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 Procedure

Procedure as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 4.1, release 2017.

The concept Procedure indicates a therapeutic procedure undergone by the patient. If relevant, diagnostic procedures can be listed as well. A procedure can be a simple blood pressure measurement, but also a complex heart surgery.

A procedure is carried out as part of a planned policy or to obtain additional information in the diagnostic process. Procedures are documented to gain insight into the treatment of a patient. In addition, procedures are documented for administrative purposes such as invoicing and workload measurement, scientific research and/or education.

Usage:

• Refer to this Resource Profile: HCIM Alert and HCIM Encounter
• Examples for this Resource Profile: Procedure/zib-procedure-01 and Procedure/zib-procedure-02

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	Procedure
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
procedureMethod		0..1	(Complex)	The method used to perform the procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-method
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	ProcedureMethod Binding: VerrichtingMethodeCodelijst (extensible): VerrichtingMethodeCodelijst
identifier		0..*	Identifier	External Identifiers for this procedure
Slices for basedOn		0..*	Reference(CarePlan | ProcedureRequest | ReferralRequest)	A request for this procedure Slice: Unordered, Open by type:$this.resolve()
basedOn:request		0..*	Reference(HCIM ProcedureRequest)	ProcedureRequest
category		1..1	CodeableConcept	Classification of the procedure Example Example of category code: {"coding":[{"system":"http://snomed.info/sct","code":"387713003","display":"Surgical procedure"}]}
code		0..1	CodeableConcept	ProcedureType
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:VerrichtingTypeCodelijst		0..*	Coding	ProcedureType Binding: VerrichtingTypeCodelijst (extensible): The name of the procedure using the Verrichtingenthesaurus DHD.
subject		1..1	Reference(Group | nl-core-patient)	Who the procedure was performed on
performedPeriod:performedPeriod		0..1	Period	Date/Period the procedure was performed
start		0..1	dateTime	ProcedureStartDate
end		0..1	dateTime	ProcedureEndDate
performer		0..*	BackboneElement	HealthProfessional | Location::HealthcareProvider
role
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:healthProfessionalRole		0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (extensible)
actor		1..1	Reference(nl-core-practitioner | nl-core-organization)	The reference to the practitioner
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reasonReference		0..*	Reference(HCIM Problem)	Indication
bodySite		0..*	CodeableConcept	ProcedureAnatomicalLocation Binding: VerrichtingAnatomischeLocatieCodelijst (extensible): Anatomical location which is the focus of the procedure.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
ProcedureLaterality		0..1	(Complex)	ProcedureLaterality URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	BodySite qualifier Binding: VerrichtingLateraliteitCodelijst (extensible): ProcedureLateralityCodelist
report		0..*	Reference(HCIM TextResult)	Any report resulting from the procedure
focalDevice
manipulated		1..1	Reference(HCIM MedicalDevice Product)	MedicalDevice
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.extension:procedureMethod.valueCodeableConcept:valueCodeableConcept	extensible	VerrichtingMethodeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20171231000000 from this IG
Procedure.code.coding:VerrichtingTypeCodelijst	extensible	VerrichtingTypeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2--20171231000000 from this IG
Procedure.performer.role.coding:healthProfessionalRole	extensible	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.bodySite	extensible	VerrichtingAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1--20171231000000 from this IG
Procedure.bodySite.extension:ProcedureLaterality.valueCodeableConcept:valueCodeableConcept	extensible	VerrichtingLateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.3--20171231000000 from this IG

Name	Flags	Card.	Type	Description & Constraints
Procedure	C	0..*	Procedure	Procedure pro-1: Reason not done is only permitted if notDone indicator is true
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
procedureMethod		0..1	(Complex)	The method used to perform the procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-method
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/procedure-method"
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	ProcedureMethod Binding: VerrichtingMethodeCodelijst (extensible): VerrichtingMethodeCodelijst
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifiers for this procedure
Slices for basedOn	Σ	0..*	Reference(CarePlan | ProcedureRequest | ReferralRequest)	A request for this procedure Slice: Unordered, Open by type:$this.resolve()
basedOn:request	Σ	0..*	Reference(HCIM ProcedureRequest)	ProcedureRequest
status	?!Σ	1..1	code	preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
notDone	?!Σ	0..1	boolean	True if procedure was not performed as scheduled
category	Σ	1..1	CodeableConcept	Classification of the procedure Binding: Procedure Category Codes (SNOMED CT) (example): A code that classifies a procedure for searching, sorting and display purposes. Example Example of category code: {"coding":[{"system":"http://snomed.info/sct","code":"387713003","display":"Surgical procedure"}]}
code	Σ	0..1	CodeableConcept	ProcedureType Binding: Procedure Codes (SNOMED CT) (example): A code to identify a specific procedure .
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:VerrichtingTypeCodelijst	Σ	0..*	Coding	ProcedureType Binding: VerrichtingTypeCodelijst (extensible): The name of the procedure using the Verrichtingenthesaurus DHD.
subject	Σ	1..1	Reference(Group | nl-core-patient)	Who the procedure was performed on
Slices for performed[x]	Σ	0..1	Period	Date/Period the procedure was performed Slice: Unordered, Closed by type:$this
performed[x]:performedPeriod	Σ	0..1	Period	Date/Period the procedure was performed
performer	Σ	0..*	BackboneElement	HealthProfessional | Location::HealthcareProvider
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
actor	Σ	1..1	Reference(nl-core-practitioner | nl-core-organization)	The reference to the practitioner
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reasonReference	Σ	0..*	Reference(HCIM Problem)	Indication
bodySite	Σ	0..*	CodeableConcept	ProcedureAnatomicalLocation Binding: VerrichtingAnatomischeLocatieCodelijst (extensible): Anatomical location which is the focus of the procedure.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
ProcedureLaterality		0..1	(Complex)	ProcedureLaterality URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	BodySite qualifier Binding: VerrichtingLateraliteitCodelijst (extensible): ProcedureLateralityCodelist
report		0..*	Reference(HCIM TextResult)	Any report resulting from the procedure
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.extension:procedureMethod.valueCodeableConcept:valueCodeableConcept	extensible	VerrichtingMethodeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20171231000000 from this IG
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status from the FHIR Standard
Procedure.category	example	Procedure Category Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-category from the FHIR Standard
Procedure.code	example	Procedure Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.code.coding:VerrichtingTypeCodelijst	extensible	VerrichtingTypeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2--20171231000000 from this IG
Procedure.bodySite	extensible	VerrichtingAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1--20171231000000 from this IG
Procedure.bodySite.extension:ProcedureLaterality.value[x]:valueCodeableConcept	extensible	VerrichtingLateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.3--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
Procedure	C	0..*	Procedure	Procedure pro-1: Reason not done is only permitted if notDone indicator is true
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 AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
procedureMethod		0..1	(Complex)	The method used to perform the procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-method
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-method"
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	ProcedureMethod Binding: VerrichtingMethodeCodelijst (extensible): VerrichtingMethodeCodelijst
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
Slices for basedOn	Σ	0..*	Reference(CarePlan | ProcedureRequest | ReferralRequest)	A request for this procedure Slice: Unordered, Open by type:$this.resolve()
basedOn:request	Σ	0..*	Reference(HCIM ProcedureRequest)	ProcedureRequest
partOf	Σ	0..*	Reference(Procedure | Observation | MedicationAdministration)	Part of referenced event
status	?!Σ	1..1	code	preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
notDone	?!Σ	0..1	boolean	True if procedure was not performed as scheduled
notDoneReason	ΣC	0..1	CodeableConcept	Reason procedure was not performed Binding: Procedure Not Performed Reason (SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category	Σ	1..1	CodeableConcept	Classification of the procedure Binding: Procedure Category Codes (SNOMED CT) (example): A code that classifies a procedure for searching, sorting and display purposes. Example Example of category code: {"coding":[{"system":"http://snomed.info/sct","code":"387713003","display":"Surgical procedure"}]}
code	Σ	0..1	CodeableConcept	ProcedureType Binding: Procedure Codes (SNOMED CT) (example): A code to identify a specific procedure .
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:VerrichtingTypeCodelijst	Σ	0..*	Coding	ProcedureType Binding: VerrichtingTypeCodelijst (extensible): The name of the procedure using the Verrichtingenthesaurus DHD.
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Group | nl-core-patient)	Who the procedure was performed on
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter or episode associated with the procedure
Slices for performed[x]	Σ	0..1	Period	Date/Period the procedure was performed Slice: Unordered, Closed by type:$this
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	ProcedureStartDate
end	ΣC	0..1	dateTime	ProcedureEndDate
performer	Σ	0..*	BackboneElement	HealthProfessional | Location::HealthcareProvider
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:system
coding:healthProfessionalRole	Σ	0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (extensible)
text	Σ	0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(nl-core-practitioner | nl-core-organization)	The reference to the practitioner
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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)	Indication
bodySite	Σ	0..*	CodeableConcept	ProcedureAnatomicalLocation Binding: VerrichtingAnatomischeLocatieCodelijst (extensible): Anatomical location which is the focus of the procedure.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
ProcedureLaterality		0..1	(Complex)	ProcedureLaterality URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
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://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	BodySite qualifier Binding: VerrichtingLateraliteitCodelijst (extensible): ProcedureLateralityCodelist
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
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(HCIM 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
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(HCIM MedicalDevice Product)	MedicalDevice
usedReference		0..*	Reference(Device | Medication | Substance)	Items used during procedure
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 Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Procedure.extension:procedureMethod.valueCodeableConcept:valueCodeableConcept	extensible	VerrichtingMethodeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20171231000000 from this IG
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status from the FHIR Standard
Procedure.notDoneReason	example	Procedure Not Performed Reason (SNOMED-CT) http://hl7.org/fhir/ValueSet/procedure-not-performed-reason from the FHIR Standard
Procedure.category	example	Procedure Category Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-category from the FHIR Standard
Procedure.code	example	Procedure Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.code.coding:VerrichtingTypeCodelijst	extensible	VerrichtingTypeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2--20171231000000 from this IG
Procedure.performer.role	example	Procedure Performer Role Codes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.performer.role.coding:healthProfessionalRole	extensible	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 from the FHIR Standard
Procedure.bodySite	extensible	VerrichtingAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1--20171231000000 from this IG
Procedure.bodySite.extension:ProcedureLaterality.value[x]:valueCodeableConcept	extensible	VerrichtingLateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.3--20171231000000 from this IG
Procedure.outcome	example	Procedure Outcome Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-outcome from the FHIR Standard
Procedure.complication	example	Condition/Problem/Diagnosis Codes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Procedure.followUp	example	Procedure Follow up Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-followup from the FHIR Standard
Procedure.focalDevice.action	preferred	Procedure Device Action Codes http://hl7.org/fhir/ValueSet/device-action from the FHIR Standard
Procedure.usedCode	example	FHIR Device Types http://hl7.org/fhir/ValueSet/device-kind 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: 1 element

Structures

This structure refers to these other structures:

• HCIM ProcedureRequest (http://nictiz.nl/fhir/StructureDefinition/zib-ProcedureRequest)
• nl-core-patient (http://fhir.nl/fhir/StructureDefinition/nl-core-patient)
• nl-core-practitioner (http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner)
• nl-core-organization (http://fhir.nl/fhir/StructureDefinition/nl-core-organization)
• HCIM Problem (http://nictiz.nl/fhir/StructureDefinition/zib-Problem)
• HCIM TextResult (http://nictiz.nl/fhir/StructureDefinition/zib-TextResult)
• HCIM MedicalDevice Product (http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/procedure-method
• http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
• http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Procedure.basedOn
• The element 1 is sliced based on the value of Procedure.code.coding
• 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
Procedure		0..*	Procedure	Procedure
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
procedureMethod		0..1	(Complex)	The method used to perform the procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-method
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	ProcedureMethod Binding: VerrichtingMethodeCodelijst (extensible): VerrichtingMethodeCodelijst
identifier		0..*	Identifier	External Identifiers for this procedure
Slices for basedOn		0..*	Reference(CarePlan | ProcedureRequest | ReferralRequest)	A request for this procedure Slice: Unordered, Open by type:$this.resolve()
basedOn:request		0..*	Reference(HCIM ProcedureRequest)	ProcedureRequest
category		1..1	CodeableConcept	Classification of the procedure Example Example of category code: {"coding":[{"system":"http://snomed.info/sct","code":"387713003","display":"Surgical procedure"}]}
code		0..1	CodeableConcept	ProcedureType
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:VerrichtingTypeCodelijst		0..*	Coding	ProcedureType Binding: VerrichtingTypeCodelijst (extensible): The name of the procedure using the Verrichtingenthesaurus DHD.
subject		1..1	Reference(Group | nl-core-patient)	Who the procedure was performed on
performedPeriod:performedPeriod		0..1	Period	Date/Period the procedure was performed
start		0..1	dateTime	ProcedureStartDate
end		0..1	dateTime	ProcedureEndDate
performer		0..*	BackboneElement	HealthProfessional | Location::HealthcareProvider
role
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:healthProfessionalRole		0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (extensible)
actor		1..1	Reference(nl-core-practitioner | nl-core-organization)	The reference to the practitioner
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reasonReference		0..*	Reference(HCIM Problem)	Indication
bodySite		0..*	CodeableConcept	ProcedureAnatomicalLocation Binding: VerrichtingAnatomischeLocatieCodelijst (extensible): Anatomical location which is the focus of the procedure.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
ProcedureLaterality		0..1	(Complex)	ProcedureLaterality URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	BodySite qualifier Binding: VerrichtingLateraliteitCodelijst (extensible): ProcedureLateralityCodelist
report		0..*	Reference(HCIM TextResult)	Any report resulting from the procedure
focalDevice
manipulated		1..1	Reference(HCIM MedicalDevice Product)	MedicalDevice
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.extension:procedureMethod.valueCodeableConcept:valueCodeableConcept	extensible	VerrichtingMethodeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20171231000000 from this IG
Procedure.code.coding:VerrichtingTypeCodelijst	extensible	VerrichtingTypeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2--20171231000000 from this IG
Procedure.performer.role.coding:healthProfessionalRole	extensible	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.bodySite	extensible	VerrichtingAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1--20171231000000 from this IG
Procedure.bodySite.extension:ProcedureLaterality.valueCodeableConcept:valueCodeableConcept	extensible	VerrichtingLateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.3--20171231000000 from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Procedure	C	0..*	Procedure	Procedure pro-1: Reason not done is only permitted if notDone indicator is true
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
procedureMethod		0..1	(Complex)	The method used to perform the procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-method
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/procedure-method"
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	ProcedureMethod Binding: VerrichtingMethodeCodelijst (extensible): VerrichtingMethodeCodelijst
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifiers for this procedure
Slices for basedOn	Σ	0..*	Reference(CarePlan | ProcedureRequest | ReferralRequest)	A request for this procedure Slice: Unordered, Open by type:$this.resolve()
basedOn:request	Σ	0..*	Reference(HCIM ProcedureRequest)	ProcedureRequest
status	?!Σ	1..1	code	preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
notDone	?!Σ	0..1	boolean	True if procedure was not performed as scheduled
category	Σ	1..1	CodeableConcept	Classification of the procedure Binding: Procedure Category Codes (SNOMED CT) (example): A code that classifies a procedure for searching, sorting and display purposes. Example Example of category code: {"coding":[{"system":"http://snomed.info/sct","code":"387713003","display":"Surgical procedure"}]}
code	Σ	0..1	CodeableConcept	ProcedureType Binding: Procedure Codes (SNOMED CT) (example): A code to identify a specific procedure .
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:VerrichtingTypeCodelijst	Σ	0..*	Coding	ProcedureType Binding: VerrichtingTypeCodelijst (extensible): The name of the procedure using the Verrichtingenthesaurus DHD.
subject	Σ	1..1	Reference(Group | nl-core-patient)	Who the procedure was performed on
Slices for performed[x]	Σ	0..1	Period	Date/Period the procedure was performed Slice: Unordered, Closed by type:$this
performed[x]:performedPeriod	Σ	0..1	Period	Date/Period the procedure was performed
performer	Σ	0..*	BackboneElement	HealthProfessional | Location::HealthcareProvider
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
actor	Σ	1..1	Reference(nl-core-practitioner | nl-core-organization)	The reference to the practitioner
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reasonReference	Σ	0..*	Reference(HCIM Problem)	Indication
bodySite	Σ	0..*	CodeableConcept	ProcedureAnatomicalLocation Binding: VerrichtingAnatomischeLocatieCodelijst (extensible): Anatomical location which is the focus of the procedure.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
ProcedureLaterality		0..1	(Complex)	ProcedureLaterality URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	BodySite qualifier Binding: VerrichtingLateraliteitCodelijst (extensible): ProcedureLateralityCodelist
report		0..*	Reference(HCIM TextResult)	Any report resulting from the procedure
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.extension:procedureMethod.valueCodeableConcept:valueCodeableConcept	extensible	VerrichtingMethodeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20171231000000 from this IG
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status from the FHIR Standard
Procedure.category	example	Procedure Category Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-category from the FHIR Standard
Procedure.code	example	Procedure Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.code.coding:VerrichtingTypeCodelijst	extensible	VerrichtingTypeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2--20171231000000 from this IG
Procedure.bodySite	extensible	VerrichtingAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1--20171231000000 from this IG
Procedure.bodySite.extension:ProcedureLaterality.value[x]:valueCodeableConcept	extensible	VerrichtingLateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.3--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
Procedure	C	0..*	Procedure	Procedure pro-1: Reason not done is only permitted if notDone indicator is true
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 AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
procedureMethod		0..1	(Complex)	The method used to perform the procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-method
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-method"
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	ProcedureMethod Binding: VerrichtingMethodeCodelijst (extensible): VerrichtingMethodeCodelijst
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
Slices for basedOn	Σ	0..*	Reference(CarePlan | ProcedureRequest | ReferralRequest)	A request for this procedure Slice: Unordered, Open by type:$this.resolve()
basedOn:request	Σ	0..*	Reference(HCIM ProcedureRequest)	ProcedureRequest
partOf	Σ	0..*	Reference(Procedure | Observation | MedicationAdministration)	Part of referenced event
status	?!Σ	1..1	code	preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
notDone	?!Σ	0..1	boolean	True if procedure was not performed as scheduled
notDoneReason	ΣC	0..1	CodeableConcept	Reason procedure was not performed Binding: Procedure Not Performed Reason (SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category	Σ	1..1	CodeableConcept	Classification of the procedure Binding: Procedure Category Codes (SNOMED CT) (example): A code that classifies a procedure for searching, sorting and display purposes. Example Example of category code: {"coding":[{"system":"http://snomed.info/sct","code":"387713003","display":"Surgical procedure"}]}
code	Σ	0..1	CodeableConcept	ProcedureType Binding: Procedure Codes (SNOMED CT) (example): A code to identify a specific procedure .
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:VerrichtingTypeCodelijst	Σ	0..*	Coding	ProcedureType Binding: VerrichtingTypeCodelijst (extensible): The name of the procedure using the Verrichtingenthesaurus DHD.
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Group | nl-core-patient)	Who the procedure was performed on
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter or episode associated with the procedure
Slices for performed[x]	Σ	0..1	Period	Date/Period the procedure was performed Slice: Unordered, Closed by type:$this
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	ProcedureStartDate
end	ΣC	0..1	dateTime	ProcedureEndDate
performer	Σ	0..*	BackboneElement	HealthProfessional | Location::HealthcareProvider
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:system
coding:healthProfessionalRole	Σ	0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (extensible)
text	Σ	0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(nl-core-practitioner | nl-core-organization)	The reference to the practitioner
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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)	Indication
bodySite	Σ	0..*	CodeableConcept	ProcedureAnatomicalLocation Binding: VerrichtingAnatomischeLocatieCodelijst (extensible): Anatomical location which is the focus of the procedure.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
ProcedureLaterality		0..1	(Complex)	ProcedureLaterality URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
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://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	BodySite qualifier Binding: VerrichtingLateraliteitCodelijst (extensible): ProcedureLateralityCodelist
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
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(HCIM 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
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(HCIM MedicalDevice Product)	MedicalDevice
usedReference		0..*	Reference(Device | Medication | Substance)	Items used during procedure
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 Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Procedure.extension:procedureMethod.valueCodeableConcept:valueCodeableConcept	extensible	VerrichtingMethodeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20171231000000 from this IG
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status from the FHIR Standard
Procedure.notDoneReason	example	Procedure Not Performed Reason (SNOMED-CT) http://hl7.org/fhir/ValueSet/procedure-not-performed-reason from the FHIR Standard
Procedure.category	example	Procedure Category Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-category from the FHIR Standard
Procedure.code	example	Procedure Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.code.coding:VerrichtingTypeCodelijst	extensible	VerrichtingTypeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2--20171231000000 from this IG
Procedure.performer.role	example	Procedure Performer Role Codes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.performer.role.coding:healthProfessionalRole	extensible	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 from the FHIR Standard
Procedure.bodySite	extensible	VerrichtingAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1--20171231000000 from this IG
Procedure.bodySite.extension:ProcedureLaterality.value[x]:valueCodeableConcept	extensible	VerrichtingLateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.3--20171231000000 from this IG
Procedure.outcome	example	Procedure Outcome Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-outcome from the FHIR Standard
Procedure.complication	example	Condition/Problem/Diagnosis Codes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Procedure.followUp	example	Procedure Follow up Codes (SNOMED CT) http://hl7.org/fhir/ValueSet/procedure-followup from the FHIR Standard
Procedure.focalDevice.action	preferred	Procedure Device Action Codes http://hl7.org/fhir/ValueSet/device-action from the FHIR Standard
Procedure.usedCode	example	FHIR Device Types http://hl7.org/fhir/ValueSet/device-kind 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: 1 element

Structures

This structure refers to these other structures:

• HCIM ProcedureRequest (http://nictiz.nl/fhir/StructureDefinition/zib-ProcedureRequest)
• nl-core-patient (http://fhir.nl/fhir/StructureDefinition/nl-core-patient)
• nl-core-practitioner (http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner)
• nl-core-organization (http://fhir.nl/fhir/StructureDefinition/nl-core-organization)
• HCIM Problem (http://nictiz.nl/fhir/StructureDefinition/zib-Problem)
• HCIM TextResult (http://nictiz.nl/fhir/StructureDefinition/zib-TextResult)
• HCIM MedicalDevice Product (http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/procedure-method
• http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
• http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Procedure.basedOn
• The element 1 is sliced based on the value of Procedure.code.coding
• The element 1 is sliced based on the value of Procedure.performer.role.coding

Other representations of profile: CSV, Excel, Schematron