Advance Care Planning (PZP)
0.1.3-beta3 - consultation

Advance Care Planning (PZP) - Local Development build (v0.1.3-beta3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Advance Care Planning Procedure

Official URL: https://fhir.iknl.nl/fhir/StructureDefinition/ACP-Procedure Version: 0.1.3-beta3
Draft as of 2025-08-28 Computable Name: ACPProcedure

Copyright/Legal: 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.

Advance Care Planning procedure. Based on nl-core-Procedure-event profile and HCIM Procedure.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Procedure 0..* NlcoreProcedureevent Procedure
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices voor extension Content/regels voor alle slices
.... extension:procedureMethod N 0..* CodeableConcept Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-Procedure.ProcedureMethod
Binding: VerrichtingMethodeCodelijst (required)
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... code Σ 1..1 CodeableConcept ProcedureType
Binding: VerrichtingTypeCodelijsten (2020-09-01T00:00:00) (required): A code to identify a specific procedure .
Verplicht patroon: Tenminste de volgende
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Vaste waarde: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Vaste waarde: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Vaste waarde: 713603004
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient(0.1.3-beta3)) Who the procedure was performed on
... encounter Σ 0..1 Reference(Encounter(0.1.3-beta3)) Encounter created as part of
... Slices voor performed[x] Σ 0..1 When the procedure was performed
Slice: Zonder volgorde, Open op type:$this
.... performedDateTime dateTime
.... performedPeriod Period
.... performedString string
.... performedAge Age
.... performedRange Range
.... performed[x]:performedPeriod Σ 0..1 Period When the procedure was performed
.... performed[x]:performedDateTime Σ 0..1 dateTime ProcedureStartDate
... bodySite Σ 0..1 NlcoreAnatomicalLocation Location
Binding: LocatieCodelijsten (2020-09-01T00:00:00) (required): Codes describing anatomical locations. May include laterality.
... Slices voor report 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
Slice: Zonder volgorde, Open op profile:resolve()
.... report:textResult 0..* Reference(nl core TextResult) TextResult

doco Documentatie voor dit formaat

Terminologiebindings

PadConformanceValueSet / codeUri
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
From the FHIR Standard
Procedure.coderequiredPattern Value: SNOMED CT code 713603004
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.19--20200901000000|2020-09-01T00:00:00
Procedure.bodySiterequiredLocatieCodelijsten
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000|2020-09-01T00:00:00

Constrains

IdGradePad(en)DetailsRequirements
dom-2errorProcedureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorProcedureIf 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorProcedureIf 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-5errorProcedureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceProcedureA resource should have narrative for robust management
: text.`div`.exists()
ele-1errorProcedure.implicitRules, Procedure.extension:procedureMethod, Procedure.modifierExtension, Procedure.status, Procedure.code, Procedure.subject, Procedure.encounter, Procedure.performed[x], Procedure.performed[x]:performedPeriod, Procedure.performed[x]:performedDateTime, Procedure.bodySite, Procedure.report, Procedure.report:textResultAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorProcedure.extension:procedureMethod, Procedure.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from NlcoreProcedureevent

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Procedure 0..* NlcoreProcedureevent Procedure
... code 1..1 CodeableConcept ProcedureType
Verplicht patroon: Tenminste de volgende
.... coding 1..* Coding Code defined by a terminology system
Vaste waarde: (complex)
..... system 1..1 uri Identity of the terminology system
Vaste waarde: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Vaste waarde: 713603004
... subject 1..1 Reference(Patient(0.1.3-beta3)) Who the procedure was performed on
... encounter 0..1 Reference(Encounter(0.1.3-beta3)) Encounter created as part of
.... actor 1..1 Reference(HealthProfessional PractitionerRole(0.1.3-beta3) | ContactPerson(0.1.3-beta3) | Patient(0.1.3-beta3)) Performer

doco Documentatie voor dit formaat
NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Procedure 0..* NlcoreProcedureevent Procedure
... 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: CommonLanguages (preferred): A human language.
Additionele bindingsDoel
AllLanguages Max binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices voor extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
.... extension:procedureMethod N 0..* CodeableConcept Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-Procedure.ProcedureMethod
Binding: VerrichtingMethodeCodelijst (required)
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... 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 | nl core Procedure request) 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: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
... category Σ 0..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
... code Σ 1..1 CodeableConcept ProcedureType
Binding: VerrichtingTypeCodelijsten (2020-09-01T00:00:00) (required): A code to identify a specific procedure .
Verplicht patroon: Tenminste de volgende
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Vaste waarde: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Vaste waarde: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Vaste waarde: 713603004
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient(0.1.3-beta3)) Who the procedure was performed on
... encounter Σ 0..1 Reference(Encounter(0.1.3-beta3)) Encounter created as part of
... Slices voor performed[x] Σ 0..1 When the procedure was performed
Slice: Zonder volgorde, Open op type:$this
.... performedDateTime dateTime
.... performedPeriod Period
.... performedString string
.... performedAge Age
.... performedRange Range
.... performed[x]:performedPeriod Σ 0..1 Period When the procedure was performed
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
..... start ΣC 0..1 dateTime ProcedureStartDate
..... end ΣC 0..1 dateTime ProcedureEndDate
.... performed[x]:performedDateTime Σ 0..1 dateTime ProcedureStartDate
... recorder Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Who recorded the procedure
... asserter Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Person who asserts this procedure
... performer Σ 0..* BackboneElement The people who performed the procedure
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... function Σ 0..1 CodeableConcept Type of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
.... actor Σ 1..1 Reference(HealthProfessional PractitionerRole(0.1.3-beta3) | ContactPerson(0.1.3-beta3) | Patient(0.1.3-beta3)) Performer
.... onBehalfOf 0..1 Reference(Organization) Organization the device or practitioner was acting for
... location Σ 0..1 Reference(Location | nl core HealthcareProvider) Location
... reasonCode Σ 0..* CodeableConcept Coded reason procedure performed
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
... reasonReference Σ 0..* Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference | nl core Problem) Indication
... bodySite Σ 0..1 NlcoreAnatomicalLocation Location
Binding: LocatieCodelijsten (2020-09-01T00:00:00) (required): Codes describing anatomical locations. May include laterality.
... outcome Σ 0..1 CodeableConcept The result of procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
... Slices voor report 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
Slice: Zonder volgorde, Open op profile:resolve()
.... report:textResult 0..* Reference(nl core TextResult) TextResult
... complication 0..* CodeableConcept Complication following the procedure
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
... complicationDetail 0..* Reference(Condition) A condition that is a result of the procedure
... followUp 0..* CodeableConcept Instructions for follow up
Binding: ProcedureFollowUpCodes(SNOMEDCT) (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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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
... usedReference 0..* Reference(Device | Medication | Substance) Items used during procedure
... usedCode 0..* CodeableConcept Coded items used during the procedure
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.

doco Documentatie voor dit formaat

Terminologiebindings

PadConformanceValueSet / codeUri
Procedure.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages|4.0.1
From the FHIR Standard
Additionele bindings Doel
AllLanguages Max binding
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
From the FHIR Standard
Procedure.statusReasonexampleProcedureNotPerformedReason(SNOMED-CT)
http://hl7.org/fhir/ValueSet/procedure-not-performed-reason|4.0.1
From the FHIR Standard
Procedure.categoryexampleProcedureCategoryCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-category|4.0.1
From the FHIR Standard
Procedure.coderequiredPattern Value: SNOMED CT code 713603004
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.19--20200901000000|2020-09-01T00:00:00
Procedure.performer.functionexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role|4.0.1
From the FHIR Standard
Procedure.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason|4.0.1
From the FHIR Standard
Procedure.bodySiterequiredLocatieCodelijsten
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000|2020-09-01T00:00:00
Procedure.outcomeexampleProcedureOutcomeCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-outcome|4.0.1
From the FHIR Standard
Procedure.complicationexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code|4.0.1
From the FHIR Standard
Procedure.followUpexampleProcedureFollowUpCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-followup|4.0.1
From the FHIR Standard
Procedure.focalDevice.actionpreferredProcedureDeviceActionCodes
http://hl7.org/fhir/ValueSet/device-action|4.0.1
From the FHIR Standard
Procedure.usedCodeexampleFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind|4.0.1
From the FHIR Standard

Constrains

IdGradePad(en)DetailsRequirements
dom-2errorProcedureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorProcedureIf 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorProcedureIf 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-5errorProcedureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceProcedureA resource should have narrative for robust management
: text.`div`.exists()
ele-1errorProcedure.meta, Procedure.implicitRules, Procedure.language, Procedure.text, Procedure.extension, Procedure.extension:procedureMethod, Procedure.modifierExtension, Procedure.identifier, Procedure.instantiatesCanonical, Procedure.instantiatesUri, Procedure.basedOn, Procedure.partOf, Procedure.status, Procedure.statusReason, Procedure.category, Procedure.code, Procedure.subject, Procedure.encounter, Procedure.performed[x], Procedure.performed[x]:performedPeriod, Procedure.performed[x]:performedPeriod.extension, Procedure.performed[x]:performedPeriod.start, Procedure.performed[x]:performedPeriod.end, Procedure.performed[x]:performedDateTime, Procedure.recorder, Procedure.asserter, Procedure.performer, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.performer.function, Procedure.performer.actor, Procedure.performer.onBehalfOf, Procedure.location, Procedure.reasonCode, Procedure.reasonReference, Procedure.bodySite, Procedure.outcome, Procedure.report, Procedure.report:textResult, Procedure.complication, Procedure.complicationDetail, Procedure.followUp, Procedure.note, Procedure.focalDevice, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension, Procedure.focalDevice.action, Procedure.focalDevice.manipulated, Procedure.usedReference, Procedure.usedCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorProcedure.extension, Procedure.extension:procedureMethod, Procedure.modifierExtension, Procedure.performed[x]:performedPeriod.extension, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Key Elements View

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Procedure 0..* NlcoreProcedureevent Procedure
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices voor extension Content/regels voor alle slices
.... extension:procedureMethod N 0..* CodeableConcept Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-Procedure.ProcedureMethod
Binding: VerrichtingMethodeCodelijst (required)
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... code Σ 1..1 CodeableConcept ProcedureType
Binding: VerrichtingTypeCodelijsten (2020-09-01T00:00:00) (required): A code to identify a specific procedure .
Verplicht patroon: Tenminste de volgende
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Vaste waarde: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Vaste waarde: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Vaste waarde: 713603004
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient(0.1.3-beta3)) Who the procedure was performed on
... encounter Σ 0..1 Reference(Encounter(0.1.3-beta3)) Encounter created as part of
... Slices voor performed[x] Σ 0..1 When the procedure was performed
Slice: Zonder volgorde, Open op type:$this
.... performedDateTime dateTime
.... performedPeriod Period
.... performedString string
.... performedAge Age
.... performedRange Range
.... performed[x]:performedPeriod Σ 0..1 Period When the procedure was performed
.... performed[x]:performedDateTime Σ 0..1 dateTime ProcedureStartDate
... bodySite Σ 0..1 NlcoreAnatomicalLocation Location
Binding: LocatieCodelijsten (2020-09-01T00:00:00) (required): Codes describing anatomical locations. May include laterality.
... Slices voor report 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
Slice: Zonder volgorde, Open op profile:resolve()
.... report:textResult 0..* Reference(nl core TextResult) TextResult

doco Documentatie voor dit formaat

Terminologiebindings

PadConformanceValueSet / codeUri
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
From the FHIR Standard
Procedure.coderequiredPattern Value: SNOMED CT code 713603004
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.19--20200901000000|2020-09-01T00:00:00
Procedure.bodySiterequiredLocatieCodelijsten
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000|2020-09-01T00:00:00

Constrains

IdGradePad(en)DetailsRequirements
dom-2errorProcedureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorProcedureIf 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorProcedureIf 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-5errorProcedureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceProcedureA resource should have narrative for robust management
: text.`div`.exists()
ele-1errorProcedure.implicitRules, Procedure.extension:procedureMethod, Procedure.modifierExtension, Procedure.status, Procedure.code, Procedure.subject, Procedure.encounter, Procedure.performed[x], Procedure.performed[x]:performedPeriod, Procedure.performed[x]:performedDateTime, Procedure.bodySite, Procedure.report, Procedure.report:textResultAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorProcedure.extension:procedureMethod, Procedure.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from NlcoreProcedureevent

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Procedure 0..* NlcoreProcedureevent Procedure
... code 1..1 CodeableConcept ProcedureType
Verplicht patroon: Tenminste de volgende
.... coding 1..* Coding Code defined by a terminology system
Vaste waarde: (complex)
..... system 1..1 uri Identity of the terminology system
Vaste waarde: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Vaste waarde: 713603004
... subject 1..1 Reference(Patient(0.1.3-beta3)) Who the procedure was performed on
... encounter 0..1 Reference(Encounter(0.1.3-beta3)) Encounter created as part of
.... actor 1..1 Reference(HealthProfessional PractitionerRole(0.1.3-beta3) | ContactPerson(0.1.3-beta3) | Patient(0.1.3-beta3)) Performer

doco Documentatie voor dit formaat

Snapshot View

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. Procedure 0..* NlcoreProcedureevent Procedure
... 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: CommonLanguages (preferred): A human language.
Additionele bindingsDoel
AllLanguages Max binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices voor extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
.... extension:procedureMethod N 0..* CodeableConcept Optional Extensions Element
Url: http://nictiz.nl/fhir/StructureDefinition/ext-Procedure.ProcedureMethod
Binding: VerrichtingMethodeCodelijst (required)
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... 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 | nl core Procedure request) 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: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
... category Σ 0..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
... code Σ 1..1 CodeableConcept ProcedureType
Binding: VerrichtingTypeCodelijsten (2020-09-01T00:00:00) (required): A code to identify a specific procedure .
Verplicht patroon: Tenminste de volgende
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Vaste waarde: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Vaste waarde: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Vaste waarde: 713603004
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient(0.1.3-beta3)) Who the procedure was performed on
... encounter Σ 0..1 Reference(Encounter(0.1.3-beta3)) Encounter created as part of
... Slices voor performed[x] Σ 0..1 When the procedure was performed
Slice: Zonder volgorde, Open op type:$this
.... performedDateTime dateTime
.... performedPeriod Period
.... performedString string
.... performedAge Age
.... performedRange Range
.... performed[x]:performedPeriod Σ 0..1 Period When the procedure was performed
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
Constraints: ext-1
..... start ΣC 0..1 dateTime ProcedureStartDate
..... end ΣC 0..1 dateTime ProcedureEndDate
.... performed[x]:performedDateTime Σ 0..1 dateTime ProcedureStartDate
... recorder Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Who recorded the procedure
... asserter Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Person who asserts this procedure
... performer Σ 0..* BackboneElement The people who performed the procedure
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... function Σ 0..1 CodeableConcept Type of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
.... actor Σ 1..1 Reference(HealthProfessional PractitionerRole(0.1.3-beta3) | ContactPerson(0.1.3-beta3) | Patient(0.1.3-beta3)) Performer
.... onBehalfOf 0..1 Reference(Organization) Organization the device or practitioner was acting for
... location Σ 0..1 Reference(Location | nl core HealthcareProvider) Location
... reasonCode Σ 0..* CodeableConcept Coded reason procedure performed
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
... reasonReference Σ 0..* Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference | nl core Problem) Indication
... bodySite Σ 0..1 NlcoreAnatomicalLocation Location
Binding: LocatieCodelijsten (2020-09-01T00:00:00) (required): Codes describing anatomical locations. May include laterality.
... outcome Σ 0..1 CodeableConcept The result of procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
... Slices voor report 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
Slice: Zonder volgorde, Open op profile:resolve()
.... report:textResult 0..* Reference(nl core TextResult) TextResult
... complication 0..* CodeableConcept Complication following the procedure
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
... complicationDetail 0..* Reference(Condition) A condition that is a result of the procedure
... followUp 0..* CodeableConcept Instructions for follow up
Binding: ProcedureFollowUpCodes(SNOMEDCT) (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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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
... usedReference 0..* Reference(Device | Medication | Substance) Items used during procedure
... usedCode 0..* CodeableConcept Coded items used during the procedure
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.

doco Documentatie voor dit formaat

Terminologiebindings

PadConformanceValueSet / codeUri
Procedure.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages|4.0.1
From the FHIR Standard
Additionele bindings Doel
AllLanguages Max binding
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
From the FHIR Standard
Procedure.statusReasonexampleProcedureNotPerformedReason(SNOMED-CT)
http://hl7.org/fhir/ValueSet/procedure-not-performed-reason|4.0.1
From the FHIR Standard
Procedure.categoryexampleProcedureCategoryCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-category|4.0.1
From the FHIR Standard
Procedure.coderequiredPattern Value: SNOMED CT code 713603004
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.19--20200901000000|2020-09-01T00:00:00
Procedure.performer.functionexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role|4.0.1
From the FHIR Standard
Procedure.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason|4.0.1
From the FHIR Standard
Procedure.bodySiterequiredLocatieCodelijsten
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.11--20200901000000|2020-09-01T00:00:00
Procedure.outcomeexampleProcedureOutcomeCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-outcome|4.0.1
From the FHIR Standard
Procedure.complicationexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code|4.0.1
From the FHIR Standard
Procedure.followUpexampleProcedureFollowUpCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-followup|4.0.1
From the FHIR Standard
Procedure.focalDevice.actionpreferredProcedureDeviceActionCodes
http://hl7.org/fhir/ValueSet/device-action|4.0.1
From the FHIR Standard
Procedure.usedCodeexampleFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind|4.0.1
From the FHIR Standard

Constrains

IdGradePad(en)DetailsRequirements
dom-2errorProcedureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorProcedureIf 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorProcedureIf 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-5errorProcedureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceProcedureA resource should have narrative for robust management
: text.`div`.exists()
ele-1errorProcedure.meta, Procedure.implicitRules, Procedure.language, Procedure.text, Procedure.extension, Procedure.extension:procedureMethod, Procedure.modifierExtension, Procedure.identifier, Procedure.instantiatesCanonical, Procedure.instantiatesUri, Procedure.basedOn, Procedure.partOf, Procedure.status, Procedure.statusReason, Procedure.category, Procedure.code, Procedure.subject, Procedure.encounter, Procedure.performed[x], Procedure.performed[x]:performedPeriod, Procedure.performed[x]:performedPeriod.extension, Procedure.performed[x]:performedPeriod.start, Procedure.performed[x]:performedPeriod.end, Procedure.performed[x]:performedDateTime, Procedure.recorder, Procedure.asserter, Procedure.performer, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.performer.function, Procedure.performer.actor, Procedure.performer.onBehalfOf, Procedure.location, Procedure.reasonCode, Procedure.reasonReference, Procedure.bodySite, Procedure.outcome, Procedure.report, Procedure.report:textResult, Procedure.complication, Procedure.complicationDetail, Procedure.followUp, Procedure.note, Procedure.focalDevice, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtension, Procedure.focalDevice.action, Procedure.focalDevice.manipulated, Procedure.usedReference, Procedure.usedCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorProcedure.extension, Procedure.extension:procedureMethod, Procedure.modifierExtension, Procedure.performed[x]:performedPeriod.extension, Procedure.performer.extension, Procedure.performer.modifierExtension, Procedure.focalDevice.extension, Procedure.focalDevice.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

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