HL7中国FHIR Connectathon测试实施指南
2025.3.12 - release
HL7中国FHIR Connectathon测试实施指南
2025.3.12 - release
HL7中国FHIR Connectathon测试实施指南 - Local Development build (v2025.3.12) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| 官方URL: http://hl7.org.cn/fhir/connectathon/StructureDefinition/cn-operation | 版本: 2025.3.12 | |||
| Draft as of 2025-03-11 | 机读名称: CNOperation | |||
手术是指医疗机构及其医务人员以诊断或治疗疾病为目的，在人体局部开展去除病变组织、修复损伤、重建形态或功能、移植细胞组织或器官、植入医疗器械等医学操作的医疗技术。FHIR Procedure除用于记录和表达手术外，还可用于表达长期护理、咨询、催眠治疗等由专业人员提供的专业服务。因此，针对较“操作”而言更为狭义的“手术”，对FHIR Procedure定义了Profile，仅用于表达手术，记录手术事件，手术申请应使用ServiceRequest及其衍生资源进行表达。
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Procedure |
0..* | Procedure | An action that is being or was performed on an individual or entity dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
| contained |
0..* | Resource | Contained, inline Resources | |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
   extension:cnsurgicalIncisionCategory |
S | 0..1 | Coding | 中国标准手术切口类别 URL: http://hl7.org.cn/fhir/connectathon/StructureDefinition/ext-surgical-incision-category Binding: 手术切口类别值集 (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| extension:cnsurgicalLevel |
S | 0..1 | Coding | 中国标准手术级别 URL: http://hl7.org.cn/fhir/connectathon/StructureDefinition/ext-surgical-level Binding: 手术级别值集 (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
 extension:cnbloodLoss |
S | 0..1 | decimal | 手术出血量(ml) URL: http://hl7.org.cn/fhir/connectathon/StructureDefinition/ext-bloodLoss ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| status |
?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure. ele-1: All FHIR elements must have a @value or children |
 subject |
Σ | 1..1 | Reference(Patient | Group | Device | Practitioner | Organization | Location) | Individual or entity the procedure was performed on ele-1: All FHIR elements must have a @value or children |
  Slices for performer |
ΣC | 1..* | BackboneElement | Who performed the procedure and what they did Slice: Unordered, Open by value:function.text ele-1: All FHIR elements must have a @value or children prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole |
   performer:All Slices |
Content/Rules for all slices | |||
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| actor |
ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) | Who performed the procedure ele-1: All FHIR elements must have a @value or children |
| performer:operator |
ΣC | 1..1 | BackboneElement | 主刀 ele-1: All FHIR elements must have a @value or children prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
 actor |
ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) | Who performed the procedure ele-1: All FHIR elements must have a @value or children |
| performer:1stAssistant |
ΣC | 0..1 | BackboneElement | I助 ele-1: All FHIR elements must have a @value or children prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| actor |
ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) | Who performed the procedure ele-1: All FHIR elements must have a @value or children |
| performer:2ndAssistant |
ΣC | 0..1 | BackboneElement | II助 ele-1: All FHIR elements must have a @value or children prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| actor |
ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) | Who performed the procedure ele-1: All FHIR elements must have a @value or children |
| performer:circulatingNurse |
ΣC | 0..1 | BackboneElement | 巡回 ele-1: All FHIR elements must have a @value or children prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| actor |
ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) | Who performed the procedure ele-1: All FHIR elements must have a @value or children |
 performer:scrubNurse |
ΣC | 0..1 | BackboneElement | 器械 ele-1: All FHIR elements must have a @value or children prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| actor |
ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) | Who performed the procedure ele-1: All FHIR elements must have a @value or children |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Procedure.status | required | EventStatushttp://hl7.org/fhir/ValueSet/event-status|5.0.0from the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Procedure | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| prc-1 | error | Procedure.performer, Procedure.performer:operator, Procedure.performer:1stAssistant, Procedure.performer:2ndAssistant, Procedure.performer:circulatingNurse, Procedure.performer:scrubNurse | Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole : onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty() |
该结构继承自 Procedure 。
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure |
0..* | Procedure | An action that is being or was performed on an individual or entity | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
 meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:cnsurgicalIncisionCategory |
S | 0..1 | Coding | 中国标准手术切口类别 URL: http://hl7.org.cn/fhir/connectathon/StructureDefinition/ext-surgical-incision-category Binding: 手术切口类别值集 (required) | ||||
| extension:cnsurgicalLevel |
S | 0..1 | Coding | 中国标准手术级别 URL: http://hl7.org.cn/fhir/connectathon/StructureDefinition/ext-surgical-level Binding: 手术级别值集 (required) | ||||
| extension:cnbloodLoss |
S | 0..1 | decimal | 手术出血量(ml) URL: http://hl7.org.cn/fhir/connectathon/StructureDefinition/ext-bloodLoss | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | External Identifiers for this procedure | ||||
| instantiatesCanonical |
Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn |
Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | ||||
| partOf |
Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | ||||
| status |
?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure. | ||||
| statusReason |
Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReasonSNOMEDCT (example): A code that identifies the reason a procedure was not performed. | ||||
| category |
Σ | 0..* | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodesSNOMEDCT (example): A code that classifies a procedure for searching, sorting and display purposes. | ||||
| code |
Σ | 0..1 | CodeableConcept | Identification of the procedure Binding: ProcedureCodesSNOMEDCT (example): A code to identify a specific procedure . | ||||
| subject |
Σ | 1..1 | Reference(Patient | Group | Device | Practitioner | Organization | Location) | Individual or entity the procedure was performed on | ||||
| focus |
Σ | 0..1 | Reference(Patient | Group | RelatedPerson | Practitioner | Organization | CareTeam | PractitionerRole | Specimen) | Who is the target of the procedure when it is not the subject of record only | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | The Encounter during which this Procedure was created | ||||
 occurrence[x] |
Σ | 0..1 | When the procedure occurred or is occurring | |||||
| occurrenceDateTime |
dateTime | |||||||
| occurrencePeriod |
Period | |||||||
| occurrenceString |
string | |||||||
| occurrenceAge |
Age | |||||||
| occurrenceRange |
Range | |||||||
 occurrenceTiming |
Timing | |||||||
| recorded |
Σ | 0..1 | dateTime | When the procedure was first captured in the subject's record | ||||
| recorder |
Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure | ||||
| reported[x] |
Σ | 0..1 | Reported rather than primary record | |||||
| reportedBoolean |
boolean | |||||||
| reportedReference |
Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | |||||||
| Slices for performer |
ΣC | 1..* | BackboneElement | Who performed the procedure and what they did Slice: Unordered, Open by value:function.text prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole | ||||
| performer:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| function |
Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
| actor |
ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) | Who performed the procedure | ||||
| onBehalfOf |
C | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | ||||
| period |
0..1 | Period | When the performer performed the procedure | |||||
| performer:operator |
ΣC | 1..1 | BackboneElement | 主刀 prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
 function |
Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
 id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text |
Σ | 1..1 | string | Plain text representation of the concept Required Pattern: 主刀医师 | ||||
| actor |
ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) | Who performed the procedure | ||||
| onBehalfOf |
C | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | ||||
| period |
0..1 | Period | When the performer performed the procedure | |||||
| performer:1stAssistant |
ΣC | 0..1 | BackboneElement | I助 prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| function |
Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text |
Σ | 1..1 | string | Plain text representation of the concept Required Pattern: I助 | ||||
| actor |
ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) | Who performed the procedure | ||||
| onBehalfOf |
C | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | ||||
| period |
0..1 | Period | When the performer performed the procedure | |||||
| performer:2ndAssistant |
ΣC | 0..1 | BackboneElement | II助 prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| function |
Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text |
Σ | 1..1 | string | Plain text representation of the concept Required Pattern: II助 | ||||
| actor |
ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) | Who performed the procedure | ||||
| onBehalfOf |
C | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | ||||
| period |
0..1 | Period | When the performer performed the procedure | |||||
| performer:circulatingNurse |
ΣC | 0..1 | BackboneElement | 巡回 prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| function |
Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text |
Σ | 1..1 | string | Plain text representation of the concept Required Pattern: 巡回护士 | ||||
| actor |
ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) | Who performed the procedure | ||||
| onBehalfOf |
C | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | ||||
| period |
0..1 | Period | When the performer performed the procedure | |||||
| performer:scrubNurse |
ΣC | 0..1 | BackboneElement | 器械 prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| function |
Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text |
Σ | 1..1 | string | Plain text representation of the concept Required Pattern: 器械护士 | ||||
| actor |
ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) | Who performed the procedure | ||||
| onBehalfOf |
C | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | ||||
| period |
0..1 | Period | When the performer performed the procedure | |||||
| location |
Σ | 0..1 | Reference(Location) | Where the procedure happened | ||||
| reason |
Σ | 0..* | CodeableReference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
| bodySite |
Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts | ||||
| outcome |
Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodesSNOMEDCT (example): An outcome of a procedure - whether it was resolved or otherwise. | ||||
| report |
0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||
| complication |
0..* | CodeableReference(Condition) | Complication following the procedure Binding: ConditionProblemDiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||
| followUp |
0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodesSNOMEDCT (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||
| note |
0..* | Annotation | Additional information about the procedure | |||||
| focalDevice |
0..* | BackboneElement | Manipulated, implanted, or removed device | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| action |
0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure. | |||||
| manipulated |
1..1 | Reference(Device) | Device that was changed | |||||
| used |
0..* | CodeableReference(Device | Medication | Substance | BiologicallyDerivedProduct) | Items used during procedure Binding: DeviceType (example): Codes describing items used during a procedure. | |||||
| supportingInfo |
0..* | Reference(Resource) | Extra information relevant to the procedure | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI |
| Procedure.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0from the FHIR Standard | |
| Procedure.status | required | EventStatushttp://hl7.org/fhir/ValueSet/event-status|5.0.0from the FHIR Standard | |
| Procedure.statusReason | example | ProcedureNotPerformedReasonSNOMEDCThttp://hl7.org/fhir/ValueSet/procedure-not-performed-reasonfrom the FHIR Standard | |
| Procedure.category | example | ProcedureCategoryCodesSNOMEDCThttp://hl7.org/fhir/ValueSet/procedure-categoryfrom the FHIR Standard | |
| Procedure.code | example | ProcedureCodesSNOMEDCThttp://hl7.org/fhir/ValueSet/procedure-codefrom the FHIR Standard | |
| Procedure.performer.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-rolefrom the FHIR Standard | |
| Procedure.performer:operator.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-rolefrom the FHIR Standard | |
| Procedure.performer:1stAssistant.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-rolefrom the FHIR Standard | |
| Procedure.performer:2ndAssistant.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-rolefrom the FHIR Standard | |
| Procedure.performer:circulatingNurse.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-rolefrom the FHIR Standard | |
| Procedure.performer:scrubNurse.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-rolefrom the FHIR Standard | |
| Procedure.reason | example | ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reasonfrom the FHIR Standard | |
| Procedure.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | |
| Procedure.outcome | example | ProcedureOutcomeCodesSNOMEDCThttp://hl7.org/fhir/ValueSet/procedure-outcomefrom the FHIR Standard | |
| Procedure.complication | example | ConditionProblemDiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard | |
| Procedure.followUp | example | ProcedureFollowUpCodesSNOMEDCThttp://hl7.org/fhir/ValueSet/procedure-followupfrom the FHIR Standard | |
| Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodeshttp://hl7.org/fhir/ValueSet/device-actionfrom the FHIR Standard | |
| Procedure.used | example | DeviceTypehttp://hl7.org/fhir/ValueSet/device-typefrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Procedure | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| prc-1 | error | Procedure.performer, Procedure.performer:operator, Procedure.performer:1stAssistant, Procedure.performer:2ndAssistant, Procedure.performer:circulatingNurse, Procedure.performer:scrubNurse | Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole : onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty() |
该结构继承自 Procedure 。
Summary
Mandatory: 2 elements(5 nested mandatory elements)
Must-Support: 3 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
关键元素视图
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure |
0..* | Procedure | An action that is being or was performed on an individual or entity dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
| contained |
0..* | Resource | Contained, inline Resources | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| extension:cnsurgicalIncisionCategory |
S | 0..1 | Coding | 中国标准手术切口类别 URL: http://hl7.org.cn/fhir/connectathon/StructureDefinition/ext-surgical-incision-category Binding: 手术切口类别值集 (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| extension:cnsurgicalLevel |
S | 0..1 | Coding | 中国标准手术级别 URL: http://hl7.org.cn/fhir/connectathon/StructureDefinition/ext-surgical-level Binding: 手术级别值集 (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| extension:cnbloodLoss |
S | 0..1 | decimal | 手术出血量(ml) URL: http://hl7.org.cn/fhir/connectathon/StructureDefinition/ext-bloodLoss ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| status |
?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure. ele-1: All FHIR elements must have a @value or children |
| subject |
Σ | 1..1 | Reference(Patient | Group | Device | Practitioner | Organization | Location) | Individual or entity the procedure was performed on ele-1: All FHIR elements must have a @value or children |
| Slices for performer |
ΣC | 1..* | BackboneElement | Who performed the procedure and what they did Slice: Unordered, Open by value:function.text ele-1: All FHIR elements must have a @value or children prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole |
| performer:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| actor |
ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) | Who performed the procedure ele-1: All FHIR elements must have a @value or children |
| performer:operator |
ΣC | 1..1 | BackboneElement | 主刀 ele-1: All FHIR elements must have a @value or children prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| actor |
ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) | Who performed the procedure ele-1: All FHIR elements must have a @value or children |
| performer:1stAssistant |
ΣC | 0..1 | BackboneElement | I助 ele-1: All FHIR elements must have a @value or children prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| actor |
ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) | Who performed the procedure ele-1: All FHIR elements must have a @value or children |
| performer:2ndAssistant |
ΣC | 0..1 | BackboneElement | II助 ele-1: All FHIR elements must have a @value or children prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| actor |
ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) | Who performed the procedure ele-1: All FHIR elements must have a @value or children |
| performer:circulatingNurse |
ΣC | 0..1 | BackboneElement | 巡回 ele-1: All FHIR elements must have a @value or children prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| actor |
ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) | Who performed the procedure ele-1: All FHIR elements must have a @value or children |
| performer:scrubNurse |
ΣC | 0..1 | BackboneElement | 器械 ele-1: All FHIR elements must have a @value or children prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| actor |
ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) | Who performed the procedure ele-1: All FHIR elements must have a @value or children |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Procedure.status | required | EventStatushttp://hl7.org/fhir/ValueSet/event-status|5.0.0from the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Procedure | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| prc-1 | error | Procedure.performer, Procedure.performer:operator, Procedure.performer:1stAssistant, Procedure.performer:2ndAssistant, Procedure.performer:circulatingNurse, Procedure.performer:scrubNurse | Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole : onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty() |
差异视图
该结构继承自 Procedure 。
快照视图
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure |
0..* | Procedure | An action that is being or was performed on an individual or entity | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:cnsurgicalIncisionCategory |
S | 0..1 | Coding | 中国标准手术切口类别 URL: http://hl7.org.cn/fhir/connectathon/StructureDefinition/ext-surgical-incision-category Binding: 手术切口类别值集 (required) | ||||
| extension:cnsurgicalLevel |
S | 0..1 | Coding | 中国标准手术级别 URL: http://hl7.org.cn/fhir/connectathon/StructureDefinition/ext-surgical-level Binding: 手术级别值集 (required) | ||||
| extension:cnbloodLoss |
S | 0..1 | decimal | 手术出血量(ml) URL: http://hl7.org.cn/fhir/connectathon/StructureDefinition/ext-bloodLoss | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | External Identifiers for this procedure | ||||
| instantiatesCanonical |
Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn |
Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | ||||
| partOf |
Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | ||||
| status |
?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure. | ||||
| statusReason |
Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReasonSNOMEDCT (example): A code that identifies the reason a procedure was not performed. | ||||
| category |
Σ | 0..* | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodesSNOMEDCT (example): A code that classifies a procedure for searching, sorting and display purposes. | ||||
| code |
Σ | 0..1 | CodeableConcept | Identification of the procedure Binding: ProcedureCodesSNOMEDCT (example): A code to identify a specific procedure . | ||||
| subject |
Σ | 1..1 | Reference(Patient | Group | Device | Practitioner | Organization | Location) | Individual or entity the procedure was performed on | ||||
| focus |
Σ | 0..1 | Reference(Patient | Group | RelatedPerson | Practitioner | Organization | CareTeam | PractitionerRole | Specimen) | Who is the target of the procedure when it is not the subject of record only | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | The Encounter during which this Procedure was created | ||||
| occurrence[x] |
Σ | 0..1 | When the procedure occurred or is occurring | |||||
| occurrenceDateTime |
dateTime | |||||||
| occurrencePeriod |
Period | |||||||
| occurrenceString |
string | |||||||
| occurrenceAge |
Age | |||||||
| occurrenceRange |
Range | |||||||
| occurrenceTiming |
Timing | |||||||
| recorded |
Σ | 0..1 | dateTime | When the procedure was first captured in the subject's record | ||||
| recorder |
Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure | ||||
| reported[x] |
Σ | 0..1 | Reported rather than primary record | |||||
| reportedBoolean |
boolean | |||||||
| reportedReference |
Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | |||||||
| Slices for performer |
ΣC | 1..* | BackboneElement | Who performed the procedure and what they did Slice: Unordered, Open by value:function.text prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole | ||||
| performer:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| function |
Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
| actor |
ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) | Who performed the procedure | ||||
| onBehalfOf |
C | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | ||||
| period |
0..1 | Period | When the performer performed the procedure | |||||
| performer:operator |
ΣC | 1..1 | BackboneElement | 主刀 prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| function |
Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text |
Σ | 1..1 | string | Plain text representation of the concept Required Pattern: 主刀医师 | ||||
| actor |
ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) | Who performed the procedure | ||||
| onBehalfOf |
C | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | ||||
| period |
0..1 | Period | When the performer performed the procedure | |||||
| performer:1stAssistant |
ΣC | 0..1 | BackboneElement | I助 prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| function |
Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text |
Σ | 1..1 | string | Plain text representation of the concept Required Pattern: I助 | ||||
| actor |
ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) | Who performed the procedure | ||||
| onBehalfOf |
C | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | ||||
| period |
0..1 | Period | When the performer performed the procedure | |||||
| performer:2ndAssistant |
ΣC | 0..1 | BackboneElement | II助 prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| function |
Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text |
Σ | 1..1 | string | Plain text representation of the concept Required Pattern: II助 | ||||
| actor |
ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) | Who performed the procedure | ||||
| onBehalfOf |
C | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | ||||
| period |
0..1 | Period | When the performer performed the procedure | |||||
| performer:circulatingNurse |
ΣC | 0..1 | BackboneElement | 巡回 prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| function |
Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text |
Σ | 1..1 | string | Plain text representation of the concept Required Pattern: 巡回护士 | ||||
| actor |
ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) | Who performed the procedure | ||||
| onBehalfOf |
C | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | ||||
| period |
0..1 | Period | When the performer performed the procedure | |||||
| performer:scrubNurse |
ΣC | 0..1 | BackboneElement | 器械 prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| function |
Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text |
Σ | 1..1 | string | Plain text representation of the concept Required Pattern: 器械护士 | ||||
| actor |
ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService) | Who performed the procedure | ||||
| onBehalfOf |
C | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | ||||
| period |
0..1 | Period | When the performer performed the procedure | |||||
| location |
Σ | 0..1 | Reference(Location) | Where the procedure happened | ||||
| reason |
Σ | 0..* | CodeableReference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
| bodySite |
Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts | ||||
| outcome |
Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodesSNOMEDCT (example): An outcome of a procedure - whether it was resolved or otherwise. | ||||
| report |
0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||
| complication |
0..* | CodeableReference(Condition) | Complication following the procedure Binding: ConditionProblemDiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||
| followUp |
0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodesSNOMEDCT (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||
| note |
0..* | Annotation | Additional information about the procedure | |||||
| focalDevice |
0..* | BackboneElement | Manipulated, implanted, or removed device | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| action |
0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure. | |||||
| manipulated |
1..1 | Reference(Device) | Device that was changed | |||||
| used |
0..* | CodeableReference(Device | Medication | Substance | BiologicallyDerivedProduct) | Items used during procedure Binding: DeviceType (example): Codes describing items used during a procedure. | |||||
| supportingInfo |
0..* | Reference(Resource) | Extra information relevant to the procedure | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI |
| Procedure.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0from the FHIR Standard | |
| Procedure.status | required | EventStatushttp://hl7.org/fhir/ValueSet/event-status|5.0.0from the FHIR Standard | |
| Procedure.statusReason | example | ProcedureNotPerformedReasonSNOMEDCThttp://hl7.org/fhir/ValueSet/procedure-not-performed-reasonfrom the FHIR Standard | |
| Procedure.category | example | ProcedureCategoryCodesSNOMEDCThttp://hl7.org/fhir/ValueSet/procedure-categoryfrom the FHIR Standard | |
| Procedure.code | example | ProcedureCodesSNOMEDCThttp://hl7.org/fhir/ValueSet/procedure-codefrom the FHIR Standard | |
| Procedure.performer.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-rolefrom the FHIR Standard | |
| Procedure.performer:operator.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-rolefrom the FHIR Standard | |
| Procedure.performer:1stAssistant.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-rolefrom the FHIR Standard | |
| Procedure.performer:2ndAssistant.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-rolefrom the FHIR Standard | |
| Procedure.performer:circulatingNurse.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-rolefrom the FHIR Standard | |
| Procedure.performer:scrubNurse.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-rolefrom the FHIR Standard | |
| Procedure.reason | example | ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reasonfrom the FHIR Standard | |
| Procedure.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | |
| Procedure.outcome | example | ProcedureOutcomeCodesSNOMEDCThttp://hl7.org/fhir/ValueSet/procedure-outcomefrom the FHIR Standard | |
| Procedure.complication | example | ConditionProblemDiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard | |
| Procedure.followUp | example | ProcedureFollowUpCodesSNOMEDCThttp://hl7.org/fhir/ValueSet/procedure-followupfrom the FHIR Standard | |
| Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodeshttp://hl7.org/fhir/ValueSet/device-actionfrom the FHIR Standard | |
| Procedure.used | example | DeviceTypehttp://hl7.org/fhir/ValueSet/device-typefrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Procedure | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| prc-1 | error | Procedure.performer, Procedure.performer:operator, Procedure.performer:1stAssistant, Procedure.performer:2ndAssistant, Procedure.performer:circulatingNurse, Procedure.performer:scrubNurse | Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole : onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty() |
该结构继承自 Procedure 。
Summary
Mandatory: 2 elements(5 nested mandatory elements)
Must-Support: 3 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
本 Profile 的其它表示法: CSV, Excel, Schematron
