Nictiz FHIR NL R4 Zib2020
0.9.0 - CI Build

Nictiz FHIR NL R4 Zib2020 - Local Development build (v0.9.0). See the Directory of published versions

Resource Profile: zib Procedure event ( Abstract )

Official URL: http://nictiz.nl/fhir/StructureDefinition/zib-Procedure-event Version: 0.9.0
Draft as of 2023-10-17 Computable Name: ZibProcedureevent

Copyright/Legal: Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.

Therapeutic or diagnostic procedure undergone by the patient (the complementary profile zib-Procedure-request can be used for therapeutic or diagnostic procedures that the patient will undergo). A procedure can be a simple blood pressure measurement, but also a complex heart surgery. In some care settings, the term treatment is used instead of the term procedure.

This Procedure resource represents the Dutch zib (‘Zorginformatiebouwsteen’, i.e. Health and Care Information Model) Procedure v5.2 (2020).

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Procedure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..*ProcedureThis is an abstract profile. Child profiles: NlcoreProcedureevent
Procedure
... procedureMethod 0..*CodeableConceptOptional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/ext-Procedure.ProcedureMethod
Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20200901000000 (required)
... basedOn 0..*Reference(CarePlan | ServiceRequest | zib Procedure request)A request for this procedure
... status 1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
... Slices for performed[x] 0..1dateTime, Period, string, Age, RangeWhen the procedure was performed
Slice: Unordered, Open by type:$this
.... performed[x]:performedPeriod 0..1PeriodWhen the procedure was performed
..... start 0..1dateTimeProcedureStartDate
..... end 0..1dateTimeProcedureEndDate
.... performed[x]:performedDateTime 0..1dateTimeProcedureStartDate
... performer
.... actor 1..1PatternZibHealthProfessionalReference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | zib HealthProfessional PractitionerRole)Performer
... location 0..1Reference(Location | zib HealthcareProvider)Location
... reasonReference 0..*Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference | zib Problem)Indication
... bodySite 0..1ZibAnatomicalLocationLocation / ProcedureAnatomicalLocation
Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000 (required)
... Slices for report 0..*Reference(DiagnosticReport | DocumentReference | Composition)Any report resulting from the procedure
Slice: Unordered, Open by profile:resolve()
.... report:textResult 0..*Reference(zib TextResult)TextResult

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Procedure.coderequiredhttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.19--20200901000000
Procedure.bodySiterequiredhttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000
NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..*ProcedureThis is an abstract profile. Child profiles: NlcoreProcedureevent
Procedure
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... procedureMethod 0..*CodeableConceptOptional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/ext-Procedure.ProcedureMethod
Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20200901000000 (required)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.

... code Σ0..1CodeableConceptProcedureType
Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.19--20200901000000 (required)
... subject Σ1..1Reference(Patient | Group)Who the procedure was performed on
... Slices for performed[x] Σ0..1When the procedure was performed
Slice: Unordered, Open by type:$this
.... performedDateTimedateTime
.... performedPeriodPeriod
.... performedStringstring
.... performedAgeAge
.... performedRangeRange
.... performed[x]:performedPeriod Σ0..1PeriodWhen the procedure was performed
..... start ΣC0..1dateTimeProcedureStartDate
..... end ΣC0..1dateTimeProcedureEndDate
.... performed[x]:performedDateTime Σ0..1dateTimeProcedureStartDate
... location Σ0..1Reference(Location | zib HealthcareProvider)Location
... reasonReference Σ0..*Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference | zib Problem)Indication
... bodySite 0..1ZibAnatomicalLocationLocation / ProcedureAnatomicalLocation
Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000 (required)
... Slices for report 0..*Reference(DiagnosticReport | DocumentReference | Composition)Any report resulting from the procedure
Slice: Unordered, Open by profile:resolve()
.... report:textResult 0..*Reference(zib TextResult)TextResult

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Procedure.statusrequiredEventStatus
Procedure.coderequiredhttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.19--20200901000000
Procedure.bodySiterequiredhttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorProcedureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorProcedureIf 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-4errorProcedureIf 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-5errorProcedureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceProcedureA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..*ProcedureThis is an abstract profile. Child profiles: NlcoreProcedureevent
Procedure
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... procedureMethod 0..*CodeableConceptOptional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/ext-Procedure.ProcedureMethod
Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20200901000000 (required)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Identifiers for this procedure
... instantiatesCanonical Σ0..*canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn Σ0..*Reference(CarePlan | ServiceRequest | zib Procedure request)A request for this procedure
... partOf Σ0..*Reference(Procedure | Observation | MedicationAdministration)Part of referenced event
... status ?!Σ1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.

... statusReason Σ0..1CodeableConceptReason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.

... category Σ0..1CodeableConceptClassification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.

... code Σ0..1CodeableConceptProcedureType
Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.19--20200901000000 (required)
... subject Σ1..1Reference(Patient | Group)Who the procedure was performed on
... encounter Σ0..1Reference(Encounter)Encounter created as part of
... Slices for performed[x] Σ0..1When the procedure was performed
Slice: Unordered, Open by type:$this
.... performedDateTimedateTime
.... performedPeriodPeriod
.... performedStringstring
.... performedAgeAge
.... performedRangeRange
.... performed[x]:performedPeriod Σ0..1PeriodWhen the procedure was performed
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... start ΣC0..1dateTimeProcedureStartDate
..... end ΣC0..1dateTimeProcedureEndDate
.... performed[x]:performedDateTime Σ0..1dateTimeProcedureStartDate
... recorder Σ0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Who recorded the procedure
... asserter Σ0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Person who asserts this procedure
... performer Σ0..*BackboneElementThe people who performed the procedure
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function Σ0..1CodeableConceptType of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.

.... actor Σ1..1PatternZibHealthProfessionalReference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | zib HealthProfessional PractitionerRole)Performer
.... onBehalfOf 0..1Reference(Organization)Organization the device or practitioner was acting for
... location Σ0..1Reference(Location | zib HealthcareProvider)Location
... reasonCode Σ0..*CodeableConceptCoded reason procedure performed
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.


... reasonReference Σ0..*Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference | zib Problem)Indication
... bodySite 0..1ZibAnatomicalLocationLocation / ProcedureAnatomicalLocation
Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000 (required)
... outcome Σ0..1CodeableConceptThe result of procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.

... Slices for report 0..*Reference(DiagnosticReport | DocumentReference | Composition)Any report resulting from the procedure
Slice: Unordered, Open by profile:resolve()
.... report:textResult 0..*Reference(zib TextResult)TextResult
... complication 0..*CodeableConceptComplication 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..*CodeableConceptInstructions for follow up
Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.


... note 0..*AnnotationAdditional information about the procedure
... focalDevice 0..*BackboneElementManipulated, implanted, or removed device
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... action 0..1CodeableConceptKind of change to device
Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.

.... manipulated 1..1Reference(Device)Device that was changed
... usedReference 0..*Reference(Device | Medication | Substance)Items used during procedure
... usedCode 0..*CodeableConceptCoded items used during the procedure
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.



doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Procedure.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Procedure.statusrequiredEventStatus
Procedure.statusReasonexampleProcedureNotPerformedReason(SNOMED-CT)
Procedure.categoryexampleProcedureCategoryCodes(SNOMEDCT)
Procedure.coderequiredhttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.19--20200901000000
Procedure.performer.functionexampleProcedurePerformerRoleCodes
Procedure.reasonCodeexampleProcedureReasonCodes
Procedure.bodySiterequiredhttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000
Procedure.outcomeexampleProcedureOutcomeCodes(SNOMEDCT)
Procedure.complicationexampleCondition/Problem/DiagnosisCodes
Procedure.followUpexampleProcedureFollowUpCodes(SNOMEDCT)
Procedure.focalDevice.actionpreferredProcedureDeviceActionCodes
Procedure.usedCodeexampleFHIRDeviceTypes

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorProcedureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorProcedureIf 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-4errorProcedureIf 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-5errorProcedureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceProcedureA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from Procedure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..*ProcedureThis is an abstract profile. Child profiles: NlcoreProcedureevent
Procedure
... procedureMethod 0..*CodeableConceptOptional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/ext-Procedure.ProcedureMethod
Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20200901000000 (required)
... basedOn 0..*Reference(CarePlan | ServiceRequest | zib Procedure request)A request for this procedure
... status 1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
... Slices for performed[x] 0..1dateTime, Period, string, Age, RangeWhen the procedure was performed
Slice: Unordered, Open by type:$this
.... performed[x]:performedPeriod 0..1PeriodWhen the procedure was performed
..... start 0..1dateTimeProcedureStartDate
..... end 0..1dateTimeProcedureEndDate
.... performed[x]:performedDateTime 0..1dateTimeProcedureStartDate
... performer
.... actor 1..1PatternZibHealthProfessionalReference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | zib HealthProfessional PractitionerRole)Performer
... location 0..1Reference(Location | zib HealthcareProvider)Location
... reasonReference 0..*Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference | zib Problem)Indication
... bodySite 0..1ZibAnatomicalLocationLocation / ProcedureAnatomicalLocation
Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000 (required)
... Slices for report 0..*Reference(DiagnosticReport | DocumentReference | Composition)Any report resulting from the procedure
Slice: Unordered, Open by profile:resolve()
.... report:textResult 0..*Reference(zib TextResult)TextResult

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Procedure.coderequiredhttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.19--20200901000000
Procedure.bodySiterequiredhttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..*ProcedureThis is an abstract profile. Child profiles: NlcoreProcedureevent
Procedure
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... procedureMethod 0..*CodeableConceptOptional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/ext-Procedure.ProcedureMethod
Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20200901000000 (required)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.

... code Σ0..1CodeableConceptProcedureType
Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.19--20200901000000 (required)
... subject Σ1..1Reference(Patient | Group)Who the procedure was performed on
... Slices for performed[x] Σ0..1When the procedure was performed
Slice: Unordered, Open by type:$this
.... performedDateTimedateTime
.... performedPeriodPeriod
.... performedStringstring
.... performedAgeAge
.... performedRangeRange
.... performed[x]:performedPeriod Σ0..1PeriodWhen the procedure was performed
..... start ΣC0..1dateTimeProcedureStartDate
..... end ΣC0..1dateTimeProcedureEndDate
.... performed[x]:performedDateTime Σ0..1dateTimeProcedureStartDate
... location Σ0..1Reference(Location | zib HealthcareProvider)Location
... reasonReference Σ0..*Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference | zib Problem)Indication
... bodySite 0..1ZibAnatomicalLocationLocation / ProcedureAnatomicalLocation
Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000 (required)
... Slices for report 0..*Reference(DiagnosticReport | DocumentReference | Composition)Any report resulting from the procedure
Slice: Unordered, Open by profile:resolve()
.... report:textResult 0..*Reference(zib TextResult)TextResult

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Procedure.statusrequiredEventStatus
Procedure.coderequiredhttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.19--20200901000000
Procedure.bodySiterequiredhttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorProcedureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorProcedureIf 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-4errorProcedureIf 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-5errorProcedureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceProcedureA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..*ProcedureThis is an abstract profile. Child profiles: NlcoreProcedureevent
Procedure
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... procedureMethod 0..*CodeableConceptOptional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/ext-Procedure.ProcedureMethod
Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20200901000000 (required)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Identifiers for this procedure
... instantiatesCanonical Σ0..*canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn Σ0..*Reference(CarePlan | ServiceRequest | zib Procedure request)A request for this procedure
... partOf Σ0..*Reference(Procedure | Observation | MedicationAdministration)Part of referenced event
... status ?!Σ1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.

... statusReason Σ0..1CodeableConceptReason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.

... category Σ0..1CodeableConceptClassification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.

... code Σ0..1CodeableConceptProcedureType
Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.19--20200901000000 (required)
... subject Σ1..1Reference(Patient | Group)Who the procedure was performed on
... encounter Σ0..1Reference(Encounter)Encounter created as part of
... Slices for performed[x] Σ0..1When the procedure was performed
Slice: Unordered, Open by type:$this
.... performedDateTimedateTime
.... performedPeriodPeriod
.... performedStringstring
.... performedAgeAge
.... performedRangeRange
.... performed[x]:performedPeriod Σ0..1PeriodWhen the procedure was performed
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... start ΣC0..1dateTimeProcedureStartDate
..... end ΣC0..1dateTimeProcedureEndDate
.... performed[x]:performedDateTime Σ0..1dateTimeProcedureStartDate
... recorder Σ0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Who recorded the procedure
... asserter Σ0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Person who asserts this procedure
... performer Σ0..*BackboneElementThe people who performed the procedure
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function Σ0..1CodeableConceptType of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.

.... actor Σ1..1PatternZibHealthProfessionalReference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | zib HealthProfessional PractitionerRole)Performer
.... onBehalfOf 0..1Reference(Organization)Organization the device or practitioner was acting for
... location Σ0..1Reference(Location | zib HealthcareProvider)Location
... reasonCode Σ0..*CodeableConceptCoded reason procedure performed
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.


... reasonReference Σ0..*Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference | zib Problem)Indication
... bodySite 0..1ZibAnatomicalLocationLocation / ProcedureAnatomicalLocation
Binding: http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000 (required)
... outcome Σ0..1CodeableConceptThe result of procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.

... Slices for report 0..*Reference(DiagnosticReport | DocumentReference | Composition)Any report resulting from the procedure
Slice: Unordered, Open by profile:resolve()
.... report:textResult 0..*Reference(zib TextResult)TextResult
... complication 0..*CodeableConceptComplication 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..*CodeableConceptInstructions for follow up
Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.


... note 0..*AnnotationAdditional information about the procedure
... focalDevice 0..*BackboneElementManipulated, implanted, or removed device
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... action 0..1CodeableConceptKind of change to device
Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.

.... manipulated 1..1Reference(Device)Device that was changed
... usedReference 0..*Reference(Device | Medication | Substance)Items used during procedure
... usedCode 0..*CodeableConceptCoded items used during the procedure
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.



doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Procedure.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Procedure.statusrequiredEventStatus
Procedure.statusReasonexampleProcedureNotPerformedReason(SNOMED-CT)
Procedure.categoryexampleProcedureCategoryCodes(SNOMEDCT)
Procedure.coderequiredhttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.19--20200901000000
Procedure.performer.functionexampleProcedurePerformerRoleCodes
Procedure.reasonCodeexampleProcedureReasonCodes
Procedure.bodySiterequiredhttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000
Procedure.outcomeexampleProcedureOutcomeCodes(SNOMEDCT)
Procedure.complicationexampleCondition/Problem/DiagnosisCodes
Procedure.followUpexampleProcedureFollowUpCodes(SNOMEDCT)
Procedure.focalDevice.actionpreferredProcedureDeviceActionCodes
Procedure.usedCodeexampleFHIRDeviceTypes

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorProcedureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorProcedureIf 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-4errorProcedureIf 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-5errorProcedureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceProcedureA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

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