NHS North West Genomics
0.0.8 - ci-build
NHS North West Genomics
0.0.8 - ci-build
NHS North West Genomics, published by NHS North West Genomics. This guide is not an authorized publication; it is the continuous build for version 0.0.8 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nw-gmsa/nw-gmsa.github.com/ and changes regularly. See the Directory of published versions
| Official URL: https://fhir.nwgenomics.nhs.uk/StructureDefinition/Procedure-GenomicStudy | Version: 0.0.8 | |||
| Draft as of 2025-10-30 | Computable Name: ProcedureGenomicStudy | |||
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..* | UKCoreProcedure | 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 | ||||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| status |
?!SΣ | 1..1 | code | A code specifying the state of the procedure. Binding: EventStatus (required): A code specifying the state of the procedure. | ||||||||
 code |
SΣ | 0..1 | CodeableConcept | A code identifying the procedure performed. Binding: UK Core Procedure Code (preferred): A code from the SNOMED Clinical Terminology UK. | ||||||||
   Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||||||
   coding:snomedCT |
SΣ | 1..1 | Coding | Code defined by a terminology system Binding: UK Core Procedure Code (required) | ||||||||
 subject |
SΣ | 1..1 | Reference(Patient | Group) | Who the procedure was performed on. | ||||||||
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| identifier |
Σ | 0..1 | NHSNumber | Logical reference, when literal reference is not known | ||||||||
| encounter |
SΣ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||||||
| identifier |
OΣ | 0..1 | CorrelationIdentifier | Logical reference, when literal reference is not known
| ||||||||
 performed[x] |
SΣ | 0..1 | When the procedure was performed. | |||||||||
| performedDateTime |
dateTime | |||||||||||
| performedPeriod |
Period | |||||||||||
| performedString |
string | |||||||||||
| performedAge |
Age | |||||||||||
| performedRange |
Range | |||||||||||
| reasonCode |
SΣ | 1..* | CodeableConcept | Coded reason procedure performed Binding: Genomic Clinical Indication Codes (preferred) | ||||||||
| outcome |
SΣ | 0..1 | CodeableConcept | The result of procedure Binding: Genomic Test Outcome Codes (required) | ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Procedure.code | Base | preferred | UK Core Procedure Code | 📦2.2.0 | fhir.r4.ukcore.stu3.currentbuild v0.0 |
| Procedure.code.coding:snomedCT | Base | required | UK Core Procedure Code | 📦2.2.0 | fhir.r4.ukcore.stu3.currentbuild v0.0 |
| Procedure.reasonCode | Base | preferred | Genomic Clinical Indication Codes | 📦0.0.8 | This IG |
| Procedure.outcome | Base | required | Genomic Test Outcome Codes | 📦0.0.8 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from UKCoreProcedure
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Procedure |
0..* | UKCoreProcedure | An action that is being or was performed on a patient | |||||||||
 code |
||||||||||||
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | |||||||||
| coding:snomedCT |
S | 1..1 | Coding | Code defined by a terminology system Binding: UK Core Procedure Code (required) | ||||||||
| subject |
||||||||||||
| reference |
S | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| identifier |
0..1 | NHSNumber | Logical reference, when literal reference is not known | |||||||||
| encounter |
S | 0..1 | Reference(Encounter) | Encounter created as part of | ||||||||
| identifier |
O | 0..1 | CorrelationIdentifier | Logical reference, when literal reference is not known
| ||||||||
| reasonCode |
S | 1..* | CodeableConcept | Coded reason procedure performed Binding: Genomic Clinical Indication Codes (preferred) | ||||||||
| outcome |
S | 0..1 | CodeableConcept | The result of procedure Binding: Genomic Test Outcome Codes (required) | ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.code.coding:snomedCT | Base | required | UK Core Procedure Code | 📦2.2.0 | fhir.r4.ukcore.stu3.currentbuild v0.0 |
| Procedure.reasonCode | Base | preferred | Genomic Clinical Indication Codes | 📦0.0.8 | This IG |
| Procedure.outcome | Base | required | Genomic Test Outcome Codes | 📦0.0.8 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Procedure |
0..* | UKCoreProcedure | 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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
Σ | 0..* | Identifier | External Identifiers for this procedure | ||||||||
| instantiatesCanonical |
Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||||||
| basedOn |
Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | ||||||||
| partOf |
Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | ||||||||
| status |
?!SΣ | 1..1 | code | A code specifying the state of the procedure. Binding: EventStatus (required): A code specifying the state of the procedure. | ||||||||
| statusReason |
Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | ||||||||
| category |
Σ | 0..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. | ||||||||
| code |
SΣ | 0..1 | CodeableConcept | A code identifying the procedure performed. Binding: UK Core Procedure Code (preferred): A code from the SNOMED Clinical Terminology UK. | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||||||
| coding:snomedCT |
SΣ | 1..1 | Coding | Code defined by a terminology system Binding: UK Core Procedure Code (required) | ||||||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||||||
| subject |
SΣ | 1..1 | Reference(Patient | Group) | 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 |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||
| identifier |
Σ | 0..1 | NHSNumber | Logical reference, when literal reference is not known | ||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||
| encounter |
SΣ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||||||
| 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 |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||
| identifier |
OΣ | 0..1 | CorrelationIdentifier | Logical reference, when literal reference is not known
| ||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||
| performed[x] |
SΣ | 0..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: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||||||
| 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 |
SΣ | 1..* | CodeableConcept | Coded reason procedure performed Binding: Genomic Clinical Indication Codes (preferred) | ||||||||
| reasonReference |
Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed | ||||||||
| bodySite |
Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality. | ||||||||
| outcome |
SΣ | 0..1 | CodeableConcept | The result of procedure Binding: Genomic Test Outcome Codes (required) | ||||||||
| report |
0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||||||
| complication |
0..* | CodeableConcept | Complication following the procedure Binding: UK Core Condition Code (preferred): A code from the SNOMED Clinical Terminology UK with the expression (<404684003 |Clinical finding| OR <413350009 |Finding with explicit context| OR <272379006 |Event|). | |||||||||
| 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 | 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 | UK Core Procedure Code | 📦2.2.0 | fhir.r4.ukcore.stu3.currentbuild v0.0 |
| Procedure.code.coding:snomedCT | Base | required | UK Core Procedure Code | 📦2.2.0 | fhir.r4.ukcore.stu3.currentbuild v0.0 |
| Procedure.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Procedure.encounter.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 | preferred | Genomic Clinical Indication Codes | 📦0.0.8 | This IG |
| Procedure.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| Procedure.outcome | Base | required | Genomic Test Outcome Codes | 📦0.0.8 | This IG |
| Procedure.complication | Base | preferred | UK Core Condition Code | 📦2.2.0 | fhir.r4.ukcore.stu3.currentbuild v0.0 |
| Procedure.followUp | Base | example | Procedure Follow up Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| Procedure.focalDevice.action | Base | preferred | Procedure Device Action Codes | 📦4.0.1 | FHIR Std. |
| Procedure.usedCode | Base | example | FHIR Device Types | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from UKCoreProcedure
Summary
Mandatory: 2 elements(2 nested mandatory elements)
Must-Support: 5 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Procedure |
0..* | UKCoreProcedure | 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 | ||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| status |
?!SΣ | 1..1 | code | A code specifying the state of the procedure. Binding: EventStatus (required): A code specifying the state of the procedure. | ||||||||
| code |
SΣ | 0..1 | CodeableConcept | A code identifying the procedure performed. Binding: UK Core Procedure Code (preferred): A code from the SNOMED Clinical Terminology UK. | ||||||||
| Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||||||
| coding:snomedCT |
SΣ | 1..1 | Coding | Code defined by a terminology system Binding: UK Core Procedure Code (required) | ||||||||
| subject |
SΣ | 1..1 | Reference(Patient | Group) | Who the procedure was performed on. | ||||||||
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| identifier |
Σ | 0..1 | NHSNumber | Logical reference, when literal reference is not known | ||||||||
| encounter |
SΣ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||||||
| identifier |
OΣ | 0..1 | CorrelationIdentifier | Logical reference, when literal reference is not known
| ||||||||
| performed[x] |
SΣ | 0..1 | When the procedure was performed. | |||||||||
| performedDateTime |
dateTime | |||||||||||
| performedPeriod |
Period | |||||||||||
| performedString |
string | |||||||||||
| performedAge |
Age | |||||||||||
| performedRange |
Range | |||||||||||
| reasonCode |
SΣ | 1..* | CodeableConcept | Coded reason procedure performed Binding: Genomic Clinical Indication Codes (preferred) | ||||||||
| outcome |
SΣ | 0..1 | CodeableConcept | The result of procedure Binding: Genomic Test Outcome Codes (required) | ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Procedure.code | Base | preferred | UK Core Procedure Code | 📦2.2.0 | fhir.r4.ukcore.stu3.currentbuild v0.0 |
| Procedure.code.coding:snomedCT | Base | required | UK Core Procedure Code | 📦2.2.0 | fhir.r4.ukcore.stu3.currentbuild v0.0 |
| Procedure.reasonCode | Base | preferred | Genomic Clinical Indication Codes | 📦0.0.8 | This IG |
| Procedure.outcome | Base | required | Genomic Test Outcome Codes | 📦0.0.8 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from UKCoreProcedure
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Procedure |
0..* | UKCoreProcedure | An action that is being or was performed on a patient | |||||||||
| code |
||||||||||||
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | |||||||||
| coding:snomedCT |
S | 1..1 | Coding | Code defined by a terminology system Binding: UK Core Procedure Code (required) | ||||||||
| subject |
||||||||||||
| reference |
S | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| identifier |
0..1 | NHSNumber | Logical reference, when literal reference is not known | |||||||||
| encounter |
S | 0..1 | Reference(Encounter) | Encounter created as part of | ||||||||
| identifier |
O | 0..1 | CorrelationIdentifier | Logical reference, when literal reference is not known
| ||||||||
| reasonCode |
S | 1..* | CodeableConcept | Coded reason procedure performed Binding: Genomic Clinical Indication Codes (preferred) | ||||||||
| outcome |
S | 0..1 | CodeableConcept | The result of procedure Binding: Genomic Test Outcome Codes (required) | ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.code.coding:snomedCT | Base | required | UK Core Procedure Code | 📦2.2.0 | fhir.r4.ukcore.stu3.currentbuild v0.0 |
| Procedure.reasonCode | Base | preferred | Genomic Clinical Indication Codes | 📦0.0.8 | This IG |
| Procedure.outcome | Base | required | Genomic Test Outcome Codes | 📦0.0.8 | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Procedure |
0..* | UKCoreProcedure | 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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
Σ | 0..* | Identifier | External Identifiers for this procedure | ||||||||
| instantiatesCanonical |
Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||||||
| basedOn |
Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | ||||||||
| partOf |
Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | ||||||||
| status |
?!SΣ | 1..1 | code | A code specifying the state of the procedure. Binding: EventStatus (required): A code specifying the state of the procedure. | ||||||||
| statusReason |
Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | ||||||||
| category |
Σ | 0..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. | ||||||||
| code |
SΣ | 0..1 | CodeableConcept | A code identifying the procedure performed. Binding: UK Core Procedure Code (preferred): A code from the SNOMED Clinical Terminology UK. | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||||||
| coding:snomedCT |
SΣ | 1..1 | Coding | Code defined by a terminology system Binding: UK Core Procedure Code (required) | ||||||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||||||
| subject |
SΣ | 1..1 | Reference(Patient | Group) | 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 |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||
| identifier |
Σ | 0..1 | NHSNumber | Logical reference, when literal reference is not known | ||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||
| encounter |
SΣ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||||||
| 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 |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||
| identifier |
OΣ | 0..1 | CorrelationIdentifier | Logical reference, when literal reference is not known
| ||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||
| performed[x] |
SΣ | 0..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: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||||||
| 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 |
SΣ | 1..* | CodeableConcept | Coded reason procedure performed Binding: Genomic Clinical Indication Codes (preferred) | ||||||||
| reasonReference |
Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed | ||||||||
| bodySite |
Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality. | ||||||||
| outcome |
SΣ | 0..1 | CodeableConcept | The result of procedure Binding: Genomic Test Outcome Codes (required) | ||||||||
| report |
0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||||||
| complication |
0..* | CodeableConcept | Complication following the procedure Binding: UK Core Condition Code (preferred): A code from the SNOMED Clinical Terminology UK with the expression (<404684003 |Clinical finding| OR <413350009 |Finding with explicit context| OR <272379006 |Event|). | |||||||||
| 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 | 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 | UK Core Procedure Code | 📦2.2.0 | fhir.r4.ukcore.stu3.currentbuild v0.0 |
| Procedure.code.coding:snomedCT | Base | required | UK Core Procedure Code | 📦2.2.0 | fhir.r4.ukcore.stu3.currentbuild v0.0 |
| Procedure.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Procedure.encounter.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 | preferred | Genomic Clinical Indication Codes | 📦0.0.8 | This IG |
| Procedure.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| Procedure.outcome | Base | required | Genomic Test Outcome Codes | 📦0.0.8 | This IG |
| Procedure.complication | Base | preferred | UK Core Condition Code | 📦2.2.0 | fhir.r4.ukcore.stu3.currentbuild v0.0 |
| Procedure.followUp | Base | example | Procedure Follow up Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| Procedure.focalDevice.action | Base | preferred | Procedure Device Action Codes | 📦4.0.1 | FHIR Std. |
| Procedure.usedCode | Base | example | FHIR Device Types | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from UKCoreProcedure
Summary
Mandatory: 2 elements(2 nested mandatory elements)
Must-Support: 5 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2024+ NHS North West Genomics. Package fhir.nwgenomics.nhs.uk#0.0.8 based on FHIR 4.0.1. Generated 2025-10-30
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