Moderne Patient:innenabrechnung und Datenkommunikation on FHIR (MOPED)
0.1.0 - ci-build

Moderne Patient:innenabrechnung und Datenkommunikation on FHIR (MOPED) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: MOPEDProcedure

Official URL: http://example.org/StructureDefinition/MOPEDProcedure Version: 0.1.0
Draft as of 2024-11-12 Responsible: Example Publisher Computable Name: MOPEDProcedure

MOPED Profil der Procedure Ressource für die LDF-Abrechnung

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..* Procedure An action that is being or was performed on an individual or entity
... Slices for identifier 1..* Identifier External Identifiers for this procedure
Slice: Unordered, Open by value:type.coding.code
.... identifier:MOPEDConditionIdentifier 1..1 Identifier MOPED Identifier = Aufnahmezahl+ICD10Code+Procedure.occurrence(YYYY-MM-DDTHH:MM)
..... type 0..1 CodeableConcept Description of identifier
Binding: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (required)
...... coding
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: RI
... code 1..1 CodeableConcept Identification of the procedure
Binding: LKF medizinische Einzelleistungen (MEL) (required)
... subject 1..1 Reference(HL7® AT Core Patient Profile) Individual or entity the procedure was performed on
... occurrence[x] 1..1 dateTime, Period, string, Age, Range, Timing When the procedure occurred or is occurring
... performer
.... actor 1..1 Reference(MOPEDOrganizationAbteilung) Who performed the procedure
.... onBehalfOf 1..1 Reference(HL7® AT Core Organization Profile) Organization the device or practitioner was acting for

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Procedure.identifier:MOPEDConditionIdentifier.typerequiredhttps://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Procedure.coderequiredLKFmedizinischeEinzelleistungen
http://example.org/ValueSet/moped-LKFmedizinischeEinzelleistungen-valueset
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
.... identifier:MOPEDConditionIdentifier Σ 1..1 Identifier MOPED Identifier = Aufnahmezahl+ICD10Code+Procedure.occurrence(YYYY-MM-DDTHH:MM)
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 0..1 CodeableConcept Description of identifier
Binding: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (required)
... 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 1..1 CodeableConcept Identification of the procedure
Binding: LKF medizinische Einzelleistungen (MEL) (required)
... subject Σ 1..1 Reference(HL7® AT Core Patient Profile) Individual or entity the procedure was performed on
... encounter Σ 1..1 Reference(MOPEDEncounter) The Encounter during which this Procedure was created
... occurrence[x] Σ 1..1 When the procedure occurred or is occurring
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceString string
.... occurrenceAge Age
.... occurrenceRange Range
.... occurrenceTiming Timing

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Procedure.identifier:MOPEDConditionIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
from the FHIR Standard
Procedure.identifier:MOPEDConditionIdentifier.typerequiredhttps://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|5.0.0
from the FHIR Standard
Procedure.coderequiredLKFmedizinischeEinzelleistungen
http://example.org/ValueSet/moped-LKFmedizinischeEinzelleistungen-valueset
from this IG

Constraints

IdGradePath(s)DetailsRequirements
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 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-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()
dom-5errorProcedureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceProcedureA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 Set
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 1..* Identifier External Identifiers for this procedure
Slice: Unordered, Open by value:type.coding.code
.... identifier:MOPEDConditionIdentifier Σ 1..1 Identifier MOPED Identifier = Aufnahmezahl+ICD10Code+Procedure.occurrence(YYYY-MM-DDTHH:MM)
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 0..1 CodeableConcept Description of identifier
Binding: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (required)
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code ΣC 1..1 code Symbol in syntax defined by the system
Fixed Value: RI
....... display ΣC 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value ΣC 0..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... 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 ?!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: ProcedureNotPerformedReasonSNOMEDCT (example): A code that identifies the reason a procedure was not performed.

... category Σ 0..* CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodesSNOMEDCT (example): A code that classifies a procedure for searching, sorting and display purposes.


... code Σ 1..1 CodeableConcept Identification of the procedure
Binding: LKF medizinische Einzelleistungen (MEL) (required)
... subject Σ 1..1 Reference(HL7® AT Core Patient 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 Σ 1..1 Reference(MOPEDEncounter) The Encounter during which this Procedure was created
... occurrence[x] Σ 1..1 When the procedure occurred or is occurring
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceString string
.... occurrenceAge Age
.... occurrenceRange Range
.... occurrenceTiming Timing
... recorded Σ 0..1 dateTime When the procedure was first captured in the subject's record
... recorder Σ 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 ΣC 0..* BackboneElement Who performed the procedure and what they did
prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole
.... 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 ΣC 1..1 Reference(MOPEDOrganizationAbteilung) Who performed the procedure
.... onBehalfOf C 1..1 Reference(HL7® AT Core Organization Profile) Organization the device or practitioner was acting for
.... period 0..1 Period When the performer performed the procedure
... location Σ 0..1 Reference(Location) Where the procedure happened
... reason Σ 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 Σ 0..1 CodeableConcept The result of procedure
Binding: ProcedureOutcomeCodesSNOMEDCT (example): An outcome of a procedure - whether it was resolved or otherwise.

... report 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
... complication 0..* CodeableReference(Condition) Complication following the procedure
Binding: ConditionProblemDiagnosisCodes (example): Codes describing complications that resulted from a procedure.


... followUp 0..* CodeableConcept Instructions for follow up
Binding: ProcedureFollowUpCodesSNOMEDCT (example): Specific follow up required for a procedure e.g. removal of sutures.


... note 0..* Annotation Additional information about the procedure
... focalDevice 0..* BackboneElement Manipulated, implanted, or removed device
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... action 0..1 CodeableConcept Kind of change to device
Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.

.... manipulated 1..1 Reference(Device) Device that was changed
... 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

PathConformanceValueSetURI
Procedure.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
Procedure.identifier:MOPEDConditionIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
from the FHIR Standard
Procedure.identifier:MOPEDConditionIdentifier.typerequiredhttps://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|5.0.0
from the FHIR Standard
Procedure.statusReasonexampleProcedureNotPerformedReasonSNOMEDCT
http://hl7.org/fhir/ValueSet/procedure-not-performed-reason
from the FHIR Standard
Procedure.categoryexampleProcedureCategoryCodesSNOMEDCT
http://hl7.org/fhir/ValueSet/procedure-category
from the FHIR Standard
Procedure.coderequiredLKFmedizinischeEinzelleistungen
http://example.org/ValueSet/moped-LKFmedizinischeEinzelleistungen-valueset
from this IG
Procedure.performer.functionexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
Procedure.reasonexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
Procedure.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Procedure.outcomeexampleProcedureOutcomeCodesSNOMEDCT
http://hl7.org/fhir/ValueSet/procedure-outcome
from the FHIR Standard
Procedure.complicationexampleConditionProblemDiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
Procedure.followUpexampleProcedureFollowUpCodesSNOMEDCT
http://hl7.org/fhir/ValueSet/procedure-followup
from the FHIR Standard
Procedure.focalDevice.actionpreferredProcedureDeviceActionCodes
http://hl7.org/fhir/ValueSet/device-action
from the FHIR Standard
Procedure.usedexampleDeviceType
http://hl7.org/fhir/ValueSet/device-type
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
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 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-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()
dom-5errorProcedureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceProcedureA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
prc-1errorProcedure.performerProcedure.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()

This structure is derived from Procedure

Differential View

This structure is derived from Procedure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..* Procedure An action that is being or was performed on an individual or entity
... Slices for identifier 1..* Identifier External Identifiers for this procedure
Slice: Unordered, Open by value:type.coding.code
.... identifier:MOPEDConditionIdentifier 1..1 Identifier MOPED Identifier = Aufnahmezahl+ICD10Code+Procedure.occurrence(YYYY-MM-DDTHH:MM)
..... type 0..1 CodeableConcept Description of identifier
Binding: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (required)
...... coding
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: RI
... code 1..1 CodeableConcept Identification of the procedure
Binding: LKF medizinische Einzelleistungen (MEL) (required)
... subject 1..1 Reference(HL7® AT Core Patient Profile) Individual or entity the procedure was performed on
... occurrence[x] 1..1 dateTime, Period, string, Age, Range, Timing When the procedure occurred or is occurring
... performer
.... actor 1..1 Reference(MOPEDOrganizationAbteilung) Who performed the procedure
.... onBehalfOf 1..1 Reference(HL7® AT Core Organization Profile) Organization the device or practitioner was acting for

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Procedure.identifier:MOPEDConditionIdentifier.typerequiredhttps://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Procedure.coderequiredLKFmedizinischeEinzelleistungen
http://example.org/ValueSet/moped-LKFmedizinischeEinzelleistungen-valueset
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
.... identifier:MOPEDConditionIdentifier Σ 1..1 Identifier MOPED Identifier = Aufnahmezahl+ICD10Code+Procedure.occurrence(YYYY-MM-DDTHH:MM)
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 0..1 CodeableConcept Description of identifier
Binding: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (required)
... 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 1..1 CodeableConcept Identification of the procedure
Binding: LKF medizinische Einzelleistungen (MEL) (required)
... subject Σ 1..1 Reference(HL7® AT Core Patient Profile) Individual or entity the procedure was performed on
... encounter Σ 1..1 Reference(MOPEDEncounter) The Encounter during which this Procedure was created
... occurrence[x] Σ 1..1 When the procedure occurred or is occurring
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceString string
.... occurrenceAge Age
.... occurrenceRange Range
.... occurrenceTiming Timing

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Procedure.identifier:MOPEDConditionIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
from the FHIR Standard
Procedure.identifier:MOPEDConditionIdentifier.typerequiredhttps://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|5.0.0
from the FHIR Standard
Procedure.coderequiredLKFmedizinischeEinzelleistungen
http://example.org/ValueSet/moped-LKFmedizinischeEinzelleistungen-valueset
from this IG

Constraints

IdGradePath(s)DetailsRequirements
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 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-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()
dom-5errorProcedureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceProcedureA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 Set
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 1..* Identifier External Identifiers for this procedure
Slice: Unordered, Open by value:type.coding.code
.... identifier:MOPEDConditionIdentifier Σ 1..1 Identifier MOPED Identifier = Aufnahmezahl+ICD10Code+Procedure.occurrence(YYYY-MM-DDTHH:MM)
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 0..1 CodeableConcept Description of identifier
Binding: https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier (required)
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code ΣC 1..1 code Symbol in syntax defined by the system
Fixed Value: RI
....... display ΣC 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value ΣC 0..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... 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 ?!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: ProcedureNotPerformedReasonSNOMEDCT (example): A code that identifies the reason a procedure was not performed.

... category Σ 0..* CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodesSNOMEDCT (example): A code that classifies a procedure for searching, sorting and display purposes.


... code Σ 1..1 CodeableConcept Identification of the procedure
Binding: LKF medizinische Einzelleistungen (MEL) (required)
... subject Σ 1..1 Reference(HL7® AT Core Patient 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 Σ 1..1 Reference(MOPEDEncounter) The Encounter during which this Procedure was created
... occurrence[x] Σ 1..1 When the procedure occurred or is occurring
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceString string
.... occurrenceAge Age
.... occurrenceRange Range
.... occurrenceTiming Timing
... recorded Σ 0..1 dateTime When the procedure was first captured in the subject's record
... recorder Σ 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 ΣC 0..* BackboneElement Who performed the procedure and what they did
prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole
.... 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 ΣC 1..1 Reference(MOPEDOrganizationAbteilung) Who performed the procedure
.... onBehalfOf C 1..1 Reference(HL7® AT Core Organization Profile) Organization the device or practitioner was acting for
.... period 0..1 Period When the performer performed the procedure
... location Σ 0..1 Reference(Location) Where the procedure happened
... reason Σ 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 Σ 0..1 CodeableConcept The result of procedure
Binding: ProcedureOutcomeCodesSNOMEDCT (example): An outcome of a procedure - whether it was resolved or otherwise.

... report 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
... complication 0..* CodeableReference(Condition) Complication following the procedure
Binding: ConditionProblemDiagnosisCodes (example): Codes describing complications that resulted from a procedure.


... followUp 0..* CodeableConcept Instructions for follow up
Binding: ProcedureFollowUpCodesSNOMEDCT (example): Specific follow up required for a procedure e.g. removal of sutures.


... note 0..* Annotation Additional information about the procedure
... focalDevice 0..* BackboneElement Manipulated, implanted, or removed device
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... action 0..1 CodeableConcept Kind of change to device
Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.

.... manipulated 1..1 Reference(Device) Device that was changed
... 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

PathConformanceValueSetURI
Procedure.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
Procedure.identifier:MOPEDConditionIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
from the FHIR Standard
Procedure.identifier:MOPEDConditionIdentifier.typerequiredhttps://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|5.0.0
from the FHIR Standard
Procedure.statusReasonexampleProcedureNotPerformedReasonSNOMEDCT
http://hl7.org/fhir/ValueSet/procedure-not-performed-reason
from the FHIR Standard
Procedure.categoryexampleProcedureCategoryCodesSNOMEDCT
http://hl7.org/fhir/ValueSet/procedure-category
from the FHIR Standard
Procedure.coderequiredLKFmedizinischeEinzelleistungen
http://example.org/ValueSet/moped-LKFmedizinischeEinzelleistungen-valueset
from this IG
Procedure.performer.functionexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
Procedure.reasonexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
Procedure.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Procedure.outcomeexampleProcedureOutcomeCodesSNOMEDCT
http://hl7.org/fhir/ValueSet/procedure-outcome
from the FHIR Standard
Procedure.complicationexampleConditionProblemDiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
Procedure.followUpexampleProcedureFollowUpCodesSNOMEDCT
http://hl7.org/fhir/ValueSet/procedure-followup
from the FHIR Standard
Procedure.focalDevice.actionpreferredProcedureDeviceActionCodes
http://hl7.org/fhir/ValueSet/device-action
from the FHIR Standard
Procedure.usedexampleDeviceType
http://hl7.org/fhir/ValueSet/device-type
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
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 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-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()
dom-5errorProcedureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceProcedureA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
prc-1errorProcedure.performerProcedure.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()

This structure is derived from Procedure

 

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