Руководство к использованию стандарта FHIR в МИС2
0.5.0 - ci-build
Руководство к использованию стандарта FHIR в МИС2
0.5.0 - ci-build
Руководство к использованию стандарта FHIR в МИС2 - Local Development build (v0.5.0). See the Directory of published versions
| Official URL: https://ssv.uz/fhir/StructureDefinition/UZBaseProcedure | Version: 0.5.0 | |||
| Active as of 2023-04-04 | Computable Name: UZBaseProcedure | |||
UZ Base Procedure. Оказанная процедура.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Procedure
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Procedure | 0..* | Procedure | An action that is being or was performed on a patient | |
  status | SC | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown uz-proc-01: List of prohibited statuses on a procedure |
| code | S | 1..1 | CodeableConcept | Identification of the procedure Binding: Surgical Procedure Value Set (required) |
 subject | S | 1..1 | Reference(UZBasePatient) | Who the procedure was performed on |
| encounter | 0..1 | Reference(UZBaseEncounter) | Encounter created as part of | |
 performed[x] | 0..1 | dateTime | When the procedure was performed | |
| recorder | 0..1 | Reference(UZBasePractitioner | UZBasePractitionerRole | UZBasePatient) | Who recorded the procedure | |
| asserter | 0..1 | Reference(UZBasePractitioner | UZBasePractitionerRole) | Person who asserts this procedure | |
 performer | ||||
  actor | S | 1..1 | Reference(UZBasePractitioner | UZBasePractitionerRole) | The reference to the practitioner |
| outcome | S | 1..1 | CodeableConcept | The result of procedure |
| note | S | 0..* | Annotation | Additional information about the procedure |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Procedure.code | required | ProcedureVS |
| Id | Grade | Path(s) | Details | Requirements |
| uz-proc-01 | error | Procedure.status | List of prohibited statuses on a procedure : $this != 'preparation' and $this != 'on-hold' and $this != 'stopped' and $this != 'entered-in-error' and $this != 'unknown' |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure | 0..* | Procedure | An action that is being or was performed on a patient | |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!SΣC | 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. uz-proc-01: List of prohibited statuses on a procedure |
 code | SΣ | 1..1 | CodeableConcept | Identification of the procedure Binding: Surgical Procedure Value Set (required) |
| subject | SΣ | 1..1 | Reference(UZBasePatient) | Who the procedure was performed on |
| encounter | Σ | 0..1 | Reference(UZBaseEncounter) | Encounter created as part of |
| performed[x] | Σ | 0..1 | dateTime | When the procedure was performed |
| recorder | Σ | 0..1 | Reference(UZBasePractitioner | UZBasePractitionerRole | UZBasePatient) | Who recorded the procedure |
| asserter | Σ | 0..1 | Reference(UZBasePractitioner | UZBasePractitionerRole) | Person who asserts this procedure |
| performer | Σ | 0..* | BackboneElement | The people who performed the procedure |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| actor | SΣ | 1..1 | Reference(UZBasePractitioner | UZBasePractitionerRole) | The reference to the practitioner |
| outcome | SΣ | 1..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. |
| note | S | 0..* | Annotation | Additional information about the procedure |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Procedure.status | required | EventStatus |
| Procedure.code | required | ProcedureVS |
| Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT) |
| Id | Grade | Path(s) | Details | Requirements |
| uz-proc-01 | error | Procedure.status | List of prohibited statuses on a procedure : $this != 'preparation' and $this != 'on-hold' and $this != 'stopped' and $this != 'entered-in-error' and $this != 'unknown' |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure | 0..* | Procedure | An action that is being or was performed on a patient | |||||
| 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.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
 extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 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 | ?!SΣC | 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. uz-proc-01: List of prohibited statuses on a 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 | SΣ | 1..1 | CodeableConcept | Identification of the procedure Binding: Surgical Procedure Value Set (required) | ||||
| subject | SΣ | 1..1 | Reference(UZBasePatient) | Who the procedure was performed on | ||||
| encounter | Σ | 0..1 | Reference(UZBaseEncounter) | Encounter created as part of | ||||
| performed[x] | Σ | 0..1 | dateTime | When the procedure was performed | ||||
| recorder | Σ | 0..1 | Reference(UZBasePractitioner | UZBasePractitionerRole | UZBasePatient) | Who recorded the procedure | ||||
| asserter | Σ | 0..1 | Reference(UZBasePractitioner | UZBasePractitionerRole) | 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 | |||||
| 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 | SΣ | 1..1 | Reference(UZBasePractitioner | UZBasePractitionerRole) | The reference to the practitioner | ||||
| onBehalfOf | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||
| location | Σ | 0..1 | Reference(Location) | Where the procedure happened | ||||
| 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) | The justification that the procedure was performed | ||||
| bodySite | Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
| outcome | SΣ | 1..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (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..* | 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 | S | 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 | |||||
| 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. | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| Procedure.language | preferred | CommonLanguages
| ||||
| Procedure.status | required | EventStatus | ||||
| Procedure.statusReason | example | ProcedureNotPerformedReason(SNOMED-CT) | ||||
| Procedure.category | example | ProcedureCategoryCodes(SNOMEDCT) | ||||
| Procedure.code | required | ProcedureVS | ||||
| Procedure.performer.function | example | ProcedurePerformerRoleCodes | ||||
| Procedure.reasonCode | example | ProcedureReasonCodes | ||||
| Procedure.bodySite | example | SNOMEDCTBodyStructures | ||||
| Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT) | ||||
| Procedure.complication | example | Condition/Problem/DiagnosisCodes | ||||
| Procedure.followUp | example | ProcedureFollowUpCodes(SNOMEDCT) | ||||
| Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodes | ||||
| Procedure.usedCode | example | FHIRDeviceTypes |
| Id | Grade | Path(s) | Details | Requirements |
| uz-proc-01 | error | Procedure.status | List of prohibited statuses on a procedure : $this != 'preparation' and $this != 'on-hold' and $this != 'stopped' and $this != 'entered-in-error' and $this != 'unknown' |
This structure is derived from Procedure
Summary
Mandatory: 2 elements
Must-Support: 6 elements
Structures
This structure refers to these other structures:
Differential View
This structure is derived from Procedure
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure | 0..* | Procedure | An action that is being or was performed on a patient | |
| status | SC | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown uz-proc-01: List of prohibited statuses on a procedure |
| code | S | 1..1 | CodeableConcept | Identification of the procedure Binding: Surgical Procedure Value Set (required) |
| subject | S | 1..1 | Reference(UZBasePatient) | Who the procedure was performed on |
| encounter | 0..1 | Reference(UZBaseEncounter) | Encounter created as part of | |
| performed[x] | 0..1 | dateTime | When the procedure was performed | |
| recorder | 0..1 | Reference(UZBasePractitioner | UZBasePractitionerRole | UZBasePatient) | Who recorded the procedure | |
| asserter | 0..1 | Reference(UZBasePractitioner | UZBasePractitionerRole) | Person who asserts this procedure | |
| performer | ||||
| actor | S | 1..1 | Reference(UZBasePractitioner | UZBasePractitionerRole) | The reference to the practitioner |
| outcome | S | 1..1 | CodeableConcept | The result of procedure |
| note | S | 0..* | Annotation | Additional information about the procedure |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Procedure.code | required | ProcedureVS |
| Id | Grade | Path(s) | Details | Requirements |
| uz-proc-01 | error | Procedure.status | List of prohibited statuses on a procedure : $this != 'preparation' and $this != 'on-hold' and $this != 'stopped' and $this != 'entered-in-error' and $this != 'unknown' |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure | 0..* | Procedure | An action that is being or was performed on a patient | |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!SΣC | 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. uz-proc-01: List of prohibited statuses on a procedure |
| code | SΣ | 1..1 | CodeableConcept | Identification of the procedure Binding: Surgical Procedure Value Set (required) |
| subject | SΣ | 1..1 | Reference(UZBasePatient) | Who the procedure was performed on |
| encounter | Σ | 0..1 | Reference(UZBaseEncounter) | Encounter created as part of |
| performed[x] | Σ | 0..1 | dateTime | When the procedure was performed |
| recorder | Σ | 0..1 | Reference(UZBasePractitioner | UZBasePractitionerRole | UZBasePatient) | Who recorded the procedure |
| asserter | Σ | 0..1 | Reference(UZBasePractitioner | UZBasePractitionerRole) | Person who asserts this procedure |
| performer | Σ | 0..* | BackboneElement | The people who performed the procedure |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| actor | SΣ | 1..1 | Reference(UZBasePractitioner | UZBasePractitionerRole) | The reference to the practitioner |
| outcome | SΣ | 1..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. |
| note | S | 0..* | Annotation | Additional information about the procedure |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Procedure.status | required | EventStatus |
| Procedure.code | required | ProcedureVS |
| Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT) |
| Id | Grade | Path(s) | Details | Requirements |
| uz-proc-01 | error | Procedure.status | List of prohibited statuses on a procedure : $this != 'preparation' and $this != 'on-hold' and $this != 'stopped' and $this != 'entered-in-error' and $this != 'unknown' |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure | 0..* | Procedure | An action that is being or was performed on a patient | |||||
| 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.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 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 | ?!SΣC | 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. uz-proc-01: List of prohibited statuses on a 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 | SΣ | 1..1 | CodeableConcept | Identification of the procedure Binding: Surgical Procedure Value Set (required) | ||||
| subject | SΣ | 1..1 | Reference(UZBasePatient) | Who the procedure was performed on | ||||
| encounter | Σ | 0..1 | Reference(UZBaseEncounter) | Encounter created as part of | ||||
| performed[x] | Σ | 0..1 | dateTime | When the procedure was performed | ||||
| recorder | Σ | 0..1 | Reference(UZBasePractitioner | UZBasePractitionerRole | UZBasePatient) | Who recorded the procedure | ||||
| asserter | Σ | 0..1 | Reference(UZBasePractitioner | UZBasePractitionerRole) | 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 | |||||
| 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 | SΣ | 1..1 | Reference(UZBasePractitioner | UZBasePractitionerRole) | The reference to the practitioner | ||||
| onBehalfOf | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||
| location | Σ | 0..1 | Reference(Location) | Where the procedure happened | ||||
| 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) | The justification that the procedure was performed | ||||
| bodySite | Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
| outcome | SΣ | 1..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (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..* | 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 | S | 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 | |||||
| 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. | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| Procedure.language | preferred | CommonLanguages
| ||||
| Procedure.status | required | EventStatus | ||||
| Procedure.statusReason | example | ProcedureNotPerformedReason(SNOMED-CT) | ||||
| Procedure.category | example | ProcedureCategoryCodes(SNOMEDCT) | ||||
| Procedure.code | required | ProcedureVS | ||||
| Procedure.performer.function | example | ProcedurePerformerRoleCodes | ||||
| Procedure.reasonCode | example | ProcedureReasonCodes | ||||
| Procedure.bodySite | example | SNOMEDCTBodyStructures | ||||
| Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT) | ||||
| Procedure.complication | example | Condition/Problem/DiagnosisCodes | ||||
| Procedure.followUp | example | ProcedureFollowUpCodes(SNOMEDCT) | ||||
| Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodes | ||||
| Procedure.usedCode | example | FHIRDeviceTypes |
| Id | Grade | Path(s) | Details | Requirements |
| uz-proc-01 | error | Procedure.status | List of prohibited statuses on a procedure : $this != 'preparation' and $this != 'on-hold' and $this != 'stopped' and $this != 'entered-in-error' and $this != 'unknown' |
This structure is derived from Procedure
Summary
Mandatory: 2 elements
Must-Support: 6 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron