Scope and Usage

This profile sets minimum expectations for the Procedure resource to search and fetch current or historical procedures performed on or for a patient. It identifies which elements, code systems and value sets SHALL be present in the resource when using this profile.

Main procedure and sub-procedures

In many cases more than one procedure are being performed during one encounter. Usually this means that one of the procedures is the main procedure and others are sub-procedures. Latter ones could be performed in supporting or assisting purpose (e.g. Anaesthesia) or their task is to describe how the main procedure was performed (e.g. using robot for performing the procedure). This conjunction between different procedures is done by using partOf reference. The main procedure does not have partOf reference. Examples of this can be found from Examples page.

Code systems

Code systems that are associated with this profile are listed in a table below. It is not required to use these code systems in every situation, but rather to choose correct code systems depending on a use case if nessecary. Some explanation of using these code systems can be found from the website behind the link. The Use column descripes the element in which that particular code system can be used in Procedure resource.

NOTE: While writing this profile SNOMED code system is not widely used in Finland since adopting the code system is still in progess. More information about the subject can be found on Terminology page. Nevertheless SNOMED codes SHOULD be used if possible in a faced use case.

THL toimenpideluokitus is based on Nordic Classification of Surgical Procedures (NCSP).

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
partOf	Σ	0..*	Reference(Fi Base Procedure(2.0.0-ci) | FI Base Observation(2.0.0-ci) | FI Base MedicationAdministration(2.0.0-ci))	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.
subject	Σ	1..1	Reference(FI Base Patient(2.0.0-ci) | Group)	Who the procedure was performed on
encounter	Σ	0..1	Reference(FI Base Encounter(2.0.0-ci))	Encounter created as part of
recorder	Σ	0..1	Reference(FI Base Patient(2.0.0-ci) | RelatedPerson | FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci))	Who recorded the procedure
asserter	Σ	0..1	Reference(FI Base Patient(2.0.0-ci) | RelatedPerson | FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci))	Person who asserts this procedure
location	Σ	0..1	Reference(FI Base Location(2.0.0-ci))	Where the procedure happened
reasonReference	Σ	0..*	Reference(FI Base Condition(2.0.0-ci) | FI Base Observation(2.0.0-ci) | Fi Base Procedure(2.0.0-ci) | DiagnosticReport | DocumentReference)	The justification that the procedure was performed
complicationDetail		0..*	Reference(FI Base Condition(2.0.0-ci))	A condition that is a result of the procedure
usedReference		0..*	Reference(Device | FI Base Medication(2.0.0-ci) | Substance)	Items used during procedure
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Procedure.status	Base	required	EventStatus	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	An action that is being or was performed on a patient
partOf		0..*	Reference(Fi Base Procedure(2.0.0-ci) | FI Base Observation(2.0.0-ci) | FI Base MedicationAdministration(2.0.0-ci))	Part of referenced event
subject		1..1	Reference(FI Base Patient(2.0.0-ci) | Group)	Who the procedure was performed on
encounter		0..1	Reference(FI Base Encounter(2.0.0-ci))	Encounter created as part of
recorder		0..1	Reference(FI Base Patient(2.0.0-ci) | RelatedPerson | FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci))	Who recorded the procedure
asserter		0..1	Reference(FI Base Patient(2.0.0-ci) | RelatedPerson | FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci))	Person who asserts this procedure
performer
actor		1..1	Reference(FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci) | FI Base Organization(2.0.0-ci) | FI Base Patient(2.0.0-ci) | RelatedPerson | Device)	The reference to the practitioner
onBehalfOf		0..1	Reference(FI Base Organization(2.0.0-ci))	Organization the device or practitioner was acting for
location		0..1	Reference(FI Base Location(2.0.0-ci))	Where the procedure happened
reasonReference		0..*	Reference(FI Base Condition(2.0.0-ci) | FI Base Observation(2.0.0-ci) | Fi Base Procedure(2.0.0-ci) | DiagnosticReport | DocumentReference)	The justification that the procedure was performed
complicationDetail		0..*	Reference(FI Base Condition(2.0.0-ci))	A condition that is a result of the procedure
usedReference		0..*	Reference(Device | FI Base Medication(2.0.0-ci) | Substance)	Items used during procedure
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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. Additional Bindings Purpose 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
extension		0..*	Extension	Additional content defined by implementations
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(Fi Base Procedure(2.0.0-ci) | FI Base Observation(2.0.0-ci) | FI Base MedicationAdministration(2.0.0-ci))	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: 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	Σ	0..1	CodeableConcept	Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
subject	Σ	1..1	Reference(FI Base Patient(2.0.0-ci) | Group)	Who the procedure was performed on
encounter	Σ	0..1	Reference(FI Base Encounter(2.0.0-ci))	Encounter created as part of
performed[x]	Σ	0..1		When the procedure was performed
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
recorder	Σ	0..1	Reference(FI Base Patient(2.0.0-ci) | RelatedPerson | FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci))	Who recorded the procedure
asserter	Σ	0..1	Reference(FI Base Patient(2.0.0-ci) | RelatedPerson | FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci))	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(FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci) | FI Base Organization(2.0.0-ci) | FI Base Patient(2.0.0-ci) | RelatedPerson | Device)	The reference to the practitioner
onBehalfOf		0..1	Reference(FI Base Organization(2.0.0-ci))	Organization the device or practitioner was acting for
location	Σ	0..1	Reference(FI Base Location(2.0.0-ci))	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(FI Base Condition(2.0.0-ci) | FI Base Observation(2.0.0-ci) | Fi Base Procedure(2.0.0-ci) | DiagnosticReport | DocumentReference)	The justification that the procedure was performed
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
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(FI Base Condition(2.0.0-ci))	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 | FI Base Medication(2.0.0-ci) | Substance)	Items used during procedure
usedCode		0..*	CodeableConcept	Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	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.

Constraints

Id	Grade	Path(s)	Description	Expression
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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
partOf	Σ	0..*	Reference(Fi Base Procedure(2.0.0-ci) | FI Base Observation(2.0.0-ci) | FI Base MedicationAdministration(2.0.0-ci))	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.
subject	Σ	1..1	Reference(FI Base Patient(2.0.0-ci) | Group)	Who the procedure was performed on
encounter	Σ	0..1	Reference(FI Base Encounter(2.0.0-ci))	Encounter created as part of
recorder	Σ	0..1	Reference(FI Base Patient(2.0.0-ci) | RelatedPerson | FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci))	Who recorded the procedure
asserter	Σ	0..1	Reference(FI Base Patient(2.0.0-ci) | RelatedPerson | FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci))	Person who asserts this procedure
location	Σ	0..1	Reference(FI Base Location(2.0.0-ci))	Where the procedure happened
reasonReference	Σ	0..*	Reference(FI Base Condition(2.0.0-ci) | FI Base Observation(2.0.0-ci) | Fi Base Procedure(2.0.0-ci) | DiagnosticReport | DocumentReference)	The justification that the procedure was performed
complicationDetail		0..*	Reference(FI Base Condition(2.0.0-ci))	A condition that is a result of the procedure
usedReference		0..*	Reference(Device | FI Base Medication(2.0.0-ci) | Substance)	Items used during procedure
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Procedure.status	Base	required	EventStatus	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	An action that is being or was performed on a patient
partOf		0..*	Reference(Fi Base Procedure(2.0.0-ci) | FI Base Observation(2.0.0-ci) | FI Base MedicationAdministration(2.0.0-ci))	Part of referenced event
subject		1..1	Reference(FI Base Patient(2.0.0-ci) | Group)	Who the procedure was performed on
encounter		0..1	Reference(FI Base Encounter(2.0.0-ci))	Encounter created as part of
recorder		0..1	Reference(FI Base Patient(2.0.0-ci) | RelatedPerson | FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci))	Who recorded the procedure
asserter		0..1	Reference(FI Base Patient(2.0.0-ci) | RelatedPerson | FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci))	Person who asserts this procedure
performer
actor		1..1	Reference(FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci) | FI Base Organization(2.0.0-ci) | FI Base Patient(2.0.0-ci) | RelatedPerson | Device)	The reference to the practitioner
onBehalfOf		0..1	Reference(FI Base Organization(2.0.0-ci))	Organization the device or practitioner was acting for
location		0..1	Reference(FI Base Location(2.0.0-ci))	Where the procedure happened
reasonReference		0..*	Reference(FI Base Condition(2.0.0-ci) | FI Base Observation(2.0.0-ci) | Fi Base Procedure(2.0.0-ci) | DiagnosticReport | DocumentReference)	The justification that the procedure was performed
complicationDetail		0..*	Reference(FI Base Condition(2.0.0-ci))	A condition that is a result of the procedure
usedReference		0..*	Reference(Device | FI Base Medication(2.0.0-ci) | Substance)	Items used during procedure
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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. Additional Bindings Purpose 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
extension		0..*	Extension	Additional content defined by implementations
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(Fi Base Procedure(2.0.0-ci) | FI Base Observation(2.0.0-ci) | FI Base MedicationAdministration(2.0.0-ci))	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: 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	Σ	0..1	CodeableConcept	Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
subject	Σ	1..1	Reference(FI Base Patient(2.0.0-ci) | Group)	Who the procedure was performed on
encounter	Σ	0..1	Reference(FI Base Encounter(2.0.0-ci))	Encounter created as part of
performed[x]	Σ	0..1		When the procedure was performed
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
recorder	Σ	0..1	Reference(FI Base Patient(2.0.0-ci) | RelatedPerson | FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci))	Who recorded the procedure
asserter	Σ	0..1	Reference(FI Base Patient(2.0.0-ci) | RelatedPerson | FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci))	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(FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci) | FI Base Organization(2.0.0-ci) | FI Base Patient(2.0.0-ci) | RelatedPerson | Device)	The reference to the practitioner
onBehalfOf		0..1	Reference(FI Base Organization(2.0.0-ci))	Organization the device or practitioner was acting for
location	Σ	0..1	Reference(FI Base Location(2.0.0-ci))	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(FI Base Condition(2.0.0-ci) | FI Base Observation(2.0.0-ci) | Fi Base Procedure(2.0.0-ci) | DiagnosticReport | DocumentReference)	The justification that the procedure was performed
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
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(FI Base Condition(2.0.0-ci))	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 | FI Base Medication(2.0.0-ci) | Substance)	Items used during procedure
usedCode		0..*	CodeableConcept	Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	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.

Constraints

Id	Grade	Path(s)	Description	Expression
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

Summary

Structures

This structure refers to these other structures:

• Fi Base Procedure (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-procedure)
• FI Base Observation (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-observation)
• FI Base MedicationAdministration (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-medication-administration)
• FI Base Patient (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-patient)
• FI Base Encounter (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-encounter)
• FI Base Practitioner (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-practitioner)
• FI Base PractitionerRole (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-practitioner-role)
• FI Base Organization (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-organization)
• FI Base Location (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-location)
• FI Base Condition (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-condition)
• FI Base Medication (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-medication)