PLUGIN
0.0.2-ci - ci-build
NL
PLUGIN
0.0.2-ci - ci-build
NL
PLUGIN - Local Development build (v0.0.2-ci) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://plugin.healthcare/fhir/StructureDefinition/plugin-procedure | Version: 0.0.2-ci | |||
| Draft as of 2025-10-08 | Computable Name: PluginProcedure | |||
Copyright/Legal: Used by permission of the PLUGIN team, all rights reserved Creative Commons License |
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Procedure as used within PLUGIN. Inherits from nl-core-Procedure-event. Maturity Level: 0 Draft. Open issues see Github.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Procedure |
0..* | NlcoreProcedureevent | Procedure | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
  Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:procedureMethod |
N | 0..* | CodeableConcept | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Procedure.ProcedureMethod Binding: VerrichtingMethodeCodelijst (required) |
 extension:episodeOfCare |
1..1 | Reference(EpisodeOfCare) | Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare | |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| 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. |
 code |
Σ | 1..1 | CodeableConcept | ProcedureType Binding: VerrichtingTypeCodelijsten (required): A code to identify a specific procedure . |
 subject |
Σ | 1..1 | Reference(Patient | nl core Patient | Patient) | Who the procedure was performed on |
 Slices for performed[x] |
Σ | 0..1 | When the procedure was performed Slice: Unordered, Open by type:$this | |
| performedDateTime |
dateTime | |||
| performedPeriod |
Period | |||
| performedString |
string | |||
| performedAge |
Age | |||
| performedRange |
Range | |||
| performed[x]:performedPeriod |
Σ | 0..1 | Period | When the procedure was performed |
| performed[x]:performedDateTime |
Σ | 0..1 | dateTime | ProcedureStartDate |
| reasonReference |
Σ | 1..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference | nl core Problem) | Indication |
| bodySite |
Σ | 0..1 | NlcoreAnatomicalLocation | Location Binding: LocatieCodelijsten (required): Codes describing anatomical locations. May include laterality. |
 Slices for extension |
Content/Rules for all slices | |||
 extension:laterality |
S | 0..1 | CodeableConcept | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality Binding: LateraliteitCodelijst (required) |
| Slices for report |
0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure Slice: Unordered, Open by profile:resolve() | |
| report:textResult |
0..* | Reference(nl core TextResult) | TextResult | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Procedure.code | Base | required | VerrichtingTypeCodelijsten | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12 |
| Procedure.bodySite | Base | required | LocatieCodelijsten | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12 |
| 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 | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from NlcoreProcedureevent
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Procedure |
0..* | NlcoreProcedureevent | Procedure | |
| extension |
1..* | Extension | Extension | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:episodeOfCare |
1..1 | Reference(EpisodeOfCare) | Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare | |
 code |
1..1 | CodeableConcept | ProcedureType | |
| subject |
1..1 | Reference(Patient | nl core Patient | Patient) | Who the procedure was performed on | |
| reasonReference |
1..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference | nl core Problem) | Indication | |
| bodySite |
||||
| Slices for extension |
Content/Rules for all slices | |||
| extension:laterality |
S | 0..1 | ExtAnatomicalLocationLaterality | Optional Extensions Element |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure |
0..* | NlcoreProcedureevent | Procedure | |||||
| 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 |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:procedureMethod |
N | 0..* | CodeableConcept | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Procedure.ProcedureMethod Binding: VerrichtingMethodeCodelijst (required) | ||||
| extension:episodeOfCare |
1..1 | Reference(EpisodeOfCare) | Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare | |||||
| 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 | nl core Procedure request) | 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 | 1..1 | CodeableConcept | ProcedureType Binding: VerrichtingTypeCodelijsten (required): A code to identify a specific procedure . | ||||
| subject |
Σ | 1..1 | Reference(Patient | nl core Patient | Patient) | Who the procedure was performed on | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
| Slices for performed[x] |
Σ | 0..1 | When the procedure was performed Slice: Unordered, Open by type:$this | |||||
| performedDateTime |
dateTime | |||||||
| performedPeriod |
Period | |||||||
| performedString |
string | |||||||
| performedAge |
Age | |||||||
| performedRange |
Range | |||||||
 performed[x]:performedPeriod |
Σ | 0..1 | Period | When the procedure was performed | ||||
  id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| start |
ΣC | 0..1 | dateTime | ProcedureStartDate | ||||
 end |
ΣC | 0..1 | dateTime | ProcedureEndDate | ||||
| performed[x]:performedDateTime |
Σ | 0..1 | dateTime | ProcedureStartDate | ||||
| 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 | |||||
| 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): A code that identifies the role of a performer of the procedure. | ||||
| actor |
Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | nl core HealthProfessional PractitionerRole) | Performer | ||||
 onBehalfOf |
0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||
| location |
Σ | 0..1 | Reference(Location | nl core HealthcareProvider) | Location | ||||
| reasonCode |
Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
| reasonReference |
Σ | 1..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference | nl core Problem) | Indication | ||||
| bodySite |
Σ | 0..1 | NlcoreAnatomicalLocation | Location Binding: LocatieCodelijsten (required): Codes describing anatomical locations. May include laterality. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:laterality |
S | 0..1 | CodeableConcept | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality Binding: LateraliteitCodelijst (required) | ||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| outcome |
Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. | ||||
| Slices for report |
0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure Slice: Unordered, Open by profile:resolve() | |||||
| report:textResult |
0..* | Reference(nl core TextResult) | TextResult | |||||
| 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 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| 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 | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Procedure.statusReason | Base | example | Procedure Not Performed Reason (SNOMED-CT) | 📦4.0.1 | FHIR Std. |
| Procedure.category | Base | example | Procedure Category Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| Procedure.code | Base | required | VerrichtingTypeCodelijsten | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12 |
| Procedure.performer.function | Base | example | Procedure Performer Role Codes | 📦4.0.1 | FHIR Std. |
| Procedure.reasonCode | Base | example | Procedure Reason Codes | 📦4.0.1 | FHIR Std. |
| Procedure.bodySite | Base | required | LocatieCodelijsten | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12 |
| Procedure.outcome | Base | example | Procedure Outcome Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| Procedure.complication | Base | example | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std. |
| Procedure.followUp | Base | example | Procedure Follow up Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| Procedure.focalDevice.action | Base | preferred | Procedure Device Action Codes | 📦4.0.1 | FHIR Std. |
| Procedure.usedCode | Base | example | FHIR Device Types | 📦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 | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from NlcoreProcedureevent
Summary
Mandatory: 4 elements
Must-Support: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Procedure |
0..* | NlcoreProcedureevent | Procedure | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:procedureMethod |
N | 0..* | CodeableConcept | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Procedure.ProcedureMethod Binding: VerrichtingMethodeCodelijst (required) |
| extension:episodeOfCare |
1..1 | Reference(EpisodeOfCare) | Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare | |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| 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. |
| code |
Σ | 1..1 | CodeableConcept | ProcedureType Binding: VerrichtingTypeCodelijsten (required): A code to identify a specific procedure . |
| subject |
Σ | 1..1 | Reference(Patient | nl core Patient | Patient) | Who the procedure was performed on |
| Slices for performed[x] |
Σ | 0..1 | When the procedure was performed Slice: Unordered, Open by type:$this | |
| performedDateTime |
dateTime | |||
| performedPeriod |
Period | |||
| performedString |
string | |||
| performedAge |
Age | |||
| performedRange |
Range | |||
| performed[x]:performedPeriod |
Σ | 0..1 | Period | When the procedure was performed |
| performed[x]:performedDateTime |
Σ | 0..1 | dateTime | ProcedureStartDate |
| reasonReference |
Σ | 1..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference | nl core Problem) | Indication |
| bodySite |
Σ | 0..1 | NlcoreAnatomicalLocation | Location Binding: LocatieCodelijsten (required): Codes describing anatomical locations. May include laterality. |
| Slices for extension |
Content/Rules for all slices | |||
| extension:laterality |
S | 0..1 | CodeableConcept | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality Binding: LateraliteitCodelijst (required) |
| Slices for report |
0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure Slice: Unordered, Open by profile:resolve() | |
| report:textResult |
0..* | Reference(nl core TextResult) | TextResult | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Procedure.code | Base | required | VerrichtingTypeCodelijsten | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12 |
| Procedure.bodySite | Base | required | LocatieCodelijsten | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12 |
| 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 | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from NlcoreProcedureevent
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Procedure |
0..* | NlcoreProcedureevent | Procedure | |
| extension |
1..* | Extension | Extension | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:episodeOfCare |
1..1 | Reference(EpisodeOfCare) | Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare | |
| code |
1..1 | CodeableConcept | ProcedureType | |
| subject |
1..1 | Reference(Patient | nl core Patient | Patient) | Who the procedure was performed on | |
| reasonReference |
1..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference | nl core Problem) | Indication | |
| bodySite |
||||
| Slices for extension |
Content/Rules for all slices | |||
| extension:laterality |
S | 0..1 | ExtAnatomicalLocationLaterality | Optional Extensions Element |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure |
0..* | NlcoreProcedureevent | Procedure | |||||
| 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 |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:procedureMethod |
N | 0..* | CodeableConcept | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Procedure.ProcedureMethod Binding: VerrichtingMethodeCodelijst (required) | ||||
| extension:episodeOfCare |
1..1 | Reference(EpisodeOfCare) | Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare | |||||
| 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 | nl core Procedure request) | 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 | 1..1 | CodeableConcept | ProcedureType Binding: VerrichtingTypeCodelijsten (required): A code to identify a specific procedure . | ||||
| subject |
Σ | 1..1 | Reference(Patient | nl core Patient | Patient) | Who the procedure was performed on | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
| Slices for performed[x] |
Σ | 0..1 | When the procedure was performed Slice: Unordered, Open by type:$this | |||||
| performedDateTime |
dateTime | |||||||
| performedPeriod |
Period | |||||||
| performedString |
string | |||||||
| performedAge |
Age | |||||||
| performedRange |
Range | |||||||
| performed[x]:performedPeriod |
Σ | 0..1 | Period | When the procedure was performed | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| start |
ΣC | 0..1 | dateTime | ProcedureStartDate | ||||
| end |
ΣC | 0..1 | dateTime | ProcedureEndDate | ||||
| performed[x]:performedDateTime |
Σ | 0..1 | dateTime | ProcedureStartDate | ||||
| 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 | |||||
| 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): A code that identifies the role of a performer of the procedure. | ||||
| actor |
Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | nl core HealthProfessional PractitionerRole) | Performer | ||||
| onBehalfOf |
0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||
| location |
Σ | 0..1 | Reference(Location | nl core HealthcareProvider) | Location | ||||
| reasonCode |
Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
| reasonReference |
Σ | 1..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference | nl core Problem) | Indication | ||||
| bodySite |
Σ | 0..1 | NlcoreAnatomicalLocation | Location Binding: LocatieCodelijsten (required): Codes describing anatomical locations. May include laterality. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:laterality |
S | 0..1 | CodeableConcept | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality Binding: LateraliteitCodelijst (required) | ||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| outcome |
Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. | ||||
| Slices for report |
0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure Slice: Unordered, Open by profile:resolve() | |||||
| report:textResult |
0..* | Reference(nl core TextResult) | TextResult | |||||
| 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 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| 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 | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Procedure.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std. |
| Procedure.statusReason | Base | example | Procedure Not Performed Reason (SNOMED-CT) | 📦4.0.1 | FHIR Std. |
| Procedure.category | Base | example | Procedure Category Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| Procedure.code | Base | required | VerrichtingTypeCodelijsten | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12 |
| Procedure.performer.function | Base | example | Procedure Performer Role Codes | 📦4.0.1 | FHIR Std. |
| Procedure.reasonCode | Base | example | Procedure Reason Codes | 📦4.0.1 | FHIR Std. |
| Procedure.bodySite | Base | required | LocatieCodelijsten | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12 |
| Procedure.outcome | Base | example | Procedure Outcome Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| Procedure.complication | Base | example | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std. |
| Procedure.followUp | Base | example | Procedure Follow up Codes (SNOMED CT) | 📦4.0.1 | FHIR Std. |
| Procedure.focalDevice.action | Base | preferred | Procedure Device Action Codes | 📦4.0.1 | FHIR Std. |
| Procedure.usedCode | Base | example | FHIR Device Types | 📦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 | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from NlcoreProcedureevent
Summary
Mandatory: 4 elements
Must-Support: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron