2nd DSTU Draft For Comment

This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Profile: DAFProcedure

The official URL for this profile is: 

http://hl7.org/fhir/Profile/procedure-daf-dafprocedure

. Defines constraints and extensions on the Procedure resource for use in querying and retrieving procedure information. : U.S. Data Access Framework (DAF) Procedure Profile

This profile was published on Thu, Aug 21, 2014 00:00+1000 as a draft by U.S. Office of the National Coordinator (ONC).

Summary

Terminology Bindings

  • Procedure.type should come from Codes desribing the Procedure Type
  • Procedure.bodySite must come from Codes describing anatomical locations

Required/Prohibited Elements

  • The element Procedure is required
  • The element Procedure.identifier is required
  • The element Procedure.patient is required
  • The element Procedure.type is required

Formal Views of Profile Content

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

Differential View

This structure is derived from Procedure.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 1..1
... identifier S1..*Identifier
... patient 1..1patient-daf-dafpatient
... type S1..1CodeableConceptSNOMED-CT | ICD-10 | CPT-4
Binding: daf-procedure-type (preferred, extensible)
... bodySite S0..*CodeableConceptCoded Responses fromBody Site Value Set
Binding: Procedure-BodySite (required, extensible)
... performer S0..*Element
.... person S0..1Practitioner
.... role S0..1CodeableConcept
... date S0..1Period
... encounter S0..1encounter-daf-dafencounter

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 1..1An action that is performed on a patient
... id 0..1idLogical id of this artefact
... meta 0..1MetaMetadata about the resource
... implicitRules M0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Language (required, not extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension 0..*ExtensionExtensions that cannot be ignored
... identifier S Σ1..*IdentifierExternal Ids for this procedure
... patient Σ1..1patient-daf-dafpatientWho procedure was performed on
... type S Σ1..1CodeableConceptSNOMED-CT | ICD-10 | CPT-4
Binding: daf-procedure-type (preferred, extensible)
... bodySite S Σ0..*CodeableConceptCoded Responses fromBody Site Value Set
Binding: Procedure-BodySite (required, extensible)
... indication Σ0..*CodeableConceptReason procedure performed
... performer S Σ0..*ElementThe people who performed the procedure
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... person S Σ0..1PractitionerThe reference to the practitioner
.... role S Σ0..1CodeableConceptThe role the person was in
... date S Σ0..1PeriodThe date the procedure was performed
... encounter S Σ0..1encounter-daf-dafencounterThe encounter when procedure performed
... outcome Σ0..1stringWhat was result of procedure?
... report 0..*DiagnosticReportAny report that results from the procedure
... complication 0..*CodeableConceptComplication following the procedure
... followUp 0..1stringInstructions for follow up
... relatedItem 0..*A procedure that is related to this one
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... type 0..1codecaused-by | because-of
Binding: ProcedureRelationshipType (required, not extensible)
.... target 0..1AllergyIntolerance, CarePlan, Condition, DiagnosticReport, FamilyHistory, ImagingStudy, Immunization, ImmunizationRecommendation, MedicationAdministration, MedicationDispense, MedicationPrescription, MedicationStatement, Observation, ProcedureThe related item - e.g. a procedure
... notes 0..1stringAdditional information about procedure

XML Template

JSON Template

todo

Differential View

This structure is derived from Procedure.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 1..1
... identifier S1..*Identifier
... patient 1..1patient-daf-dafpatient
... type S1..1CodeableConceptSNOMED-CT | ICD-10 | CPT-4
Binding: daf-procedure-type (preferred, extensible)
... bodySite S0..*CodeableConceptCoded Responses fromBody Site Value Set
Binding: Procedure-BodySite (required, extensible)
... performer S0..*Element
.... person S0..1Practitioner
.... role S0..1CodeableConcept
... date S0..1Period
... encounter S0..1encounter-daf-dafencounter

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 1..1An action that is performed on a patient
... id 0..1idLogical id of this artefact
... meta 0..1MetaMetadata about the resource
... implicitRules M0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Language (required, not extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension 0..*ExtensionExtensions that cannot be ignored
... identifier S Σ1..*IdentifierExternal Ids for this procedure
... patient Σ1..1patient-daf-dafpatientWho procedure was performed on
... type S Σ1..1CodeableConceptSNOMED-CT | ICD-10 | CPT-4
Binding: daf-procedure-type (preferred, extensible)
... bodySite S Σ0..*CodeableConceptCoded Responses fromBody Site Value Set
Binding: Procedure-BodySite (required, extensible)
... indication Σ0..*CodeableConceptReason procedure performed
... performer S Σ0..*ElementThe people who performed the procedure
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... person S Σ0..1PractitionerThe reference to the practitioner
.... role S Σ0..1CodeableConceptThe role the person was in
... date S Σ0..1PeriodThe date the procedure was performed
... encounter S Σ0..1encounter-daf-dafencounterThe encounter when procedure performed
... outcome Σ0..1stringWhat was result of procedure?
... report 0..*DiagnosticReportAny report that results from the procedure
... complication 0..*CodeableConceptComplication following the procedure
... followUp 0..1stringInstructions for follow up
... relatedItem 0..*A procedure that is related to this one
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... type 0..1codecaused-by | because-of
Binding: ProcedureRelationshipType (required, not extensible)
.... target 0..1AllergyIntolerance, CarePlan, Condition, DiagnosticReport, FamilyHistory, ImagingStudy, Immunization, ImmunizationRecommendation, MedicationAdministration, MedicationDispense, MedicationPrescription, MedicationStatement, Observation, ProcedureThe related item - e.g. a procedure
... notes 0..1stringAdditional information about procedure

XML Template

JSON Template

todo

 

Other definitions: (todo)

Terminology Bindings

PathNameConformanceValueSet
Procedure.languageLanguagerequiredhttp://tools.ietf.org/html/bcp47
Procedure.typedaf-procedure-typepreferred (extensible)dafEncounterType
Procedure.bodySiteProcedure-BodySiterequired (extensible)SNOMED CT Body Structures
Procedure.relatedItem.typeProcedureRelationshipTyperequiredProcedureRelationshipType

Constraints

IdPathNameDetails
.