<status value="active"/> <experimental value="false"/> <date value="2026-03-17T16:03:29.8107868-05:00"/> <publisher value="FHIR Infrastructure"/> <contact> <name value="FHIR Infrastructure"/> <telecom> <system value="url"/> <value value="http://www.hl7.org/Special/committees/fiwg"/> </telecom> </contact> <description value="This cross-version profile allows R4 Procedure content to be represented via FHIR STU3 Procedure resources."/> <jurisdiction> <coding> <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> <code value="001"/> <display value="World"/> </coding> </jurisdiction> <fhirVersion value="3.0.2"/> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/w5"/> <name value="W5 Mapping"/> </mapping> <mapping> <identity value="v2"/> <uri value="http://hl7.org/v2"/> <name value="HL7 v2 Mapping"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="Procedure"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Procedure"/> <derivation value="constraint"/> <snapshot> <element id="Procedure"> <path value="Procedure"/> <short value="An action that is being or was performed on a patient"/> <definition value="An action that is or was performed on a patient. This can be a physical intervention like an operation, or less invasive like counseling or hypnotherapy."/> <min value="0"/> <max value="*"/> <base> <path value="Procedure"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="dom-2"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> <expression value="contained.contained.empty()"/> <xpath value="not(parent::f:contained and f:contained)"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-1"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/> <expression value="contained.text.empty()"/> <xpath value="not(parent::f:contained and f:text)"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-4"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-3"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource"/> <expression value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()"/> <xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="pro-1"/> <severity value="error"/> <human value="Reason not done is only permitted if notDone indicator is true"/> <expression value="notDoneReason.empty() or notDone = true"/> <xpath value="not(exists(f:notDoneReason)) or f:notDone/@value=true()"/> <source value="http://hl7.org/fhir/StructureDefinition/Procedure"/> </constraint> <mapping> <identity value="rim"/> <map value="Entity. Role, or Act"/> </mapping> <mapping> <identity value="rim"/> <map value="Procedure[moodCode=EVN]"/> </mapping> <mapping> <identity value="w5"/> <map value="clinical.general"/> </mapping> </element> <element id="Procedure.id"> <path value="Procedure.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="id"/> </type> <isSummary value="true"/> </element> <element id="Procedure.meta"> <path value="Procedure.meta"/> <short value="Metadata about the resource"/> <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.meta"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Meta"/> </type> <isSummary value="true"/> </element> <element id="Procedure.implicitRules"> <path value="Procedure.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/> <comment value="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. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <isModifier value="true"/> <isSummary value="true"/> </element> <element id="Procedure.language"> <path value="Procedure.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Resource.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueReference> <reference value="http://hl7.org/fhir/ValueSet/all-languages|3.0.2"/> </valueReference> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <strength value="extensible"/> <description value="A human language."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/languages|3.0.2"/> </valueSetReference> </binding> </element> <element id="Procedure.text"> <path value="Procedure.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="A human-readable narrative that contains a summary of the resource, and may 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 value="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 in formation is added later."/> <alias value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <condition value="dom-1"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="Procedure.contained"> <path value="Procedure.contained"/> <short value="Contained, inline Resources"/> <definition value="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 value="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."/> <alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Procedure.extension"> <path value="Procedure.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Procedure.extension:instantiatesCanonical"> <path value="Procedure.extension"/> <sliceName value="instantiatesCanonical"/> <short value="R4: Instantiates FHIR protocol or definition (new)"/> <definition value="R4: `Procedure.instantiatesCanonical` (new:canonical(PlanDefinition,ActivityDefinition,Measure,OperationDefinition,Questionnaire))"/> <comment value="Element `Procedure.instantiatesCanonical` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.instantiatesCanonical` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-Procedure.instantiatesCanonical|0.1.0"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> </element> <element id="Procedure.extension:instantiatesUri"> <path value="Procedure.extension"/> <sliceName value="instantiatesUri"/> <short value="R4: Instantiates external protocol or definition (new)"/> <definition value="R4: `Procedure.instantiatesUri` (new:uri)"/> <comment value="Element `Procedure.instantiatesUri` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.instantiatesUri` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier."/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-Procedure.instantiatesUri|0.1.0"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> </element> <element id="Procedure.extension:performed"> <path value="Procedure.extension"/> <sliceName value="performed"/> <short value="R4: When the procedure was performed additional types"/> <definition value="R4: `Procedure.performed[x]` additional types (string, Age, Range)"/> <comment value="Element `Procedure.performed[x]` is mapped to FHIR STU3 element `Procedure.performed[x]` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.performed[x]` do not cover the following types: Age, Range, string. The target context `Procedure.performed[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Procedure`. 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 value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-Procedure.performed|0.1.0"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> </element> <element id="Procedure.extension:recorder"> <path value="Procedure.extension"/> <sliceName value="recorder"/> <short value="R4: Who recorded the procedure (new)"/> <definition value="R4: `Procedure.recorder` (new:Reference(Patient,RelatedPerson,Practitioner,PractitionerRole))"/> <comment value="Element `Procedure.recorder` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.recorder` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-Procedure.recorder|0.1.0"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> </element> <element id="Procedure.extension:asserter"> <path value="Procedure.extension"/> <sliceName value="asserter"/> <short value="R4: Person who asserts this procedure (new)"/> <definition value="R4: `Procedure.asserter` (new:Reference(Patient,RelatedPerson,Practitioner,PractitionerRole))"/> <comment value="Element `Procedure.asserter` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.asserter` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-Procedure.asserter|0.1.0"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> </element> <element id="Procedure.modifierExtension"> <path value="Procedure.modifierExtension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> </element> <element id="Procedure.modifierExtension:status"> <path value="Procedure.modifierExtension"/> <sliceName value="status"/> <short value="R4: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown additional codes"/> <definition value="R4: `Procedure.status` additional codes"/> <comment value="Element `Procedure.status` is mapped to FHIR STU3 element `Procedure.status` as `RelatedTo`. Element `Procedure.status` is mapped to FHIR STU3 element `Procedure.notDone` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.status` do not allow expression of the necessary codes, per the bindings on the source and target. 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 value="0"/> <max value="1"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-Procedure.status|0.1.0"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> </element> <element id="Procedure.identifier"> <path value="Procedure.identifier"/> <short value="External Identifiers for this procedure"/> <definition value="This records identifiers associated with this procedure that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation)."/> <requirements value="Need to allow connection to a wider workflow."/> <min value="0"/> <max value="*"/> <base> <path value="Procedure.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="Some combination of ORC-2 / ORC-3 / OBR-2 / OBR-3 / IPC-1 / IPC-2 / IPC-3 / IPC-4"/> </mapping> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> <mapping> <identity value="w5"/> <map value="id"/> </mapping> </element> <element id="Procedure.definition"> <path value="Procedure.definition"/> <short value="Instantiates protocol or definition"/> <definition value="A protocol, guideline, orderset or other definition that was adhered to in whole or in part by this procedure."/> <min value="0"/> <max value="*"/> <base> <path value="Procedure.definition"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/HealthcareService"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target"/> </mapping> </element> <element id="Procedure.basedOn"> <path value="Procedure.basedOn"/> <short value="A request for this procedure"/> <definition value="A reference to a resource that contains details of the request for this procedure."/> <alias value="fulfills"/> <min value="0"/> <max value="*"/> <base> <path value="Procedure.basedOn"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ProcedureRequest"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ReferralRequest"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=FLFS].target[classCode=(various e.g. PROC, OBS, PCPR, ACT, moodCode=RQO].code"/> </mapping> </element> <element id="Procedure.basedOn.id"> <path value="Procedure.basedOn.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Procedure.basedOn.extension"> <path value="Procedure.basedOn.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Procedure.basedOn.extension:basedOn"> <path value="Procedure.basedOn.extension"/> <sliceName value="basedOn"/> <short value="R4: basedOn additional types"/> <definition value="R4: `Procedure.basedOn` additional types from child elements (display, identifier, reference, type)"/> <comment value="Element `Procedure.basedOn` is mapped to FHIR STU3 element `Procedure.basedOn` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.basedOn` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `Procedure.basedOn` with unmapped reference targets: ServiceRequest."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> <element id="Procedure.basedOn.reference"> <path value="Procedure.basedOn.reference"/> <short value="Literal reference, Relative, internal or absolute URL"/> <definition value="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 value="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 value="0"/> <max value="1"/> <base> <path value="Reference.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ref-1"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Procedure.basedOn.identifier"> <path value="Procedure.basedOn.identifier"/> <short value="Logical reference, when literal reference is not known"/> <definition value="An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity 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 value="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."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".identifier"/> </mapping> </element> <element id="Procedure.basedOn.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Procedure.basedOn.display"/> <short value="Text alternative for the resource"/> <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Reference.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Procedure.partOf"> <path value="Procedure.partOf"/> <short value="Part of referenced event"/> <definition value="A larger event of which this particular procedure is a component or step."/> <comment value="The MedicationAdministration has a partOf reference to Procedure, but this is not a circular reference. For a surgical procedure, the anesthesia related medicationAdministration is part of the procedure. For an IV medication administration, the procedure to insert the IV port is part of the medication administration."/> <alias value="container"/> <min value="0"/> <max value="*"/> <base> <path value="Procedure.partOf"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=COMP].source[classCode=SBADM or PROC or OBS, moodCode=EVN]"/> </mapping> </element> <element id="Procedure.status"> <path value="Procedure.status"/> <short value="preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown"/> <definition value="A code specifying the state of the procedure. Generally this will be in-progress or completed state."/> <comment value="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 value="1"/> <max value="1"/> <base> <path value="Procedure.status"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <isModifier value="true"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ProcedureStatus"/> </extension> <strength value="required"/> <description value="A code specifying the state of the procedure."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/event-status|3.0.2"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value="statusCode"/> </mapping> <mapping> <identity value="w5"/> <map value="status"/> </mapping> </element> <element id="Procedure.notDone"> <path value="Procedure.notDone"/> <short value="True if procedure was not performed as scheduled"/> <definition value="Set this to true if the record is saying that the procedure was NOT performed."/> <comment value="If true, it means the procedure did not occur as described. Typically it would be accompanied by attributes describing the type of activity. It might also be accompanied by body site information or time information (i.e. no procedure was done to the left arm or no procedure was done in this 2-year period). Specifying additional information such as performer, outcome, etc. is generally inappropriate. For example, it's not that useful to say "There was no appendectomy done at 12:03pm June 6th by Dr. Smith with a successful outcome" as it implies that there *could* have been an appendectomy done at any other time, by any other clinician or with any other outcome. This element is labeled as a modifier because it indicates that a procedure didn't happen."/> <min value="0"/> <max value="1"/> <base> <path value="Procedure.notDone"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <defaultValueBoolean value="false"/> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".actionNegationInd"/> </mapping> </element> <element id="Procedure.notDoneReason"> <path value="Procedure.notDoneReason"/> <short value="Reason procedure was not performed"/> <definition value="A code indicating why the procedure was not performed."/> <min value="0"/> <max value="1"/> <base> <path value="Procedure.notDoneReason"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="pro-1"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ProcedureNegationReason"/> </extension> <strength value="example"/> <description value="A code that identifies the reason a procedure was not performed."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/procedure-not-performed-reason|3.0.2"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value=".reason.Observation.value"/> </mapping> </element> <element id="Procedure.category"> <path value="Procedure.category"/> <short value="Classification of the procedure"/> <definition value="A code that classifies the procedure for searching, sorting and display purposes (e.g. "Surgical Procedure")."/> <min value="0"/> <max value="1"/> <base> <path value="Procedure.category"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ProcedureCategory"/> </extension> <strength value="example"/> <description value="A code that classifies a procedure for searching, sorting and display purposes."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/procedure-category|3.0.2"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code"/> </mapping> <mapping> <identity value="w5"/> <map value="class"/> </mapping> </element> <element id="Procedure.code"> <path value="Procedure.code"/> <short value="Identification of the procedure"/> <definition value="The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. "Laparoscopic Appendectomy")."/> <requirements value="0..1 to account for primarily narrative only resources."/> <alias value="type"/> <min value="0"/> <max value="1"/> <base> <path value="Procedure.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ProcedureCode"/> </extension> <strength value="example"/> <description value="A code to identify a specific procedure ."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/procedure-code|3.0.2"/> </valueSetReference> </binding> <mapping> <identity value="v2"/> <map value="OBR-44/OBR-45"/> </mapping> <mapping> <identity value="rim"/> <map value=".code"/> </mapping> <mapping> <identity value="w5"/> <map value="what"/> </mapping> </element> <element id="Procedure.subject"> <path value="Procedure.subject"/> <short value="Who the procedure was performed on"/> <definition value="The person, animal or group on which the procedure was performed."/> <alias value="patient"/> <min value="1"/> <max value="1"/> <base> <path value="Procedure.subject"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> </type> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="PID-3"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=SBJ].role"/> </mapping> <mapping> <identity value="w5"/> <map value="who.focus"/> </mapping> </element> <element id="Procedure.context"> <path value="Procedure.context"/> <short value="Encounter or episode associated with the procedure"/> <definition value="The encounter during which the procedure was performed."/> <alias value="encounter"/> <min value="0"/> <max value="1"/> <base> <path value="Procedure.context"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/> </type> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="PV1-19"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/> </mapping> <mapping> <identity value="w5"/> <map value="context"/> </mapping> </element> <element id="Procedure.performed[x]"> <path value="Procedure.performed[x]"/> <short value="Date/Period the procedure was performed"/> <definition value="The date(time)/period over which the procedure was performed. Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be captured."/> <min value="0"/> <max value="1"/> <base> <path value="Procedure.performed[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <type> <code value="Period"/> </type> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="OBR-7"/> </mapping> <mapping> <identity value="rim"/> <map value=".effectiveTime"/> </mapping> <mapping> <identity value="w5"/> <map value="when.done"/> </mapping> </element> <element id="Procedure.performer"> <path value="Procedure.performer"/> <short value="The people who performed the procedure"/> <definition value="Limited to 'real' people rather than equipment."/> <min value="0"/> <max value="*"/> <base> <path value="Procedure.performer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".participation[typeCode=PRF]"/> </mapping> </element> <element id="Procedure.performer.id"> <path value="Procedure.performer.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Procedure.performer.extension"> <path value="Procedure.performer.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order 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."/> <comment value="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 value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Procedure.performer.modifierExtension"> <path value="Procedure.performer.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="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 that contains it. Usually modifier elements provide negation or qualification. In order 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."/> <comment value="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 value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Procedure.performer.role"> <path value="Procedure.performer.role"/> <short value="The role the actor was in"/> <definition value="For example: surgeon, anaethetist, endoscopist."/> <min value="0"/> <max value="1"/> <base> <path value="Procedure.performer.role"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ProcedurePerformerRole"/> </extension> <strength value="example"/> <description value="A code that identifies the role of a performer of the procedure."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/performer-role|3.0.2"/> </valueSetReference> </binding> <mapping> <identity value="v2"/> <map value="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"/> </mapping> <mapping> <identity value="rim"/> <map value=".functionCode"/> </mapping> </element> <element id="Procedure.performer.actor"> <path value="Procedure.performer.actor"/> <short value="The reference to the practitioner"/> <definition value="The practitioner who was involved in the procedure."/> <requirements value="A reference to Device supports use cases, such as pacemakers."/> <min value="1"/> <max value="1"/> <base> <path value="Procedure.performer.actor"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> </type> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="ORC-19/PRT-5"/> </mapping> <mapping> <identity value="rim"/> <map value=".role"/> </mapping> <mapping> <identity value="w5"/> <map value="who.actor"/> </mapping> </element> <element id="Procedure.performer.actor.id"> <path value="Procedure.performer.actor.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Procedure.performer.actor.extension"> <path value="Procedure.performer.actor.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Procedure.performer.actor.extension:actor"> <path value="Procedure.performer.actor.extension"/> <sliceName value="actor"/> <short value="R4: actor"/> <definition value="R4: `Procedure.performer.actor`"/> <comment value="Element `Procedure.performer.actor` is mapped to FHIR STU3 element `Procedure.performer.actor` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `Procedure.performer.actor` with unmapped reference targets: PractitionerRole."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> <element id="Procedure.performer.actor.reference"> <path value="Procedure.performer.actor.reference"/> <short value="Literal reference, Relative, internal or absolute URL"/> <definition value="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 value="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 value="0"/> <max value="1"/> <base> <path value="Reference.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ref-1"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Procedure.performer.actor.identifier"> <path value="Procedure.performer.actor.identifier"/> <short value="Logical reference, when literal reference is not known"/> <definition value="An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity 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 value="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."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".identifier"/> </mapping> </element> <element id="Procedure.performer.actor.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Procedure.performer.actor.display"/> <short value="Text alternative for the resource"/> <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Reference.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Procedure.performer.onBehalfOf"> <path value="Procedure.performer.onBehalfOf"/> <short value="Organization the device or practitioner was acting for"/> <definition value="The organization the device or practitioner was acting on behalf of."/> <requirements value="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 value="0"/> <max value="1"/> <base> <path value="Procedure.performer.onBehalfOf"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> </type> <mapping> <identity value="rim"/> <map value=".scoper"/> </mapping> </element> <element id="Procedure.location"> <path value="Procedure.location"/> <short value="Where the procedure happened"/> <definition value="The location where the procedure actually happened. E.g. a newborn at home, a tracheostomy at a restaurant."/> <requirements value="Ties a procedure to where the records are likely kept."/> <min value="0"/> <max value="1"/> <base> <path value="Procedure.location"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".participation[typeCode=LOC].role[classCode=SDLOC]"/> </mapping> <mapping> <identity value="w5"/> <map value="where"/> </mapping> </element> <element id="Procedure.reasonCode"> <path value="Procedure.reasonCode"/> <short value="Coded reason procedure performed"/> <definition value="The coded reason why the procedure was performed. This may be coded entity of some type, or may simply be present as text."/> <min value="0"/> <max value="*"/> <base> <path value="Procedure.reasonCode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ProcedureReason"/> </extension> <strength value="example"/> <description value="A code that identifies the reason a procedure is required."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/procedure-reason|3.0.2"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value=".reasonCode"/> </mapping> <mapping> <identity value="w5"/> <map value="why"/> </mapping> </element> <element id="Procedure.reasonReference"> <path value="Procedure.reasonReference"/> <short value="Condition that is the reason the procedure performed"/> <definition value="The condition that is the reason why the procedure was performed."/> <comment value="e.g. endoscopy for dilatation and biopsy, combination diagnosis and therapeutic."/> <min value="0"/> <max value="*"/> <base> <path value="Procedure.reasonReference"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".reasonCode"/> </mapping> <mapping> <identity value="w5"/> <map value="why"/> </mapping> </element> <element id="Procedure.reasonReference.id"> <path value="Procedure.reasonReference.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Procedure.reasonReference.extension"> <path value="Procedure.reasonReference.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Procedure.reasonReference.extension:reasonReference"> <path value="Procedure.reasonReference.extension"/> <sliceName value="reasonReference"/> <short value="R4: The justification that the procedure was performed"/> <definition value="R4: `Procedure.reasonReference`"/> <comment value="Element `Procedure.reasonReference` is mapped to FHIR STU3 element `Procedure.reasonReference` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `Procedure.reasonReference` with unmapped reference targets: DiagnosticReport, DocumentReference, Procedure. It is possible for a procedure to be a reason (such as C-Section) for another procedure (such as an epidural). Other examples include endoscopy for dilatation and biopsy (a combination of diagnostic and therapeutic use). 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 value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> <element id="Procedure.reasonReference.reference"> <path value="Procedure.reasonReference.reference"/> <short value="Literal reference, Relative, internal or absolute URL"/> <definition value="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 value="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 value="0"/> <max value="1"/> <base> <path value="Reference.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ref-1"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Procedure.reasonReference.identifier"> <path value="Procedure.reasonReference.identifier"/> <short value="Logical reference, when literal reference is not known"/> <definition value="An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity 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 value="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."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".identifier"/> </mapping> </element> <element id="Procedure.reasonReference.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Procedure.reasonReference.display"/> <short value="Text alternative for the resource"/> <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Reference.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Procedure.bodySite"> <path value="Procedure.bodySite"/> <short value="Target body sites"/> <definition value="Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion."/> <min value="0"/> <max value="*"/> <base> <path value="Procedure.bodySite"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="BodySite"/> </extension> <strength value="example"/> <description value="Codes describing anatomical locations. May include laterality."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/body-site|3.0.2"/> </valueSetReference> </binding> <mapping> <identity value="v2"/> <map value="OBX-20"/> </mapping> <mapping> <identity value="rim"/> <map value=".targetSiteCode"/> </mapping> </element> <element id="Procedure.outcome"> <path value="Procedure.outcome"/> <short value="The result of procedure"/> <definition value="The outcome of the procedure - did it resolve reasons for the procedure being performed?"/> <comment value="If outcome contains narrative text only, it can be captured using the CodeableConcept.text."/> <min value="0"/> <max value="1"/> <base> <path value="Procedure.outcome"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ProcedureOutcome"/> </extension> <strength value="example"/> <description value="An outcome of a procedure - whether it was resolved or otherwise."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/procedure-outcome|3.0.2"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=OUT].target.text"/> </mapping> </element> <element id="Procedure.report"> <path value="Procedure.report"/> <short value="Any report resulting from the procedure"/> <definition value="This could be a histology result, pathology report, surgical report, etc.."/> <comment value="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 value="0"/> <max value="*"/> <base> <path value="Procedure.report"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/> </type> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="Procedure.report.id"> <path value="Procedure.report.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Procedure.report.extension"> <path value="Procedure.report.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Procedure.report.extension:report"> <path value="Procedure.report.extension"/> <sliceName value="report"/> <short value="R4: report"/> <definition value="R4: `Procedure.report`"/> <comment value="Element `Procedure.report` is mapped to FHIR STU3 element `Procedure.report` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `Procedure.report` with unmapped reference targets: Composition, DocumentReference. 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 value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> <element id="Procedure.report.reference"> <path value="Procedure.report.reference"/> <short value="Literal reference, Relative, internal or absolute URL"/> <definition value="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 value="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 value="0"/> <max value="1"/> <base> <path value="Reference.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ref-1"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Procedure.report.identifier"> <path value="Procedure.report.identifier"/> <short value="Logical reference, when literal reference is not known"/> <definition value="An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity 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 value="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."/> <min value="0"/> <max value="1"/> <base> <path value="Reference.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".identifier"/> </mapping> </element> <element id="Procedure.report.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Procedure.report.display"/> <short value="Text alternative for the resource"/> <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Reference.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Procedure.complication"> <path value="Procedure.complication"/> <short value="Complication following the procedure"/> <definition value="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 value="If complications are only expressed by the narrative text, they can be captured using the CodeableConcept.text."/> <min value="0"/> <max value="*"/> <base> <path value="Procedure.complication"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ProcedureComplication"/> </extension> <strength value="example"/> <description value="Codes describing complications that resulted from a procedure."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/condition-code|3.0.2"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code="complication", moodCode=EVN].value"/> </mapping> </element> <element id="Procedure.complicationDetail"> <path value="Procedure.complicationDetail"/> <short value="A condition that is a result of the procedure"/> <definition value="Any complications that occurred during the procedure, or in the immediate post-performance period."/> <requirements value="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 value="0"/> <max value="*"/> <base> <path value="Procedure.complicationDetail"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> </type> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code="complication", moodCode=EVN].value"/> </mapping> </element> <element id="Procedure.followUp"> <path value="Procedure.followUp"/> <short value="Instructions for follow up"/> <definition value="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 value="0"/> <max value="*"/> <base> <path value="Procedure.followUp"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ProcedureFollowUp"/> </extension> <strength value="example"/> <description value="Specific follow up required for a procedure e.g. removal of sutures."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/procedure-followup|3.0.2"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=ACT, moodCode=INT].code"/> </mapping> </element> <element id="Procedure.note"> <path value="Procedure.note"/> <short value="Additional information about the procedure"/> <definition value="Any other notes about the procedure. E.g. the operative notes."/> <min value="0"/> <max value="*"/> <base> <path value="Procedure.note"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Annotation"/> </type> <mapping> <identity value="v2"/> <map value="NTE"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value"/> </mapping> </element> <element id="Procedure.focalDevice"> <path value="Procedure.focalDevice"/> <short value="Device changed in procedure"/> <definition value="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 value="0"/> <max value="*"/> <base> <path value="Procedure.focalDevice"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="rim"/> <map value=".participation[typeCode=DEV].role[classCode=MANU]"/> </mapping> </element> <element id="Procedure.focalDevice.id"> <path value="Procedure.focalDevice.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Procedure.focalDevice.extension"> <path value="Procedure.focalDevice.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order 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."/> <comment value="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 value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Procedure.focalDevice.modifierExtension"> <path value="Procedure.focalDevice.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="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 that contains it. Usually modifier elements provide negation or qualification. In order 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."/> <comment value="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 value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Procedure.focalDevice.action"> <path value="Procedure.focalDevice.action"/> <short value="Kind of change to device"/> <definition value="The kind of change that happened to the device during the procedure."/> <min value="0"/> <max value="1"/> <base> <path value="Procedure.focalDevice.action"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="DeviceActionKind"/> </extension> <strength value="preferred"/> <description value="A kind of change that happened to the device during the procedure."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/device-action|3.0.2"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="procedure device action"].value=:procedure device action codes"/> </mapping> </element> <element id="Procedure.focalDevice.manipulated"> <path value="Procedure.focalDevice.manipulated"/> <short value="Device that was changed"/> <definition value="The device that was manipulated (changed) during the procedure."/> <min value="1"/> <max value="1"/> <base> <path value="Procedure.focalDevice.manipulated"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> </type> <mapping> <identity value="rim"/> <map value=".participation[typeCode=DEV].role[classCode=SDLOC]"/> </mapping> </element> <element id="Procedure.usedReference"> <path value="Procedure.usedReference"/> <short value="Items used during procedure"/> <definition value="Identifies medications, devices and any other substance used as part of the procedure."/> <comment value="For devices actually implanted or removed, use Procedure.device."/> <requirements value="Used for tracking contamination, etc."/> <min value="0"/> <max value="*"/> <base> <path value="Procedure.usedReference"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance"/> </type> <mapping> <identity value="rim"/> <map value=".participation[typeCode=DEV].role[classCode=MANU] or .participation[typeCode=CSM].role[classCode=ADMM] (for Medication or Substance)"/> </mapping> </element> <element id="Procedure.usedCode"> <path value="Procedure.usedCode"/> <short value="Coded items used during the procedure"/> <definition value="Identifies coded items that were used as part of the procedure."/> <comment value="For devices actually implanted or removed, use Procedure.device."/> <min value="0"/> <max value="*"/> <base> <path value="Procedure.usedCode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="ProcedureUsed"/> </extension> <strength value="example"/> <description value="Codes describing items used during a procedure"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/device-kind|3.0.2"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value="participation[typeCode=Dev].role[classCode=MANU]"/> </mapping> </element> </snapshot> <differential> <element id="Procedure"> <path value="Procedure"/> </element> <element id="Procedure.extension"> <path value="Procedure.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <max value="*"/> </element> <element id="Procedure.extension:instantiatesCanonical"> <path value="Procedure.extension"/> <sliceName value="instantiatesCanonical"/> <short value="R4: Instantiates FHIR protocol or definition (new)"/> <definition value="R4: `Procedure.instantiatesCanonical` (new:canonical(PlanDefinition,ActivityDefinition,Measure,OperationDefinition,Questionnaire))"/> <comment value="Element `Procedure.instantiatesCanonical` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.instantiatesCanonical` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-Procedure.instantiatesCanonical|0.1.0"/> </type> </element> <element id="Procedure.extension:instantiatesUri"> <path value="Procedure.extension"/> <sliceName value="instantiatesUri"/> <short value="R4: Instantiates external protocol or definition (new)"/> <definition value="R4: `Procedure.instantiatesUri` (new:uri)"/> <comment value="Element `Procedure.instantiatesUri` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.instantiatesUri` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier."/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-Procedure.instantiatesUri|0.1.0"/> </type> </element> <element id="Procedure.extension:performed"> <path value="Procedure.extension"/> <sliceName value="performed"/> <short value="R4: When the procedure was performed additional types"/> <definition value="R4: `Procedure.performed[x]` additional types (string, Age, Range)"/> <comment value="Element `Procedure.performed[x]` is mapped to FHIR STU3 element `Procedure.performed[x]` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.performed[x]` do not cover the following types: Age, Range, string. The target context `Procedure.performed[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Procedure`. 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 value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-Procedure.performed|0.1.0"/> </type> </element> <element id="Procedure.extension:recorder"> <path value="Procedure.extension"/> <sliceName value="recorder"/> <short value="R4: Who recorded the procedure (new)"/> <definition value="R4: `Procedure.recorder` (new:Reference(Patient,RelatedPerson,Practitioner,PractitionerRole))"/> <comment value="Element `Procedure.recorder` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.recorder` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-Procedure.recorder|0.1.0"/> </type> </element> <element id="Procedure.extension:asserter"> <path value="Procedure.extension"/> <sliceName value="asserter"/> <short value="R4: Person who asserts this procedure (new)"/> <definition value="R4: `Procedure.asserter` (new:Reference(Patient,RelatedPerson,Practitioner,PractitionerRole))"/> <comment value="Element `Procedure.asserter` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.asserter` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element)."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-Procedure.asserter|0.1.0"/> </type> </element> <element id="Procedure.modifierExtension"> <path value="Procedure.modifierExtension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <max value="*"/> </element> <element id="Procedure.modifierExtension:status"> <path value="Procedure.modifierExtension"/> <sliceName value="status"/> <short value="R4: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown additional codes"/> <definition value="R4: `Procedure.status` additional codes"/> <comment value="Element `Procedure.status` is mapped to FHIR STU3 element `Procedure.status` as `RelatedTo`. Element `Procedure.status` is mapped to FHIR STU3 element `Procedure.notDone` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.status` do not allow expression of the necessary codes, per the bindings on the source and target. 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 value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-Procedure.status|0.1.0"/> </type> </element> <element id="Procedure.basedOn.extension"> <path value="Procedure.basedOn.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <max value="*"/> </element> <element id="Procedure.basedOn.extension:basedOn"> <path value="Procedure.basedOn.extension"/> <sliceName value="basedOn"/> <short value="R4: basedOn additional types"/> <definition value="R4: `Procedure.basedOn` additional types from child elements (display, identifier, reference, type)"/> <comment value="Element `Procedure.basedOn` is mapped to FHIR STU3 element `Procedure.basedOn` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.basedOn` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `Procedure.basedOn` with unmapped reference targets: ServiceRequest."/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> <element id="Procedure.performer.actor.extension"> <path value="Procedure.performer.actor.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <max value="*"/> </element> <element id="Procedure.performer.actor.extension:actor"> <path value="Procedure.performer.actor.extension"/> <sliceName value="actor"/> <short value="R4: actor"/> <definition value="R4: `Procedure.performer.actor`"/> <comment value="Element `Procedure.performer.actor` is mapped to FHIR STU3 element `Procedure.performer.actor` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `Procedure.performer.actor` with unmapped reference targets: PractitionerRole."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> <element id="Procedure.reasonReference.extension"> <path value="Procedure.reasonReference.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <max value="*"/> </element> <element id="Procedure.reasonReference.extension:reasonReference"> <path value="Procedure.reasonReference.extension"/> <sliceName value="reasonReference"/> <short value="R4: The justification that the procedure was performed"/> <definition value="R4: `Procedure.reasonReference`"/> <comment value="Element `Procedure.reasonReference` is mapped to FHIR STU3 element `Procedure.reasonReference` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `Procedure.reasonReference` with unmapped reference targets: DiagnosticReport, DocumentReference, Procedure. It is possible for a procedure to be a reason (such as C-Section) for another procedure (such as an epidural). Other examples include endoscopy for dilatation and biopsy (a combination of diagnostic and therapeutic use). 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 value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> <element id="Procedure.report.extension"> <path value="Procedure.report.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <max value="*"/> </element> <element id="Procedure.report.extension:report"> <path value="Procedure.report.extension"/> <sliceName value="report"/> <short value="R4: report"/> <definition value="R4: `Procedure.report`"/> <comment value="Element `Procedure.report` is mapped to FHIR STU3 element `Procedure.report` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `Procedure.report` with unmapped reference targets: Composition, DocumentReference. 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 value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> </differential> </StructureDefinition>

Generated Narrative: StructureDefinition profile-Procedure

Name	Card.	Type	Description & Constraints
Procedure	0..*	Procedure	An action that is being or was performed on a patient
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:instantiatesCanonical	0..*	uri	R4: Instantiates FHIR protocol or definition (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Procedure.instantiatesCanonical
extension:instantiatesUri	0..*	uri	R4: Instantiates external protocol or definition (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Procedure.instantiatesUri
extension:performed	0..1	string, Age, Range	R4: When the procedure was performed additional types URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Procedure.performed
extension:recorder	0..1	Reference(Cross-version Profile for R4.Patient for use in FHIR STU3(0.1.0) \| Patient \| Cross-version Profile for R4.RelatedPerson for use in FHIR STU3(0.1.0) \| RelatedPerson \| Cross-version Profile for R4.Practitioner for use in FHIR STU3(0.1.0) \| Practitioner \| Cross-version Profile for R4.PractitionerRole for use in FHIR STU3(0.1.0) \| PractitionerRole)	R4: Who recorded the procedure (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Procedure.recorder
extension:asserter	0..1	Reference(Cross-version Profile for R4.Patient for use in FHIR STU3(0.1.0) \| Patient \| Cross-version Profile for R4.RelatedPerson for use in FHIR STU3(0.1.0) \| RelatedPerson \| Cross-version Profile for R4.Practitioner for use in FHIR STU3(0.1.0) \| Practitioner \| Cross-version Profile for R4.PractitionerRole for use in FHIR STU3(0.1.0) \| PractitionerRole)	R4: Person who asserts this procedure (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Procedure.asserter
Slices for modifierExtension	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:status	0..1	code	R4: preparation \| in-progress \| not-done \| on-hold \| stopped \| completed \| entered-in-error \| unknown additional codes URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Procedure.status Binding: R4EventStatusForR3 (0.1.0) (required): A code specifying the state of the procedure.
basedOn
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:basedOn	0..*	?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]	R4: basedOn additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
performer
actor
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:actor	0..1	?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]	R4: actor URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
reasonReference
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:reasonReference	0..*	?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]	R4: The justification that the procedure was performed URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
report
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:report	0..*	?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]	R4: report URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
Documentation for this format