Name Flags Card. Type Description & Constraints doco
. . Procedure I DomainResource An action that is being or was performed on a patient
Reason not performed is only permitted if notPerformed indicator is true
. . . identifier Σ 0..* Identifier External Identifiers for this procedure
. . . subject Σ 1..1 Reference( Patient | Group) Who the procedure was performed on
. . . status ?! Σ 1..1 code in-progress | aborted | completed | entered-in-error
ProcedureStatus ( Required)
. . . category Σ 0..1 CodeableConcept Classification of the procedure
Procedure Category Codes (SNOMED CT) ( Example)
. . . code Σ 1..1 CodeableConcept Identification of the procedure
Procedure Codes (SNOMED CT) ( Example)
. . . notPerformed ?! 0..1 boolean True if procedure was not performed as scheduled
. . . reasonNotPerformed I 0..* CodeableConcept Reason procedure was not performed
Procedure Not Performed Reason (SNOMED-CT) ( Example)
. . . bodySite Σ 0..* CodeableConcept Target body sites
SNOMED CT Body Structures ( Example)
. . . reason[x] Σ 0..1 Reason procedure performed
Procedure Reason Codes ( Example)
. . . . reasonCodeableConcept CodeableConcept
. . . . reasonReference Reference( Condition)
. . . performer Σ 0..* BackboneElement The people who performed the procedure
. . . . actor Σ 0..1 Reference( Practitioner | Organization | Patient | RelatedPerson) The reference to the practitioner
. . . . role Σ 0..1 CodeableConcept The role the actor was in
Procedure Performer Role Codes ( Example)
. . . performed[x] Σ 0..1 Date/Period the procedure was performed
. . . . performedDateTime dateTime
. . . . performedPeriod Period
. . . encounter Σ 0..1 Reference( Encounter) The encounter associated with the procedure
. . . location Σ 0..1 Reference( Location) Where the procedure happened
. . . outcome Σ 0..1 CodeableConcept The result of procedure
Procedure Outcome Codes (SNOMED CT) ( Example)
. . . report 0..* Reference( DiagnosticReport) Any report resulting from the procedure
. . . complication 0..* CodeableConcept Complication following the procedure
Condition/Problem/Diagnosis Codes ( Example)
. . . followUp 0..* CodeableConcept Instructions for follow up
Procedure Follow up Codes (SNOMED CT) ( Example)
. . . request 0..1 Reference( CarePlan | DiagnosticOrder | ProcedureRequest | ReferralRequest) A request for this procedure
. . . notes 0..* Annotation Additional information about the procedure
. . . focalDevice 0..* BackboneElement Device changed in procedure
. . . . action 0..1 CodeableConcept Kind of change to device
Procedure Device Action Codes ( Required)
. . . . manipulated 1..1 Reference( Device) Device that was changed
. . . used 0..* Reference( Device | Medication | Substance) Items used during procedure

doco Documentation for this format