This page is part of the International Patient Summary Implementation Guide (v0.2.0: STU 1 Ballot 2) based on FHIR v3.5.0. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions
JSON Format: StructureDefinition-procedure-uv-ips
Raw json
{ "resourceType" : "StructureDefinition", "id" : "procedure-uv-ips", "meta" : { "lastUpdated" : "2018-02-20T12:54:56.053+01:00" }, "text" : { "status" : "generated", "div" : "<div xmlns="http://www.w3.org/1999/xhtml"><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/formats.html#table" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/formats.html#table" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="http://hl7.org/fhir/formats.html#table" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/formats.html#table" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/help16.png" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-procedure-uv-ips-definitions.html#Procedure" title="null">Procedure</a><a name="Procedure"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-procedure-uv-ips-definitions.html#Procedure.extension" title="null">extension</a><a name="Procedure.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/datatypes.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck15.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_complex.png" alt="." style="background-color: white; background-color: inherit" title="Complex Extension" class="hierarchy"/> <a href="StructureDefinition-procedure-uv-ips-definitions.html#Procedure.extension:statementDetail" title="Extension URL = http://hl7.org/fhir/uv/ips/StructureDefinition/statement-uv-ips">statement-uv-ips</a><a name="Procedure.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/datatypes.html#base64Binary">base64Binary</a>, <a href="http://hl7.org/fhir/datatypes.html#boolean">boolean</a>, <a href="http://hl7.org/fhir/references.html">canonical</a>(), <a href="http://hl7.org/fhir/datatypes.html#code">code</a>, <a href="http://hl7.org/fhir/datatypes.html#date">date</a>, <a href="http://hl7.org/fhir/datatypes.html#dateTime">dateTime</a>, <a href="http://hl7.org/fhir/datatypes.html#decimal">decimal</a>, <a href="http://hl7.org/fhir/datatypes.html#id">id</a>, <a href="http://hl7.org/fhir/datatypes.html#instant">instant</a>, <a href="http://hl7.org/fhir/datatypes.html#integer">integer</a>, <a href="http://hl7.org/fhir/datatypes.html#markdown">markdown</a>, <a href="http://hl7.org/fhir/datatypes.html#oid">oid</a>, <a href="http://hl7.org/fhir/datatypes.html#positiveInt">positiveInt</a>, <a href="http://hl7.org/fhir/datatypes.html#string">string</a>, <a href="http://hl7.org/fhir/datatypes.html#time">time</a>, <a href="http://hl7.org/fhir/datatypes.html#unsignedInt">unsignedInt</a>, <a href="http://hl7.org/fhir/datatypes.html#uri">uri</a>, <a href="http://hl7.org/fhir/datatypes.html#url">url</a>, <a href="http://hl7.org/fhir/datatypes.html#uuid">uuid</a>, <a href="http://hl7.org/fhir/datatypes.html#Address">Address</a>, <a href="http://hl7.org/fhir/datatypes.html#Age">Age</a>, <a href="http://hl7.org/fhir/datatypes.html#Annotation">Annotation</a>, <a href="http://hl7.org/fhir/datatypes.html#Attachment">Attachment</a>, <a href="http://hl7.org/fhir/datatypes.html#CodeableConcept">CodeableConcept</a>, <a href="http://hl7.org/fhir/datatypes.html#Coding">Coding</a>, <a href="http://hl7.org/fhir/datatypes.html#ContactPoint">ContactPoint</a>, <a href="http://hl7.org/fhir/datatypes.html#Count">Count</a>, <a href="http://hl7.org/fhir/datatypes.html#Distance">Distance</a>, <a href="http://hl7.org/fhir/datatypes.html#Duration">Duration</a>, <a href="http://hl7.org/fhir/datatypes.html#HumanName">HumanName</a>, <a href="http://hl7.org/fhir/datatypes.html#Identifier">Identifier</a>, <a href="http://hl7.org/fhir/datatypes.html#Money">Money</a>, <a href="http://hl7.org/fhir/datatypes.html#Period">Period</a>, <a href="http://hl7.org/fhir/datatypes.html#Quantity">Quantity</a>, <a href="http://hl7.org/fhir/datatypes.html#Range">Range</a>, <a href="http://hl7.org/fhir/datatypes.html#Ratio">Ratio</a>, <a href="http://hl7.org/fhir/references.html">Reference</a>(), <a href="http://hl7.org/fhir/datatypes.html#SampledData">SampledData</a>, <a href="http://hl7.org/fhir/datatypes.html#Signature">Signature</a>, <a href="http://hl7.org/fhir/datatypes.html#Timing">Timing</a>, <a href="http://hl7.org/fhir/datatypes.html#ParameterDefinition">ParameterDefinition</a>, <a href="http://hl7.org/fhir/datatypes.html#DataRequirement">DataRequirement</a>, <a href="http://hl7.org/fhir/datatypes.html#RelatedArtifact">RelatedArtifact</a>, <a href="http://hl7.org/fhir/datatypes.html#ContactDetail">ContactDetail</a>, <a href="http://hl7.org/fhir/datatypes.html#Contributor">Contributor</a>, <a href="http://hl7.org/fhir/datatypes.html#TriggerDefinition">TriggerDefinition</a>, <a href="http://hl7.org/fhir/datatypes.html#Expression">Expression</a>, <a href="http://hl7.org/fhir/datatypes.html#UsageContext">UsageContext</a>, <a href="http://hl7.org/fhir/datatypes.html#Dosage">Dosage</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Extension<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/StructureDefinition-statement-uv-ips.html">http://hl7.org/fhir/uv/ips/StructureDefinition/statement-uv-ips</a></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck144.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <span style="text-decoration:line-through" title="Slice statementNote: null">extension</span><a name="Procedure.extension.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="text-decoration:line-through"/><span style="text-decoration:line-through">0</span><span style="text-decoration:line-through">..</span><span style="text-decoration:line-through">0</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-procedure-uv-ips-definitions.html#Procedure.partOf" title="null">partOf</a><a name="Procedure.partOf"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/references.html">Reference</a>(<a href="http://hl7.org/fhir/procedure.html">Procedure</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-procedure-uv-ips-definitions.html#Procedure.status" title="null">status</a><a name="Procedure.status"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-procedure-uv-ips-definitions.html#Procedure.code" title="null">code</a><a name="Procedure.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Binding: </span><a href="ValueSet-procedures-uv-ips.html">IPS Procedures</a> (<a href="http://hl7.org/fhir/terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.">preferred</a>)</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck112.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: white; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="StructureDefinition-procedure-uv-ips-definitions.html#Procedure.code.coding" title="null">coding</a><a name="Procedure.code.coding"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4; font-style: italic" href="http://hl7.org/fhir/datatypes.html#Coding">Coding</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:Procedure.code.coding.system</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck114.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-procedure-uv-ips-definitions.html#Procedure.code.coding:absentOrUnknownProcedure" title="Slice absentOrUnknownProcedure: null">coding</a><a name="Procedure.code.coding"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-coding-uv-ips.html" title="Coding">coding-uv-ips</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Binding: </span><a href="ValueSet-absent-or-unknown-procedures-uv-ips.html">Absent or Unknown Procedures</a> (<a href="http://hl7.org/fhir/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>)</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck104.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-procedure-uv-ips-definitions.html#Procedure.code.coding:procedureCode" title="Slice procedureCode: null">coding</a><a name="Procedure.code.coding"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-coding-uv-ips.html" title="Coding">coding-uv-ips</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Binding: </span><a href="ValueSet-procedures-uv-ips.html">IPS Procedures</a> (<a href="http://hl7.org/fhir/terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.">preferred</a>)</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-procedure-uv-ips-definitions.html#Procedure.subject" title="The person on which the procedure was performed.">subject</a><a name="Procedure.subject"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/references.html">Reference</a>(<a href="http://hl7.org/fhir/patient.html">Patient</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <span style="text-decoration:line-through" title="null">identifier</span><a name="Procedure.subject.identifier"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="text-decoration:line-through"/><span style="text-decoration:line-through">0</span><span style="text-decoration:line-through">..</span><span style="text-decoration:line-through">0</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-procedure-uv-ips-definitions.html#Procedure.performed[x]" title="null">performed[x]</a><a name="Procedure.performed_x_"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/datatypes.html#dateTime">dateTime</a><span style="opacity: 0.4">, </span><a style="opacity: 0.4" href="http://hl7.org/fhir/datatypes.html#Period">Period</a><span style="opacity: 0.4">, </span><a style="opacity: 0.4" href="http://hl7.org/fhir/datatypes.html#string">string</a><span style="opacity: 0.4">, </span><a style="opacity: 0.4" href="http://hl7.org/fhir/datatypes.html#Age">Age</a><span style="opacity: 0.4">, </span><a style="opacity: 0.4" href="http://hl7.org/fhir/datatypes.html#Range">Range</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-procedure-uv-ips-definitions.html#Procedure.performer" title="null">performer</a><a name="Procedure.performer"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-procedure-uv-ips-definitions.html#Procedure.performer.actor" title="null">actor</a><a name="Procedure.performer.actor"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/references.html">Reference</a>(<a href="http://hl7.org/fhir/patient.html">Patient</a> | <a href="http://hl7.org/fhir/relatedperson.html">RelatedPerson</a> | <a href="StructureDefinition-device-observer-uv-ips.html">Device-observer-uv-ips</a> | <a href="StructureDefinition-practitioner-uv-ips.html">Practitioner-uv-ips</a> | <a href="StructureDefinition-organization-observation-uv-ips.html">Organization-observation-uv-ips</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-procedure-uv-ips-definitions.html#Procedure.performer.onBehalfOf" title="null">onBehalfOf</a><a name="Procedure.performer.onBehalfOf"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/references.html">Reference</a>(<a href="StructureDefinition-organization-observation-uv-ips.html">Organization-observation-uv-ips</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-procedure-uv-ips-definitions.html#Procedure.location" title="null">location</a><a name="Procedure.location"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/references.html">Reference</a>(<a style="opacity: 0.4" href="http://hl7.org/fhir/location.html">Location</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-procedure-uv-ips-definitions.html#Procedure.reasonCode" title="null">reasonCode</a><a name="Procedure.reasonCode"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Binding: </span><a href="http://hl7.org/fhir/valueset-procedure-reason.html">ProcedureReasonCodes</a> (<a href="http://hl7.org/fhir/terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included.">example</a>)</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-procedure-uv-ips-definitions.html#Procedure.bodySite" title="null">bodySite</a><a name="Procedure.bodySite"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Binding: </span><a href="ValueSet-target-site-uv-ips.html">IPS Target Site</a> (<a href="http://hl7.org/fhir/terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included.">example</a>)</td></tr> <tr><td colspan="5" class="hierarchy"><br/><a href="http://hl7.org/fhir/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>" }, "url" : "http://hl7.org/fhir/uv/ips/StructureDefinition/procedure-uv-ips", "version" : "0.2.0", "name" : "Procedure-uv-ips", "status" : "draft", "date" : "2017-10-27T13:43:30.381+02:00", "description" : "This profile represents the contraints applied to the Procedure resource by the IPS project, which specifies an entry of the History of Procedure for the international patient summary based on the FHIR standard R4. ", "jurisdiction" : [ { "coding" : [ { "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm", "code" : "001", "display" : "World" } ] } ], "fhirVersion" : "3.5.0", "mapping" : [ { "identity" : "workflow", "uri" : "http://hl7.org/fhir/workflow", "name" : "Workflow Pattern" }, { "identity" : "rim", "uri" : "http://hl7.org/v3", "name" : "RIM Mapping" }, { "identity" : "w5", "uri" : "http://hl7.org/fhir/fivews", "name" : "FiveWs Pattern" }, { "identity" : "v2", "uri" : "http://hl7.org/v2", "name" : "HL7 v2 Mapping" } ], "kind" : "resource", "abstract" : false, "type" : "Procedure", "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Procedure", "derivation" : "constraint", "snapshot" : { "element" : [ { "id" : "Procedure", "path" : "Procedure", "short" : "An action that is being or was performed on a patient", "definition" : "An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like long term services, counseling, or hypnotherapy.", "min" : 0, "max" : "*", "base" : { "path" : "Procedure", "min" : 0, "max" : "*" }, "constraint" : [ { "key" : "dom-2", "severity" : "error", "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression" : "contained.contained.empty()", "xpath" : "not(parent::f:contained and f:contained)", "source" : "DomainResource" }, { "key" : "dom-4", "severity" : "error", "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))", "source" : "DomainResource" }, { "key" : "dom-3", "severity" : "error", "human" : "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", "expression" : "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()", "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))", "source" : "DomainResource" }, { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a guman readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." } ], "key" : "dom-6", "severity" : "warning", "human" : "A resource should have narrative for robust management", "expression" : "text.div.exists()", "xpath" : "exists(f:text/h:div)", "source" : "DomainResource" }, { "key" : "dom-5", "severity" : "error", "human" : "If a resource is contained in another resource, it SHALL NOT have a security label", "expression" : "contained.meta.security.empty()", "xpath" : "not(exists(f:contained/*/f:meta/f:security))", "source" : "DomainResource" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "Entity. Role, or Act" }, { "identity" : "workflow", "map" : "Event" }, { "identity" : "rim", "map" : "Procedure[moodCode=EVN]" } ] }, { "id" : "Procedure.id", "path" : "Procedure.id", "short" : "Logical id of this artifact", "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "id" } ], "isModifier" : false, "isSummary" : true }, { "id" : "Procedure.meta", "path" : "Procedure.meta", "short" : "Metadata about the resource", "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.meta", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Meta" } ], "isModifier" : false, "isSummary" : true }, { "id" : "Procedure.implicitRules", "path" : "Procedure.implicitRules", "short" : "A set of rules under which this content was created", "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.", "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.implicitRules", "min" : 0, "max" : "1" }, "type" : [ { "code" : "uri" } ], "isModifier" : true, "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation", "isSummary" : true }, { "id" : "Procedure.language", "path" : "Procedure.language", "short" : "Language of the resource content", "definition" : "The base language in which the resource is written.", "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).", "min" : 0, "max" : "1", "base" : { "path" : "Resource.language", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages" }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "Language" }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding", "valueBoolean" : true } ], "strength" : "preferred", "description" : "A human language.", "valueSet" : "http://hl7.org/fhir/ValueSet/languages" } }, { "id" : "Procedure.text", "path" : "Procedure.text", "short" : "Text summary of the resource, for human interpretation", "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.", "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.", "alias" : [ "narrative", "html", "xhtml", "display" ], "min" : 0, "max" : "1", "base" : { "path" : "DomainResource.text", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Narrative" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "Act.text?" } ] }, { "id" : "Procedure.contained", "path" : "Procedure.contained", "short" : "Contained, inline Resources", "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.", "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.", "alias" : [ "inline resources", "anonymous resources", "contained resources" ], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.contained", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Resource" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Procedure.extension", "path" : "Procedure.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.extension:statementDetail", "path" : "Procedure.extension", "sliceName" : "statementDetail", "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension", "profile" : [ "http://hl7.org/fhir/uv/ips/StructureDefinition/statement-uv-ips" ] } ], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.extension:statementDetail.id", "path" : "Procedure.extension.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Procedure.extension:statementDetail.extension", "path" : "Procedure.extension.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Procedure.extension:statementDetail.extension:statementNote", "path" : "Procedure.extension.extension", "sliceName" : "statementNote", "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.extension:statementDetail.extension:statementNote.id", "path" : "Procedure.extension.extension.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Procedure.extension:statementDetail.extension:statementNote.extension", "path" : "Procedure.extension.extension.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Procedure.extension:statementDetail.extension:statementNote.url", "path" : "Procedure.extension.extension.url", "representation" : [ "xmlAttr" ], "short" : "identifies the meaning of the extension", "definition" : "Source of the definition for the extension code - a logical name or a URL.", "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "min" : 1, "max" : "1", "base" : { "path" : "Extension.url", "min" : 1, "max" : "1" }, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Procedure.extension:statementDetail.extension:statementNote.value[x]", "path" : "Procedure.extension.extension.value[x]", "short" : "Value of extension", "definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).", "min" : 0, "max" : "1", "base" : { "path" : "Extension.value[x]", "min" : 0, "max" : "1" }, "type" : [ { "code" : "base64Binary" }, { "code" : "boolean" }, { "code" : "canonical" }, { "code" : "code" }, { "code" : "date" }, { "code" : "dateTime" }, { "code" : "decimal" }, { "code" : "id" }, { "code" : "instant" }, { "code" : "integer" }, { "code" : "markdown" }, { "code" : "oid" }, { "code" : "positiveInt" }, { "code" : "string" }, { "code" : "time" }, { "code" : "unsignedInt" }, { "code" : "uri" }, { "code" : "url" }, { "code" : "uuid" }, { "code" : "Address" }, { "code" : "Age" }, { "code" : "Annotation" }, { "code" : "Attachment" }, { "code" : "CodeableConcept" }, { "code" : "Coding" }, { "code" : "ContactPoint" }, { "code" : "Count" }, { "code" : "Distance" }, { "code" : "Duration" }, { "code" : "HumanName" }, { "code" : "Identifier" }, { "code" : "Money" }, { "code" : "Period" }, { "code" : "Quantity" }, { "code" : "Range" }, { "code" : "Ratio" }, { "code" : "Reference" }, { "code" : "SampledData" }, { "code" : "Signature" }, { "code" : "Timing" }, { "code" : "ParameterDefinition" }, { "code" : "DataRequirement" }, { "code" : "RelatedArtifact" }, { "code" : "ContactDetail" }, { "code" : "Contributor" }, { "code" : "TriggerDefinition" }, { "code" : "Expression" }, { "code" : "UsageContext" }, { "code" : "Dosage" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Procedure.extension:statementDetail.url", "path" : "Procedure.extension.url", "representation" : [ "xmlAttr" ], "short" : "identifies the meaning of the extension", "definition" : "Source of the definition for the extension code - a logical name or a URL.", "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "min" : 1, "max" : "1", "base" : { "path" : "Extension.url", "min" : 1, "max" : "1" }, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Procedure.extension:statementDetail.value[x]", "path" : "Procedure.extension.value[x]", "short" : "Value of extension", "definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).", "min" : 0, "max" : "1", "base" : { "path" : "Extension.value[x]", "min" : 0, "max" : "1" }, "type" : [ { "code" : "base64Binary" }, { "code" : "boolean" }, { "code" : "canonical" }, { "code" : "code" }, { "code" : "date" }, { "code" : "dateTime" }, { "code" : "decimal" }, { "code" : "id" }, { "code" : "instant" }, { "code" : "integer" }, { "code" : "markdown" }, { "code" : "oid" }, { "code" : "positiveInt" }, { "code" : "string" }, { "code" : "time" }, { "code" : "unsignedInt" }, { "code" : "uri" }, { "code" : "url" }, { "code" : "uuid" }, { "code" : "Address" }, { "code" : "Age" }, { "code" : "Annotation" }, { "code" : "Attachment" }, { "code" : "CodeableConcept" }, { "code" : "Coding" }, { "code" : "ContactPoint" }, { "code" : "Count" }, { "code" : "Distance" }, { "code" : "Duration" }, { "code" : "HumanName" }, { "code" : "Identifier" }, { "code" : "Money" }, { "code" : "Period" }, { "code" : "Quantity" }, { "code" : "Range" }, { "code" : "Ratio" }, { "code" : "Reference" }, { "code" : "SampledData" }, { "code" : "Signature" }, { "code" : "Timing" }, { "code" : "ParameterDefinition" }, { "code" : "DataRequirement" }, { "code" : "RelatedArtifact" }, { "code" : "ContactDetail" }, { "code" : "Contributor" }, { "code" : "TriggerDefinition" }, { "code" : "Expression" }, { "code" : "UsageContext" }, { "code" : "Dosage" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Procedure.modifierExtension", "path" : "Procedure.modifierExtension", "short" : "Extensions that cannot be ignored", "definition" : "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them", "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Procedure.identifier", "path" : "Procedure.identifier", "short" : "External Identifiers for this procedure", "definition" : "Business identifiers assigned to this procedure by the performer or other systems which remain constant as the resource is updated and propagates from server to server.", "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.", "requirements" : "Allows identification of the procedure as it is known by various participating systems and in a way that remains consistent across servers.", "min" : 0, "max" : "*", "base" : { "path" : "Procedure.identifier", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Identifier" } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Event.identifier" }, { "identity" : "w5", "map" : "FiveWs.identifier" }, { "identity" : "v2", "map" : "Some combination of ORC-2 / ORC-3 / OBR-2 / OBR-3 / IPC-1 / IPC-2 / IPC-3 / IPC-4" }, { "identity" : "rim", "map" : ".id" } ] }, { "id" : "Procedure.instantiatesCanonical", "path" : "Procedure.instantiatesCanonical", "short" : "Instantiates FHIR protocol or definition", "definition" : "The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Procedure.", "min" : 0, "max" : "*", "base" : { "path" : "Procedure.instantiatesCanonical", "min" : 0, "max" : "*" }, "type" : [ { "code" : "canonical", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/PlanDefinition", "http://hl7.org/fhir/StructureDefinition/ActivityDefinition", "http://hl7.org/fhir/StructureDefinition/Measure", "http://hl7.org/fhir/StructureDefinition/OperationDefinition", "http://hl7.org/fhir/StructureDefinition/Questionnaire" ] } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Event.instantiatesCanonical" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=DEFN].target" } ] }, { "id" : "Procedure.instantiatesUri", "path" : "Procedure.instantiatesUri", "short" : "Instantiates external protocol or definition", "definition" : "The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Procedure.", "comment" : "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.", "min" : 0, "max" : "*", "base" : { "path" : "Procedure.instantiatesUri", "min" : 0, "max" : "*" }, "type" : [ { "code" : "uri" } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Event.instantiatesUri" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=DEFN].target" } ] }, { "id" : "Procedure.basedOn", "path" : "Procedure.basedOn", "short" : "A request for this procedure", "definition" : "A reference to a resource that contains details of the request for this procedure.", "alias" : [ "fulfills" ], "min" : 0, "max" : "*", "base" : { "path" : "Procedure.basedOn", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/CarePlan", "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ] } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Event.basedOn" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=FLFS].target[classCode=(various e.g. PROC, OBS, PCPR, ACT, moodCode=RQO].code" } ] }, { "id" : "Procedure.partOf", "path" : "Procedure.partOf", "short" : "Part of referenced event", "definition" : "A larger event of which this particular procedure is a component or step.", "comment" : "The MedicationAdministration has a partOf reference to Procedure, but this is not a circular reference. For example, the anesthesia MedicationAdministration is part of the surgical Procedure (MedicationAdministration.partOf = Procedure). For example, the procedure to insert the IV port for an IV medication administration is part of the medication administration (Procedure.partOf = MedicationAdministration).", "alias" : [ "container" ], "min" : 0, "max" : "*", "base" : { "path" : "Procedure.partOf", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Procedure" ] } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Event.partOf" }, { "identity" : "rim", "map" : ".inboundRelationship[typeCode=COMP].source[classCode=SBADM or PROC or OBS, moodCode=EVN]" } ] }, { "id" : "Procedure.status", "path" : "Procedure.status", "short" : "preparation | in-progress | not-done | suspended | aborted | completed | entered-in-error | unknown", "definition" : "A code specifying the state of the procedure. Generally this will be in-progress or completed state.", "comment" : "The unknown code is not to be used to convey other statuses. The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.", "min" : 1, "max" : "1", "base" : { "path" : "Procedure.status", "min" : 1, "max" : "1" }, "type" : [ { "code" : "code" } ], "mustSupport" : true, "isModifier" : true, "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid", "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "ProcedureStatus" } ], "strength" : "required", "description" : "A code specifying the state of the procedure.", "valueSet" : "http://hl7.org/fhir/ValueSet/event-status" }, "mapping" : [ { "identity" : "workflow", "map" : "Event.status" }, { "identity" : "w5", "map" : "FiveWs.status" }, { "identity" : "rim", "map" : "statusCode" } ] }, { "id" : "Procedure.statusReason", "path" : "Procedure.statusReason", "short" : "Reason for current status", "definition" : "Captures the reason for the current state of the procedure.", "comment" : "This is generally only used for "exception" statuses such as "not-done", "suspended" or "aborted". The reason for performing the event at all is captured in reasonCode, not here.", "alias" : [ "Suspended Reason", "Cancelled Reason" ], "min" : 0, "max" : "1", "base" : { "path" : "Procedure.statusReason", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "ProcedureNegationReason" } ], "strength" : "example", "description" : "A code that identifies the reason a procedure was not performed.", "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-not-performed-reason" }, "mapping" : [ { "identity" : "workflow", "map" : "Event.statusReason" }, { "identity" : "rim", "map" : ".reason.Observation.value" } ] }, { "id" : "Procedure.category", "path" : "Procedure.category", "short" : "Classification of the procedure", "definition" : "A code that classifies the procedure for searching, sorting and display purposes (e.g. "Surgical Procedure").", "min" : 0, "max" : "1", "base" : { "path" : "Procedure.category", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "ProcedureCategory" } ], "strength" : "example", "description" : "A code that classifies a procedure for searching, sorting and display purposes.", "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-category" }, "mapping" : [ { "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code" } ] }, { "id" : "Procedure.code", "path" : "Procedure.code", "short" : "Identification of the procedure", "definition" : "The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. "Laparoscopic Appendectomy").", "requirements" : "0..1 to account for primarily narrative only resources.", "alias" : [ "type" ], "min" : 0, "max" : "1", "base" : { "path" : "Procedure.code", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "ProcedureCode" } ], "strength" : "preferred", "valueSet" : "http://hl7.org/fhir/uv/ips/ValueSet/procedures-uv-ips" }, "mapping" : [ { "identity" : "workflow", "map" : "Event.code" }, { "identity" : "w5", "map" : "FiveWs.what[x]" }, { "identity" : "v2", "map" : "OBR-44/OBR-45" }, { "identity" : "rim", "map" : ".code" } ] }, { "id" : "Procedure.code.id", "path" : "Procedure.code.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Procedure.code.extension", "path" : "Procedure.code.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Procedure.code.coding", "path" : "Procedure.code.coding", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "Procedure.code.coding.system" } ], "rules" : "open" }, "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 1, "max" : "*", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Coding" } ], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id" : "Procedure.code.coding:absentOrUnknownProcedure", "path" : "Procedure.code.coding", "sliceName" : "absentOrUnknownProcedure", "short" : "A reference to a code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "comment" : "Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 0, "max" : "*", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Coding", "profile" : [ "http://hl7.org/fhir/uv/ips/StructureDefinition/coding-uv-ips" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" } ], "mustSupport" : true, "isModifier" : false, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "absentOrUnknownProcedure" } ], "strength" : "required", "description" : "A code to identify absent or unknown procedures", "valueSet" : "http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-procedures-uv-ips" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity" : "rim", "map" : "CV" }, { "identity" : "orim", "map" : "fhir:Coding rdfs:subClassOf dt:CDCoding" } ] }, { "id" : "Procedure.code.coding:procedureCode", "path" : "Procedure.code.coding", "sliceName" : "procedureCode", "short" : "A reference to a code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "comment" : "Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 0, "max" : "*", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Coding", "profile" : [ "http://hl7.org/fhir/uv/ips/StructureDefinition/coding-uv-ips" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" } ], "mustSupport" : true, "isModifier" : false, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "ProcedureCode" } ], "strength" : "preferred", "valueSet" : "http://hl7.org/fhir/uv/ips/ValueSet/procedures-uv-ips" }, "mapping" : [ { "identity" : "rim", "map" : "n/a" }, { "identity" : "v2", "map" : "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity" : "rim", "map" : "CV" }, { "identity" : "orim", "map" : "fhir:Coding rdfs:subClassOf dt:CDCoding" } ] }, { "id" : "Procedure.code.text", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true } ], "path" : "Procedure.code.text", "short" : "Plain text representation of the concept", "definition" : "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min" : 0, "max" : "1", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "v2", "map" : "C*E.9. But note many systems use C*E.2 for this" }, { "identity" : "rim", "map" : "./originalText[mediaType/code="text/plain"]/data" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id" : "Procedure.subject", "path" : "Procedure.subject", "short" : "Who the procedure was performed on", "definition" : "The person on which the procedure was performed.", "alias" : [ "patient" ], "min" : 1, "max" : "1", "base" : { "path" : "Procedure.subject", "min" : 1, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Patient" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Event.subject" }, { "identity" : "w5", "map" : "FiveWs.subject[x]" }, { "identity" : "v2", "map" : "PID-3" }, { "identity" : "rim", "map" : ".participation[typeCode=SBJ].role" }, { "identity" : "w5", "map" : "FiveWs.subject" } ] }, { "id" : "Procedure.subject.id", "path" : "Procedure.subject.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Procedure.subject.extension", "path" : "Procedure.subject.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Procedure.subject.reference", "path" : "Procedure.subject.reference", "short" : "Literal reference, Relative, internal or absolute URL", "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "condition" : [ "ref-1" ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Procedure.subject.type", "path" : "Procedure.subject.type", "short" : "Type the reference refers to (e.g. "Patient")", "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.type", "min" : 0, "max" : "1" }, "type" : [ { "code" : "uri" } ], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FHIRResourceTypeExt" } ], "strength" : "extensible", "description" : "Aa resource (or, for logical models, the URI of the logical model).", "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types" }, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Procedure.subject.identifier", "path" : "Procedure.subject.identifier", "short" : "Logical reference, when literal reference is not known", "definition" : "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", "min" : 0, "max" : "0", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Identifier" } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : ".identifier" } ] }, { "id" : "Procedure.subject.display", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true } ], "path" : "Procedure.subject.display", "short" : "Text alternative for the resource", "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Procedure.context", "path" : "Procedure.context", "short" : "Encounter or episode associated with the procedure", "definition" : "The encounter during which the procedure was performed.", "alias" : [ "encounter" ], "min" : 0, "max" : "1", "base" : { "path" : "Procedure.context", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Encounter", "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare" ] } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Event.context" }, { "identity" : "w5", "map" : "FiveWs.context" }, { "identity" : "v2", "map" : "PV1-19" }, { "identity" : "rim", "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]" } ] }, { "id" : "Procedure.performed[x]", "path" : "Procedure.performed[x]", "short" : "When the procedure was performed", "definition" : "Estimated or actual date, date-time, period, or age when 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.", "comment" : "Age is generally used when the patient reports an age at which the procedure was performed. Range is generally used when the patient reports an age range when the procedure was performed, such as sometime between 20-25 years old. dateTime supports a range of precision due to some procedures being reported as past procedures that might not have millisecond precision while other procedures performed and documented during the encounter might have more precise UTC timestamps with timezone.", "min" : 1, "max" : "1", "base" : { "path" : "Procedure.performed[x]", "min" : 0, "max" : "1" }, "type" : [ { "code" : "dateTime" }, { "code" : "Period" }, { "code" : "string" }, { "code" : "Age" }, { "code" : "Range" } ], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Event.occurrence[x]" }, { "identity" : "w5", "map" : "FiveWs.done[x]" }, { "identity" : "v2", "map" : "OBR-7" }, { "identity" : "rim", "map" : ".effectiveTime" } ] }, { "id" : "Procedure.recorder", "path" : "Procedure.recorder", "short" : "Who recorded the procedure", "definition" : "Individual who recorded the record and takes responsibility for its content.", "min" : 0, "max" : "1", "base" : { "path" : "Procedure.recorder", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ] } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=AUT].role" } ] }, { "id" : "Procedure.asserter", "path" : "Procedure.asserter", "short" : "Person who asserts this procedure", "definition" : "Individual who is making the procedure statement.", "min" : 0, "max" : "1", "base" : { "path" : "Procedure.asserter", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ] } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "w5", "map" : "FiveWs.source" }, { "identity" : "rim", "map" : ".participation[typeCode=INF].role" } ] }, { "id" : "Procedure.performer", "path" : "Procedure.performer", "short" : "The people who performed the procedure", "definition" : "Limited to 'real' people rather than equipment.", "min" : 0, "max" : "*", "base" : { "path" : "Procedure.performer", "min" : 0, "max" : "*" }, "type" : [ { "code" : "BackboneElement" } ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Event.performer" }, { "identity" : "rim", "map" : ".participation[typeCode=PRF]" } ] }, { "id" : "Procedure.performer.id", "path" : "Procedure.performer.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Procedure.performer.extension", "path" : "Procedure.performer.extension", "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Procedure.performer.modifierExtension", "path" : "Procedure.performer.modifierExtension", "short" : "Extensions that cannot be ignored if unrecognized", "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content", "modifiers" ], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Procedure.performer.function", "path" : "Procedure.performer.function", "short" : "Type of performance", "definition" : "Distinguishes the type of involvement of the performer in the procedure. For example, surgeon, anaethetist, endoscopist.", "requirements" : "Allows disambiguation of the types of involvement of different performers.", "min" : 0, "max" : "1", "base" : { "path" : "Procedure.performer.function", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "ProcedurePerformerRole" } ], "strength" : "example", "description" : "A code that identifies the role of a performer of the procedure.", "valueSet" : "http://hl7.org/fhir/ValueSet/performer-role" }, "mapping" : [ { "identity" : "workflow", "map" : "Event.performer.function" }, { "identity" : "v2", "map" : "Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25" }, { "identity" : "rim", "map" : ".functionCode" } ] }, { "id" : "Procedure.performer.actor", "path" : "Procedure.performer.actor", "short" : "The reference to the practitioner", "definition" : "The practitioner who was involved in the procedure.", "requirements" : "A reference to Device supports use cases, such as pacemakers.", "min" : 1, "max" : "1", "base" : { "path" : "Procedure.performer.actor", "min" : 1, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/uv/ips/StructureDefinition/device-observer-uv-ips", "http://hl7.org/fhir/uv/ips/StructureDefinition/practitioner-uv-ips", "http://hl7.org/fhir/uv/ips/StructureDefinition/organization-observation-uv-ips" ] } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Event.performer.actor" }, { "identity" : "w5", "map" : "FiveWs.actor" }, { "identity" : "v2", "map" : "ORC-19/PRT-5" }, { "identity" : "rim", "map" : ".role" } ] }, { "id" : "Procedure.performer.onBehalfOf", "path" : "Procedure.performer.onBehalfOf", "short" : "Organization the device or practitioner was acting for", "definition" : "The organization the device or practitioner was acting on behalf of.", "requirements" : "Practitioners and Devices can be associated with multiple organizations. This element indicates which organization they were acting on behalf of when performing the action.", "min" : 0, "max" : "1", "base" : { "path" : "Procedure.performer.onBehalfOf", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/ips/StructureDefinition/organization-observation-uv-ips" ] } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : ".scoper" } ] }, { "id" : "Procedure.location", "path" : "Procedure.location", "short" : "Where the procedure happened", "definition" : "The location where the procedure actually happened. E.g. a newborn at home, a tracheostomy at a restaurant.", "comment" : "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. TRILLIUM II IMPLEMENTATION COMMENTS: We propose to encode it with SNOMED CT.", "requirements" : "Ties a procedure to where the records are likely kept.", "min" : 0, "max" : "1", "base" : { "path" : "Procedure.location", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Location" ] } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "w5", "map" : "FiveWs.where[x]" }, { "identity" : "rim", "map" : ".participation[typeCode=LOC].role[classCode=SDLOC]" } ] }, { "id" : "Procedure.reasonCode", "path" : "Procedure.reasonCode", "short" : "Coded reason procedure performed", "definition" : "The coded reason why the procedure was performed. This may be coded entity of some type, or may simply be present as text.", "comment" : "Use Procedure.reasonCode when a code sufficiently describes the reason. Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative. For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used. Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference. Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure.", "min" : 0, "max" : "*", "base" : { "path" : "Procedure.reasonCode", "min" : 0, "max" : "*" }, "type" : [ { "code" : "CodeableConcept" } ], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "ProcedureReason" } ], "strength" : "example", "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-reason" }, "mapping" : [ { "identity" : "workflow", "map" : "Event.reasonCode" }, { "identity" : "w5", "map" : "FiveWs.why[x]" }, { "identity" : "rim", "map" : ".reasonCode" } ] }, { "id" : "Procedure.reasonReference", "path" : "Procedure.reasonReference", "short" : "The justification that the procedure was performed", "definition" : "The justification of why the procedure was performed.", "comment" : "It is possible for a procedure to be a reason (such as C-Section) for another procedure (such as epidural). Other examples include endoscopy for dilatation and biopsy, combination diagnosis and therapeutic. Use Procedure.reasonCode when a code sufficiently describes the reason. Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative. For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used. Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference. Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure.", "min" : 0, "max" : "*", "base" : { "path" : "Procedure.reasonReference", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Condition", "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/Procedure", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport", "http://hl7.org/fhir/StructureDefinition/DocumentReference" ] } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Event.reasonReference" }, { "identity" : "w5", "map" : "FiveWs.why[x]" }, { "identity" : "rim", "map" : ".reasonCode" } ] }, { "id" : "Procedure.bodySite", "path" : "Procedure.bodySite", "short" : "Target body sites", "definition" : "Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion.", "comment" : "If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [procedure-targetbodystructure](extension-procedure-targetbodystructure.html).", "min" : 0, "max" : "*", "base" : { "path" : "Procedure.bodySite", "min" : 0, "max" : "*" }, "type" : [ { "code" : "CodeableConcept" } ], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "BodySite" } ], "strength" : "example", "valueSet" : "http://hl7.org/fhir/uv/ips/ValueSet/target-site-uv-ips" }, "mapping" : [ { "identity" : "v2", "map" : "OBX-20" }, { "identity" : "rim", "map" : ".targetSiteCode" } ] }, { "id" : "Procedure.outcome", "path" : "Procedure.outcome", "short" : "The result of procedure", "definition" : "The outcome of the procedure - did it resolve reasons for the procedure being performed?", "comment" : "If outcome contains narrative text only, it can be captured using the CodeableConcept.text.", "min" : 0, "max" : "1", "base" : { "path" : "Procedure.outcome", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "ProcedureOutcome" } ], "strength" : "example", "description" : "An outcome of a procedure - whether it was resolved or otherwise.", "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-outcome" }, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=OUT].target.text" } ] }, { "id" : "Procedure.report", "path" : "Procedure.report", "short" : "Any report resulting from the procedure", "definition" : "This could be a histology result, pathology report, surgical report, etc.", "comment" : "There could potentially be multiple reports - e.g. if this was a procedure which took multiple biopsies resulting in a number of anatomical pathology reports.", "min" : 0, "max" : "*", "base" : { "path" : "Procedure.report", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/DiagnosticReport", "http://hl7.org/fhir/StructureDefinition/DocumentReference", "http://hl7.org/fhir/StructureDefinition/Composition" ] } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN]" } ] }, { "id" : "Procedure.complication", "path" : "Procedure.complication", "short" : "Complication following the procedure", "definition" : "Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the notes, which will typically describe the procedure itself rather than any 'post procedure' issues.", "comment" : "If complications are only expressed by the narrative text, they can be captured using the CodeableConcept.text.", "min" : 0, "max" : "*", "base" : { "path" : "Procedure.complication", "min" : 0, "max" : "*" }, "type" : [ { "code" : "CodeableConcept" } ], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "ProcedureComplication" } ], "strength" : "example", "description" : "Codes describing complications that resulted from a procedure.", "valueSet" : "http://hl7.org/fhir/ValueSet/condition-code" }, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code="complication", moodCode=EVN].value" } ] }, { "id" : "Procedure.complicationDetail", "path" : "Procedure.complicationDetail", "short" : "A condition that is a result of the procedure", "definition" : "Any complications that occurred during the procedure, or in the immediate post-performance period.", "requirements" : "This is used to document a condition that is a result of the procedure, not the condition that was the reason for the procedure.", "min" : 0, "max" : "*", "base" : { "path" : "Procedure.complicationDetail", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Condition" ] } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code="complication", moodCode=EVN].value" } ] }, { "id" : "Procedure.followUp", "path" : "Procedure.followUp", "short" : "Instructions for follow up", "definition" : "If the procedure required specific follow up - e.g. removal of sutures. The followup may be represented as a simple note, or could potentially be more complex in which case the CarePlan resource can be used.", "min" : 0, "max" : "*", "base" : { "path" : "Procedure.followUp", "min" : 0, "max" : "*" }, "type" : [ { "code" : "CodeableConcept" } ], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "ProcedureFollowUp" } ], "strength" : "example", "description" : "Specific follow up required for a procedure e.g. removal of sutures.", "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-followup" }, "mapping" : [ { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].target[classCode=ACT, moodCode=INT].code" } ] }, { "id" : "Procedure.note", "path" : "Procedure.note", "short" : "Additional information about the procedure", "definition" : "Any other notes and comments about the procedure.", "min" : 0, "max" : "*", "base" : { "path" : "Procedure.note", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Annotation" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "workflow", "map" : "Event.note" }, { "identity" : "v2", "map" : "NTE" }, { "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value" } ] }, { "id" : "Procedure.focalDevice", "path" : "Procedure.focalDevice", "short" : "Manipulated, implanted, or removed device", "definition" : "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.", "min" : 0, "max" : "*", "base" : { "path" : "Procedure.focalDevice", "min" : 0, "max" : "*" }, "type" : [ { "code" : "BackboneElement" } ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : ".participation[typeCode=DEV].role[classCode=MANU]" } ] }, { "id" : "Procedure.focalDevice.id", "path" : "Procedure.focalDevice.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Procedure.focalDevice.extension", "path" : "Procedure.focalDevice.extension", "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "Procedure.focalDevice.modifierExtension", "path" : "Procedure.focalDevice.modifierExtension", "short" : "Extensions that cannot be ignored if unrecognized", "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : [ "extensions", "user content", "modifiers" ], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "Procedure.focalDevice.action", "path" : "Procedure.focalDevice.action", "short" : "Kind of change to device", "definition" : "The kind of change that happened to the device during the procedure.", "min" : 0, "max" : "1", "base" : { "path" : "Procedure.focalDevice.action", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "DeviceActionKind" } ], "strength" : "preferred", "description" : "A kind of change that happened to the device during the procedure.", "valueSet" : "http://hl7.org/fhir/ValueSet/device-action" }, "mapping" : [ { "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="procedure device action"].value=:procedure device action codes" } ] }, { "id" : "Procedure.focalDevice.manipulated", "path" : "Procedure.focalDevice.manipulated", "short" : "Device that was changed", "definition" : "The device that was manipulated (changed) during the procedure.", "min" : 1, "max" : "1", "base" : { "path" : "Procedure.focalDevice.manipulated", "min" : 1, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Device" ] } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : ".participation[typeCode=DEV].role[classCode=SDLOC]" } ] }, { "id" : "Procedure.usedReference", "path" : "Procedure.usedReference", "short" : "Items used during procedure", "definition" : "Identifies medications, devices and any other substance used as part of the procedure.", "comment" : "For devices actually implanted or removed, use Procedure.device.", "requirements" : "Used for tracking contamination, etc.", "min" : 0, "max" : "*", "base" : { "path" : "Procedure.usedReference", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/Medication", "http://hl7.org/fhir/StructureDefinition/Substance" ] } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : ".participation[typeCode=DEV].role[classCode=MANU] or .participation[typeCode=CSM].role[classCode=ADMM] (for Medication or Substance)" } ] }, { "id" : "Procedure.usedCode", "path" : "Procedure.usedCode", "short" : "Coded items used during the procedure", "definition" : "Identifies coded items that were used as part of the procedure.", "comment" : "For devices actually implanted or removed, use Procedure.device.", "min" : 0, "max" : "*", "base" : { "path" : "Procedure.usedCode", "min" : 0, "max" : "*" }, "type" : [ { "code" : "CodeableConcept" } ], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "ProcedureUsed" } ], "strength" : "example", "description" : "Codes describing items used during a procedure.", "valueSet" : "http://hl7.org/fhir/ValueSet/device-kind" }, "mapping" : [ { "identity" : "rim", "map" : "participation[typeCode=Dev].role[classCode=MANU]" } ] } ] }, "differential" : { "element" : [ { "id" : "Procedure", "path" : "Procedure" }, { "id" : "Procedure.extension", "path" : "Procedure.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "rules" : "open" } }, { "id" : "Procedure.extension:statementDetail", "path" : "Procedure.extension", "sliceName" : "statementDetail", "type" : [ { "code" : "Extension", "profile" : [ "http://hl7.org/fhir/uv/ips/StructureDefinition/statement-uv-ips" ] } ] }, { "id" : "Procedure.extension:statementDetail.extension:statementNote", "path" : "Procedure.extension.extension", "sliceName" : "statementNote", "max" : "0" }, { "id" : "Procedure.partOf", "path" : "Procedure.partOf", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Procedure" ] } ] }, { "id" : "Procedure.status", "path" : "Procedure.status", "mustSupport" : true }, { "id" : "Procedure.code", "path" : "Procedure.code", "mustSupport" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "ProcedureCode" } ], "strength" : "preferred", "valueSet" : "http://hl7.org/fhir/uv/ips/ValueSet/procedures-uv-ips" } }, { "id" : "Procedure.code.coding", "path" : "Procedure.code.coding", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "Procedure.code.coding.system" } ], "rules" : "open" }, "min" : 1, "mustSupport" : true }, { "id" : "Procedure.code.coding:absentOrUnknownProcedure", "path" : "Procedure.code.coding", "sliceName" : "absentOrUnknownProcedure", "type" : [ { "code" : "Coding", "profile" : [ "http://hl7.org/fhir/uv/ips/StructureDefinition/coding-uv-ips" ] } ], "mustSupport" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "absentOrUnknownProcedure" } ], "strength" : "required", "description" : "A code to identify absent or unknown procedures", "valueSet" : "http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-procedures-uv-ips" } }, { "id" : "Procedure.code.coding:procedureCode", "path" : "Procedure.code.coding", "sliceName" : "procedureCode", "type" : [ { "code" : "Coding", "profile" : [ "http://hl7.org/fhir/uv/ips/StructureDefinition/coding-uv-ips" ] } ], "mustSupport" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "ProcedureCode" } ], "strength" : "preferred", "valueSet" : "http://hl7.org/fhir/uv/ips/ValueSet/procedures-uv-ips" } }, { "id" : "Procedure.subject", "path" : "Procedure.subject", "definition" : "The person on which the procedure was performed.", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Patient" ] } ], "mustSupport" : true }, { "id" : "Procedure.subject.identifier", "path" : "Procedure.subject.identifier", "max" : "0" }, { "id" : "Procedure.performed[x]", "path" : "Procedure.performed[x]", "min" : 1, "mustSupport" : true }, { "id" : "Procedure.performer", "path" : "Procedure.performer" }, { "id" : "Procedure.performer.actor", "path" : "Procedure.performer.actor", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/uv/ips/StructureDefinition/device-observer-uv-ips", "http://hl7.org/fhir/uv/ips/StructureDefinition/practitioner-uv-ips", "http://hl7.org/fhir/uv/ips/StructureDefinition/organization-observation-uv-ips" ] } ] }, { "id" : "Procedure.performer.onBehalfOf", "path" : "Procedure.performer.onBehalfOf", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/ips/StructureDefinition/organization-observation-uv-ips" ] } ] }, { "id" : "Procedure.location", "path" : "Procedure.location", "comment" : "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. TRILLIUM II IMPLEMENTATION COMMENTS: We propose to encode it with SNOMED CT." }, { "id" : "Procedure.reasonCode", "path" : "Procedure.reasonCode", "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "ProcedureReason" } ], "strength" : "example", "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-reason" } }, { "id" : "Procedure.bodySite", "path" : "Procedure.bodySite", "mustSupport" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "BodySite" } ], "strength" : "example", "valueSet" : "http://hl7.org/fhir/uv/ips/ValueSet/target-site-uv-ips" } } ] } }