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: MOPED Procedure

Official URL: http://example.org/StructureDefinition/MOPEDProcedure Version: 0.1.0
Draft as of 2024-12-13 Responsible: ELGA 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: hl7VS-identifierType (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(MOPED Organization Abteilung) 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.typerequiredHl7VSIdentifierType
http://terminology.hl7.org/ValueSet/v2-0203
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
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... identifier:MOPEDConditionIdentifier Σ 1..1 Identifier MOPED Identifier = Aufnahmezahl+ICD10Code+Procedure.occurrence(YYYY-MM-DDTHH:MM)
ele-1: All FHIR elements must have a @value or children
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


ele-1: All FHIR elements must have a @value or children
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: hl7VS-identifierType (required)
ele-1: All FHIR elements must have a @value or children
... 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.


ele-1: All FHIR elements must have a @value or children
... code Σ 1..1 CodeableConcept Identification of the procedure
Binding: LKF medizinische Einzelleistungen (MEL) (required)
ele-1: All FHIR elements must have a @value or children
... subject Σ 1..1 Reference(HL7® AT Core Patient Profile) Individual or entity the procedure was performed on
ele-1: All FHIR elements must have a @value or children
... encounter Σ 1..1 Reference(MOPED Encounter) The Encounter during which this Procedure was created
ele-1: All FHIR elements must have a @value or children
... occurrence[x] Σ 1..1 When the procedure occurred or is occurring
ele-1: All FHIR elements must have a @value or children
.... 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.typerequiredHl7VSIdentifierType
http://terminology.hl7.org/ValueSet/v2-0203
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: hl7VS-identifierType (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(MOPED Organization Abteilung) 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.typerequiredHl7VSIdentifierType
http://terminology.hl7.org/ValueSet/v2-0203
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: hl7VS-identifierType (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(MOPED Organization Abteilung) 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.typerequiredHl7VSIdentifierType
http://terminology.hl7.org/ValueSet/v2-0203
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
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... identifier:MOPEDConditionIdentifier Σ 1..1 Identifier MOPED Identifier = Aufnahmezahl+ICD10Code+Procedure.occurrence(YYYY-MM-DDTHH:MM)
ele-1: All FHIR elements must have a @value or children
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


ele-1: All FHIR elements must have a @value or children
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: hl7VS-identifierType (required)
ele-1: All FHIR elements must have a @value or children
... 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.


ele-1: All FHIR elements must have a @value or children
... code Σ 1..1 CodeableConcept Identification of the procedure
Binding: LKF medizinische Einzelleistungen (MEL) (required)
ele-1: All FHIR elements must have a @value or children
... subject Σ 1..1 Reference(HL7® AT Core Patient Profile) Individual or entity the procedure was performed on
ele-1: All FHIR elements must have a @value or children
... encounter Σ 1..1 Reference(MOPED Encounter) The Encounter during which this Procedure was created
ele-1: All FHIR elements must have a @value or children
... occurrence[x] Σ 1..1 When the procedure occurred or is occurring
ele-1: All FHIR elements must have a @value or children
.... 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.typerequiredHl7VSIdentifierType
http://terminology.hl7.org/ValueSet/v2-0203
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: hl7VS-identifierType (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(MOPED Organization Abteilung) 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.typerequiredHl7VSIdentifierType
http://terminology.hl7.org/ValueSet/v2-0203
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

 

Other representations of profile: CSV, Excel, Schematron