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: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0). |
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This profile constrains the Procedure resource in the scope of the European Patient Summary.
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 |
0..1 | uri | A set of rules under which this content was created | |||||||||
  Slices for extension |
Content/Rules for all slices | |||||||||||
   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 |
1..1 | code | The status of the procedure Binding: EventStatus (required): A code specifying the state of the procedure. | |||||||||
 code |
1..1 | CodeableConceptIPS | Identification of the procedure Binding: Procedures - IPS (preferred)
| |||||||||
 subject |
1..1 | Reference(Patient (EU core)) | Who the procedure was performed on
| |||||||||
 reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
| Slices for performed[x] |
1..1 | When the procedure was performed Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||||||||||
 performedDateTime |
dateTime | |||||||||||
| performedPeriod |
Period | |||||||||||
| performedString |
string | |||||||||||
| performedAge |
Age | |||||||||||
| performedRange |
Range | |||||||||||
| performed[x]:performedDateTime |
0..1 | dateTime | When the procedure was performed
| |||||||||
| reasonReference |
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 | 📦2.0.1 | 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 | Procedure.extension:recorded, Procedure.modifierExtension | 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 |
0..1 | id | Logical id of this artifact | |||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
| language |
0..1 | code | Language of the procedure Binding: CommonLanguages (preferred): A human language.
| |||||||||
| 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 | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
 Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| 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 |
0..* | Identifier | Identifier for the procedure | |||||||||
| instantiatesCanonical |
0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | |||||||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||||||
| basedOn |
0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | |||||||||
| partOf |
0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | |||||||||
| status |
1..1 | code | The status of the procedure Binding: EventStatus (required): A code specifying the state of the procedure. | |||||||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | |||||||||
| category |
0..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. | |||||||||
| code |
1..1 | CodeableConceptIPS | Identification of the procedure Binding: Procedures - IPS (preferred)
| |||||||||
| subject |
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 |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| encounter |
0..1 | Reference(Encounter) | Encounter created as part of | |||||||||
| Slices for performed[x] |
1..1 | When the procedure was performed Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||||||||||
| performedDateTime |
dateTime | |||||||||||
| performedPeriod |
Period | |||||||||||
| performedString |
string | |||||||||||
| performedAge |
Age | |||||||||||
| performedRange |
Range | |||||||||||
| performed[x]:performedDateTime |
0..1 | dateTime | When the procedure was performed
| |||||||||
| recorder |
0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | The person or organization who recorded the procedure | |||||||||
| asserter |
0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | The person or organization who asserts the procedure | |||||||||
| performer |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| function |
0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | |||||||||
| 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 | |||||||||
| onBehalfOf |
0..1 | Reference(Organization (EU core)) | Organization the device or practitioner was acting for | |||||||||
| location |
0..1 | Reference(Location) | Where the procedure happened | |||||||||
| reasonCode |
0..* | CodeableConcept | Why the procedure was performed (code) Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | |||||||||
| reasonReference |
0..* | Reference(Condition (EU core) | Observation | Procedure (EPS) | DiagnosticReport (EU core) | DocumentReference) | Why the procedure was performed (details) | |||||||||
| bodySite |
C | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (preferred) Constraints: eu-bodysite-1 | ||||||||
| 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 | string | 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 |
0..* | Coding | Code defined by a terminology system | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| outcome |
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 |
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 | 📦2.0.1 | 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())
|
| 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
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 |
0..1 | uri | A set of rules under which this content was created | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| 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 |
1..1 | code | The status of the procedure Binding: EventStatus (required): A code specifying the state of the procedure. | |||||||||
| code |
1..1 | CodeableConceptIPS | Identification of the procedure Binding: Procedures - IPS (preferred)
| |||||||||
| subject |
1..1 | Reference(Patient (EU core)) | Who the procedure was performed on
| |||||||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
| Slices for performed[x] |
1..1 | When the procedure was performed Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||||||||||
| performedDateTime |
dateTime | |||||||||||
| performedPeriod |
Period | |||||||||||
| performedString |
string | |||||||||||
| performedAge |
Age | |||||||||||
| performedRange |
Range | |||||||||||
| performed[x]:performedDateTime |
0..1 | dateTime | When the procedure was performed
| |||||||||
| reasonReference |
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 | 📦2.0.1 | 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 | Procedure.extension:recorded, Procedure.modifierExtension | 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 |
1..1 | CodeableConceptIPS | Identification of the procedure
| |||||||||
| subject |
1..1 | Reference(Patient (EU core)) | Who the procedure was performed on
| |||||||||
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL
| |||||||||
| Slices for performed[x] |
1..1 | dateTime, Period, string, Age, Range | When the procedure was performed Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | |||||||||
| performed[x]:performedDateTime |
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 |
0..1 | id | Logical id of this artifact | |||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
| language |
0..1 | code | Language of the procedure Binding: CommonLanguages (preferred): A human language.
| |||||||||
| 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 | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| 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 |
0..* | Identifier | Identifier for the procedure | |||||||||
| instantiatesCanonical |
0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | |||||||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||||||
| basedOn |
0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | |||||||||
| partOf |
0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | |||||||||
| status |
1..1 | code | The status of the procedure Binding: EventStatus (required): A code specifying the state of the procedure. | |||||||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | |||||||||
| category |
0..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. | |||||||||
| code |
1..1 | CodeableConceptIPS | Identification of the procedure Binding: Procedures - IPS (preferred)
| |||||||||
| subject |
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 |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| encounter |
0..1 | Reference(Encounter) | Encounter created as part of | |||||||||
| Slices for performed[x] |
1..1 | When the procedure was performed Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||||||||||
| performedDateTime |
dateTime | |||||||||||
| performedPeriod |
Period | |||||||||||
| performedString |
string | |||||||||||
| performedAge |
Age | |||||||||||
| performedRange |
Range | |||||||||||
| performed[x]:performedDateTime |
0..1 | dateTime | When the procedure was performed
| |||||||||
| recorder |
0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | The person or organization who recorded the procedure | |||||||||
| asserter |
0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | The person or organization who asserts the procedure | |||||||||
| performer |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| function |
0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | |||||||||
| 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 | |||||||||
| onBehalfOf |
0..1 | Reference(Organization (EU core)) | Organization the device or practitioner was acting for | |||||||||
| location |
0..1 | Reference(Location) | Where the procedure happened | |||||||||
| reasonCode |
0..* | CodeableConcept | Why the procedure was performed (code) Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | |||||||||
| reasonReference |
0..* | Reference(Condition (EU core) | Observation | Procedure (EPS) | DiagnosticReport (EU core) | DocumentReference) | Why the procedure was performed (details) | |||||||||
| bodySite |
C | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (preferred) Constraints: eu-bodysite-1 | ||||||||
| 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 | string | 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 |
0..* | Coding | Code defined by a terminology system | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| outcome |
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 |
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 | 📦2.0.1 | 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())
|
| 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
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 2026-10-16
