ImplementationGuide for Malaysia Core (MY Core)
0.0.1 - CI Build
ImplementationGuide for Malaysia Core (MY Core), published by Malaysia Healthcare Nexus (MHN). This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nhphong245/my-core-ig-r4/ and changes regularly. See the Directory of published versions
Official URL: http://fhir.hie.moh.gov.my/StructureDefinition/Procedure-my-core | Version: 0.0.1 | |||
Active as of 2024-03-13 | Responsible: Malaysia Healthcare Nexus (MHN) | Realm: | Computable Name: ProcedureMyCore |
An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like long term services, counseling, or hypnotherapy.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Procedure
Path | Conformance | ValueSet | URI |
Procedure.category | required | ValueSetProcedureCategoryMyCorehttp://fhir.hie.moh.gov.my/ValueSet/procedure-category-my-core from this IG | |
Procedure.code | example | ValueSetProcedureCodeMyCorehttp://fhir.hie.moh.gov.my/ValueSet/procedure-code-my-core from this IG | |
Procedure.performer.function | preferred | ValueSetProcedurePerformerRole (a valid code from CodeSystemProcedurePerformerRole (My Core))http://fhir.hie.moh.gov.my/ValueSet/procedure-performer-role-my-core from this IG | |
Procedure.bodySite:side | example | ValueSetSideMyCorehttp://fhir.hie.moh.gov.my/ValueSet/side-my-core from this IG | |
Procedure.bodySite:site | example | ValueSetSiteMyCorehttp://fhir.hie.moh.gov.my/ValueSet/site-my-core from this IG | |
Procedure.complication | example | ValueSetProcedureComplicationMyCore (a valid code from CodeSystemProcedureComplication (MY Core))http://fhir.hie.moh.gov.my/ValueSet/procedure-complication-my-core from this IG |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | 0..* | Procedure | An action that is being or was performed on a patient | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | Content/Rules for all slices | |||
recorded | 0..1 | dateTime | Extension about the date procedure was recorded URL: http://fhir.hie.moh.gov.my/StructureDefinition/procedure-recorded-my-core | |
primaryDiscipline | 0..1 | CodeableConcept | Extension about the discipline performing the procedure URL: http://fhir.hie.moh.gov.my/StructureDefinition/procedure-primary-discipline-my-core Binding: ValueSetSpecialty (MYCore) (required) | |
sessionType | 0..1 | CodeableConcept | Extension about the type of procedure session URL: http://fhir.hie.moh.gov.my/StructureDefinition/procedure-session-type-my-core Binding: ValueSetProcedureSessionType (MY Core) (required) | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure. |
category | Σ | 1..1 | CodeableConcept | Classification of the procedure Binding: ValueSetProcedureCategory (MY Core) (required) |
code | Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: ValueSetProcedureCode (MY Core) (example) |
subject | Σ | 1..1 | Reference(Patient | Group) | Who the procedure was performed on |
encounter | Σ | 1..1 | Reference(Encounter) | Encounter created as part of |
performed[x] | Σ | 1..1 | When the procedure was performed | |
performedDateTime | dateTime | |||
performedPeriod | Period | |||
performedString | string | |||
performedAge | Age | |||
performedRange | Range | |||
Slices for bodySite | Σ | 0..* | CodeableConcept | Target body sites Slice: Unordered, Open by value:coding.id Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |
bodySite:side | Σ | 0..* | CodeableConcept | Target body sites Binding: ValueSetSide (MY Core) (example) |
bodySite:site | Σ | 0..* | CodeableConcept | Target body sites Binding: ValueSetSite (MY Core) (example) |
complication | 0..* | CodeableConcept | Complication following the procedure Binding: ValueSetProcedureComplication (MY Core) (example) | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Procedure.status | required | EventStatushttp://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard | |
Procedure.category | required | ValueSetProcedureCategoryMyCorehttp://fhir.hie.moh.gov.my/ValueSet/procedure-category-my-core from this IG | |
Procedure.code | example | ValueSetProcedureCodeMyCorehttp://fhir.hie.moh.gov.my/ValueSet/procedure-code-my-core from this IG | |
Procedure.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | |
Procedure.bodySite:side | example | ValueSetSideMyCorehttp://fhir.hie.moh.gov.my/ValueSet/side-my-core from this IG | |
Procedure.bodySite:site | example | ValueSetSiteMyCorehttp://fhir.hie.moh.gov.my/ValueSet/site-my-core from this IG | |
Procedure.complication | example | ValueSetProcedureComplicationMyCore (a valid code from CodeSystemProcedureComplication (MY Core))http://fhir.hie.moh.gov.my/ValueSet/procedure-complication-my-core from this IG |
Id | Grade | Path(s) | Details | Requirements |
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() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Procedure | 0..* | Procedure | An action that is being or was performed on a patient | |||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
recorded | 0..1 | dateTime | Extension about the date procedure was recorded URL: http://fhir.hie.moh.gov.my/StructureDefinition/procedure-recorded-my-core | |||||
primaryDiscipline | 0..1 | CodeableConcept | Extension about the discipline performing the procedure URL: http://fhir.hie.moh.gov.my/StructureDefinition/procedure-primary-discipline-my-core Binding: ValueSetSpecialty (MYCore) (required) | |||||
sessionType | 0..1 | CodeableConcept | Extension about the type of procedure session URL: http://fhir.hie.moh.gov.my/StructureDefinition/procedure-session-type-my-core Binding: ValueSetProcedureSessionType (MY Core) (required) | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | External Identifiers for this procedure | ||||
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | ||||
partOf | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | ||||
status | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure. | ||||
statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | ||||
category | Σ | 1..1 | CodeableConcept | Classification of the procedure Binding: ValueSetProcedureCategory (MY Core) (required) | ||||
code | Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: ValueSetProcedureCode (MY Core) (example) | ||||
subject | Σ | 1..1 | Reference(Patient | Group) | Who the procedure was performed on | ||||
encounter | Σ | 1..1 | Reference(Encounter) | Encounter created as part of | ||||
performed[x] | Σ | 1..1 | When the procedure was performed | |||||
performedDateTime | dateTime | |||||||
performedPeriod | Period | |||||||
performedString | string | |||||||
performedAge | Age | |||||||
performedRange | Range | |||||||
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: ValueSetProcedurePerformerRole (MY Core) (preferred) | ||||
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner | ||||
onBehalfOf | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||
location | Σ | 0..1 | Reference(Location) | Where the procedure happened | ||||
reasonCode | Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
reasonReference | Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed | ||||
Slices for bodySite | Σ | 0..* | CodeableConcept | Target body sites Slice: Unordered, Open by value:coding.id Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
bodySite:side | Σ | 0..* | CodeableConcept | Target body sites Binding: ValueSetSide (MY Core) (example) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
id | 1..1 | string | Unique id for inter-element referencing Fixed Value: side | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 0..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
bodySite:site | Σ | 0..* | CodeableConcept | Target body sites Binding: ValueSetSite (MY Core) (example) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
id | 1..1 | string | Unique id for inter-element referencing Fixed Value: site | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 0..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
outcome | Σ | 0..1 | CodeableConcept | The result of 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 | Complication following the procedure Binding: ValueSetProcedureComplication (MY Core) (example) | |||||
complicationDetail | 0..* | Reference(Condition) | A condition that is a result of the procedure | |||||
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 | Manipulated, implanted, or removed device | |||||
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 | Substance) | Items used during procedure | |||||
usedCode | 0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Procedure.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Procedure.status | required | EventStatushttp://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard | ||||
Procedure.statusReason | example | ProcedureNotPerformedReason(SNOMED-CT)http://hl7.org/fhir/ValueSet/procedure-not-performed-reason from the FHIR Standard | ||||
Procedure.category | required | ValueSetProcedureCategoryMyCorehttp://fhir.hie.moh.gov.my/ValueSet/procedure-category-my-core from this IG | ||||
Procedure.code | example | ValueSetProcedureCodeMyCorehttp://fhir.hie.moh.gov.my/ValueSet/procedure-code-my-core from this IG | ||||
Procedure.performer.function | preferred | ValueSetProcedurePerformerRole (a valid code from CodeSystemProcedurePerformerRole (My Core))http://fhir.hie.moh.gov.my/ValueSet/procedure-performer-role-my-core from this IG | ||||
Procedure.reasonCode | example | ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard | ||||
Procedure.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Procedure.bodySite:side | example | ValueSetSideMyCorehttp://fhir.hie.moh.gov.my/ValueSet/side-my-core from this IG | ||||
Procedure.bodySite:site | example | ValueSetSiteMyCorehttp://fhir.hie.moh.gov.my/ValueSet/site-my-core from this IG | ||||
Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-outcome from the FHIR Standard | ||||
Procedure.complication | example | ValueSetProcedureComplicationMyCore (a valid code from CodeSystemProcedureComplication (MY Core))http://fhir.hie.moh.gov.my/ValueSet/procedure-complication-my-core from this IG | ||||
Procedure.followUp | example | ProcedureFollowUpCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-followup from the FHIR Standard | ||||
Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodeshttp://hl7.org/fhir/ValueSet/device-action from the FHIR Standard | ||||
Procedure.usedCode | example | FHIRDeviceTypeshttp://hl7.org/fhir/ValueSet/device-kind from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
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 Procedure
Summary
Mandatory: 4 elements(2 nested mandatory elements)
Fixed: 2 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Procedure
Path | Conformance | ValueSet | URI |
Procedure.category | required | ValueSetProcedureCategoryMyCorehttp://fhir.hie.moh.gov.my/ValueSet/procedure-category-my-core from this IG | |
Procedure.code | example | ValueSetProcedureCodeMyCorehttp://fhir.hie.moh.gov.my/ValueSet/procedure-code-my-core from this IG | |
Procedure.performer.function | preferred | ValueSetProcedurePerformerRole (a valid code from CodeSystemProcedurePerformerRole (My Core))http://fhir.hie.moh.gov.my/ValueSet/procedure-performer-role-my-core from this IG | |
Procedure.bodySite:side | example | ValueSetSideMyCorehttp://fhir.hie.moh.gov.my/ValueSet/side-my-core from this IG | |
Procedure.bodySite:site | example | ValueSetSiteMyCorehttp://fhir.hie.moh.gov.my/ValueSet/site-my-core from this IG | |
Procedure.complication | example | ValueSetProcedureComplicationMyCore (a valid code from CodeSystemProcedureComplication (MY Core))http://fhir.hie.moh.gov.my/ValueSet/procedure-complication-my-core from this IG |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | 0..* | Procedure | An action that is being or was performed on a patient | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | Content/Rules for all slices | |||
recorded | 0..1 | dateTime | Extension about the date procedure was recorded URL: http://fhir.hie.moh.gov.my/StructureDefinition/procedure-recorded-my-core | |
primaryDiscipline | 0..1 | CodeableConcept | Extension about the discipline performing the procedure URL: http://fhir.hie.moh.gov.my/StructureDefinition/procedure-primary-discipline-my-core Binding: ValueSetSpecialty (MYCore) (required) | |
sessionType | 0..1 | CodeableConcept | Extension about the type of procedure session URL: http://fhir.hie.moh.gov.my/StructureDefinition/procedure-session-type-my-core Binding: ValueSetProcedureSessionType (MY Core) (required) | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure. |
category | Σ | 1..1 | CodeableConcept | Classification of the procedure Binding: ValueSetProcedureCategory (MY Core) (required) |
code | Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: ValueSetProcedureCode (MY Core) (example) |
subject | Σ | 1..1 | Reference(Patient | Group) | Who the procedure was performed on |
encounter | Σ | 1..1 | Reference(Encounter) | Encounter created as part of |
performed[x] | Σ | 1..1 | When the procedure was performed | |
performedDateTime | dateTime | |||
performedPeriod | Period | |||
performedString | string | |||
performedAge | Age | |||
performedRange | Range | |||
Slices for bodySite | Σ | 0..* | CodeableConcept | Target body sites Slice: Unordered, Open by value:coding.id Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |
bodySite:side | Σ | 0..* | CodeableConcept | Target body sites Binding: ValueSetSide (MY Core) (example) |
bodySite:site | Σ | 0..* | CodeableConcept | Target body sites Binding: ValueSetSite (MY Core) (example) |
complication | 0..* | CodeableConcept | Complication following the procedure Binding: ValueSetProcedureComplication (MY Core) (example) | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Procedure.status | required | EventStatushttp://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard | |
Procedure.category | required | ValueSetProcedureCategoryMyCorehttp://fhir.hie.moh.gov.my/ValueSet/procedure-category-my-core from this IG | |
Procedure.code | example | ValueSetProcedureCodeMyCorehttp://fhir.hie.moh.gov.my/ValueSet/procedure-code-my-core from this IG | |
Procedure.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | |
Procedure.bodySite:side | example | ValueSetSideMyCorehttp://fhir.hie.moh.gov.my/ValueSet/side-my-core from this IG | |
Procedure.bodySite:site | example | ValueSetSiteMyCorehttp://fhir.hie.moh.gov.my/ValueSet/site-my-core from this IG | |
Procedure.complication | example | ValueSetProcedureComplicationMyCore (a valid code from CodeSystemProcedureComplication (MY Core))http://fhir.hie.moh.gov.my/ValueSet/procedure-complication-my-core from this IG |
Id | Grade | Path(s) | Details | Requirements |
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() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Procedure | 0..* | Procedure | An action that is being or was performed on a patient | |||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
recorded | 0..1 | dateTime | Extension about the date procedure was recorded URL: http://fhir.hie.moh.gov.my/StructureDefinition/procedure-recorded-my-core | |||||
primaryDiscipline | 0..1 | CodeableConcept | Extension about the discipline performing the procedure URL: http://fhir.hie.moh.gov.my/StructureDefinition/procedure-primary-discipline-my-core Binding: ValueSetSpecialty (MYCore) (required) | |||||
sessionType | 0..1 | CodeableConcept | Extension about the type of procedure session URL: http://fhir.hie.moh.gov.my/StructureDefinition/procedure-session-type-my-core Binding: ValueSetProcedureSessionType (MY Core) (required) | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | External Identifiers for this procedure | ||||
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | ||||
partOf | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | ||||
status | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure. | ||||
statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | ||||
category | Σ | 1..1 | CodeableConcept | Classification of the procedure Binding: ValueSetProcedureCategory (MY Core) (required) | ||||
code | Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: ValueSetProcedureCode (MY Core) (example) | ||||
subject | Σ | 1..1 | Reference(Patient | Group) | Who the procedure was performed on | ||||
encounter | Σ | 1..1 | Reference(Encounter) | Encounter created as part of | ||||
performed[x] | Σ | 1..1 | When the procedure was performed | |||||
performedDateTime | dateTime | |||||||
performedPeriod | Period | |||||||
performedString | string | |||||||
performedAge | Age | |||||||
performedRange | Range | |||||||
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: ValueSetProcedurePerformerRole (MY Core) (preferred) | ||||
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner | ||||
onBehalfOf | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||
location | Σ | 0..1 | Reference(Location) | Where the procedure happened | ||||
reasonCode | Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
reasonReference | Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed | ||||
Slices for bodySite | Σ | 0..* | CodeableConcept | Target body sites Slice: Unordered, Open by value:coding.id Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
bodySite:side | Σ | 0..* | CodeableConcept | Target body sites Binding: ValueSetSide (MY Core) (example) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
id | 1..1 | string | Unique id for inter-element referencing Fixed Value: side | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 0..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
bodySite:site | Σ | 0..* | CodeableConcept | Target body sites Binding: ValueSetSite (MY Core) (example) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
id | 1..1 | string | Unique id for inter-element referencing Fixed Value: site | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 0..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
outcome | Σ | 0..1 | CodeableConcept | The result of 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 | Complication following the procedure Binding: ValueSetProcedureComplication (MY Core) (example) | |||||
complicationDetail | 0..* | Reference(Condition) | A condition that is a result of the procedure | |||||
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 | Manipulated, implanted, or removed device | |||||
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 | Substance) | Items used during procedure | |||||
usedCode | 0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Procedure.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Procedure.status | required | EventStatushttp://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard | ||||
Procedure.statusReason | example | ProcedureNotPerformedReason(SNOMED-CT)http://hl7.org/fhir/ValueSet/procedure-not-performed-reason from the FHIR Standard | ||||
Procedure.category | required | ValueSetProcedureCategoryMyCorehttp://fhir.hie.moh.gov.my/ValueSet/procedure-category-my-core from this IG | ||||
Procedure.code | example | ValueSetProcedureCodeMyCorehttp://fhir.hie.moh.gov.my/ValueSet/procedure-code-my-core from this IG | ||||
Procedure.performer.function | preferred | ValueSetProcedurePerformerRole (a valid code from CodeSystemProcedurePerformerRole (My Core))http://fhir.hie.moh.gov.my/ValueSet/procedure-performer-role-my-core from this IG | ||||
Procedure.reasonCode | example | ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard | ||||
Procedure.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Procedure.bodySite:side | example | ValueSetSideMyCorehttp://fhir.hie.moh.gov.my/ValueSet/side-my-core from this IG | ||||
Procedure.bodySite:site | example | ValueSetSiteMyCorehttp://fhir.hie.moh.gov.my/ValueSet/site-my-core from this IG | ||||
Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-outcome from the FHIR Standard | ||||
Procedure.complication | example | ValueSetProcedureComplicationMyCore (a valid code from CodeSystemProcedureComplication (MY Core))http://fhir.hie.moh.gov.my/ValueSet/procedure-complication-my-core from this IG | ||||
Procedure.followUp | example | ProcedureFollowUpCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-followup from the FHIR Standard | ||||
Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodeshttp://hl7.org/fhir/ValueSet/device-action from the FHIR Standard | ||||
Procedure.usedCode | example | FHIRDeviceTypeshttp://hl7.org/fhir/ValueSet/device-kind from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
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 Procedure
Summary
Mandatory: 4 elements(2 nested mandatory elements)
Fixed: 2 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron