Procedure Profile¶
| Canonical | ../StructureDefinition/nexus-emr-core-procedure |
|---|---|
| Status | draft · 1.26.0 |
| Base | Procedure (constraint) |
| Source | FSH · JSON |
Defines the Nexus EMR FHIR profile for Procedure resources, based on CA-Core Procedure constraints, for aggregating data from multiple EMRs.
Elements / Snapshot
The full effective definition: base Procedure with this profile's constraints applied.
| Element | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure | 0..* | Nexus EMR Procedure Core Invariants: dom-2, dom-3, dom-4, dom-5, dom-6, nexus-note-extension-not-where-native |
||
| id | 0..1 | http://hl7.org/fhirpath/System.String | Logical id of this artifact i | |
| meta | 0..1 | Meta | Metadata about the resource Invariants: ele-1 |
|
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| versionId | 0..1 | id | Version specific identifier i Invariants: ele-1 |
|
| lastUpdated | 0..1 | instant | When the resource version last changed i Invariants: ele-1 |
|
| source | S | 0..1 | uri | Identifies EMR instance & pipeline version the resource came from i Invariants: ele-1 |
| profile | 0..* | canonical | Profiles this resource claims to conform to i Invariants: ele-1 |
|
| security | 0..* | Coding | Security Labels applied to this resource i Binding: security-labels ( extensible)Invariants: ele-1 |
|
| tag | 0..* | Coding | Tags applied to this resource i Binding: common-tags ( example)Invariants: ele-1 |
|
| implicitRules | ?! | 0..1 | uri | A set of rules under which this content was created i Invariants: ele-1 |
| language | 0..1 | code | Language of the resource content i Binding: languages ( preferred)Invariants: ele-1 |
|
| text | S | 0..1 | Narrative | Narrative i Invariants: ele-1 |
| contained | 0..* | Resource | Contained, inline Resources i | |
| extension | 0..* | Extension | Additional content defined by implementations i Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored i Invariants: ele-1, ext-1 |
| identifier | S | 0..* | Identifier | Business identifier(s) for procedure i Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| use | ?! | 0..1 | code | usual | official | temp | secondary | old (If known) i Binding: identifier-use ( required)Invariants: ele-1 |
| type | 0..1 | CodeableConcept | Description of identifier i Binding: identifier-type ( extensible)Invariants: ele-1 |
|
| system | 1..1 | uri | The namespace for the identifier value i Invariants: ele-1 |
|
| value | 1..1 | string | The value that is unique i Invariants: ele-1 |
|
| period | 0..1 | Period | Time period when id is/was valid for use Invariants: ele-1 |
|
| assigner | 0..1 | Reference(Organization) | Organization that issued id (may be just text) i Invariants: ele-1 |
|
| instantiatesCanonical | 0..* | canonical | Instantiates FHIR protocol or definition Invariants: ele-1 |
|
| instantiatesUri | 0..* | uri | Instantiates external protocol or definition i Invariants: ele-1 |
|
| basedOn | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure Invariants: ele-1 |
|
| partOf | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event i Invariants: ele-1 |
|
| status | S ?! | 1..1 | code | preparation | in-progress | completed | entered-in-error i Binding: event-status ( required)Invariants: ele-1 |
| statusReason | S | 0..1 | CodeableConcept | Why the procedure was not done i Binding: procedure-not-performed-reason ( example)Invariants: ele-1 |
| category | S | 0..1 | CodeableConcept | Classification of the procedure i Binding: procedure-category ( example)Invariants: ele-1 |
| code | S | 1..1 | CodeableConcept | Procedure performed with raw code support i Binding: procedure-code ( example)Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| coding | S | 0..* | Coding | A coded form of the procedure i Slicing: value:system (open) Invariants: ele-1 |
| coding:cci | 0..* | Coding | CCI coding (system slot only; codes not enumerated -- CIHI-licensed) i Invariants: ele-1 |
|
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| system | 1..1 | uri | Identity of the terminology system i Fixed: http://cihi.ca/fhir/CodeSystem/cihi-cciInvariants: ele-1 |
|
| version | 0..1 | string | Version of the system - if relevant i Invariants: ele-1 |
|
| code | 1..1 | code | Symbol in syntax defined by the system Invariants: ele-1 |
|
| display | 0..1 | string | Representation defined by the system Invariants: ele-1 |
|
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user i Invariants: ele-1 |
|
| text | S | 1..1 | string | Human-readable procedure description (required) i Invariants: ele-1 |
| subject | S | 1..1 | Reference(Patient Profile) | Who the procedure was performed on i Invariants: ele-1 |
| encounter | 0..1 | Reference(Encounter Profile) | Encounter when procedure was performed i Invariants: ele-1 |
|
| performed[x] | S | 0..1 | dateTime, Period, string, Age, Range | When the procedure was performed i Invariants: ele-1 |
| recorder | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure Invariants: ele-1 |
|
| asserter | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure Invariants: ele-1 |
|
| performer | 0..* | BackboneElement | The people who performed the procedure Invariants: ele-1 |
|
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored even if unrecognized i Invariants: ele-1, ext-1 |
| function | 0..1 | CodeableConcept | Type of performance Binding: performer-role ( example)Invariants: ele-1 |
|
| actor | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner Invariants: ele-1 |
|
| onBehalfOf | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for Invariants: ele-1 |
|
| location | 0..1 | Reference(Location) | Where the procedure happened Invariants: ele-1 |
|
| reasonCode | 0..* | CodeableConcept | Coded reason procedure performed i Binding: procedure-reason ( example)Invariants: ele-1 |
|
| reasonReference | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed i Invariants: ele-1 |
|
| bodySite | S | 0..* | CodeableConcept | Target body sites i Binding: body-site ( example)Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| coding | 0..* | Coding | Code defined by a terminology system i Invariants: ele-1 |
|
| text | S | 1..1 | string | Plain text representation of the concept i Invariants: ele-1 |
| outcome | 0..1 | CodeableConcept | The result of procedure i Binding: procedure-outcome ( example)Invariants: ele-1 |
|
| report | 0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure i Invariants: ele-1 |
|
| complication | 0..* | CodeableConcept | Complication following the procedure i Binding: condition-code ( example)Invariants: ele-1 |
|
| complicationDetail | 0..* | Reference(Condition) | A condition that is a result of the procedure Invariants: ele-1 |
|
| followUp | 0..* | CodeableConcept | Instructions for follow up Binding: procedure-followup ( example)Invariants: ele-1 |
|
| note | S | 0..* | Annotation | Additional information about the procedure Invariants: ele-1 |
| focalDevice | 0..* | BackboneElement | Manipulated, implanted, or removed device Invariants: ele-1 |
|
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored even if unrecognized i Invariants: ele-1, ext-1 |
| action | 0..1 | CodeableConcept | Kind of change to device Binding: device-action ( preferred)Invariants: ele-1 |
|
| manipulated | 1..1 | Reference(Device) | Device that was changed Invariants: ele-1 |
|
| usedReference | 0..* | Reference(Device | Medication | Substance) | Items used during procedure i Invariants: ele-1 |
|
| usedCode | 0..* | CodeableConcept | Coded items used during the procedure i Binding: device-kind ( example)Invariants: ele-1 |