Purpose

SDOHCC Procedure is generally intended to represent a procedure performed to address an identified social risk or need (i.e., SDOHCC Condition, SDOHCC Observation Screening Response, SDOHCC Observation Assessment). SDOHCC Procedure can be based on an SDOHCC ServiceRequest, pertain to an SDOHCC Goal, or be the output of an SDOHCC Task For Referral Management. See the Data Modeling Framework for more detail on the relationships between SDOHCC Procedure and the other profiles in this IG.

Usage

Rather than offer a separate Procedure profile for each SDOH category (also called domain – e.g., food insecurity, transportation insecurity), this profile can support any SDOH category. For Procedure.code, the minimum value set bindings are specified in the profile. Additionally, based on the code selected for the optional Procedure.category.coding slice, the Table below provides the Gravity-vetted, preferred value sets for Procedure.code. Where a preferred value set contains a code to describe a needed concept, servers SHOULD use that code.

The preferred value sets in the Table are hosted in the NIH Value Set Authority Center (VSAC). The Social Determinants of Health Procedures Value Set in VSAC is a grouper value set containing all members of the VSAC Value Sets below. The Gravity Project plans to continue to work with the HL7 Vocabulary WG to determine how best to represent and validate these preferred, category-specific value sets.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from USCoreProcedureProfile

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	USCoreProcedureProfile	An action that addresses an SDOH condition, observation, or goal.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
pertainsToGoal	S	0..*	Reference(Goal)	Pertains to SDOH goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
value[x]	S	1..1	Reference(SDOHCC Goal)	Value of extension
Slices for basedOn	S	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure Slice: Unordered, Open by profile:resolve()
basedOn:SupportedBasedOn	S	0..*	Reference(SDOHCC ServiceRequest)	An SDOH service request for this procedure
category		0..1	CodeableConcept	Classification of the procedure
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:SDOH	S	0..1	Coding	e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
code		1..1	CodeableConcept	Procedure codes from SNOMED CT, CPT, HCPCS II, ICD-10PC, or CDT Binding: US Core Procedure Codes (required): Codes describing the type of Procedure
performed[x]		1..1	dateTime, Period	When the procedure was performed
reasonCode		0..*	CodeableConcept	Coded reason procedure performed
Slices for reasonReference		0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed Slice: Unordered, Open by profile:resolve()
reasonReference:SupportedReasonReference	S	0..*	Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment)	The justification that the procedure was performed
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Procedure.category.coding:SDOH	required	SDOHCCValueSetSDOHCategory
Procedure.code	required	USCoreProcedureCodes

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	USCoreProcedureProfile	An action that addresses an SDOH condition, observation, or goal.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
pertainsToGoal	S	0..*	Reference(Goal)	Pertains to SDOH goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"
value[x]	S	1..1	Reference(SDOHCC Goal)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for basedOn	SΣ	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure Slice: Unordered, Open by profile:resolve()
basedOn:SupportedBasedOn	SΣ	0..*	Reference(SDOHCC ServiceRequest)	An SDOH service request for this procedure
status	?!SΣ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required)
category	Σ	0..1	CodeableConcept	Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:SDOH	SΣ	0..1	Coding	e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
code	SΣ	1..1	CodeableConcept	Procedure codes from SNOMED CT, CPT, HCPCS II, ICD-10PC, or CDT Binding: US Core Procedure Codes (required): Codes describing the type of Procedure
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who the procedure was performed on
performed[x]	SΣ	1..1		When the procedure was performed
performedDateTime			dateTime
performedPeriod			Period
reasonCode	Σ	0..*	CodeableConcept	Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
Slices for reasonReference	Σ	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed Slice: Unordered, Open by profile:resolve()
reasonReference:SupportedReasonReference	SΣ	0..*	Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment)	The justification that the procedure was performed
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Procedure.status	required	EventStatus
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT)
Procedure.category.coding:SDOH	required	SDOHCCValueSetSDOHCategory
Procedure.code	required	USCoreProcedureCodes
Procedure.reasonCode	example	ProcedureReasonCodes

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	USCoreProcedureProfile	An action that addresses an SDOH condition, observation, or goal.
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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
pertainsToGoal	S	0..*	Reference(Goal)	Pertains to SDOH goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"
value[x]	S	1..1	Reference(SDOHCC Goal)	Value of extension
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
Slices for basedOn	SΣ	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure Slice: Unordered, Open by profile:resolve()
basedOn:SupportedBasedOn	SΣ	0..*	Reference(SDOHCC ServiceRequest)	An SDOH service 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	Σ	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: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:SDOH	SΣ	0..1	Coding	e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
text	Σ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Procedure codes from SNOMED CT, CPT, HCPCS II, ICD-10PC, or CDT Binding: US Core Procedure Codes (required): Codes describing the type of Procedure
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(Patient | RelatedPerson | Practitioner | PractitionerRole)	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.
Slices for reasonReference	Σ	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed Slice: Unordered, Open by profile:resolve()
reasonReference:SupportedReasonReference	SΣ	0..*	Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment)	The justification that the procedure was performed
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
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
focalDevice		0..*	BackboneElement	Manipulated, implanted, or removed device
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
action		0..1	CodeableConcept	Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
manipulated		1..1	Reference(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: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Procedure.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Procedure.status	required	EventStatus
Procedure.statusReason	example	ProcedureNotPerformedReason(SNOMED-CT)
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT)
Procedure.category.coding:SDOH	required	SDOHCCValueSetSDOHCategory
Procedure.code	required	USCoreProcedureCodes
Procedure.performer.function	example	ProcedurePerformerRoleCodes
Procedure.reasonCode	example	ProcedureReasonCodes
Procedure.bodySite	example	SNOMEDCTBodyStructures
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT)
Procedure.complication	example	Condition/Problem/DiagnosisCodes
Procedure.followUp	example	ProcedureFollowUpCodes(SNOMEDCT)
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes
Procedure.usedCode	example	FHIRDeviceTypes

Differential View

This structure is derived from USCoreProcedureProfile

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	USCoreProcedureProfile	An action that addresses an SDOH condition, observation, or goal.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
pertainsToGoal	S	0..*	Reference(Goal)	Pertains to SDOH goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
value[x]	S	1..1	Reference(SDOHCC Goal)	Value of extension
Slices for basedOn	S	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure Slice: Unordered, Open by profile:resolve()
basedOn:SupportedBasedOn	S	0..*	Reference(SDOHCC ServiceRequest)	An SDOH service request for this procedure
category		0..1	CodeableConcept	Classification of the procedure
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:SDOH	S	0..1	Coding	e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
code		1..1	CodeableConcept	Procedure codes from SNOMED CT, CPT, HCPCS II, ICD-10PC, or CDT Binding: US Core Procedure Codes (required): Codes describing the type of Procedure
performed[x]		1..1	dateTime, Period	When the procedure was performed
reasonCode		0..*	CodeableConcept	Coded reason procedure performed
Slices for reasonReference		0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed Slice: Unordered, Open by profile:resolve()
reasonReference:SupportedReasonReference	S	0..*	Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment)	The justification that the procedure was performed
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Procedure.category.coding:SDOH	required	SDOHCCValueSetSDOHCategory
Procedure.code	required	USCoreProcedureCodes

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	USCoreProcedureProfile	An action that addresses an SDOH condition, observation, or goal.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
pertainsToGoal	S	0..*	Reference(Goal)	Pertains to SDOH goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"
value[x]	S	1..1	Reference(SDOHCC Goal)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for basedOn	SΣ	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure Slice: Unordered, Open by profile:resolve()
basedOn:SupportedBasedOn	SΣ	0..*	Reference(SDOHCC ServiceRequest)	An SDOH service request for this procedure
status	?!SΣ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required)
category	Σ	0..1	CodeableConcept	Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:SDOH	SΣ	0..1	Coding	e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
code	SΣ	1..1	CodeableConcept	Procedure codes from SNOMED CT, CPT, HCPCS II, ICD-10PC, or CDT Binding: US Core Procedure Codes (required): Codes describing the type of Procedure
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who the procedure was performed on
performed[x]	SΣ	1..1		When the procedure was performed
performedDateTime			dateTime
performedPeriod			Period
reasonCode	Σ	0..*	CodeableConcept	Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
Slices for reasonReference	Σ	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed Slice: Unordered, Open by profile:resolve()
reasonReference:SupportedReasonReference	SΣ	0..*	Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment)	The justification that the procedure was performed
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Procedure.status	required	EventStatus
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT)
Procedure.category.coding:SDOH	required	SDOHCCValueSetSDOHCategory
Procedure.code	required	USCoreProcedureCodes
Procedure.reasonCode	example	ProcedureReasonCodes

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	USCoreProcedureProfile	An action that addresses an SDOH condition, observation, or goal.
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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
pertainsToGoal	S	0..*	Reference(Goal)	Pertains to SDOH goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"
value[x]	S	1..1	Reference(SDOHCC Goal)	Value of extension
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
Slices for basedOn	SΣ	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure Slice: Unordered, Open by profile:resolve()
basedOn:SupportedBasedOn	SΣ	0..*	Reference(SDOHCC ServiceRequest)	An SDOH service 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	Σ	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: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:SDOH	SΣ	0..1	Coding	e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
text	Σ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Procedure codes from SNOMED CT, CPT, HCPCS II, ICD-10PC, or CDT Binding: US Core Procedure Codes (required): Codes describing the type of Procedure
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(Patient | RelatedPerson | Practitioner | PractitionerRole)	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.
Slices for reasonReference	Σ	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed Slice: Unordered, Open by profile:resolve()
reasonReference:SupportedReasonReference	SΣ	0..*	Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment)	The justification that the procedure was performed
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
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
focalDevice		0..*	BackboneElement	Manipulated, implanted, or removed device
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
action		0..1	CodeableConcept	Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
manipulated		1..1	Reference(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: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Procedure.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Procedure.status	required	EventStatus
Procedure.statusReason	example	ProcedureNotPerformedReason(SNOMED-CT)
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT)
Procedure.category.coding:SDOH	required	SDOHCCValueSetSDOHCategory
Procedure.code	required	USCoreProcedureCodes
Procedure.performer.function	example	ProcedurePerformerRoleCodes
Procedure.reasonCode	example	ProcedureReasonCodes
Procedure.bodySite	example	SNOMEDCTBodyStructures
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT)
Procedure.complication	example	Condition/Problem/DiagnosisCodes
Procedure.followUp	example	ProcedureFollowUpCodes(SNOMEDCT)
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes
Procedure.usedCode	example	FHIRDeviceTypes

This structure is derived from USCoreProcedureProfile

Summary

Must-Support: 7 elements

Structures

This structure refers to these other structures:

• SDOHCC Goal (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Goal)
• SDOHCC ServiceRequest (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ServiceRequest)
• SDOHCC Condition (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Condition)
• SDOHCC Observation Screening Response (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse)
• SDOHCC Observation Assessment (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationAssessment)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal

Slices

This structure defines the following Slices:

• The element Procedure.basedOn is sliced based on the value of profile:resolve()
• The element Procedure.category.coding is sliced based on the value of value:$this
• The element Procedure.reasonReference is sliced based on the value of profile:resolve()