This page is part of the Womens Health Technology Coordinated Registry Network FHIR IG (v0.2.0: STU 1 Ballot 2) based on FHIR R4. . For a full list of available versions, see the Directory of published versions 
StructureDefinition-procedure-crn
Defines constraints on Procedure Resource for WHT CRN project.
Scope and Usage
The profile is to be used for the WHT CRN project to capture the specific procedure information performed on the patient.
Mandatory Data Elements and Terminology
The following data-elements are mandatory (i.e data MUST be present).
must have:
- patient
Additional Profile specific implementation guidance:
None.
Formal Views of Profile Content
Description of Profiles, Differentials, and Snapshots.
The official URL for this profile is:
http://hl7.org/fhir/us/womens-health-registries/StructureDefinition/procedure-crn
Published on Sun Mar 24 00:00:00 AEDT 2019 as a active by BRR.
This profile builds on US Core Procedure Profile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Procedure | 0..* | Procedure_CRN | ||
  partOf | S | 0..* | Reference(Procedure) | |
 status | S | 1..1 | code | |
 category | S | 0..1 | CodeableConcept | |
| code | S | 0..1 | CodeableConcept | |
| subject | S | 1..1 | Reference(Patient) | |
| encounter | S | 0..1 | Reference(Encounter) | |
| performedDateTime | S | 0..1 | dateTime | |
| performer | S | 0..* | BackboneElement | |
  actor | S | 1..1 | Reference(Practitioner) | |
| reasonCode | S | 0..* | CodeableConcept | |
| reasonReference | S | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | |
| bodySite | S | 0..* | CodeableConcept | |
| focalDevice | S | 0..* | BackboneElement | |
| usedReference | S | 0..* | Reference(Device) | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure | I | 0..* | Procedure_CRN | |
| 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) Max Binding: AllLanguages | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
 contained | 0..* | Resource | Contained, inline Resources | |
 extension | 0..* | Extension | Additional content defined by implementations | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..* | Identifier | External Identifiers for this procedure |
| instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition |
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition |
| basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure |
| partOf | SΣ | 0..* | Reference(Procedure) | Part of referenced event |
| status | ?!SΣ | 1..1 | code | preparation | in-progress | not-done | suspended | aborted | completed | entered-in-error | unknown Binding: EventStatus (required) |
| statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example) |
| category | SΣ | 0..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example) |
| code | SΣ | 0..1 | CodeableConcept | SNOMED-CT | ICD-10 | CPT-4 Binding: US Core Procedure Codes (extensible) Max Binding: US Core Procedure Codes |
| subject | SΣ | 1..1 | Reference(Patient) | Who the procedure was performed on |
| encounter | SΣ | 0..1 | Reference(Encounter) | Encounter created as part of |
| performedDateTime | SΣ | 0..1 | dateTime | When the procedure was performed |
| 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 | SΣI | 0..* | BackboneElement | The people who performed the procedure |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example) |
| actor | SΣ | 1..1 | Reference(Practitioner) | The reference to the practitioner |
| onBehalfOf | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |
| location | Σ | 0..1 | Reference(Location) | Where the procedure happened |
| reasonCode | SΣ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example) |
| reasonReference | SΣ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed |
| bodySite | SΣ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example) |
| outcome | Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example) |
| report | 0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |
| complication | 0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example) | |
| complicationDetail | 0..* | Reference(Condition) | A condition that is a result of the procedure | |
| followUp | 0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example) | |
| note | 0..* | Annotation | Additional information about the procedure | |
| focalDevice | SI | 0..* | BackboneElement | Manipulated, implanted, or removed device |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| action | 0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred) | |
| manipulated | 1..1 | Reference(Device) | Device that was changed | |
| usedReference | S | 0..* | Reference(Device) | Items used during procedure |
| usedCode | 0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example) | |
| Documentation for this format | ||||
Differential View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure | 0..* | Procedure_CRN | ||
| partOf | S | 0..* | Reference(Procedure) | |
| status | S | 1..1 | code | |
| category | S | 0..1 | CodeableConcept | |
| code | S | 0..1 | CodeableConcept | |
| subject | S | 1..1 | Reference(Patient) | |
| encounter | S | 0..1 | Reference(Encounter) | |
| performedDateTime | S | 0..1 | dateTime | |
| performer | S | 0..* | BackboneElement | |
| actor | S | 1..1 | Reference(Practitioner) | |
| reasonCode | S | 0..* | CodeableConcept | |
| reasonReference | S | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | |
| bodySite | S | 0..* | CodeableConcept | |
| focalDevice | S | 0..* | BackboneElement | |
| usedReference | S | 0..* | Reference(Device) | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure | I | 0..* | Procedure_CRN | |
| 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) Max Binding: AllLanguages | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..* | Identifier | External Identifiers for this procedure |
| instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition |
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition |
| basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure |
| partOf | SΣ | 0..* | Reference(Procedure) | Part of referenced event |
| status | ?!SΣ | 1..1 | code | preparation | in-progress | not-done | suspended | aborted | completed | entered-in-error | unknown Binding: EventStatus (required) |
| statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example) |
| category | SΣ | 0..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example) |
| code | SΣ | 0..1 | CodeableConcept | SNOMED-CT | ICD-10 | CPT-4 Binding: US Core Procedure Codes (extensible) Max Binding: US Core Procedure Codes |
| subject | SΣ | 1..1 | Reference(Patient) | Who the procedure was performed on |
| encounter | SΣ | 0..1 | Reference(Encounter) | Encounter created as part of |
| performedDateTime | SΣ | 0..1 | dateTime | When the procedure was performed |
| 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 | SΣI | 0..* | BackboneElement | The people who performed the procedure |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example) |
| actor | SΣ | 1..1 | Reference(Practitioner) | The reference to the practitioner |
| onBehalfOf | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |
| location | Σ | 0..1 | Reference(Location) | Where the procedure happened |
| reasonCode | SΣ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example) |
| reasonReference | SΣ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed |
| bodySite | SΣ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example) |
| outcome | Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example) |
| report | 0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |
| complication | 0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example) | |
| complicationDetail | 0..* | Reference(Condition) | A condition that is a result of the procedure | |
| followUp | 0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example) | |
| note | 0..* | Annotation | Additional information about the procedure | |
| focalDevice | SI | 0..* | BackboneElement | Manipulated, implanted, or removed device |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| action | 0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred) | |
| manipulated | 1..1 | Reference(Device) | Device that was changed | |
| usedReference | S | 0..* | Reference(Device) | Items used during procedure |
| usedCode | 0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example) | |
| Documentation for this format | ||||
Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron
Quick Start
Below is an overview of the required set of RESTful FHIR interactions - for example, search and read operations - for this profile. See the Conformance requirements for a complete list of supported RESTful interactions for this IG.
Search Requirements
There are no specific search requirements by the WHT CRN IG beyond what is required by the base resource.
