Cumuluz Translate Implementation Guide
0.1.0 - ci-build

Cumuluz Translate Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: XIB Procedure

Official URL: https://fhir.cumuluz.org/xib/StructureDefinition/xib-Procedure Version: 0.1.0
Draft as of 2026-07-11 Computable Name: XibProcedure

XIB procedure target profile based on plain R4 Procedure. EU Base Procedure is not used as the parent because it requires performed[x], which is not guaranteed by every supported source route; supported nl-core procedure data points are carried as explicit XIB extension slices.

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Procedure 0..* Procedure An action that is being or was performed on a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices voor extension 0..* Extension Extension
Slice: Zonder volgorde, Open op value:url
.... extension:procedureMethod S 0..1 CodeableConcept Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-Procedure.ProcedureMethod
Binding: VerrichtingMethodeCodelijst (required)
Constraints: ext-1
.... extension:recorded S 0..1 dateTime R5: When the procedure was first captured in the subject's record (new)
Url: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded
Constraints: ext-1
.... extension:targetBodyStructure S 0..1 Reference(BodyStructure) The target point for this procedure
Url: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
.... extension:procedureDetails S 0..1 (Complex) XIB Procedure Details
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-ProcedureDetails
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code SΣ 0..1 CodeableConcept Identification of the procedure
Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
... subject SΣ 1..1 Reference(Patient | Group) Who the procedure was performed on
... performed[x] SΣ 0..1 When the procedure was performed
.... performedDateTime dateTime
.... performedPeriod Period
.... performedString string
.... performedAge Age
.... performedRange Range
... bodySite SΣ 0..* CodeableConcept Target body sites
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... Slices voor extension Content/regels voor alle slices
..... extension:laterality S 0..1 CodeableConcept Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality
Binding: LateraliteitCodelijst (required)
..... extension:structuredAnatomicalLocation S 0..1 (Complex) XIB Structured Anatomical Location
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-StructuredAnatomicalLocation

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Terminologiebindings

Pad Status Gebruik ValueSet Versie Source
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.

Constrains

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

This structure is derived from Procedure

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Procedure 0..* Procedure An action that is being or was performed on a patient
... Slices voor extension 0..* Extension Extension
Slice: Zonder volgorde, Open op value:url
.... extension:procedureMethod S 0..1 CodeableConcept Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-Procedure.ProcedureMethod
Binding: VerrichtingMethodeCodelijst (required)
.... extension:recorded S 0..1 dateTime R5: When the procedure was first captured in the subject's record (new)
Url: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded
.... extension:targetBodyStructure S 0..1 Reference(BodyStructure) The target point for this procedure
Url: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
.... extension:procedureDetails S 0..1 (Complex) XIB Procedure Details
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-ProcedureDetails
... status S 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
... code S 0..1 CodeableConcept Identification of the procedure
... performed[x] S 0..1 dateTime, Period, string, Age, Range When the procedure was performed
... bodySite S 0..* CodeableConcept Target body sites
.... Slices voor extension Content/regels voor alle slices
..... extension:laterality S 0..1 CodeableConcept Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality
Binding: LateraliteitCodelijst (required)
..... extension:structuredAnatomicalLocation S 0..1 (Complex) XIB Structured Anatomical Location
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-StructuredAnatomicalLocation

doco Documentatie voor dit formaat
NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Procedure 0..* Procedure An action that is being or was performed on a patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additionele bindingsDoel
AllLanguages Max binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices voor extension 0..* Extension Extension
Slice: Zonder volgorde, Open op value:url
.... extension:procedureMethod S 0..1 CodeableConcept Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-Procedure.ProcedureMethod
Binding: VerrichtingMethodeCodelijst (required)
Constraints: ext-1
.... extension:recorded S 0..1 dateTime R5: When the procedure was first captured in the subject's record (new)
Url: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded
Constraints: ext-1
.... extension:targetBodyStructure S 0..1 Reference(BodyStructure) The target point for this procedure
Url: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
.... extension:procedureDetails S 0..1 (Complex) XIB Procedure Details
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-ProcedureDetails
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Identifiers for this procedure
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest) A request for this procedure
... partOf Σ 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
... status ?!SΣ 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.
... statusReason Σ 0..1 CodeableConcept Reason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
... category Σ 0..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
... code SΣ 0..1 CodeableConcept Identification of the procedure
Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
... subject SΣ 1..1 Reference(Patient | Group) Who the procedure was performed on
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... performed[x] SΣ 0..1 When the procedure was performed
.... performedDateTime dateTime
.... performedPeriod Period
.... performedString string
.... performedAge Age
.... performedRange Range
... recorder Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Who recorded the procedure
... asserter Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Person who asserts this procedure
... performer Σ 0..* BackboneElement The people who performed the procedure
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function Σ 0..1 CodeableConcept Type of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
.... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) The reference to the practitioner
.... onBehalfOf 0..1 Reference(Organization) Organization the device or practitioner was acting for
... location Σ 0..1 Reference(Location) Where the procedure happened
... reasonCode Σ 0..* CodeableConcept Coded reason procedure performed
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
... reasonReference Σ 0..* Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) The justification that the procedure was performed
... bodySite SΣ 0..* CodeableConcept Target body sites
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... id 0..1 string Unique id for inter-element referencing
.... Slices voor extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
..... extension:laterality S 0..1 CodeableConcept Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality
Binding: LateraliteitCodelijst (required)
..... extension:structuredAnatomicalLocation S 0..1 (Complex) XIB Structured Anatomical Location
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-StructuredAnatomicalLocation
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... outcome Σ 0..1 CodeableConcept The result of procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
... report 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
... complication 0..* CodeableConcept Complication following the procedure
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
... complicationDetail 0..* Reference(Condition) A condition that is a result of the procedure
... followUp 0..* CodeableConcept Instructions for follow up
Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
... note 0..* Annotation Additional information about the procedure
... focalDevice 0..* BackboneElement Manipulated, implanted, or removed device
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... action 0..1 CodeableConcept Kind of change to device
Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
.... manipulated 1..1 Reference(Device) Device that was changed
... usedReference 0..* Reference(Device | Medication | Substance) Items used during procedure
... usedCode 0..* CodeableConcept Coded items used during the procedure
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.

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Terminologiebindings

Pad Status Gebruik ValueSet Versie Source
Procedure.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.statusReason Base example Procedure Not Performed Reason (SNOMED-CT) 📍4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.performer.​function Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
Procedure.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
Procedure.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.complication Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
Procedure.followUp Base example Procedure Follow up Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.focalDevice.​action Base preferred Procedure Device Action Codes 📍4.0.1 FHIR Std.
Procedure.usedCode Base example FHIR Device Types 📍4.0.1 FHIR Std.

Constrains

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

Key Elements View

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Procedure 0..* Procedure An action that is being or was performed on a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices voor extension 0..* Extension Extension
Slice: Zonder volgorde, Open op value:url
.... extension:procedureMethod S 0..1 CodeableConcept Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-Procedure.ProcedureMethod
Binding: VerrichtingMethodeCodelijst (required)
Constraints: ext-1
.... extension:recorded S 0..1 dateTime R5: When the procedure was first captured in the subject's record (new)
Url: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded
Constraints: ext-1
.... extension:targetBodyStructure S 0..1 Reference(BodyStructure) The target point for this procedure
Url: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
.... extension:procedureDetails S 0..1 (Complex) XIB Procedure Details
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-ProcedureDetails
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code SΣ 0..1 CodeableConcept Identification of the procedure
Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
... subject SΣ 1..1 Reference(Patient | Group) Who the procedure was performed on
... performed[x] SΣ 0..1 When the procedure was performed
.... performedDateTime dateTime
.... performedPeriod Period
.... performedString string
.... performedAge Age
.... performedRange Range
... bodySite SΣ 0..* CodeableConcept Target body sites
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... Slices voor extension Content/regels voor alle slices
..... extension:laterality S 0..1 CodeableConcept Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality
Binding: LateraliteitCodelijst (required)
..... extension:structuredAnatomicalLocation S 0..1 (Complex) XIB Structured Anatomical Location
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-StructuredAnatomicalLocation

doco Documentatie voor dit formaat

Terminologiebindings

Pad Status Gebruik ValueSet Versie Source
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.

Constrains

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

Differential View

This structure is derived from Procedure

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Procedure 0..* Procedure An action that is being or was performed on a patient
... Slices voor extension 0..* Extension Extension
Slice: Zonder volgorde, Open op value:url
.... extension:procedureMethod S 0..1 CodeableConcept Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-Procedure.ProcedureMethod
Binding: VerrichtingMethodeCodelijst (required)
.... extension:recorded S 0..1 dateTime R5: When the procedure was first captured in the subject's record (new)
Url: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded
.... extension:targetBodyStructure S 0..1 Reference(BodyStructure) The target point for this procedure
Url: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
.... extension:procedureDetails S 0..1 (Complex) XIB Procedure Details
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-ProcedureDetails
... status S 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
... code S 0..1 CodeableConcept Identification of the procedure
... performed[x] S 0..1 dateTime, Period, string, Age, Range When the procedure was performed
... bodySite S 0..* CodeableConcept Target body sites
.... Slices voor extension Content/regels voor alle slices
..... extension:laterality S 0..1 CodeableConcept Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality
Binding: LateraliteitCodelijst (required)
..... extension:structuredAnatomicalLocation S 0..1 (Complex) XIB Structured Anatomical Location
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-StructuredAnatomicalLocation

doco Documentatie voor dit formaat

Snapshot View

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Procedure 0..* Procedure An action that is being or was performed on a patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additionele bindingsDoel
AllLanguages Max binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices voor extension 0..* Extension Extension
Slice: Zonder volgorde, Open op value:url
.... extension:procedureMethod S 0..1 CodeableConcept Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-Procedure.ProcedureMethod
Binding: VerrichtingMethodeCodelijst (required)
Constraints: ext-1
.... extension:recorded S 0..1 dateTime R5: When the procedure was first captured in the subject's record (new)
Url: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded
Constraints: ext-1
.... extension:targetBodyStructure S 0..1 Reference(BodyStructure) The target point for this procedure
Url: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
.... extension:procedureDetails S 0..1 (Complex) XIB Procedure Details
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-ProcedureDetails
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Identifiers for this procedure
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest) A request for this procedure
... partOf Σ 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
... status ?!SΣ 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.
... statusReason Σ 0..1 CodeableConcept Reason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
... category Σ 0..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
... code SΣ 0..1 CodeableConcept Identification of the procedure
Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
... subject SΣ 1..1 Reference(Patient | Group) Who the procedure was performed on
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... performed[x] SΣ 0..1 When the procedure was performed
.... performedDateTime dateTime
.... performedPeriod Period
.... performedString string
.... performedAge Age
.... performedRange Range
... recorder Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Who recorded the procedure
... asserter Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Person who asserts this procedure
... performer Σ 0..* BackboneElement The people who performed the procedure
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function Σ 0..1 CodeableConcept Type of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
.... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) The reference to the practitioner
.... onBehalfOf 0..1 Reference(Organization) Organization the device or practitioner was acting for
... location Σ 0..1 Reference(Location) Where the procedure happened
... reasonCode Σ 0..* CodeableConcept Coded reason procedure performed
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
... reasonReference Σ 0..* Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) The justification that the procedure was performed
... bodySite SΣ 0..* CodeableConcept Target body sites
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... id 0..1 string Unique id for inter-element referencing
.... Slices voor extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
..... extension:laterality S 0..1 CodeableConcept Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality
Binding: LateraliteitCodelijst (required)
..... extension:structuredAnatomicalLocation S 0..1 (Complex) XIB Structured Anatomical Location
Url: https://fhir.cumuluz.org/xib/StructureDefinition/xib-StructuredAnatomicalLocation
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... outcome Σ 0..1 CodeableConcept The result of procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
... report 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
... complication 0..* CodeableConcept Complication following the procedure
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
... complicationDetail 0..* Reference(Condition) A condition that is a result of the procedure
... followUp 0..* CodeableConcept Instructions for follow up
Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
... note 0..* Annotation Additional information about the procedure
... focalDevice 0..* BackboneElement Manipulated, implanted, or removed device
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... action 0..1 CodeableConcept Kind of change to device
Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
.... manipulated 1..1 Reference(Device) Device that was changed
... usedReference 0..* Reference(Device | Medication | Substance) Items used during procedure
... usedCode 0..* CodeableConcept Coded items used during the procedure
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.

doco Documentatie voor dit formaat

Terminologiebindings

Pad Status Gebruik ValueSet Versie Source
Procedure.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.statusReason Base example Procedure Not Performed Reason (SNOMED-CT) 📍4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.code Base example Procedure Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.performer.​function Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
Procedure.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
Procedure.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.complication Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
Procedure.followUp Base example Procedure Follow up Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.focalDevice.​action Base preferred Procedure Device Action Codes 📍4.0.1 FHIR Std.
Procedure.usedCode Base example FHIR Device Types 📍4.0.1 FHIR Std.

Constrains

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

 

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