Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	An action that is being or was performed on a patient
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
anaestheticIssues		0..1	CodeableConcept, Reference(CareConnect-Condition-1)	Details of any adverse reaction to any anaesthetic agents URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AnaestheticIssues-1 Binding: Care Connect Condition Code (required): A code from the SNOMED Clinical Terminology UK
identifier
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
assigner		0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
partOf		0..*	Reference(MedicationAdministration | CareConnect-Procedure-1 | CareConnect-Observation-1)	Part of referenced event
code		0..1	CodeableConcept	Identification of the procedure Binding: Procedure Codes (SNOMED CT) (preferred): A code to identify a specific procedure.
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..1	Coding	Code defined by a terminology system Binding: Care Connect Procedure Code (extensible): A code from the SNOMED Clinical Terminology UK.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
subject		1..1	Reference(Group | CareConnectPatient1)	Who the procedure was performed on
context		0..1	Reference(EpisodeOfCare | CareConnect-Encounter-1)	Encounter or episode associated with the procedure
performer
actor		1..1	Reference(RelatedPerson | Device | CareConnect-Organization-1 | CareConnectPatient1 | CareConnect-Practitioner-1)	The reference to the practitioner
onBehalfOf		0..1	Reference(CareConnect-Organization-1)	Organization the device or practitioner was acting for
location		0..1	Reference(CareConnect-Location-1)	Where the procedure happened
reasonReference		0..*	Reference(CareConnect-Observation-1 | CareConnect-Condition-1)	Condition that is the reason the procedure performed
bodySite
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..1	Coding	Code defined by a terminology system Binding: Care Connect Body Site (extensible): A code from the SNOMED Clinical Terminology UK.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
complication
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..1	Coding	Code defined by a terminology system Binding: Care Connect Condition Code (required): A code from the SNOMED Clinical Terminology UK.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
complicationDetail		0..*	Reference(CareConnect-Condition-1)	A condition that is a result of the procedure
note
author[x]		0..1		Individual responsible for the annotation
authorReference			Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1)
authorString			string
usedReference		0..*	Reference(Device | Substance | CareConnect-Medication-1)	Items used during procedure
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Procedure.code	preferred	Procedure Codes (SNOMED CT)
Procedure.code.coding:snomedCT	extensible	Care Connect Procedure Code
Procedure.bodySite.coding:snomedCT	extensible	Care Connect Body Site
Procedure.complication.coding:snomedCT	required	Care Connect Condition Code

Name	Flags	Card.	Type	Description & Constraints
Procedure	C	0..*	Procedure	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
anaestheticIssues		0..1	CodeableConcept, Reference(CareConnect-Condition-1)	Details of any adverse reaction to any anaesthetic agents URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AnaestheticIssues-1 Binding: Care Connect Condition Code (required): A code from the SNOMED Clinical Terminology UK
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
partOf	Σ	0..*	Reference(MedicationAdministration | CareConnect-Procedure-1 | CareConnect-Observation-1)	Part of referenced event
status	?!Σ	1..1	code	preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
notDone	?!Σ	0..1	boolean	True if procedure was not performed as scheduled
code	Σ	0..1	CodeableConcept	Identification of the procedure Binding: Procedure Codes (SNOMED CT) (preferred): A code to identify a specific procedure.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..1	Coding	Code defined by a terminology system Binding: Care Connect Procedure Code (extensible): A code from the SNOMED Clinical Terminology UK.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
subject	Σ	1..1	Reference(Group | CareConnectPatient1)	Who the procedure was performed on
context	Σ	0..1	Reference(EpisodeOfCare | CareConnect-Encounter-1)	Encounter or episode associated with the procedure
location	Σ	0..1	Reference(CareConnect-Location-1)	Where the procedure happened
reasonReference	Σ	0..*	Reference(CareConnect-Observation-1 | CareConnect-Condition-1)	Condition that is the reason the procedure performed
complicationDetail		0..*	Reference(CareConnect-Condition-1)	A condition that is a result of the procedure
usedReference		0..*	Reference(Device | Substance | CareConnect-Medication-1)	Items used during procedure
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Procedure.status	required	EventStatus
Procedure.code	preferred	Procedure Codes (SNOMED CT)
Procedure.code.coding:snomedCT	extensible	Care Connect Procedure Code

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	Procedure.extension:anaestheticIssues	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	Procedure.extension:anaestheticIssues	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pro-1	error	Procedure	Reason not done is only permitted if notDone indicator is true : notDoneReason.empty() or notDone = true

Name	Flags	Card.	Type	Description & Constraints
Procedure	C	0..*	Procedure	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: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
anaestheticIssues		0..1	CodeableConcept, Reference(CareConnect-Condition-1)	Details of any adverse reaction to any anaesthetic agents URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AnaestheticIssues-1 Binding: Care Connect Condition Code (required): A code from the SNOMED Clinical Terminology UK
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifiers for this procedure
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
definition	Σ	0..*	Reference(PlanDefinition | ActivityDefinition | HealthcareService)	Instantiates protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ProcedureRequest | ReferralRequest)	A request for this procedure
partOf	Σ	0..*	Reference(MedicationAdministration | CareConnect-Procedure-1 | CareConnect-Observation-1)	Part of referenced event
status	?!Σ	1..1	code	preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
notDone	?!Σ	0..1	boolean	True if procedure was not performed as scheduled
notDoneReason	ΣC	0..1	CodeableConcept	Reason procedure was not performed Binding: Procedure Not Performed Reason (SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category	Σ	0..1	CodeableConcept	Classification of the procedure Binding: Procedure Category Codes (SNOMED CT) (example): A code that classifies a procedure for searching, sorting and display purposes.
code	Σ	0..1	CodeableConcept	Identification of the procedure Binding: Procedure Codes (SNOMED CT) (preferred): A code to identify a specific procedure.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..1	Coding	Code defined by a terminology system Binding: Care Connect Procedure Code (extensible): A code from the SNOMED Clinical Terminology UK.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Group | CareConnectPatient1)	Who the procedure was performed on
context	Σ	0..1	Reference(EpisodeOfCare | CareConnect-Encounter-1)	Encounter or episode associated with the procedure
performed[x]	Σ	0..1		Date/Period the procedure was performed
performedDateTime			dateTime
performedPeriod			Period
performer	Σ	0..*	BackboneElement	The people who performed the procedure
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
role	Σ	0..1	CodeableConcept	The role the actor was in Binding: Procedure Performer Role Codes (example): A code that identifies the role of a performer of the procedure.
actor	Σ	1..1	Reference(RelatedPerson | Device | CareConnect-Organization-1 | CareConnectPatient1 | CareConnect-Practitioner-1)	The reference to the practitioner
onBehalfOf		0..1	Reference(CareConnect-Organization-1)	Organization the device or practitioner was acting for
location	Σ	0..1	Reference(CareConnect-Location-1)	Where the procedure happened
reasonCode	Σ	0..*	CodeableConcept	Coded reason procedure performed Binding: Procedure Reason Codes (example): A code that identifies the reason a procedure is required.
reasonReference	Σ	0..*	Reference(CareConnect-Observation-1 | CareConnect-Condition-1)	Condition that is the reason the procedure performed
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..1	Coding	Code defined by a terminology system Binding: Care Connect Body Site (extensible): A code from the SNOMED Clinical Terminology UK.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: Procedure Outcome Codes (SNOMED CT) (example): An outcome of a procedure - whether it was resolved or otherwise.
report		0..*	Reference(DiagnosticReport)	Any report resulting from the procedure
complication		0..*	CodeableConcept	Complication following the procedure Binding: Condition/Problem/Diagnosis Codes (example): Codes describing complications that resulted from a procedure.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..1	Coding	Code defined by a terminology system Binding: Care Connect Condition Code (required): A code from the SNOMED Clinical Terminology UK.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
complicationDetail		0..*	Reference(CareConnect-Condition-1)	A condition that is a result of the procedure
followUp		0..*	CodeableConcept	Instructions for follow up Binding: Procedure Follow up Codes (SNOMED CT) (example): Specific follow up required for a procedure e.g. removal of sutures.
note		0..*	Annotation	Additional information about the procedure
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text		1..1	string	The annotation - text content
focalDevice		0..*	BackboneElement	Device changed in procedure
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
action		0..1	CodeableConcept	Kind of change to device Binding: Procedure Device Action Codes (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 | Substance | CareConnect-Medication-1)	Items used during procedure
usedCode		0..*	CodeableConcept	Coded items used during the procedure Binding: FHIR Device Types (example): Codes describing items used during a procedure
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Procedure.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
Procedure.identifier.use	required	IdentifierUse
Procedure.identifier.type	extensible	Identifier Type Codes
Procedure.status	required	EventStatus
Procedure.notDoneReason	example	Procedure Not Performed Reason (SNOMED-CT)
Procedure.category	example	Procedure Category Codes (SNOMED CT)
Procedure.code	preferred	Procedure Codes (SNOMED CT)
Procedure.code.coding:snomedCT	extensible	Care Connect Procedure Code
Procedure.performer.role	example	Procedure Performer Role Codes
Procedure.reasonCode	example	Procedure Reason Codes
Procedure.bodySite	example	SNOMED CT Body Structures
Procedure.bodySite.coding:snomedCT	extensible	Care Connect Body Site
Procedure.outcome	example	Procedure Outcome Codes (SNOMED CT)
Procedure.complication	example	Condition/Problem/Diagnosis Codes
Procedure.complication.coding:snomedCT	required	Care Connect Condition Code
Procedure.followUp	example	Procedure Follow up Codes (SNOMED CT)
Procedure.focalDevice.action	preferred	Procedure Device Action Codes
Procedure.usedCode	example	FHIR Device Types

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	Procedure.extension:anaestheticIssues, Procedure.performer, Procedure.focalDevice	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	Procedure.extension:anaestheticIssues	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Summary

Mandatory: 0 element (11 nested mandatory elements)
Fixed Value: 3 elements

Structures

This structure refers to these other structures:

• CareConnect-Organization-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1)
• CareConnect-Procedure-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Procedure-1)
• CareConnect-Observation-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1)
• CareConnectPatient1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1)
• CareConnect-Encounter-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1)
• CareConnect-Practitioner-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1)
• CareConnect-Location-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Location-1)
• CareConnect-Condition-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Condition-1)
• CareConnect-Medication-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Medication-1)

Extensions

This structure refers to these extensions:

• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AnaestheticIssues-1
• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid

Slices

This structure defines the following Slices:

• The element Procedure.code.coding is sliced based on the value of value:system
• The element Procedure.bodySite.coding is sliced based on the value of value:system
• The element Procedure.complication.coding is sliced based on the value of value:system

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	An action that is being or was performed on a patient
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
anaestheticIssues		0..1	CodeableConcept, Reference(CareConnect-Condition-1)	Details of any adverse reaction to any anaesthetic agents URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AnaestheticIssues-1 Binding: Care Connect Condition Code (required): A code from the SNOMED Clinical Terminology UK
identifier
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
assigner		0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
partOf		0..*	Reference(MedicationAdministration | CareConnect-Procedure-1 | CareConnect-Observation-1)	Part of referenced event
code		0..1	CodeableConcept	Identification of the procedure Binding: Procedure Codes (SNOMED CT) (preferred): A code to identify a specific procedure.
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..1	Coding	Code defined by a terminology system Binding: Care Connect Procedure Code (extensible): A code from the SNOMED Clinical Terminology UK.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
subject		1..1	Reference(Group | CareConnectPatient1)	Who the procedure was performed on
context		0..1	Reference(EpisodeOfCare | CareConnect-Encounter-1)	Encounter or episode associated with the procedure
performer
actor		1..1	Reference(RelatedPerson | Device | CareConnect-Organization-1 | CareConnectPatient1 | CareConnect-Practitioner-1)	The reference to the practitioner
onBehalfOf		0..1	Reference(CareConnect-Organization-1)	Organization the device or practitioner was acting for
location		0..1	Reference(CareConnect-Location-1)	Where the procedure happened
reasonReference		0..*	Reference(CareConnect-Observation-1 | CareConnect-Condition-1)	Condition that is the reason the procedure performed
bodySite
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..1	Coding	Code defined by a terminology system Binding: Care Connect Body Site (extensible): A code from the SNOMED Clinical Terminology UK.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
complication
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..1	Coding	Code defined by a terminology system Binding: Care Connect Condition Code (required): A code from the SNOMED Clinical Terminology UK.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
complicationDetail		0..*	Reference(CareConnect-Condition-1)	A condition that is a result of the procedure
note
author[x]		0..1		Individual responsible for the annotation
authorReference			Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1)
authorString			string
usedReference		0..*	Reference(Device | Substance | CareConnect-Medication-1)	Items used during procedure
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Procedure.code	preferred	Procedure Codes (SNOMED CT)
Procedure.code.coding:snomedCT	extensible	Care Connect Procedure Code
Procedure.bodySite.coding:snomedCT	extensible	Care Connect Body Site
Procedure.complication.coding:snomedCT	required	Care Connect Condition Code

Name	Flags	Card.	Type	Description & Constraints
Procedure	C	0..*	Procedure	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
anaestheticIssues		0..1	CodeableConcept, Reference(CareConnect-Condition-1)	Details of any adverse reaction to any anaesthetic agents URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AnaestheticIssues-1 Binding: Care Connect Condition Code (required): A code from the SNOMED Clinical Terminology UK
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
partOf	Σ	0..*	Reference(MedicationAdministration | CareConnect-Procedure-1 | CareConnect-Observation-1)	Part of referenced event
status	?!Σ	1..1	code	preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
notDone	?!Σ	0..1	boolean	True if procedure was not performed as scheduled
code	Σ	0..1	CodeableConcept	Identification of the procedure Binding: Procedure Codes (SNOMED CT) (preferred): A code to identify a specific procedure.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..1	Coding	Code defined by a terminology system Binding: Care Connect Procedure Code (extensible): A code from the SNOMED Clinical Terminology UK.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
subject	Σ	1..1	Reference(Group | CareConnectPatient1)	Who the procedure was performed on
context	Σ	0..1	Reference(EpisodeOfCare | CareConnect-Encounter-1)	Encounter or episode associated with the procedure
location	Σ	0..1	Reference(CareConnect-Location-1)	Where the procedure happened
reasonReference	Σ	0..*	Reference(CareConnect-Observation-1 | CareConnect-Condition-1)	Condition that is the reason the procedure performed
complicationDetail		0..*	Reference(CareConnect-Condition-1)	A condition that is a result of the procedure
usedReference		0..*	Reference(Device | Substance | CareConnect-Medication-1)	Items used during procedure
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Procedure.status	required	EventStatus
Procedure.code	preferred	Procedure Codes (SNOMED CT)
Procedure.code.coding:snomedCT	extensible	Care Connect Procedure Code

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	Procedure.extension:anaestheticIssues	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	Procedure.extension:anaestheticIssues	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pro-1	error	Procedure	Reason not done is only permitted if notDone indicator is true : notDoneReason.empty() or notDone = true

Name	Flags	Card.	Type	Description & Constraints
Procedure	C	0..*	Procedure	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: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
anaestheticIssues		0..1	CodeableConcept, Reference(CareConnect-Condition-1)	Details of any adverse reaction to any anaesthetic agents URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AnaestheticIssues-1 Binding: Care Connect Condition Code (required): A code from the SNOMED Clinical Terminology UK
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifiers for this procedure
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
definition	Σ	0..*	Reference(PlanDefinition | ActivityDefinition | HealthcareService)	Instantiates protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ProcedureRequest | ReferralRequest)	A request for this procedure
partOf	Σ	0..*	Reference(MedicationAdministration | CareConnect-Procedure-1 | CareConnect-Observation-1)	Part of referenced event
status	?!Σ	1..1	code	preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
notDone	?!Σ	0..1	boolean	True if procedure was not performed as scheduled
notDoneReason	ΣC	0..1	CodeableConcept	Reason procedure was not performed Binding: Procedure Not Performed Reason (SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category	Σ	0..1	CodeableConcept	Classification of the procedure Binding: Procedure Category Codes (SNOMED CT) (example): A code that classifies a procedure for searching, sorting and display purposes.
code	Σ	0..1	CodeableConcept	Identification of the procedure Binding: Procedure Codes (SNOMED CT) (preferred): A code to identify a specific procedure.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..1	Coding	Code defined by a terminology system Binding: Care Connect Procedure Code (extensible): A code from the SNOMED Clinical Terminology UK.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Group | CareConnectPatient1)	Who the procedure was performed on
context	Σ	0..1	Reference(EpisodeOfCare | CareConnect-Encounter-1)	Encounter or episode associated with the procedure
performed[x]	Σ	0..1		Date/Period the procedure was performed
performedDateTime			dateTime
performedPeriod			Period
performer	Σ	0..*	BackboneElement	The people who performed the procedure
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
role	Σ	0..1	CodeableConcept	The role the actor was in Binding: Procedure Performer Role Codes (example): A code that identifies the role of a performer of the procedure.
actor	Σ	1..1	Reference(RelatedPerson | Device | CareConnect-Organization-1 | CareConnectPatient1 | CareConnect-Practitioner-1)	The reference to the practitioner
onBehalfOf		0..1	Reference(CareConnect-Organization-1)	Organization the device or practitioner was acting for
location	Σ	0..1	Reference(CareConnect-Location-1)	Where the procedure happened
reasonCode	Σ	0..*	CodeableConcept	Coded reason procedure performed Binding: Procedure Reason Codes (example): A code that identifies the reason a procedure is required.
reasonReference	Σ	0..*	Reference(CareConnect-Observation-1 | CareConnect-Condition-1)	Condition that is the reason the procedure performed
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..1	Coding	Code defined by a terminology system Binding: Care Connect Body Site (extensible): A code from the SNOMED Clinical Terminology UK.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: Procedure Outcome Codes (SNOMED CT) (example): An outcome of a procedure - whether it was resolved or otherwise.
report		0..*	Reference(DiagnosticReport)	Any report resulting from the procedure
complication		0..*	CodeableConcept	Complication following the procedure Binding: Condition/Problem/Diagnosis Codes (example): Codes describing complications that resulted from a procedure.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..1	Coding	Code defined by a terminology system Binding: Care Connect Condition Code (required): A code from the SNOMED Clinical Terminology UK.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
complicationDetail		0..*	Reference(CareConnect-Condition-1)	A condition that is a result of the procedure
followUp		0..*	CodeableConcept	Instructions for follow up Binding: Procedure Follow up Codes (SNOMED CT) (example): Specific follow up required for a procedure e.g. removal of sutures.
note		0..*	Annotation	Additional information about the procedure
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text		1..1	string	The annotation - text content
focalDevice		0..*	BackboneElement	Device changed in procedure
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
action		0..1	CodeableConcept	Kind of change to device Binding: Procedure Device Action Codes (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 | Substance | CareConnect-Medication-1)	Items used during procedure
usedCode		0..*	CodeableConcept	Coded items used during the procedure Binding: FHIR Device Types (example): Codes describing items used during a procedure
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Procedure.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
Procedure.identifier.use	required	IdentifierUse
Procedure.identifier.type	extensible	Identifier Type Codes
Procedure.status	required	EventStatus
Procedure.notDoneReason	example	Procedure Not Performed Reason (SNOMED-CT)
Procedure.category	example	Procedure Category Codes (SNOMED CT)
Procedure.code	preferred	Procedure Codes (SNOMED CT)
Procedure.code.coding:snomedCT	extensible	Care Connect Procedure Code
Procedure.performer.role	example	Procedure Performer Role Codes
Procedure.reasonCode	example	Procedure Reason Codes
Procedure.bodySite	example	SNOMED CT Body Structures
Procedure.bodySite.coding:snomedCT	extensible	Care Connect Body Site
Procedure.outcome	example	Procedure Outcome Codes (SNOMED CT)
Procedure.complication	example	Condition/Problem/Diagnosis Codes
Procedure.complication.coding:snomedCT	required	Care Connect Condition Code
Procedure.followUp	example	Procedure Follow up Codes (SNOMED CT)
Procedure.focalDevice.action	preferred	Procedure Device Action Codes
Procedure.usedCode	example	FHIR Device Types

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	Procedure.extension:anaestheticIssues, Procedure.performer, Procedure.focalDevice	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	Procedure.extension:anaestheticIssues	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Summary

Mandatory: 0 element (11 nested mandatory elements)
Fixed Value: 3 elements

Structures

This structure refers to these other structures:

• CareConnect-Organization-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1)
• CareConnect-Procedure-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Procedure-1)
• CareConnect-Observation-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1)
• CareConnectPatient1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1)
• CareConnect-Encounter-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1)
• CareConnect-Practitioner-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1)
• CareConnect-Location-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Location-1)
• CareConnect-Condition-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Condition-1)
• CareConnect-Medication-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Medication-1)

Extensions

This structure refers to these extensions:

• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AnaestheticIssues-1
• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid

Slices

This structure defines the following Slices:

• The element Procedure.code.coding is sliced based on the value of value:system
• The element Procedure.bodySite.coding is sliced based on the value of value:system
• The element Procedure.complication.coding is sliced based on the value of value:system