Extensions for Using Data Elements from FHIR R5 in FHIR R4
0.1.0 - STU
Extensions for Using Data Elements from FHIR R5 in FHIR R4
0.1.0 - STU
Extensions for Using Data Elements from FHIR R5 in FHIR R4 - Downloaded Version null See the Directory of published versions
| Official URL: http://hl7.org/fhir/5.0/StructureDefinition/profile-Procedure | Version: 0.1.0 | |||
| Standards status: Trial-use | Maturity Level: 0 | Computable Name: Profile_R5_Procedure_R4 | ||
This cross-version profile allows R5 Procedure content to be represented via FHIR R4 Procedure resources.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | Procedure.implicitRules, Procedure.extension, Procedure.extension:focus, Procedure.extension:occurrence, Procedure.extension:recorded, Procedure.extension:reported, Procedure.extension:reason, Procedure.extension:used, Procedure.extension:supportingInfo, Procedure.modifierExtension, Procedure.status, Procedure.subject, Procedure.subject.extension, Procedure.subject.extension:subject | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Procedure.extension, Procedure.extension:focus, Procedure.extension:occurrence, Procedure.extension:recorded, Procedure.extension:reported, Procedure.extension:reason, Procedure.extension:used, Procedure.extension:supportingInfo, Procedure.modifierExtension, Procedure.subject.extension, Procedure.subject.extension:subject | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Procedure
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||
|---|---|---|---|---|---|---|---|---|
  Procedure |
0..* | Procedure(4.0.1) | An action that is being or was performed on a patient | |||||
  id |
Σ | 0..1 | id | Logical id of this artifact | ||||
 meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages  (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
   extension:focus |
0..1 | Reference(Cross-version Profile for R5.Patient for use in FHIR R4(0.1.0) | Patient | Cross-version Profile for R5.Group for use in FHIR R4(0.1.0) | Group | Cross-version Profile for R5.RelatedPerson for use in FHIR R4(0.1.0) | RelatedPerson | Cross-version Profile for R5.Practitioner for use in FHIR R4(0.1.0) | Practitioner | Cross-version Profile for R5.Organization for use in FHIR R4(0.1.0) | Organization | Cross-version Profile for R5.CareTeam for use in FHIR R4(0.1.0) | CareTeam | Cross-version Profile for R5.PractitionerRole for use in FHIR R4(0.1.0) | PractitionerRole | Cross-version Profile for R5.Specimen for use in FHIR R4(0.1.0) | Specimen) | R5: Who is the target of the procedure when it is not the subject of record only (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.focus Constraints: ext-1 | |||||
| extension:occurrence |
0..1 | Timing | R5: When the procedure occurred or is occurring additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.occurrence Constraints: ext-1 | |||||
| extension:recorded |
0..1 | dateTime | R5: When the procedure was first captured in the subject's record (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded Constraints: ext-1 | |||||
| extension:reported |
0..1 | boolean, Reference(Cross-version Profile for R5.Patient for use in FHIR R4(0.1.0) | Patient | Cross-version Profile for R5.RelatedPerson for use in FHIR R4(0.1.0) | RelatedPerson | Cross-version Profile for R5.Practitioner for use in FHIR R4(0.1.0) | Practitioner | Cross-version Profile for R5.PractitionerRole for use in FHIR R4(0.1.0) | PractitionerRole | Cross-version Profile for R5.Organization for use in FHIR R4(0.1.0) | Organization) | R5: Reported rather than primary record (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.reported Constraints: ext-1 | |||||
| extension:reason |
0..* | (Complex) | R5: The justification that the procedure was performed additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.reason Constraints: ext-1 | |||||
| extension:used |
0..* | (Complex) | R5: Items used during procedure additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.used Constraints: ext-1 | |||||
 extension:supportingInfo |
0..* | Reference(Cross-version Profile for R5.Resource for use in FHIR R4(0.1.0) | Resource) | R5: Extra information relevant to the procedure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.supportingInfo Constraints: ext-1 | |||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
| identifier |
Σ | 0..* | Identifier | External Identifiers for this procedure | ||||
| instantiatesCanonical |
Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
 basedOn |
Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | ||||
| partOf |
Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | ||||
| status |
?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure. | ||||
| statusReason |
Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | ||||
| category |
Σ | 0..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. | ||||
| code |
Σ | 0..1 | CodeableConcept | Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . | ||||
| subject |
Σ | 1..1 | Reference(Patient | Group) | Who the procedure was performed on | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:subject |
0..1 | Reference(Resource) | R5: Individual or entity the procedure was performed on URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
 display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
 performed[x] |
Σ | 0..1 | When the procedure was performed | |||||
| performedDateTime |
dateTime | |||||||
| performedPeriod |
Period | |||||||
| performedString |
string | |||||||
| performedAge |
Age | |||||||
| performedRange |
Range | |||||||
| recorder |
Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure | ||||
| asserter |
Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure | ||||
| performer |
Σ | 0..* | BackboneElement | The people who performed the procedure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:period |
0..1 | Period | R5: When the performer performed the procedure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.performer.period Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| function |
Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
| actor |
Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:actor |
0..1 | Reference(Resource) | R5: Who performed the procedure URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| onBehalfOf |
0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||
| location |
Σ | 0..1 | Reference(Location) | Where the procedure happened | ||||
| reasonCode |
Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
| reasonReference |
Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed | ||||
| bodySite |
Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
| outcome |
Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. | ||||
| report |
0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:report |
0..1 | Reference(Resource) | R5: report URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| complication |
0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||
| complicationDetail |
0..* | Reference(Condition) | A condition that is a result of the procedure | |||||
| followUp |
0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||
| note |
0..* | Annotation | Additional information about the procedure | |||||
| focalDevice |
0..* | BackboneElement | Manipulated, implanted, or removed device | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| action |
0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure. | |||||
| manipulated |
1..1 | Reference(Device) | Device that was changed | |||||
| usedReference |
0..* | Reference(Device | Medication | Substance) | Items used during procedure | |||||
| usedCode |
0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |||||
| Documentation for this format | ||||||||
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | Procedure.meta, Procedure.implicitRules, Procedure.language, Procedure.text, Procedure.extension, Procedure.extension:focus, Procedure.extension:occurrence, Procedure.extension:recorded, Procedure.extension:reported, Procedure.extension:reason, Procedure.extension:used, Procedure.extension:supportingInfo, Procedure.modifierExtension, Procedure.identifier, Procedure.instantiatesCanonical, Procedure.instantiatesUri, Procedure.basedOn, Procedure.partOf, Procedure.status, Procedure.statusReason, Procedure.category, Procedure.code, Procedure.subject, Procedure.subject.extension, Procedure.subject.extension:subject, Procedure.subject.reference, Procedure.subject.type, Procedure.subject.identifier, Procedure.subject.display, Procedure.encounter, Procedure.performed[x], Procedure.recorder, Procedure.asserter, Procedure.performer, Procedure.performer.extension, Procedure.performer.extension:period, Procedure.performer.modifierExtension, Procedure.performer.function, Procedure.performer.actor, Procedure.performer.actor.extension, Procedure.performer.actor.extension:actor, Procedure.performer.actor.reference, Procedure.performer.actor.type, Procedure.performer.actor.identifier, Procedure.performer.actor.display, Procedure.performer.onBehalfOf, Procedure.location, Procedure.reasonCode, Procedure.reasonReference, Procedure.bodySite, Procedure.outcome, Procedure.report, Procedure.report.extension, Procedure.report.extension:report, Procedure.report.reference, Procedure.report.type, Procedure.report.identifier, Procedure.report.display, Procedure.complication, Procedure.complicationDetail, Procedure.followUp, Procedure.note, Procedure.focalDevice, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension, Procedure.focalDevice.action, Procedure.focalDevice.manipulated, Procedure.usedReference, Procedure.usedCode | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Procedure.extension, Procedure.extension:focus, Procedure.extension:occurrence, Procedure.extension:recorded, Procedure.extension:reported, Procedure.extension:reason, Procedure.extension:used, Procedure.extension:supportingInfo, Procedure.modifierExtension, Procedure.subject.extension, Procedure.subject.extension:subject, Procedure.performer.extension, Procedure.performer.extension:period, Procedure.performer.modifierExtension, Procedure.performer.actor.extension, Procedure.performer.actor.extension:actor, Procedure.report.extension, Procedure.report.extension:report, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Procedure
Summary
Extensions
This structure refers to these extensions:
Maturity: 0
Key Elements View
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | Procedure.implicitRules, Procedure.extension, Procedure.extension:focus, Procedure.extension:occurrence, Procedure.extension:recorded, Procedure.extension:reported, Procedure.extension:reason, Procedure.extension:used, Procedure.extension:supportingInfo, Procedure.modifierExtension, Procedure.status, Procedure.subject, Procedure.subject.extension, Procedure.subject.extension:subject | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Procedure.extension, Procedure.extension:focus, Procedure.extension:occurrence, Procedure.extension:recorded, Procedure.extension:reported, Procedure.extension:reason, Procedure.extension:used, Procedure.extension:supportingInfo, Procedure.modifierExtension, Procedure.subject.extension, Procedure.subject.extension:subject | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from Procedure
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure |
0..* | Procedure(4.0.1) | An action that is being or was performed on a patient | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:focus |
0..1 | Reference(Cross-version Profile for R5.Patient for use in FHIR R4(0.1.0) | Patient | Cross-version Profile for R5.Group for use in FHIR R4(0.1.0) | Group | Cross-version Profile for R5.RelatedPerson for use in FHIR R4(0.1.0) | RelatedPerson | Cross-version Profile for R5.Practitioner for use in FHIR R4(0.1.0) | Practitioner | Cross-version Profile for R5.Organization for use in FHIR R4(0.1.0) | Organization | Cross-version Profile for R5.CareTeam for use in FHIR R4(0.1.0) | CareTeam | Cross-version Profile for R5.PractitionerRole for use in FHIR R4(0.1.0) | PractitionerRole | Cross-version Profile for R5.Specimen for use in FHIR R4(0.1.0) | Specimen) | R5: Who is the target of the procedure when it is not the subject of record only (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.focus Constraints: ext-1 | |||||
| extension:occurrence |
0..1 | Timing | R5: When the procedure occurred or is occurring additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.occurrence Constraints: ext-1 | |||||
| extension:recorded |
0..1 | dateTime | R5: When the procedure was first captured in the subject's record (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded Constraints: ext-1 | |||||
| extension:reported |
0..1 | boolean, Reference(Cross-version Profile for R5.Patient for use in FHIR R4(0.1.0) | Patient | Cross-version Profile for R5.RelatedPerson for use in FHIR R4(0.1.0) | RelatedPerson | Cross-version Profile for R5.Practitioner for use in FHIR R4(0.1.0) | Practitioner | Cross-version Profile for R5.PractitionerRole for use in FHIR R4(0.1.0) | PractitionerRole | Cross-version Profile for R5.Organization for use in FHIR R4(0.1.0) | Organization) | R5: Reported rather than primary record (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.reported Constraints: ext-1 | |||||
| extension:reason |
0..* | (Complex) | R5: The justification that the procedure was performed additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.reason Constraints: ext-1 | |||||
| extension:used |
0..* | (Complex) | R5: Items used during procedure additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.used Constraints: ext-1 | |||||
| extension:supportingInfo |
0..* | Reference(Cross-version Profile for R5.Resource for use in FHIR R4(0.1.0) | Resource) | R5: Extra information relevant to the procedure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.supportingInfo Constraints: ext-1 | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
| identifier |
Σ | 0..* | Identifier | External Identifiers for this procedure | ||||
| instantiatesCanonical |
Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn |
Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | ||||
| partOf |
Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | ||||
| status |
?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure. | ||||
| statusReason |
Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | ||||
| category |
Σ | 0..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. | ||||
| code |
Σ | 0..1 | CodeableConcept | Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . | ||||
| subject |
Σ | 1..1 | Reference(Patient | Group) | Who the procedure was performed on | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:subject |
0..1 | Reference(Resource) | R5: Individual or entity the procedure was performed on URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
| performed[x] |
Σ | 0..1 | When the procedure was performed | |||||
| performedDateTime |
dateTime | |||||||
| performedPeriod |
Period | |||||||
| performedString |
string | |||||||
| performedAge |
Age | |||||||
| performedRange |
Range | |||||||
| recorder |
Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure | ||||
| asserter |
Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure | ||||
| performer |
Σ | 0..* | BackboneElement | The people who performed the procedure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:period |
0..1 | Period | R5: When the performer performed the procedure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.performer.period Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| function |
Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
| actor |
Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:actor |
0..1 | Reference(Resource) | R5: Who performed the procedure URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| onBehalfOf |
0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||
| location |
Σ | 0..1 | Reference(Location) | Where the procedure happened | ||||
| reasonCode |
Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
| reasonReference |
Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed | ||||
| bodySite |
Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
| outcome |
Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. | ||||
| report |
0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:report |
0..1 | Reference(Resource) | R5: report URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| complication |
0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||
| complicationDetail |
0..* | Reference(Condition) | A condition that is a result of the procedure | |||||
| followUp |
0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||
| note |
0..* | Annotation | Additional information about the procedure | |||||
| focalDevice |
0..* | BackboneElement | Manipulated, implanted, or removed device | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| action |
0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure. | |||||
| manipulated |
1..1 | Reference(Device) | Device that was changed | |||||
| usedReference |
0..* | Reference(Device | Medication | Substance) | Items used during procedure | |||||
| usedCode |
0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |||||
| Documentation for this format | ||||||||
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Procedure | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | Procedure.meta, Procedure.implicitRules, Procedure.language, Procedure.text, Procedure.extension, Procedure.extension:focus, Procedure.extension:occurrence, Procedure.extension:recorded, Procedure.extension:reported, Procedure.extension:reason, Procedure.extension:used, Procedure.extension:supportingInfo, Procedure.modifierExtension, Procedure.identifier, Procedure.instantiatesCanonical, Procedure.instantiatesUri, Procedure.basedOn, Procedure.partOf, Procedure.status, Procedure.statusReason, Procedure.category, Procedure.code, Procedure.subject, Procedure.subject.extension, Procedure.subject.extension:subject, Procedure.subject.reference, Procedure.subject.type, Procedure.subject.identifier, Procedure.subject.display, Procedure.encounter, Procedure.performed[x], Procedure.recorder, Procedure.asserter, Procedure.performer, Procedure.performer.extension, Procedure.performer.extension:period, Procedure.performer.modifierExtension, Procedure.performer.function, Procedure.performer.actor, Procedure.performer.actor.extension, Procedure.performer.actor.extension:actor, Procedure.performer.actor.reference, Procedure.performer.actor.type, Procedure.performer.actor.identifier, Procedure.performer.actor.display, Procedure.performer.onBehalfOf, Procedure.location, Procedure.reasonCode, Procedure.reasonReference, Procedure.bodySite, Procedure.outcome, Procedure.report, Procedure.report.extension, Procedure.report.extension:report, Procedure.report.reference, Procedure.report.type, Procedure.report.identifier, Procedure.report.display, Procedure.complication, Procedure.complicationDetail, Procedure.followUp, Procedure.note, Procedure.focalDevice, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension, Procedure.focalDevice.action, Procedure.focalDevice.manipulated, Procedure.usedReference, Procedure.usedCode | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Procedure.extension, Procedure.extension:focus, Procedure.extension:occurrence, Procedure.extension:recorded, Procedure.extension:reported, Procedure.extension:reason, Procedure.extension:used, Procedure.extension:supportingInfo, Procedure.modifierExtension, Procedure.subject.extension, Procedure.subject.extension:subject, Procedure.performer.extension, Procedure.performer.extension:period, Procedure.performer.modifierExtension, Procedure.performer.actor.extension, Procedure.performer.actor.extension:actor, Procedure.report.extension, Procedure.report.extension:report, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Procedure
Summary
Extensions
This structure refers to these extensions:
Maturity: 0
Other representations of profile: CSV, Excel, Schematron
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r5.r4#0.1.0 based on FHIR 4.0.1. Generated 2026-03-20
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