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

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Resource Profile: HCIM NursingIntervention

NursingIntervention as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, release 2017 with an addaption by the ‘VNN redactieraad 2018’, where a informationmodel is proposed without the NursingProcedure container and attached mandatory Activity concept.

A nursing intervention is the care and/or treatment carried out by a nurse based on an expert opinion and clinical knowledge. It is part of the nursing process; interventions are determined as a result of indexed healthcare problems (nursing diagnoses) and based on treatment goals. The interventions are outlined in the nursing procedures. In a home care situation some actions can also be performed by the patient or a caregiver after a relevant instruction.

The nursing interventions are an essential part of the nursing process. A nursing intervention is recorded to document the nursing policy and to update other health professionals on the intervention. The documentation of nursing interventions offers the option to determine whether the interventions outlined in the treatment plan have been carried out. This way, we can facilitate optimal nursing and continuity of care.

Usages:

• Refer to this Profile: Reference to zib-NursingIntervention

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
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This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	NursingIntervention
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:TreatmentObjective		0..1	(Complex)	Treatment objective URL: http://hl7.org/fhir/StructureDefinition/goal-pertainsToGoal
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/goal-pertainsToGoal"
Slices for valueReference				Content/Rules for all slices
valueReference:valueReference		0..1	Reference(HCIM TreatmentObjective)	Value of extension
extension:Frequency		0..1	(Complex)	Frequency URL: http://hl7.org/fhir/StructureDefinition/procedure-schedule
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/procedure-schedule"
extension:Interval		0..1	Quantity	Interval URL: http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention-Interval
extension:Instruction		0..1	string	Instruction URL: http://nictiz.nl/fhir/StructureDefinition/Comment
extension:Requester		0..*	Reference(nl-core-practitionerrole | nl-core-practitioner)	Requester URL: http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention-Requester
identifier		0..*	Identifier	External Identifiers for this procedure
category		1..1	CodeableConcept	Classification of the procedure
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:nursingInterventionCode		0..*	Coding	NursingInterventionCode
system		0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		0..1	code	Symbol in syntax defined by the system Fixed Value: 9632001
display		0..1	string	Representation defined by the system
code		1..1	CodeableConcept	Intervention
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:interventionNICCodelist		0..*	Coding	Code defined by a terminology system Binding: InterventieNICCodelijst (required): NIC - All Values
system		1..1	uri	Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.6.15
coding:interventionSnomedCodelist		0..*	Coding	Code defined by a terminology system Binding: InterventieSnomedCodelijst (required): SNOMED CT - SNOMED CT: <<71388002 | procedure |
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
subject		1..1	Reference(nl-core-patient | Group)	Who the procedure was performed on
Slices for performed[x]		0..1	dateTime, Period	Date/Period the procedure was performed Slice: Unordered, Open by type:$this
performed[x]:performedPeriod		0..1	Period	Date/Period the procedure was performed
start		0..1	dateTime	ProcedureStartDateTime
end		0..1	dateTime	ProcedureEndDateTime
performer		0..1	BackboneElement	Performer
role
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:healthProfessionalRole		0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (required)
actor		1..1	Reference(nl-core-practitioner | nl-core-patient | nl-core-relatedperson)	The reference to the performer
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reasonReference		0..*	Reference(HCIM Problem | Observation)	Indication
report		0..*	Reference(http://nictiz.nl/fhir/StructureDefinition/zib-TextResult)	Any report resulting from the procedure
note
text		1..1	string	Comment
usedReference
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:MedicalDevice		0..*	Reference(HCIM MedicalDevice)	Medical device URL: http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.code.coding:interventionNICCodelist	required	InterventieNICCodelijst(a valid code from urn:oid:2.16.840.1.113883.6.15) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.2.2--20171231000000 From this IG
Procedure.code.coding:interventionSnomedCodelist	required	InterventieSnomedCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.2.4--20171231000000 From this IG
Procedure.performer.role.coding:healthProfessionalRole	required	ZorgverlenerRolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000 From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure	C	0..*	Procedure	NursingIntervention Constraints: pro-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:TreatmentObjective		0..1	(Complex)	Treatment objective URL: http://hl7.org/fhir/StructureDefinition/goal-pertainsToGoal
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/goal-pertainsToGoal"
Slices for valueReference				Content/Rules for all slices
valueReference:valueReference		0..1	Reference(HCIM TreatmentObjective)	Value of extension
extension:Frequency		0..1	(Complex)	Frequency URL: http://hl7.org/fhir/StructureDefinition/procedure-schedule
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/procedure-schedule"
extension:Interval		0..1	Quantity	Interval URL: http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention-Interval
extension:Instruction		0..1	string	Instruction URL: http://nictiz.nl/fhir/StructureDefinition/Comment
extension:Requester		0..*	Reference(nl-core-practitionerrole | nl-core-practitioner)	Requester URL: http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention-Requester
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifiers for this procedure
status	?!Σ	1..1	code	preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
notDone	?!Σ	0..1	boolean	True if procedure was not performed as scheduled
category	Σ	1..1	CodeableConcept	Classification of the procedure Binding: Procedure Category Codes (SNOMED CT) (example): A code that classifies a procedure for searching, sorting and display purposes.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:nursingInterventionCode	Σ	0..*	Coding	NursingInterventionCode
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 9632001
display	Σ	0..1	string	Representation defined by the system
code	Σ	1..1	CodeableConcept	Intervention Binding: Procedure Codes (SNOMED CT) (example): A code to identify a specific procedure .
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:interventionNICCodelist	Σ	0..*	Coding	Code defined by a terminology system Binding: InterventieNICCodelijst (required): NIC - All Values
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.6.15
coding:interventionSnomedCodelist	Σ	0..*	Coding	Code defined by a terminology system Binding: InterventieSnomedCodelijst (required): SNOMED CT - SNOMED CT: <<71388002 | procedure |
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
subject	Σ	1..1	Reference(nl-core-patient | Group)	Who the procedure was performed on
Slices for performed[x]	Σ	0..1		Date/Period the procedure was performed Slice: Unordered, Open by type:$this
performedDateTime			dateTime
performedPeriod			Period
performed[x]:performedPeriod	Σ	0..1	Period	Date/Period the procedure was performed
start	ΣC	0..1	dateTime	ProcedureStartDateTime
end	ΣC	0..1	dateTime	ProcedureEndDateTime
performer	Σ	0..1	BackboneElement	Performer
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
actor	Σ	1..1	Reference(nl-core-practitioner | nl-core-patient | nl-core-relatedperson)	The reference to the performer
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reasonReference	Σ	0..*	Reference(HCIM Problem | Observation)	Indication
report		0..*	Reference(http://nictiz.nl/fhir/StructureDefinition/zib-TextResult)	Any report resulting from the procedure
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|3.0.2 From the FHIR Standard
Procedure.category	example	Procedure Category Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-category|3.0.2 From the FHIR Standard
Procedure.code	example	Procedure Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-code|3.0.2 From the FHIR Standard
Procedure.code.coding:interventionNICCodelist	required	InterventieNICCodelijst(a valid code from urn:oid:2.16.840.1.113883.6.15) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.2.2--20171231000000 From this IG
Procedure.code.coding:interventionSnomedCodelist	required	InterventieSnomedCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.2.4--20171231000000 From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pro-1	error	Procedure	Reason not done is only permitted if notDone indicator is true : notDoneReason.empty() or notDone = true

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure	C	0..*	Procedure	NursingIntervention Constraints: pro-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:TreatmentObjective		0..1	(Complex)	Treatment objective URL: http://hl7.org/fhir/StructureDefinition/goal-pertainsToGoal
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/goal-pertainsToGoal"
Slices for valueReference				Content/Rules for all slices
valueReference:valueReference		0..1	Reference(HCIM TreatmentObjective)	Value of extension
extension:Frequency		0..1	(Complex)	Frequency URL: http://hl7.org/fhir/StructureDefinition/procedure-schedule
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/procedure-schedule"
valueTiming		0..1	Timing	Value of extension
extension:Interval		0..1	Quantity	Interval URL: http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention-Interval
extension:Instruction		0..1	string	Instruction URL: http://nictiz.nl/fhir/StructureDefinition/Comment
extension:Requester		0..*	Reference(nl-core-practitionerrole | nl-core-practitioner)	Requester URL: http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention-Requester
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifiers for this procedure
definition	Σ	0..*	Reference(PlanDefinition | ActivityDefinition | HealthcareService)	Instantiates protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ProcedureRequest | ReferralRequest)	A request for this procedure
partOf	Σ	0..*	Reference(Procedure | Observation | MedicationAdministration)	Part of referenced event
status	?!Σ	1..1	code	preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
notDone	?!Σ	0..1	boolean	True if procedure was not performed as scheduled
notDoneReason	ΣC	0..1	CodeableConcept	Reason procedure was not performed Binding: Procedure Not Performed Reason (SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category	Σ	1..1	CodeableConcept	Classification of the procedure Binding: Procedure Category Codes (SNOMED CT) (example): A code that classifies a procedure for searching, sorting and display purposes.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:nursingInterventionCode	Σ	0..*	Coding	NursingInterventionCode
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 9632001
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	Σ	1..1	CodeableConcept	Intervention Binding: Procedure Codes (SNOMED CT) (example): A code to identify a specific procedure .
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:interventionNICCodelist	Σ	0..*	Coding	Code defined by a terminology system Binding: InterventieNICCodelijst (required): NIC - All Values
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.6.15
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:interventionSnomedCodelist	Σ	0..*	Coding	Code defined by a terminology system Binding: InterventieSnomedCodelijst (required): SNOMED CT - SNOMED CT: <<71388002 | procedure |
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(nl-core-patient | Group)	Who the procedure was performed on
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter or episode associated with the procedure
Slices for performed[x]	Σ	0..1		Date/Period the procedure was performed Slice: Unordered, Open by type:$this
performedDateTime			dateTime
performedPeriod			Period
performed[x]:performedPeriod	Σ	0..1	Period	Date/Period the procedure was performed
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	ProcedureStartDateTime
end	ΣC	0..1	dateTime	ProcedureEndDateTime
performer	Σ	0..1	BackboneElement	Performer
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
role	Σ	0..1	CodeableConcept	The role the actor was in Binding: Procedure Performer Role Codes (example): A code that identifies the role of a performer of the procedure.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:healthProfessionalRole	Σ	0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (required)
text	Σ	0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(nl-core-practitioner | nl-core-patient | nl-core-relatedperson)	The reference to the performer
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
onBehalfOf		0..1	Reference(Organization)	Organization the device or practitioner was acting for
location	Σ	0..1	Reference(Location)	Where the procedure happened
reasonCode	Σ	0..*	CodeableConcept	Coded reason procedure performed Binding: Procedure Reason Codes (example): A code that identifies the reason a procedure is required.
reasonReference	Σ	0..*	Reference(HCIM Problem | Observation)	Indication
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: Procedure Outcome Codes (SNOMED CT) (example): An outcome of a procedure - whether it was resolved or otherwise.
report		0..*	Reference(http://nictiz.nl/fhir/StructureDefinition/zib-TextResult)	Any report resulting from the procedure
complication		0..*	CodeableConcept	Complication following the procedure Binding: Condition/Problem/Diagnosis Codes (example): Codes describing complications that resulted from a procedure.
complicationDetail		0..*	Reference(Condition)	A condition that is a result of the procedure
followUp		0..*	CodeableConcept	Instructions for follow up Binding: Procedure Follow up Codes (SNOMED CT) (example): Specific follow up required for a procedure e.g. removal of sutures.
note		0..*	Annotation	Additional information about the procedure
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text		1..1	string	Comment
focalDevice		0..*	BackboneElement	Device changed in procedure
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
action		0..1	CodeableConcept	Kind of change to device Binding: Procedure Device Action Codes (preferred): A kind of change that happened to the device during the procedure.
manipulated		1..1	Reference(Device)	Device that was changed
usedReference		0..*	Reference(Device | Medication | Substance)	Items used during procedure
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:MedicalDevice		0..*	Reference(HCIM MedicalDevice)	Medical device URL: http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
usedCode		0..*	CodeableConcept	Coded items used during the procedure Binding: FHIR Device Types (example): Codes describing items used during a procedure
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.language	extensible	Common Languages http://hl7.org/fhir/ValueSet/languages|3.0.2 From the FHIR Standard Additional Bindings Purpose All Languages Max Binding
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|3.0.2 From the FHIR Standard
Procedure.notDoneReason	example	Procedure Not Performed Reason (SNOMED-CT) http://hl7.org/fhir/ValueSet/procedure-not-performed-reason|3.0.2 From the FHIR Standard
Procedure.category	example	Procedure Category Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-category|3.0.2 From the FHIR Standard
Procedure.code	example	Procedure Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-code|3.0.2 From the FHIR Standard
Procedure.code.coding:interventionNICCodelist	required	InterventieNICCodelijst(a valid code from urn:oid:2.16.840.1.113883.6.15) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.2.2--20171231000000 From this IG
Procedure.code.coding:interventionSnomedCodelist	required	InterventieSnomedCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.2.4--20171231000000 From this IG
Procedure.performer.role	example	Procedure Performer Role Codes http://hl7.org/fhir/ValueSet/performer-role|3.0.2 From the FHIR Standard
Procedure.performer.role.coding:healthProfessionalRole	required	ZorgverlenerRolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000 From this IG
Procedure.reasonCode	example	Procedure Reason Codes http://hl7.org/fhir/ValueSet/procedure-reason|3.0.2 From the FHIR Standard
Procedure.bodySite	example	SNOMED CT Body Structures http://hl7.org/fhir/ValueSet/body-site|3.0.2 From the FHIR Standard
Procedure.outcome	example	Procedure Outcome Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-outcome|3.0.2 From the FHIR Standard
Procedure.complication	example	Condition/Problem/Diagnosis Codes http://hl7.org/fhir/ValueSet/condition-code|3.0.2 From the FHIR Standard
Procedure.followUp	example	Procedure Follow up Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-followup|3.0.2 From the FHIR Standard
Procedure.focalDevice.action	preferred	Procedure Device Action Codes http://hl7.org/fhir/ValueSet/device-action|3.0.2 From the FHIR Standard
Procedure.usedCode	example	FHIR Device Types http://hl7.org/fhir/ValueSet/device-kind|3.0.2 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pro-1	error	Procedure	Reason not done is only permitted if notDone indicator is true : notDoneReason.empty() or notDone = true

This structure is derived from Procedure

Summary

Mandatory: 2 elements(2 nested mandatory elements)
Fixed: 6 elements

Structures

This structure refers to these other structures:

• HCIM TreatmentObjective (http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective)
• nl-core-patient (http://fhir.nl/fhir/StructureDefinition/nl-core-patient)
• nl-core-practitioner (http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner)
• nl-core-relatedperson (http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson)
• HCIM Problem (http://nictiz.nl/fhir/StructureDefinition/zib-Problem)
• Unable to summarise profile http://nictiz.nl/fhir/StructureDefinition/zib-TextResult (no profile found)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/goal-pertainsToGoal
• http://hl7.org/fhir/StructureDefinition/procedure-schedule
• http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention-Interval
• http://nictiz.nl/fhir/StructureDefinition/Comment
• http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention-Requester
• http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
• http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Procedure.category.coding
• The element 1 is sliced based on the value of Procedure.code.coding
• The element 1 is sliced based on the value of Procedure.performed[x]
• The element 1 is sliced based on the value of Procedure.performer.role.coding

Differential View

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	NursingIntervention
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:TreatmentObjective		0..1	(Complex)	Treatment objective URL: http://hl7.org/fhir/StructureDefinition/goal-pertainsToGoal
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/goal-pertainsToGoal"
Slices for valueReference				Content/Rules for all slices
valueReference:valueReference		0..1	Reference(HCIM TreatmentObjective)	Value of extension
extension:Frequency		0..1	(Complex)	Frequency URL: http://hl7.org/fhir/StructureDefinition/procedure-schedule
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/procedure-schedule"
extension:Interval		0..1	Quantity	Interval URL: http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention-Interval
extension:Instruction		0..1	string	Instruction URL: http://nictiz.nl/fhir/StructureDefinition/Comment
extension:Requester		0..*	Reference(nl-core-practitionerrole | nl-core-practitioner)	Requester URL: http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention-Requester
identifier		0..*	Identifier	External Identifiers for this procedure
category		1..1	CodeableConcept	Classification of the procedure
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:nursingInterventionCode		0..*	Coding	NursingInterventionCode
system		0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		0..1	code	Symbol in syntax defined by the system Fixed Value: 9632001
display		0..1	string	Representation defined by the system
code		1..1	CodeableConcept	Intervention
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:interventionNICCodelist		0..*	Coding	Code defined by a terminology system Binding: InterventieNICCodelijst (required): NIC - All Values
system		1..1	uri	Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.6.15
coding:interventionSnomedCodelist		0..*	Coding	Code defined by a terminology system Binding: InterventieSnomedCodelijst (required): SNOMED CT - SNOMED CT: <<71388002 | procedure |
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
subject		1..1	Reference(nl-core-patient | Group)	Who the procedure was performed on
Slices for performed[x]		0..1	dateTime, Period	Date/Period the procedure was performed Slice: Unordered, Open by type:$this
performed[x]:performedPeriod		0..1	Period	Date/Period the procedure was performed
start		0..1	dateTime	ProcedureStartDateTime
end		0..1	dateTime	ProcedureEndDateTime
performer		0..1	BackboneElement	Performer
role
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:healthProfessionalRole		0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (required)
actor		1..1	Reference(nl-core-practitioner | nl-core-patient | nl-core-relatedperson)	The reference to the performer
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reasonReference		0..*	Reference(HCIM Problem | Observation)	Indication
report		0..*	Reference(http://nictiz.nl/fhir/StructureDefinition/zib-TextResult)	Any report resulting from the procedure
note
text		1..1	string	Comment
usedReference
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:MedicalDevice		0..*	Reference(HCIM MedicalDevice)	Medical device URL: http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.code.coding:interventionNICCodelist	required	InterventieNICCodelijst(a valid code from urn:oid:2.16.840.1.113883.6.15) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.2.2--20171231000000 From this IG
Procedure.code.coding:interventionSnomedCodelist	required	InterventieSnomedCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.2.4--20171231000000 From this IG
Procedure.performer.role.coding:healthProfessionalRole	required	ZorgverlenerRolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000 From this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure	C	0..*	Procedure	NursingIntervention Constraints: pro-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:TreatmentObjective		0..1	(Complex)	Treatment objective URL: http://hl7.org/fhir/StructureDefinition/goal-pertainsToGoal
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/goal-pertainsToGoal"
Slices for valueReference				Content/Rules for all slices
valueReference:valueReference		0..1	Reference(HCIM TreatmentObjective)	Value of extension
extension:Frequency		0..1	(Complex)	Frequency URL: http://hl7.org/fhir/StructureDefinition/procedure-schedule
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/procedure-schedule"
extension:Interval		0..1	Quantity	Interval URL: http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention-Interval
extension:Instruction		0..1	string	Instruction URL: http://nictiz.nl/fhir/StructureDefinition/Comment
extension:Requester		0..*	Reference(nl-core-practitionerrole | nl-core-practitioner)	Requester URL: http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention-Requester
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifiers for this procedure
status	?!Σ	1..1	code	preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
notDone	?!Σ	0..1	boolean	True if procedure was not performed as scheduled
category	Σ	1..1	CodeableConcept	Classification of the procedure Binding: Procedure Category Codes (SNOMED CT) (example): A code that classifies a procedure for searching, sorting and display purposes.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:nursingInterventionCode	Σ	0..*	Coding	NursingInterventionCode
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 9632001
display	Σ	0..1	string	Representation defined by the system
code	Σ	1..1	CodeableConcept	Intervention Binding: Procedure Codes (SNOMED CT) (example): A code to identify a specific procedure .
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:interventionNICCodelist	Σ	0..*	Coding	Code defined by a terminology system Binding: InterventieNICCodelijst (required): NIC - All Values
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.6.15
coding:interventionSnomedCodelist	Σ	0..*	Coding	Code defined by a terminology system Binding: InterventieSnomedCodelijst (required): SNOMED CT - SNOMED CT: <<71388002 | procedure |
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
subject	Σ	1..1	Reference(nl-core-patient | Group)	Who the procedure was performed on
Slices for performed[x]	Σ	0..1		Date/Period the procedure was performed Slice: Unordered, Open by type:$this
performedDateTime			dateTime
performedPeriod			Period
performed[x]:performedPeriod	Σ	0..1	Period	Date/Period the procedure was performed
start	ΣC	0..1	dateTime	ProcedureStartDateTime
end	ΣC	0..1	dateTime	ProcedureEndDateTime
performer	Σ	0..1	BackboneElement	Performer
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
actor	Σ	1..1	Reference(nl-core-practitioner | nl-core-patient | nl-core-relatedperson)	The reference to the performer
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reasonReference	Σ	0..*	Reference(HCIM Problem | Observation)	Indication
report		0..*	Reference(http://nictiz.nl/fhir/StructureDefinition/zib-TextResult)	Any report resulting from the procedure
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|3.0.2 From the FHIR Standard
Procedure.category	example	Procedure Category Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-category|3.0.2 From the FHIR Standard
Procedure.code	example	Procedure Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-code|3.0.2 From the FHIR Standard
Procedure.code.coding:interventionNICCodelist	required	InterventieNICCodelijst(a valid code from urn:oid:2.16.840.1.113883.6.15) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.2.2--20171231000000 From this IG
Procedure.code.coding:interventionSnomedCodelist	required	InterventieSnomedCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.2.4--20171231000000 From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pro-1	error	Procedure	Reason not done is only permitted if notDone indicator is true : notDoneReason.empty() or notDone = true

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure	C	0..*	Procedure	NursingIntervention Constraints: pro-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:TreatmentObjective		0..1	(Complex)	Treatment objective URL: http://hl7.org/fhir/StructureDefinition/goal-pertainsToGoal
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/goal-pertainsToGoal"
Slices for valueReference				Content/Rules for all slices
valueReference:valueReference		0..1	Reference(HCIM TreatmentObjective)	Value of extension
extension:Frequency		0..1	(Complex)	Frequency URL: http://hl7.org/fhir/StructureDefinition/procedure-schedule
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/procedure-schedule"
valueTiming		0..1	Timing	Value of extension
extension:Interval		0..1	Quantity	Interval URL: http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention-Interval
extension:Instruction		0..1	string	Instruction URL: http://nictiz.nl/fhir/StructureDefinition/Comment
extension:Requester		0..*	Reference(nl-core-practitionerrole | nl-core-practitioner)	Requester URL: http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention-Requester
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifiers for this procedure
definition	Σ	0..*	Reference(PlanDefinition | ActivityDefinition | HealthcareService)	Instantiates protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ProcedureRequest | ReferralRequest)	A request for this procedure
partOf	Σ	0..*	Reference(Procedure | Observation | MedicationAdministration)	Part of referenced event
status	?!Σ	1..1	code	preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
notDone	?!Σ	0..1	boolean	True if procedure was not performed as scheduled
notDoneReason	ΣC	0..1	CodeableConcept	Reason procedure was not performed Binding: Procedure Not Performed Reason (SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category	Σ	1..1	CodeableConcept	Classification of the procedure Binding: Procedure Category Codes (SNOMED CT) (example): A code that classifies a procedure for searching, sorting and display purposes.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:nursingInterventionCode	Σ	0..*	Coding	NursingInterventionCode
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 9632001
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	Σ	1..1	CodeableConcept	Intervention Binding: Procedure Codes (SNOMED CT) (example): A code to identify a specific procedure .
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:interventionNICCodelist	Σ	0..*	Coding	Code defined by a terminology system Binding: InterventieNICCodelijst (required): NIC - All Values
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.6.15
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:interventionSnomedCodelist	Σ	0..*	Coding	Code defined by a terminology system Binding: InterventieSnomedCodelijst (required): SNOMED CT - SNOMED CT: <<71388002 | procedure |
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(nl-core-patient | Group)	Who the procedure was performed on
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter or episode associated with the procedure
Slices for performed[x]	Σ	0..1		Date/Period the procedure was performed Slice: Unordered, Open by type:$this
performedDateTime			dateTime
performedPeriod			Period
performed[x]:performedPeriod	Σ	0..1	Period	Date/Period the procedure was performed
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	ProcedureStartDateTime
end	ΣC	0..1	dateTime	ProcedureEndDateTime
performer	Σ	0..1	BackboneElement	Performer
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
role	Σ	0..1	CodeableConcept	The role the actor was in Binding: Procedure Performer Role Codes (example): A code that identifies the role of a performer of the procedure.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:healthProfessionalRole	Σ	0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (required)
text	Σ	0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(nl-core-practitioner | nl-core-patient | nl-core-relatedperson)	The reference to the performer
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
onBehalfOf		0..1	Reference(Organization)	Organization the device or practitioner was acting for
location	Σ	0..1	Reference(Location)	Where the procedure happened
reasonCode	Σ	0..*	CodeableConcept	Coded reason procedure performed Binding: Procedure Reason Codes (example): A code that identifies the reason a procedure is required.
reasonReference	Σ	0..*	Reference(HCIM Problem | Observation)	Indication
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: Procedure Outcome Codes (SNOMED CT) (example): An outcome of a procedure - whether it was resolved or otherwise.
report		0..*	Reference(http://nictiz.nl/fhir/StructureDefinition/zib-TextResult)	Any report resulting from the procedure
complication		0..*	CodeableConcept	Complication following the procedure Binding: Condition/Problem/Diagnosis Codes (example): Codes describing complications that resulted from a procedure.
complicationDetail		0..*	Reference(Condition)	A condition that is a result of the procedure
followUp		0..*	CodeableConcept	Instructions for follow up Binding: Procedure Follow up Codes (SNOMED CT) (example): Specific follow up required for a procedure e.g. removal of sutures.
note		0..*	Annotation	Additional information about the procedure
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text		1..1	string	Comment
focalDevice		0..*	BackboneElement	Device changed in procedure
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
action		0..1	CodeableConcept	Kind of change to device Binding: Procedure Device Action Codes (preferred): A kind of change that happened to the device during the procedure.
manipulated		1..1	Reference(Device)	Device that was changed
usedReference		0..*	Reference(Device | Medication | Substance)	Items used during procedure
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:MedicalDevice		0..*	Reference(HCIM MedicalDevice)	Medical device URL: http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
usedCode		0..*	CodeableConcept	Coded items used during the procedure Binding: FHIR Device Types (example): Codes describing items used during a procedure
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.language	extensible	Common Languages http://hl7.org/fhir/ValueSet/languages|3.0.2 From the FHIR Standard Additional Bindings Purpose All Languages Max Binding
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|3.0.2 From the FHIR Standard
Procedure.notDoneReason	example	Procedure Not Performed Reason (SNOMED-CT) http://hl7.org/fhir/ValueSet/procedure-not-performed-reason|3.0.2 From the FHIR Standard
Procedure.category	example	Procedure Category Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-category|3.0.2 From the FHIR Standard
Procedure.code	example	Procedure Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-code|3.0.2 From the FHIR Standard
Procedure.code.coding:interventionNICCodelist	required	InterventieNICCodelijst(a valid code from urn:oid:2.16.840.1.113883.6.15) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.2.2--20171231000000 From this IG
Procedure.code.coding:interventionSnomedCodelist	required	InterventieSnomedCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.2.4--20171231000000 From this IG
Procedure.performer.role	example	Procedure Performer Role Codes http://hl7.org/fhir/ValueSet/performer-role|3.0.2 From the FHIR Standard
Procedure.performer.role.coding:healthProfessionalRole	required	ZorgverlenerRolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000 From this IG
Procedure.reasonCode	example	Procedure Reason Codes http://hl7.org/fhir/ValueSet/procedure-reason|3.0.2 From the FHIR Standard
Procedure.bodySite	example	SNOMED CT Body Structures http://hl7.org/fhir/ValueSet/body-site|3.0.2 From the FHIR Standard
Procedure.outcome	example	Procedure Outcome Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-outcome|3.0.2 From the FHIR Standard
Procedure.complication	example	Condition/Problem/Diagnosis Codes http://hl7.org/fhir/ValueSet/condition-code|3.0.2 From the FHIR Standard
Procedure.followUp	example	Procedure Follow up Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-followup|3.0.2 From the FHIR Standard
Procedure.focalDevice.action	preferred	Procedure Device Action Codes http://hl7.org/fhir/ValueSet/device-action|3.0.2 From the FHIR Standard
Procedure.usedCode	example	FHIR Device Types http://hl7.org/fhir/ValueSet/device-kind|3.0.2 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pro-1	error	Procedure	Reason not done is only permitted if notDone indicator is true : notDoneReason.empty() or notDone = true

This structure is derived from Procedure

Summary

Mandatory: 2 elements(2 nested mandatory elements)
Fixed: 6 elements

Structures

This structure refers to these other structures:

• HCIM TreatmentObjective (http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective)
• nl-core-patient (http://fhir.nl/fhir/StructureDefinition/nl-core-patient)
• nl-core-practitioner (http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner)
• nl-core-relatedperson (http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson)
• HCIM Problem (http://nictiz.nl/fhir/StructureDefinition/zib-Problem)
• Unable to summarise profile http://nictiz.nl/fhir/StructureDefinition/zib-TextResult (no profile found)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/goal-pertainsToGoal
• http://hl7.org/fhir/StructureDefinition/procedure-schedule
• http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention-Interval
• http://nictiz.nl/fhir/StructureDefinition/Comment
• http://nictiz.nl/fhir/StructureDefinition/zib-NursingIntervention-Requester
• http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
• http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Procedure.category.coding
• The element 1 is sliced based on the value of Procedure.code.coding
• The element 1 is sliced based on the value of Procedure.performed[x]
• The element 1 is sliced based on the value of Procedure.performer.role.coding