This page is part of the Quality Improvement Core Framework (v3.1.0: STU 3) based on FHIR R3. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions 
| Appendectomy Example |
The official URL for this profile is:
http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure
Profile of Procedure for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
This profile builds on US Core Procedure Profile.
This profile was published on Wed Aug 22 00:00:00 AEST 2018 as a draft by Health Level Seven, Inc. - CQI WG.
Description of Profiles, Differentials, and Snapshots.
Summary
Mandatory: 2 elements
Must-Support: 9 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Procedure | I | 0..* | US Core Procedure Profile | |
  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) | |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
 contained | 0..* | Resource | Contained, inline Resources | |
 extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| procedure-approachBodySite | I | 0..* | Reference(BodySite) | Extension URL: http://hl7.org/fhir/StructureDefinition/procedure-approachBodySite |
| procedure-incisionDateTime | I | 0..1 | dateTime | Extension URL: http://hl7.org/fhir/StructureDefinition/procedure-incisionDateTime |
 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 |
| basedOn | Σ | 0..* | Reference(CarePlan | ProcedureRequest | ReferralRequest) | A request for this procedure |
| partOf | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event |
| status | ?!SΣ | 1..1 | code | preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown Binding: EventStatus (required) |
| notDone | ?!Σ | 0..1 | boolean | True if procedure was not performed as scheduled |
| notDoneReason | ΣI | 0..1 | CodeableConcept | Reason procedure was not performed Binding: Procedure Not Performed Reason (SNOMED-CT) (example) |
| category | Σ | 0..1 | CodeableConcept | Classification of the procedure Binding: Procedure Category Codes (SNOMED CT) (example) |
| code | SΣ | 1..1 | CodeableConcept | SNOMED-CT | ICD-10 | CPT-4 Binding: US Core Procedure Codes (preferred) |
| subject | SΣ | 1..1 | Reference(QICore-Patient | Group) | Who the procedure was performed on |
| context | SΣ | 0..1 | Reference(QICore-Encounter | Group) | Encounter or episode associated with the procedure |
 performed[x] | SΣ | 1..1 | dateTime, Period | Date/Period the procedure was performed |
| performer | SΣI | 0..* | BackboneElement | The people who performed the 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 |
| role | Σ | 0..1 | CodeableConcept | The role the actor was in Binding: Procedure Performer Role Codes (example) |
| actor | Σ | 1..1 | Reference(QICore-Practitioner | QICore-Organization | QICore-Patient | QICore-RelatedPerson) | The reference to the practitioner |
 onBehalfOf | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |
| location | Σ | 0..1 | Reference(QICore-Location) | Where the procedure happened |
| reasonCode | SΣ | 0..* | CodeableConcept | Coded reason procedure performed Binding: Procedure Reason Codes (example) |
| reasonReference | Σ | 0..* | Reference(Condition | Observation) | Condition that is the reason the procedure performed |
| bodySite | SΣ | 0..* | CodeableConcept | Target body sites Binding: SNOMED CT Body Structures (example) |
| outcome | Σ | 0..1 | CodeableConcept | The result of procedure Binding: Procedure Outcome Codes (SNOMED CT) (example) |
| report | S | 0..* | Reference(QICore-DiagnosticReport) | Any report resulting from the procedure |
| complication | 0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/Diagnosis Codes (example) | |
| 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) | |
| note | 0..* | Annotation | Additional information about the procedure | |
| focalDevice | I | 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) | |
| manipulated | 1..1 | Reference(QICore-Device) | Device that was changed | |
| usedReference | 0..* | Reference(Device | Medication | Substance) | Items used during procedure | |
| usedCode | 0..* | CodeableConcept | Coded items used during the procedure Binding: FHIR Device Types (example) | |
| Documentation for this format | ||||
Summary
Mandatory: 2 elements
Must-Support: 9 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Differential View
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure | I | 0..* | US Core Procedure Profile | |
| 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) | |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| procedure-approachBodySite | I | 0..* | Reference(BodySite) | Extension URL: http://hl7.org/fhir/StructureDefinition/procedure-approachBodySite |
| procedure-incisionDateTime | I | 0..1 | dateTime | Extension URL: http://hl7.org/fhir/StructureDefinition/procedure-incisionDateTime |
| 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 |
| basedOn | Σ | 0..* | Reference(CarePlan | ProcedureRequest | ReferralRequest) | A request for this procedure |
| partOf | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event |
| status | ?!SΣ | 1..1 | code | preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown Binding: EventStatus (required) |
| notDone | ?!Σ | 0..1 | boolean | True if procedure was not performed as scheduled |
| notDoneReason | ΣI | 0..1 | CodeableConcept | Reason procedure was not performed Binding: Procedure Not Performed Reason (SNOMED-CT) (example) |
| category | Σ | 0..1 | CodeableConcept | Classification of the procedure Binding: Procedure Category Codes (SNOMED CT) (example) |
| code | SΣ | 1..1 | CodeableConcept | SNOMED-CT | ICD-10 | CPT-4 Binding: US Core Procedure Codes (preferred) |
| subject | SΣ | 1..1 | Reference(QICore-Patient | Group) | Who the procedure was performed on |
| context | SΣ | 0..1 | Reference(QICore-Encounter | Group) | Encounter or episode associated with the procedure |
| performed[x] | SΣ | 1..1 | dateTime, Period | Date/Period the procedure was performed |
| performer | SΣI | 0..* | BackboneElement | The people who performed the 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 |
| role | Σ | 0..1 | CodeableConcept | The role the actor was in Binding: Procedure Performer Role Codes (example) |
| actor | Σ | 1..1 | Reference(QICore-Practitioner | QICore-Organization | QICore-Patient | QICore-RelatedPerson) | The reference to the practitioner |
| onBehalfOf | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |
| location | Σ | 0..1 | Reference(QICore-Location) | Where the procedure happened |
| reasonCode | SΣ | 0..* | CodeableConcept | Coded reason procedure performed Binding: Procedure Reason Codes (example) |
| reasonReference | Σ | 0..* | Reference(Condition | Observation) | Condition that is the reason the procedure performed |
| bodySite | SΣ | 0..* | CodeableConcept | Target body sites Binding: SNOMED CT Body Structures (example) |
| outcome | Σ | 0..1 | CodeableConcept | The result of procedure Binding: Procedure Outcome Codes (SNOMED CT) (example) |
| report | S | 0..* | Reference(QICore-DiagnosticReport) | Any report resulting from the procedure |
| complication | 0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/Diagnosis Codes (example) | |
| 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) | |
| note | 0..* | Annotation | Additional information about the procedure | |
| focalDevice | I | 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) | |
| manipulated | 1..1 | Reference(QICore-Device) | Device that was changed | |
| usedReference | 0..* | Reference(Device | Medication | Substance) | Items used during procedure | |
| usedCode | 0..* | CodeableConcept | Coded items used during the procedure Binding: FHIR Device Types (example) | |
| Documentation for this format | ||||
| Path | Name | Conformance | ValueSet |
| Procedure.language | Common Languages | extensible | Common Languages |
| Procedure.status | EventStatus | required | EventStatus |
| Procedure.notDoneReason | Procedure Not Performed Reason (SNOMED-CT) | example | Procedure Not Performed Reason (SNOMED-CT) |
| Procedure.category | Procedure Category Codes (SNOMED CT) | example | Procedure Category Codes (SNOMED CT) |
| Procedure.code | US Core Procedure Codes | preferred | US Core Procedure Codes |
| Procedure.performer.role | Procedure Performer Role Codes | example | Procedure Performer Role Codes |
| Procedure.reasonCode | Procedure Reason Codes | example | Procedure Reason Codes |
| Procedure.bodySite | SNOMED CT Body Structures | example | SNOMED CT Body Structures |
| Procedure.outcome | Procedure Outcome Codes (SNOMED CT) | example | Procedure Outcome Codes (SNOMED CT) |
| Procedure.complication | Condition/Problem/Diagnosis Codes | example | Condition/Problem/Diagnosis Codes |
| Procedure.followUp | Procedure Follow up Codes (SNOMED CT) | example | Procedure Follow up Codes (SNOMED CT) |
| Procedure.focalDevice.action | Procedure Device Action Codes | preferred | Procedure Device Action Codes |
| Procedure.usedCode | FHIR Device Types | example | FHIR Device Types |
| Id | Path | Details | Requirements |
| dom-2 | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-1 | Procedure | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
| dom-4 | 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() | |
| dom-3 | 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() | |
| pro-1 | Procedure | Reason not done is only permitted if notDone indicator is true : notDoneReason.empty() or notDone = true | |
| ele-1 | Procedure.extension | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ext-1 | Procedure.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Procedure.extension | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ext-1 | Procedure.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Procedure.extension | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ext-1 | Procedure.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Procedure.performer | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ele-1 | Procedure.focalDevice | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) |
© HL7.org 2011+. QICore STU3 (v3.1.0) (for FHIR v3.0.1-11917) generated on Wed, Aug 22, 2018 23:31+1000. QA Page
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