{ "resourceType": "StructureDefinition", "id": "HdBe-Procedure-event", "url": "https://fhir.healthdata.be/StructureDefinition/HdBe-Procedure-event", "name": "HdBeProcedureevent", "title": "HdBe Procedure event", "status": "draft", "date": "2022-10-17T09:09:13.9562003+00:00", "publisher": "Healthdata.be (Sciensano)", "contact": [ { "name": "Service portal – healthdata.be", "telecom": [ { "system": "url", "value": "https://sciensano.service-now.com/sp", "use": "work" } ] } ], "description": "Therapeutic or diagnostic procedure undergone by the patient (the complementary profile HdBe-Procedure-request can be used for therapeutic or diagnostics procedures that the patient will undergo). A procedure can be a simple blood pressure measurement, but also a complex heart surgery.\r\nIn some care settings, the term treatment is used instead of the term procedure.", "copyright": "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.", "fhirVersion": "4.0.1", "mapping": [ { "identity": "zib-procedure-v5.2-2020EN", "uri": "https://zibs.nl/wiki/Procedure-v5.2(2020EN)", "name": "zib Procedure-v5.2(2020EN)" }, { "identity": "HdBe-Procedure", "uri": "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Procedure", "name": "HdBe logical model Procedure" }, { "identity": "zib-textresult-v4.4-2020EN", "uri": "https://zibs.nl/wiki/TextResult-v4.4(2020EN)", "name": "zib TextResult-v4.4(2020EN)" } ], "kind": "resource", "abstract": false, "type": "Procedure", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Procedure", "derivation": "constraint", "snapshot": { "element": [ { "id": "Procedure", "path": "Procedure", "short": "Procedure", "definition": "An action that is or was performed on a patient. This can be a physical intervention like an operation, or less invasive like counseling or hypnotherapy.", "comment": "The CBB Procedure is mapped both to a Procedure profile and a profile on ServiceRequest to align with the intention of FHIR. All past procedures are covered using this Procedure resource, while all future procedures, including the advised procedures, are covered in the ServiceRequest resource. Both resources contain the CBB mappings, with the exception of the Requester concept; this is not relevant for past procedures and has only been mapped to the ServiceRequest profile.\r\n\r\nThe planned and performed procedures can be linked using `Procedure.basedOn`.", "alias": [ "Verrichting" ], "min": 0, "max": "*", "base": { "path": "Procedure", "min": 0, "max": "*" }, "constraint": [ { "key": "dom-2", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression": "contained.contained.empty()", "xpath": "not(parent::f:contained and f:contained)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-1", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain any narrative", "expression": "contained.text.empty()", "xpath": "not(parent::f:contained and f:text)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-4", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-3", "severity": "error", "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource", "expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()", "xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "pro-1", "severity": "error", "human": "Reason not done is only permitted if notDone indicator is true", "expression": "notDoneReason.empty() or notDone = true", "xpath": "not(exists(f:notDoneReason)) or f:notDone/@value=true()", "source": "http://hl7.org/fhir/StructureDefinition/Procedure" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "rim", "map": "Procedure[moodCode=EVN]" }, { "identity": "w5", "map": "clinical.general" }, { "identity": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.1", "comment": "Procedure" }, { "identity": "HdBe-Procedure", "map": "Procedure" } ] }, { "id": "Procedure.id", "path": "Procedure.id", "short": "Logical id of this artifact", "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.", "min": 0, "max": "1", "base": { "path": "Resource.id", "min": 0, "max": "1" }, "type": [ { "code": "id" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Procedure.meta", "path": "Procedure.meta", "short": "Metadata about the resource", "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.", "min": 0, "max": "1", "base": { "path": "Resource.meta", "min": 0, "max": "1" }, "type": [ { "code": "Meta" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Procedure.implicitRules", "path": "Procedure.implicitRules", "short": "A set of rules under which this content was created", "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.", "comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.", "min": 0, "max": "1", "base": { "path": "Resource.implicitRules", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Procedure.language", "path": "Procedure.language", "short": "Language of the resource content", "definition": "The base language in which the resource is written.", "comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).", "min": 0, "max": "1", "base": { "path": "Resource.language", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueReference": { "reference": "http://hl7.org/fhir/ValueSet/all-languages" } }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "Language" } ], "strength": "extensible", "description": "A human language." }, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Procedure.text", "path": "Procedure.text", "short": "Text summary of the resource, for human interpretation", "definition": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.", "comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later.", "alias": [ "narrative", "html", "xhtml", "display" ], "min": 0, "max": "1", "base": { "path": "DomainResource.text", "min": 0, "max": "1" }, "type": [ { "code": "Narrative" } ], "condition": [ "ele-1", "dom-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" }, { "identity": "rim", "map": "Act.text?" } ] }, { "id": "Procedure.contained", "path": "Procedure.contained", "short": "Contained, inline Resources", "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.", "comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.", "alias": [ "inline resources", "anonymous resources", "contained resources" ], "min": 0, "max": "*", "base": { "path": "DomainResource.contained", "min": 0, "max": "*" }, "type": [ { "code": "Resource" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Procedure.extension", "path": "Procedure.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Procedure.extension:procedureMethod", "path": "Procedure.extension", "sliceName": "procedureMethod", "short": "The method used to perform the procedure", "definition": "The method used to perform this procedure.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "https://fhir.healthdata.be/StructureDefinition/ext-Procedure.ProcedureMethod" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" }, { "identity": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.12", "comment": "ProcedureMethod" }, { "identity": "HdBe-Procedure", "map": "ProcedureMethod" } ] }, { "id": "Procedure.modifierExtension", "path": "Procedure.modifierExtension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Procedure.identifier", "path": "Procedure.identifier", "short": "External Identifiers for this procedure", "definition": "This records identifiers associated with this procedure that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).", "requirements": "Need to allow connection to a wider workflow.", "min": 0, "max": "*", "base": { "path": "Procedure.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "v2", "map": "Some combination of ORC-2 / ORC-3 / OBR-2 / OBR-3 / IPC-1 / IPC-2 / IPC-3 / IPC-4" }, { "identity": "rim", "map": ".id" }, { "identity": "w5", "map": "id" } ] }, { "id": "Procedure.definition", "path": "Procedure.definition", "short": "Instantiates protocol or definition", "definition": "A protocol, guideline, orderset or other definition that was adhered to in whole or in part by this procedure.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "min": 0, "max": "*", "base": { "path": "Procedure.definition", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/PlanDefinition" ] }, { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/ActivityDefinition" ] }, { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/HealthcareService" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target" } ] }, { "id": "Procedure.basedOn", "path": "Procedure.basedOn", "short": "A request for this procedure", "definition": "A reference to a resource that contains details of the request for this procedure.", "comment": "The root element provides more information on the usage of `Procedure.basedOn` for the zib Procedure.", "alias": [ "fulfills" ], "min": 0, "max": "*", "base": { "path": "Procedure.basedOn", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/CarePlan", "http://hl7.org/fhir/StructureDefinition/ServiceRequest", "https://fhir.healthdata.be/StructureDefinition/HdBe-Procedure-request" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=FLFS].target[classCode=(various e.g. PROC, OBS, PCPR, ACT, moodCode=RQO].code" } ] }, { "id": "Procedure.partOf", "path": "Procedure.partOf", "short": "Part of referenced event", "definition": "A larger event of which this particular procedure is a component or step.", "comment": "The MedicationAdministration has a partOf reference to Procedure, but this is not a circular reference. For a surgical procedure, the anesthesia related medicationAdministration is part of the procedure. For an IV medication administration, the procedure to insert the IV port is part of the medication administration.", "alias": [ "container" ], "min": 0, "max": "*", "base": { "path": "Procedure.partOf", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Procedure" ] }, { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ] }, { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/MedicationAdministration" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".inboundRelationship[typeCode=COMP].source[classCode=SBADM or PROC or OBS, moodCode=EVN]" } ] }, { "id": "Procedure.status", "path": "Procedure.status", "short": "preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown", "definition": "This element is implictly mapped to the concepts ProcedureStartDate and ProcedureEndDate. Unless the status is explicitly recorded, the following guidance applies:\r\n\r\n* When the ProcedureStartDate is in the future, `.status` will usually be set to _preparation_.\r\n* When ProcedureStartDate is in the past and ProcedureEndDate is in the future, `.status` will usually be set to _in-progress_.\r\n* When ProcedureEndDate is in the past, `.status` will usually be set to _completed_.\r\n* When ProcedureStartDate is in the past and ProcedureEndDate is missing, it may be assumed that the Procedure was recorded as a point in time and `.status` will usually be set to _completed_.\r\n* When a system is unable to infer the status from the ProcedureStartDate and ProcedureEndDate , `.status` will be set to _unknown_. The _unknown_ code is not to be used to convey other statuses. The _unknown_ code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the Procedure.", "comment": "The unknown code is not to be used to convey other statuses. The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure.\n\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.", "min": 1, "max": "1", "base": { "path": "Procedure.status", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ProcedureStatus" } ], "strength": "required", "description": "A code specifying the state of the procedure." }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "statusCode" }, { "identity": "w5", "map": "status" }, { "identity": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.2", "comment": "ProcedureStartDate (implicit, main mapping is on Procedure.performedPeriod.start and Procedure.performedDateTime)" }, { "identity": "HdBe-Procedure", "map": "ProcedureStartDate (implicit, main mapping is on Procedure.PerformedPeriod.Start and Procedure.PerformedDateTime)" }, { "identity": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.3", "comment": "ProcedureEndDate (implicit, main mapping is on Procedure.performedPeriod.end)" }, { "identity": "HdBe-Procedure", "map": "ProcedureEndDate (implicit, main mapping is on Procedure.PerformedPeriod.End)" } ] }, { "id": "Procedure.notDone", "path": "Procedure.notDone", "short": "True if procedure was not performed as scheduled", "definition": "Set this to true if the record is saying that the procedure was NOT performed.", "comment": "If true, it means the procedure did not occur as described. Typically it would be accompanied by attributes describing the type of activity. It might also be accompanied by body site information or time information (i.e. no procedure was done to the left arm or no procedure was done in this 2-year period). Specifying additional information such as performer, outcome, etc. is generally inappropriate. For example, it's not that useful to say \"There was no appendectomy done at 12:03pm June 6th by Dr. Smith with a successful outcome\" as it implies that there *could* have been an appendectomy done at any other time, by any other clinician or with any other outcome.\n\nThis element is labeled as a modifier because it indicates that a procedure didn't happen.", "min": 0, "max": "1", "base": { "path": "Procedure.notDone", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "defaultValueBoolean": false, "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".actionNegationInd" } ] }, { "id": "Procedure.notDoneReason", "path": "Procedure.notDoneReason", "short": "Reason procedure was not performed", "definition": "A code indicating why the procedure was not performed.", "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 0, "max": "1", "base": { "path": "Procedure.notDoneReason", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1", "pro-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ProcedureNegationReason" } ], "strength": "example", "description": "A code that identifies the reason a procedure was not performed." }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "rim", "map": ".reason.Observation.value" } ] }, { "id": "Procedure.category", "path": "Procedure.category", "short": "Classification of the procedure", "definition": "A code that classifies the procedure for searching, sorting and display purposes (e.g. \"Surgical Procedure\").", "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 0, "max": "1", "base": { "path": "Procedure.category", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ProcedureCategory" } ], "strength": "example", "description": "A code that classifies a procedure for searching, sorting and display purposes." }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code" }, { "identity": "w5", "map": "class" } ] }, { "id": "Procedure.code", "path": "Procedure.code", "short": "ProcedureType", "definition": "The name of the procedure.", "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "requirements": "0..1 to account for primarily narrative only resources.", "alias": [ "type", "VerrichtingType" ], "min": 0, "max": "1", "base": { "path": "Procedure.code", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ProcedureCode" } ], "strength": "extensible", "description": "A code to identify a specific procedure .", "valueSet": "https://fhir.healthdata.be/ValueSet/ProcedureType" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "OBR-44/OBR-45" }, { "identity": "rim", "map": ".code" }, { "identity": "w5", "map": "what" }, { "identity": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.4", "comment": "ProcedureType" }, { "identity": "HdBe-Procedure", "map": "ProcedureType" } ] }, { "id": "Procedure.subject", "path": "Procedure.subject", "short": "Who the procedure was performed on", "definition": "The person, animal or group on which the procedure was performed.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "alias": [ "patient" ], "min": 1, "max": "1", "base": { "path": "Procedure.subject", "min": 1, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ] }, { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Group" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "PID-3" }, { "identity": "rim", "map": ".participation[typeCode=SBJ].role" }, { "identity": "w5", "map": "who.focus" } ] }, { "id": "Procedure.context", "path": "Procedure.context", "short": "Encounter or episode associated with the procedure", "definition": "The encounter during which the procedure was performed.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "alias": [ "encounter" ], "min": 0, "max": "1", "base": { "path": "Procedure.context", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ] }, { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "PV1-19" }, { "identity": "rim", "map": ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]" }, { "identity": "w5", "map": "context" } ] }, { "id": "Procedure.performed[x]", "path": "Procedure.performed[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "rules": "open" }, "short": "Date/Period the procedure was performed", "definition": "The date(time)/period over which 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 captured.", "min": 0, "max": "1", "base": { "path": "Procedure.performed[x]", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" }, { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "OBR-7" }, { "identity": "rim", "map": ".effectiveTime" }, { "identity": "w5", "map": "when.done" } ] }, { "id": "Procedure.performed[x]:performedPeriod", "path": "Procedure.performed[x]", "sliceName": "performedPeriod", "short": "Date/Period the procedure was performed", "definition": "The date(time)/period over which 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 captured.", "min": 0, "max": "1", "base": { "path": "Procedure.performed[x]", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "OBR-7" }, { "identity": "rim", "map": ".effectiveTime" }, { "identity": "w5", "map": "when.done" } ] }, { "id": "Procedure.performed[x]:performedPeriod.id", "path": "Procedure.performed[x].id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Procedure.performed[x]:performedPeriod.extension", "path": "Procedure.performed[x].extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Procedure.performed[x]:performedPeriod.start", "path": "Procedure.performed[x].start", "short": "ProcedureStartDate", "definition": "The start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted. The element offers the option to indicate the start of the period of a series of related procedures.", "comment": "If the low element is missing, the meaning is that the low boundary is not known.", "alias": [ "VerrichtingStartDatum" ], "min": 0, "max": "1", "base": { "path": "Period.start", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1", "per-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR.1" }, { "identity": "rim", "map": "./low" }, { "identity": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.2", "comment": "ProcedureStartDate" }, { "identity": "HdBe-Procedure", "map": "ProcedureStartDate" } ] }, { "id": "Procedure.performed[x]:performedPeriod.end", "path": "Procedure.performed[x].end", "short": "ProcedureEndDate", "definition": "The end date (and if possible end time) of the procedure. A ‘vague’ date, such as only the year, is permitted. The element offers the option to indicate the end of the period of a series of related procedures. The end date element is only used for a procedures that takes some time and is then always applied. If the procedure still continues, the value is left empty. For instantaneous or very short lasting procedures the `performedDateTime` is used.", "comment": "The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.", "alias": [ "VerrichtingEindDatum" ], "min": 0, "max": "1", "base": { "path": "Period.end", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "meaningWhenMissing": "If the end of the period is missing, it means that the period is ongoing", "condition": [ "ele-1", "per-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "DR.2" }, { "identity": "rim", "map": "./high" }, { "identity": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.3", "comment": "ProcedureEndDate" }, { "identity": "HdBe-Procedure", "map": "ProcedureEndDate" } ] }, { "id": "Procedure.performed[x]:performedDateTime", "path": "Procedure.performed[x]", "sliceName": "performedDateTime", "short": "ProcedureStartDate", "definition": "The start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted. `performedDateTime` is used for instantaneous or very short lasting procedures.", "alias": [ "VerrichtingStartDatum" ], "min": 0, "max": "1", "base": { "path": "Procedure.performed[x]", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "OBR-7" }, { "identity": "rim", "map": ".effectiveTime" }, { "identity": "w5", "map": "when.done" }, { "identity": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.2", "comment": "ProcedureStartDate" }, { "identity": "HdBe-Procedure", "map": "ProcedureStartDate" } ] }, { "id": "Procedure.performer", "path": "Procedure.performer", "short": "The people who performed the procedure", "definition": "Limited to 'real' people rather than equipment.", "min": 0, "max": "*", "base": { "path": "Procedure.performer", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".participation[typeCode=PRF]" } ] }, { "id": "Procedure.performer.id", "path": "Procedure.performer.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Procedure.performer.extension", "path": "Procedure.performer.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Procedure.performer.modifierExtension", "path": "Procedure.performer.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Procedure.performer.role", "path": "Procedure.performer.role", "short": "The role the actor was in", "definition": "For example: surgeon, anaethetist, endoscopist.", "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 0, "max": "1", "base": { "path": "Procedure.performer.role", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ProcedurePerformerRole" } ], "strength": "example", "description": "A code that identifies the role of a performer of the procedure." }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25" }, { "identity": "rim", "map": ".functionCode" } ] }, { "id": "Procedure.performer.actor", "path": "Procedure.performer.actor", "short": "Performer", "definition": "The health professional who carried out or will carry out the procedure. In most cases, only the medical specialty is entered, and not the name of the healthcare professional.", "comment": "Each occurrence of the CBB HealthProfessional is normally represented by _two_ FHIR resources: a PractitionerRole resource (instance of [HdBe-HealthProfessional-PractitionerRole](https://fhir.healthdata.be/StructureDefinition/HdBe-HealthProfessional-PractitionerRole)) and a Practitioner resource (instance of [HdBe-HealthProfessional-Practitioner](https://fhir.healthdata.be/StructureDefinition/HdBe-HealthProfessional-Practitioner)). The Practitioner resource is referenced from the PractitionerRole instance. For this reason, sending systems should fill the reference to the PractitionerRole instance here, and not the Practitioner resource. Receiving systems can then retrieve the reference to the Practitioner resource from that PractitionerRole instance.\r\n\r\nIn rare circumstances, there is only a Practitioner instance, in which case it is that instance which will be referenced here. However, since this should be the exception, the HdBe-HealthProfessional-Practitioner profile is not explicitly mentioned as a target profile.", "requirements": "A reference to Device supports use cases, such as pacemakers.", "alias": [ "Uitvoerder" ], "min": 1, "max": "1", "base": { "path": "Procedure.performer.actor", "min": 1, "max": "1" }, "type": [ { "code": "Reference", "profile": [ "https://fhir.healthdata.be/StructureDefinition/pattern-HealthProfessionalReference" ], "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Device", "https://fhir.healthdata.be/StructureDefinition/HdBe-HealthProfessional-PractitionerRole" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "ORC-19/PRT-5" }, { "identity": "rim", "map": ".role" }, { "identity": "w5", "map": "who.actor" }, { "identity": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.6", "comment": "Performer" }, { "identity": "HdBe-Procedure", "map": "Performer" } ] }, { "id": "Procedure.performer.onBehalfOf", "path": "Procedure.performer.onBehalfOf", "short": "Organization the device or practitioner was acting for", "definition": "The organization the device or practitioner was acting on behalf of.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "requirements": "Practitioners and Devices can be associated with multiple organizations. This element indicates which organization they were acting on behalf of when performing the action.", "min": 0, "max": "1", "base": { "path": "Procedure.performer.onBehalfOf", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".scoper" } ] }, { "id": "Procedure.location", "path": "Procedure.location", "short": "Location", "definition": "The healthcare organization where the procedure was, is or will be carried out.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "requirements": "Ties a procedure to where the records are likely kept.", "alias": [ "Locatie" ], "min": 0, "max": "1", "base": { "path": "Procedure.location", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Location", "https://fhir.healthdata.be/StructureDefinition/HdBe-HealthcareOrganization" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".participation[typeCode=LOC].role[classCode=SDLOC]" }, { "identity": "w5", "map": "where" }, { "identity": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.5", "comment": "Location" }, { "identity": "HdBe-Procedure", "map": "Location" } ] }, { "id": "Procedure.reasonCode", "path": "Procedure.reasonCode", "short": "Coded reason procedure performed", "definition": "The coded reason why the procedure was performed. This may be coded entity of some type, or may simply be present as text.", "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 0, "max": "*", "base": { "path": "Procedure.reasonCode", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ProcedureReason" } ], "strength": "example", "description": "A code that identifies the reason a procedure is required." }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "rim", "map": ".reasonCode" }, { "identity": "w5", "map": "why" } ] }, { "id": "Procedure.reasonReference", "path": "Procedure.reasonReference", "short": "Indication", "definition": "The indication is the reason for the procedure.", "comment": "e.g. endoscopy for dilatation and biopsy, combination diagnosis and therapeutic.", "alias": [ "Indicatie" ], "min": 0, "max": "*", "base": { "path": "Procedure.reasonReference", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition", "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/Procedure", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport", "http://hl7.org/fhir/StructureDefinition/DocumentReference", "https://fhir.healthdata.be/StructureDefinition/HdBe-Problem" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".reasonCode" }, { "identity": "w5", "map": "why" }, { "identity": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.9", "comment": "Indication" }, { "identity": "HdBe-Procedure", "map": "Indication" } ] }, { "id": "Procedure.bodySite", "path": "Procedure.bodySite", "short": "Location / ProcedureAnatomicalLocation", "definition": "Anatomical location which is the focus of the procedure.", "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "alias": [ "Locatie", "VerrichtingAnatomischeLocatie" ], "min": 0, "max": "1", "base": { "path": "Procedure.bodySite", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept", "profile": [ "https://fhir.healthdata.be/StructureDefinition/HdBe-AnatomicalLocation" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "BodySite" } ], "strength": "required", "description": "Codes describing anatomical locations. May include laterality.", "valueSet": "https://fhir.healthdata.be/ValueSet/Location" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "OBX-20" }, { "identity": "rim", "map": ".targetSiteCode" }, { "identity": "zib-anatomicallocation-v1.0-2020EN", "map": "NL-CM:20.7.4", "comment": "Location" }, { "identity": "HdBe-AnatomicalLocation", "map": "Location" }, { "identity": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.13", "comment": "ProcedureAnatomicalLocation" }, { "identity": "HdBe-Procedure", "map": "ProcedureAnatomicalLocation" } ] }, { "id": "Procedure.outcome", "path": "Procedure.outcome", "short": "The result of procedure", "definition": "The outcome of the procedure - did it resolve reasons for the procedure being performed?", "comment": "If outcome contains narrative text only, it can be captured using the CodeableConcept.text.", "min": 0, "max": "1", "base": { "path": "Procedure.outcome", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ProcedureOutcome" } ], "strength": "example", "description": "An outcome of a procedure - whether it was resolved or otherwise." }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=OUT].target.text" } ] }, { "id": "Procedure.report", "path": "Procedure.report", "slicing": { "discriminator": [ { "type": "profile", "path": "resolve()" } ], "rules": "open" }, "short": "Any report resulting from the procedure", "definition": "This could be a histology result, pathology report, surgical report, etc..", "comment": "There could potentially be multiple reports - e.g. if this was a procedure which took multiple biopsies resulting in a number of anatomical pathology reports.", "min": 0, "max": "*", "base": { "path": "Procedure.report", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/DiagnosticReport" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN]" } ] }, { "id": "Procedure.report:textResult", "path": "Procedure.report", "sliceName": "textResult", "short": "TextResult", "definition": "This could be a histology result, pathology report, surgical report, etc..", "comment": "The direction of the reference between CBBs TextResult and Procedure is reversed in FHIR. Therefore the concept Procedure of zib TextResult is mapped to this element.\r\n\r\nPlease note that on a functional level, TextResult references Procedure, but in FHIR this direction is reversed.", "alias": [ "TekstUitslag" ], "min": 0, "max": "*", "base": { "path": "Procedure.report", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.healthdata.be/StructureDefinition/HdBe-TextResult" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN]" }, { "identity": "zib-textresult-v4.4-2020EN", "map": "NL-CM:13.2.5", "comment": "Reversed reference for zib TextResult.Procedure" } ] }, { "id": "Procedure.complication", "path": "Procedure.complication", "short": "Complication following the procedure", "definition": "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' issues.", "comment": "If complications are only expressed by the narrative text, they can be captured using the CodeableConcept.text.", "min": 0, "max": "*", "base": { "path": "Procedure.complication", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ProcedureComplication" } ], "strength": "example", "description": "Codes describing complications that resulted from a procedure." }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=\"complication\", moodCode=EVN].value" } ] }, { "id": "Procedure.complicationDetail", "path": "Procedure.complicationDetail", "short": "A condition that is a result of the procedure", "definition": "Any complications that occurred during the procedure, or in the immediate post-performance period.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "requirements": "This is used to document a condition that is a result of the procedure, not the condition that was the reason for the procedure.", "min": 0, "max": "*", "base": { "path": "Procedure.complicationDetail", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=\"complication\", moodCode=EVN].value" } ] }, { "id": "Procedure.followUp", "path": "Procedure.followUp", "short": "Instructions for follow up", "definition": "If the procedure required specific follow up - e.g. removal of sutures. The followup may be represented as a simple note, or could potentially be more complex in which case the CarePlan resource can be used.", "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 0, "max": "*", "base": { "path": "Procedure.followUp", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ProcedureFollowUp" } ], "strength": "example", "description": "Specific follow up required for a procedure e.g. removal of sutures." }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=ACT, moodCode=INT].code" } ] }, { "id": "Procedure.note", "path": "Procedure.note", "short": "Additional information about the procedure", "definition": "Any other notes about the procedure. E.g. the operative notes.", "comment": "For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. *Annotations SHOULD NOT* be used to communicate \"modifying\" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).", "min": 0, "max": "*", "base": { "path": "Procedure.note", "min": 0, "max": "*" }, "type": [ { "code": "Annotation" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Act" }, { "identity": "v2", "map": "NTE" }, { "identity": "rim", "map": ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value" } ] }, { "id": "Procedure.focalDevice", "path": "Procedure.focalDevice", "short": "Device changed in procedure", "definition": "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 Procedure.", "min": 0, "max": "*", "base": { "path": "Procedure.focalDevice", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".participation[typeCode=DEV].role[classCode=MANU]" } ] }, { "id": "Procedure.focalDevice.id", "path": "Procedure.focalDevice.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "comment": "Note that FHIR strings may not exceed 1MB in size", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Procedure.focalDevice.extension", "path": "Procedure.focalDevice.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Procedure.focalDevice.modifierExtension", "path": "Procedure.focalDevice.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Procedure.focalDevice.action", "path": "Procedure.focalDevice.action", "short": "Kind of change to device", "definition": "The kind of change that happened to the device during the procedure.", "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 0, "max": "1", "base": { "path": "Procedure.focalDevice.action", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "DeviceActionKind" } ], "strength": "preferred", "description": "A kind of change that happened to the device during the procedure." }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "rim", "map": ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"procedure device action\"].value=:procedure device action codes" } ] }, { "id": "Procedure.focalDevice.manipulated", "path": "Procedure.focalDevice.manipulated", "short": "MedicalDevice", "definition": "The product, the placing of which in or on the body is the purpose of the procedure, for example placing an implant.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "alias": [ "MedischHulpmiddel" ], "min": 1, "max": "1", "base": { "path": "Procedure.focalDevice.manipulated", "min": 1, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Device", "https://fhir.healthdata.be/StructureDefinition/HdBe-MedicalDevice.Product" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".participation[typeCode=DEV].role[classCode=SDLOC]" }, { "identity": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.7", "comment": "MedicalDevice" }, { "identity": "HdBe-Procedure", "map": "MedicalDevice" } ] }, { "id": "Procedure.usedReference", "path": "Procedure.usedReference", "short": "Items used during procedure", "definition": "Identifies medications, devices and any other substance used as part of the procedure.", "comment": "For devices actually implanted or removed, use Procedure.device.", "requirements": "Used for tracking contamination, etc.", "min": 0, "max": "*", "base": { "path": "Procedure.usedReference", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Device" ] }, { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Medication" ] }, { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Substance" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".participation[typeCode=DEV].role[classCode=MANU] or\n.participation[typeCode=CSM].role[classCode=ADMM] (for Medication or Substance)" } ] }, { "id": "Procedure.usedCode", "path": "Procedure.usedCode", "short": "Coded items used during the procedure", "definition": "Identifies coded items that were used as part of the procedure.", "comment": "For devices actually implanted or removed, use Procedure.device.", "min": 0, "max": "*", "base": { "path": "Procedure.usedCode", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() | (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ProcedureUsed" } ], "strength": "example", "description": "Codes describing items used during a procedure" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "rim", "map": "participation[typeCode=Dev].role[classCode=MANU]" } ] } ] }, "differential": { "element": [ { "id": "Procedure", "path": "Procedure", "short": "Procedure", "comment": "The CBB Procedure is mapped both to a Procedure profile and a profile on ServiceRequest to align with the intention of FHIR. All past procedures are covered using this Procedure resource, while all future procedures, including the advised procedures, are covered in the ServiceRequest resource. Both resources contain the CBB mappings, with the exception of the Requester concept; this is not relevant for past procedures and has only been mapped to the ServiceRequest profile.\r\n\r\nThe planned and performed procedures can be linked using `Procedure.basedOn`.", "alias": [ "Verrichting" ], "mapping": [ { "identity": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.1", "comment": "Procedure" }, { "identity": "HdBe-Procedure", "map": "Procedure" } ] }, { "id": "Procedure.extension", "path": "Procedure.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" }, "min": 0 }, { "id": "Procedure.extension:procedureMethod", "path": "Procedure.extension", "sliceName": "procedureMethod", "min": 0, "type": [ { "code": "Extension", "profile": [ "https://fhir.healthdata.be/StructureDefinition/ext-Procedure.ProcedureMethod" ] } ], "mapping": [ { "identity": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.12", "comment": "ProcedureMethod" }, { "identity": "HdBe-Procedure", "map": "ProcedureMethod" } ] }, { "id": "Procedure.basedOn", "path": "Procedure.basedOn", "comment": "The root element provides more information on the usage of `Procedure.basedOn` for the zib Procedure.", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/CarePlan", "http://hl7.org/fhir/StructureDefinition/ServiceRequest", "https://fhir.healthdata.be/StructureDefinition/HdBe-Procedure-request" ] } ] }, { "id": "Procedure.status", "path": "Procedure.status", "definition": "This element is implictly mapped to the concepts ProcedureStartDate and ProcedureEndDate. Unless the status is explicitly recorded, the following guidance applies:\r\n\r\n* When the ProcedureStartDate is in the future, `.status` will usually be set to _preparation_.\r\n* When ProcedureStartDate is in the past and ProcedureEndDate is in the future, `.status` will usually be set to _in-progress_.\r\n* When ProcedureEndDate is in the past, `.status` will usually be set to _completed_.\r\n* When ProcedureStartDate is in the past and ProcedureEndDate is missing, it may be assumed that the Procedure was recorded as a point in time and `.status` will usually be set to _completed_.\r\n* When a system is unable to infer the status from the ProcedureStartDate and ProcedureEndDate , `.status` will be set to _unknown_. The _unknown_ code is not to be used to convey other statuses. The _unknown_ code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the Procedure.", "mapping": [ { "identity": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.2", "comment": "ProcedureStartDate (implicit, main mapping is on Procedure.performedPeriod.start and Procedure.performedDateTime)" }, { "identity": "HdBe-Procedure", "map": "ProcedureStartDate (implicit, main mapping is on Procedure.PerformedPeriod.Start and Procedure.PerformedDateTime)" }, { "identity": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.3", "comment": "ProcedureEndDate (implicit, main mapping is on Procedure.performedPeriod.end)" }, { "identity": "HdBe-Procedure", "map": "ProcedureEndDate (implicit, main mapping is on Procedure.PerformedPeriod.End)" } ] }, { "id": "Procedure.code", "path": "Procedure.code", "short": "ProcedureType", "definition": "The name of the procedure.", "alias": [ "VerrichtingType" ], "binding": { "strength": "extensible", "valueSet": "https://fhir.healthdata.be/ValueSet/ProcedureType" }, "mapping": [ { "identity": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.4", "comment": "ProcedureType" }, { "identity": "HdBe-Procedure", "map": "ProcedureType" } ] }, { "id": "Procedure.performed[x]", "path": "Procedure.performed[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "rules": "open" } }, { "id": "Procedure.performed[x]:performedPeriod", "path": "Procedure.performed[x]", "sliceName": "performedPeriod", "type": [ { "code": "Period" } ] }, { "id": "Procedure.performed[x]:performedPeriod.start", "path": "Procedure.performed[x].start", "short": "ProcedureStartDate", "definition": "The start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted. The element offers the option to indicate the start of the period of a series of related procedures.", "alias": [ "VerrichtingStartDatum" ], "mapping": [ { "identity": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.2", "comment": "ProcedureStartDate" }, { "identity": "HdBe-Procedure", "map": "ProcedureStartDate" } ] }, { "id": "Procedure.performed[x]:performedPeriod.end", "path": "Procedure.performed[x].end", "short": "ProcedureEndDate", "definition": "The end date (and if possible end time) of the procedure. A ‘vague’ date, such as only the year, is permitted. The element offers the option to indicate the end of the period of a series of related procedures. The end date element is only used for a procedures that takes some time and is then always applied. If the procedure still continues, the value is left empty. For instantaneous or very short lasting procedures the `performedDateTime` is used.", "alias": [ "VerrichtingEindDatum" ], "mapping": [ { "identity": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.3", "comment": "ProcedureEndDate" }, { "identity": "HdBe-Procedure", "map": "ProcedureEndDate" } ] }, { "id": "Procedure.performed[x]:performedDateTime", "path": "Procedure.performed[x]", "sliceName": "performedDateTime", "short": "ProcedureStartDate", "definition": "The start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted. `performedDateTime` is used for instantaneous or very short lasting procedures.", "alias": [ "VerrichtingStartDatum" ], "type": [ { "code": "dateTime" } ], "mapping": [ { "identity": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.2", "comment": "ProcedureStartDate" }, { "identity": "HdBe-Procedure", "map": "ProcedureStartDate" } ] }, { "id": "Procedure.performer.actor", "path": "Procedure.performer.actor", "short": "Performer", "definition": "The health professional who carried out or will carry out the procedure. In most cases, only the medical specialty is entered, and not the name of the healthcare professional.", "alias": [ "Uitvoerder" ], "type": [ { "code": "Reference", "profile": [ "https://fhir.healthdata.be/StructureDefinition/pattern-HealthProfessionalReference" ], "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Device", "https://fhir.healthdata.be/StructureDefinition/HdBe-HealthProfessional-PractitionerRole" ] } ], "mapping": [ { "identity": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.6", "comment": "Performer" }, { "identity": "HdBe-Procedure", "map": "Performer" } ] }, { "id": "Procedure.location", "path": "Procedure.location", "short": "Location", "definition": "The healthcare organization where the procedure was, is or will be carried out.", "alias": [ "Locatie" ], "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Location", "https://fhir.healthdata.be/StructureDefinition/HdBe-HealthcareOrganization" ] } ], "mapping": [ { "identity": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.5", "comment": "Location" }, { "identity": "HdBe-Procedure", "map": "Location" } ] }, { "id": "Procedure.reasonReference", "path": "Procedure.reasonReference", "short": "Indication", "definition": "The indication is the reason for the procedure.", "alias": [ "Indicatie" ], "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition", "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/Procedure", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport", "http://hl7.org/fhir/StructureDefinition/DocumentReference", "https://fhir.healthdata.be/StructureDefinition/HdBe-Problem" ] } ], "mapping": [ { "identity": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.9", "comment": "Indication" }, { "identity": "HdBe-Procedure", "map": "Indication" } ] }, { "id": "Procedure.bodySite", "path": "Procedure.bodySite", "short": "Location / ProcedureAnatomicalLocation", "definition": "Anatomical location which is the focus of the procedure.", "alias": [ "VerrichtingAnatomischeLocatie" ], "max": "1", "type": [ { "code": "CodeableConcept", "profile": [ "https://fhir.healthdata.be/StructureDefinition/HdBe-AnatomicalLocation" ] } ], "binding": { "strength": "required", "valueSet": "https://fhir.healthdata.be/ValueSet/Location" }, "mapping": [ { "identity": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.13", "comment": "ProcedureAnatomicalLocation" }, { "identity": "HdBe-Procedure", "map": "ProcedureAnatomicalLocation" } ] }, { "id": "Procedure.report", "path": "Procedure.report", "slicing": { "discriminator": [ { "type": "profile", "path": "resolve()" } ], "rules": "open" } }, { "id": "Procedure.report:textResult", "path": "Procedure.report", "sliceName": "textResult", "short": "TextResult", "comment": "The direction of the reference between CBBs TextResult and Procedure is reversed in FHIR. Therefore the concept Procedure of zib TextResult is mapped to this element.\r\n\r\nPlease note that on a functional level, TextResult references Procedure, but in FHIR this direction is reversed.", "alias": [ "TekstUitslag" ], "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.healthdata.be/StructureDefinition/HdBe-TextResult" ] } ], "mapping": [ { "identity": "zib-textresult-v4.4-2020EN", "map": "NL-CM:13.2.5", "comment": "Reversed reference for zib TextResult.Procedure" } ] }, { "id": "Procedure.focalDevice.manipulated", "path": "Procedure.focalDevice.manipulated", "short": "MedicalDevice", "definition": "The product, the placing of which in or on the body is the purpose of the procedure, for example placing an implant.", "alias": [ "MedischHulpmiddel" ], "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Device", "https://fhir.healthdata.be/StructureDefinition/HdBe-MedicalDevice.Product" ] } ], "mapping": [ { "identity": "zib-procedure-v5.2-2020EN", "map": "NL-CM:14.1.7", "comment": "MedicalDevice" }, { "identity": "HdBe-Procedure", "map": "MedicalDevice" } ] } ] } }