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
Official URL: http://example.org/StructureDefinition/MOPEDProcedure | Version: 0.1.0 | |||
Draft as of 2024-11-19 | Responsible: Example Publisher | Computable Name: MOPEDProcedure |
MOPED Profil der Procedure Ressource für die LDF-Abrechnung
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Procedure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 | |
encounter | 1..1 | Reference(MOPED Encounter) | The Encounter during which this Procedure was created | |
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 | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Procedure.identifier:MOPEDConditionIdentifier.type | required | https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifierhttps://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier | |
Procedure.code | required | LKFmedizinischeEinzelleistungenhttp://example.org/ValueSet/moped-LKFmedizinischeEinzelleistungen-valueset from this IG |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 |
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) |
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(MOPED Encounter) | 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 | |||
Documentation for this format |
Path | Conformance | ValueSet | URI |
Procedure.identifier:MOPEDConditionIdentifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard | |
Procedure.identifier:MOPEDConditionIdentifier.type | required | https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifierhttps://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier | |
Procedure.status | required | EventStatushttp://hl7.org/fhir/ValueSet/event-status|5.0.0 from the FHIR Standard | |
Procedure.code | required | LKFmedizinischeEinzelleistungenhttp://example.org/ValueSet/moped-LKFmedizinischeEinzelleistungen-valueset from this IG |
Id | Grade | Path(s) | Details | Requirements |
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() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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
| |||||
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(MOPED Encounter) | 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 | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI |
Procedure.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard | |
Procedure.identifier:MOPEDConditionIdentifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard | |
Procedure.identifier:MOPEDConditionIdentifier.type | required | https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifierhttps://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier | |
Procedure.status | required | EventStatushttp://hl7.org/fhir/ValueSet/event-status|5.0.0 from the FHIR Standard | |
Procedure.statusReason | example | ProcedureNotPerformedReasonSNOMEDCThttp://hl7.org/fhir/ValueSet/procedure-not-performed-reason from the FHIR Standard | |
Procedure.category | example | ProcedureCategoryCodesSNOMEDCThttp://hl7.org/fhir/ValueSet/procedure-category from the FHIR Standard | |
Procedure.code | required | LKFmedizinischeEinzelleistungenhttp://example.org/ValueSet/moped-LKFmedizinischeEinzelleistungen-valueset from this IG | |
Procedure.performer.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | |
Procedure.reason | example | ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard | |
Procedure.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | |
Procedure.outcome | example | ProcedureOutcomeCodesSNOMEDCThttp://hl7.org/fhir/ValueSet/procedure-outcome from the FHIR Standard | |
Procedure.complication | example | ConditionProblemDiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | |
Procedure.followUp | example | ProcedureFollowUpCodesSNOMEDCThttp://hl7.org/fhir/ValueSet/procedure-followup from the FHIR Standard | |
Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodeshttp://hl7.org/fhir/ValueSet/device-action from the FHIR Standard | |
Procedure.used | example | DeviceTypehttp://hl7.org/fhir/ValueSet/device-type from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
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() |
This structure is derived from Procedure
Summary
Mandatory: 5 elements(2 nested mandatory elements)
Fixed: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Procedure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 | |
encounter | 1..1 | Reference(MOPED Encounter) | The Encounter during which this Procedure was created | |
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 | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Procedure.identifier:MOPEDConditionIdentifier.type | required | https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifierhttps://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier | |
Procedure.code | required | LKFmedizinischeEinzelleistungenhttp://example.org/ValueSet/moped-LKFmedizinischeEinzelleistungen-valueset from this IG |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 |
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) |
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(MOPED Encounter) | 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 | |||
Documentation for this format |
Path | Conformance | ValueSet | URI |
Procedure.identifier:MOPEDConditionIdentifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard | |
Procedure.identifier:MOPEDConditionIdentifier.type | required | https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifierhttps://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier | |
Procedure.status | required | EventStatushttp://hl7.org/fhir/ValueSet/event-status|5.0.0 from the FHIR Standard | |
Procedure.code | required | LKFmedizinischeEinzelleistungenhttp://example.org/ValueSet/moped-LKFmedizinischeEinzelleistungen-valueset from this IG |
Id | Grade | Path(s) | Details | Requirements |
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() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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
| |||||
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(MOPED Encounter) | 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 | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI |
Procedure.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard | |
Procedure.identifier:MOPEDConditionIdentifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard | |
Procedure.identifier:MOPEDConditionIdentifier.type | required | https://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifierhttps://termgit.elga.gv.at/ValueSet/hl7-at-patientidentifier | |
Procedure.status | required | EventStatushttp://hl7.org/fhir/ValueSet/event-status|5.0.0 from the FHIR Standard | |
Procedure.statusReason | example | ProcedureNotPerformedReasonSNOMEDCThttp://hl7.org/fhir/ValueSet/procedure-not-performed-reason from the FHIR Standard | |
Procedure.category | example | ProcedureCategoryCodesSNOMEDCThttp://hl7.org/fhir/ValueSet/procedure-category from the FHIR Standard | |
Procedure.code | required | LKFmedizinischeEinzelleistungenhttp://example.org/ValueSet/moped-LKFmedizinischeEinzelleistungen-valueset from this IG | |
Procedure.performer.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | |
Procedure.reason | example | ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard | |
Procedure.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | |
Procedure.outcome | example | ProcedureOutcomeCodesSNOMEDCThttp://hl7.org/fhir/ValueSet/procedure-outcome from the FHIR Standard | |
Procedure.complication | example | ConditionProblemDiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | |
Procedure.followUp | example | ProcedureFollowUpCodesSNOMEDCThttp://hl7.org/fhir/ValueSet/procedure-followup from the FHIR Standard | |
Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodeshttp://hl7.org/fhir/ValueSet/device-action from the FHIR Standard | |
Procedure.used | example | DeviceTypehttp://hl7.org/fhir/ValueSet/device-type from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
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() |
This structure is derived from Procedure
Summary
Mandatory: 5 elements(2 nested mandatory elements)
Fixed: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron