Austrian Patient Summary (R4)
0.2.0 - STU1

Austrian Patient Summary (R4) - Local Development build (v0.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: AT APS Procedure

Official URL: https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-procedure | Version: 0.2.0
Active as of 2026-02-09 | Computable Name: AtApsProcedure

Das AT APS-Profil für die Procedure-Ressource berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte `imposeProfile`-Erweiterung verwendet wird.

Usages:

- Use this Profile: AT APS Bundle
- Refer to this Profile: AT APS Composition, AT APS DeviceUseStatement, AT APS Flag Alert, AT APS ImagingStudy... Show 5 more, AT APS MedicationAdministration, AT APS MedicationDispense, AT APS MedicationStatement, AT APS Observation and AT APS Procedure
- Examples for this Profile: Procedure/at-aps-example-procedure-01
- CapabilityStatements using this Profile: AT APS CapabilityStatement (Server)

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Procedure |  | 0..* | Procedure | AT APS Procedure This profile also imposes the profile Procedure (IPS)
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
basedOn | Σ | 0..* | Reference(AT APS CarePlan | ServiceRequest) | A request for this procedure
partOf | Σ | 0..* | Reference(AT APS Procedure | AT APS Observation | AT APS MedicationAdministration) | Part of referenced event
status | ?!Σ | 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.
code | Σ | 0..1 | CodeableConcept | Identification of the procedure Binding: Procedures - IPS (extensible)
subject | Σ | 1..1 | Reference(AT APS Patient) | Who the procedure was performed on
recorder | Σ | 0..1 | Reference(AT APS Patient | RelatedPerson | AT APS Practitioner | AT APS PractitionerRole) | Who recorded the procedure
asserter | Σ | 0..1 | Reference(AT APS Patient | RelatedPerson | AT APS Practitioner | AT APS PractitionerRole) | Person who asserts this procedure
reasonReference | Σ | 0..* | Reference(AT APS Condition | AT APS Observation | AT APS Procedure | AT APS DiagnosticReport | AT APS DocumentReference) | The justification that the procedure was performed
bodySite | Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (extensible): Codes describing anatomical locations. May include laterality.
report |  | 0..* | Reference(AT APS DiagnosticReport | AT APS DocumentReference | AT APS Composition) | Any report resulting from the procedure
complicationDetail |  | 0..* | Reference(AT APS Condition) | A condition that is a result of the procedure
usedReference |  | 0..* | Reference(AT APS Device | AT APS Medication | Substance) | Items used during procedure
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std.
Procedure.code | Base | extensible | Procedures - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Procedure.bodySite | Base | extensible | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Procedure | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Procedure

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Procedure |  | 0..* | Procedure | AT APS Procedure This profile also imposes the profile Procedure (IPS)
basedOn |  | 0..* | Reference(AT APS CarePlan | ServiceRequest) | A request for this procedure
partOf |  | 0..* | Reference(AT APS Procedure | AT APS Observation | AT APS MedicationAdministration) | Part of referenced event
code |  | 0..1 | CodeableConcept | Identification of the procedure Binding: Procedures - IPS (extensible)
subject |  | 1..1 | Reference(AT APS Patient) | Who the procedure was performed on
recorder |  | 0..1 | Reference(AT APS Patient | RelatedPerson | AT APS Practitioner | AT APS PractitionerRole) | Who recorded the procedure
asserter |  | 0..1 | Reference(AT APS Patient | RelatedPerson | AT APS Practitioner | AT APS PractitionerRole) | Person who asserts this procedure
performer |  |  |  |
actor |  | 1..1 | Reference(AT APS Patient | RelatedPerson | Device - Performer or Observer (IPS) | AT APS Practitioner | AT APS PractitionerRole | AT APS Organization) | The reference to the practitioner
onBehalfOf |  | 0..1 | Reference(AT APS Organization) | Organization the device or practitioner was acting for
reasonReference |  | 0..* | Reference(AT APS Condition | AT APS Observation | AT APS Procedure | AT APS DiagnosticReport | AT APS DocumentReference) | The justification that the procedure was performed
bodySite |  | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (extensible): Codes describing anatomical locations. May include laterality.
report |  | 0..* | Reference(AT APS DiagnosticReport | AT APS DocumentReference | AT APS Composition) | Any report resulting from the procedure
complicationDetail |  | 0..* | Reference(AT APS Condition) | A condition that is a result of the procedure
focalDevice |  |  |  |
manipulated |  | 1..1 | Reference(AT APS Device) | Device that was changed
usedReference |  | 0..* | Reference(AT APS Device | AT APS Medication | Substance) | Items used during procedure
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Procedure.code | Base | extensible | Procedures - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Procedure.bodySite | Base | extensible | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Procedure |  | 0..* | Procedure | AT APS Procedure This profile also imposes the profile Procedure (IPS)
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Identifiers for this procedure
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(AT APS CarePlan | ServiceRequest) | A request for this procedure
partOf | Σ | 0..* | Reference(AT APS Procedure | AT APS Observation | AT APS MedicationAdministration) | Part of referenced event
status | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category | Σ | 0..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
code | Σ | 0..1 | CodeableConcept | Identification of the procedure Binding: Procedures - IPS (extensible)
subject | Σ | 1..1 | Reference(AT APS Patient) | Who the procedure was performed on
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
performed[x] | Σ | 0..1 |  | When the procedure was performed
performedDateTime |  |  | dateTime |
performedPeriod |  |  | Period |
performedString |  |  | string |
performedAge |  |  | Age |
performedRange |  |  | Range |
recorder | Σ | 0..1 | Reference(AT APS Patient | RelatedPerson | AT APS Practitioner | AT APS PractitionerRole) | Who recorded the procedure
asserter | Σ | 0..1 | Reference(AT APS Patient | RelatedPerson | AT APS Practitioner | AT APS PractitionerRole) | Person who asserts this procedure
performer | Σ | 0..* | BackboneElement | The people who performed the procedure
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
actor | Σ | 1..1 | Reference(AT APS Patient | RelatedPerson | Device - Performer or Observer (IPS) | AT APS Practitioner | AT APS PractitionerRole | AT APS Organization) | The reference to the practitioner
onBehalfOf |  | 0..1 | Reference(AT APS Organization) | Organization the device or practitioner was acting for
location | Σ | 0..1 | Reference(Location) | Where the procedure happened
reasonCode | Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
reasonReference | Σ | 0..* | Reference(AT APS Condition | AT APS Observation | AT APS Procedure | AT APS DiagnosticReport | AT APS DocumentReference) | The justification that the procedure was performed
bodySite | Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (extensible): Codes describing anatomical locations. May include laterality.
outcome | Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
report |  | 0..* | Reference(AT APS DiagnosticReport | AT APS DocumentReference | AT APS Composition) | Any report resulting from the procedure
complication |  | 0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
complicationDetail |  | 0..* | Reference(AT APS Condition) | A condition that is a result of the procedure
followUp |  | 0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
note |  | 0..* | Annotation | Additional information about the procedure
focalDevice |  | 0..* | BackboneElement | Manipulated, implanted, or removed device
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
action |  | 0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
manipulated |  | 1..1 | Reference(AT APS Device) | Device that was changed
usedReference |  | 0..* | Reference(AT APS Device | AT APS Medication | Substance) | Items used during procedure
usedCode |  | 0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Procedure.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std.
Procedure.statusReason | Base | example | Procedure Not Performed Reason (SNOMED-CT) | 📍4.0.1 | FHIR Std.
Procedure.category | Base | example | Procedure Category Codes (SNOMED CT) | 📍4.0.1 | FHIR Std.
Procedure.code | Base | extensible | Procedures - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Procedure.performer.​function | Base | example | Procedure Performer Role Codes | 📍4.0.1 | FHIR Std.
Procedure.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std.
Procedure.bodySite | Base | extensible | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.
Procedure.outcome | Base | example | Procedure Outcome Codes (SNOMED CT) | 📍4.0.1 | FHIR Std.
Procedure.complication | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std.
Procedure.followUp | Base | example | Procedure Follow up Codes (SNOMED CT) | 📍4.0.1 | FHIR Std.
Procedure.focalDevice.​action | Base | preferred | Procedure Device Action Codes | 📍4.0.1 | FHIR Std.
Procedure.usedCode | Base | example | FHIR Device Types | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Procedure | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Procedure

Summary

Structures

This structure refers to these other structures:

- AT APS CarePlan (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-careplan)
- AT APS Procedure (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-procedure)
- AT APS Observation (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observation)
- AT APS MedicationAdministration (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationadministration)
- AT APS Patient (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient)
- AT APS Practitioner (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitioner)
- AT APS PractitionerRole (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitionerrole)
- Device - Performer or Observer (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Device-observer-uv-ips)
- AT APS Organization (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-organization)
- AT APS Condition (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition)
- AT APS DiagnosticReport (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-diagnosticreport)
- AT APS DocumentReference (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference)
- AT APS Composition (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-composition)
- AT APS Device (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-device)
- AT APS Medication (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medication)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Procedure |  | 0..* | Procedure | AT APS Procedure This profile also imposes the profile Procedure (IPS)
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
basedOn | Σ | 0..* | Reference(AT APS CarePlan | ServiceRequest) | A request for this procedure
partOf | Σ | 0..* | Reference(AT APS Procedure | AT APS Observation | AT APS MedicationAdministration) | Part of referenced event
status | ?!Σ | 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.
code | Σ | 0..1 | CodeableConcept | Identification of the procedure Binding: Procedures - IPS (extensible)
subject | Σ | 1..1 | Reference(AT APS Patient) | Who the procedure was performed on
recorder | Σ | 0..1 | Reference(AT APS Patient | RelatedPerson | AT APS Practitioner | AT APS PractitionerRole) | Who recorded the procedure
asserter | Σ | 0..1 | Reference(AT APS Patient | RelatedPerson | AT APS Practitioner | AT APS PractitionerRole) | Person who asserts this procedure
reasonReference | Σ | 0..* | Reference(AT APS Condition | AT APS Observation | AT APS Procedure | AT APS DiagnosticReport | AT APS DocumentReference) | The justification that the procedure was performed
bodySite | Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (extensible): Codes describing anatomical locations. May include laterality.
report |  | 0..* | Reference(AT APS DiagnosticReport | AT APS DocumentReference | AT APS Composition) | Any report resulting from the procedure
complicationDetail |  | 0..* | Reference(AT APS Condition) | A condition that is a result of the procedure
usedReference |  | 0..* | Reference(AT APS Device | AT APS Medication | Substance) | Items used during procedure
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std.
Procedure.code | Base | extensible | Procedures - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Procedure.bodySite | Base | extensible | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Procedure | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from Procedure

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Procedure |  | 0..* | Procedure | AT APS Procedure This profile also imposes the profile Procedure (IPS)
basedOn |  | 0..* | Reference(AT APS CarePlan | ServiceRequest) | A request for this procedure
partOf |  | 0..* | Reference(AT APS Procedure | AT APS Observation | AT APS MedicationAdministration) | Part of referenced event
code |  | 0..1 | CodeableConcept | Identification of the procedure Binding: Procedures - IPS (extensible)
subject |  | 1..1 | Reference(AT APS Patient) | Who the procedure was performed on
recorder |  | 0..1 | Reference(AT APS Patient | RelatedPerson | AT APS Practitioner | AT APS PractitionerRole) | Who recorded the procedure
asserter |  | 0..1 | Reference(AT APS Patient | RelatedPerson | AT APS Practitioner | AT APS PractitionerRole) | Person who asserts this procedure
performer |  |  |  |
actor |  | 1..1 | Reference(AT APS Patient | RelatedPerson | Device - Performer or Observer (IPS) | AT APS Practitioner | AT APS PractitionerRole | AT APS Organization) | The reference to the practitioner
onBehalfOf |  | 0..1 | Reference(AT APS Organization) | Organization the device or practitioner was acting for
reasonReference |  | 0..* | Reference(AT APS Condition | AT APS Observation | AT APS Procedure | AT APS DiagnosticReport | AT APS DocumentReference) | The justification that the procedure was performed
bodySite |  | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (extensible): Codes describing anatomical locations. May include laterality.
report |  | 0..* | Reference(AT APS DiagnosticReport | AT APS DocumentReference | AT APS Composition) | Any report resulting from the procedure
complicationDetail |  | 0..* | Reference(AT APS Condition) | A condition that is a result of the procedure
focalDevice |  |  |  |
manipulated |  | 1..1 | Reference(AT APS Device) | Device that was changed
usedReference |  | 0..* | Reference(AT APS Device | AT APS Medication | Substance) | Items used during procedure
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Procedure.code | Base | extensible | Procedures - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Procedure.bodySite | Base | extensible | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Procedure |  | 0..* | Procedure | AT APS Procedure This profile also imposes the profile Procedure (IPS)
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Identifiers for this procedure
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(AT APS CarePlan | ServiceRequest) | A request for this procedure
partOf | Σ | 0..* | Reference(AT APS Procedure | AT APS Observation | AT APS MedicationAdministration) | Part of referenced event
status | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category | Σ | 0..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
code | Σ | 0..1 | CodeableConcept | Identification of the procedure Binding: Procedures - IPS (extensible)
subject | Σ | 1..1 | Reference(AT APS Patient) | Who the procedure was performed on
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
performed[x] | Σ | 0..1 |  | When the procedure was performed
performedDateTime |  |  | dateTime |
performedPeriod |  |  | Period |
performedString |  |  | string |
performedAge |  |  | Age |
performedRange |  |  | Range |
recorder | Σ | 0..1 | Reference(AT APS Patient | RelatedPerson | AT APS Practitioner | AT APS PractitionerRole) | Who recorded the procedure
asserter | Σ | 0..1 | Reference(AT APS Patient | RelatedPerson | AT APS Practitioner | AT APS PractitionerRole) | Person who asserts this procedure
performer | Σ | 0..* | BackboneElement | The people who performed the procedure
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
actor | Σ | 1..1 | Reference(AT APS Patient | RelatedPerson | Device - Performer or Observer (IPS) | AT APS Practitioner | AT APS PractitionerRole | AT APS Organization) | The reference to the practitioner
onBehalfOf |  | 0..1 | Reference(AT APS Organization) | Organization the device or practitioner was acting for
location | Σ | 0..1 | Reference(Location) | Where the procedure happened
reasonCode | Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
reasonReference | Σ | 0..* | Reference(AT APS Condition | AT APS Observation | AT APS Procedure | AT APS DiagnosticReport | AT APS DocumentReference) | The justification that the procedure was performed
bodySite | Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (extensible): Codes describing anatomical locations. May include laterality.
outcome | Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
report |  | 0..* | Reference(AT APS DiagnosticReport | AT APS DocumentReference | AT APS Composition) | Any report resulting from the procedure
complication |  | 0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
complicationDetail |  | 0..* | Reference(AT APS Condition) | A condition that is a result of the procedure
followUp |  | 0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
note |  | 0..* | Annotation | Additional information about the procedure
focalDevice |  | 0..* | BackboneElement | Manipulated, implanted, or removed device
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
action |  | 0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
manipulated |  | 1..1 | Reference(AT APS Device) | Device that was changed
usedReference |  | 0..* | Reference(AT APS Device | AT APS Medication | Substance) | Items used during procedure
usedCode |  | 0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Procedure.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Procedure.status | Base | required | EventStatus | 📍4.0.1 | FHIR Std.
Procedure.statusReason | Base | example | Procedure Not Performed Reason (SNOMED-CT) | 📍4.0.1 | FHIR Std.
Procedure.category | Base | example | Procedure Category Codes (SNOMED CT) | 📍4.0.1 | FHIR Std.
Procedure.code | Base | extensible | Procedures - IPS | 📦2.0.0 | International Patient Summary Implementation Guide v2.0
Procedure.performer.​function | Base | example | Procedure Performer Role Codes | 📍4.0.1 | FHIR Std.
Procedure.reasonCode | Base | example | Procedure Reason Codes | 📍4.0.1 | FHIR Std.
Procedure.bodySite | Base | extensible | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.
Procedure.outcome | Base | example | Procedure Outcome Codes (SNOMED CT) | 📍4.0.1 | FHIR Std.
Procedure.complication | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std.
Procedure.followUp | Base | example | Procedure Follow up Codes (SNOMED CT) | 📍4.0.1 | FHIR Std.
Procedure.focalDevice.​action | Base | preferred | Procedure Device Action Codes | 📍4.0.1 | FHIR Std.
Procedure.usedCode | Base | example | FHIR Device Types | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Procedure | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Procedure

Summary

Structures

This structure refers to these other structures:

- AT APS CarePlan (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-careplan)
- AT APS Procedure (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-procedure)
- AT APS Observation (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-observation)
- AT APS MedicationAdministration (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medicationadministration)
- AT APS Patient (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient)
- AT APS Practitioner (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitioner)
- AT APS PractitionerRole (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitionerrole)
- Device - Performer or Observer (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Device-observer-uv-ips)
- AT APS Organization (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-organization)
- AT APS Condition (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-condition)
- AT APS DiagnosticReport (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-diagnosticreport)
- AT APS DocumentReference (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-documentreference)
- AT APS Composition (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-composition)
- AT APS Device (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-device)
- AT APS Medication (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-medication)

Other representations of profile: CSV, Excel, Schematron