Kenya Patient Summary FHIR IG
0.1.0 - ci-build Kenya flag

Kenya Patient Summary FHIR IG - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Procedure Profile - KPS

Official URL: https://example.org/fhir/StructureDefinition/kps-procedure Version: 0.1.0
Draft as of 2025-12-09 Computable Name: KpsProcedure

This profile defines constraints on the Procedure resource for use within the Kenya Patient Summary. It identifies healthcare facilities or organizations involved in the provision or management of patient care, supporting national HIE and continuity of care.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* ProcedureUvIps An action that is being or was performed on a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:procedureType S 0..1 CodeableConcept Procedure Type Category
URL: https://example.org/fhir/StructureDefinition/procedure-type-category
Binding: Procedure Types ValueSet (preferred)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code S 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Procedure Code ValueSet (required)
Additional BindingsPurpose
Procedures - SNOMED CT IPS Free Set candidate
Absent or Unknown Procedures - IPS candidate
... subject SΣ 1..1 Reference(Patient (IPS)) Who the procedure was performed on
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... performed[x] SΣ 1..1 When the procedure was performed
.... performed[x]All Types Content/Rules for all Types
..... Slices for extension Content/Rules for all slices
...... extension:data-absent-reason S 0..1 code performed[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
.... performedDateTime dateTime
.... performedPeriod Period
... performer SΣ 0..* BackboneElement The people who performed the procedure
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor SΣ 1..1 Reference(Patient (IPS) | RelatedPerson | Device - performer, observer | Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS)) The reference to the practitioner
... location SΣ 0..1 Reference(Location) Where the procedure happened
... reasonCode SΣ 0..* CodeableConcept Coded reason procedure performed
Binding: ReasonCode ValueSet (preferred)
... bodySite S 0..* CodeableConceptIPS Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example)
... outcome SΣ 0..1 CodeableConcept The result of procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.code Base required Procedure Code ValueSet 📦0.1.0 This IG
Procedure.reasonCode Base preferred ReasonCode ValueSet 📦0.1.0 This IG
Procedure.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📦4.0.1 FHIR Std.

Constraints

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 ProcedureUvIps

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* ProcedureUvIps An action that is being or was performed on a patient
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:procedureType S 0..1 CodeableConcept Procedure Type Category
URL: https://example.org/fhir/StructureDefinition/procedure-type-category
Binding: Procedure Types ValueSet (preferred)
... status S 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Procedure Code ValueSet (required)
.... performedDateTime dateTime
.... performedPeriod Period
... performer S 0..* BackboneElement The people who performed the procedure
.... actor S 1..1 Reference(Patient (IPS) | RelatedPerson | Device - performer, observer | Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS)) The reference to the practitioner
... location S 0..1 Reference(Location) Where the procedure happened
... reasonCode S 0..* CodeableConcept Coded reason procedure performed
Binding: ReasonCode ValueSet (preferred)
... bodySite S 0..* CodeableConceptIPS Concept - reference to a terminology or just text
... outcome S 0..1 CodeableConcept The result of procedure

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Procedure.code Base required Procedure Code ValueSet 📦0.1.0 This IG
Procedure.reasonCode Base preferred ReasonCode ValueSet 📦0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* ProcedureUvIps 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.
Additional BindingsPurpose
AllLanguages Max Binding
... 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
.... extension:procedureType S 0..1 CodeableConcept Procedure Type Category
URL: https://example.org/fhir/StructureDefinition/procedure-type-category
Binding: Procedure Types ValueSet (preferred)
... 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 Σ 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
... status ?!SΣ 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 S 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Procedure Code ValueSet (required)
Additional BindingsPurpose
Procedures - SNOMED CT IPS Free Set candidate
Absent or Unknown Procedures - IPS candidate
... subject SΣ 1..1 Reference(Patient (IPS)) Who the procedure was performed on
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..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] SΣ 1..1 When the procedure was performed
.... performed[x]All Types Content/Rules for all Types
..... 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:data-absent-reason S 0..1 code performed[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
.... performedDateTime dateTime
.... performedPeriod Period
... 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 SΣ 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 SΣ 1..1 Reference(Patient (IPS) | RelatedPerson | Device - performer, observer | Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS)) The reference to the practitioner
.... onBehalfOf 0..1 Reference(Organization (IPS)) Organization the device or practitioner was acting for
... location SΣ 0..1 Reference(Location) Where the procedure happened
... reasonCode SΣ 0..* CodeableConcept Coded reason procedure performed
Binding: ReasonCode ValueSet (preferred)
... reasonReference Σ 0..* Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) The justification that the procedure was performed
... bodySite S 0..* CodeableConceptIPS Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example)
... outcome SΣ 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
... 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.

doco Documentation for this format

Terminology Bindings

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 Procedure Code ValueSet 📦0.1.0 This IG
Procedure.subject.type Base extensible ResourceType 📦4.0.1 FHIR Std.
Procedure.performer.​function Base example Procedure Performer Role Codes 📦4.0.1 FHIR Std.
Procedure.reasonCode Base preferred ReasonCode ValueSet 📦0.1.0 This IG
Procedure.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
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.

Constraints

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 ProcedureUvIps

Summary

Must-Support: 8 elements

Extensions

This structure refers to these extensions:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* ProcedureUvIps An action that is being or was performed on a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:procedureType S 0..1 CodeableConcept Procedure Type Category
URL: https://example.org/fhir/StructureDefinition/procedure-type-category
Binding: Procedure Types ValueSet (preferred)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code S 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Procedure Code ValueSet (required)
Additional BindingsPurpose
Procedures - SNOMED CT IPS Free Set candidate
Absent or Unknown Procedures - IPS candidate
... subject SΣ 1..1 Reference(Patient (IPS)) Who the procedure was performed on
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... performed[x] SΣ 1..1 When the procedure was performed
.... performed[x]All Types Content/Rules for all Types
..... Slices for extension Content/Rules for all slices
...... extension:data-absent-reason S 0..1 code performed[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
.... performedDateTime dateTime
.... performedPeriod Period
... performer SΣ 0..* BackboneElement The people who performed the procedure
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor SΣ 1..1 Reference(Patient (IPS) | RelatedPerson | Device - performer, observer | Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS)) The reference to the practitioner
... location SΣ 0..1 Reference(Location) Where the procedure happened
... reasonCode SΣ 0..* CodeableConcept Coded reason procedure performed
Binding: ReasonCode ValueSet (preferred)
... bodySite S 0..* CodeableConceptIPS Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example)
... outcome SΣ 0..1 CodeableConcept The result of procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.code Base required Procedure Code ValueSet 📦0.1.0 This IG
Procedure.reasonCode Base preferred ReasonCode ValueSet 📦0.1.0 This IG
Procedure.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📦4.0.1 FHIR Std.

Constraints

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 ProcedureUvIps

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* ProcedureUvIps An action that is being or was performed on a patient
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:procedureType S 0..1 CodeableConcept Procedure Type Category
URL: https://example.org/fhir/StructureDefinition/procedure-type-category
Binding: Procedure Types ValueSet (preferred)
... status S 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
... code 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Procedure Code ValueSet (required)
.... performedDateTime dateTime
.... performedPeriod Period
... performer S 0..* BackboneElement The people who performed the procedure
.... actor S 1..1 Reference(Patient (IPS) | RelatedPerson | Device - performer, observer | Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS)) The reference to the practitioner
... location S 0..1 Reference(Location) Where the procedure happened
... reasonCode S 0..* CodeableConcept Coded reason procedure performed
Binding: ReasonCode ValueSet (preferred)
... bodySite S 0..* CodeableConceptIPS Concept - reference to a terminology or just text
... outcome S 0..1 CodeableConcept The result of procedure

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Procedure.code Base required Procedure Code ValueSet 📦0.1.0 This IG
Procedure.reasonCode Base preferred ReasonCode ValueSet 📦0.1.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* ProcedureUvIps 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.
Additional BindingsPurpose
AllLanguages Max Binding
... 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
.... extension:procedureType S 0..1 CodeableConcept Procedure Type Category
URL: https://example.org/fhir/StructureDefinition/procedure-type-category
Binding: Procedure Types ValueSet (preferred)
... 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 Σ 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
... status ?!SΣ 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 S 1..1 CodeableConceptIPS Concept - reference to a terminology or just text
Binding: Procedure Code ValueSet (required)
Additional BindingsPurpose
Procedures - SNOMED CT IPS Free Set candidate
Absent or Unknown Procedures - IPS candidate
... subject SΣ 1..1 Reference(Patient (IPS)) Who the procedure was performed on
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..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] SΣ 1..1 When the procedure was performed
.... performed[x]All Types Content/Rules for all Types
..... 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:data-absent-reason S 0..1 code performed[x] absence reason
URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
Binding: DataAbsentReason (required)
.... performedDateTime dateTime
.... performedPeriod Period
... 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 SΣ 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 SΣ 1..1 Reference(Patient (IPS) | RelatedPerson | Device - performer, observer | Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS)) The reference to the practitioner
.... onBehalfOf 0..1 Reference(Organization (IPS)) Organization the device or practitioner was acting for
... location SΣ 0..1 Reference(Location) Where the procedure happened
... reasonCode SΣ 0..* CodeableConcept Coded reason procedure performed
Binding: ReasonCode ValueSet (preferred)
... reasonReference Σ 0..* Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) The justification that the procedure was performed
... bodySite S 0..* CodeableConceptIPS Concept - reference to a terminology or just text
Binding: SNOMEDCTBodyStructures (example)
... outcome SΣ 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
... 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.

doco Documentation for this format

Terminology Bindings

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 Procedure Code ValueSet 📦0.1.0 This IG
Procedure.subject.type Base extensible ResourceType 📦4.0.1 FHIR Std.
Procedure.performer.​function Base example Procedure Performer Role Codes 📦4.0.1 FHIR Std.
Procedure.reasonCode Base preferred ReasonCode ValueSet 📦0.1.0 This IG
Procedure.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
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.

Constraints

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 ProcedureUvIps

Summary

Must-Support: 8 elements

Extensions

This structure refers to these extensions:

 

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