Release 4

This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU) in it's permanent home (it will always be available at this URL). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

9.3 Resource Procedure - Content

Patient Care Work Group Maturity Level: 3 Trial Use Security Category: Patient Compartments: Encounter, Patient, Practitioner, RelatedPerson

An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like long term services, counseling, or hypnotherapy.

9.3.1 Scope and Usage

Procedure is one of the event resources in the FHIR workflow specification.

This resource is used to record the details of current and historical procedures performed on or for a patient. A procedure is an activity that is performed on, with, or for a patient as part of the provision of care. Examples include surgical procedures, diagnostic procedures, endoscopic procedures, biopsies, counseling, physiotherapy, personal support services, adult day care services, non-emergency transportation, home modification, exercise, etc. Procedures may be performed by a healthcare professional, a service provider, a friend or relative or in some cases by the patient themselves.

This resource provides summary information about the occurrence of the procedure and is not intended to provide real-time snapshots of a procedure as it unfolds, though for long-running procedures such as psychotherapy, it could represent summary level information about overall progress. The creation of a resource to support detailed real-time procedure information awaits the identification of a specific implementation use-case to share such information.

9.3.2 Boundaries and Relationships

The Procedure resource should not be used to capture an event if a more specific resource already exists - i.e. immunizations, drug administrations and communications. The boundary between determining whether an action is a Procedure (training or counseling) as opposed to a Communication is based on whether there's a specific intent to change the mind-set of the patient. Mere disclosure of information would be considered a Communication. A process that involves verification of the patient's comprehension or to change the patient's mental state would be a Procedure.

Note that many diagnostic processes are procedures that generate Observations and DiagnosticReports. In many cases, such an observation does not require an explicit representation of the procedure used to create the observation, but where there are details of interest about how the diagnostic procedure was performed, the Procedure resource is used to describe the activity.

Some diagnostic procedures might not have a Procedure record. The Procedure record is only necessary when there is a need to capture information about the physical intervention that was performed to capture the diagnostic information (e.g. anesthetic, incision, scope size, etc.)

A Task is a workflow step such as cancelling an order, fulfilling an order, signing an order, merging a set of records, admitting a patient. Procedures are actions that are intended to result in a physical or mental change to or for the subject (e.g. surgery, physiotherapy, training, counseling). A Task resource often exists in parallel with clinical resources. For example, a Task might request fulfillment of a ServiceRequest ordering a Procedure.

This resource is referenced by AdverseEvent, Appointment, ChargeItem, Claim, DeviceUseStatement, Encounter, ExplanationOfBenefit, Flag, ImagingStudy, MedicationAdministration, MedicationDispense, MedicationStatement, Observation, itself and QuestionnaireResponse

9.3.3 Resource Content

Structure

Name Flags Card. Type Description & Constraints doco
.. Procedure TU DomainResource An action that is being or was performed on a patient
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... 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 ?! Σ 1..1code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
EventStatus (Required)
... statusReason Σ 0..1CodeableConcept Reason for current status
Procedure Not Performed Reason (SNOMED-CT) (Example)
... category Σ 0..1CodeableConcept Classification of the procedure
Procedure Category Codes (SNOMED CT) (Example)
... code Σ 0..1CodeableConcept Identification of the procedure
Procedure Codes (SNOMED CT) (Example)
... subject Σ 1..1Reference(Patient | Group)Who the procedure was performed on
... encounter Σ 0..1Reference(Encounter)Encounter created as part of
... performed[x] Σ 0..1When the procedure was performed
.... performedDateTimedateTime
.... performedPeriodPeriod
.... performedStringstring
.... performedAgeAge
.... performedRangeRange
... recorder Σ 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Who recorded the procedure
... asserter Σ 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Person who asserts this procedure
... performer Σ 0..*BackboneElement The people who performed the procedure
.... function Σ 0..1CodeableConcept Type of performance
Procedure Performer Role Codes (Example)
.... actor Σ 1..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)The reference to the practitioner
.... onBehalfOf 0..1Reference(Organization)Organization the device or practitioner was acting for
... location Σ 0..1Reference(Location)Where the procedure happened
... reasonCode Σ 0..*CodeableConcept Coded reason procedure performed
Procedure Reason Codes (Example)
... reasonReference Σ 0..*Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)The justification that the procedure was performed
... bodySite Σ 0..*CodeableConcept Target body sites
SNOMED CT Body Structures (Example)
... outcome Σ 0..1CodeableConcept The result of procedure
Procedure Outcome Codes (SNOMED CT) (Example)
... report 0..*Reference(DiagnosticReport | DocumentReference | Composition)Any report resulting from the procedure
... complication 0..*CodeableConcept Complication following the procedure
Condition/Problem/Diagnosis Codes (Example)
... complicationDetail 0..*Reference(Condition)A condition that is a result of the procedure
... followUp 0..*CodeableConcept Instructions for follow up
Procedure Follow up Codes (SNOMED CT) (Example)
... note 0..*Annotation Additional information about the procedure
... focalDevice 0..*BackboneElement Manipulated, implanted, or removed device
.... action 0..1CodeableConcept Kind of change to device
Procedure Device Action Codes (Preferred)
.... manipulated 1..1Reference(Device)Device that was changed
... usedReference 0..*Reference(Device | Medication | Substance)Items used during procedure
... usedCode 0..*CodeableConcept Coded items used during the procedure
FHIR Device Types (Example)

doco Documentation for this format

UML Diagram (Legend)

Procedure (DomainResource)Business identifiers assigned to this procedure by the performer or other systems which remain constant as the resource is updated and is propagated from server to serveridentifier : Identifier [0..*]The URL pointing to a FHIR-defined protocol, guideline, order set or other definition that is adhered to in whole or in part by this ProcedureinstantiatesCanonical : canonical [0..*] « PlanDefinition| ActivityDefinition|Measure|OperationDefinition|Questionnaire »The URL pointing to an externally maintained protocol, guideline, order set or other definition that is adhered to in whole or in part by this ProcedureinstantiatesUri : uri [0..*]A reference to a resource that contains details of the request for this procedurebasedOn : Reference [0..*] « CarePlan|ServiceRequest »A larger event of which this particular procedure is a component or steppartOf : Reference [0..*] « Procedure|Observation| MedicationAdministration »A code specifying the state of the procedure. Generally, this will be the in-progress or completed state (this element modifies the meaning of other elements)status : code [1..1] « A code specifying the state of the procedure. (Strength=Required)EventStatus! »Captures the reason for the current state of the procedurestatusReason : CodeableConcept [0..1] « A code that identifies the reason a procedure was not performed. (Strength=Example) ProcedureNotPerformedReason(S...?? »A code that classifies the procedure for searching, sorting and display purposes (e.g. "Surgical Procedure")category : CodeableConcept [0..1] « A code that classifies a procedure for searching, sorting and display purposes. (Strength=Example)ProcedureCategoryCodes(SNOMED...?? »The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. "Laparoscopic Appendectomy")code : CodeableConcept [0..1] « A code to identify a specific procedure . (Strength=Example)ProcedureCodes(SNOMEDCT)?? »The person, animal or group on which the procedure was performedsubject : Reference [1..1] « Patient|Group »The Encounter during which this Procedure was created or performed or to which the creation of this record is tightly associatedencounter : Reference [0..1] « Encounter »Estimated or actual date, date-time, period, or age when the procedure was performed. Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be capturedperformed[x] : Type [0..1] « dateTime|Period|string|Age|Range »Individual who recorded the record and takes responsibility for its contentrecorder : Reference [0..1] « Patient|RelatedPerson|Practitioner| PractitionerRole »Individual who is making the procedure statementasserter : Reference [0..1] « Patient|RelatedPerson|Practitioner| PractitionerRole »The location where the procedure actually happened. E.g. a newborn at home, a tracheostomy at a restaurantlocation : Reference [0..1] « Location »The coded reason why the procedure was performed. This may be a coded entity of some type, or may simply be present as textreasonCode : CodeableConcept [0..*] « A code that identifies the reason a procedure is required. (Strength=Example)ProcedureReasonCodes?? »The justification of why the procedure was performedreasonReference : Reference [0..*] « Condition|Observation|Procedure| DiagnosticReport|DocumentReference »Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesionbodySite : CodeableConcept [0..*] « Codes describing anatomical locations. May include laterality. (Strength=Example)SNOMEDCTBodyStructures?? »The outcome of the procedure - did it resolve the reasons for the procedure being performed?outcome : CodeableConcept [0..1] « An outcome of a procedure - whether it was resolved or otherwise. (Strength=Example)ProcedureOutcomeCodes(SNOMEDC...?? »This could be a histology result, pathology report, surgical report, etcreport : Reference [0..*] « DiagnosticReport|DocumentReference| Composition »Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the notes, which will typically describe the procedure itself rather than any 'post procedure' issuescomplication : CodeableConcept [0..*] « Codes describing complications that resulted from a procedure. (Strength=Example) Condition/Problem/DiagnosisCo...?? »Any complications that occurred during the procedure, or in the immediate post-performance periodcomplicationDetail : Reference [0..*] « Condition »If the procedure required specific follow up - e.g. removal of sutures. The follow up may be represented as a simple note or could potentially be more complex, in which case the CarePlan resource can be usedfollowUp : CodeableConcept [0..*] « Specific follow up required for a procedure e.g. removal of sutures. (Strength=Example)ProcedureFollowUpCodes(SNOMED...?? »Any other notes and comments about the procedurenote : Annotation [0..*]Identifies medications, devices and any other substance used as part of the procedureusedReference : Reference [0..*] « Device|Medication|Substance »Identifies coded items that were used as part of the procedureusedCode : CodeableConcept [0..*] « Codes describing items used during a procedure. (Strength=Example)FHIRDeviceTypes?? »PerformerDistinguishes the type of involvement of the performer in the procedure. For example, surgeon, anaesthetist, endoscopistfunction : CodeableConcept [0..1] « A code that identifies the role of a performer of the procedure. (Strength=Example)ProcedurePerformerRoleCodes?? »The practitioner who was involved in the procedureactor : Reference [1..1] « Practitioner|PractitionerRole| Organization|Patient|RelatedPerson|Device »The organization the device or practitioner was acting on behalf ofonBehalfOf : Reference [0..1] « Organization »FocalDeviceThe kind of change that happened to the device during the procedureaction : CodeableConcept [0..1] « A kind of change that happened to the device during the procedure. (Strength=Preferred)ProcedureDeviceActionCodes? »The device that was manipulated (changed) during the proceduremanipulated : Reference [1..1] « Device »Limited to "real" people rather than equipmentperformer [0..*]A device that is implanted, removed or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the ProcedurefocalDevice [0..*]

XML Template

<Procedure xmlns="http://hl7.org/fhir"> doco 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier  External Identifiers for this procedure  --></identifier>
 <instantiatesCanonical><!-- 0..* canonical(PlanDefinition|ActivityDefinition|
 Measure|OperationDefinition|Questionnaire) Instantiates FHIR protocol or definition  --></instantiatesCanonical>
 <instantiatesUri value="[uri ]"/><!-- 0..* Instantiates external protocol or definition  -->
 <basedOn><!-- 0..* Reference(CarePlan|ServiceRequest) A request for this procedure  --></basedOn>
 <partOf><!-- 0..* Reference(Procedure|Observation|MedicationAdministration) Part of referenced event  --></partOf>
 <status value="[code ]"/><!-- 1..1 preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown  -->
 <statusReason><!-- 0..1 CodeableConcept  Reason for current status  --></statusReason>
 <category><!-- 0..1 CodeableConcept  Classification of the procedure  --></category>
 <code><!-- 0..1 CodeableConcept  Identification of the procedure  --></code>
 <subject><!-- 1..1 Reference(Patient|Group) Who the procedure was performed on  --></subject>
 <encounter><!-- 0..1 Reference(Encounter) Encounter created as part of  --></encounter>
 <performed[x]><!-- 0..1 dateTime|Period|string|Age|Range  When the procedure was performed  --></performed[x]>
 <recorder><!-- 0..1 Reference(Patient|RelatedPerson|Practitioner|
 PractitionerRole) Who recorded the procedure  --></recorder>
 <asserter><!-- 0..1 Reference(Patient|RelatedPerson|Practitioner|
 PractitionerRole) Person who asserts this procedure  --></asserter>
 <performer> <!-- 0..* The people who performed the procedure -->
 <function><!-- 0..1 CodeableConcept  Type of performance  --></function>
 <actor><!-- 1..1 Reference(Practitioner|PractitionerRole|Organization|Patient|
 RelatedPerson|Device) The reference to the practitioner  --></actor>
 <onBehalfOf><!-- 0..1 Reference(Organization) Organization the device or practitioner was acting for  --></onBehalfOf>
 </performer>
 <location><!-- 0..1 Reference(Location) Where the procedure happened  --></location>
 <reasonCode><!-- 0..* CodeableConcept  Coded reason procedure performed  --></reasonCode>
 <reasonReference><!-- 0..* Reference(Condition|Observation|Procedure|
 DiagnosticReport|DocumentReference) The justification that the procedure was performed  --></reasonReference>
 <bodySite><!-- 0..* CodeableConcept  Target body sites  --></bodySite>
 <outcome><!-- 0..1 CodeableConcept  The result of procedure  --></outcome>
 <report><!-- 0..* Reference(DiagnosticReport|DocumentReference|Composition) Any report resulting from the procedure  --></report>
 <complication><!-- 0..* CodeableConcept  Complication following the procedure  --></complication>
 <complicationDetail><!-- 0..* Reference(Condition) A condition that is a result of the procedure  --></complicationDetail>
 <followUp><!-- 0..* CodeableConcept  Instructions for follow up  --></followUp>
 <note><!-- 0..* Annotation  Additional information about the procedure  --></note>
 <focalDevice> <!-- 0..* Manipulated, implanted, or removed device -->
 <action><!-- 0..1 CodeableConcept  Kind of change to device  --></action>
 <manipulated><!-- 1..1 Reference(Device) Device that was changed  --></manipulated>
 </focalDevice>
 <usedReference><!-- 0..* Reference(Device|Medication|Substance) Items used during procedure  --></usedReference>
 <usedCode><!-- 0..* CodeableConcept  Coded items used during the procedure  --></usedCode>
</Procedure>

JSON Template

{doco 
 "resourceType" : "Procedure",
 // from Resource: id, meta, implicitRules, and language
 // from DomainResource: text, contained, extension, and modifierExtension
 "identifier" : [{ Identifier  }], // External Identifiers for this procedure 
 "instantiatesCanonical" : [{ canonical(PlanDefinition|ActivityDefinition|
 Measure|OperationDefinition|Questionnaire) }], // Instantiates FHIR protocol or definition 
 "instantiatesUri" : ["<uri >"], // Instantiates external protocol or definition 
 "basedOn" : [{ Reference(CarePlan|ServiceRequest) }], // A request for this procedure 
 "partOf" : [{ Reference(Procedure|Observation|MedicationAdministration) }], // Part of referenced event 
 "status" : "<code >", // R! preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown 
 "statusReason" : { CodeableConcept  }, // Reason for current status 
 "category" : { CodeableConcept  }, // Classification of the procedure 
 "code" : { CodeableConcept  }, // Identification of the procedure 
 "subject" : { Reference(Patient|Group) }, // R! Who the procedure was performed on 
 "encounter" : { Reference(Encounter) }, // Encounter created as part of 
 // performed[x]: When the procedure was performed. One of these 5:
 "performedDateTime" : "<dateTime >",
 "performedPeriod" : { Period  },
 "performedString" : "<string >",
 "performedAge" : { Age  },
 "performedRange" : { Range  },
 "recorder" : { Reference(Patient|RelatedPerson|Practitioner|
 PractitionerRole) }, // Who recorded the procedure 
 "asserter" : { Reference(Patient|RelatedPerson|Practitioner|
 PractitionerRole) }, // Person who asserts this procedure 
 "performer" : [{ // The people who performed the procedure 
 "function" : { CodeableConcept  }, // Type of performance 
 "actor" : { Reference(Practitioner|PractitionerRole|Organization|Patient|
 RelatedPerson|Device) }, // R! The reference to the practitioner 
 "onBehalfOf" : { Reference(Organization) } // Organization the device or practitioner was acting for 
 }],
 "location" : { Reference(Location) }, // Where the procedure happened 
 "reasonCode" : [{ CodeableConcept  }], // Coded reason procedure performed 
 "reasonReference" : [{ Reference(Condition|Observation|Procedure|
 DiagnosticReport|DocumentReference) }], // The justification that the procedure was performed 
 "bodySite" : [{ CodeableConcept  }], // Target body sites 
 "outcome" : { CodeableConcept  }, // The result of procedure 
 "report" : [{ Reference(DiagnosticReport|DocumentReference|Composition) }], // Any report resulting from the procedure 
 "complication" : [{ CodeableConcept  }], // Complication following the procedure 
 "complicationDetail" : [{ Reference(Condition) }], // A condition that is a result of the procedure 
 "followUp" : [{ CodeableConcept  }], // Instructions for follow up 
 "note" : [{ Annotation  }], // Additional information about the procedure 
 "focalDevice" : [{ // Manipulated, implanted, or removed device 
 "action" : { CodeableConcept  }, // Kind of change to device 
 "manipulated" : { Reference(Device) } // R! Device that was changed 
 }],
 "usedReference" : [{ Reference(Device|Medication|Substance) }], // Items used during procedure 
 "usedCode" : [{ CodeableConcept  }] // Coded items used during the procedure 
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco 
[ a fhir:Procedure;
 fhir:nodeRole fhir:treeRoot; # if this is the parser root
 # from Resource: .id, .meta, .implicitRules, and .language
 # from DomainResource: .text, .contained, .extension, and .modifierExtension
 fhir:Procedure.identifier[ Identifier ], ... ; # 0..* External Identifiers for this procedure
 fhir:Procedure.instantiatesCanonical[ canonical(PlanDefinition|ActivityDefinition|Measure|OperationDefinition|Questionnaire) ], ... ; # 0..* Instantiates FHIR protocol or definition
 fhir:Procedure.instantiatesUri[ uri ], ... ; # 0..* Instantiates external protocol or definition
 fhir:Procedure.basedOn[ Reference(CarePlan|ServiceRequest) ], ... ; # 0..* A request for this procedure
 fhir:Procedure.partOf[ Reference(Procedure|Observation|MedicationAdministration) ], ... ; # 0..* Part of referenced event
 fhir:Procedure.status[ code ]; # 1..1 preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
 fhir:Procedure.statusReason[ CodeableConcept ]; # 0..1 Reason for current status
 fhir:Procedure.category[ CodeableConcept ]; # 0..1 Classification of the procedure
 fhir:Procedure.code[ CodeableConcept ]; # 0..1 Identification of the procedure
 fhir:Procedure.subject[ Reference(Patient|Group) ]; # 1..1 Who the procedure was performed on
 fhir:Procedure.encounter[ Reference(Encounter) ]; # 0..1 Encounter created as part of
 # Procedure.performed[x]: 0..1 When the procedure was performed. One of these 5
 fhir:Procedure.performedDateTime[ dateTime ]
 fhir:Procedure.performedPeriod[ Period ]
 fhir:Procedure.performedString[ string ]
 fhir:Procedure.performedAge[ Age ]
 fhir:Procedure.performedRange[ Range ]
 fhir:Procedure.recorder[ Reference(Patient|RelatedPerson|Practitioner|PractitionerRole) ]; # 0..1 Who recorded the procedure
 fhir:Procedure.asserter[ Reference(Patient|RelatedPerson|Practitioner|PractitionerRole) ]; # 0..1 Person who asserts this procedure
 fhir:Procedure.performer[ # 0..* The people who performed the procedure
 fhir:Procedure.performer.function[ CodeableConcept ]; # 0..1 Type of performance
 fhir:Procedure.performer.actor[ Reference(Practitioner|PractitionerRole|Organization|Patient|RelatedPerson|Device) ]; # 1..1 The reference to the practitioner
 fhir:Procedure.performer.onBehalfOf[ Reference(Organization) ]; # 0..1 Organization the device or practitioner was acting for
 ], ...;
 fhir:Procedure.location[ Reference(Location) ]; # 0..1 Where the procedure happened
 fhir:Procedure.reasonCode[ CodeableConcept ], ... ; # 0..* Coded reason procedure performed
 fhir:Procedure.reasonReference[ Reference(Condition|Observation|Procedure|DiagnosticReport|DocumentReference) ], ... ; # 0..* The justification that the procedure was performed
 fhir:Procedure.bodySite[ CodeableConcept ], ... ; # 0..* Target body sites
 fhir:Procedure.outcome[ CodeableConcept ]; # 0..1 The result of procedure
 fhir:Procedure.report[ Reference(DiagnosticReport|DocumentReference|Composition) ], ... ; # 0..* Any report resulting from the procedure
 fhir:Procedure.complication[ CodeableConcept ], ... ; # 0..* Complication following the procedure
 fhir:Procedure.complicationDetail[ Reference(Condition) ], ... ; # 0..* A condition that is a result of the procedure
 fhir:Procedure.followUp[ CodeableConcept ], ... ; # 0..* Instructions for follow up
 fhir:Procedure.note[ Annotation ], ... ; # 0..* Additional information about the procedure
 fhir:Procedure.focalDevice[ # 0..* Manipulated, implanted, or removed device
 fhir:Procedure.focalDevice.action[ CodeableConcept ]; # 0..1 Kind of change to device
 fhir:Procedure.focalDevice.manipulated[ Reference(Device) ]; # 1..1 Device that was changed
 ], ...;
 fhir:Procedure.usedReference[ Reference(Device|Medication|Substance) ], ... ; # 0..* Items used during procedure
 fhir:Procedure.usedCode[ CodeableConcept ], ... ; # 0..* Coded items used during the procedure
]

Changes since R3

Procedure
Procedure.instantiatesCanonical
  • Added Element
Procedure.instantiatesUri
  • Added Element
Procedure.basedOn
  • Type Reference: Added Target Type ServiceRequest
  • Type Reference: Removed Target Types ProcedureRequest, ReferralRequest
Procedure.status
  • Change value set from http://hl7.org/fhir/ValueSet/event-status to http://hl7.org/fhir/ValueSet/event-status|4.0.1
Procedure.statusReason
  • Added Element
Procedure.encounter
  • Added Element
Procedure.performed[x]
  • Add Types string, Age, Range
Procedure.recorder
  • Added Element
Procedure.asserter
  • Added Element
Procedure.performer.function
  • Added Element
Procedure.performer.actor
  • Type Reference: Added Target Type PractitionerRole
Procedure.reasonReference
  • Type Reference: Added Target Types Procedure, DiagnosticReport, DocumentReference
Procedure.report
  • Type Reference: Added Target Types DocumentReference, Composition
Procedure.definition
  • deleted
Procedure.notDone
  • deleted
Procedure.notDoneReason
  • deleted
Procedure.context
  • deleted
Procedure.performer.role
  • deleted

See the Full Difference for further information

This analysis is available as XML or JSON.

See R3 <--> R4 Conversion Maps (status = 15 tests that all execute ok. 3 fail round-trip testing and 1 r3 resources are invalid (0 errors).)

Structure

Name Flags Card. Type Description & Constraints doco
.. Procedure TU DomainResource An action that is being or was performed on a patient
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... 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 ?! Σ 1..1code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
EventStatus (Required)
... statusReason Σ 0..1CodeableConcept Reason for current status
Procedure Not Performed Reason (SNOMED-CT) (Example)
... category Σ 0..1CodeableConcept Classification of the procedure
Procedure Category Codes (SNOMED CT) (Example)
... code Σ 0..1CodeableConcept Identification of the procedure
Procedure Codes (SNOMED CT) (Example)
... subject Σ 1..1Reference(Patient | Group)Who the procedure was performed on
... encounter Σ 0..1Reference(Encounter)Encounter created as part of
... performed[x] Σ 0..1When the procedure was performed
.... performedDateTimedateTime
.... performedPeriodPeriod
.... performedStringstring
.... performedAgeAge
.... performedRangeRange
... recorder Σ 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Who recorded the procedure
... asserter Σ 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Person who asserts this procedure
... performer Σ 0..*BackboneElement The people who performed the procedure
.... function Σ 0..1CodeableConcept Type of performance
Procedure Performer Role Codes (Example)
.... actor Σ 1..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)The reference to the practitioner
.... onBehalfOf 0..1Reference(Organization)Organization the device or practitioner was acting for
... location Σ 0..1Reference(Location)Where the procedure happened
... reasonCode Σ 0..*CodeableConcept Coded reason procedure performed
Procedure Reason Codes (Example)
... reasonReference Σ 0..*Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)The justification that the procedure was performed
... bodySite Σ 0..*CodeableConcept Target body sites
SNOMED CT Body Structures (Example)
... outcome Σ 0..1CodeableConcept The result of procedure
Procedure Outcome Codes (SNOMED CT) (Example)
... report 0..*Reference(DiagnosticReport | DocumentReference | Composition)Any report resulting from the procedure
... complication 0..*CodeableConcept Complication following the procedure
Condition/Problem/Diagnosis Codes (Example)
... complicationDetail 0..*Reference(Condition)A condition that is a result of the procedure
... followUp 0..*CodeableConcept Instructions for follow up
Procedure Follow up Codes (SNOMED CT) (Example)
... note 0..*Annotation Additional information about the procedure
... focalDevice 0..*BackboneElement Manipulated, implanted, or removed device
.... action 0..1CodeableConcept Kind of change to device
Procedure Device Action Codes (Preferred)
.... manipulated 1..1Reference(Device)Device that was changed
... usedReference 0..*Reference(Device | Medication | Substance)Items used during procedure
... usedCode 0..*CodeableConcept Coded items used during the procedure
FHIR Device Types (Example)

doco Documentation for this format

UML Diagram (Legend)

Procedure (DomainResource)Business identifiers assigned to this procedure by the performer or other systems which remain constant as the resource is updated and is propagated from server to serveridentifier : Identifier [0..*]The URL pointing to a FHIR-defined protocol, guideline, order set or other definition that is adhered to in whole or in part by this ProcedureinstantiatesCanonical : canonical [0..*] « PlanDefinition| ActivityDefinition|Measure|OperationDefinition|Questionnaire »The URL pointing to an externally maintained protocol, guideline, order set or other definition that is adhered to in whole or in part by this ProcedureinstantiatesUri : uri [0..*]A reference to a resource that contains details of the request for this procedurebasedOn : Reference [0..*] « CarePlan|ServiceRequest »A larger event of which this particular procedure is a component or steppartOf : Reference [0..*] « Procedure|Observation| MedicationAdministration »A code specifying the state of the procedure. Generally, this will be the in-progress or completed state (this element modifies the meaning of other elements)status : code [1..1] « A code specifying the state of the procedure. (Strength=Required)EventStatus! »Captures the reason for the current state of the procedurestatusReason : CodeableConcept [0..1] « A code that identifies the reason a procedure was not performed. (Strength=Example) ProcedureNotPerformedReason(S...?? »A code that classifies the procedure for searching, sorting and display purposes (e.g. "Surgical Procedure")category : CodeableConcept [0..1] « A code that classifies a procedure for searching, sorting and display purposes. (Strength=Example)ProcedureCategoryCodes(SNOMED...?? »The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. "Laparoscopic Appendectomy")code : CodeableConcept [0..1] « A code to identify a specific procedure . (Strength=Example)ProcedureCodes(SNOMEDCT)?? »The person, animal or group on which the procedure was performedsubject : Reference [1..1] « Patient|Group »The Encounter during which this Procedure was created or performed or to which the creation of this record is tightly associatedencounter : Reference [0..1] « Encounter »Estimated or actual date, date-time, period, or age when the procedure was performed. Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be capturedperformed[x] : Type [0..1] « dateTime|Period|string|Age|Range »Individual who recorded the record and takes responsibility for its contentrecorder : Reference [0..1] « Patient|RelatedPerson|Practitioner| PractitionerRole »Individual who is making the procedure statementasserter : Reference [0..1] « Patient|RelatedPerson|Practitioner| PractitionerRole »The location where the procedure actually happened. E.g. a newborn at home, a tracheostomy at a restaurantlocation : Reference [0..1] « Location »The coded reason why the procedure was performed. This may be a coded entity of some type, or may simply be present as textreasonCode : CodeableConcept [0..*] « A code that identifies the reason a procedure is required. (Strength=Example)ProcedureReasonCodes?? »The justification of why the procedure was performedreasonReference : Reference [0..*] « Condition|Observation|Procedure| DiagnosticReport|DocumentReference »Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesionbodySite : CodeableConcept [0..*] « Codes describing anatomical locations. May include laterality. (Strength=Example)SNOMEDCTBodyStructures?? »The outcome of the procedure - did it resolve the reasons for the procedure being performed?outcome : CodeableConcept [0..1] « An outcome of a procedure - whether it was resolved or otherwise. (Strength=Example)ProcedureOutcomeCodes(SNOMEDC...?? »This could be a histology result, pathology report, surgical report, etcreport : Reference [0..*] « DiagnosticReport|DocumentReference| Composition »Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the notes, which will typically describe the procedure itself rather than any 'post procedure' issuescomplication : CodeableConcept [0..*] « Codes describing complications that resulted from a procedure. (Strength=Example) Condition/Problem/DiagnosisCo...?? »Any complications that occurred during the procedure, or in the immediate post-performance periodcomplicationDetail : Reference [0..*] « Condition »If the procedure required specific follow up - e.g. removal of sutures. The follow up may be represented as a simple note or could potentially be more complex, in which case the CarePlan resource can be usedfollowUp : CodeableConcept [0..*] « Specific follow up required for a procedure e.g. removal of sutures. (Strength=Example)ProcedureFollowUpCodes(SNOMED...?? »Any other notes and comments about the procedurenote : Annotation [0..*]Identifies medications, devices and any other substance used as part of the procedureusedReference : Reference [0..*] « Device|Medication|Substance »Identifies coded items that were used as part of the procedureusedCode : CodeableConcept [0..*] « Codes describing items used during a procedure. (Strength=Example)FHIRDeviceTypes?? »PerformerDistinguishes the type of involvement of the performer in the procedure. For example, surgeon, anaesthetist, endoscopistfunction : CodeableConcept [0..1] « A code that identifies the role of a performer of the procedure. (Strength=Example)ProcedurePerformerRoleCodes?? »The practitioner who was involved in the procedureactor : Reference [1..1] « Practitioner|PractitionerRole| Organization|Patient|RelatedPerson|Device »The organization the device or practitioner was acting on behalf ofonBehalfOf : Reference [0..1] « Organization »FocalDeviceThe kind of change that happened to the device during the procedureaction : CodeableConcept [0..1] « A kind of change that happened to the device during the procedure. (Strength=Preferred)ProcedureDeviceActionCodes? »The device that was manipulated (changed) during the proceduremanipulated : Reference [1..1] « Device »Limited to "real" people rather than equipmentperformer [0..*]A device that is implanted, removed or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the ProcedurefocalDevice [0..*]

XML Template

<Procedure xmlns="http://hl7.org/fhir"> doco 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier  External Identifiers for this procedure  --></identifier>
 <instantiatesCanonical><!-- 0..* canonical(PlanDefinition|ActivityDefinition|
 Measure|OperationDefinition|Questionnaire) Instantiates FHIR protocol or definition  --></instantiatesCanonical>
 <instantiatesUri value="[uri ]"/><!-- 0..* Instantiates external protocol or definition  -->
 <basedOn><!-- 0..* Reference(CarePlan|ServiceRequest) A request for this procedure  --></basedOn>
 <partOf><!-- 0..* Reference(Procedure|Observation|MedicationAdministration) Part of referenced event  --></partOf>
 <status value="[code ]"/><!-- 1..1 preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown  -->
 <statusReason><!-- 0..1 CodeableConcept  Reason for current status  --></statusReason>
 <category><!-- 0..1 CodeableConcept  Classification of the procedure  --></category>
 <code><!-- 0..1 CodeableConcept  Identification of the procedure  --></code>
 <subject><!-- 1..1 Reference(Patient|Group) Who the procedure was performed on  --></subject>
 <encounter><!-- 0..1 Reference(Encounter) Encounter created as part of  --></encounter>
 <performed[x]><!-- 0..1 dateTime|Period|string|Age|Range  When the procedure was performed  --></performed[x]>
 <recorder><!-- 0..1 Reference(Patient|RelatedPerson|Practitioner|
 PractitionerRole) Who recorded the procedure  --></recorder>
 <asserter><!-- 0..1 Reference(Patient|RelatedPerson|Practitioner|
 PractitionerRole) Person who asserts this procedure  --></asserter>
 <performer> <!-- 0..* The people who performed the procedure -->
 <function><!-- 0..1 CodeableConcept  Type of performance  --></function>
 <actor><!-- 1..1 Reference(Practitioner|PractitionerRole|Organization|Patient|
 RelatedPerson|Device) The reference to the practitioner  --></actor>
 <onBehalfOf><!-- 0..1 Reference(Organization) Organization the device or practitioner was acting for  --></onBehalfOf>
 </performer>
 <location><!-- 0..1 Reference(Location) Where the procedure happened  --></location>
 <reasonCode><!-- 0..* CodeableConcept  Coded reason procedure performed  --></reasonCode>
 <reasonReference><!-- 0..* Reference(Condition|Observation|Procedure|
 DiagnosticReport|DocumentReference) The justification that the procedure was performed  --></reasonReference>
 <bodySite><!-- 0..* CodeableConcept  Target body sites  --></bodySite>
 <outcome><!-- 0..1 CodeableConcept  The result of procedure  --></outcome>
 <report><!-- 0..* Reference(DiagnosticReport|DocumentReference|Composition) Any report resulting from the procedure  --></report>
 <complication><!-- 0..* CodeableConcept  Complication following the procedure  --></complication>
 <complicationDetail><!-- 0..* Reference(Condition) A condition that is a result of the procedure  --></complicationDetail>
 <followUp><!-- 0..* CodeableConcept  Instructions for follow up  --></followUp>
 <note><!-- 0..* Annotation  Additional information about the procedure  --></note>
 <focalDevice> <!-- 0..* Manipulated, implanted, or removed device -->
 <action><!-- 0..1 CodeableConcept  Kind of change to device  --></action>
 <manipulated><!-- 1..1 Reference(Device) Device that was changed  --></manipulated>
 </focalDevice>
 <usedReference><!-- 0..* Reference(Device|Medication|Substance) Items used during procedure  --></usedReference>
 <usedCode><!-- 0..* CodeableConcept  Coded items used during the procedure  --></usedCode>
</Procedure>

JSON Template

{doco 
 "resourceType" : "Procedure",
 // from Resource: id, meta, implicitRules, and language
 // from DomainResource: text, contained, extension, and modifierExtension
 "identifier" : [{ Identifier  }], // External Identifiers for this procedure 
 "instantiatesCanonical" : [{ canonical(PlanDefinition|ActivityDefinition|
 Measure|OperationDefinition|Questionnaire) }], // Instantiates FHIR protocol or definition 
 "instantiatesUri" : ["<uri >"], // Instantiates external protocol or definition 
 "basedOn" : [{ Reference(CarePlan|ServiceRequest) }], // A request for this procedure 
 "partOf" : [{ Reference(Procedure|Observation|MedicationAdministration) }], // Part of referenced event 
 "status" : "<code >", // R! preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown 
 "statusReason" : { CodeableConcept  }, // Reason for current status 
 "category" : { CodeableConcept  }, // Classification of the procedure 
 "code" : { CodeableConcept  }, // Identification of the procedure 
 "subject" : { Reference(Patient|Group) }, // R! Who the procedure was performed on 
 "encounter" : { Reference(Encounter) }, // Encounter created as part of 
 // performed[x]: When the procedure was performed. One of these 5:
 "performedDateTime" : "<dateTime >",
 "performedPeriod" : { Period  },
 "performedString" : "<string >",
 "performedAge" : { Age  },
 "performedRange" : { Range  },
 "recorder" : { Reference(Patient|RelatedPerson|Practitioner|
 PractitionerRole) }, // Who recorded the procedure 
 "asserter" : { Reference(Patient|RelatedPerson|Practitioner|
 PractitionerRole) }, // Person who asserts this procedure 
 "performer" : [{ // The people who performed the procedure 
 "function" : { CodeableConcept  }, // Type of performance 
 "actor" : { Reference(Practitioner|PractitionerRole|Organization|Patient|
 RelatedPerson|Device) }, // R! The reference to the practitioner 
 "onBehalfOf" : { Reference(Organization) } // Organization the device or practitioner was acting for 
 }],
 "location" : { Reference(Location) }, // Where the procedure happened 
 "reasonCode" : [{ CodeableConcept  }], // Coded reason procedure performed 
 "reasonReference" : [{ Reference(Condition|Observation|Procedure|
 DiagnosticReport|DocumentReference) }], // The justification that the procedure was performed 
 "bodySite" : [{ CodeableConcept  }], // Target body sites 
 "outcome" : { CodeableConcept  }, // The result of procedure 
 "report" : [{ Reference(DiagnosticReport|DocumentReference|Composition) }], // Any report resulting from the procedure 
 "complication" : [{ CodeableConcept  }], // Complication following the procedure 
 "complicationDetail" : [{ Reference(Condition) }], // A condition that is a result of the procedure 
 "followUp" : [{ CodeableConcept  }], // Instructions for follow up 
 "note" : [{ Annotation  }], // Additional information about the procedure 
 "focalDevice" : [{ // Manipulated, implanted, or removed device 
 "action" : { CodeableConcept  }, // Kind of change to device 
 "manipulated" : { Reference(Device) } // R! Device that was changed 
 }],
 "usedReference" : [{ Reference(Device|Medication|Substance) }], // Items used during procedure 
 "usedCode" : [{ CodeableConcept  }] // Coded items used during the procedure 
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco 
[ a fhir:Procedure;
 fhir:nodeRole fhir:treeRoot; # if this is the parser root
 # from Resource: .id, .meta, .implicitRules, and .language
 # from DomainResource: .text, .contained, .extension, and .modifierExtension
 fhir:Procedure.identifier[ Identifier ], ... ; # 0..* External Identifiers for this procedure
 fhir:Procedure.instantiatesCanonical[ canonical(PlanDefinition|ActivityDefinition|Measure|OperationDefinition|Questionnaire) ], ... ; # 0..* Instantiates FHIR protocol or definition
 fhir:Procedure.instantiatesUri[ uri ], ... ; # 0..* Instantiates external protocol or definition
 fhir:Procedure.basedOn[ Reference(CarePlan|ServiceRequest) ], ... ; # 0..* A request for this procedure
 fhir:Procedure.partOf[ Reference(Procedure|Observation|MedicationAdministration) ], ... ; # 0..* Part of referenced event
 fhir:Procedure.status[ code ]; # 1..1 preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
 fhir:Procedure.statusReason[ CodeableConcept ]; # 0..1 Reason for current status
 fhir:Procedure.category[ CodeableConcept ]; # 0..1 Classification of the procedure
 fhir:Procedure.code[ CodeableConcept ]; # 0..1 Identification of the procedure
 fhir:Procedure.subject[ Reference(Patient|Group) ]; # 1..1 Who the procedure was performed on
 fhir:Procedure.encounter[ Reference(Encounter) ]; # 0..1 Encounter created as part of
 # Procedure.performed[x]: 0..1 When the procedure was performed. One of these 5
 fhir:Procedure.performedDateTime[ dateTime ]
 fhir:Procedure.performedPeriod[ Period ]
 fhir:Procedure.performedString[ string ]
 fhir:Procedure.performedAge[ Age ]
 fhir:Procedure.performedRange[ Range ]
 fhir:Procedure.recorder[ Reference(Patient|RelatedPerson|Practitioner|PractitionerRole) ]; # 0..1 Who recorded the procedure
 fhir:Procedure.asserter[ Reference(Patient|RelatedPerson|Practitioner|PractitionerRole) ]; # 0..1 Person who asserts this procedure
 fhir:Procedure.performer[ # 0..* The people who performed the procedure
 fhir:Procedure.performer.function[ CodeableConcept ]; # 0..1 Type of performance
 fhir:Procedure.performer.actor[ Reference(Practitioner|PractitionerRole|Organization|Patient|RelatedPerson|Device) ]; # 1..1 The reference to the practitioner
 fhir:Procedure.performer.onBehalfOf[ Reference(Organization) ]; # 0..1 Organization the device or practitioner was acting for
 ], ...;
 fhir:Procedure.location[ Reference(Location) ]; # 0..1 Where the procedure happened
 fhir:Procedure.reasonCode[ CodeableConcept ], ... ; # 0..* Coded reason procedure performed
 fhir:Procedure.reasonReference[ Reference(Condition|Observation|Procedure|DiagnosticReport|DocumentReference) ], ... ; # 0..* The justification that the procedure was performed
 fhir:Procedure.bodySite[ CodeableConcept ], ... ; # 0..* Target body sites
 fhir:Procedure.outcome[ CodeableConcept ]; # 0..1 The result of procedure
 fhir:Procedure.report[ Reference(DiagnosticReport|DocumentReference|Composition) ], ... ; # 0..* Any report resulting from the procedure
 fhir:Procedure.complication[ CodeableConcept ], ... ; # 0..* Complication following the procedure
 fhir:Procedure.complicationDetail[ Reference(Condition) ], ... ; # 0..* A condition that is a result of the procedure
 fhir:Procedure.followUp[ CodeableConcept ], ... ; # 0..* Instructions for follow up
 fhir:Procedure.note[ Annotation ], ... ; # 0..* Additional information about the procedure
 fhir:Procedure.focalDevice[ # 0..* Manipulated, implanted, or removed device
 fhir:Procedure.focalDevice.action[ CodeableConcept ]; # 0..1 Kind of change to device
 fhir:Procedure.focalDevice.manipulated[ Reference(Device) ]; # 1..1 Device that was changed
 ], ...;
 fhir:Procedure.usedReference[ Reference(Device|Medication|Substance) ], ... ; # 0..* Items used during procedure
 fhir:Procedure.usedCode[ CodeableConcept ], ... ; # 0..* Coded items used during the procedure
]

Changes since Release 3

Procedure
Procedure.instantiatesCanonical
  • Added Element
Procedure.instantiatesUri
  • Added Element
Procedure.basedOn
  • Type Reference: Added Target Type ServiceRequest
  • Type Reference: Removed Target Types ProcedureRequest, ReferralRequest
Procedure.status
  • Change value set from http://hl7.org/fhir/ValueSet/event-status to http://hl7.org/fhir/ValueSet/event-status|4.0.1
Procedure.statusReason
  • Added Element
Procedure.encounter
  • Added Element
Procedure.performed[x]
  • Add Types string, Age, Range
Procedure.recorder
  • Added Element
Procedure.asserter
  • Added Element
Procedure.performer.function
  • Added Element
Procedure.performer.actor
  • Type Reference: Added Target Type PractitionerRole
Procedure.reasonReference
  • Type Reference: Added Target Types Procedure, DiagnosticReport, DocumentReference
Procedure.report
  • Type Reference: Added Target Types DocumentReference, Composition
Procedure.definition
  • deleted
Procedure.notDone
  • deleted
Procedure.notDoneReason
  • deleted
Procedure.context
  • deleted
Procedure.performer.role
  • deleted

See the Full Difference for further information

This analysis is available as XML or JSON.

See R3 <--> R4 Conversion Maps (status = 15 tests that all execute ok. 3 fail round-trip testing and 1 r3 resources are invalid (0 errors).)

See the Profiles & Extensions and the alternate definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) + see the extensions & the dependency analysis

9.3.3.1 Terminology Bindings

PathDefinitionTypeReference
Procedure.status A code specifying the state of the procedure.Required EventStatus
Procedure.statusReason A code that identifies the reason a procedure was not performed.Example ProcedureNotPerformedReason(SNOMED-CT)
Procedure.category A code that classifies a procedure for searching, sorting and display purposes.Example ProcedureCategoryCodes(SNOMEDCT)
Procedure.code A code to identify a specific procedure .Example ProcedureCodes(SNOMEDCT)
Procedure.performer.function A code that identifies the role of a performer of the procedure.Example ProcedurePerformerRoleCodes
Procedure.reasonCode A code that identifies the reason a procedure is required.Example ProcedureReasonCodes
Procedure.bodySite Codes describing anatomical locations. May include laterality.Example SNOMEDCTBodyStructures
Procedure.outcome An outcome of a procedure - whether it was resolved or otherwise.Example ProcedureOutcomeCodes(SNOMEDCT)
Procedure.complication Codes describing complications that resulted from a procedure.Example Condition/Problem/DiagnosisCodes
Procedure.followUp Specific follow up required for a procedure e.g. removal of sutures.Example ProcedureFollowUpCodes(SNOMEDCT)
Procedure.focalDevice.action A kind of change that happened to the device during the procedure.Preferred ProcedureDeviceActionCodes
Procedure.usedCode Codes describing items used during a procedure.Example FHIRDeviceTypes

9.3.3.2 Use of Procedure properties

Many of the elements of Procedure have inherent relationships and may be conveyed by the Procedure.code or in the text element of the Procedure.code property. I.e. you may be able to infer category, bodySite and even indication. Whether these other properties will be populated may vary by implementation.

Care should be taken to avoid nonsensical combinations/statements; e.g. "name=amputation, bodySite=heart".

9.3.3.3 Use of Procedure.used

For devices, these are devices that are incidental to / or used to perform the procedure - scalpels, gauze, endoscopes, etc. Devices that are the focus of the procedure should appear in Procedure.device instead.

9.3.4 Search Parameters

Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

Name Type Description Expression In Common
based-on reference A request for this procedure Procedure.basedOn
(CarePlan, ServiceRequest)
category token Classification of the procedure Procedure.category
code token A code to identify a procedure Procedure.code 13 Resources
date date When the procedure was performed Procedure.performed 17 Resources
encounter reference Encounter created as part of Procedure.encounter
(Encounter) 12 Resources
identifier token A unique identifier for a procedure Procedure.identifier 30 Resources
instantiates-canonical reference Instantiates FHIR protocol or definition Procedure.instantiatesCanonical
(Questionnaire, Measure, PlanDefinition, OperationDefinition, ActivityDefinition)
instantiates-uri uri Instantiates external protocol or definition Procedure.instantiatesUri
location reference Where the procedure happened Procedure.location
(Location)
part-of reference Part of referenced event Procedure.partOf
(Observation, Procedure, MedicationAdministration)
patient reference Search by subject - a patient Procedure.subject.where(resolve() is Patient)
(Patient) 33 Resources
performer reference The reference to the practitioner Procedure.performer.actor
(Practitioner, Organization, Device, Patient, PractitionerRole, RelatedPerson)
reason-code token Coded reason procedure performed Procedure.reasonCode
reason-reference reference The justification that the procedure was performed Procedure.reasonReference
(Condition, Observation, Procedure, DiagnosticReport, DocumentReference)
status token preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Procedure.status
subject reference Search by subject Procedure.subject
(Group, Patient)

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