the procedure. | ||||||||
| code |
OΣ | 1..1 | CodeableConceptIPS | Identification of the procedure Binding: Procedures - IPS (preferred)
| ||||||||
| subject |
OΣ | 1..1 | Reference(Patient (EU core)) | Who the procedure was performed on
| ||||||||
| reference |
OΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
| Slices for performed[x] |
OΣ | 1..1 | When the procedure was performed Slice: Unordered, Open by type:$this
| |||||||||
| performedDateTime |
dateTime | |||||||||||
| performedPeriod |
Period | |||||||||||
| performedString |
string | |||||||||||
| performedAge |
Age | |||||||||||
| performedRange |
Range | |||||||||||
| performed[x]:performedDateTime |
OΣ | 0..1 | dateTime | When the procedure was performed
| ||||||||
| reasonReference |
Σ | 0..* | Reference(Condition (EU core) | Observation | Procedure (EPS) | DiagnosticReport (EU core) | DocumentReference) | Why the procedure was performed (details) | ||||||||
| Documentation for this format | ||||||||||||
| 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 v2.0 |
| 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 ProcedureEuCore
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Procedure |
ProcedureEuCore | This profile also imposes the profile Procedure (IPS) | ||||||||||
 status |
1..1 | code | The status of the procedure | |||||||||
| code |
O | 1..1 | CodeableConceptIPS | Identification of the procedure
| ||||||||
| subject |
O | 1..1 | Reference(Patient (EU core)) | Who the procedure was performed on
| ||||||||
| reference |
O | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
| Slices for performed[x] |
O | 1..1 | dateTime, Period, string, Age, Range | When the procedure was performed Slice: Unordered, Open by type:$this
| ||||||||
| performed[x]:performedDateTime |
O | 0..1 | dateTime | When the procedure was performed
| ||||||||
| performer |
||||||||||||
| actor |
1..1 | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Device - Performer or Observer (IPS) | Patient (EPS) | RelatedPerson | Organization (EU core)) | The reference to the practitioner | |||||||||
| reasonReference |
0..* | Reference(Condition (EU core) | Observation | Procedure (EPS) | DiagnosticReport (EU core) | DocumentReference) | Why the procedure was performed (details) | |||||||||
| Documentation for this format | ||||||||||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Procedure |
0..* | ProcedureEuCore | An action that is being or was performed on a patient This profile also imposes the profile Procedure (IPS) | |||||||||
| 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.
| |||||||||
| 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 | |||||||||
| 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 | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
Σ | 0..* | Identifier | Identifier for the procedure | ||||||||
| instantiatesCanonical |
Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||||||
| basedOn |
Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | ||||||||
| partOf |
Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | ||||||||
| status |
?!Σ | 1..1 | code | The status of the procedure 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 |
OΣ | 1..1 | CodeableConceptIPS | Identification of the procedure Binding: Procedures - IPS (preferred)
| ||||||||
| subject |
OΣ | 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 |
OΣC | 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 | ||||||||
| Slices for performed[x] |
OΣ | 1..1 | When the procedure was performed Slice: Unordered, Open by type:$this
| |||||||||
| performedDateTime |
dateTime | |||||||||||
| performedPeriod |
Period | |||||||||||
| performedString |
string | |||||||||||
| performedAge |
Age | |||||||||||
| performedRange |
Range | |||||||||||
| performed[x]:performedDateTime |
OΣ | 0..1 | dateTime | When the procedure was performed
| ||||||||
| 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) | 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 (EU core) | Observation | Procedure (EPS) | DiagnosticReport (EU core) | DocumentReference) | Why the procedure was performed (details) | ||||||||
| bodySite |
Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (preferred) | ||||||||
| 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:bodySite |
0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite | |||||||||
| 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/bodySite" | |||||||||
| value[x] |
1..1 | Reference(BodyStructure (EU core)) | Value of extension | |||||||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||||||
| 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)) | 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 (EU core) | Substance) | Items used during procedure | |||||||||
| usedCode |
0..* | CodeableConcept | Device used to perform the procedure (code) Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |||||||||
| Documentation for this format | ||||||||||||
| 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 v2.0 |
| 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. |
| 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 ProcedureEuCore
Summary
Mandatory: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron
IG © 2024+ HL7 Europe. Package hl7.fhir.eu.eps#1.0.0-ci-build based on FHIR 4.0.1. Generated 2026-01-30
