LinuxForHealth FHIR Implementation Guide
8.0.0 - draft
LinuxForHealth FHIR Implementation Guide - Local Development build (v8.0.0). See the Directory of published versions
Official URL: http://linuxforhealth.org/fhir/cdm/StructureDefinition/cdm-procedure | Version: 8.0.0 | |||
Active as of 2022-11-10 | Computable Name: CDMProcedure |
LinuxForHealth Common Data Model definition of what fields we currently define for a procedure
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Procedure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | 0..* | Procedure | An action that is being or was performed on a patient | |
meta | 0..1 | ProcessMeta | Metadata about a resource | |
contained | 0..0 | |||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
procedureModifier | 0..* | CodeableConcept | Modifier codes used either to supplement information, or to adjust procedure care descriptions URL: http://linuxforhealth.org/fhir/cdm/StructureDefinition/procedure-modifier | |
Slices for identifier | 1..* | Identifier | External Identifiers for this procedure Slice: Unordered, Open by value:type | |
identifier:All Slices | Content/Rules for all slices | |||
type | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Value Set (extensible) | |
system | 1..1 | uri | The namespace for the identifier value | |
value | 1..1 | string | The value that is unique | |
identifier:Source | 0..1 | Identifier | External Identifiers for this procedure | |
use | 0..1 | code | usual | official | temp | secondary | old (If known) Required Pattern: official | |
type | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://linuxforhealth.org/fhir/cdm/CodeSystem/identifier-type | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: SSRI | |
Documentation for this format |
Path | Conformance | ValueSet |
Procedure.identifier.type | extensible | IdentifierTypeValueSet |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | 0..* | Procedure | An action that is being or was performed on a patient | |
meta | 0..1 | ProcessMeta | Metadata about a resource | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
procedureModifier | 0..* | CodeableConcept | Modifier codes used either to supplement information, or to adjust procedure care descriptions URL: http://linuxforhealth.org/fhir/cdm/StructureDefinition/procedure-modifier | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
Slices for identifier | Σ | 1..* | Identifier | External Identifiers for this procedure Slice: Unordered, Open by value:type |
identifier:All Slices | Content/Rules for all slices | |||
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Value Set (extensible) |
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
value | Σ | 1..1 | string | The value that is unique Example General: 123456 |
identifier:Source | Σ | 0..1 | Identifier | External Identifiers for this procedure |
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official |
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://linuxforhealth.org/fhir/cdm/CodeSystem/identifier-type | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: SSRI | |
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. |
subject | Σ | 1..1 | Reference(Patient | Group) | Who the procedure was performed on |
Documentation for this format |
Path | Conformance | ValueSet / Code |
Procedure.identifier.use | required | IdentifierUse |
Procedure.identifier.type | extensible | IdentifierTypeValueSet |
Procedure.identifier:Source.use | required | Pattern: official |
Procedure.identifier:Source.type | extensible | Pattern: SSRI |
Procedure.status | required | EventStatus |
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 | 0..1 | ProcessMeta | Metadata about a 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 | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
procedureModifier | 0..* | CodeableConcept | Modifier codes used either to supplement information, or to adjust procedure care descriptions URL: http://linuxforhealth.org/fhir/cdm/StructureDefinition/procedure-modifier | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
Slices for identifier | Σ | 1..* | Identifier | External Identifiers for this procedure Slice: Unordered, Open by value:type | ||||
identifier:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Value Set (extensible) | ||||
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
value | Σ | 1..1 | string | The value that is unique Example General: 123456 | ||||
period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
identifier:Source | Σ | 0..1 | Identifier | External Identifiers for this procedure | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official | ||||
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||
id | 0..1 | id | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | id | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://linuxforhealth.org/fhir/cdm/CodeSystem/identifier-type | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: SSRI | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
system | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
value | Σ | 0..1 | string | The value that is unique Example General: 123456 | ||||
period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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 | 0..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. | ||||
code | Σ | 0..1 | CodeableConcept | Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . | ||||
subject | Σ | 1..1 | Reference(Patient | Group) | Who the procedure was performed on | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
performed[x] | Σ | 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 | 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 | ||||
bodySite | Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
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: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||
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 / Code | ||||
Procedure.language | preferred | CommonLanguages
| ||||
Procedure.identifier.use | required | IdentifierUse | ||||
Procedure.identifier.type | extensible | IdentifierTypeValueSet | ||||
Procedure.identifier:Source.use | required | Pattern: official | ||||
Procedure.identifier:Source.type | extensible | Pattern: SSRI | ||||
Procedure.status | required | EventStatus | ||||
Procedure.statusReason | example | ProcedureNotPerformedReason(SNOMED-CT) | ||||
Procedure.category | example | ProcedureCategoryCodes(SNOMEDCT) | ||||
Procedure.code | example | ProcedureCodes(SNOMEDCT) | ||||
Procedure.performer.function | example | ProcedurePerformerRoleCodes | ||||
Procedure.reasonCode | example | ProcedureReasonCodes | ||||
Procedure.bodySite | example | SNOMEDCTBodyStructures | ||||
Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT) | ||||
Procedure.complication | example | Condition/Problem/DiagnosisCodes | ||||
Procedure.followUp | example | ProcedureFollowUpCodes(SNOMEDCT) | ||||
Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodes | ||||
Procedure.usedCode | example | FHIRDeviceTypes |
This structure is derived from Procedure
Summary
Mandatory: 3 elements (1 nested mandatory element)
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Procedure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | 0..* | Procedure | An action that is being or was performed on a patient | |
meta | 0..1 | ProcessMeta | Metadata about a resource | |
contained | 0..0 | |||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
procedureModifier | 0..* | CodeableConcept | Modifier codes used either to supplement information, or to adjust procedure care descriptions URL: http://linuxforhealth.org/fhir/cdm/StructureDefinition/procedure-modifier | |
Slices for identifier | 1..* | Identifier | External Identifiers for this procedure Slice: Unordered, Open by value:type | |
identifier:All Slices | Content/Rules for all slices | |||
type | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Value Set (extensible) | |
system | 1..1 | uri | The namespace for the identifier value | |
value | 1..1 | string | The value that is unique | |
identifier:Source | 0..1 | Identifier | External Identifiers for this procedure | |
use | 0..1 | code | usual | official | temp | secondary | old (If known) Required Pattern: official | |
type | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://linuxforhealth.org/fhir/cdm/CodeSystem/identifier-type | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: SSRI | |
Documentation for this format |
Path | Conformance | ValueSet |
Procedure.identifier.type | extensible | IdentifierTypeValueSet |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | 0..* | Procedure | An action that is being or was performed on a patient | |
meta | 0..1 | ProcessMeta | Metadata about a resource | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
procedureModifier | 0..* | CodeableConcept | Modifier codes used either to supplement information, or to adjust procedure care descriptions URL: http://linuxforhealth.org/fhir/cdm/StructureDefinition/procedure-modifier | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
Slices for identifier | Σ | 1..* | Identifier | External Identifiers for this procedure Slice: Unordered, Open by value:type |
identifier:All Slices | Content/Rules for all slices | |||
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Value Set (extensible) |
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
value | Σ | 1..1 | string | The value that is unique Example General: 123456 |
identifier:Source | Σ | 0..1 | Identifier | External Identifiers for this procedure |
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official |
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://linuxforhealth.org/fhir/cdm/CodeSystem/identifier-type | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: SSRI | |
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. |
subject | Σ | 1..1 | Reference(Patient | Group) | Who the procedure was performed on |
Documentation for this format |
Path | Conformance | ValueSet / Code |
Procedure.identifier.use | required | IdentifierUse |
Procedure.identifier.type | extensible | IdentifierTypeValueSet |
Procedure.identifier:Source.use | required | Pattern: official |
Procedure.identifier:Source.type | extensible | Pattern: SSRI |
Procedure.status | required | EventStatus |
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 | 0..1 | ProcessMeta | Metadata about a 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 | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
procedureModifier | 0..* | CodeableConcept | Modifier codes used either to supplement information, or to adjust procedure care descriptions URL: http://linuxforhealth.org/fhir/cdm/StructureDefinition/procedure-modifier | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
Slices for identifier | Σ | 1..* | Identifier | External Identifiers for this procedure Slice: Unordered, Open by value:type | ||||
identifier:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Value Set (extensible) | ||||
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
value | Σ | 1..1 | string | The value that is unique Example General: 123456 | ||||
period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
identifier:Source | Σ | 0..1 | Identifier | External Identifiers for this procedure | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official | ||||
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||
id | 0..1 | id | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | id | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://linuxforhealth.org/fhir/cdm/CodeSystem/identifier-type | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: SSRI | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
system | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
value | Σ | 0..1 | string | The value that is unique Example General: 123456 | ||||
period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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 | 0..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. | ||||
code | Σ | 0..1 | CodeableConcept | Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . | ||||
subject | Σ | 1..1 | Reference(Patient | Group) | Who the procedure was performed on | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
performed[x] | Σ | 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 | 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 | ||||
bodySite | Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
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: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||
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 / Code | ||||
Procedure.language | preferred | CommonLanguages
| ||||
Procedure.identifier.use | required | IdentifierUse | ||||
Procedure.identifier.type | extensible | IdentifierTypeValueSet | ||||
Procedure.identifier:Source.use | required | Pattern: official | ||||
Procedure.identifier:Source.type | extensible | Pattern: SSRI | ||||
Procedure.status | required | EventStatus | ||||
Procedure.statusReason | example | ProcedureNotPerformedReason(SNOMED-CT) | ||||
Procedure.category | example | ProcedureCategoryCodes(SNOMEDCT) | ||||
Procedure.code | example | ProcedureCodes(SNOMEDCT) | ||||
Procedure.performer.function | example | ProcedurePerformerRoleCodes | ||||
Procedure.reasonCode | example | ProcedureReasonCodes | ||||
Procedure.bodySite | example | SNOMEDCTBodyStructures | ||||
Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT) | ||||
Procedure.complication | example | Condition/Problem/DiagnosisCodes | ||||
Procedure.followUp | example | ProcedureFollowUpCodes(SNOMEDCT) | ||||
Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodes | ||||
Procedure.usedCode | example | FHIRDeviceTypes |
This structure is derived from Procedure
Summary
Mandatory: 3 elements (1 nested mandatory element)
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron