SDOH Clinical Care
0.1.0 - STU 1
SDOH Clinical Care
0.1.0 - STU 1
This page is part of the SDOH Clinical Care for Multiple Domains (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions 
| Defining URL: | http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure-Base-1 |
| Version: | 0.1.0 |
| Name: | SDOHCC_Procedure_Base_1 |
| Title: | SDOHCC Procedure Base 1 |
| Status: | Draft as of 2020-12-16T20:13:36+00:00 |
| Definition: | This profile constrains Procedures that address Social Determinants of Health. |
| Publisher: | HL7 International - Patient Care WG |
| Source Resource: | XML / JSON / Turtle |
The official URL for this profile is:
http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure-Base-1
The SDOHCC_Procedure_Base_1 profile allows the representation of Procedures that address SDOH Conditions.
Many of the resources/profiles used for SDOH reference one another. The current flow is that QuestionnaireResponses result in Observations that are used as evidence for Conditions that are addressed by Goals that lead to ServiceRequests and Procedures.
The sections that follow provide additional guidance for some elements in the SDOHCC_Procedure_Base_1 profile.
To align an SDOH Procedure with the SDOH ServiceRequest(s) it is based on, Procedure.basedOn is sliced to allow the preferred option of referencing the SDOHCC_ServiceRequest_Base_1 Profile.
Procedure.basedOn should reference the SDOHCC_ServiceRequest_Base_1 Profile if it exists.
Additionally, Procedure.basedOn may reference CarePlan and ServiceRequest.
Procedure.category is currently bound to the "SDOHCC ValueSet SDOHDomain 1" value set with binding strength: Example. This allows the categorization of a Procedure into one or more of the SDOH domains (e.g., food-insecurity-domain, inadequate-housing-domain, etc.).
Procedure.code is currently bound to the FHIR "Procedure Codes (SNOMED CT)" value set with binding strength: Required. As the Gravity Project continues to refine content for the SDOH domains (e.g., food, housing, transportation, etc.), the required value set for Procedure.code will be refined to codes that pertain to SDOH domains.
Additionally, Procedure.code.coding is sliced to allow the optional addition of CPT, LOINC, and HCPCS Level II codes. Each optional coding slice is currently bound to the entire value set for each code system. As the Gravity Project continues to refine content for the SDOH domains, the value set for each coding slice may be refined to codes that pertain to SDOH domains.
Since this profile is based on the US Core Procedure Profile, Procedure.subject is restricted to referencing US Core Patient Profile.
Procedure.reasonCode can be used to provide a coded reason for why a procedure was performed.
Procedure.reasonCode is currently bound to the FHIR "Procedure Reason Codes" value set with binding strength: Example. As the Gravity Project continues to refine content for the SDOH domains, the value set for Procedure.reasonCode may be refined to codes that pertain to SDOH domains.
Of note, information represented by Procedure.reasonCode overlaps significantly with information represented by Procedure.reasonReference. Multiple approaches to representing the same information may negatively impact interoperability. Therefore, where there is overlap in information provided by Procedure.reasonReference and Procedure.reasonCode, it is recommended that Procedure.reasonReference should be used to justify why the procedure was performed.
Procedure.reasonReference can be used to justify why the procedure was performed.
To align an SDOH Procedure with the SDOH Conditions and Observations that justify it, Procedure.reasonReference is sliced to allow the preferred option of referencing the SDOHCC_Condition_Base_1 Profile and/or the SDOHCC_Observation_ScreeningResponseBase_1 Profile.
Procedure.reasonReference should reference the SDOHCC_Condition_Base_1 Profile and/or the SDOHCC_Observation_ScreeningResponseBase_1 Profile if they exist.
Additionally, Procedure.reasonReference may reference Condition, Observation, Procedure, DocumentReference and/or DiagnosticReport.
Where there is significant overlap in information provided by Procedure.reasonReference and Procedure.reasonCode, it is recommended that Procedure.reasonReference should be used to justify why the procedure was performed.
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreProcedureProfile
Summary
Mandatory: 0 element (3 nested mandatory elements)
Must-Support: 10 elements
Fixed Value: 3 elements
Prohibited: 4 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
This structure is derived from USCoreProcedureProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Procedure | 0..* | USCoreProcedureProfile | An action that is being or was performed on a patient | |
  basedOn | S | 0..* | (Slice Definition) | A request for this procedure Slice: Unordered, Open by profile:resolve() |
   basedOn:SupportedBasedOn | S | 0..* | Reference(SDOHCC ServiceRequest Base 1) | A request for this procedure |
  statusReason | S | 0..1 | CodeableConcept | Reason for current status |
| category | 0..1 | CodeableConcept | Classification of the procedure Binding: SDOHCC ValueSet SDOHDomain 1 (example) | |
| code | 1..1 | CodeableConcept | Procedure codes from SNOMED CT Binding: ProcedureCodes(SNOMEDCT) (required): SNOMED CT codes describing the type of Procedure | |
 coding | S | 0..* | (Slice Definition) | Code defined by a terminology system Slice: Unordered, Open by value:system |
  coding:CPTCoding | S | 0..1 | Coding | Procedure codes from CPT Binding: All CPT codes (required): CPT codes describing the type of Procedure |
  system | S | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.ama-assn.org/go/cpt |
| coding:LOINCCoding | S | 0..1 | Coding | Procedure codes from LOINC Binding: LOINCCodes (required): LOINC codes describing the type of Procedure |
| system | S | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
 coding:HCPCSIICoding | S | 0..1 | Coding | Procedure codes from HCPCS Level II Binding: SDOHCC ValueSet HCPCSII 1 (required): HCPCS Level II codes describing the type of Procedure |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.6.285 | |
 recorder | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the procedure | |
| reasonReference | 0..* | (Slice Definition) | The justification that the procedure was performed Slice: Unordered, Open by profile:resolve() | |
| reasonReference:SupportedReasonReference | S | 0..* | Reference(SDOHCC Condition Base 1 | SDOHCC Observation ScreeningResponseBase 1) | The justification that the procedure was performed |
| bodySite | 0..0 | |||
| focalDevice | 0..0 | |||
| usedReference | 0..0 | |||
 usedCode | 0..0 | |||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure | 0..* | USCoreProcedureProfile | An action that is being or was performed on a patient | |
 id | Σ | 0..1 | string | 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: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
 extension | 0..* | Extension | Additional content defined by implementations | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..* | Identifier | External Identifiers for this procedure |
| instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition |
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition |
| basedOn | SΣ | 0..* | (Slice Definition) | A request for this procedure Slice: Unordered, Open by profile:resolve() |
| basedOn:SupportedBasedOn | SΣ | 0..* | Reference(SDOHCC ServiceRequest Base 1) | A request for this procedure |
| partOf | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event |
| status | ?!SΣ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required) |
| statusReason | SΣ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. |
| category | Σ | 0..1 | CodeableConcept | Classification of the procedure Binding: SDOHCC ValueSet SDOHDomain 1 (example) |
| code | SΣ | 1..1 | CodeableConcept | Procedure codes from SNOMED CT Binding: ProcedureCodes(SNOMEDCT) (required): SNOMED CT codes describing the type of Procedure |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| coding | SΣ | 0..* | (Slice Definition) | Code defined by a terminology system Slice: Unordered, Open by value:system |
| coding:CPTCoding | SΣ | 0..1 | Coding | Procedure codes from CPT Binding: All CPT codes (required): CPT codes describing the type of Procedure |
 id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.ama-assn.org/go/cpt |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 0..1 | code | Symbol in syntax defined by the system |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| coding:LOINCCoding | SΣ | 0..1 | Coding | Procedure codes from LOINC Binding: LOINCCodes (required): LOINC codes describing the type of Procedure |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 0..1 | code | Symbol in syntax defined by the system |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| coding:HCPCSIICoding | SΣ | 0..1 | Coding | Procedure codes from HCPCS Level II Binding: SDOHCC ValueSet HCPCSII 1 (required): HCPCS Level II codes describing the type of Procedure |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.6.285 |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 0..1 | code | Symbol in syntax defined by the system |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| text | Σ | 0..1 | string | Plain text representation of the concept |
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who the procedure was performed on |
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of |
 performed[x] | SΣ | 1..1 | When the procedure was performed | |
| performedDateTime | dateTime | |||
| performedPeriod | Period | |||
| recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the procedure |
| asserter | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure |
| performer | Σ | 0..* | BackboneElement | The people who performed the procedure |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. |
| actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner |
| onBehalfOf | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |
| location | Σ | 0..1 | Reference(Location) | Where the procedure happened |
| reasonCode | Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. |
| reasonReference | Σ | 0..* | (Slice Definition) | The justification that the procedure was performed Slice: Unordered, Open by profile:resolve() |
| reasonReference:SupportedReasonReference | SΣ | 0..* | Reference(SDOHCC Condition Base 1 | SDOHCC Observation ScreeningResponseBase 1) | The justification that the procedure was performed |
| outcome | Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. |
| report | 0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |
| complication | 0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |
| complicationDetail | 0..* | Reference(Condition) | A condition that is a result of the procedure | |
| followUp | 0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |
| note | 0..* | Annotation | Additional information about the procedure | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure | 0..* | USCoreProcedureProfile | An action that is being or was performed on a patient | |
| basedOn | Σ | 0..* | (Slice Definition) | A request for this procedure Slice: Unordered, Open by profile:resolve() |
| basedOn:SupportedBasedOn | Σ | 0..* | Reference(SDOHCC ServiceRequest Base 1) | A request for this procedure |
| status | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required) |
| statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. |
| code | Σ | 1..1 | CodeableConcept | Procedure codes from SNOMED CT Binding: ProcedureCodes(SNOMEDCT) (required): SNOMED CT codes describing the type of Procedure |
| coding | Σ | 0..* | (Slice Definition) | Code defined by a terminology system Slice: Unordered, Open by value:system |
| coding:CPTCoding | Σ | 0..1 | Coding | Procedure codes from CPT Binding: All CPT codes (required): CPT codes describing the type of Procedure |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.ama-assn.org/go/cpt |
| coding:LOINCCoding | Σ | 0..1 | Coding | Procedure codes from LOINC Binding: LOINCCodes (required): LOINC codes describing the type of Procedure |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| coding:HCPCSIICoding | Σ | 0..1 | Coding | Procedure codes from HCPCS Level II Binding: SDOHCC ValueSet HCPCSII 1 (required): HCPCS Level II codes describing the type of Procedure |
| subject | Σ | 1..1 | Reference(US Core Patient Profile) | Who the procedure was performed on |
| performed[x] | Σ | 1..1 | When the procedure was performed | |
| performedDateTime | dateTime | |||
| performedPeriod | Period | |||
| reasonReference:SupportedReasonReference | Σ | 0..* | Reference(SDOHCC Condition Base 1 | SDOHCC Observation ScreeningResponseBase 1) | The justification that the procedure was performed |
| Documentation for this format | ||||
This structure is derived from USCoreProcedureProfile
Summary
Mandatory: 0 element (3 nested mandatory elements)
Must-Support: 10 elements
Fixed Value: 3 elements
Prohibited: 4 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from USCoreProcedureProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure | 0..* | USCoreProcedureProfile | An action that is being or was performed on a patient | |
| basedOn | S | 0..* | (Slice Definition) | A request for this procedure Slice: Unordered, Open by profile:resolve() |
| basedOn:SupportedBasedOn | S | 0..* | Reference(SDOHCC ServiceRequest Base 1) | A request for this procedure |
| statusReason | S | 0..1 | CodeableConcept | Reason for current status |
| category | 0..1 | CodeableConcept | Classification of the procedure Binding: SDOHCC ValueSet SDOHDomain 1 (example) | |
| code | 1..1 | CodeableConcept | Procedure codes from SNOMED CT Binding: ProcedureCodes(SNOMEDCT) (required): SNOMED CT codes describing the type of Procedure | |
| coding | S | 0..* | (Slice Definition) | Code defined by a terminology system Slice: Unordered, Open by value:system |
| coding:CPTCoding | S | 0..1 | Coding | Procedure codes from CPT Binding: All CPT codes (required): CPT codes describing the type of Procedure |
| system | S | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.ama-assn.org/go/cpt |
| coding:LOINCCoding | S | 0..1 | Coding | Procedure codes from LOINC Binding: LOINCCodes (required): LOINC codes describing the type of Procedure |
| system | S | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| coding:HCPCSIICoding | S | 0..1 | Coding | Procedure codes from HCPCS Level II Binding: SDOHCC ValueSet HCPCSII 1 (required): HCPCS Level II codes describing the type of Procedure |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.6.285 | |
| recorder | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the procedure | |
| reasonReference | 0..* | (Slice Definition) | The justification that the procedure was performed Slice: Unordered, Open by profile:resolve() | |
| reasonReference:SupportedReasonReference | S | 0..* | Reference(SDOHCC Condition Base 1 | SDOHCC Observation ScreeningResponseBase 1) | The justification that the procedure was performed |
| bodySite | 0..0 | |||
| focalDevice | 0..0 | |||
| usedReference | 0..0 | |||
| usedCode | 0..0 | |||
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure | 0..* | USCoreProcedureProfile | An action that is being or was performed on a patient | |
| id | Σ | 0..1 | string | 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: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..* | Identifier | External Identifiers for this procedure |
| instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition |
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition |
| basedOn | SΣ | 0..* | (Slice Definition) | A request for this procedure Slice: Unordered, Open by profile:resolve() |
| basedOn:SupportedBasedOn | SΣ | 0..* | Reference(SDOHCC ServiceRequest Base 1) | A request for this procedure |
| partOf | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event |
| status | ?!SΣ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required) |
| statusReason | SΣ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. |
| category | Σ | 0..1 | CodeableConcept | Classification of the procedure Binding: SDOHCC ValueSet SDOHDomain 1 (example) |
| code | SΣ | 1..1 | CodeableConcept | Procedure codes from SNOMED CT Binding: ProcedureCodes(SNOMEDCT) (required): SNOMED CT codes describing the type of Procedure |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| coding | SΣ | 0..* | (Slice Definition) | Code defined by a terminology system Slice: Unordered, Open by value:system |
| coding:CPTCoding | SΣ | 0..1 | Coding | Procedure codes from CPT Binding: All CPT codes (required): CPT codes describing the type of Procedure |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.ama-assn.org/go/cpt |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 0..1 | code | Symbol in syntax defined by the system |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| coding:LOINCCoding | SΣ | 0..1 | Coding | Procedure codes from LOINC Binding: LOINCCodes (required): LOINC codes describing the type of Procedure |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 0..1 | code | Symbol in syntax defined by the system |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| coding:HCPCSIICoding | SΣ | 0..1 | Coding | Procedure codes from HCPCS Level II Binding: SDOHCC ValueSet HCPCSII 1 (required): HCPCS Level II codes describing the type of Procedure |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.16.840.1.113883.6.285 |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 0..1 | code | Symbol in syntax defined by the system |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| text | Σ | 0..1 | string | Plain text representation of the concept |
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who the procedure was performed on |
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of |
| performed[x] | SΣ | 1..1 | When the procedure was performed | |
| performedDateTime | dateTime | |||
| performedPeriod | Period | |||
| recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the procedure |
| asserter | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure |
| performer | Σ | 0..* | BackboneElement | The people who performed the procedure |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. |
| actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner |
| onBehalfOf | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |
| location | Σ | 0..1 | Reference(Location) | Where the procedure happened |
| reasonCode | Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. |
| reasonReference | Σ | 0..* | (Slice Definition) | The justification that the procedure was performed Slice: Unordered, Open by profile:resolve() |
| reasonReference:SupportedReasonReference | SΣ | 0..* | Reference(SDOHCC Condition Base 1 | SDOHCC Observation ScreeningResponseBase 1) | The justification that the procedure was performed |
| outcome | Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. |
| report | 0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |
| complication | 0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |
| complicationDetail | 0..* | Reference(Condition) | A condition that is a result of the procedure | |
| followUp | 0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |
| note | 0..* | Annotation | Additional information about the procedure | |
| Documentation for this format | ||||
Other representations of profile: Schematron
| Path | Conformance | ValueSet |
| Procedure.language | preferred | CommonLanguages Max Binding: AllLanguages |
| Procedure.status | required | EventStatus |
| Procedure.statusReason | example | ProcedureNotPerformedReason(SNOMED-CT) |
| Procedure.category | example | SDOHCC_ValueSet_SDOHDomain_1 |
| Procedure.code | required | ProcedureCodes(SNOMEDCT) |
| Procedure.code.coding:CPTCoding | required | All CPT codes |
| Procedure.code.coding:LOINCCoding | required | LOINCCodes |
| Procedure.code.coding:HCPCSIICoding | required | SDOHCC_ValueSet_HCPCSII_1 |
| Procedure.performer.function | example | ProcedurePerformerRoleCodes |
| Procedure.reasonCode | example | ProcedureReasonCodes |
| Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT) |
| Procedure.complication | example | Condition/Problem/DiagnosisCodes |
| Procedure.followUp | example | ProcedureFollowUpCodes(SNOMEDCT) |
| Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodes |
| 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-3 | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).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-5 | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | Procedure | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | Procedure.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Procedure.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Procedure.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Procedure.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Procedure.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.instantiatesCanonical | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.instantiatesUri | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.basedOn | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.basedOn:SupportedBasedOn | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.partOf | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.status | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.statusReason | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.category | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.code.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Procedure.code.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Procedure.code.coding | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.code.coding:CPTCoding | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.code.coding:CPTCoding.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Procedure.code.coding:CPTCoding.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Procedure.code.coding:CPTCoding.system | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.code.coding:CPTCoding.version | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.code.coding:CPTCoding.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.code.coding:CPTCoding.display | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.code.coding:CPTCoding.userSelected | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.code.coding:LOINCCoding | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.code.coding:LOINCCoding.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Procedure.code.coding:LOINCCoding.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Procedure.code.coding:LOINCCoding.system | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.code.coding:LOINCCoding.version | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.code.coding:LOINCCoding.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.code.coding:LOINCCoding.display | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.code.coding:LOINCCoding.userSelected | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.code.coding:HCPCSIICoding | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.code.coding:HCPCSIICoding.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Procedure.code.coding:HCPCSIICoding.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Procedure.code.coding:HCPCSIICoding.system | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.code.coding:HCPCSIICoding.version | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.code.coding:HCPCSIICoding.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.code.coding:HCPCSIICoding.display | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.code.coding:HCPCSIICoding.userSelected | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.code.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.subject | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.encounter | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.performed[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.recorder | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.asserter | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.performer | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.performer.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Procedure.performer.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Procedure.performer.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Procedure.performer.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Procedure.performer.function | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.performer.actor | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.performer.onBehalfOf | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.location | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.reasonCode | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.reasonReference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.reasonReference:SupportedReasonReference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.outcome | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.report | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.complication | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.complicationDetail | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.followUp | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.note | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.focalDevice.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Procedure.focalDevice.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Procedure.focalDevice.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Procedure.focalDevice.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Procedure.focalDevice.action | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Procedure.focalDevice.manipulated | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
IG © 2020+ HL7 International - Patient Care WG. Package hl7.fhir.us.sdoh-clinicalcare#0.1.0 based on FHIR 4.0.1. Generated 2020-12-16
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