Standard Health Record FHIR Implementation Guide

SHR SurgicalProcedurePerformed Profile

 

The official URL for this profile is:

http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-SurgicalProcedurePerformed

This profile builds on US Core Procedure Profile.

This profile was published on Wed Dec 20 00:00:00 EST 2017 as a draft by The MITRE Corporation: Standard Health Record Collaborative.

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

Summary

Mandatory: 0 element (3 nested mandatory elements)

Extensions

This structure refers to these extensions:

SHR Mapping Source

This structure represents the following SHR mapping definition:

shr.procedure.SurgicalProcedurePerformed maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure:
  DirectSite maps to http://hl7.org/fhir/StructureDefinition/procedure-targetBodySite
  IndirectSite maps to http://hl7.org/fhir/StructureDefinition/procedure-approachBodySite
  SurgicalApproach maps to http://hl7.org/fhir/StructureDefinition/procedure-approachBodySite

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure SHR SurgicalProcedurePerformed Profile
... procedure-approachBodySite 0..*Reference(BodySite)The access point or points used for this procedure
URL: http://hl7.org/fhir/StructureDefinition/procedure-approachBodySite
... procedure-targetBodySite 0..*Reference(BodySite)The target point for this procedure
URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodySite
... shr-base-RelatedEncounter-extension 0..1Reference(SHR EncounterPerformed Profile)SHR RelatedEncounter Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-RelatedEncounter-extension
... shr-base-Author-extension 0..1(Complex)SHR Author Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Author-extension
... shr-base-Informant-extension 0..1(Complex)SHR Informant Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Informant-extension
... shr-entity-Type-extension 1..1CodeableConceptSHR Type Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-Type-extension
.... valueCodeableConcept Binding: US Core Procedure Codes (extensible)
... shr-core-Category-extension 0..1CodeableConceptSHR Category Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-Category-extension
... shr-action-PerformedContext-extension 1..1(Complex)SHR PerformedContext Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-action-PerformedContext-extension
... shr-base-Subject-extension 1..1(Complex)SHR Subject Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Subject-extension
... shr-entity-BodySite-extension 0..*Reference(SHR BodySite Profile)SHR BodySite Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-BodySite-extension
... shr-procedure-AssociatedStudy-extension 0..1Reference(SHR Study Profile)SHR AssociatedStudy Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-AssociatedStudy-extension
... shr-entity-PartOf-extension 0..1(Complex)SHR PartOf Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-PartOf-extension
... shr-core-Annotation-extension 0..*SHR Annotation ProfileSHR Annotation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-Annotation-extension
... shr-procedure-DirectSiteCode-extension 0..*CodeableConceptSHR DirectSiteCode Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-DirectSiteCode-extension
... shr-procedure-IndirectSiteCode-extension 0..*CodeableConceptSHR IndirectSiteCode Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-IndirectSiteCode-extension
... shr-procedure-Access-extension 0..*CodeableConceptSHR Access Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-Access-extension
... shr-procedure-UsingDevice-extension 0..*Reference(SHR Device Profile)SHR UsingDevice Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-UsingDevice-extension
... shr-procedure-UsingDeviceCode-extension 0..*CodeableConceptSHR UsingDeviceCode Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-UsingDeviceCode-extension
... shr-procedure-UsingAccessDevice-extension 0..*Reference(SHR Device Profile)SHR UsingAccessDevice Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-UsingAccessDevice-extension
... shr-procedure-UsingAccessDeviceCode-extension 0..*CodeableConceptSHR UsingAccessDeviceCode Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-UsingAccessDeviceCode-extension
... shr-procedure-IndirectDevice-extension 0..*Reference(SHR Device Profile)SHR IndirectDevice Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-IndirectDevice-extension
... shr-procedure-IndirectDeviceCode-extension 0..*CodeableConceptSHR IndirectDeviceCode Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-IndirectDeviceCode-extension

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure I0..*SHR SurgicalProcedurePerformed Profile
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... procedure-approachBodySite 0..*Reference(BodySite)The access point or points used for this procedure
URL: http://hl7.org/fhir/StructureDefinition/procedure-approachBodySite
... procedure-targetBodySite 0..*Reference(BodySite)The target point for this procedure
URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodySite
... shr-base-RelatedEncounter-extension 0..1Reference(SHR EncounterPerformed Profile)SHR RelatedEncounter Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-RelatedEncounter-extension
... shr-base-Author-extension 0..1(Complex)SHR Author Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Author-extension
... shr-base-Informant-extension 0..1(Complex)SHR Informant Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Informant-extension
... shr-entity-Type-extension 1..1CodeableConceptSHR Type Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-Type-extension
.... id 0..1stringxml:id (or equivalent in JSON)
.... url 1..1uri"http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-Type-extension"
.... valueCodeableConcept 1..1CodeableConceptValue of extension
Binding: US Core Procedure Codes (extensible)
... shr-core-Category-extension 0..1CodeableConceptSHR Category Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-Category-extension
... shr-action-PerformedContext-extension 1..1(Complex)SHR PerformedContext Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-action-PerformedContext-extension
... shr-base-Subject-extension 1..1(Complex)SHR Subject Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Subject-extension
.... id 0..1stringxml:id (or equivalent in JSON)
.... shr-entity-Patient-extension 0..1Reference(SHR Patient Profile)SHR Patient Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-Patient-extension
.... shr-entity-Group-extension 0..1Reference(SHR Group Profile)SHR Group Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-Group-extension
.... shr-device-Device-extension 0..1Reference(SHR Device Profile)SHR Device Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-device-Device-extension
.... shr-core-Location-extension 0..1(Complex)SHR Location Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-Location-extension
.... shr-entity-RelatedPerson-extension 0..1Reference(SHR RelatedPerson Profile)SHR RelatedPerson Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-RelatedPerson-extension
.... shr-entity-Organization-extension 0..1Reference(SHR Organization Profile)SHR Organization Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-Organization-extension
.... url 1..1uri"http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Subject-extension"
... shr-entity-BodySite-extension 0..*Reference(SHR BodySite Profile)SHR BodySite Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-BodySite-extension
... shr-procedure-AssociatedStudy-extension 0..1Reference(SHR Study Profile)SHR AssociatedStudy Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-AssociatedStudy-extension
... shr-entity-PartOf-extension 0..1(Complex)SHR PartOf Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-PartOf-extension
.... id 0..1stringxml:id (or equivalent in JSON)
.... shr-base-Content-extension 1..1(Complex)SHR Content Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Content-extension
..... id 0..1stringxml:id (or equivalent in JSON)
..... shr-base-RelatedEncounter-extension 0..1Reference(SHR EncounterPerformed Profile)SHR RelatedEncounter Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-RelatedEncounter-extension
..... shr-base-Author-extension 0..1(Complex)SHR Author Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Author-extension
..... shr-base-Informant-extension 0..1(Complex)SHR Informant Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Informant-extension
..... url 1..1uri"http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Content-extension"
.... url 1..1uri"http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-PartOf-extension"
... shr-core-Annotation-extension 0..*SHR Annotation ProfileSHR Annotation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-Annotation-extension
... shr-procedure-DirectSiteCode-extension 0..*CodeableConceptSHR DirectSiteCode Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-DirectSiteCode-extension
... shr-procedure-IndirectSiteCode-extension 0..*CodeableConceptSHR IndirectSiteCode Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-IndirectSiteCode-extension
... shr-procedure-Access-extension 0..*CodeableConceptSHR Access Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-Access-extension
... shr-procedure-UsingDevice-extension 0..*Reference(SHR Device Profile)SHR UsingDevice Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-UsingDevice-extension
... shr-procedure-UsingDeviceCode-extension 0..*CodeableConceptSHR UsingDeviceCode Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-UsingDeviceCode-extension
... shr-procedure-UsingAccessDevice-extension 0..*Reference(SHR Device Profile)SHR UsingAccessDevice Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-UsingAccessDevice-extension
... shr-procedure-UsingAccessDeviceCode-extension 0..*CodeableConceptSHR UsingAccessDeviceCode Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-UsingAccessDeviceCode-extension
... shr-procedure-IndirectDevice-extension 0..*Reference(SHR Device Profile)SHR IndirectDevice Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-IndirectDevice-extension
... shr-procedure-IndirectDeviceCode-extension 0..*CodeableConceptSHR IndirectDeviceCode Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-IndirectDeviceCode-extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Identifiers for this procedure
... definition Σ0..*Reference(PlanDefinition), Reference(ActivityDefinition), Reference(HealthcareService)Instantiates protocol or definition
... basedOn Σ0..*Reference(CarePlan), Reference(ProcedureRequest), Reference(ReferralRequest)A request for this procedure
... partOf Σ0..*Reference(Procedure), Reference(Observation), Reference(MedicationAdministration)Part of referenced event
... status ?!SΣ1..1codepreparation | in-progress | suspended | aborted | completed | entered-in-error | unknown
Binding: EventStatus (required)
... notDone ?!Σ0..1booleanTrue if procedure was not performed as scheduled
... notDoneReason ΣI0..1CodeableConceptReason procedure was not performed
Binding: Procedure Not Performed Reason (SNOMED-CT) (example)
... category Σ0..1CodeableConceptClassification of the procedure
Binding: Procedure Category Codes (SNOMED CT) (example)
... code SΣ1..1CodeableConceptSNOMED-CT | ICD-10 | CPT-4
Binding: US Core Procedure Codes (extensible)
... subject SΣ1..1Reference(US Core Patient Profile)Who the procedure was performed on
... context Σ0..1Reference(Encounter), Reference(EpisodeOfCare)Encounter or episode associated with the procedure
... performed[x] SΣ1..1dateTime, PeriodDate/Period the procedure was performed
... performer ΣI0..*BackboneElementThe people who performed the procedure
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... role Σ0..1CodeableConceptThe role the actor was in
Binding: Procedure Performer Role Codes (example)
.... actor Σ1..1Reference(Practitioner), Reference(Organization), Reference(Patient), Reference(RelatedPerson), Reference(Device)The reference to the practitioner
.... onBehalfOf 0..1Reference(Organization)Organization the device or practitioner was acting for
... location Σ0..1Reference(Location)Where the procedure happened
... reasonCode Σ0..*CodeableConceptCoded reason procedure performed
Binding: Procedure Reason Codes (example)
... reasonReference Σ0..*Reference(Condition), Reference(Observation)Condition that is the reason the procedure performed
... bodySite Σ0..*CodeableConceptTarget body sites
Binding: SNOMED CT Body Structures (example)
... outcome Σ0..1CodeableConceptThe result of procedure
Binding: Procedure Outcome Codes (SNOMED CT) (example)
... report 0..*Reference(DiagnosticReport)Any report resulting from the procedure
... complication 0..*CodeableConceptComplication following the procedure
Binding: Condition/Problem/Diagnosis Codes (example)
... complicationDetail 0..*Reference(Condition)A condition that is a result of the procedure
... followUp 0..*CodeableConceptInstructions for follow up
Binding: Procedure Follow up Codes (SNOMED CT) (example)
... note 0..*AnnotationAdditional information about the procedure
... focalDevice I0..*BackboneElementDevice changed in procedure
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... action 0..1CodeableConceptKind of change to device
Binding: Procedure Device Action Codes (preferred)
.... manipulated 1..1Reference(Device)Device that was changed
... usedReference 0..*Reference(Device), Reference(Medication), Reference(Substance)Items used during procedure
... usedCode 0..*CodeableConceptCoded items used during the procedure
Binding: FHIR Device Types (example)

doco Documentation for this format

Summary

Mandatory: 0 element (3 nested mandatory elements)

Extensions

This structure refers to these extensions:

SHR Mapping Source

This structure represents the following SHR mapping definition:

shr.procedure.SurgicalProcedurePerformed maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure:
  DirectSite maps to http://hl7.org/fhir/StructureDefinition/procedure-targetBodySite
  IndirectSite maps to http://hl7.org/fhir/StructureDefinition/procedure-approachBodySite
  SurgicalApproach maps to http://hl7.org/fhir/StructureDefinition/procedure-approachBodySite

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure SHR SurgicalProcedurePerformed Profile
... procedure-approachBodySite 0..*Reference(BodySite)The access point or points used for this procedure
URL: http://hl7.org/fhir/StructureDefinition/procedure-approachBodySite
... procedure-targetBodySite 0..*Reference(BodySite)The target point for this procedure
URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodySite
... shr-base-RelatedEncounter-extension 0..1Reference(SHR EncounterPerformed Profile)SHR RelatedEncounter Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-RelatedEncounter-extension
... shr-base-Author-extension 0..1(Complex)SHR Author Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Author-extension
... shr-base-Informant-extension 0..1(Complex)SHR Informant Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Informant-extension
... shr-entity-Type-extension 1..1CodeableConceptSHR Type Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-Type-extension
.... valueCodeableConcept Binding: US Core Procedure Codes (extensible)
... shr-core-Category-extension 0..1CodeableConceptSHR Category Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-Category-extension
... shr-action-PerformedContext-extension 1..1(Complex)SHR PerformedContext Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-action-PerformedContext-extension
... shr-base-Subject-extension 1..1(Complex)SHR Subject Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Subject-extension
... shr-entity-BodySite-extension 0..*Reference(SHR BodySite Profile)SHR BodySite Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-BodySite-extension
... shr-procedure-AssociatedStudy-extension 0..1Reference(SHR Study Profile)SHR AssociatedStudy Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-AssociatedStudy-extension
... shr-entity-PartOf-extension 0..1(Complex)SHR PartOf Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-PartOf-extension
... shr-core-Annotation-extension 0..*SHR Annotation ProfileSHR Annotation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-Annotation-extension
... shr-procedure-DirectSiteCode-extension 0..*CodeableConceptSHR DirectSiteCode Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-DirectSiteCode-extension
... shr-procedure-IndirectSiteCode-extension 0..*CodeableConceptSHR IndirectSiteCode Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-IndirectSiteCode-extension
... shr-procedure-Access-extension 0..*CodeableConceptSHR Access Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-Access-extension
... shr-procedure-UsingDevice-extension 0..*Reference(SHR Device Profile)SHR UsingDevice Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-UsingDevice-extension
... shr-procedure-UsingDeviceCode-extension 0..*CodeableConceptSHR UsingDeviceCode Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-UsingDeviceCode-extension
... shr-procedure-UsingAccessDevice-extension 0..*Reference(SHR Device Profile)SHR UsingAccessDevice Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-UsingAccessDevice-extension
... shr-procedure-UsingAccessDeviceCode-extension 0..*CodeableConceptSHR UsingAccessDeviceCode Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-UsingAccessDeviceCode-extension
... shr-procedure-IndirectDevice-extension 0..*Reference(SHR Device Profile)SHR IndirectDevice Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-IndirectDevice-extension
... shr-procedure-IndirectDeviceCode-extension 0..*CodeableConceptSHR IndirectDeviceCode Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-IndirectDeviceCode-extension

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure I0..*SHR SurgicalProcedurePerformed Profile
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... procedure-approachBodySite 0..*Reference(BodySite)The access point or points used for this procedure
URL: http://hl7.org/fhir/StructureDefinition/procedure-approachBodySite
... procedure-targetBodySite 0..*Reference(BodySite)The target point for this procedure
URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodySite
... shr-base-RelatedEncounter-extension 0..1Reference(SHR EncounterPerformed Profile)SHR RelatedEncounter Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-RelatedEncounter-extension
... shr-base-Author-extension 0..1(Complex)SHR Author Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Author-extension
... shr-base-Informant-extension 0..1(Complex)SHR Informant Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Informant-extension
... shr-entity-Type-extension 1..1CodeableConceptSHR Type Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-Type-extension
.... id 0..1stringxml:id (or equivalent in JSON)
.... url 1..1uri"http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-Type-extension"
.... valueCodeableConcept 1..1CodeableConceptValue of extension
Binding: US Core Procedure Codes (extensible)
... shr-core-Category-extension 0..1CodeableConceptSHR Category Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-Category-extension
... shr-action-PerformedContext-extension 1..1(Complex)SHR PerformedContext Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-action-PerformedContext-extension
... shr-base-Subject-extension 1..1(Complex)SHR Subject Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Subject-extension
.... id 0..1stringxml:id (or equivalent in JSON)
.... shr-entity-Patient-extension 0..1Reference(SHR Patient Profile)SHR Patient Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-Patient-extension
.... shr-entity-Group-extension 0..1Reference(SHR Group Profile)SHR Group Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-Group-extension
.... shr-device-Device-extension 0..1Reference(SHR Device Profile)SHR Device Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-device-Device-extension
.... shr-core-Location-extension 0..1(Complex)SHR Location Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-Location-extension
.... shr-entity-RelatedPerson-extension 0..1Reference(SHR RelatedPerson Profile)SHR RelatedPerson Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-RelatedPerson-extension
.... shr-entity-Organization-extension 0..1Reference(SHR Organization Profile)SHR Organization Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-Organization-extension
.... url 1..1uri"http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Subject-extension"
... shr-entity-BodySite-extension 0..*Reference(SHR BodySite Profile)SHR BodySite Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-BodySite-extension
... shr-procedure-AssociatedStudy-extension 0..1Reference(SHR Study Profile)SHR AssociatedStudy Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-AssociatedStudy-extension
... shr-entity-PartOf-extension 0..1(Complex)SHR PartOf Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-PartOf-extension
.... id 0..1stringxml:id (or equivalent in JSON)
.... shr-base-Content-extension 1..1(Complex)SHR Content Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Content-extension
..... id 0..1stringxml:id (or equivalent in JSON)
..... shr-base-RelatedEncounter-extension 0..1Reference(SHR EncounterPerformed Profile)SHR RelatedEncounter Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-RelatedEncounter-extension
..... shr-base-Author-extension 0..1(Complex)SHR Author Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Author-extension
..... shr-base-Informant-extension 0..1(Complex)SHR Informant Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Informant-extension
..... url 1..1uri"http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Content-extension"
.... url 1..1uri"http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-PartOf-extension"
... shr-core-Annotation-extension 0..*SHR Annotation ProfileSHR Annotation Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-Annotation-extension
... shr-procedure-DirectSiteCode-extension 0..*CodeableConceptSHR DirectSiteCode Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-DirectSiteCode-extension
... shr-procedure-IndirectSiteCode-extension 0..*CodeableConceptSHR IndirectSiteCode Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-IndirectSiteCode-extension
... shr-procedure-Access-extension 0..*CodeableConceptSHR Access Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-Access-extension
... shr-procedure-UsingDevice-extension 0..*Reference(SHR Device Profile)SHR UsingDevice Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-UsingDevice-extension
... shr-procedure-UsingDeviceCode-extension 0..*CodeableConceptSHR UsingDeviceCode Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-UsingDeviceCode-extension
... shr-procedure-UsingAccessDevice-extension 0..*Reference(SHR Device Profile)SHR UsingAccessDevice Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-UsingAccessDevice-extension
... shr-procedure-UsingAccessDeviceCode-extension 0..*CodeableConceptSHR UsingAccessDeviceCode Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-UsingAccessDeviceCode-extension
... shr-procedure-IndirectDevice-extension 0..*Reference(SHR Device Profile)SHR IndirectDevice Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-IndirectDevice-extension
... shr-procedure-IndirectDeviceCode-extension 0..*CodeableConceptSHR IndirectDeviceCode Extension
URL: http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-IndirectDeviceCode-extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Identifiers for this procedure
... definition Σ0..*Reference(PlanDefinition), Reference(ActivityDefinition), Reference(HealthcareService)Instantiates protocol or definition
... basedOn Σ0..*Reference(CarePlan), Reference(ProcedureRequest), Reference(ReferralRequest)A request for this procedure
... partOf Σ0..*Reference(Procedure), Reference(Observation), Reference(MedicationAdministration)Part of referenced event
... status ?!SΣ1..1codepreparation | in-progress | suspended | aborted | completed | entered-in-error | unknown
Binding: EventStatus (required)
... notDone ?!Σ0..1booleanTrue if procedure was not performed as scheduled
... notDoneReason ΣI0..1CodeableConceptReason procedure was not performed
Binding: Procedure Not Performed Reason (SNOMED-CT) (example)
... category Σ0..1CodeableConceptClassification of the procedure
Binding: Procedure Category Codes (SNOMED CT) (example)
... code SΣ1..1CodeableConceptSNOMED-CT | ICD-10 | CPT-4
Binding: US Core Procedure Codes (extensible)
... subject SΣ1..1Reference(US Core Patient Profile)Who the procedure was performed on
... context Σ0..1Reference(Encounter), Reference(EpisodeOfCare)Encounter or episode associated with the procedure
... performed[x] SΣ1..1dateTime, PeriodDate/Period the procedure was performed
... performer ΣI0..*BackboneElementThe people who performed the procedure
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... role Σ0..1CodeableConceptThe role the actor was in
Binding: Procedure Performer Role Codes (example)
.... actor Σ1..1Reference(Practitioner), Reference(Organization), Reference(Patient), Reference(RelatedPerson), Reference(Device)The reference to the practitioner
.... onBehalfOf 0..1Reference(Organization)Organization the device or practitioner was acting for
... location Σ0..1Reference(Location)Where the procedure happened
... reasonCode Σ0..*CodeableConceptCoded reason procedure performed
Binding: Procedure Reason Codes (example)
... reasonReference Σ0..*Reference(Condition), Reference(Observation)Condition that is the reason the procedure performed
... bodySite Σ0..*CodeableConceptTarget body sites
Binding: SNOMED CT Body Structures (example)
... outcome Σ0..1CodeableConceptThe result of procedure
Binding: Procedure Outcome Codes (SNOMED CT) (example)
... report 0..*Reference(DiagnosticReport)Any report resulting from the procedure
... complication 0..*CodeableConceptComplication following the procedure
Binding: Condition/Problem/Diagnosis Codes (example)
... complicationDetail 0..*Reference(Condition)A condition that is a result of the procedure
... followUp 0..*CodeableConceptInstructions for follow up
Binding: Procedure Follow up Codes (SNOMED CT) (example)
... note 0..*AnnotationAdditional information about the procedure
... focalDevice I0..*BackboneElementDevice changed in procedure
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... action 0..1CodeableConceptKind of change to device
Binding: Procedure Device Action Codes (preferred)
.... manipulated 1..1Reference(Device)Device that was changed
... usedReference 0..*Reference(Device), Reference(Medication), Reference(Substance)Items used during procedure
... usedCode 0..*CodeableConceptCoded items used during the procedure
Binding: FHIR Device Types (example)

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON, TTL), Schema: XML Schematron

 

Terminology Bindings

PathNameConformanceValueSet
Procedure.languageCommon LanguagesextensibleCommon Languages
Procedure.extension.valueCodeableConceptUS Core Procedure CodesextensibleUS Core Procedure Codes
Procedure.statusEventStatusrequiredEventStatus
Procedure.notDoneReasonProcedure Not Performed Reason (SNOMED-CT)exampleProcedure Not Performed Reason (SNOMED-CT)
Procedure.categoryProcedure Category Codes (SNOMED CT)exampleProcedure Category Codes (SNOMED CT)
Procedure.codeUS Core Procedure CodesextensibleUS Core Procedure Codes
Procedure.performer.roleProcedure Performer Role CodesexampleProcedure Performer Role Codes
Procedure.reasonCodeProcedure Reason CodesexampleProcedure Reason Codes
Procedure.bodySiteSNOMED CT Body StructuresexampleSNOMED CT Body Structures
Procedure.outcomeProcedure Outcome Codes (SNOMED CT)exampleProcedure Outcome Codes (SNOMED CT)
Procedure.complicationCondition/Problem/Diagnosis CodesexampleCondition/Problem/Diagnosis Codes
Procedure.followUpProcedure Follow up Codes (SNOMED CT)exampleProcedure Follow up Codes (SNOMED CT)
Procedure.focalDevice.actionProcedure Device Action CodespreferredProcedure Device Action Codes
Procedure.usedCodeFHIR Device TypesexampleFHIR Device Types

 

Constraints

IdPathDetailsRequirements
dom-2ProcedureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-1ProcedureIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-4ProcedureIf 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-3ProcedureIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
pro-1ProcedureReason not done is only permitted if notDone indicator is true
: notDoneReason.empty() or notDone = true
ele-1Procedure.performerAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ele-1Procedure.focalDeviceAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())