HL7 FHIR Implementation Guide: ZM-Core Release 1 - Zambia
​0.1.0 - Zambia flag

HL7 FHIR Implementation Guide: ZM-Core Release 1 - Zambia - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: ZM-Core Procedure Profile

Official URL: http://hapi.moh.gov.zm/fhir/StructureDefinition/zm-core-procedure Version: 0.1.0
Active as of 2026-08-12 Computable Name: ZMCoreProcedure

Zambia procedure profile for surgical, diagnostic, therapeutic, and programme procedures.

Usages:

  • This Profile is not used by any profiles in this Specification

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and their representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* Procedure An action that is being or was performed on an individual or entity
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.
... statusReason SΣ 0..1 CodeableConcept Reason for current status
Binding: ProcedureNotPerformedReasonSNOMEDCT (example): A code that identifies the reason a procedure was not performed.
... category SΣ 0..* CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodesSNOMEDCT (example): A code that classifies a procedure for searching, sorting and display purposes.
... code SΣ 1..1 CodeableConcept Identification of the procedure
Binding: ProcedureCodesSNOMEDCT (example): A code to identify a specific procedure .
... subject SΣ 1..1 Reference(ZM-Core Patient Profile | ZM-Core Recipient Group Profile) Individual or entity the procedure was performed on
... encounter SΣ 0..1 Reference(ZM-Core Encounter Profile) The Encounter during which this Procedure was created
... occurrence[x] SΣ 1..1 When the procedure occurred or is occurring
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceString string
.... occurrenceAge Age
.... occurrenceRange Range
.... occurrenceTiming Timing
... recorded SΣ 0..1 dateTime When the procedure was first captured in the subject's record
... recorder SΣ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Who recorded the procedure
... performer SΣC 1..* BackboneElement Who performed the procedure and what they did
Constraints: prc-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor SΣC 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) Who performed the procedure
... location SΣ 0..1 Reference(ZM-Core Location Profile) Where the procedure happened
... reason SΣ 0..* CodeableReference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) The justification that the procedure was performed
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
... outcome SΣ 0..1 CodeableConcept The result of procedure
Binding: ProcedureOutcomeCodesSNOMEDCT (example): An outcome of a procedure - whether it was resolved or otherwise.
... report S 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
... complication S 0..* CodeableReference(Condition) Complication following the procedure
Binding: ConditionProblemDiagnosisCodes (example): Codes describing complications that resulted from a procedure.
... followUp S 0..* CodeableConcept Instructions for follow up
Binding: ProcedureFollowUpCodesSNOMEDCT (example): Specific follow up required for a procedure e.g. removal of sutures.
... note S 0..* Annotation Additional information about the procedure

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.status Base required EventStatus 📍5.0.0 FHIR Std.
Procedure.statusReason Base example Procedure Not Performed Reason (SNOMED-CT) 📍5.0.0 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📍5.0.0 FHIR Std.
Procedure.code Base example Procedure Codes (SNOMED CT) 📍5.0.0 FHIR Std.
Procedure.reason Base example Procedure Reason Codes 📍5.0.0 FHIR Std.
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📍5.0.0 FHIR Std.
Procedure.complication Base example Condition/Problem/Diagnosis Codes 📍5.0.0 FHIR Std.
Procedure.followUp Base example Procedure Follow up Codes (SNOMED CT) 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Procedure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Procedure If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
prc-1 error Procedure.performer Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* Procedure An action that is being or was performed on an individual or entity
... identifier S 0..* Identifier External Identifiers for this procedure
... status S 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
... statusReason S 0..1 CodeableConcept Reason for current status
... code S 1..1 CodeableConcept Identification of the procedure
... subject S 1..1 Reference(ZM-Core Patient Profile | ZM-Core Recipient Group Profile) Individual or entity the procedure was performed on
... encounter S 0..1 Reference(ZM-Core Encounter Profile) The Encounter during which this Procedure was created
... occurrence[x] S 1..1 dateTime, Period, string, Age, Range, Timing When the procedure occurred or is occurring
... recorded S 0..1 dateTime When the procedure was first captured in the subject's record
... recorder S 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Who recorded the procedure
... performer S 1..* BackboneElement Who performed the procedure and what they did
.... actor S 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) Who performed the procedure
... location S 0..1 Reference(ZM-Core Location Profile) Where the procedure happened
... reason S 0..* CodeableReference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) The justification that the procedure was performed
... outcome S 0..1 CodeableConcept The result of procedure
... report S 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
... complication S 0..* CodeableReference(Condition) Complication following the procedure
... followUp S 0..* CodeableConcept Instructions for follow up
... note S 0..* Annotation Additional information about the procedure

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* Procedure An action that is being or was performed on an individual or entity
... 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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier External Identifiers for this procedure
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest) A request for this procedure
... partOf Σ 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
... status ?!SΣ 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.
... statusReason SΣ 0..1 CodeableConcept Reason for current status
Binding: ProcedureNotPerformedReasonSNOMEDCT (example): A code that identifies the reason a procedure was not performed.
... category SΣ 0..* CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodesSNOMEDCT (example): A code that classifies a procedure for searching, sorting and display purposes.
... code SΣ 1..1 CodeableConcept Identification of the procedure
Binding: ProcedureCodesSNOMEDCT (example): A code to identify a specific procedure .
... subject SΣ 1..1 Reference(ZM-Core Patient Profile | ZM-Core Recipient Group Profile) Individual or entity the procedure was performed on
... focus Σ 0..1 Reference(Patient | Group | RelatedPerson | Practitioner | Organization | CareTeam | PractitionerRole | Specimen) Who is the target of the procedure when it is not the subject of record only
... encounter SΣ 0..1 Reference(ZM-Core Encounter Profile) The Encounter during which this Procedure was created
... occurrence[x] SΣ 1..1 When the procedure occurred or is occurring
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceString string
.... occurrenceAge Age
.... occurrenceRange Range
.... occurrenceTiming Timing
... recorded SΣ 0..1 dateTime When the procedure was first captured in the subject's record
... recorder SΣ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Who recorded the procedure
... reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)
... performer SΣC 1..* BackboneElement Who performed the procedure and what they did
Constraints: prc-1
.... 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 SΣC 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) Who performed the procedure
.... onBehalfOf C 0..1 Reference(Organization) Organization the device or practitioner was acting for
.... period 0..1 Period When the performer performed the procedure
... location SΣ 0..1 Reference(ZM-Core Location Profile) Where the procedure happened
... reason SΣ 0..* CodeableReference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) The justification that the procedure was performed
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
... bodySite Σ 0..* CodeableConcept Target body sites
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
... outcome SΣ 0..1 CodeableConcept The result of procedure
Binding: ProcedureOutcomeCodesSNOMEDCT (example): An outcome of a procedure - whether it was resolved or otherwise.
... report S 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
... complication S 0..* CodeableReference(Condition) Complication following the procedure
Binding: ConditionProblemDiagnosisCodes (example): Codes describing complications that resulted from a procedure.
... followUp S 0..* CodeableConcept Instructions for follow up
Binding: ProcedureFollowUpCodesSNOMEDCT (example): Specific follow up required for a procedure e.g. removal of sutures.
... note S 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
... used 0..* CodeableReference(Device | Medication | Substance | BiologicallyDerivedProduct) Items used during procedure
Binding: DeviceType (example): Codes describing items used during a procedure.
... supportingInfo 0..* Reference(Resource) Extra information relevant to the procedure

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.language Base required All Languages 📍5.0.0 FHIR Std.
Procedure.status Base required EventStatus 📍5.0.0 FHIR Std.
Procedure.statusReason Base example Procedure Not Performed Reason (SNOMED-CT) 📍5.0.0 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📍5.0.0 FHIR Std.
Procedure.code Base example Procedure Codes (SNOMED CT) 📍5.0.0 FHIR Std.
Procedure.performer.​function Base example Procedure Performer Role Codes 📍5.0.0 FHIR Std.
Procedure.reason Base example Procedure Reason Codes 📍5.0.0 FHIR Std.
Procedure.bodySite Base example SNOMED CT Body Structures 📍5.0.0 FHIR Std.
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📍5.0.0 FHIR Std.
Procedure.complication Base example Condition/Problem/Diagnosis Codes 📍5.0.0 FHIR Std.
Procedure.followUp Base example Procedure Follow up Codes (SNOMED CT) 📍5.0.0 FHIR Std.
Procedure.focalDevice.​action Base preferred Procedure Device Action Codes 📍5.0.0 FHIR Std.
Procedure.used Base example Device Type 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Procedure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Procedure If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
prc-1 error Procedure.performer Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* Procedure An action that is being or was performed on an individual or entity
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.
... statusReason SΣ 0..1 CodeableConcept Reason for current status
Binding: ProcedureNotPerformedReasonSNOMEDCT (example): A code that identifies the reason a procedure was not performed.
... category SΣ 0..* CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodesSNOMEDCT (example): A code that classifies a procedure for searching, sorting and display purposes.
... code SΣ 1..1 CodeableConcept Identification of the procedure
Binding: ProcedureCodesSNOMEDCT (example): A code to identify a specific procedure .
... subject SΣ 1..1 Reference(ZM-Core Patient Profile | ZM-Core Recipient Group Profile) Individual or entity the procedure was performed on
... encounter SΣ 0..1 Reference(ZM-Core Encounter Profile) The Encounter during which this Procedure was created
... occurrence[x] SΣ 1..1 When the procedure occurred or is occurring
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceString string
.... occurrenceAge Age
.... occurrenceRange Range
.... occurrenceTiming Timing
... recorded SΣ 0..1 dateTime When the procedure was first captured in the subject's record
... recorder SΣ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Who recorded the procedure
... performer SΣC 1..* BackboneElement Who performed the procedure and what they did
Constraints: prc-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor SΣC 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) Who performed the procedure
... location SΣ 0..1 Reference(ZM-Core Location Profile) Where the procedure happened
... reason SΣ 0..* CodeableReference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) The justification that the procedure was performed
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
... outcome SΣ 0..1 CodeableConcept The result of procedure
Binding: ProcedureOutcomeCodesSNOMEDCT (example): An outcome of a procedure - whether it was resolved or otherwise.
... report S 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
... complication S 0..* CodeableReference(Condition) Complication following the procedure
Binding: ConditionProblemDiagnosisCodes (example): Codes describing complications that resulted from a procedure.
... followUp S 0..* CodeableConcept Instructions for follow up
Binding: ProcedureFollowUpCodesSNOMEDCT (example): Specific follow up required for a procedure e.g. removal of sutures.
... note S 0..* Annotation Additional information about the procedure

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.status Base required EventStatus 📍5.0.0 FHIR Std.
Procedure.statusReason Base example Procedure Not Performed Reason (SNOMED-CT) 📍5.0.0 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📍5.0.0 FHIR Std.
Procedure.code Base example Procedure Codes (SNOMED CT) 📍5.0.0 FHIR Std.
Procedure.reason Base example Procedure Reason Codes 📍5.0.0 FHIR Std.
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📍5.0.0 FHIR Std.
Procedure.complication Base example Condition/Problem/Diagnosis Codes 📍5.0.0 FHIR Std.
Procedure.followUp Base example Procedure Follow up Codes (SNOMED CT) 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Procedure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Procedure If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
prc-1 error Procedure.performer Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* Procedure An action that is being or was performed on an individual or entity
... identifier S 0..* Identifier External Identifiers for this procedure
... status S 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
... statusReason S 0..1 CodeableConcept Reason for current status
... code S 1..1 CodeableConcept Identification of the procedure
... subject S 1..1 Reference(ZM-Core Patient Profile | ZM-Core Recipient Group Profile) Individual or entity the procedure was performed on
... encounter S 0..1 Reference(ZM-Core Encounter Profile) The Encounter during which this Procedure was created
... occurrence[x] S 1..1 dateTime, Period, string, Age, Range, Timing When the procedure occurred or is occurring
... recorded S 0..1 dateTime When the procedure was first captured in the subject's record
... recorder S 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Who recorded the procedure
... performer S 1..* BackboneElement Who performed the procedure and what they did
.... actor S 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) Who performed the procedure
... location S 0..1 Reference(ZM-Core Location Profile) Where the procedure happened
... reason S 0..* CodeableReference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) The justification that the procedure was performed
... outcome S 0..1 CodeableConcept The result of procedure
... report S 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
... complication S 0..* CodeableReference(Condition) Complication following the procedure
... followUp S 0..* CodeableConcept Instructions for follow up
... note S 0..* Annotation Additional information about the procedure

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure 0..* Procedure An action that is being or was performed on an individual or entity
... 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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier External Identifiers for this procedure
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest) A request for this procedure
... partOf Σ 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
... status ?!SΣ 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.
... statusReason SΣ 0..1 CodeableConcept Reason for current status
Binding: ProcedureNotPerformedReasonSNOMEDCT (example): A code that identifies the reason a procedure was not performed.
... category SΣ 0..* CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodesSNOMEDCT (example): A code that classifies a procedure for searching, sorting and display purposes.
... code SΣ 1..1 CodeableConcept Identification of the procedure
Binding: ProcedureCodesSNOMEDCT (example): A code to identify a specific procedure .
... subject SΣ 1..1 Reference(ZM-Core Patient Profile | ZM-Core Recipient Group Profile) Individual or entity the procedure was performed on
... focus Σ 0..1 Reference(Patient | Group | RelatedPerson | Practitioner | Organization | CareTeam | PractitionerRole | Specimen) Who is the target of the procedure when it is not the subject of record only
... encounter SΣ 0..1 Reference(ZM-Core Encounter Profile) The Encounter during which this Procedure was created
... occurrence[x] SΣ 1..1 When the procedure occurred or is occurring
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceString string
.... occurrenceAge Age
.... occurrenceRange Range
.... occurrenceTiming Timing
... recorded SΣ 0..1 dateTime When the procedure was first captured in the subject's record
... recorder SΣ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Who recorded the procedure
... reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)
... performer SΣC 1..* BackboneElement Who performed the procedure and what they did
Constraints: prc-1
.... 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 SΣC 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) Who performed the procedure
.... onBehalfOf C 0..1 Reference(Organization) Organization the device or practitioner was acting for
.... period 0..1 Period When the performer performed the procedure
... location SΣ 0..1 Reference(ZM-Core Location Profile) Where the procedure happened
... reason SΣ 0..* CodeableReference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) The justification that the procedure was performed
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
... bodySite Σ 0..* CodeableConcept Target body sites
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
... outcome SΣ 0..1 CodeableConcept The result of procedure
Binding: ProcedureOutcomeCodesSNOMEDCT (example): An outcome of a procedure - whether it was resolved or otherwise.
... report S 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
... complication S 0..* CodeableReference(Condition) Complication following the procedure
Binding: ConditionProblemDiagnosisCodes (example): Codes describing complications that resulted from a procedure.
... followUp S 0..* CodeableConcept Instructions for follow up
Binding: ProcedureFollowUpCodesSNOMEDCT (example): Specific follow up required for a procedure e.g. removal of sutures.
... note S 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
... used 0..* CodeableReference(Device | Medication | Substance | BiologicallyDerivedProduct) Items used during procedure
Binding: DeviceType (example): Codes describing items used during a procedure.
... supportingInfo 0..* Reference(Resource) Extra information relevant to the procedure

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.language Base required All Languages 📍5.0.0 FHIR Std.
Procedure.status Base required EventStatus 📍5.0.0 FHIR Std.
Procedure.statusReason Base example Procedure Not Performed Reason (SNOMED-CT) 📍5.0.0 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📍5.0.0 FHIR Std.
Procedure.code Base example Procedure Codes (SNOMED CT) 📍5.0.0 FHIR Std.
Procedure.performer.​function Base example Procedure Performer Role Codes 📍5.0.0 FHIR Std.
Procedure.reason Base example Procedure Reason Codes 📍5.0.0 FHIR Std.
Procedure.bodySite Base example SNOMED CT Body Structures 📍5.0.0 FHIR Std.
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📍5.0.0 FHIR Std.
Procedure.complication Base example Condition/Problem/Diagnosis Codes 📍5.0.0 FHIR Std.
Procedure.followUp Base example Procedure Follow up Codes (SNOMED CT) 📍5.0.0 FHIR Std.
Procedure.focalDevice.​action Base preferred Procedure Device Action Codes 📍5.0.0 FHIR Std.
Procedure.used Base example Device Type 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Procedure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Procedure If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
prc-1 error Procedure.performer Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()

 

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