v.1.0.0: Procedure model - EHDS Logical Information Models v1.0.0
| Name | Förslag svensk term | Min | Max | Nationella krav på kardinalitet | Type(s) | Definition | Förslag svensk beskrivning | Requirements | Binding Description | Binding Value Set | Nationellt kodsystem / kodverk | RIM-mappning | Kommentarer |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EHDSProcedure | 0 | * | 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 | Se separat, berörs av flera arbetsgrupper. | ||||||||
| EHDSProcedure.code | 1 | 1 | CodeableConcept | Concept code and display name identifying the type of procedure | SNOMED CT | ||||||||
| EHDSProcedure.procedureDate[x] | 0 | 1 | dateTime Period | 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) | Se separat, berörs av flera arbetsgrupper. | ||||||||
| EHDSProcedure.bodySite | 0 | * | 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. | Se separat, berörs av flera arbetsgrupper. | ||||||||
| 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. | 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. | 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. | ICD-10, SNOMED CT | ||||||||
| EHDSProcedure.deviceUsed | 0 | * | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice | Device used to perform the procedure | Se separat, berörs av flera arbetsgrupper. | ||||||||
| 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. | Se separat, berörs av flera arbetsgrupper. | ||||||||
| EHDSProcedure.note | 0 | 1 | string | Additional information about the procedure |