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U.S. Data Access Framework (DAF) Procedure Profile (Profile)

Scope and Usage

This profile sets expectations for use of the Procedure resource to record procedure related events associated with a patient within the Data Access Framework (DAF) Implementation Guide. This profile identifies which core elements,extensions,vocabularies and value sets must be Supported by DAF actors. For the definition of Supported please refer to DAF FHIR IG. The data elements identified by the profile are based on ONC 2014 Edition S&CC and DAF use cases. The mappings between the ONC 2014 Edition S&CC data elements and DAF data elements are captured in the table below, where the first column identifies the ONC 2014 Edition S&CC data element name, the second column maps the ONC 2014 Edition S&CC data elements to DAF data elements which are derived from ONC 2014 Edition S&CC standards and DAF use cases and lastly the third column identifies the mapping to FHIR resources and attributes.

Meaningful Use Data Element Mapping

The DAF Procedure profile mapping to Meaningful Use data elements and FHIR Resources are as shown below.

Meaningful Use Data Element Name	Mapping to Priority DAF Data Elements	FHIR Resource Mapping
Procedures
	Procedure performed	Procedure.type
	Procedure Start and End time	Procedure.performed[x]
	Bodysite of Procedure	Procedure.bodySite
	Performer	Procedure.performer
	Location where Procedure was conducted	Procedure.encounter.location

Meaningful Use Data Element Name

Mapping to Priority DAF Data Elements

FHIR Resource Mapping

Procedures

Procedure performed

Procedure.type

Procedure Start and End time

Procedure.performed[x]

Bodysite of Procedure

Procedure.bodySite

Performer

Procedure.performer

Location where Procedure was conducted

Procedure.encounter.location

Boundaries and Relationships

This profile relies on the following other profiles:

DAFPatient which defines DAF Patient profile is used by DAFProcedure profile to refer to patients.
FHIR Extensibility defines how extensions can be applied to FHIR resources and data types. Specifically the data-absent-reason extension can be used to code data elements with missing information when appropriate. See DAF FHIR IG for additional guidance.

Profile Details

Profiles:
DAFProcedure	Defines constraints and extensions on the Procedure resource for use in querying and retrieving procedure information.

Search Parameters

The full list of supported search parameters are can be accessed at DAF Requestor conformance expectations and DAF Responder conformance expectations.

Example Usage Scenarios

The following are example usage scenarios for the DAF Procedure profile:

Query for procedures performed on a Patient
Query for all patients who have had a specific procedure
Query for procedures performed during a time period
Query for procedures performed during an encounter
Query for procedures performed at a location

Profile specific implementation guidance

Implementers need to be mindful of the following during their implementation

Representing No Known Procedures: No Known Procedure will be represented using the DAF List with no entries and a valid code in the List's emptyReason element.

See DAF FHIR IG for implementation guidance common to all profiles.