<status value="draft" /> <description value="Procedures can be therapeutic or diagnostic interventions that the patient has undergone or will undergo. The concept can describe historical, future, as well as advised procedures. A procedure can be a simple blood pressure measurement, but also a complex cardiac surgery. The scope of this profile is restricted to only performed and ongoing procedures. Use profile [nl-core-Procedure-request](http://example.com/fhir/StructureDefinition/nl-core-Procedure-request) for planned procedures." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="RequirementsToNLCoreProcedureEvent" /> <uri value="http://example.com" /> <name value="Requirements voor verrichtingen in de Nederlandse context" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Procedure" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Procedure" /> <derivation value="constraint" /> <differential> <element id="Procedure.extension"> <path value="Procedure.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> </element> <element id="Procedure.extension:method"> <path value="Procedure.extension" /> <sliceName value="method" /> <min value="0" /> <max value="*" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/procedure-method" /> </type> </element> <element id="Procedure.extension:method.value[x]"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHOULD:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/VerzendendSysteem" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHOULD:display" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/OntvangendSysteem" /> </extension> </extension> <path value="Procedure.extension.value[x]" /> <binding> <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding"> <extension url="purpose"> <valueCode value="current" /> </extension> <extension url="valueSet"> <valueCanonical value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4--20200901000000" /> </extension> </extension> </binding> <mapping> <identity value="RequirementsToNLCoreProcedureEvent" /> <map value="14" /> <comment value="Methode" /> </mapping> </element> <element id="Procedure.extension:recorded"> <path value="Procedure.extension" /> <sliceName value="recorded" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded" /> </type> </element> <element id="Procedure.status"> <extension url="http://hl7.org/fhir/StructureDefinition/satisfies-requirement"> <extension url="reference"> <valueCanonical value="http://nictiz.nl/fhir/Requirements/RequirementsProcedure" /> </extension> <extension url="key"> <valueId value="1.1" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHOULD:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/VerzendendSysteem" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="MAY:display" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/OntvangendSysteem" /> </extension> </extension> <path value="Procedure.status" /> <short value="Status" /> <mapping> <identity value="RequirementsToNLCoreProcedureEvent" /> <map value="9" /> <comment value="Status" /> </mapping> </element> <element id="Procedure.category"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHOULD:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/VerzendendSysteem" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="MAY:display" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/OntvangendSysteem" /> </extension> </extension> <path value="Procedure.category" /> <short value="Procedure type" /> <mapping> <identity value="RequirementsToNLCoreProcedureEvent" /> <map value="8" /> <comment value="Categorie" /> </mapping> </element> <element id="Procedure.code"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:populate" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/VerzendendSysteem" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHOULD:display" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/OntvangendSysteem" /> </extension> </extension> <path value="Procedure.code" /> <short value="Procedure name" /> <min value="1" /> <binding> <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding"> <extension url="purpose"> <valueCode value="component" /> </extension> <extension url="valueSet"> <valueCanonical value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.6--20200901000000" /> </extension> <extension url="shortDoco"> <valueString value="Voor registraties in ..." /> </extension> <extension url="documentation"> <valueMarkdown value="Voor registraties in ..." /> </extension> <valueString value="ProcedureCode" /> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding"> <extension url="purpose"> <valueCode value="component" /> </extension> <extension url="valueSet"> <valueCanonical value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2--20200901000000" /> </extension> <extension url="shortDoco"> <valueString value="Voor registraties in het medisch-specialistische domein" /> </extension> <extension url="documentation"> <valueMarkdown value="Voor registraties in het medisch-specialistische domein" /> </extension> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding"> <extension url="purpose"> <valueCode value="component" /> </extension> <extension url="valueSet"> <valueCanonical value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.7--20200901000000" /> </extension> <extension url="shortDoco"> <valueString value="Voor registraties in de geestelijke gezondheidszorg" /> </extension> <extension url="documentation"> <valueMarkdown value="Voor registraties in de geestelijke gezondheidszorg" /> </extension> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding"> <extension url="purpose"> <valueCode value="component" /> </extension> <extension url="valueSet"> <valueCanonical value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.8--20200901000000" /> </extension> <extension url="shortDoco"> <valueString value="Voor registraties in het huisartsendomein" /> </extension> <extension url="documentation"> <valueMarkdown value="Voor registraties in het huisartsendomein" /> </extension> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding"> <extension url="purpose"> <valueCode value="component" /> </extension> <extension url="valueSet"> <valueCanonical value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.14.1.5--20200901000000" /> </extension> <extension url="shortDoco"> <valueString value="Voor registraties in ..." /> </extension> <extension url="documentation"> <valueMarkdown value="Voor registraties in ..." /> </extension> </extension> <strength value="example" /> <description value="A code to identify a specific procedure ." /> <valueSet value="http://hl7.org/fhir/ValueSet/procedure-code" /> </binding> <mapping> <identity value="RequirementsToNLCoreProcedureEvent" /> <map value="3" /> <comment value="Gecodeerde naam" /> </mapping> </element> <element id="Procedure.subject"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHOULD:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/VerzendendSysteem" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="MAY:display" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/OntvangendSysteem" /> </extension> </extension> <path value="Procedure.subject" /> <mapping> <identity value="RequirementsToNLCoreProcedureEvent" /> <map value="10" /> <comment value="Subject" /> </mapping> </element> <element id="Procedure.performed[x]"> <extension url="http://hl7.org/fhir/StructureDefinition/satisfies-requirement"> <extension url="reference"> <valueCanonical value="http://nictiz.nl/fhir/Requirements/RequirementsProcedure" /> </extension> <extension url="key"> <valueId value="1.1" /> </extension> </extension> <path value="Procedure.performed[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="Procedure.performed[x]:performedPeriod"> <path value="Procedure.performed[x]" /> <sliceName value="performedPeriod" /> <min value="0" /> <max value="1" /> <type> <code value="Period" /> </type> </element> <element id="Procedure.performed[x]:performedPeriod.start"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHOULD:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/VerzendendSysteem" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="MAY:display" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/OntvangendSysteem" /> </extension> </extension> <path value="Procedure.performed[x].start" /> <mapping> <identity value="RequirementsToNLCoreProcedureEvent" /> <map value="1.1.2" /> <comment value="Periode uitvoering (Begindatum)" /> </mapping> </element> <element id="Procedure.performed[x]:performedPeriod.end"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHOULD:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/VerzendendSysteem" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="MAY:display" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/OntvangendSysteem" /> </extension> </extension> <path value="Procedure.performed[x].end" /> <mapping> <identity value="RequirementsToNLCoreProcedureEvent" /> <map value="1.1.3" /> <comment value="Periode uitvoering (Einddatum)" /> </mapping> </element> <element id="Procedure.performed[x]:performedDateTime"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCanonical value="SHOULD:populate-if-known" /> </extension> <extension url="actor"> <valueId value="http://nictiz.nl/fhir/ActorDefinition/VerzendendSysteem" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="MAY:display" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/OntvangendSysteem" /> </extension> </extension> <path value="Procedure.performed[x]" /> <sliceName value="performedDateTime" /> <min value="0" /> <max value="1" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="RequirementsToNLCoreProcedureEvent" /> <map value="1.1.1" /> <comment value="Datum/tijd uitvoering" /> </mapping> </element> <element id="Procedure.performed[x]:performedString"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCanonical value="SHOULD:populate-if-known" /> </extension> <extension url="actor"> <valueId value="http://nictiz.nl/fhir/ActorDefinition/VerzendendSysteem" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="MAY:display" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/OntvangendSysteem" /> </extension> </extension> <path value="Procedure.performed[x]" /> <sliceName value="performedString" /> <min value="0" /> <max value="1" /> <type> <code value="string" /> </type> <mapping> <identity value="RequirementsToNLCoreProcedureEvent" /> <map value="1.1.1 / 1.1.2 / 1.1.3" /> <comment value="Periode uitvoering / Datum/tijd uitvoering" /> </mapping> </element> <element id="Procedure.performer.actor"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHOULD:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/VerzendendSysteem" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="MAY:display" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/OntvangendSysteem" /> </extension> </extension> <path value="Procedure.performer.actor" /> <mapping> <identity value="RequirementsToNLCoreProcedureEvent" /> <map value="2.1 / 2.2 / 2.3 / 2.4" /> <comment value="Zorgverlener als uitvoerder / Specialisme zorgverlener / Patiënt als uitvoerder / Contactperso(o)n(en) als uitvoerder" /> </mapping> </element> <element id="Procedure.location"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHOULD:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/VerzendendSysteem" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="MAY:display" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/OntvangendSysteem" /> </extension> </extension> <path value="Procedure.location" /> <mapping> <identity value="RequirementsToNLCoreProcedureEvent" /> <map value="4" /> <comment value="Locatie" /> </mapping> </element> <element id="Procedure.reasonCode"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHOULD:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/VerzendendSysteem" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="MAY:display" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/OntvangendSysteem" /> </extension> </extension> <path value="Procedure.reasonCode" /> <short value="Indication" /> <mapping> <identity value="RequirementsToNLCoreProcedureEvent" /> <map value="6.2" /> <comment value="Reden" /> </mapping> </element> <element id="Procedure.reasonReference"> <path value="Procedure.reasonReference" /> <short value="Indication" /> <mapping> <identity value="RequirementsToNLCoreProcedureEvent" /> <map value="6.1 / 6.2" /> <comment value="Indicatie / Reden" /> </mapping> </element> <element id="Procedure.bodySite"> <path value="Procedure.bodySite" /> <mapping> <identity value="RequirementsToNLCoreProcedureEvent" /> <map value="5" /> <comment value="Anatomische locatie" /> </mapping> </element> <element id="Procedure.bodySite.extension:bodySite"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHOULD:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/VerzendendSysteem" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="MAY:display" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/OntvangendSysteem" /> </extension> </extension> <path value="Procedure.bodySite.extension" /> <sliceName value="bodySite" /> <short value="Anatomical_location.v1" /> <comment value="Dit moet waarschijnlijk verder worden uitgewerkt, zowel hier als in openEHR." /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/bodySite" /> </type> </element> <element id="Procedure.outcome"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHOULD:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/VerzendendSysteem" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="MAY:display" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/OntvangendSysteem" /> </extension> </extension> <path value="Procedure.outcome" /> <short value="Outcome" /> <mapping> <identity value="RequirementsToNLCoreProcedureEvent" /> <map value="18" /> <comment value="Uitkomst" /> </mapping> </element> <element id="Procedure.complication"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHOULD:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/VerzendendSysteem" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="MAY:display" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/OntvangendSysteem" /> </extension> </extension> <path value="Procedure.complication" /> <short value="Complication" /> <mapping> <identity value="RequirementsToNLCoreProcedureEvent" /> <map value="19" /> <comment value="Complicatie" /> </mapping> </element> <element id="Procedure.note.text"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHOULD:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/VerzendendSysteem" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="MAY:display" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/OntvangendSysteem" /> </extension> </extension> <path value="Procedure.note.text" /> <short value="Comment" /> <mapping> <identity value="RequirementsToNLCoreProcedureEvent" /> <map value="19" /> <comment value="Notitie/commentaar" /> </mapping> </element> <element id="Procedure.focalDevice.manipulated"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHOULD:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/VerzendendSysteem" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="MAY:display" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/OntvangendSysteem" /> </extension> </extension> <path value="Procedure.focalDevice.manipulated" /> <short value="Device.v1 (as Focus device)" /> <mapping> <identity value="RequirementsToNLCoreProcedureEvent" /> <map value="16" /> <comment value="Focus medisch hulpmiddel" /> </mapping> </element> <element id="Procedure.usedReference"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHOULD:populate-if-known" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/VerzendendSysteem" /> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="MAY:display" /> </extension> <extension url="actor"> <valueCanonical value="http://nictiz.nl/fhir/ActorDefinition/OntvangendSysteem" /> </extension> </extension> <path value="Procedure.usedReference" /> <short value="Device.v1 (as Device used)" /> <comment value="In FHIR is het alleen mogelijk om 'materiaal' te definiëren, niet alle context eromheen. Dit verschilt van openEHR en vraagt om een expliciete keuze. Het vraag wellicht ook om een aanscherping van de requirements." /> <mapping> <identity value="RequirementsToNLCoreProcedureEvent" /> <map value="17" /> <comment value="Gebruikt medisch hulpmiddel" /> </mapping> </element> </differential> </StructureDefinition>