SHINNYIG - Local Development build (v0.2). See the Directory of published versions
Resource Profile: SHINNY Procedure Profile
| Official URL: http://shinny.org/StructureDefinition/shin-ny-procedure | Version: 0.2 | |||
| Active as of 2023-07-28 | Computable Name: SHINNYProcedureProfile | |||
An action that is being or was performed on a patient
Usage:
- Refer to this Resource Profile: SHINNY Encounter Profile and SHINNY Procedure Profile
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreProcedureProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Procedure | 0..* | USCoreProcedureProfile | An action that is being or was performed on a patient | |
  id | S | 1..1 | id | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
 meta | S | 1..1 | SHINNYMeta | Metadata about a resource |
| language | S | 0..1 | code | Language of the resource content |
 partOf | S | 0..* | Reference(SHINNY Procedure Profile | SHINNY Observation Profile) | Part of referenced event |
| subject | 1..1 | Reference(SHINNY Patient Profile) | Who the procedure was performed on | |
| encounter | 0..1 | Reference(SHINNY Encounter Profile) | Encounter created as part of | |
 performer | S | 0..* | BackboneElement | The people who performed the procedure |
  actor | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | The reference to the practitioner | |
| location | S | 0..1 | Reference(Location) | Where the procedure happened |
| reasonCode | S | 0..* | CodeableConcept | Coded reason procedure performed |
| reasonReference | S | 0..* | Reference(SHINNY Diagnosis Profile | SHINNY Procedure Profile | SHINNY Observation Profile) | The justification that the procedure was performed |
| bodySite | S | 0..* | CodeableConcept | Target body sites |
| outcome | S | 0..1 | CodeableConcept | The result of procedure |
| complication | S | 0..* | CodeableConcept | Complication following the procedure |
| complicationDetail | S | 0..* | Reference(SHINNY Diagnosis Profile) | A condition that is a result of the procedure |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure | C | 0..* | USCoreProcedureProfile | An action that is being or was performed on a patient | ||||
 id | SΣ | 1..1 | id | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
| meta | S | 1..1 | SHINNYMeta | Metadata about a resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | S | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| ||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| partOf | SΣ | 0..* | Reference(SHINNY Procedure Profile | SHINNY Observation Profile) | Part of referenced event | ||||
| status | ?!SΣC | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required) | ||||
| code | SΣ | 1..1 | CodeableConcept | Identification of the procedure Binding: US Core Procedure Codes (preferred): Codes describing the type of Procedure | ||||
| subject | SΣ | 1..1 | Reference(SHINNY Patient Profile) | Who the procedure was performed on | ||||
| encounter | Σ | 0..1 | Reference(SHINNY Encounter Profile) | Encounter created as part of | ||||
 performed[x] | SΣC | 0..1 | When the procedure was performed | |||||
| performedDateTime | dateTime | |||||||
| performer | SΣ | 0..* | BackboneElement | The people who performed the procedure | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| actor | Σ | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | The reference to the practitioner | ||||
| location | SΣ | 0..1 | Reference(Location) | Where the procedure happened | ||||
| reasonCode | SΣ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
| reasonReference | SΣ | 0..* | Reference(SHINNY Diagnosis Profile | SHINNY Procedure Profile | SHINNY Observation Profile) | The justification that the procedure was performed | ||||
| bodySite | SΣ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
| outcome | SΣ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. | ||||
| complication | S | 0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | ||||
| complicationDetail | S | 0..* | Reference(SHINNY Diagnosis Profile) | A condition that is a result of the procedure | ||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Conformance | ValueSet | ||||
| Procedure.language | preferred | CommonLanguages
| ||||
| Procedure.status | required | EventStatus | ||||
| Procedure.code | preferred | USCoreProcedureCodes | ||||
| Procedure.reasonCode | example | ProcedureReasonCodes | ||||
| Procedure.bodySite | example | SNOMEDCTBodyStructures | ||||
| Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT) | ||||
| Procedure.complication | example | Condition/Problem/DiagnosisCodes |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| 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() | |
| us-core-7 | error | Procedure | Performed SHALL be present if the status is 'completed' or 'in-progress' : (status='completed' or status='in-progress') implies performed.exists() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure | C | 0..* | USCoreProcedureProfile | An action that is being or was performed on a patient | ||||
| id | SΣ | 1..1 | id | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
| meta | S | 1..1 | SHINNYMeta | Metadata about a resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | S | 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 | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
 extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | External Identifiers for this procedure | ||||
| instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn | Σ | 0..* | Reference(US Core CarePlan Profile | US Core ServiceRequest Profile) | A request for this procedure | ||||
| partOf | SΣ | 0..* | Reference(SHINNY Procedure Profile | SHINNY Observation Profile) | Part of referenced event | ||||
| status | ?!SΣC | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required) | ||||
| 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 | SΣ | 1..1 | CodeableConcept | Identification of the procedure Binding: US Core Procedure Codes (preferred): Codes describing the type of Procedure | ||||
| subject | SΣ | 1..1 | Reference(SHINNY Patient Profile) | Who the procedure was performed on | ||||
| encounter | Σ | 0..1 | Reference(SHINNY Encounter Profile) | Encounter created as part of | ||||
| performed[x] | SΣC | 0..1 | When the procedure was performed | |||||
| performedDateTime | dateTime S | |||||||
| performedPeriod | Period | |||||||
| performedString | string | |||||||
| performedAge | Age | |||||||
| performedRange | Range | |||||||
| recorder | Σ | 0..1 | Reference(SHINNY Patient Profile | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure | ||||
| asserter | Σ | 0..1 | Reference(SHINNY Patient Profile | 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 | Σ | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | The reference to the practitioner | ||||
| onBehalfOf | 0..1 | Reference(Organization) | 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: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
| reasonReference | SΣ | 0..* | Reference(SHINNY Diagnosis Profile | SHINNY Procedure Profile | SHINNY Observation Profile) | The justification that the procedure was performed | ||||
| bodySite | SΣ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
| 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 | S | 0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | ||||
| complicationDetail | S | 0..* | Reference(SHINNY Diagnosis Profile) | 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 | ||||||||
Terminology Bindings
| Path | Conformance | ValueSet | ||||
| Procedure.language | preferred | CommonLanguages
| ||||
| Procedure.status | required | EventStatus | ||||
| Procedure.statusReason | example | ProcedureNotPerformedReason(SNOMED-CT) | ||||
| Procedure.category | example | ProcedureCategoryCodes(SNOMEDCT) | ||||
| Procedure.code | preferred | USCoreProcedureCodes | ||||
| Procedure.performer.function | example | ProcedurePerformerRoleCodes | ||||
| Procedure.reasonCode | example | ProcedureReasonCodes | ||||
| Procedure.bodySite | example | SNOMEDCTBodyStructures | ||||
| Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT) | ||||
| Procedure.complication | example | Condition/Problem/DiagnosisCodes | ||||
| Procedure.followUp | example | ProcedureFollowUpCodes(SNOMEDCT) | ||||
| Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodes | ||||
| Procedure.usedCode | example | FHIRDeviceTypes |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| 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 USCoreProcedureProfile
Summary
Mandatory: 2 elements
Must-Support: 12 elements
Structures
This structure refers to these other structures:
- SHINNYMeta (http://shinny.org/StructureDefinition/SHINNYMeta)
- SHINNY Procedure Profile (http://shinny.org/StructureDefinition/shin-ny-procedure)
- SHINNY Observation Profile (http://shinny.org/StructureDefinition/shin-ny-observation)
- SHINNY Patient Profile (http://shinny.org/StructureDefinition/shinny-patient)
- SHINNY Encounter Profile (http://shinny.org/StructureDefinition/shin-ny-encounter)
- US Core Practitioner Profile (http://shinny.org/StructureDefinition/us-core-practitioner)
- US Core PractitionerRole Profile (http://shinny.org/StructureDefinition/us-core-practitionerrole)
- SHINNY Diagnosis Profile (http://shinny.org/StructureDefinition/shin-ny-diagnosis)
Differential View
This structure is derived from USCoreProcedureProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure | 0..* | USCoreProcedureProfile | An action that is being or was performed on a patient | |
| id | S | 1..1 | id | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
| meta | S | 1..1 | SHINNYMeta | Metadata about a resource |
| language | S | 0..1 | code | Language of the resource content |
| partOf | S | 0..* | Reference(SHINNY Procedure Profile | SHINNY Observation Profile) | Part of referenced event |
| subject | 1..1 | Reference(SHINNY Patient Profile) | Who the procedure was performed on | |
| encounter | 0..1 | Reference(SHINNY Encounter Profile) | Encounter created as part of | |
| performer | S | 0..* | BackboneElement | The people who performed the procedure |
| actor | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | The reference to the practitioner | |
| location | S | 0..1 | Reference(Location) | Where the procedure happened |
| reasonCode | S | 0..* | CodeableConcept | Coded reason procedure performed |
| reasonReference | S | 0..* | Reference(SHINNY Diagnosis Profile | SHINNY Procedure Profile | SHINNY Observation Profile) | The justification that the procedure was performed |
| bodySite | S | 0..* | CodeableConcept | Target body sites |
| outcome | S | 0..1 | CodeableConcept | The result of procedure |
| complication | S | 0..* | CodeableConcept | Complication following the procedure |
| complicationDetail | S | 0..* | Reference(SHINNY Diagnosis Profile) | A condition that is a result of the procedure |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure | C | 0..* | USCoreProcedureProfile | An action that is being or was performed on a patient | ||||
| id | SΣ | 1..1 | id | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
| meta | S | 1..1 | SHINNYMeta | Metadata about a resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | S | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| ||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| partOf | SΣ | 0..* | Reference(SHINNY Procedure Profile | SHINNY Observation Profile) | Part of referenced event | ||||
| status | ?!SΣC | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required) | ||||
| code | SΣ | 1..1 | CodeableConcept | Identification of the procedure Binding: US Core Procedure Codes (preferred): Codes describing the type of Procedure | ||||
| subject | SΣ | 1..1 | Reference(SHINNY Patient Profile) | Who the procedure was performed on | ||||
| encounter | Σ | 0..1 | Reference(SHINNY Encounter Profile) | Encounter created as part of | ||||
| performed[x] | SΣC | 0..1 | When the procedure was performed | |||||
| performedDateTime | dateTime | |||||||
| performer | SΣ | 0..* | BackboneElement | The people who performed the procedure | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| actor | Σ | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | The reference to the practitioner | ||||
| location | SΣ | 0..1 | Reference(Location) | Where the procedure happened | ||||
| reasonCode | SΣ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
| reasonReference | SΣ | 0..* | Reference(SHINNY Diagnosis Profile | SHINNY Procedure Profile | SHINNY Observation Profile) | The justification that the procedure was performed | ||||
| bodySite | SΣ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
| outcome | SΣ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. | ||||
| complication | S | 0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | ||||
| complicationDetail | S | 0..* | Reference(SHINNY Diagnosis Profile) | A condition that is a result of the procedure | ||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Conformance | ValueSet | ||||
| Procedure.language | preferred | CommonLanguages
| ||||
| Procedure.status | required | EventStatus | ||||
| Procedure.code | preferred | USCoreProcedureCodes | ||||
| Procedure.reasonCode | example | ProcedureReasonCodes | ||||
| Procedure.bodySite | example | SNOMEDCTBodyStructures | ||||
| Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT) | ||||
| Procedure.complication | example | Condition/Problem/DiagnosisCodes |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| 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() | |
| us-core-7 | error | Procedure | Performed SHALL be present if the status is 'completed' or 'in-progress' : (status='completed' or status='in-progress') implies performed.exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure | C | 0..* | USCoreProcedureProfile | An action that is being or was performed on a patient | ||||
| id | SΣ | 1..1 | id | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
| meta | S | 1..1 | SHINNYMeta | Metadata about a resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | S | 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 | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | External Identifiers for this procedure | ||||
| instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn | Σ | 0..* | Reference(US Core CarePlan Profile | US Core ServiceRequest Profile) | A request for this procedure | ||||
| partOf | SΣ | 0..* | Reference(SHINNY Procedure Profile | SHINNY Observation Profile) | Part of referenced event | ||||
| status | ?!SΣC | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required) | ||||
| 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 | SΣ | 1..1 | CodeableConcept | Identification of the procedure Binding: US Core Procedure Codes (preferred): Codes describing the type of Procedure | ||||
| subject | SΣ | 1..1 | Reference(SHINNY Patient Profile) | Who the procedure was performed on | ||||
| encounter | Σ | 0..1 | Reference(SHINNY Encounter Profile) | Encounter created as part of | ||||
| performed[x] | SΣC | 0..1 | When the procedure was performed | |||||
| performedDateTime | dateTime S | |||||||
| performedPeriod | Period | |||||||
| performedString | string | |||||||
| performedAge | Age | |||||||
| performedRange | Range | |||||||
| recorder | Σ | 0..1 | Reference(SHINNY Patient Profile | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure | ||||
| asserter | Σ | 0..1 | Reference(SHINNY Patient Profile | 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 | Σ | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | The reference to the practitioner | ||||
| onBehalfOf | 0..1 | Reference(Organization) | 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: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
| reasonReference | SΣ | 0..* | Reference(SHINNY Diagnosis Profile | SHINNY Procedure Profile | SHINNY Observation Profile) | The justification that the procedure was performed | ||||
| bodySite | SΣ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
| 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 | S | 0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | ||||
| complicationDetail | S | 0..* | Reference(SHINNY Diagnosis Profile) | 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 | ||||||||
Terminology Bindings
| Path | Conformance | ValueSet | ||||
| Procedure.language | preferred | CommonLanguages
| ||||
| Procedure.status | required | EventStatus | ||||
| Procedure.statusReason | example | ProcedureNotPerformedReason(SNOMED-CT) | ||||
| Procedure.category | example | ProcedureCategoryCodes(SNOMEDCT) | ||||
| Procedure.code | preferred | USCoreProcedureCodes | ||||
| Procedure.performer.function | example | ProcedurePerformerRoleCodes | ||||
| Procedure.reasonCode | example | ProcedureReasonCodes | ||||
| Procedure.bodySite | example | SNOMEDCTBodyStructures | ||||
| Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT) | ||||
| Procedure.complication | example | Condition/Problem/DiagnosisCodes | ||||
| Procedure.followUp | example | ProcedureFollowUpCodes(SNOMEDCT) | ||||
| Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodes | ||||
| Procedure.usedCode | example | FHIRDeviceTypes |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| 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 USCoreProcedureProfile
Summary
Mandatory: 2 elements
Must-Support: 12 elements
Structures
This structure refers to these other structures:
- SHINNYMeta (http://shinny.org/StructureDefinition/SHINNYMeta)
- SHINNY Procedure Profile (http://shinny.org/StructureDefinition/shin-ny-procedure)
- SHINNY Observation Profile (http://shinny.org/StructureDefinition/shin-ny-observation)
- SHINNY Patient Profile (http://shinny.org/StructureDefinition/shinny-patient)
- SHINNY Encounter Profile (http://shinny.org/StructureDefinition/shin-ny-encounter)
- US Core Practitioner Profile (http://shinny.org/StructureDefinition/us-core-practitioner)
- US Core PractitionerRole Profile (http://shinny.org/StructureDefinition/us-core-practitionerrole)
- SHINNY Diagnosis Profile (http://shinny.org/StructureDefinition/shin-ny-diagnosis)
Other representations of profile: CSV, Excel, Schematron