Nictiz FHIR NL STU3 Zib2017
1.3.15 - CI Build
Nictiz FHIR NL STU3 Zib2017 - Local Development build (v1.3.15) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Active as of 2024-04-09 |
Definitions for the zib-FreedomRestrictingMeasures resource profile.
Guidance on how to interpret the contents of this table can be found here
0. Procedure | |
Definition | Root concept of the FreedomRestrictingMeasures information model. This root concept contains all data elements of the FreedomRestrictingMeasures information model. |
Short | Procedure |
Alternate Names | VrijheidsbeperkendeMaatregelen |
2. Procedure.extension | |
Slicing | This element introduces a set of slices on Procedure.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: |
4. Procedure.extension:legalStatus | |
Slice Name | legalStatus |
Definition | The legal situation that applies to the patient during the intervention. |
Short | LegalStatus |
Type | Extension(Patient LegalSatus) (Extension Type: CodeableConcept) |
Alternate Names | JuridischeStatus |
6. Procedure.extension:legalStatus.valueCodeableConcept:valueCodeableConcept | |
Slice Name | valueCodeableConcept |
Control | 1..? |
8. Procedure.extension:legalStatus.valueCodeableConcept:valueCodeableConcept.coding | |
Control | 1..? |
10. Procedure.extension:legalStatus.valueCodeableConcept:valueCodeableConcept.coding.system | |
Control | 1..? |
12. Procedure.extension:legalStatus.valueCodeableConcept:valueCodeableConcept.coding.code | |
Control | 1..? |
14. Procedure.extension:legallyCapable | |
Slice Name | legallyCapable |
Type | Extension(HCIM FreedomRestrictingMeasures LegallyCapable) (Complex Extension) |
16. Procedure.extension:legallyCapable.extension:LegallyCapableIndicator | |
Slice Name | LegallyCapableIndicator |
Definition | Indicator stating whether the patient is deemed capable of overseeing the consequences of a certain procedure, situation or decision. |
Short | LegallyCapableIndicator |
Alternate Names | Wilsbekwaam |
18. Procedure.extension:legallyCapable.extension:LegallyCapableComment | |
Slice Name | LegallyCapableComment |
Alternate Names | WilsbekwaamToelichting |
20. Procedure.extension:permission | |
Slice Name | permission |
Type | Extension(HCIM FreedomrestrictingMeasures Permission) (Extension Type: CodeableConcept) |
22. Procedure.extension:permission.valueCodeableConcept:valueCodeableConcept | |
Slice Name | valueCodeableConcept |
Control | 1..? |
24. Procedure.extension:permission.valueCodeableConcept:valueCodeableConcept.coding | |
Control | 1..? |
Slicing | This element introduces a set of slices on Procedure.extension.valueCodeableConcept.coding . The slices are unordered and Open, and can be differentiated using the following discriminators: |
26. Procedure.extension:permission.valueCodeableConcept:valueCodeableConcept.coding:ArgusPermissionCode | |
Slice Name | ArgusPermissionCode |
Control | 0..1 |
Binding | Unless not suitable, these codes SHALL be taken from ArgusInstemmingCodelijst (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.5--20171231000000 )ArgusInstemmingCodelijst |
28. Procedure.extension:permission.valueCodeableConcept:valueCodeableConcept.coding:ArgusPermissionCode.system | |
Control | 1..? |
30. Procedure.extension:permission.valueCodeableConcept:valueCodeableConcept.coding:ArgusPermissionCode.code | |
Control | 1..? |
32. Procedure.extension:permission.valueCodeableConcept:valueCodeableConcept.coding:permissionCode | |
Slice Name | permissionCode |
Control | 0..1 |
Binding | Unless not suitable, these codes SHALL be taken from ToestemmingCodelijst (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.1--20171231000000 )ToestemmingCodelijst |
34. Procedure.extension:permission.valueCodeableConcept:valueCodeableConcept.coding:permissionCode.system | |
Control | 1..? |
36. Procedure.extension:permission.valueCodeableConcept:valueCodeableConcept.coding:permissionCode.code | |
Control | 1..? |
38. Procedure.identifier | |
Note | This is a business identifier, not a resource identifier (see discussion) |
40. Procedure.category | |
Control | 1..? |
42. Procedure.category.coding | |
Control | 1..? |
Slicing | This element introduces a set of slices on Procedure.category.coding . The slices are unordered and Open, and can be differentiated using the following discriminators: |
44. Procedure.category.coding:freedomRestrictingMeasuresCode | |
Slice Name | freedomRestrictingMeasuresCode |
Control | 1..1 |
46. Procedure.category.coding:freedomRestrictingMeasuresCode.system | |
Control | 1..? |
Fixed Value | http://snomed.info/sct |
48. Procedure.category.coding:freedomRestrictingMeasuresCode.code | |
Control | 1..? |
Fixed Value | 225214000 |
50. Procedure.category.coding:freedomRestrictingMeasuresCode.display | |
Default Value | Procedures relating to control, restraint, seclusion and segregation (procedure) |
52. Procedure.code | |
Control | 1..? |
54. Procedure.code.coding | |
Control | 1..? |
Slicing | This element introduces a set of slices on Procedure.code.coding . The slices are unordered and Open, and can be differentiated using the following discriminators: |
56. Procedure.code.coding:typeOfInterventionCode | |
Slice Name | typeOfInterventionCode |
Control | 0..1 |
Binding | Unless not suitable, these codes SHALL be taken from SoortInterventieCodelijst (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.3--20171231000000 )TypeOfInterventionCodelist |
58. Procedure.code.coding:typeOfInterventionCode.system | |
Control | 1..? |
60. Procedure.code.coding:typeOfInterventionCode.code | |
Control | 1..? |
62. Procedure.code.coding:argusTypeOfInterventionCode | |
Slice Name | argusTypeOfInterventionCode |
Control | 0..1 |
Binding | Unless not suitable, these codes SHALL be taken from ArgusInterventieCodelijst (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.4--20171231000000 )ArgusTypeOfInterventionCodelist |
64. Procedure.code.coding:argusTypeOfInterventionCode.system | |
Control | 1..? |
66. Procedure.code.coding:argusTypeOfInterventionCode.code | |
Control | 1..? |
68. Procedure.subject | |
Type | Reference(Group, nl-core-patient) |
70. Procedure.performedPeriod:performedPeriod | |
Slice Name | performedPeriod |
Type | Period |
72. Procedure.performedPeriod:performedPeriod.start | |
Definition | The date and time at which the restraints started |
Short | StartEpisode |
Alternate Names | AanvangEpisode |
74. Procedure.performedPeriod:performedPeriod.end | |
Definition | The date and time at which the restraints ended. |
Short | EndOfEpisode |
Alternate Names | EindeEpisode |
Guidance on how to interpret the contents of this table can be found here
0. Procedure | |
Definition | Root concept of the FreedomRestrictingMeasures information model. This root concept contains all data elements of the FreedomRestrictingMeasures information model. An action that is or was performed on a patient. This can be a physical intervention like an operation, or less invasive like counseling or hypnotherapy. |
Short | ProcedureAn action that is being or was performed on a patient |
Control | 0..* |
Alternate Names | VrijheidsbeperkendeMaatregelen |
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty() )dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative ( contained.text.empty() )dom-4: 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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource ( contained.where(('#'+id in %resource.descendants().reference).not()).empty() )pro-1: Reason not done is only permitted if notDone indicator is true ( notDoneReason.empty() or notDone = true )dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.empty()) dom-4: 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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty()) pro-1: Reason not done is only permitted if notDone indicator is true (notDoneReason.empty() or notDone = true) |
2. Procedure.implicitRules | |
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. |
Short | A set of rules under which this content was created |
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation. |
Control | 0..1 |
Type | uri |
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
4. Procedure.extension | |
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | ExtensionAdditional Content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Slicing | This element introduces a set of slices on Procedure.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: |
6. Procedure.extension:legalStatus | |
Slice Name | legalStatus |
Definition | The legal situation that applies to the patient during the intervention. |
Short | LegalStatus |
Comments | The concept LegalStatus of the Zib FreedomRestrictingMeasures plays an importand role in the context of mental healthcare (GGZ). This concept will become an independent Zib with the next release of Zibs (2018 release). The LegalStatus concept and associated valueset will be split in two concepts: legalstatus and representative. These concept are currently captured in one valueset. It is possible to have a legalstatus AND a representative. Therefore, we allow this extension to have a cardinality of 0..2. |
Control | 0..2 This element is affected by the following invariants: ele-1 |
Type | Extension(Patient LegalSatus) (Extension Type: CodeableConcept) |
Alternate Names | JuridischeStatus |
8. Procedure.extension:legalStatus.url | |
Definition | Source of the definition for the extension code - a logical name or a URL. |
Short | identifies the meaning of the extension |
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
Control | 1..1 |
Type | uri |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Fixed Value | http://nictiz.nl/fhir/StructureDefinition/zib-patient-legalstatus |
10. Procedure.extension:legalStatus.value[x] | |
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
Short | Value of extension |
Control | 0..1 |
Type | CodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Slicing | This element introduces a set of slices on Procedure.extension.value[x] . The slices are unordered and Closed, and can be differentiated using the following discriminators: |
12. Procedure.extension:legalStatus.value[x]:valueCodeableConcept | |
Slice Name | valueCodeableConcept |
Definition | The legal situation that applies to the patient during the intervention. The code of the legal status is based on the Vektis/AZR code list COD232-VEKT Legal Status. Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
Short | LegalStatusValue of extension |
Control | 10..1 |
Binding | Unless not suitable, these codes SHALL be taken from For codes, see JuridischeStatusCodelijst (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.2--20171231000000 ) |
Type | CodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Alternate Names | JuridischeStatus |
14. Procedure.extension:legalStatus.value[x]:valueCodeableConcept.coding | |
Definition | A reference to a code defined by a terminology system. |
Short | Code defined by a terminology system |
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
Control | 10..* |
Type | Coding |
Summary | true |
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. |
16. Procedure.extension:legalStatus.value[x]:valueCodeableConcept.coding.system | |
Definition | The identification of the code system that defines the meaning of the symbol in the code. |
Short | Identity of the terminology system |
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. |
Control | 10..1 |
Type | uri |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Need to be unambiguous about the source of the definition of the symbol. |
18. Procedure.extension:legalStatus.value[x]:valueCodeableConcept.coding.code | |
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). |
Short | Symbol in syntax defined by the system |
Control | 10..1 |
Type | code |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Need to refer to a particular code in the system. |
20. Procedure.extension:legallyCapable | |
Slice Name | legallyCapable |
Definition | Indicator stating whether the patient is deemed capable of overseeing the consequences of a certain procedure, situation or decision. |
Short | LegallyCapable |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Extension(HCIM FreedomRestrictingMeasures LegallyCapable) (Complex Extension) |
22. Procedure.extension:legallyCapable.extension | |
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | ExtensionAdditional Content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 10..* |
Type | Extension |
Alternate Names | extensions, user content |
Slicing | This element introduces a set of slices on Procedure.extension.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: |
24. Procedure.extension:legallyCapable.extension:LegallyCapableIndicator | |
Slice Name | LegallyCapableIndicator |
Definition | Indicator stating whether the patient is deemed capable of overseeing the consequences of a certain procedure, situation or decision. |
Short | LegallyCapableIndicatorAdditional Content defined by implementations |
Control | 10..1* |
Type | Extension |
Alternate Names | Wilsbekwaam |
26. Procedure.extension:legallyCapable.extension:LegallyCapableIndicator.url | |
Definition | Source of the definition for the extension code - a logical name or a URL. |
Short | identifies the meaning of the extension |
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
Control | 1..1 |
Type | uri |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Fixed Value | LegallyCapableIndicator |
28. Procedure.extension:legallyCapable.extension:LegallyCapableIndicator.value[x] | |
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
Short | Value of extension |
Control | 0..1 |
Type | boolean, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Slicing | This element introduces a set of slices on Procedure.extension.extension.value[x] . The slices are unordered and Closed, and can be differentiated using the following discriminators: |
30. Procedure.extension:legallyCapable.extension:LegallyCapableIndicator.value[x]:valueBoolean | |
Slice Name | valueBoolean |
Definition | Indicator stating whether the patient is deemed capable of overseeing the consequences of a certain procedure, situation or decision. Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
Short | LegallyCapableValue of extension |
Control | 0..1 |
Type | boolean, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Alternate Names | Wilsbekwaam |
32. Procedure.extension:legallyCapable.extension:LegallyCapableComment | |
Slice Name | LegallyCapableComment |
Definition | An Extension |
Short | ExtensionAdditional Content defined by implementations |
Control | 0..1* |
Type | Extension |
Alternate Names | WilsbekwaamToelichting |
34. Procedure.extension:legallyCapable.extension:LegallyCapableComment.url | |
Definition | Source of the definition for the extension code - a logical name or a URL. |
Short | identifies the meaning of the extension |
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
Control | 1..1 |
Type | uri |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Fixed Value | LegallyCapableComment |
36. Procedure.extension:legallyCapable.extension:LegallyCapableComment.value[x] | |
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
Short | Value of extension |
Control | 0..1 |
Type | string, date, dateTime, Meta, code, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Slicing | This element introduces a set of slices on Procedure.extension.extension.value[x] . The slices are unordered and Closed, and can be differentiated using the following discriminators: |
38. Procedure.extension:legallyCapable.extension:LegallyCapableComment.value[x]:valueString | |
Slice Name | valueString |
Definition | Comment on the decisions which the patient is legally capable of making. Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
Short | LegallyCapableCommentValue of extension |
Control | 0..1 |
Type | string, date, dateTime, Meta, code, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Alternate Names | WilsbekwaamToelichting |
40. Procedure.extension:legallyCapable.url | |
Definition | Source of the definition for the extension code - a logical name or a URL. |
Short | identifies the meaning of the extension |
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
Control | 1..1 |
Type | uri |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Fixed Value | http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures-LegallyCapable |
42. Procedure.extension:legallyCapable.value[x] | |
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
Short | Value of extension |
Control | 0..01 |
Type | Choice of: base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, Meta |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
44. Procedure.extension:permission | |
Slice Name | permission |
Definition | The permission given to the health professional(s) by the patient or legal representative to implement medical restraints. |
Short | Permission |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Extension(HCIM FreedomrestrictingMeasures Permission) (Extension Type: CodeableConcept) |
Alternate Names | Toestemming |
46. Procedure.extension:permission.url | |
Definition | Source of the definition for the extension code - a logical name or a URL. |
Short | identifies the meaning of the extension |
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
Control | 1..1 |
Type | uri |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Fixed Value | http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures-Permission |
48. Procedure.extension:permission.value[x] | |
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
Short | Value of extension |
Control | 0..1 |
Type | CodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Slicing | This element introduces a set of slices on Procedure.extension.value[x] . The slices are unordered and Closed, and can be differentiated using the following discriminators: |
50. Procedure.extension:permission.value[x]:valueCodeableConcept | |
Slice Name | valueCodeableConcept |
Definition | The legal situation that applies to the patient during the intervention. The code of the legal status is based on the Vektis/AZR code list COD232-VEKT Legal Status. Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
Short | PermissionValue of extension |
Control | 10..1 |
Type | CodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal |
[x] Note | See Choice of Data Types for further information about how to use [x] |
52. Procedure.extension:permission.value[x]:valueCodeableConcept.coding | |
Definition | A reference to a code defined by a terminology system. |
Short | Code defined by a terminology system |
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
Control | 10..* |
Type | Coding |
Summary | true |
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. |
Slicing | This element introduces a set of slices on Procedure.extension.value[x].coding . The slices are unordered and Open, and can be differentiated using the following discriminators: |
54. Procedure.extension:permission.value[x]:valueCodeableConcept.coding:ArgusPermissionCode | |
Slice Name | ArgusPermissionCode |
Definition | A reference to a code defined by a terminology system. |
Short | Code defined by a terminology system |
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
Control | 0..1* |
Binding | Unless not suitable, these codes SHALL be taken from For codes, see ArgusInstemmingCodelijst (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.5--20171231000000 )ArgusInstemmingCodelijst |
Type | Coding |
Summary | true |
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. |
56. Procedure.extension:permission.value[x]:valueCodeableConcept.coding:ArgusPermissionCode.system | |
Definition | The identification of the code system that defines the meaning of the symbol in the code. |
Short | Identity of the terminology system |
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. |
Control | 10..1 |
Type | uri |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Need to be unambiguous about the source of the definition of the symbol. |
58. Procedure.extension:permission.value[x]:valueCodeableConcept.coding:ArgusPermissionCode.code | |
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). |
Short | Symbol in syntax defined by the system |
Control | 10..1 |
Type | code |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Need to refer to a particular code in the system. |
60. Procedure.extension:permission.value[x]:valueCodeableConcept.coding:permissionCode | |
Slice Name | permissionCode |
Definition | A reference to a code defined by a terminology system. |
Short | Code defined by a terminology system |
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
Control | 0..1* |
Binding | Unless not suitable, these codes SHALL be taken from For codes, see ToestemmingCodelijst (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.1--20171231000000 )ToestemmingCodelijst |
Type | Coding |
Summary | true |
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. |
62. Procedure.extension:permission.value[x]:valueCodeableConcept.coding:permissionCode.system | |
Definition | The identification of the code system that defines the meaning of the symbol in the code. |
Short | Identity of the terminology system |
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. |
Control | 10..1 |
Type | uri |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Need to be unambiguous about the source of the definition of the symbol. |
64. Procedure.extension:permission.value[x]:valueCodeableConcept.coding:permissionCode.code | |
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). |
Short | Symbol in syntax defined by the system |
Control | 10..1 |
Type | code |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Need to refer to a particular code in the system. |
66. Procedure.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. |
Short | Extensions that cannot be ignored |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR |
Alternate Names | extensions, user content |
68. Procedure.identifier | |
Definition | This records identifiers associated with this procedure that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation). |
Short | External Identifiers for this procedure |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
Summary | true |
Requirements | Need to allow connection to a wider workflow. |
70. Procedure.status | |
Definition | A code specifying the state of the procedure. Generally this will be in-progress or completed state. |
Short | preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown |
Comments | The unknown code is not to be used to convey other statuses. The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
Control | 1..1 |
Binding | The codes SHALL be taken from EventStatushttp://hl7.org/fhir/ValueSet/event-status (required to http://hl7.org/fhir/ValueSet/event-status )A code specifying the state of the procedure. |
Type | code |
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
72. Procedure.notDone | |
Definition | Set this to true if the record is saying that the procedure was NOT performed. |
Short | True if procedure was not performed as scheduled |
Comments | If true, it means the procedure did not occur as described. Typically it would be accompanied by attributes describing the type of activity. It might also be accompanied by body site information or time information (i.e. no procedure was done to the left arm or no procedure was done in this 2-year period). Specifying additional information such as performer, outcome, etc. is generally inappropriate. For example, it's not that useful to say "There was no appendectomy done at 12:03pm June 6th by Dr. Smith with a successful outcome" as it implies that there could have been an appendectomy done at any other time, by any other clinician or with any other outcome. This element is labeled as a modifier because it indicates that a procedure didn't happen. |
Control | 0..1 |
Type | boolean |
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Default Value | false |
74. Procedure.category | |
Definition | A code that classifies the procedure for searching, sorting and display purposes (e.g. "Surgical Procedure"). |
Short | Classification of the procedure |
Control | 10..1 |
Binding | For example codes, see Procedure Category Codes (SNOMED CT)http://hl7.org/fhir/ValueSet/procedure-category (example to http://hl7.org/fhir/ValueSet/procedure-category )A code that classifies a procedure for searching, sorting and display purposes. |
Type | CodeableConcept |
Summary | true |
76. Procedure.category.coding | |
Definition | A reference to a code defined by a terminology system. |
Short | Code defined by a terminology system |
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
Control | 10..* |
Type | Coding |
Summary | true |
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. |
Slicing | This element introduces a set of slices on Procedure.category.coding . The slices are unordered and Open, and can be differentiated using the following discriminators: |
78. Procedure.category.coding:freedomRestrictingMeasuresCode | |
Slice Name | freedomRestrictingMeasuresCode |
Definition | A reference to a code defined by a terminology system. |
Short | Code defined by a terminology system |
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
Control | 10..1* |
Type | Coding |
Summary | true |
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. |
80. Procedure.category.coding:freedomRestrictingMeasuresCode.system | |
Definition | The identification of the code system that defines the meaning of the symbol in the code. |
Short | Identity of the terminology system |
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. |
Control | 10..1 |
Type | uri |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Need to be unambiguous about the source of the definition of the symbol. |
Fixed Value | http://snomed.info/sct |
82. Procedure.category.coding:freedomRestrictingMeasuresCode.code | |
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). |
Short | Symbol in syntax defined by the system |
Control | 10..1 |
Type | code |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Need to refer to a particular code in the system. |
Fixed Value | 225214000 |
84. Procedure.category.coding:freedomRestrictingMeasuresCode.display | |
Definition | A representation of the meaning of the code in the system, following the rules of the system. |
Short | Representation defined by the system |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. |
86. Procedure.code | |
Definition | The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. "Laparoscopic Appendectomy"). |
Short | Identification of the procedure |
Control | 10..1 |
Binding | For example codes, see Procedure Codes (SNOMED CT)http://hl7.org/fhir/ValueSet/procedure-code (example to http://hl7.org/fhir/ValueSet/procedure-code )A code to identify a specific procedure . |
Type | CodeableConcept |
Summary | true |
Requirements | 0..1 to account for primarily narrative only resources. |
Alternate Names | type |
88. Procedure.code.coding | |
Definition | A reference to a code defined by a terminology system. |
Short | Code defined by a terminology system |
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
Control | 10..* |
Type | Coding |
Summary | true |
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. |
Slicing | This element introduces a set of slices on Procedure.code.coding . The slices are unordered and Open, and can be differentiated using the following discriminators: |
90. Procedure.code.coding:typeOfInterventionCode | |
Slice Name | typeOfInterventionCode |
Definition | A reference to a code defined by a terminology system. |
Short | Code defined by a terminology system |
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
Control | 0..1* |
Binding | Unless not suitable, these codes SHALL be taken from For codes, see SoortInterventieCodelijst (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.3--20171231000000 )TypeOfInterventionCodelist |
Type | Coding |
Summary | true |
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. |
92. Procedure.code.coding:typeOfInterventionCode.system | |
Definition | The identification of the code system that defines the meaning of the symbol in the code. |
Short | Identity of the terminology system |
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. |
Control | 10..1 |
Type | uri |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Need to be unambiguous about the source of the definition of the symbol. |
94. Procedure.code.coding:typeOfInterventionCode.code | |
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). |
Short | Symbol in syntax defined by the system |
Control | 10..1 |
Type | code |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Need to refer to a particular code in the system. |
96. Procedure.code.coding:argusTypeOfInterventionCode | |
Slice Name | argusTypeOfInterventionCode |
Definition | A reference to a code defined by a terminology system. |
Short | Code defined by a terminology system |
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
Control | 0..1* |
Binding | Unless not suitable, these codes SHALL be taken from For codes, see ArgusInterventieCodelijst (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.4--20171231000000 )ArgusTypeOfInterventionCodelist |
Type | Coding |
Summary | true |
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. |
98. Procedure.code.coding:argusTypeOfInterventionCode.system | |
Definition | The identification of the code system that defines the meaning of the symbol in the code. |
Short | Identity of the terminology system |
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. |
Control | 10..1 |
Type | uri |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Need to be unambiguous about the source of the definition of the symbol. |
100. Procedure.code.coding:argusTypeOfInterventionCode.code | |
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). |
Short | Symbol in syntax defined by the system |
Control | 10..1 |
Type | code |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Need to refer to a particular code in the system. |
102. Procedure.subject | |
Definition | The person, animal or group on which the procedure was performed. |
Short | Who the procedure was performed on |
Control | 1..1 |
Type | Reference(Group, nl-core-patient, Patient) |
Summary | true |
Alternate Names | patient |
104. Procedure.performed[x] | |
Definition | The date(time)/period over which the procedure was performed. Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be captured. |
Short | Date/Period the procedure was performed |
Control | 0..1 |
Type | Period, dateTime |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Summary | true |
Slicing | This element introduces a set of slices on Procedure.performed[x] . The slices are unordered and Closed, and can be differentiated using the following discriminators: |
106. Procedure.performed[x]:performedPeriod | |
Slice Name | performedPeriod |
Definition | The date(time)/period over which the procedure was performed. Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be captured. |
Short | Date/Period the procedure was performed |
Control | 0..1 |
Type | Period, dateTime |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Summary | true |
Guidance on how to interpret the contents of this table can be found here
0. Procedure | |||||
Definition | Root concept of the FreedomRestrictingMeasures information model. This root concept contains all data elements of the FreedomRestrictingMeasures information model. | ||||
Short | Procedure | ||||
Control | 0..* | ||||
Alternate Names | VrijheidsbeperkendeMaatregelen | ||||
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty() )dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative ( contained.text.empty() )dom-4: 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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource ( contained.where(('#'+id in %resource.descendants().reference).not()).empty() )pro-1: Reason not done is only permitted if notDone indicator is true ( notDoneReason.empty() or notDone = true ) | ||||
2. Procedure.id | |||||
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
Short | Logical id of this artifact | ||||
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
Control | 0..1 | ||||
Type | id | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
4. Procedure.meta | |||||
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource. | ||||
Short | Metadata about the resource | ||||
Control | 0..1 | ||||
Type | Meta | ||||
Summary | true | ||||
6. Procedure.implicitRules | |||||
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. | ||||
Short | A set of rules under which this content was created | ||||
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
8. Procedure.language | |||||
Definition | The base language in which the resource is written. | ||||
Short | Language of the resource content | ||||
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from Common Languages (extensible to http://hl7.org/fhir/ValueSet/languages )A human language.
| ||||
Type | code | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
10. Procedure.text | |||||
Definition | A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. | ||||
Short | Text summary of the resource, for human interpretation | ||||
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later. | ||||
Control | 0..1 This element is affected by the following invariants: dom-1 | ||||
Type | Narrative | ||||
Alternate Names | narrative, html, xhtml, display | ||||
12. Procedure.contained | |||||
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. | ||||
Short | Contained, inline Resources | ||||
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. | ||||
Control | 0..* | ||||
Type | Resource | ||||
Alternate Names | inline resources, anonymous resources, contained resources | ||||
14. Procedure.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..* | ||||
Type | Extension | ||||
Slicing | This element introduces a set of slices on Procedure.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
16. Procedure.extension:legalStatus | |||||
Slice Name | legalStatus | ||||
Definition | The legal situation that applies to the patient during the intervention. | ||||
Short | LegalStatus | ||||
Comments | The concept LegalStatus of the Zib FreedomRestrictingMeasures plays an importand role in the context of mental healthcare (GGZ). This concept will become an independent Zib with the next release of Zibs (2018 release). The LegalStatus concept and associated valueset will be split in two concepts: legalstatus and representative. These concept are currently captured in one valueset. It is possible to have a legalstatus AND a representative. Therefore, we allow this extension to have a cardinality of 0..2. | ||||
Control | 0..2 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(Patient LegalSatus) (Extension Type: CodeableConcept) | ||||
Alternate Names | JuridischeStatus | ||||
18. Procedure.extension:legalStatus.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
20. Procedure.extension:legalStatus.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
Slicing | This element introduces a set of slices on Procedure.extension.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
22. Procedure.extension:legalStatus.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Fixed Value | http://nictiz.nl/fhir/StructureDefinition/zib-patient-legalstatus | ||||
24. Procedure.extension:legalStatus.value[x] | |||||
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). | ||||
Short | Value of extension | ||||
Control | 0..1 | ||||
Type | CodeableConcept | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Slicing | This element introduces a set of slices on Procedure.extension.value[x] . The slices are unordered and Closed, and can be differentiated using the following discriminators: | ||||
26. Procedure.extension:legalStatus.value[x]:valueCodeableConcept | |||||
Slice Name | valueCodeableConcept | ||||
Definition | The legal situation that applies to the patient during the intervention. The code of the legal status is based on the Vektis/AZR code list COD232-VEKT Legal Status. | ||||
Short | LegalStatus | ||||
Control | 1..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from JuridischeStatusCodelijst (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.2--20171231000000 ) | ||||
Type | CodeableConcept | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Alternate Names | JuridischeStatus | ||||
28. Procedure.extension:legalStatus.value[x]:valueCodeableConcept.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
30. Procedure.extension:legalStatus.value[x]:valueCodeableConcept.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
Slicing | This element introduces a set of slices on Procedure.extension.value[x].extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
32. Procedure.extension:legalStatus.value[x]:valueCodeableConcept.coding | |||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 1..* | ||||
Type | Coding | ||||
Summary | true | ||||
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. | ||||
34. Procedure.extension:legalStatus.value[x]:valueCodeableConcept.coding.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
36. Procedure.extension:legalStatus.value[x]:valueCodeableConcept.coding.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
Slicing | This element introduces a set of slices on Procedure.extension.value[x].coding.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
38. Procedure.extension:legalStatus.value[x]:valueCodeableConcept.coding.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
40. Procedure.extension:legalStatus.value[x]:valueCodeableConcept.coding.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
42. Procedure.extension:legalStatus.value[x]:valueCodeableConcept.coding.code | |||||
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Short | Symbol in syntax defined by the system | ||||
Control | 1..1 | ||||
Type | code | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
44. Procedure.extension:legalStatus.value[x]:valueCodeableConcept.coding.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
46. Procedure.extension:legalStatus.value[x]:valueCodeableConcept.coding.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..1 | ||||
Type | boolean | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
48. Procedure.extension:legalStatus.value[x]:valueCodeableConcept.text | |||||
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
Short | Plain text representation of the concept | ||||
Comments | Very often the text is the same as a displayName of one of the codings. | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. | ||||
50. Procedure.extension:legallyCapable | |||||
Slice Name | legallyCapable | ||||
Definition | Indicator stating whether the patient is deemed capable of overseeing the consequences of a certain procedure, situation or decision. | ||||
Short | LegallyCapable | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(HCIM FreedomRestrictingMeasures LegallyCapable) (Complex Extension) | ||||
52. Procedure.extension:legallyCapable.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
54. Procedure.extension:legallyCapable.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 1..* | ||||
Type | Extension | ||||
Slicing | This element introduces a set of slices on Procedure.extension.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
56. Procedure.extension:legallyCapable.extension:LegallyCapableIndicator | |||||
Slice Name | LegallyCapableIndicator | ||||
Definition | Indicator stating whether the patient is deemed capable of overseeing the consequences of a certain procedure, situation or decision. | ||||
Short | LegallyCapableIndicator | ||||
Control | 1..1 | ||||
Type | Extension | ||||
Alternate Names | Wilsbekwaam | ||||
58. Procedure.extension:legallyCapable.extension:LegallyCapableIndicator.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
60. Procedure.extension:legallyCapable.extension:LegallyCapableIndicator.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
Slicing | This element introduces a set of slices on Procedure.extension.extension.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
62. Procedure.extension:legallyCapable.extension:LegallyCapableIndicator.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Fixed Value | LegallyCapableIndicator | ||||
64. Procedure.extension:legallyCapable.extension:LegallyCapableIndicator.value[x] | |||||
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). | ||||
Short | Value of extension | ||||
Control | 0..1 | ||||
Type | boolean | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Slicing | This element introduces a set of slices on Procedure.extension.extension.value[x] . The slices are unordered and Closed, and can be differentiated using the following discriminators: | ||||
66. Procedure.extension:legallyCapable.extension:LegallyCapableIndicator.value[x]:valueBoolean | |||||
Slice Name | valueBoolean | ||||
Definition | Indicator stating whether the patient is deemed capable of overseeing the consequences of a certain procedure, situation or decision. | ||||
Short | LegallyCapable | ||||
Control | 0..1 | ||||
Type | boolean | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Alternate Names | Wilsbekwaam | ||||
68. Procedure.extension:legallyCapable.extension:LegallyCapableComment | |||||
Slice Name | LegallyCapableComment | ||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..1 | ||||
Type | Extension | ||||
Alternate Names | WilsbekwaamToelichting | ||||
70. Procedure.extension:legallyCapable.extension:LegallyCapableComment.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
72. Procedure.extension:legallyCapable.extension:LegallyCapableComment.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
Slicing | This element introduces a set of slices on Procedure.extension.extension.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
74. Procedure.extension:legallyCapable.extension:LegallyCapableComment.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Fixed Value | LegallyCapableComment | ||||
76. Procedure.extension:legallyCapable.extension:LegallyCapableComment.value[x] | |||||
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). | ||||
Short | Value of extension | ||||
Control | 0..1 | ||||
Type | string | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Slicing | This element introduces a set of slices on Procedure.extension.extension.value[x] . The slices are unordered and Closed, and can be differentiated using the following discriminators: | ||||
78. Procedure.extension:legallyCapable.extension:LegallyCapableComment.value[x]:valueString | |||||
Slice Name | valueString | ||||
Definition | Comment on the decisions which the patient is legally capable of making. | ||||
Short | LegallyCapableComment | ||||
Control | 0..1 | ||||
Type | string | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Alternate Names | WilsbekwaamToelichting | ||||
80. Procedure.extension:legallyCapable.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Fixed Value | http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures-LegallyCapable | ||||
82. Procedure.extension:legallyCapable.value[x] | |||||
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). | ||||
Short | Value of extension | ||||
Control | 0..0 | ||||
Type | Choice of: base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, Meta | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
84. Procedure.extension:permission | |||||
Slice Name | permission | ||||
Definition | The permission given to the health professional(s) by the patient or legal representative to implement medical restraints. | ||||
Short | Permission | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(HCIM FreedomrestrictingMeasures Permission) (Extension Type: CodeableConcept) | ||||
Alternate Names | Toestemming | ||||
86. Procedure.extension:permission.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
88. Procedure.extension:permission.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
Slicing | This element introduces a set of slices on Procedure.extension.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
90. Procedure.extension:permission.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Fixed Value | http://nictiz.nl/fhir/StructureDefinition/zib-FreedomRestrictingMeasures-Permission | ||||
92. Procedure.extension:permission.value[x] | |||||
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). | ||||
Short | Value of extension | ||||
Control | 0..1 | ||||
Type | CodeableConcept | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Slicing | This element introduces a set of slices on Procedure.extension.value[x] . The slices are unordered and Closed, and can be differentiated using the following discriminators: | ||||
94. Procedure.extension:permission.value[x]:valueCodeableConcept | |||||
Slice Name | valueCodeableConcept | ||||
Definition | The legal situation that applies to the patient during the intervention. The code of the legal status is based on the Vektis/AZR code list COD232-VEKT Legal Status. | ||||
Short | Permission | ||||
Control | 1..1 | ||||
Type | CodeableConcept | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
96. Procedure.extension:permission.value[x]:valueCodeableConcept.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
98. Procedure.extension:permission.value[x]:valueCodeableConcept.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
Slicing | This element introduces a set of slices on Procedure.extension.value[x].extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
100. Procedure.extension:permission.value[x]:valueCodeableConcept.coding | |||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 1..* | ||||
Type | Coding | ||||
Summary | true | ||||
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. | ||||
Slicing | This element introduces a set of slices on Procedure.extension.value[x].coding . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
102. Procedure.extension:permission.value[x]:valueCodeableConcept.coding:ArgusPermissionCode | |||||
Slice Name | ArgusPermissionCode | ||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from ArgusInstemmingCodelijst (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.5--20171231000000 )ArgusInstemmingCodelijst | ||||
Type | Coding | ||||
Summary | true | ||||
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. | ||||
104. Procedure.extension:permission.value[x]:valueCodeableConcept.coding:ArgusPermissionCode.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
106. Procedure.extension:permission.value[x]:valueCodeableConcept.coding:ArgusPermissionCode.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
Slicing | This element introduces a set of slices on Procedure.extension.value[x].coding.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
108. Procedure.extension:permission.value[x]:valueCodeableConcept.coding:ArgusPermissionCode.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
110. Procedure.extension:permission.value[x]:valueCodeableConcept.coding:ArgusPermissionCode.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
112. Procedure.extension:permission.value[x]:valueCodeableConcept.coding:ArgusPermissionCode.code | |||||
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Short | Symbol in syntax defined by the system | ||||
Control | 1..1 | ||||
Type | code | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
114. Procedure.extension:permission.value[x]:valueCodeableConcept.coding:ArgusPermissionCode.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
116. Procedure.extension:permission.value[x]:valueCodeableConcept.coding:ArgusPermissionCode.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..1 | ||||
Type | boolean | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
118. Procedure.extension:permission.value[x]:valueCodeableConcept.coding:permissionCode | |||||
Slice Name | permissionCode | ||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from ToestemmingCodelijst (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.1--20171231000000 )ToestemmingCodelijst | ||||
Type | Coding | ||||
Summary | true | ||||
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. | ||||
120. Procedure.extension:permission.value[x]:valueCodeableConcept.coding:permissionCode.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
122. Procedure.extension:permission.value[x]:valueCodeableConcept.coding:permissionCode.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
Slicing | This element introduces a set of slices on Procedure.extension.value[x].coding.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
124. Procedure.extension:permission.value[x]:valueCodeableConcept.coding:permissionCode.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
126. Procedure.extension:permission.value[x]:valueCodeableConcept.coding:permissionCode.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
128. Procedure.extension:permission.value[x]:valueCodeableConcept.coding:permissionCode.code | |||||
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Short | Symbol in syntax defined by the system | ||||
Control | 1..1 | ||||
Type | code | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
130. Procedure.extension:permission.value[x]:valueCodeableConcept.coding:permissionCode.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
132. Procedure.extension:permission.value[x]:valueCodeableConcept.coding:permissionCode.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..1 | ||||
Type | boolean | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
134. Procedure.extension:permission.value[x]:valueCodeableConcept.text | |||||
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
Short | Plain text representation of the concept | ||||
Comments | Very often the text is the same as a displayName of one of the codings. | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. | ||||
136. Procedure.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. | ||||
Short | Extensions that cannot be ignored | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR | ||||
Alternate Names | extensions, user content | ||||
138. Procedure.identifier | |||||
Definition | This records identifiers associated with this procedure that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation). | ||||
Short | External Identifiers for this procedure | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* | ||||
Type | Identifier | ||||
Summary | true | ||||
Requirements | Need to allow connection to a wider workflow. | ||||
140. Procedure.definition | |||||
Definition | A protocol, guideline, orderset or other definition that was adhered to in whole or in part by this procedure. | ||||
Short | Instantiates protocol or definition | ||||
Control | 0..* | ||||
Type | Reference(PlanDefinition, ActivityDefinition, HealthcareService) | ||||
Summary | true | ||||
142. Procedure.basedOn | |||||
Definition | A reference to a resource that contains details of the request for this procedure. | ||||
Short | A request for this procedure | ||||
Control | 0..* | ||||
Type | Reference(CarePlan, ProcedureRequest, ReferralRequest) | ||||
Summary | true | ||||
Alternate Names | fulfills | ||||
144. Procedure.partOf | |||||
Definition | A larger event of which this particular procedure is a component or step. | ||||
Short | Part of referenced event | ||||
Comments | The MedicationAdministration has a partOf reference to Procedure, but this is not a circular reference. For a surgical procedure, the anesthesia related medicationAdministration is part of the procedure. For an IV medication administration, the procedure to insert the IV port is part of the medication administration. | ||||
Control | 0..* | ||||
Type | Reference(Procedure, Observation, MedicationAdministration) | ||||
Summary | true | ||||
Alternate Names | container | ||||
146. Procedure.status | |||||
Definition | A code specifying the state of the procedure. Generally this will be in-progress or completed state. | ||||
Short | preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown | ||||
Comments | The unknown code is not to be used to convey other statuses. The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from EventStatus (required to http://hl7.org/fhir/ValueSet/event-status )A code specifying the state of the procedure. | ||||
Type | code | ||||
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
148. Procedure.notDone | |||||
Definition | Set this to true if the record is saying that the procedure was NOT performed. | ||||
Short | True if procedure was not performed as scheduled | ||||
Comments | If true, it means the procedure did not occur as described. Typically it would be accompanied by attributes describing the type of activity. It might also be accompanied by body site information or time information (i.e. no procedure was done to the left arm or no procedure was done in this 2-year period). Specifying additional information such as performer, outcome, etc. is generally inappropriate. For example, it's not that useful to say "There was no appendectomy done at 12:03pm June 6th by Dr. Smith with a successful outcome" as it implies that there could have been an appendectomy done at any other time, by any other clinician or with any other outcome. This element is labeled as a modifier because it indicates that a procedure didn't happen. | ||||
Control | 0..1 | ||||
Type | boolean | ||||
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Default Value | false | ||||
150. Procedure.notDoneReason | |||||
Definition | A code indicating why the procedure was not performed. | ||||
Short | Reason procedure was not performed | ||||
Control | 0..1 This element is affected by the following invariants: pro-1 | ||||
Binding | For example codes, see Procedure Not Performed Reason (SNOMED-CT) (example to http://hl7.org/fhir/ValueSet/procedure-not-performed-reason )A code that identifies the reason a procedure was not performed. | ||||
Type | CodeableConcept | ||||
Summary | true | ||||
152. Procedure.category | |||||
Definition | A code that classifies the procedure for searching, sorting and display purposes (e.g. "Surgical Procedure"). | ||||
Short | Classification of the procedure | ||||
Control | 1..1 | ||||
Binding | For example codes, see Procedure Category Codes (SNOMED CT) (example to http://hl7.org/fhir/ValueSet/procedure-category )A code that classifies a procedure for searching, sorting and display purposes. | ||||
Type | CodeableConcept | ||||
Summary | true | ||||
154. Procedure.category.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
156. Procedure.category.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
Slicing | This element introduces a set of slices on Procedure.category.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
158. Procedure.category.coding | |||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 1..* | ||||
Type | Coding | ||||
Summary | true | ||||
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. | ||||
Slicing | This element introduces a set of slices on Procedure.category.coding . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
160. Procedure.category.coding:freedomRestrictingMeasuresCode | |||||
Slice Name | freedomRestrictingMeasuresCode | ||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 1..1 | ||||
Type | Coding | ||||
Summary | true | ||||
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. | ||||
162. Procedure.category.coding:freedomRestrictingMeasuresCode.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
164. Procedure.category.coding:freedomRestrictingMeasuresCode.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
Slicing | This element introduces a set of slices on Procedure.category.coding.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
166. Procedure.category.coding:freedomRestrictingMeasuresCode.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
Fixed Value | http://snomed.info/sct | ||||
168. Procedure.category.coding:freedomRestrictingMeasuresCode.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
170. Procedure.category.coding:freedomRestrictingMeasuresCode.code | |||||
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Short | Symbol in syntax defined by the system | ||||
Control | 1..1 | ||||
Type | code | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
Fixed Value | 225214000 | ||||
172. Procedure.category.coding:freedomRestrictingMeasuresCode.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
174. Procedure.category.coding:freedomRestrictingMeasuresCode.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..1 | ||||
Type | boolean | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
176. Procedure.category.text | |||||
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
Short | Plain text representation of the concept | ||||
Comments | Very often the text is the same as a displayName of one of the codings. | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. | ||||
178. Procedure.code | |||||
Definition | The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. "Laparoscopic Appendectomy"). | ||||
Short | Identification of the procedure | ||||
Control | 1..1 | ||||
Binding | For example codes, see Procedure Codes (SNOMED CT) (example to http://hl7.org/fhir/ValueSet/procedure-code )A code to identify a specific procedure . | ||||
Type | CodeableConcept | ||||
Summary | true | ||||
Requirements | 0..1 to account for primarily narrative only resources. | ||||
Alternate Names | type | ||||
180. Procedure.code.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
182. Procedure.code.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
Slicing | This element introduces a set of slices on Procedure.code.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
184. Procedure.code.coding | |||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 1..* | ||||
Type | Coding | ||||
Summary | true | ||||
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. | ||||
Slicing | This element introduces a set of slices on Procedure.code.coding . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
186. Procedure.code.coding:typeOfInterventionCode | |||||
Slice Name | typeOfInterventionCode | ||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from SoortInterventieCodelijst (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.3--20171231000000 )TypeOfInterventionCodelist | ||||
Type | Coding | ||||
Summary | true | ||||
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. | ||||
188. Procedure.code.coding:typeOfInterventionCode.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
190. Procedure.code.coding:typeOfInterventionCode.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
Slicing | This element introduces a set of slices on Procedure.code.coding.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
192. Procedure.code.coding:typeOfInterventionCode.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
194. Procedure.code.coding:typeOfInterventionCode.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
196. Procedure.code.coding:typeOfInterventionCode.code | |||||
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Short | Symbol in syntax defined by the system | ||||
Control | 1..1 | ||||
Type | code | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
198. Procedure.code.coding:typeOfInterventionCode.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
200. Procedure.code.coding:typeOfInterventionCode.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..1 | ||||
Type | boolean | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
202. Procedure.code.coding:argusTypeOfInterventionCode | |||||
Slice Name | argusTypeOfInterventionCode | ||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from ArgusInterventieCodelijst (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.3.4--20171231000000 )ArgusTypeOfInterventionCodelist | ||||
Type | Coding | ||||
Summary | true | ||||
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. | ||||
204. Procedure.code.coding:argusTypeOfInterventionCode.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
206. Procedure.code.coding:argusTypeOfInterventionCode.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
Slicing | This element introduces a set of slices on Procedure.code.coding.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
208. Procedure.code.coding:argusTypeOfInterventionCode.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
210. Procedure.code.coding:argusTypeOfInterventionCode.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business versionId, not a resource version id (see discussion) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
212. Procedure.code.coding:argusTypeOfInterventionCode.code | |||||
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Short | Symbol in syntax defined by the system | ||||
Control | 1..1 | ||||
Type | code | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
214. Procedure.code.coding:argusTypeOfInterventionCode.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
216. Procedure.code.coding:argusTypeOfInterventionCode.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..1 | ||||
Type | boolean | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
218. Procedure.code.text | |||||
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
Short | Plain text representation of the concept | ||||
Comments | Very often the text is the same as a displayName of one of the codings. | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. | ||||
220. Procedure.subject | |||||
Definition | The person, animal or group on which the procedure was performed. | ||||
Short | Who the procedure was performed on | ||||
Control | 1..1 | ||||
Type | Reference(Group, nl-core-patient) | ||||
Summary | true | ||||
Alternate Names | patient | ||||
222. Procedure.context | |||||
Definition | The encounter during which the procedure was performed. | ||||
Short | Encounter or episode associated with the procedure | ||||
Control | 0..1 | ||||
Type | Reference(Encounter, EpisodeOfCare) | ||||
Summary | true | ||||
Alternate Names | encounter | ||||
224. Procedure.performed[x] | |||||
Definition | The date(time)/period over which the procedure was performed. Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be captured. | ||||
Short | Date/Period the procedure was performed | ||||
Control | 0..1 | ||||
Type | Period | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Summary | true | ||||
Slicing | This element introduces a set of slices on Procedure.performed[x] . The slices are unordered and Closed, and can be differentiated using the following discriminators: | ||||
226. Procedure.performed[x]:performedPeriod | |||||
Slice Name | performedPeriod | ||||
Definition | The date(time)/period over which the procedure was performed. Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be captured. | ||||
Short | Date/Period the procedure was performed | ||||
Control | 0..1 | ||||
Type | Period | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Summary | true | ||||
228. Procedure.performed[x]:performedPeriod.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
230. Procedure.performed[x]:performedPeriod.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
Slicing | This element introduces a set of slices on Procedure.performed[x].extension . The slices are unordered and Open, and can be differentiated using the following discriminators: | ||||
232. Procedure.performed[x]:performedPeriod.start | |||||
Definition | The date and time at which the restraints started | ||||
Short | StartEpisode | ||||
Comments | If the low element is missing, the meaning is that the low boundary is not known. | ||||
Control | 0..1 This element is affected by the following invariants: per-1 | ||||
Type | dateTime | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Alternate Names | AanvangEpisode | ||||
234. Procedure.performed[x]:performedPeriod.end | |||||
Definition | The date and time at which the restraints ended. | ||||
Short | EndOfEpisode | ||||
Comments | The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03. | ||||
Control | 0..1 This element is affected by the following invariants: per-1 | ||||
Type | dateTime | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Alternate Names | EindeEpisode | ||||
Meaning if Missing | If the end of the period is missing, it means that the period is ongoing | ||||
236. Procedure.performer | |||||
Definition | Limited to 'real' people rather than equipment. | ||||
Short | The people who performed the procedure | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()) ) | ||||
238. Procedure.performer.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
240. Procedure.performer.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
242. Procedure.performer.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. | ||||
Short | Extensions that cannot be ignored | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR | ||||
Summary | true | ||||
Alternate Names | extensions, user content, modifiers | ||||
244. Procedure.performer.role | |||||
Definition | For example: surgeon, anaethetist, endoscopist. | ||||
Short | The role the actor was in | ||||
Control | 0..1 | ||||
Binding | For example codes, see Procedure Performer Role Codes (example to http://hl7.org/fhir/ValueSet/performer-role )A code that identifies the role of a performer of the procedure. | ||||
Type | CodeableConcept | ||||
Summary | true | ||||
246. Procedure.performer.actor | |||||
Definition | The practitioner who was involved in the procedure. | ||||
Short | The reference to the practitioner | ||||
Control | 1..1 | ||||
Type | Reference(Practitioner, Organization, Patient, RelatedPerson, Device) | ||||
Summary | true | ||||
Requirements | A reference to Device supports use cases, such as pacemakers. | ||||
248. Procedure.performer.onBehalfOf | |||||
Definition | The organization the device or practitioner was acting on behalf of. | ||||
Short | Organization the device or practitioner was acting for | ||||
Control | 0..1 | ||||
Type | Reference(Organization) | ||||
Requirements | Practitioners and Devices can be associated with multiple organizations. This element indicates which organization they were acting on behalf of when performing the action. | ||||
250. Procedure.location | |||||
Definition | The location where the procedure actually happened. E.g. a newborn at home, a tracheostomy at a restaurant. | ||||
Short | Where the procedure happened | ||||
Control | 0..1 | ||||
Type | Reference(Location) | ||||
Summary | true | ||||
Requirements | Ties a procedure to where the records are likely kept. | ||||
252. Procedure.reasonCode | |||||
Definition | The coded reason why the procedure was performed. This may be coded entity of some type, or may simply be present as text. | ||||
Short | Coded reason procedure performed | ||||
Control | 0..* | ||||
Binding | For example codes, see Procedure Reason Codes (example to http://hl7.org/fhir/ValueSet/procedure-reason )A code that identifies the reason a procedure is required. | ||||
Type | CodeableConcept | ||||
Summary | true | ||||
254. Procedure.reasonReference | |||||
Definition | The condition that is the reason why the procedure was performed. | ||||
Short | Condition that is the reason the procedure performed | ||||
Comments | e.g. endoscopy for dilatation and biopsy, combination diagnosis and therapeutic. | ||||
Control | 0..* | ||||
Type | Reference(Condition, Observation) | ||||
Summary | true | ||||
256. Procedure.bodySite | |||||
Definition | Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion. | ||||
Short | Target body sites | ||||
Control | 0..* | ||||
Binding | For example codes, see SNOMED CT Body Structures (example to http://hl7.org/fhir/ValueSet/body-site )Codes describing anatomical locations. May include laterality. | ||||
Type | CodeableConcept | ||||
Summary | true | ||||
258. Procedure.outcome | |||||
Definition | The outcome of the procedure - did it resolve reasons for the procedure being performed? | ||||
Short | The result of procedure | ||||
Comments | If outcome contains narrative text only, it can be captured using the CodeableConcept.text. | ||||
Control | 0..1 | ||||
Binding | For example codes, see Procedure Outcome Codes (SNOMED CT) (example to http://hl7.org/fhir/ValueSet/procedure-outcome )An outcome of a procedure - whether it was resolved or otherwise. | ||||
Type | CodeableConcept | ||||
Summary | true | ||||
260. Procedure.report | |||||
Definition | This could be a histology result, pathology report, surgical report, etc.. | ||||
Short | Any report resulting from the procedure | ||||
Comments | There could potentially be multiple reports - e.g. if this was a procedure which took multiple biopsies resulting in a number of anatomical pathology reports. | ||||
Control | 0..* | ||||
Type | Reference(DiagnosticReport) | ||||
262. Procedure.complication | |||||
Definition | Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the notes, which will typically describe the procedure itself rather than any 'post procedure' issues. | ||||
Short | Complication following the procedure | ||||
Comments | If complications are only expressed by the narrative text, they can be captured using the CodeableConcept.text. | ||||
Control | 0..* | ||||
Binding | For example codes, see Condition/Problem/Diagnosis Codes (example to http://hl7.org/fhir/ValueSet/condition-code )Codes describing complications that resulted from a procedure. | ||||
Type | CodeableConcept | ||||
264. Procedure.complicationDetail | |||||
Definition | Any complications that occurred during the procedure, or in the immediate post-performance period. | ||||
Short | A condition that is a result of the procedure | ||||
Control | 0..* | ||||
Type | Reference(Condition) | ||||
Requirements | This is used to document a condition that is a result of the procedure, not the condition that was the reason for the procedure. | ||||
266. Procedure.followUp | |||||
Definition | If the procedure required specific follow up - e.g. removal of sutures. The followup may be represented as a simple note, or could potentially be more complex in which case the CarePlan resource can be used. | ||||
Short | Instructions for follow up | ||||
Control | 0..* | ||||
Binding | For example codes, see Procedure Follow up Codes (SNOMED CT) (example to http://hl7.org/fhir/ValueSet/procedure-followup )Specific follow up required for a procedure e.g. removal of sutures. | ||||
Type | CodeableConcept | ||||
268. Procedure.note | |||||
Definition | Any other notes about the procedure. E.g. the operative notes. | ||||
Short | Additional information about the procedure | ||||
Control | 0..* | ||||
Type | Annotation | ||||
270. Procedure.focalDevice | |||||
Definition | A device that is implanted, removed or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure. | ||||
Short | Device changed in procedure | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()) ) | ||||
272. Procedure.focalDevice.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
274. Procedure.focalDevice.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
276. Procedure.focalDevice.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. | ||||
Short | Extensions that cannot be ignored | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR | ||||
Summary | true | ||||
Alternate Names | extensions, user content, modifiers | ||||
278. Procedure.focalDevice.action | |||||
Definition | The kind of change that happened to the device during the procedure. | ||||
Short | Kind of change to device | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from Procedure Device Action Codes (preferred to http://hl7.org/fhir/ValueSet/device-action )A kind of change that happened to the device during the procedure. | ||||
Type | CodeableConcept | ||||
280. Procedure.focalDevice.manipulated | |||||
Definition | The device that was manipulated (changed) during the procedure. | ||||
Short | Device that was changed | ||||
Control | 1..1 | ||||
Type | Reference(Device) | ||||
282. Procedure.usedReference | |||||
Definition | Identifies medications, devices and any other substance used as part of the procedure. | ||||
Short | Items used during procedure | ||||
Comments | For devices actually implanted or removed, use Procedure.device. | ||||
Control | 0..* | ||||
Type | Reference(Device, Medication, Substance) | ||||
Requirements | Used for tracking contamination, etc. | ||||
284. Procedure.usedCode | |||||
Definition | Identifies coded items that were used as part of the procedure. | ||||
Short | Coded items used during the procedure | ||||
Comments | For devices actually implanted or removed, use Procedure.device. | ||||
Control | 0..* | ||||
Binding | For example codes, see FHIR Device Types (example to http://hl7.org/fhir/ValueSet/device-kind )Codes describing items used during a procedure | ||||
Type | CodeableConcept |
IG © 2023+ HL7 Netherlands. Package zibs2017#1.3.15 based on FHIR 3.0.2. Generated 2024-04-09
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