The US Core Condition Profile is based upon the core FHIR Procedure Resource and created to meet the 2015 Edition Common Clinical Data Set 'Procedures' requirements.
= Must Support, = Is Modifier, = QiCore defined extension
Field | Card. | Type | Description |
---|---|---|---|
approachBodySite | 0..* | List<Extension> | An Extension |
incisionDateTime | 0..1 | Extension | An Extension |
status | 1..1 | String | A code specifying the state of the procedure. Generally this will be in-progress or completed state. Binding: http://hl7.org/fhir/ValueSet/event-status (required) |
notDoneReason | 0..1 | Concept | A code indicating why the procedure was not performed. Binding: A code that identifies the reason a procedure was not performed. (example) |
code | 1..1 | Concept | The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. "Laparoscopic Appendectomy"). Binding: Codes describing the Procedure Type (preferred) |
subject | 1..1 | Patient | Group | The person, animal or group on which the procedure was performed. |
context | 0..1 | Encounter | Group | The encounter during which the procedure was performed. |
performed[x] | 1..1 | DateTime | Interval<DateTime> | The date(time)/period over which the procedure was performed. Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be captured. |
performer | 0..* | List<performer> | Limited to 'real' people rather than equipment. |
location | 0..1 | Location | The location where the procedure actually happened. E.g. a newborn at home, a tracheostomy at a restaurant. |
reasonCode | 0..* | List<Concept> | The coded reason why the procedure was performed. This may be coded entity of some type, or may simply be present as text. Binding: A code that identifies the reason a procedure is required. (example) |
reasonReference | 0..* | List<Condition | Observation> | The condition that is the reason why the procedure was performed. |
bodySite | 0..* | List<Concept> | Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion. Binding: Codes describing anatomical locations. May include laterality. (example) |
outcome | 0..1 | Concept | The outcome of the procedure - did it resolve reasons for the procedure being performed? Binding: An outcome of a procedure - whether it was resolved or otherwise. (example) |
report | 0..* | List<DiagnosticReport> | This could be a histology result, pathology report, surgical report, etc.. |
focalDevice | 0..* | List<focalDevice> | A device that is implanted, removed or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure. |