<status value="draft" /> <publisher value="Nictiz" /> <contact> <name value="Nictiz" /> <telecom> <system value="url" /> <value value="https://www.nictiz.nl" /> <use value="work" /> </telecom> </contact> <description value="Therapeutic or diagnostic procedure undergone by the patient (the complementary profile [nl-core-Procedure-request](<http://nictiz.nl/fhir/StructureDefinition/nl-core-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. In some care settings, the term treatment is used instead of the term procedure." /> <purpose value="A derived profile from [zib-Procedure](http://nictiz.nl/fhir/StructureDefinition/zib-Procedure-event) to provide a version better suited for implementation purposes. This profile augments the base profile with elements found in the various use cases that have adopted the zib." /> <copyright value="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 value="4.0.1" /> <mapping> <identity value="zib-procedure-v5.2-2020EN" /> <uri value="https://zibs.nl/wiki/Procedure-v5.2(2020EN)" /> <name value="zib Procedure-v5.2(2020EN)" /> </mapping> <mapping> <identity value="zib-textresult-v4.4-2020EN" /> <uri value="https://zibs.nl/wiki/TextResult-v4.4(2020EN)" /> <name value="zib TextResult-v4.4(2020EN)" /> </mapping> <mapping> <identity value="zib-medicaldevice-v3.3.1-2020EN" /> <uri value="https://zibs.nl/wiki/MedicalDevice-v3.3.1(2020EN)" /> <name value="zib MedicalDevice-v3.3.1(2020EN)" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Procedure" /> <baseDefinition value="http://nictiz.nl/fhir/StructureDefinition/zib-Procedure-event" /> <derivation value="constraint" /> <differential> <element id="Procedure"> <path value="Procedure" /> <comment value="The zib Procedure is mapped both to this Procedure profile and a profile on ServiceRequest (<http://nictiz.nl/fhir/StructureDefinition/nl-core-Procedure-request>) 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 zib mappings, with the exception of the Requester concept; this is not relevant for past procedures and has only been mapped to the ServiceRequest profile. The planned and performed procedures can be linked using `Procedure.basedOn`." /> <alias value="nl-core-Procedure-event" /> </element> <element id="Procedure.basedOn"> <path value="Procedure.basedOn" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Procedure-request" /> </type> </element> <element id="Procedure.subject"> <path value="Procedure.subject" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" /> </type> </element> <element id="Procedure.performer.actor"> <path value="Procedure.performer.actor" /> <comment value="Each occurrence of the zib HealthProfessional is normally represented by _two_ FHIR resources: a PractitionerRole resource (instance of [nl-core-HealthProfessional-PractitionerRole](http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole)) and a Practitioner resource (instance of [nl-core-HealthProfessional-Practitioner](http://nictiz.nl/fhir/StructureDefinition/nl-core-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. In 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 nl-core-HealthProfessional-Practitioner profile is not explicitly mentioned as a target profile." /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole" /> </type> </element> <element id="Procedure.location"> <path value="Procedure.location" /> <comment value="Please note that the zib concept Location::HealthcareProvider of zib MedicalDevice (NL-CM:10.1.8) is mapped onto this element, but it is also directly represented using a custom extension in the focal profile for that zib ([nl-core-MedicalDevice](http://nictiz.nl/fhir/StructureDefinition/nl-core-MedicalDevice)). The reason for this is that the Location concept from zib MedicalDevice aligns with the Location concept from zib Procedure, but only for the situation that the Procedure is about placing an implant which is described using the instance of zib MedicalDevice. In this situation, the extension in the nl-core-MedicalDevice profile is redundant and it is advised to only use the current element to represent the Location concept." /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider" /> </type> </element> <element id="Procedure.reasonReference"> <path value="Procedure.reasonReference" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Problem" /> </type> </element> <element id="Procedure.bodySite"> <path value="Procedure.bodySite" /> <type> <code value="CodeableConcept" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-AnatomicalLocation" /> </type> </element> <element id="Procedure.report:textResult"> <path value="Procedure.report" /> <sliceName value="textResult" /> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-TextResult" /> </type> </element> </differential> </StructureDefinition>

No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.