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Profile for procedure
{
"resourceType": "Profile",
"text": {
"status": "generated",
"div": "<div><pre>\r\n<<a title=\"An action that is performed on a patient. This can be a physical 'thing' like an operation, or less invasive like counseling or hypnotherapy.\" class=\"dict\" href=\"procedure-definitions.html#Procedure\"><b>Procedure</b></a> xmlns="http://hl7.org/fhir"> <span style=\"float: right\"><a title=\"Documentation for this format\" href=\"formats.html\"><img alt=\"doco\" src=\"help.png\"/></a></span>\r\n <!-- from <a href=\"resources.html\">Resource</a>: <a href=\"extensibility.html\">extension</a>, <a href=\"extensibility.html#modifierExtension\">modifierExtension</a>, language, <a href=\"narrative.html#Narrative\">text</a>, and <a href=\"references.html#contained\">contained</a> -->\r\n <<a title=\"This records identifiers associated with this procedure that are defined by business processed and/ or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).\" class=\"dict\" href=\"procedure-definitions.html#Procedure.identifier\"><b>identifier</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#Identifier\">Identifier</a></span> <span style=\"color: navy\">External Ids for this procedure<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span></span><span style=\"color: Gray\"> --></span></identifier>\r\n <<a title=\"The person on whom the procedure was performed.\" class=\"dict\" href=\"procedure-definitions.html#Procedure.subject\"><b>subject</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: darkgreen\"><a href=\"references.html#Resource\">Resource</a>(<a href=\"patient.html#Patient\">Patient</a>)</span> <span style=\"color: navy\">Who procedure was performed on<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span></span><span style=\"color: Gray\"> --></span></subject>\r\n <<a title=\"The specific procedure that is performed. Use text if the exact nature of the procedure can't be coded.\" class=\"dict\" href=\"procedure-definitions.html#Procedure.type\"><b>type</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>1..1</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\">Identification of the procedure<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span></span><span style=\"color: Gray\"> --></span></type>\r\n <<a title=\"Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion.\" class=\"dict\" href=\"procedure-definitions.html#Procedure.bodySite\"><b>bodySite</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\">Precise location details<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span></span><span style=\"color: Gray\"> --></span></bodySite>\r\n <<a title=\"The reason why the procedure was performed. This may be due to a Condition, may be coded entity of some type, or may simply be present as text.\" class=\"dict\" href=\"procedure-definitions.html#Procedure.indication\"><b>indication</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\">Reason procedure performed<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span></span><span style=\"color: Gray\"> --></span></indication>\r\n <<a title=\"Limited to 'real' people rather than equipment.\" class=\"dict\" href=\"procedure-definitions.html#Procedure.performer\"><b>performer</b></a>> <span style=\"color: Gray\"><!-- <span style=\"color: brown\"><b>0..*</b></span> The people who performed the procedure<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span> --></span>\r\n <<a title=\"The practitioner who was involved in the procedure.\" class=\"dict\" href=\"procedure-definitions.html#Procedure.performer.person\"><b>person</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"references.html#Resource\">Resource</a>(<a href=\"practitioner.html#Practitioner\">Practitioner</a>)</span> <span style=\"color: navy\">The reference to the practitioner<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span></span><span style=\"color: Gray\"> --></span></person>\r\n <<a title=\"E.g. surgeon, anaethetist, endoscopist.\" class=\"dict\" href=\"procedure-definitions.html#Procedure.performer.role\"><b>role</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\">The role the person was in<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span></span><span style=\"color: Gray\"> --></span></role>\r\n </performer>\r\n <<a title=\"The dates over which the procedure was performed. Allows a period to support complex procedures that span more that one date, and also allows for the length of the procedure to be captured.\" class=\"dict\" href=\"procedure-definitions.html#Procedure.date\"><b>date</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#Period\">Period</a></span> <span style=\"color: navy\">The date the procedure was performed<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span></span><span style=\"color: Gray\"> --></span></date>\r\n <<a title=\"The encounter during which the procedure was performed.\" class=\"dict\" href=\"procedure-definitions.html#Procedure.encounter\"><b>encounter</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"references.html#Resource\">Resource</a>(<a href=\"encounter.html#Encounter\">Encounter</a>)</span> <span style=\"color: navy\">The encounter when procedure performed<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span></span><span style=\"color: Gray\"> --></span></encounter>\r\n <<a title=\"What was the outcome of the procedure - did it resolve reasons why the procedure was performed?.\" class=\"dict\" href=\"procedure-definitions.html#Procedure.outcome\"><b>outcome</b></a> value="[<span style=\"color: darkgreen\"><a href=\"datatypes.html#string\">string</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\">What was result of procedure?<span title=\"This element is included in a summary view (See Search/Query)\" style=\"color: Navy\"> §</span></span><span style=\"color: Gray\"> --></span>\r\n <<a title=\"This could be a histology result. There could potentially be multiple reports - e.g. if this was a procedure that made multiple biopsies.\" class=\"dict\" href=\"procedure-definitions.html#Procedure.report\"><b>report</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"references.html#Resource\">Resource</a>(<a href=\"diagnosticreport.html#DiagnosticReport\">DiagnosticReport</a>)</span> <span style=\"color: navy\">Any report that results from the procedure</span><span style=\"color: Gray\"> --></span></report>\r\n <<a title=\"Any complications that occurred during the procedure, or in the immediate post-operative period. These are generally tracked separately from the notes, which typically will describe the procedure itself rather than any 'post procedure' issues.\" class=\"dict\" href=\"procedure-definitions.html#Procedure.complication\"><b>complication</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..*</b></span> <span style=\"color: darkgreen\"><a href=\"datatypes.html#CodeableConcept\">CodeableConcept</a></span> <span style=\"color: navy\">Complication following the procedure</span><span style=\"color: Gray\"> --></span></complication>\r\n <<a title=\"If the procedure required specific follow up - e.g. removal of sutures. The followup may be represented as a simple note, or potentially could be more complex in which case the CarePlan resource can be used.\" class=\"dict\" href=\"procedure-definitions.html#Procedure.followUp\"><b>followUp</b></a> value="[<span style=\"color: darkgreen\"><a href=\"datatypes.html#string\">string</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\">Instructions for follow up</span><span style=\"color: Gray\"> --></span>\r\n <<a title=\"Procedures may be related to other items such as procedures or medications. For example treating wound dehiscence following a previous procedure.\" class=\"dict\" href=\"procedure-definitions.html#Procedure.relatedItem\"><b>relatedItem</b></a>> <span style=\"color: Gray\"><!-- <span style=\"color: brown\"><b>0..*</b></span> A procedure that is related to this one --></span>\r\n <<a title=\"The nature of the relationship.\" class=\"dict\" href=\"procedure-definitions.html#Procedure.relatedItem.type\"><b>type</b></a> value="[<span style=\"color: darkgreen\"><a href=\"datatypes.html#code\">code</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\"><a style=\"color: navy\" href=\"procedure-relationship-type.html\">caused-by | because-of</a></span><span style=\"color: Gray\"> --></span>\r\n <<a title=\"The related item - e.g. a procedure.\" class=\"dict\" href=\"procedure-definitions.html#Procedure.relatedItem.target\"><b>target</b></a>><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: darkgreen\"><a href=\"references.html#Resource\">Resource</a>(<a href=\"adversereaction.html#AdverseReaction\">AdverseReaction</a>|<a href=\"allergyintolerance.html#AllergyIntolerance\">AllergyIntolerance</a>|<a href=\"careplan.html#CarePlan\">CarePlan</a>|\r\n <a href=\"condition.html#Condition\">Condition</a>|<a href=\"deviceobservationreport.html#DeviceObservationReport\">DeviceObservationReport</a>|<a href=\"diagnosticreport.html#DiagnosticReport\">DiagnosticReport</a>|<a href=\"familyhistory.html#FamilyHistory\">FamilyHistory</a>|\r\n <a href=\"imagingstudy.html#ImagingStudy\">ImagingStudy</a>|<a href=\"immunization.html#Immunization\">Immunization</a>|<a href=\"immunizationrecommendation.html#ImmunizationRecommendation\">ImmunizationRecommendation</a>|\r\n <a href=\"medicationadministration.html#MedicationAdministration\">MedicationAdministration</a>|<a href=\"medicationdispense.html#MedicationDispense\">MedicationDispense</a>|<a href=\"medicationprescription.html#MedicationPrescription\">MedicationPrescription</a>|\r\n <a href=\"medicationstatement.html#MedicationStatement\">MedicationStatement</a>|<a href=\"observation.html#Observation\">Observation</a>|<a href=\"procedure.html#Procedure\">Procedure</a>)</span> <span style=\"color: navy\">The related item - e.g. a procedure</span><span style=\"color: Gray\"> --></span></target>\r\n </relatedItem>\r\n <<a title=\"Any other notes about the procedure - e.g. the operative notes.\" class=\"dict\" href=\"procedure-definitions.html#Procedure.notes\"><b>notes</b></a> value="[<span style=\"color: darkgreen\"><a href=\"datatypes.html#string\">string</a></span>]"/><span style=\"color: Gray\"><!--</span> <span style=\"color: brown\"><b>0..1</b></span> <span style=\"color: navy\">Additional information about procedure</span><span style=\"color: Gray\"> --></span>\r\n</Procedure>\r\n</pre></div>"
},
"name": "procedure",
"publisher": "FHIR Project",
"description": "Basic Profile. An action that is performed on a patient. This can be a physical 'thing' like an operation, or less invasive like counseling or hypnotherapy.",
"status": "draft",
"date": "2014-09-30",
"requirements": "Scope and Usage This resource is used to record the details of procedures performed on a patient. A procedure is an activity that is performed with or on a patient as part of the provision of care. Examples include surgical procedures, diagnostic procedures, endoscopic procedures, biopsies, and exclude things for which there are specific resources, such as immunizations, drug administrations. \r\n\r\nNote that many diagnostic processes are procedures that generate observations and reports. In many cases, the existence of the procedure is assumed, but where there are details of interest about how the diagnostic procedure was performed, the procedure resource is used to describe the activity.",
"mapping": [
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM"
},
{
"identity": "v2",
"uri": "http://hl7.org/v2",
"name": "HL7 v2"
}
],
"structure": [
{
"type": "Procedure",
"publish": true,
"element": [
{
"path": "Procedure",
"definition": {
"short": "An action that is performed on a patient",
"formal": "An action that is performed on a patient. This can be a physical 'thing' like an operation, or less invasive like counseling or hypnotherapy.",
"min": 1,
"max": "1",
"type": [
{
"code": "Resource"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "Procedure[moodCode=EVN]"
}
]
}
},
{
"path": "Procedure.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Procedure.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Procedure.text",
"definition": {
"short": "Text summary of the resource, for human interpretation",
"formal": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comments": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.",
"synonym": [
"narrative",
"html",
"xhtml",
"display"
],
"min": 0,
"max": "1",
"type": [
{
"code": "Narrative"
}
],
"isModifier": false
}
},
{
"path": "Procedure.contained",
"definition": {
"short": "Contained, inline Resources",
"formal": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comments": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"synonym": [
"inline resources",
"anonymous resources",
"contained resources"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Resource"
}
],
"isModifier": false
}
},
{
"path": "Procedure.identifier",
"definition": {
"short": "External Ids for this procedure",
"formal": "This records identifiers associated with this procedure that are defined by business processed and/ or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).",
"min": 0,
"max": "*",
"type": [
{
"code": "Identifier"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".id"
}
]
}
},
{
"path": "Procedure.subject",
"definition": {
"short": "Who procedure was performed on",
"formal": "The person on whom the procedure was performed.",
"min": 1,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Patient"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".participation[typeCode=SBJ].role"
}
]
}
},
{
"path": "Procedure.type",
"definition": {
"short": "Identification of the procedure",
"formal": "The specific procedure that is performed. Use text if the exact nature of the procedure can't be coded.",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".code"
}
]
}
},
{
"path": "Procedure.bodySite",
"definition": {
"short": "Precise location details",
"formal": "Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion.",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".approachSiteCode"
}
]
}
},
{
"path": "Procedure.indication",
"definition": {
"short": "Reason procedure performed",
"formal": "The reason why the procedure was performed. This may be due to a Condition, may be coded entity of some type, or may simply be present as text.",
"comments": "e.g. endoscopy for dilatation and biopsy, combination diagnosis and therapuetic.",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".reasonCode"
}
]
}
},
{
"path": "Procedure.performer",
"definition": {
"short": "The people who performed the procedure",
"formal": "Limited to 'real' people rather than equipment.",
"min": 0,
"max": "*",
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".participation[typeCode=PFM]"
}
]
}
},
{
"path": "Procedure.performer.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Procedure.performer.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Procedure.performer.person",
"definition": {
"short": "The reference to the practitioner",
"formal": "The practitioner who was involved in the procedure.",
"min": 0,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Practitioner"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".role"
}
]
}
},
{
"path": "Procedure.performer.role",
"definition": {
"short": "The role the person was in",
"formal": "E.g. surgeon, anaethetist, endoscopist.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".functionCode"
}
]
}
},
{
"path": "Procedure.date",
"definition": {
"short": "The date the procedure was performed",
"formal": "The dates over which the procedure was performed. Allows a period to support complex procedures that span more that one date, and also allows for the length of the procedure to be captured.",
"min": 0,
"max": "1",
"type": [
{
"code": "Period"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".effectiveTime"
},
{
"identity": "v2",
"map": "This should be choice of dateTime|Period"
}
]
}
},
{
"path": "Procedure.encounter",
"definition": {
"short": "The encounter when procedure performed",
"formal": "The encounter during which the procedure was performed.",
"min": 0,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Encounter"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
}
]
}
},
{
"path": "Procedure.outcome",
"definition": {
"short": "What was result of procedure?",
"formal": "What was the outcome of the procedure - did it resolve reasons why the procedure was performed?.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=OUT].target.text"
}
]
}
},
{
"path": "Procedure.report",
"definition": {
"short": "Any report that results from the procedure",
"formal": "This could be a histology result. There could potentially be multiple reports - e.g. if this was a procedure that made multiple biopsies.",
"min": 0,
"max": "*",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/DiagnosticReport"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN]"
}
]
}
},
{
"path": "Procedure.complication",
"definition": {
"short": "Complication following the procedure",
"formal": "Any complications that occurred during the procedure, or in the immediate post-operative period. These are generally tracked separately from the notes, which typically will describe the procedure itself rather than any 'post procedure' issues.",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "Need specialization of OUT for this."
}
]
}
},
{
"path": "Procedure.followUp",
"definition": {
"short": "Instructions for follow up",
"formal": "If the procedure required specific follow up - e.g. removal of sutures. The followup may be represented as a simple note, or potentially could be more complex in which case the CarePlan resource can be used.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=COMP].target[classCode=ACT, moodCode=INT].text"
}
]
}
},
{
"path": "Procedure.relatedItem",
"definition": {
"short": "A procedure that is related to this one",
"formal": "Procedures may be related to other items such as procedures or medications. For example treating wound dehiscence following a previous procedure.",
"min": 0,
"max": "*",
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=TRIG and target[classCode=PROC, moodCode=EVN]]"
}
]
}
},
{
"path": "Procedure.relatedItem.extension",
"definition": {
"short": "Additional Content defined by implementations",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Procedure.relatedItem.modifierExtension",
"definition": {
"short": "Extensions that cannot be ignored",
"formal": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comments": "there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone.",
"synonym": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Extension"
}
],
"isModifier": false
}
},
{
"path": "Procedure.relatedItem.type",
"definition": {
"short": "caused-by | because-of",
"formal": "The nature of the relationship.",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"isModifier": false,
"binding": {
"name": "ProcedureRelationshipType",
"isExtensible": false,
"conformance": "required",
"referenceResource": {
"reference": "http://hl7.org/fhir/vs/procedure-relationship-type"
}
},
"mapping": [
{
"identity": "rim",
"map": ".inversionInd"
}
]
}
},
{
"path": "Procedure.relatedItem.target",
"definition": {
"short": "The related item - e.g. a procedure",
"formal": "The related item - e.g. a procedure.",
"min": 0,
"max": "1",
"type": [
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/AdverseReaction"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/AllergyIntolerance"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/CarePlan"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Condition"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/DeviceObservationReport"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/DiagnosticReport"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/FamilyHistory"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/ImagingStudy"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Immunization"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/ImmunizationRecommendation"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/MedicationAdministration"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/MedicationDispense"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/MedicationPrescription"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/MedicationStatement"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Observation"
},
{
"code": "ResourceReference",
"profile": "http://hl7.org/fhir/profiles/Procedure"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".target"
}
]
}
},
{
"path": "Procedure.notes",
"definition": {
"short": "Additional information about procedure",
"formal": "Any other notes about the procedure - e.g. the operative notes.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
}
]
}
}
],
"searchParam": [
{
"name": "_id",
"type": "token",
"documentation": "The logical resource id associated with the resource (must be supported by all servers)"
},
{
"name": "_language",
"type": "token",
"documentation": "The language of the resource"
},
{
"name": "date",
"type": "date",
"documentation": "The date the procedure was performed on",
"xpath": "f:Procedure/f:date"
},
{
"name": "subject",
"type": "reference",
"documentation": "The identity of a patient to list procedures for",
"xpath": "f:Procedure/f:subject"
},
{
"name": "type",
"type": "token",
"documentation": "Type of procedure",
"xpath": "f:Procedure/f:type"
}
]
}
]
}
© HL7.org 2011+. FHIR DSTU (v0.0.82.2943) generated on Tue, Sep 30, 2014 18:10+1000.
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