Profile Comparison between http://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ips vs http://hl7.eu/fhir/eps/StructureDefinition/procedure-eu-eps

Left:Procedure (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ips)
Right:Procedure (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/procedure-eu-eps)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ips' vs 'http://hl7.eu/fhir/eps/StructureDefinition/procedure-eu-eps'
ErrorStructureDefinition.versionValues for version differ: '2.0.1' vs '1.0.0-ci-build'
InformationStructureDefinition.nameValues for name differ: 'ProcedureUvIps' vs 'ProcedureEuEps'
InformationStructureDefinition.titleValues for title differ: 'Procedure (IPS)' vs 'Procedure (EPS)'
InformationStructureDefinition.statusValues for status differ: 'active' vs 'draft'
InformationStructureDefinition.dateValues for date differ: '2024-06-19T10:50:07-05:00' vs '2026-10-23T17:28:46+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International / Patient Care' vs 'HL7 Europe'
InformationStructureDefinition.jurisdictionRemoved the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
InformationStructureDefinition.jurisdictionAdded the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
ErrorStructureDefinition.baseDefinitionValues for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1' vs 'http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core'
InformationStructureDefinition.shortValues for short differ: 'Language of the resource content' vs 'Language of the procedure'
InformationStructureDefinition.shortValues for short differ: 'Text summary of the resource, for human interpretation' vs 'Textual representation of the procedure'
InformationStructureDefinition.shortValues for short differ: 'Additional content defined by implementations' vs 'Extension'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
InformationStructureDefinition.shortValues for short differ: 'External Identifiers for this procedure' vs 'Identifier for the procedure'
InformationStructureDefinition.shortValues for short differ: 'preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown' vs 'The status of the procedure'
WarningProcedure.codeElements differ in definition for mustSupport: 'true' vs 'false'
InformationProcedure.codeExample/preferred bindings differ at Procedure.code using binding from ProcedureUvIps
InformationStructureDefinition.definitionValues for definition differ: 'The person on which the procedure was performed.' vs 'The person, animal or group on which the procedure was performed.'
WarningProcedure.subjectElements differ in definition for mustSupport: 'true' vs 'false'
WarningProcedure.subject.referenceElements differ in definition for mustSupport: 'true' vs 'false'
WarningProcedure.performed[x]Elements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'Who recorded the procedure' vs 'The person or organization who recorded the procedure'
InformationStructureDefinition.shortValues for short differ: 'Person who asserts this procedure' vs 'The person or organization who asserts the procedure'
ErrorProcedure.performer.actorType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips|2.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1], CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/Device-observer-uv-ips|2.0.1], CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/Practitioner-uv-ips|2.0.1], CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/PractitionerRole-uv-ips|2.0.1], CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/Organization-uv-ips|2.0.1]]) vs Reference([CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core], CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/Device-observer-uv-ips], CanonicalType[http://hl7.eu/fhir/eps/StructureDefinition/patient-eu-eps], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core]])
InformationStructureDefinition.shortValues for short differ: 'Coded reason procedure performed' vs 'Why the procedure was performed (code)'
InformationStructureDefinition.shortValues for short differ: 'The justification that the procedure was performed' vs 'Why the procedure was performed (details)'
InformationStructureDefinition.definitionValues for definition differ: 'Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion.' vs 'Anatomical location which is the focus of the problem.'
InformationProcedure.bodySiteExample/preferred bindings differ at Procedure.bodySite using binding from ProcedureUvIps
InformationStructureDefinition.shortValues for short differ: 'The result of procedure' vs 'Outcome of the procedure'
InformationStructureDefinition.shortValues for short differ: 'Complication following the procedure' vs 'Complications that occurred during the procedure (code)'
InformationStructureDefinition.shortValues for short differ: 'A condition that is a result of the procedure' vs 'Complications that occurred during the procedure (details)'
InformationStructureDefinition.shortValues for short differ: 'Additional information about the procedure' vs 'Additional information about the procedure.'
InformationStructureDefinition.shortValues for short differ: 'Manipulated, implanted, or removed device' vs 'Device implanted, removed or otherwise manipulated'
InformationStructureDefinition.shortValues for short differ: 'Coded items used during the procedure' vs 'Device used to perform the procedure (code)'

Metadata

NameValueComments
abstractfalse
    baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Procedure|4.0.1http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core
    • Values Differ
    copyrightCopyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).
    • Added the item 'Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).'
    date2024-06-19T10:50:07-05:002026-10-23T17:28:46+00:00
    • Values Differ
    descriptionThis profile represents the constraints applied to the Procedure resource by the IPS project, which specifies an entry of the History of Procedure for the international patient summary based on the FHIR standard R4.This profile constrains the Procedure resource in the scope of the European Patient Summary.
    • Values Differ
    experimental
      fhirVersion4.0.1
        jurisdiction
          jurisdiction / jurisdiction[0]http://unstats.un.org/unsd/methods/m49/m49.htm#001
          • Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
          jurisdiction / jurisdiction[1]http://unstats.un.org/unsd/methods/m49/m49.htm#150
          • Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
          kindresource
            nameProcedureUvIpsProcedureEuEps
            • Values Differ
            publisherHL7 International / Patient CareHL7 Europe
            • Values Differ
            purpose
              statusactivedraft
              • Values Differ
              titleProcedure (IPS)Procedure (EPS)
              • Values Differ
              typeProcedure
                urlhttp://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ipshttp://hl7.eu/fhir/eps/StructureDefinition/procedure-eu-eps
                • Values Differ
                version2.0.11.0.0-ci-build
                • Values Differ

                Structure

                NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                Procedure 0..*Procedure(4.0.1)An action that is being or was performed on a patient
                0..*ProcedureEuCoreAn action that is being or was performed on a patient
                This profile also imposes the profile Procedure (IPS)
                  Procedure.id This element is included in summaries. 0..1idLogical id of this artifact This element is included in summaries. 0..1idLogical id of this artifact
                    Procedure.meta This element is included in summaries. 0..1MetaMetadata about the resource This element is included in summaries. 0..1MetaMetadata about the resource
                      Procedure.implicitRules This element is a modifier element. This element is included in summaries. 0..1uriA set of rules under which this content was created This element is a modifier element. This element is included in summaries. 0..1uriA set of rules under which this content was created
                        Procedure.language 0..1codeLanguage of the resource content
                        Binding: ?? (preferred): A human language.
                        Additional BindingsPurpose
                        ??Max Binding
                        0..1codeLanguage of the procedure
                        Binding: ?? (preferred): A human language.
                        Additional BindingsPurpose
                        ??Max Binding
                          Procedure.text 0..1NarrativeText summary of the resource, for human interpretation
                          This profile does not constrain the narrative in regard to content, language, or traceability to data elements
                          0..1NarrativeTextual representation of the procedure
                          This profile does not constrain the narrative in regard to content, language, or traceability to data elements
                            Procedure.contained 0..*ResourceContained, inline Resources
                            0..*ResourceContained, inline Resources
                              Procedure.extension 0..*ExtensionAdditional content defined by implementations
                              0..*ExtensionExtension
                              Slice: Unordered, Open by value:url
                                Procedure.modifierExtension This element is a modifier element. 0..*ExtensionExtensions that cannot be ignored
                                This element is a modifier element. 0..*ExtensionExtensions that cannot be ignored
                                  Procedure.identifier This element is included in summaries. 0..*IdentifierExternal Identifiers for this procedure
                                  This element is included in summaries. 0..*IdentifierIdentifier for the procedure
                                    Procedure.instantiatesCanonical This element is included in summaries. 0..*canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)Instantiates FHIR protocol or definition
                                    This element is included in summaries. 0..*canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)Instantiates FHIR protocol or definition
                                      Procedure.instantiatesUri This element is included in summaries. 0..*uriInstantiates external protocol or definition
                                      This element is included in summaries. 0..*uriInstantiates external protocol or definition
                                        Procedure.basedOn This element is included in summaries. 0..*Reference(CarePlan | ServiceRequest)A request for this procedure
                                        This element is included in summaries. 0..*Reference(CarePlan | ServiceRequest)A request for this procedure
                                          Procedure.partOf This element is included in summaries. 0..*Reference(Procedure | Observation | MedicationAdministration)Part of referenced event
                                          This element is included in summaries. 0..*Reference(Procedure | Observation | MedicationAdministration)Part of referenced event
                                            Procedure.status This element is a modifier element. This element is included in summaries. 1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
                                            Binding: ?? (required): A code specifying the state of the procedure.
                                            This element is a modifier element. This element is included in summaries. 1..1codeThe status of the procedure
                                            Binding: ?? (required): A code specifying the state of the procedure.
                                              Procedure.statusReason This element is included in summaries. 0..1CodeableConceptReason for current status
                                              Binding: ?? (example): A code that identifies the reason a procedure was not performed.
                                              This element is included in summaries. 0..1CodeableConceptReason for current status
                                              Binding: ?? (example): A code that identifies the reason a procedure was not performed.
                                                Procedure.category This element is included in summaries. 0..1CodeableConceptClassification of the procedure
                                                Binding: ?? (example): A code that classifies a procedure for searching, sorting and display purposes.
                                                This element is included in summaries. 0..1CodeableConceptClassification of the procedure
                                                Binding: ?? (example): A code that classifies a procedure for searching, sorting and display purposes.
                                                  Procedure.code This element has obligations and must be supported. This element is included in summaries. 1..1?? The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as wellIdentification of the procedure
                                                  Binding: ?? (preferred): SNOMED CT procedure code set or a code for absent/unknown procedure
                                                  ObligationsActor
                                                  SHALL:populate-if-knownCreator (IPS)
                                                  SHALL:handleConsumer (IPS)
                                                  SHOULD:displayConsumer (IPS)
                                                  This element has obligations. This element is included in summaries. 1..1??Identification of the procedure
                                                  Binding: ?? (preferred)
                                                  ObligationsActor
                                                  SHALL:populate-if-knownCreator (IPS)
                                                  SHALL:handleConsumer (IPS)
                                                  SHOULD:displayConsumer (IPS)
                                                  • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                  • Example/preferred bindings differ at Procedure.code using binding from ProcedureUvIps
                                                  Procedure.subject This element has obligations and must be supported. This element is included in summaries. 1..1Reference(Patient (IPS)(2.0.1))Who the procedure was performed on
                                                  ObligationsActor
                                                  SHALL:populate-if-knownCreator (IPS)
                                                  SHALL:handleConsumer (IPS)
                                                  SHOULD:displayConsumer (IPS)
                                                  This element has obligations. This element is included in summaries. 1..1Reference(Patient (EU core))Who the procedure was performed on
                                                  ObligationsActor
                                                  SHALL:populate-if-knownCreator (IPS)
                                                  SHALL:handleConsumer (IPS)
                                                  SHOULD:displayConsumer (IPS)
                                                  • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                  Procedure.subject.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                    Procedure.subject.Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                    Slice: Unordered, Open by value:url
                                                    0..*ExtensionAdditional content defined by implementations
                                                    Slice: Unordered, Open by value:url
                                                      Procedure.subject.reference This element has obligations and must be supported. This element is included in summaries. C1..1stringLiteral reference, Relative, internal or absolute URL
                                                      ObligationsActor
                                                      SHALL:populate-if-knownCreator (IPS)
                                                      SHALL:handleConsumer (IPS)
                                                      This element has obligations. This element is included in summaries. C1..1stringLiteral reference, Relative, internal or absolute URL
                                                      ObligationsActor
                                                      SHALL:populate-if-knownCreator (IPS)
                                                      SHALL:handleConsumer (IPS)
                                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                      Procedure.subject.type This element is included in summaries. 0..1uriType the reference refers to (e.g. "Patient")
                                                      Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
                                                      This element is included in summaries. 0..1uriType the reference refers to (e.g. "Patient")
                                                      Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
                                                        Procedure.subject.identifier This element is included in summaries. 0..1IdentifierLogical reference, when literal reference is not known This element is included in summaries. 0..1IdentifierLogical reference, when literal reference is not known
                                                          Procedure.subject.display This element is included in summaries. 0..1stringText alternative for the resource This element is included in summaries. 0..1stringText alternative for the resource
                                                            Procedure.encounter This element is included in summaries. 0..1Reference(Encounter)Encounter created as part of This element is included in summaries. 0..1Reference(Encounter)Encounter created as part of
                                                              Procedure.Slices for performed[x] This element has obligations and must be supported. This element is included in summaries. 1..1dateTime, Period, string, Age, RangeWhen the procedure was performed
                                                              Slice: Unordered, Open by type:$this
                                                              ObligationsActor
                                                              SHALL:populate-if-knownCreator (IPS)
                                                              SHALL:handleConsumer (IPS)
                                                              SHOULD:displayConsumer (IPS)

                                                              Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
                                                              This element has obligations. This element is included in summaries. 1..1dateTime, Period, string, Age, RangeWhen the procedure was performed
                                                              Slice: Unordered, Closed by type:$this
                                                              ObligationsActor
                                                              SHALL:populate-if-knownCreator (IPS)
                                                              SHALL:handleConsumer (IPS)
                                                              SHOULD:displayConsumer (IPS)

                                                              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
                                                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                              Procedure.recorder This element is included in summaries. 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Who recorded the procedure This element is included in summaries. 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)The person or organization who recorded the procedure
                                                                Procedure.asserter This element is included in summaries. 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Person who asserts this procedure This element is included in summaries. 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)The person or organization who asserts the procedure
                                                                  Procedure.performer This element is included in summaries. 0..*BackboneElementThe people who performed the procedure
                                                                  This element is included in summaries. 0..*BackboneElementThe people who performed the procedure
                                                                    Procedure.performer.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                      Procedure.performer.extension 0..*ExtensionAdditional content defined by implementations
                                                                      0..*ExtensionAdditional content defined by implementations
                                                                        Procedure.performer.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                        This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                          Procedure.performer.function This element is included in summaries. 0..1CodeableConceptType of performance
                                                                          Binding: ?? (example): A code that identifies the role of a performer of the procedure.
                                                                          This element is included in summaries. 0..1CodeableConceptType of performance
                                                                          Binding: ?? (example): A code that identifies the role of a performer of the procedure.
                                                                            Procedure.performer.actor This element is included in summaries. 1..1Reference(Patient (IPS)(2.0.1) | RelatedPerson | Device - Performer or Observer (IPS)(2.0.1) | Practitioner (IPS)(2.0.1) | PractitionerRole (IPS)(2.0.1) | Organization (IPS)(2.0.1))The reference to the practitioner This element is included in summaries. 1..1Reference(PractitionerRole (EU core) | Practitioner (EU core) | Device - Performer or Observer (IPS) | Patient (EPS) | RelatedPerson | Organization (EU core))The reference to the practitioner
                                                                            • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips|2.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1], CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/Device-observer-uv-ips|2.0.1], CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/Practitioner-uv-ips|2.0.1], CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/PractitionerRole-uv-ips|2.0.1], CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/Organization-uv-ips|2.0.1]]) vs Reference([CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core], CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/Device-observer-uv-ips], CanonicalType[http://hl7.eu/fhir/eps/StructureDefinition/patient-eu-eps], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core]])
                                                                            Procedure.performer.onBehalfOf 0..1Reference(Organization (IPS)(2.0.1))Organization the device or practitioner was acting for0..1Reference(Organization (EU core))Organization the device or practitioner was acting for
                                                                              Procedure.location This element is included in summaries. 0..1Reference(Location)Where the procedure happened This element is included in summaries. 0..1Reference(Location)Where the procedure happened
                                                                                Procedure.reasonCode This element is included in summaries. 0..*CodeableConceptCoded reason procedure performed
                                                                                Binding: ?? (example): A code that identifies the reason a procedure is required.
                                                                                This element is included in summaries. 0..*CodeableConceptWhy the procedure was performed (code)
                                                                                Binding: ?? (example): A code that identifies the reason a procedure is required.
                                                                                  Procedure.reasonReference This element is included in summaries. 0..*Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)The justification that the procedure was performed
                                                                                  This element is included in summaries. 0..*Reference(Condition (EU core) | Observation | Procedure (EPS) | DiagnosticReport (EU core) | DocumentReference)Why the procedure was performed (details)
                                                                                    Procedure.bodySite This element is included in summaries. 0..*CodeableConceptTarget body sites
                                                                                    Binding: ?? (preferred)
                                                                                    This element is included in summaries. C0..*CodeableConceptTarget body sites
                                                                                    Binding: ?? (preferred)
                                                                                    • Example/preferred bindings differ at Procedure.bodySite using binding from ProcedureUvIps
                                                                                    Procedure.bodySite.id 0..1stringUnique id for inter-element referencing
                                                                                    • Added this element
                                                                                    Procedure.bodySite.Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                                    Slice: Unordered, Open by value:url
                                                                                    • Added this element
                                                                                    Procedure.bodySite.coding This element is included in summaries. 0..*CodingCode defined by a terminology system
                                                                                    • Added this element
                                                                                    Procedure.bodySite.text This element is included in summaries. 0..1stringPlain text representation of the concept
                                                                                    • Added this element
                                                                                    Procedure.outcome This element is included in summaries. 0..1CodeableConceptThe result of procedure
                                                                                    Binding: ?? (example): An outcome of a procedure - whether it was resolved or otherwise.
                                                                                    This element is included in summaries. 0..1CodeableConceptOutcome of the procedure
                                                                                    Binding: ?? (example): An outcome of a procedure - whether it was resolved or otherwise.
                                                                                      Procedure.report 0..*Reference(DiagnosticReport | DocumentReference | Composition)Any report resulting from the procedure
                                                                                      0..*Reference(DiagnosticReport | DocumentReference | Composition)Any report resulting from the procedure
                                                                                        Procedure.complication 0..*CodeableConceptComplication following the procedure
                                                                                        Binding: ?? (example): Codes describing complications that resulted from a procedure.
                                                                                        0..*CodeableConceptComplications that occurred during the procedure (code)
                                                                                        Binding: ?? (example): Codes describing complications that resulted from a procedure.
                                                                                          Procedure.complicationDetail 0..*Reference(Condition)A condition that is a result of the procedure
                                                                                          0..*Reference(Condition (EU core))Complications that occurred during the procedure (details)
                                                                                            Procedure.followUp 0..*CodeableConceptInstructions for follow up
                                                                                            Binding: ?? (example): Specific follow up required for a procedure e.g. removal of sutures.
                                                                                            0..*CodeableConceptInstructions for follow up
                                                                                            Binding: ?? (example): Specific follow up required for a procedure e.g. removal of sutures.
                                                                                              Procedure.note 0..*AnnotationAdditional information about the procedure
                                                                                              0..*AnnotationAdditional information about the procedure.
                                                                                                Procedure.focalDevice 0..*BackboneElementManipulated, implanted, or removed device
                                                                                                0..*BackboneElementDevice implanted, removed or otherwise manipulated
                                                                                                  Procedure.focalDevice.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                    Procedure.focalDevice.extension 0..*ExtensionAdditional content defined by implementations
                                                                                                    0..*ExtensionAdditional content defined by implementations
                                                                                                      Procedure.focalDevice.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                      This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                        Procedure.focalDevice.action 0..1CodeableConceptKind of change to device
                                                                                                        Binding: ?? (preferred): A kind of change that happened to the device during the procedure.
                                                                                                        0..1CodeableConceptKind of change to device
                                                                                                        Binding: ?? (preferred): A kind of change that happened to the device during the procedure.
                                                                                                          Procedure.focalDevice.manipulated 1..1Reference(Device)Device that was changed1..1Reference(Device)Device that was changed
                                                                                                            Procedure.usedReference 0..*Reference(Device | Medication | Substance)Items used during procedure
                                                                                                            0..*Reference(Device | Medication (EU core) | Substance)Items used during procedure
                                                                                                              Procedure.usedCode 0..*CodeableConceptCoded items used during the procedure
                                                                                                              Binding: ?? (example): Codes describing items used during a procedure.
                                                                                                              0..*CodeableConceptDevice used to perform the procedure (code)
                                                                                                              Binding: ?? (example): Codes describing items used during a procedure.

                                                                                                                doco Documentation for this format