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Procedure (EU core) - HL7 EuropeBase and Core FHIR IG v2.0.0-recon
| ID | Min | Max | Producer obligations | Type(s) | Short | Definition | Requirements | Binding Strength | Binding Description |
| EHDSProcedure | 0 | * | Procedure model | The model provides basic information about a procedure performed on or for a patient. This includes surgical, therapeutic, and diagnostic procedures, as well as specimen collection. The model does not cover procedures in the planning stage. | |||||
| EHDSProcedure.header | 1 | 1 | Base | Basic metadata for this information | Basic metadata for this information | ||||
| EHDSProcedure.header.subject | 1 | 1 | SHALL:able-to-populate | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient | Patient/subject information | Patient/subject information | |||
| EHDSProcedure.header.identifier | 0 | * | SHOULD:able-to-populate | Identifier | Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries). | Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries). | |||
| EHDSProcedure.header.author[x] | 0 | * | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisationhttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice | Author responsible for the provided information. | Author responsible for the provided information. | ||||
| EHDSProcedure.header.date | 0 | 1 | dateTime | Date and optionally time of authoring/issuing | Date and optionally time of authoring/issuing | ||||
| EHDSProcedure.header.status | 1 | 1 | SHALL:able-to-populate | CodeableConcept | Status of the procedure (e.g. completed, on hold, stopped) | Status of the procedure (e.g. completed, on hold, stopped) | preferred | HL7 Event Status | |
| EHDSProcedure.header.source | 0 | 1 | CodeableConcept | Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information. | Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information. | ||||
| EHDSProcedure.header.language | 0 | 1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. | Language in which the resource is written. Language is expressed by the IETF language tag. | preferred | BCP 47 | ||
| EHDSProcedure.code | 1 | 1 | SHALL:able-to-populate | CodeableConcept | Concept code and display name identifying the type of procedure | Concept code and display name identifying the type of procedure | preferred | SNOMED CT | |
| EHDSProcedure.procedureDate[x] | 0 | 1 | SHALL:able-to-populate | dateTime Period | Date and time of the procedure or interval of its performance | Date and time of the procedure or interval of its performance | |||
| EHDSProcedure.performer | 0 | * | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional | Actors who performed the procedure (only main responsible actors expected) | Actors who performed the procedure (only main responsible actors expected) | ||||
| EHDSProcedure.bodySite | 0 | * | SHOULD:able-to-populate | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSBodyStructure | Target body site of the procedure. Laterality may be included as a qualifier of the body site. | Target body site of the procedure. Laterality may be included as a qualifier of the body site. | |||
| EHDSProcedure.reason[x] | 0 | * | CodeableConcept http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSConditionhttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationhttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSProcedure | The reason the procedure was performed. This may be a concept from a terminology or a reference to a specific instance that describes the reason. | The reason the procedure was performed. This may be a concept from a terminology or a reference to a specific instance that describes the reason. | preferred | SNOMED CT, ICD-10, Orphacode | ||
| EHDSProcedure.outcome | 0 | 1 | CodeableConcept | The immediate result of the procedure (e.g. successful, unsuccessful). This does not include assessment over a longer period of time. | The immediate result of the procedure (e.g. successful, unsuccessful). This does not include assessment over a longer period of time. | preferred | SNOMED CT | ||
| EHDSProcedure.complication | 0 | * | CodeableConcept | Any complications that occurred during the procedure, or in the immediate post-procedure period. These are generally tracked separately from the procedure description, which will typically describe the procedure itself rather than any 'post procedure' issues. | Any complications that occurred during the procedure, or in the immediate post-procedure period. These are generally tracked separately from the procedure description, which will typically describe the procedure itself rather than any 'post procedure' issues. | preferred | ICD-10, SNOMED CT | ||
| EHDSProcedure.deviceUsed | 0 | * | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice | Device used to perform the procedure | Device used to perform the procedure | ||||
| EHDSProcedure.focalDevice | 0 | * | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice | Device(s) that is/are implanted, removed, or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure. | Device(s) that is/are implanted, removed, or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure. | ||||
| EHDSProcedure.note | 0 | 1 | SHOULD:able-to-populate | string | Additional information about the procedure | Additional information about the procedure |