IL Core Implementation Guide
0.18.0 - draft
IL Core Implementation Guide
0.18.0 - draft
This page is part of the IL-Core IG (v0.18.0: draft-1 Draft) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Official URL: http://fhir.health.gov.il/StructureDefinition/il-core-procedure | Version: 0.18.0 | |||
| Standards status: Trial-use | Maturity Level: 1 | Computable Name: ILCoreProcedure | ||
Israel Core proposed constraints and extensions on the Procedure Resource
משאב Procedure משמש לתיעוד טיפולים או פרוצדורות (פעולות) שבוצעו במטופל או עבורו, כחלק מהטיפול הנוכחי או טיפולי העבר שלו. פרוצדורה יכולה להיות התערבותית, פולשנית, או פיזית, כמו ניתוח או ביופסיה; או פחות פולשנית, כמו שירותים לטווח ארוך, פיזיותרפיה, ייעוץ או טיפול בהיפנוזה. פרוצדורות עשויות להתבצע על ידי איש מקצוע בתחום הבריאות, נותן שירות, חבר או קרוב משפחה; או במקרים מסוימים על ידי המטופל עצמו.
פרופיל ILCoreProcedure מגדיר מספר כללים והגבלות על משאב הבסיס ובכך מסדיר סט מינימלי של חוקים במטרה להגביר את האחידות בשימוש במשאב זה במדינת ישראל, תוך התחשבות גם במגבלות שהוגדרו בפרופילי Core אחרים ובפרט ה-US Core.
עוד מידע על פרופיל זה ניתן למצוא באתר הקהילה
בכל משאב התואם לפרופיל ILCoreProcedure חייבים להיות האלמנטים הבאים:
בנוסף לאמנטים שהוגדרו כחובה, כל מערכת חייבת לתמוך גם באלמנטים הבאים במידה והם קיימים במופע ה- ILCoreProcedure שהתקבל:
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 | ILCore Procedure Profile | |
  basedOn |
0..* | Reference(ILCore CarePlan Profile | ILCore ServiceRequest Profile) | A request for this procedure | |
| partOf |
0..* | Reference(ILCore Procedure Profile | ILCore Observation Profile | ILCore MedicationAdministration Profile) | Part of referenced event | |
 status |
S | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown |
| code |
SC | 1..1 | CodeableConcept | Identification of the procedure Binding: IL Core procedure Codes (extensible) il-procedure-sct: Procedure.code.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"71388002","display":"Procedure (procedure)"}]} |
| subject |
S | 1..1 | Reference(ILCore Patient Profile | ILCore Group Profile) | Who the procedure was performed on |
| encounter |
0..1 | Reference(ILCore Encounter Profile) | Encounter created as part of | |
  Slices for performed[x] |
S | 1..1 | dateTime, Period, string, Age, Range | When the procedure was performed Slice: Unordered, Open by type:$this |
   performed[x]:performedDateTime |
S | 0..1 | dateTime | When the procedure was performed |
   Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
 relative-date |
0..1 | (Complex) | Extension: Relative Date Criteria URL: http://hl7.org/fhir/StructureDefinition/relative-date | |
| recorder |
0..1 | Reference(ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile) | Who recorded the procedure | |
| asserter |
0..1 | Reference(ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile) | Person who asserts this procedure | |
| performer |
||||
| actor |
1..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Device Profile) | The reference to the practitioner | |
 onBehalfOf |
0..1 | Reference(ILCore Organization Profile) | Organization the device or practitioner was acting for | |
| location |
0..1 | Reference(ILCore Location Profile) | Where the procedure happened | |
| reasonCode |
0..* | CodeableConcept | Coded reason procedure performed Binding: IL Core procedure Reason (required) | |
| reasonReference |
0..* | Reference(ILCore Condition Profile | ILCore Observation Profile | ILCore Procedure Profile | ILCore DiagnosticReport Profile | ILCore DocumentReference Profile) | The justification that the procedure was performed | |
| bodySite |
0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (extensible) Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"344001","display":"Ankle"}]} | |
| report |
0..* | Reference(ILCore DiagnosticReport Profile | ILCore DocumentReference Profile | Composition) | Any report resulting from the procedure | |
| complication |
0..* | CodeableConcept | Complication following the procedure Binding: IL Core Condition Code (extensible) Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"131148009","display":"Bleeding (finding)"}]} | |
| complicationDetail |
0..* | Reference(ILCore Condition Profile) | A condition that is a result of the procedure | |
| focalDevice |
||||
| manipulated |
1..1 | Reference(ILCore Device Profile) | Device that was changed | |
| usedReference |
0..* | Reference(ILCore Device Profile | ILCore Medication Profile | ILCore Substance Profile) | Items used during procedure | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Procedure.code | extensible | ILCoreProcedureCodehttp://fhir.health.gov.il/ValueSet/il-core-procedure-codefrom this IG | |
| Procedure.reasonCode | required | ILCoreProcedureReasonhttp://fhir.health.gov.il/ValueSet/il-core-procedure-reasonfrom this IG | |
| Procedure.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | |
| Procedure.complication | extensible | ILCoreConditionCodehttp://fhir.health.gov.il/ValueSet/il-core-condition-codefrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| il-procedure-sct | warning | Procedure.code | Procedure.code.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only : coding.where(system='http://snomed.info/sct' and code.exists()).exists() |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure |
0..* | Procedure | ILCore Procedure Profile | |
 implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| basedOn |
Σ | 0..* | Reference(ILCore CarePlan Profile | ILCore ServiceRequest Profile) | A request for this procedure |
| partOf |
Σ | 0..* | Reference(ILCore Procedure Profile | ILCore Observation Profile | ILCore MedicationAdministration Profile) | Part of referenced event |
| status |
?!SΣ | 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. |
 code |
SΣC | 1..1 | CodeableConcept | Identification of the procedure Binding: IL Core procedure Codes (extensible) il-procedure-sct: Procedure.code.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"71388002","display":"Procedure (procedure)"}]} |
| subject |
SΣ | 1..1 | Reference(ILCore Patient Profile | ILCore Group Profile) | Who the procedure was performed on |
| encounter |
Σ | 0..1 | Reference(ILCore Encounter Profile) | Encounter created as part of |
| Slices for performed[x] |
SΣ | 1..1 | When the procedure was performed Slice: Unordered, Open by type:$this | |
 performedDateTime |
dateTime | |||
| performedPeriod |
Period | |||
| performedString |
string | |||
| performedAge |
Age | |||
| performedRange |
Range | |||
| performed[x]:performedDateTime |
SΣ | 0..1 | dateTime | When the procedure was performed |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| relative-date |
0..1 | (Complex) | Extension: Relative Date Criteria URL: http://hl7.org/fhir/StructureDefinition/relative-date | |
| recorder |
Σ | 0..1 | Reference(ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile) | Who recorded the procedure |
| asserter |
Σ | 0..1 | Reference(ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile) | Person who asserts this procedure |
| location |
Σ | 0..1 | Reference(ILCore Location Profile) | Where the procedure happened |
| reasonCode |
Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: IL Core procedure Reason (required) |
| reasonReference |
Σ | 0..* | Reference(ILCore Condition Profile | ILCore Observation Profile | ILCore Procedure Profile | ILCore DiagnosticReport Profile | ILCore DocumentReference Profile) | The justification that the procedure was performed |
| bodySite |
Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (extensible) Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"344001","display":"Ankle"}]} |
| report |
0..* | Reference(ILCore DiagnosticReport Profile | ILCore DocumentReference Profile | Composition) | Any report resulting from the procedure | |
| complication |
0..* | CodeableConcept | Complication following the procedure Binding: IL Core Condition Code (extensible) Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"131148009","display":"Bleeding (finding)"}]} | |
| complicationDetail |
0..* | Reference(ILCore Condition Profile) | A condition that is a result of the procedure | |
| usedReference |
0..* | Reference(ILCore Device Profile | ILCore Medication Profile | ILCore Substance Profile) | Items used during procedure | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Procedure.status | required | EventStatushttp://hl7.org/fhir/ValueSet/event-status|4.0.1from the FHIR Standard | |
| Procedure.code | extensible | ILCoreProcedureCodehttp://fhir.health.gov.il/ValueSet/il-core-procedure-codefrom this IG | |
| Procedure.reasonCode | required | ILCoreProcedureReasonhttp://fhir.health.gov.il/ValueSet/il-core-procedure-reasonfrom this IG | |
| Procedure.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | |
| Procedure.complication | extensible | ILCoreConditionCodehttp://fhir.health.gov.il/ValueSet/il-core-condition-codefrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| il-procedure-sct | warning | Procedure.code | Procedure.code.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only : coding.where(system='http://snomed.info/sct' and code.exists()).exists() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure |
0..* | Procedure | ILCore Procedure Profile | |||||
| 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(ILCore CarePlan Profile | ILCore ServiceRequest Profile) | A request for this procedure | ||||
| partOf |
Σ | 0..* | Reference(ILCore Procedure Profile | ILCore Observation Profile | ILCore MedicationAdministration Profile) | Part of referenced event | ||||
| status |
?!SΣ | 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 |
SΣC | 1..1 | CodeableConcept | Identification of the procedure Binding: IL Core procedure Codes (extensible) il-procedure-sct: Procedure.code.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"71388002","display":"Procedure (procedure)"}]} | ||||
| subject |
SΣ | 1..1 | Reference(ILCore Patient Profile | ILCore Group Profile) | Who the procedure was performed on | ||||
| encounter |
Σ | 0..1 | Reference(ILCore Encounter Profile) | Encounter created as part of | ||||
| Slices for performed[x] |
SΣ | 1..1 | When the procedure was performed Slice: Unordered, Open by type:$this | |||||
| performedDateTime |
dateTime | |||||||
| performedPeriod |
Period | |||||||
| performedString |
string | |||||||
| performedAge |
Age | |||||||
| performedRange |
Range | |||||||
| performed[x]:performedDateTime |
SΣ | 0..1 | dateTime | When the procedure was performed | ||||
 id |
0..1 | string | xml:id (or equivalent in JSON) | |||||
 Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
 relative-date |
0..1 | (Complex) | Extension: Relative Date Criteria URL: http://hl7.org/fhir/StructureDefinition/relative-date | |||||
 value |
0..1 | dateTime | Primitive value for dateTime | |||||
| recorder |
Σ | 0..1 | Reference(ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile) | Who recorded the procedure | ||||
| asserter |
Σ | 0..1 | Reference(ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile) | 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 |
Σ | 1..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Device Profile) | The reference to the practitioner | ||||
| onBehalfOf |
0..1 | Reference(ILCore Organization Profile) | Organization the device or practitioner was acting for | |||||
| location |
Σ | 0..1 | Reference(ILCore Location Profile) | Where the procedure happened | ||||
| reasonCode |
Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: IL Core procedure Reason (required) | ||||
| reasonReference |
Σ | 0..* | Reference(ILCore Condition Profile | ILCore Observation Profile | ILCore Procedure Profile | ILCore DiagnosticReport Profile | ILCore DocumentReference Profile) | The justification that the procedure was performed | ||||
| bodySite |
Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (extensible) Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"344001","display":"Ankle"}]} | ||||
| outcome |
Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. | ||||
| report |
0..* | Reference(ILCore DiagnosticReport Profile | ILCore DocumentReference Profile | Composition) | Any report resulting from the procedure | |||||
| complication |
0..* | CodeableConcept | Complication following the procedure Binding: IL Core Condition Code (extensible) Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"131148009","display":"Bleeding (finding)"}]} | |||||
| complicationDetail |
0..* | Reference(ILCore Condition Profile) | 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 | |||||
| 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(ILCore Device Profile) | Device that was changed | |||||
| usedReference |
0..* | Reference(ILCore Device Profile | ILCore Medication Profile | ILCore Substance Profile) | 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 | URI | |||
| Procedure.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Procedure.status | required | EventStatushttp://hl7.org/fhir/ValueSet/event-status|4.0.1from the FHIR Standard | ||||
| Procedure.statusReason | example | ProcedureNotPerformedReason(SNOMED-CT)http://hl7.org/fhir/ValueSet/procedure-not-performed-reasonfrom the FHIR Standard | ||||
| Procedure.category | example | ProcedureCategoryCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-categoryfrom the FHIR Standard | ||||
| Procedure.code | extensible | ILCoreProcedureCodehttp://fhir.health.gov.il/ValueSet/il-core-procedure-codefrom this IG | ||||
| Procedure.performer.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-rolefrom the FHIR Standard | ||||
| Procedure.reasonCode | required | ILCoreProcedureReasonhttp://fhir.health.gov.il/ValueSet/il-core-procedure-reasonfrom this IG | ||||
| Procedure.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-outcomefrom the FHIR Standard | ||||
| Procedure.complication | extensible | ILCoreConditionCodehttp://fhir.health.gov.il/ValueSet/il-core-condition-codefrom this IG | ||||
| Procedure.followUp | example | ProcedureFollowUpCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-followupfrom the FHIR Standard | ||||
| Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodeshttp://hl7.org/fhir/ValueSet/device-actionfrom the FHIR Standard | ||||
| Procedure.usedCode | example | FHIRDeviceTypeshttp://hl7.org/fhir/ValueSet/device-kindfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| il-procedure-sct | warning | Procedure.code | Procedure.code.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only : coding.where(system='http://snomed.info/sct' and code.exists()).exists() |
This structure is derived from Procedure
Differential View
This structure is derived from Procedure
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure |
0..* | Procedure | ILCore Procedure Profile | |
| basedOn |
0..* | Reference(ILCore CarePlan Profile | ILCore ServiceRequest Profile) | A request for this procedure | |
| partOf |
0..* | Reference(ILCore Procedure Profile | ILCore Observation Profile | ILCore MedicationAdministration Profile) | Part of referenced event | |
| status |
S | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown |
| code |
SC | 1..1 | CodeableConcept | Identification of the procedure Binding: IL Core procedure Codes (extensible) il-procedure-sct: Procedure.code.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"71388002","display":"Procedure (procedure)"}]} |
| subject |
S | 1..1 | Reference(ILCore Patient Profile | ILCore Group Profile) | Who the procedure was performed on |
| encounter |
0..1 | Reference(ILCore Encounter Profile) | Encounter created as part of | |
| Slices for performed[x] |
S | 1..1 | dateTime, Period, string, Age, Range | When the procedure was performed Slice: Unordered, Open by type:$this |
| performed[x]:performedDateTime |
S | 0..1 | dateTime | When the procedure was performed |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| relative-date |
0..1 | (Complex) | Extension: Relative Date Criteria URL: http://hl7.org/fhir/StructureDefinition/relative-date | |
| recorder |
0..1 | Reference(ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile) | Who recorded the procedure | |
| asserter |
0..1 | Reference(ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile) | Person who asserts this procedure | |
| performer |
||||
| actor |
1..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Device Profile) | The reference to the practitioner | |
| onBehalfOf |
0..1 | Reference(ILCore Organization Profile) | Organization the device or practitioner was acting for | |
| location |
0..1 | Reference(ILCore Location Profile) | Where the procedure happened | |
| reasonCode |
0..* | CodeableConcept | Coded reason procedure performed Binding: IL Core procedure Reason (required) | |
| reasonReference |
0..* | Reference(ILCore Condition Profile | ILCore Observation Profile | ILCore Procedure Profile | ILCore DiagnosticReport Profile | ILCore DocumentReference Profile) | The justification that the procedure was performed | |
| bodySite |
0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (extensible) Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"344001","display":"Ankle"}]} | |
| report |
0..* | Reference(ILCore DiagnosticReport Profile | ILCore DocumentReference Profile | Composition) | Any report resulting from the procedure | |
| complication |
0..* | CodeableConcept | Complication following the procedure Binding: IL Core Condition Code (extensible) Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"131148009","display":"Bleeding (finding)"}]} | |
| complicationDetail |
0..* | Reference(ILCore Condition Profile) | A condition that is a result of the procedure | |
| focalDevice |
||||
| manipulated |
1..1 | Reference(ILCore Device Profile) | Device that was changed | |
| usedReference |
0..* | Reference(ILCore Device Profile | ILCore Medication Profile | ILCore Substance Profile) | Items used during procedure | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Procedure.code | extensible | ILCoreProcedureCodehttp://fhir.health.gov.il/ValueSet/il-core-procedure-codefrom this IG | |
| Procedure.reasonCode | required | ILCoreProcedureReasonhttp://fhir.health.gov.il/ValueSet/il-core-procedure-reasonfrom this IG | |
| Procedure.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | |
| Procedure.complication | extensible | ILCoreConditionCodehttp://fhir.health.gov.il/ValueSet/il-core-condition-codefrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| il-procedure-sct | warning | Procedure.code | Procedure.code.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only : coding.where(system='http://snomed.info/sct' and code.exists()).exists() |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure |
0..* | Procedure | ILCore Procedure Profile | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| basedOn |
Σ | 0..* | Reference(ILCore CarePlan Profile | ILCore ServiceRequest Profile) | A request for this procedure |
| partOf |
Σ | 0..* | Reference(ILCore Procedure Profile | ILCore Observation Profile | ILCore MedicationAdministration Profile) | Part of referenced event |
| status |
?!SΣ | 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. |
| code |
SΣC | 1..1 | CodeableConcept | Identification of the procedure Binding: IL Core procedure Codes (extensible) il-procedure-sct: Procedure.code.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"71388002","display":"Procedure (procedure)"}]} |
| subject |
SΣ | 1..1 | Reference(ILCore Patient Profile | ILCore Group Profile) | Who the procedure was performed on |
| encounter |
Σ | 0..1 | Reference(ILCore Encounter Profile) | Encounter created as part of |
| Slices for performed[x] |
SΣ | 1..1 | When the procedure was performed Slice: Unordered, Open by type:$this | |
| performedDateTime |
dateTime | |||
| performedPeriod |
Period | |||
| performedString |
string | |||
| performedAge |
Age | |||
| performedRange |
Range | |||
| performed[x]:performedDateTime |
SΣ | 0..1 | dateTime | When the procedure was performed |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| relative-date |
0..1 | (Complex) | Extension: Relative Date Criteria URL: http://hl7.org/fhir/StructureDefinition/relative-date | |
| recorder |
Σ | 0..1 | Reference(ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile) | Who recorded the procedure |
| asserter |
Σ | 0..1 | Reference(ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile) | Person who asserts this procedure |
| location |
Σ | 0..1 | Reference(ILCore Location Profile) | Where the procedure happened |
| reasonCode |
Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: IL Core procedure Reason (required) |
| reasonReference |
Σ | 0..* | Reference(ILCore Condition Profile | ILCore Observation Profile | ILCore Procedure Profile | ILCore DiagnosticReport Profile | ILCore DocumentReference Profile) | The justification that the procedure was performed |
| bodySite |
Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (extensible) Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"344001","display":"Ankle"}]} |
| report |
0..* | Reference(ILCore DiagnosticReport Profile | ILCore DocumentReference Profile | Composition) | Any report resulting from the procedure | |
| complication |
0..* | CodeableConcept | Complication following the procedure Binding: IL Core Condition Code (extensible) Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"131148009","display":"Bleeding (finding)"}]} | |
| complicationDetail |
0..* | Reference(ILCore Condition Profile) | A condition that is a result of the procedure | |
| usedReference |
0..* | Reference(ILCore Device Profile | ILCore Medication Profile | ILCore Substance Profile) | Items used during procedure | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Procedure.status | required | EventStatushttp://hl7.org/fhir/ValueSet/event-status|4.0.1from the FHIR Standard | |
| Procedure.code | extensible | ILCoreProcedureCodehttp://fhir.health.gov.il/ValueSet/il-core-procedure-codefrom this IG | |
| Procedure.reasonCode | required | ILCoreProcedureReasonhttp://fhir.health.gov.il/ValueSet/il-core-procedure-reasonfrom this IG | |
| Procedure.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | |
| Procedure.complication | extensible | ILCoreConditionCodehttp://fhir.health.gov.il/ValueSet/il-core-condition-codefrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| il-procedure-sct | warning | Procedure.code | Procedure.code.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only : coding.where(system='http://snomed.info/sct' and code.exists()).exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure |
0..* | Procedure | ILCore Procedure Profile | |||||
| 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(ILCore CarePlan Profile | ILCore ServiceRequest Profile) | A request for this procedure | ||||
| partOf |
Σ | 0..* | Reference(ILCore Procedure Profile | ILCore Observation Profile | ILCore MedicationAdministration Profile) | Part of referenced event | ||||
| status |
?!SΣ | 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 |
SΣC | 1..1 | CodeableConcept | Identification of the procedure Binding: IL Core procedure Codes (extensible) il-procedure-sct: Procedure.code.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"71388002","display":"Procedure (procedure)"}]} | ||||
| subject |
SΣ | 1..1 | Reference(ILCore Patient Profile | ILCore Group Profile) | Who the procedure was performed on | ||||
| encounter |
Σ | 0..1 | Reference(ILCore Encounter Profile) | Encounter created as part of | ||||
| Slices for performed[x] |
SΣ | 1..1 | When the procedure was performed Slice: Unordered, Open by type:$this | |||||
| performedDateTime |
dateTime | |||||||
| performedPeriod |
Period | |||||||
| performedString |
string | |||||||
| performedAge |
Age | |||||||
| performedRange |
Range | |||||||
| performed[x]:performedDateTime |
SΣ | 0..1 | dateTime | When the procedure was performed | ||||
| id |
0..1 | string | xml:id (or equivalent in JSON) | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| relative-date |
0..1 | (Complex) | Extension: Relative Date Criteria URL: http://hl7.org/fhir/StructureDefinition/relative-date | |||||
| value |
0..1 | dateTime | Primitive value for dateTime | |||||
| recorder |
Σ | 0..1 | Reference(ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile) | Who recorded the procedure | ||||
| asserter |
Σ | 0..1 | Reference(ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile) | 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 |
Σ | 1..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Device Profile) | The reference to the practitioner | ||||
| onBehalfOf |
0..1 | Reference(ILCore Organization Profile) | Organization the device or practitioner was acting for | |||||
| location |
Σ | 0..1 | Reference(ILCore Location Profile) | Where the procedure happened | ||||
| reasonCode |
Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: IL Core procedure Reason (required) | ||||
| reasonReference |
Σ | 0..* | Reference(ILCore Condition Profile | ILCore Observation Profile | ILCore Procedure Profile | ILCore DiagnosticReport Profile | ILCore DocumentReference Profile) | The justification that the procedure was performed | ||||
| bodySite |
Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (extensible) Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"344001","display":"Ankle"}]} | ||||
| outcome |
Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. | ||||
| report |
0..* | Reference(ILCore DiagnosticReport Profile | ILCore DocumentReference Profile | Composition) | Any report resulting from the procedure | |||||
| complication |
0..* | CodeableConcept | Complication following the procedure Binding: IL Core Condition Code (extensible) Example Valid Example: {"coding":[{"system":"http://snomed.info/sct","code":"131148009","display":"Bleeding (finding)"}]} | |||||
| complicationDetail |
0..* | Reference(ILCore Condition Profile) | 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 | |||||
| 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(ILCore Device Profile) | Device that was changed | |||||
| usedReference |
0..* | Reference(ILCore Device Profile | ILCore Medication Profile | ILCore Substance Profile) | 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 | URI | |||
| Procedure.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Procedure.status | required | EventStatushttp://hl7.org/fhir/ValueSet/event-status|4.0.1from the FHIR Standard | ||||
| Procedure.statusReason | example | ProcedureNotPerformedReason(SNOMED-CT)http://hl7.org/fhir/ValueSet/procedure-not-performed-reasonfrom the FHIR Standard | ||||
| Procedure.category | example | ProcedureCategoryCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-categoryfrom the FHIR Standard | ||||
| Procedure.code | extensible | ILCoreProcedureCodehttp://fhir.health.gov.il/ValueSet/il-core-procedure-codefrom this IG | ||||
| Procedure.performer.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-rolefrom the FHIR Standard | ||||
| Procedure.reasonCode | required | ILCoreProcedureReasonhttp://fhir.health.gov.il/ValueSet/il-core-procedure-reasonfrom this IG | ||||
| Procedure.bodySite | extensible | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-outcomefrom the FHIR Standard | ||||
| Procedure.complication | extensible | ILCoreConditionCodehttp://fhir.health.gov.il/ValueSet/il-core-condition-codefrom this IG | ||||
| Procedure.followUp | example | ProcedureFollowUpCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-followupfrom the FHIR Standard | ||||
| Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodeshttp://hl7.org/fhir/ValueSet/device-actionfrom the FHIR Standard | ||||
| Procedure.usedCode | example | FHIRDeviceTypeshttp://hl7.org/fhir/ValueSet/device-kindfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| il-procedure-sct | warning | Procedure.code | Procedure.code.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only : coding.where(system='http://snomed.info/sct' and code.exists()).exists() |
This structure is derived from Procedure
Other representations of profile: CSV, Excel, Schematron