Interweave Implementation Guide
0.1.0 - ci-build

Interweave Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the R4 profiles here.

Resource Profile: CareConnectProcedure1

Official URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Procedure-1 Version: 0.1.0
Draft as of 2018-11-05 Computable Name: CareConnect-Procedure-1

Copyright/Legal: Copyright © 2016 HL7 UK Licensed under the Apache License, Version 2.0 (the “License”); you may not use this file except in compliance with the License. You may obtain a copy of the License at http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an “AS IS” BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at https://www.hl7.org/fhir/license.html

An action that is or was performed on a patient.

CURATED BY INTEROPen see: http://www.interopen.org/careconnect-curation-methodology/

Usage:

Formal Views of Profile Content

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

This structure is derived from Procedure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..*ProcedureAn action that is being or was performed on a patient
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... anaestheticIssues 0..1CodeableConcept, 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..1uriThe namespace for the identifier value
.... value 1..1stringThe value that is unique
.... assigner 0..1Reference(CareConnect-Organization-1)Organization that issued id (may be just text)
... code 0..1CodeableConceptIdentification of the procedure
Binding: Procedure Codes (SNOMED CT) (preferred): A code to identify a specific procedure.

.... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT 0..1CodingCode defined by a terminology system
Binding: Care Connect Procedure Code (extensible): A code from the SNOMED Clinical Terminology UK.

...... Slices for extension 0..*ExtensionExtension
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..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
... subject 1..1Reference(Group | CareConnectPatient1)Who the procedure was performed on
... context 0..1Reference(EpisodeOfCare | CareConnect-Encounter-1)Encounter or episode associated with the procedure
... performer
.... actor 1..1Reference(RelatedPerson | Device | CareConnect-Organization-1 | CareConnectPatient1 | CareConnect-Practitioner-1)The reference to the practitioner
.... onBehalfOf 0..1Reference(CareConnect-Organization-1)Organization the device or practitioner was acting for
... location 0..1Reference(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..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT 0..1CodingCode defined by a terminology system
Binding: Care Connect Body Site (extensible): A code from the SNOMED Clinical Terminology UK.

...... Slices for extension 0..*ExtensionExtension
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..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
... complication
.... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT 0..1CodingCode defined by a terminology system
Binding: Care Connect Condition Code (required): A code from the SNOMED Clinical Terminology UK.

...... Slices for extension 0..*ExtensionExtension
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..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
... complicationDetail 0..*Reference(CareConnect-Condition-1)A condition that is a result of the procedure
... note
.... author[x] 0..1Individual responsible for the annotation
..... authorReferenceReference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1)
..... authorStringstring
... usedReference 0..*Reference(Device | Substance | CareConnect-Medication-1)Items used during procedure

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Procedure.codepreferredProcedure Codes (SNOMED CT)
Procedure.code.coding:snomedCTextensibleCare Connect Procedure Code
Procedure.bodySite.coding:snomedCTextensibleCare Connect Body Site
Procedure.complication.coding:snomedCTrequiredCare Connect Condition Code
NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure C0..*ProcedureAn action that is being or was performed on a patient
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... anaestheticIssues 0..1CodeableConcept, 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


... partOf Σ0..*Reference(MedicationAdministration | CareConnect-Procedure-1 | CareConnect-Observation-1)Part of referenced event
... status ?!Σ1..1codepreparation | in-progress | suspended | aborted | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.

... notDone ?!Σ0..1booleanTrue if procedure was not performed as scheduled
... code Σ0..1CodeableConceptIdentification of the procedure
Binding: Procedure Codes (SNOMED CT) (preferred): A code to identify a specific procedure.

.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..1CodingCode defined by a terminology system
Binding: Care Connect Procedure Code (extensible): A code from the SNOMED Clinical Terminology UK.


...... Slices for extension 0..*ExtensionExtension
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 Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
... subject Σ1..1Reference(Group | CareConnectPatient1)Who the procedure was performed on
... context Σ0..1Reference(EpisodeOfCare | CareConnect-Encounter-1)Encounter or episode associated with the procedure
... location Σ0..1Reference(CareConnect-Location-1)Where the procedure happened
... reasonReference Σ0..*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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Procedure.statusrequiredEventStatus
Procedure.codepreferredProcedure Codes (SNOMED CT)
Procedure.code.coding:snomedCTextensibleCare Connect Procedure Code

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorProcedureIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorProcedureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorProcedureIf 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-4errorProcedureIf 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-1errorProcedure.extension:anaestheticIssuesAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1errorProcedure.extension:anaestheticIssuesMust have either extensions or value[x], not both
: extension.exists() != value.exists()
pro-1errorProcedureReason not done is only permitted if notDone indicator is true
: notDoneReason.empty() or notDone = true
NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure C0..*ProcedureAn action that is being or was performed on a patient
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... anaestheticIssues 0..1CodeableConcept, 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..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Identifiers for this procedure
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription 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 Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ1..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(CareConnect-Organization-1)Organization that issued id (may be just text)
... definition Σ0..*Reference(PlanDefinition | ActivityDefinition | HealthcareService)Instantiates protocol or definition
... basedOn Σ0..*Reference(CarePlan | ProcedureRequest | ReferralRequest)A request for this procedure
... partOf Σ0..*Reference(MedicationAdministration | CareConnect-Procedure-1 | CareConnect-Observation-1)Part of referenced event
... status ?!Σ1..1codepreparation | in-progress | suspended | aborted | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.

... notDone ?!Σ0..1booleanTrue if procedure was not performed as scheduled
... notDoneReason ΣC0..1CodeableConceptReason procedure was not performed
Binding: Procedure Not Performed Reason (SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.

... category Σ0..1CodeableConceptClassification of the procedure
Binding: Procedure Category Codes (SNOMED CT) (example): A code that classifies a procedure for searching, sorting and display purposes.

... code Σ0..1CodeableConceptIdentification of the procedure
Binding: Procedure Codes (SNOMED CT) (preferred): A code to identify a specific procedure.

.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..1CodingCode defined by a terminology system
Binding: Care Connect Procedure Code (extensible): A code from the SNOMED Clinical Terminology UK.


...... id 0..1stringxml:id (or equivalent in JSON)
...... Slices for extension 0..*ExtensionExtension
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 Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject Σ1..1Reference(Group | CareConnectPatient1)Who the procedure was performed on
... context Σ0..1Reference(EpisodeOfCare | CareConnect-Encounter-1)Encounter or episode associated with the procedure
... performed[x] Σ0..1Date/Period the procedure was performed
.... performedDateTimedateTime
.... performedPeriodPeriod
... performer Σ0..*BackboneElementThe people who performed the procedure
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... role Σ0..1CodeableConceptThe role the actor was in
Binding: Procedure Performer Role Codes (example): A code that identifies the role of a performer of the procedure.

.... actor Σ1..1Reference(RelatedPerson | Device | CareConnect-Organization-1 | CareConnectPatient1 | CareConnect-Practitioner-1)The reference to the practitioner
.... onBehalfOf 0..1Reference(CareConnect-Organization-1)Organization the device or practitioner was acting for
... location Σ0..1Reference(CareConnect-Location-1)Where the procedure happened
... reasonCode Σ0..*CodeableConceptCoded reason procedure performed
Binding: Procedure Reason Codes (example): A code that identifies the reason a procedure is required.


... reasonReference Σ0..*Reference(CareConnect-Observation-1 | CareConnect-Condition-1)Condition that is the reason the procedure performed
... bodySite Σ0..*CodeableConceptTarget body sites
Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.


.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..1CodingCode defined by a terminology system
Binding: Care Connect Body Site (extensible): A code from the SNOMED Clinical Terminology UK.


...... id 0..1stringxml:id (or equivalent in JSON)
...... Slices for extension 0..*ExtensionExtension
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 Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... outcome Σ0..1CodeableConceptThe 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..*CodeableConceptComplication following the procedure
Binding: Condition/Problem/Diagnosis Codes (example): Codes describing complications that resulted from a procedure.


.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..1CodingCode defined by a terminology system
Binding: Care Connect Condition Code (required): A code from the SNOMED Clinical Terminology UK.


...... id 0..1stringxml:id (or equivalent in JSON)
...... Slices for extension 0..*ExtensionExtension
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 Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... complicationDetail 0..*Reference(CareConnect-Condition-1)A condition that is a result of the procedure
... followUp 0..*CodeableConceptInstructions 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..*AnnotationAdditional information about the procedure
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ0..1Individual responsible for the annotation
..... authorReferenceReference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1)
..... authorStringstring
.... time Σ0..1dateTimeWhen the annotation was made
.... text 1..1stringThe annotation - text content
... focalDevice 0..*BackboneElementDevice changed in procedure
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... action 0..1CodeableConceptKind of change to device
Binding: Procedure Device Action Codes (preferred): A kind of change that happened to the device during the procedure.

.... manipulated 1..1Reference(Device)Device that was changed
... usedReference 0..*Reference(Device | Substance | CareConnect-Medication-1)Items used during procedure
... usedCode 0..*CodeableConceptCoded items used during the procedure
Binding: FHIR Device Types (example): Codes describing items used during a procedure



doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Procedure.languageextensibleCommon Languages
Additional Bindings Purpose
AllLanguages Max Binding
Procedure.identifier.userequiredIdentifierUse
Procedure.identifier.typeextensibleIdentifier Type Codes
Procedure.statusrequiredEventStatus
Procedure.notDoneReasonexampleProcedure Not Performed Reason (SNOMED-CT)
Procedure.categoryexampleProcedure Category Codes (SNOMED CT)
Procedure.codepreferredProcedure Codes (SNOMED CT)
Procedure.code.coding:snomedCTextensibleCare Connect Procedure Code
Procedure.performer.roleexampleProcedure Performer Role Codes
Procedure.reasonCodeexampleProcedure Reason Codes
Procedure.bodySiteexampleSNOMED CT Body Structures
Procedure.bodySite.coding:snomedCTextensibleCare Connect Body Site
Procedure.outcomeexampleProcedure Outcome Codes (SNOMED CT)
Procedure.complicationexampleCondition/Problem/Diagnosis Codes
Procedure.complication.coding:snomedCTrequiredCare Connect Condition Code
Procedure.followUpexampleProcedure Follow up Codes (SNOMED CT)
Procedure.focalDevice.actionpreferredProcedure Device Action Codes
Procedure.usedCodeexampleFHIR Device Types

Constraints

IdGradePath(s)DetailsRequirements
ele-1errorProcedure.extension:anaestheticIssues, Procedure.performer, Procedure.focalDeviceAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1errorProcedure.extension:anaestheticIssuesMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Procedure

Summary

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

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

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

Differential View

This structure is derived from Procedure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..*ProcedureAn action that is being or was performed on a patient
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... anaestheticIssues 0..1CodeableConcept, 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..1uriThe namespace for the identifier value
.... value 1..1stringThe value that is unique
.... assigner 0..1Reference(CareConnect-Organization-1)Organization that issued id (may be just text)
... code 0..1CodeableConceptIdentification of the procedure
Binding: Procedure Codes (SNOMED CT) (preferred): A code to identify a specific procedure.

.... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT 0..1CodingCode defined by a terminology system
Binding: Care Connect Procedure Code (extensible): A code from the SNOMED Clinical Terminology UK.

...... Slices for extension 0..*ExtensionExtension
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..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
... subject 1..1Reference(Group | CareConnectPatient1)Who the procedure was performed on
... context 0..1Reference(EpisodeOfCare | CareConnect-Encounter-1)Encounter or episode associated with the procedure
... performer
.... actor 1..1Reference(RelatedPerson | Device | CareConnect-Organization-1 | CareConnectPatient1 | CareConnect-Practitioner-1)The reference to the practitioner
.... onBehalfOf 0..1Reference(CareConnect-Organization-1)Organization the device or practitioner was acting for
... location 0..1Reference(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..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT 0..1CodingCode defined by a terminology system
Binding: Care Connect Body Site (extensible): A code from the SNOMED Clinical Terminology UK.

...... Slices for extension 0..*ExtensionExtension
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..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
... complication
.... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT 0..1CodingCode defined by a terminology system
Binding: Care Connect Condition Code (required): A code from the SNOMED Clinical Terminology UK.

...... Slices for extension 0..*ExtensionExtension
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..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
... complicationDetail 0..*Reference(CareConnect-Condition-1)A condition that is a result of the procedure
... note
.... author[x] 0..1Individual responsible for the annotation
..... authorReferenceReference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1)
..... authorStringstring
... usedReference 0..*Reference(Device | Substance | CareConnect-Medication-1)Items used during procedure

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Procedure.codepreferredProcedure Codes (SNOMED CT)
Procedure.code.coding:snomedCTextensibleCare Connect Procedure Code
Procedure.bodySite.coding:snomedCTextensibleCare Connect Body Site
Procedure.complication.coding:snomedCTrequiredCare Connect Condition Code

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure C0..*ProcedureAn action that is being or was performed on a patient
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... anaestheticIssues 0..1CodeableConcept, 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


... partOf Σ0..*Reference(MedicationAdministration | CareConnect-Procedure-1 | CareConnect-Observation-1)Part of referenced event
... status ?!Σ1..1codepreparation | in-progress | suspended | aborted | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.

... notDone ?!Σ0..1booleanTrue if procedure was not performed as scheduled
... code Σ0..1CodeableConceptIdentification of the procedure
Binding: Procedure Codes (SNOMED CT) (preferred): A code to identify a specific procedure.

.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..1CodingCode defined by a terminology system
Binding: Care Connect Procedure Code (extensible): A code from the SNOMED Clinical Terminology UK.


...... Slices for extension 0..*ExtensionExtension
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 Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
... subject Σ1..1Reference(Group | CareConnectPatient1)Who the procedure was performed on
... context Σ0..1Reference(EpisodeOfCare | CareConnect-Encounter-1)Encounter or episode associated with the procedure
... location Σ0..1Reference(CareConnect-Location-1)Where the procedure happened
... reasonReference Σ0..*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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Procedure.statusrequiredEventStatus
Procedure.codepreferredProcedure Codes (SNOMED CT)
Procedure.code.coding:snomedCTextensibleCare Connect Procedure Code

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorProcedureIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorProcedureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorProcedureIf 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-4errorProcedureIf 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-1errorProcedure.extension:anaestheticIssuesAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1errorProcedure.extension:anaestheticIssuesMust have either extensions or value[x], not both
: extension.exists() != value.exists()
pro-1errorProcedureReason not done is only permitted if notDone indicator is true
: notDoneReason.empty() or notDone = true

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure C0..*ProcedureAn action that is being or was performed on a patient
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... anaestheticIssues 0..1CodeableConcept, 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..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Identifiers for this procedure
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription 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 Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ1..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(CareConnect-Organization-1)Organization that issued id (may be just text)
... definition Σ0..*Reference(PlanDefinition | ActivityDefinition | HealthcareService)Instantiates protocol or definition
... basedOn Σ0..*Reference(CarePlan | ProcedureRequest | ReferralRequest)A request for this procedure
... partOf Σ0..*Reference(MedicationAdministration | CareConnect-Procedure-1 | CareConnect-Observation-1)Part of referenced event
... status ?!Σ1..1codepreparation | in-progress | suspended | aborted | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.

... notDone ?!Σ0..1booleanTrue if procedure was not performed as scheduled
... notDoneReason ΣC0..1CodeableConceptReason procedure was not performed
Binding: Procedure Not Performed Reason (SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.

... category Σ0..1CodeableConceptClassification of the procedure
Binding: Procedure Category Codes (SNOMED CT) (example): A code that classifies a procedure for searching, sorting and display purposes.

... code Σ0..1CodeableConceptIdentification of the procedure
Binding: Procedure Codes (SNOMED CT) (preferred): A code to identify a specific procedure.

.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..1CodingCode defined by a terminology system
Binding: Care Connect Procedure Code (extensible): A code from the SNOMED Clinical Terminology UK.


...... id 0..1stringxml:id (or equivalent in JSON)
...... Slices for extension 0..*ExtensionExtension
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 Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject Σ1..1Reference(Group | CareConnectPatient1)Who the procedure was performed on
... context Σ0..1Reference(EpisodeOfCare | CareConnect-Encounter-1)Encounter or episode associated with the procedure
... performed[x] Σ0..1Date/Period the procedure was performed
.... performedDateTimedateTime
.... performedPeriodPeriod
... performer Σ0..*BackboneElementThe people who performed the procedure
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... role Σ0..1CodeableConceptThe role the actor was in
Binding: Procedure Performer Role Codes (example): A code that identifies the role of a performer of the procedure.

.... actor Σ1..1Reference(RelatedPerson | Device | CareConnect-Organization-1 | CareConnectPatient1 | CareConnect-Practitioner-1)The reference to the practitioner
.... onBehalfOf 0..1Reference(CareConnect-Organization-1)Organization the device or practitioner was acting for
... location Σ0..1Reference(CareConnect-Location-1)Where the procedure happened
... reasonCode Σ0..*CodeableConceptCoded reason procedure performed
Binding: Procedure Reason Codes (example): A code that identifies the reason a procedure is required.


... reasonReference Σ0..*Reference(CareConnect-Observation-1 | CareConnect-Condition-1)Condition that is the reason the procedure performed
... bodySite Σ0..*CodeableConceptTarget body sites
Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.


.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..1CodingCode defined by a terminology system
Binding: Care Connect Body Site (extensible): A code from the SNOMED Clinical Terminology UK.


...... id 0..1stringxml:id (or equivalent in JSON)
...... Slices for extension 0..*ExtensionExtension
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 Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... outcome Σ0..1CodeableConceptThe 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..*CodeableConceptComplication following the procedure
Binding: Condition/Problem/Diagnosis Codes (example): Codes describing complications that resulted from a procedure.


.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..1CodingCode defined by a terminology system
Binding: Care Connect Condition Code (required): A code from the SNOMED Clinical Terminology UK.


...... id 0..1stringxml:id (or equivalent in JSON)
...... Slices for extension 0..*ExtensionExtension
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 Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... complicationDetail 0..*Reference(CareConnect-Condition-1)A condition that is a result of the procedure
... followUp 0..*CodeableConceptInstructions 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..*AnnotationAdditional information about the procedure
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ0..1Individual responsible for the annotation
..... authorReferenceReference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1)
..... authorStringstring
.... time Σ0..1dateTimeWhen the annotation was made
.... text 1..1stringThe annotation - text content
... focalDevice 0..*BackboneElementDevice changed in procedure
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... action 0..1CodeableConceptKind of change to device
Binding: Procedure Device Action Codes (preferred): A kind of change that happened to the device during the procedure.

.... manipulated 1..1Reference(Device)Device that was changed
... usedReference 0..*Reference(Device | Substance | CareConnect-Medication-1)Items used during procedure
... usedCode 0..*CodeableConceptCoded items used during the procedure
Binding: FHIR Device Types (example): Codes describing items used during a procedure



doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Procedure.languageextensibleCommon Languages
Additional Bindings Purpose
AllLanguages Max Binding
Procedure.identifier.userequiredIdentifierUse
Procedure.identifier.typeextensibleIdentifier Type Codes
Procedure.statusrequiredEventStatus
Procedure.notDoneReasonexampleProcedure Not Performed Reason (SNOMED-CT)
Procedure.categoryexampleProcedure Category Codes (SNOMED CT)
Procedure.codepreferredProcedure Codes (SNOMED CT)
Procedure.code.coding:snomedCTextensibleCare Connect Procedure Code
Procedure.performer.roleexampleProcedure Performer Role Codes
Procedure.reasonCodeexampleProcedure Reason Codes
Procedure.bodySiteexampleSNOMED CT Body Structures
Procedure.bodySite.coding:snomedCTextensibleCare Connect Body Site
Procedure.outcomeexampleProcedure Outcome Codes (SNOMED CT)
Procedure.complicationexampleCondition/Problem/Diagnosis Codes
Procedure.complication.coding:snomedCTrequiredCare Connect Condition Code
Procedure.followUpexampleProcedure Follow up Codes (SNOMED CT)
Procedure.focalDevice.actionpreferredProcedure Device Action Codes
Procedure.usedCodeexampleFHIR Device Types

Constraints

IdGradePath(s)DetailsRequirements
ele-1errorProcedure.extension:anaestheticIssues, Procedure.performer, Procedure.focalDeviceAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1errorProcedure.extension:anaestheticIssuesMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Procedure

Summary

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

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

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

 

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