MyHealthWay
1.0.1 - Trial-Implementation
KR
MyHealthWay
1.0.1 - Trial-Implementation
KR
MyHealthWay - Local Development build (v1.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://hins.or.kr/fhir/MyHealthWay/StructureDefinition/myhealthway-procedure | Version: 1.0.1 | |||
| Active as of 2024-01-05 | Computable Name: MyHealthWayProcedureProfile | |||
MyHealthWay 의 수술 내역(수술 및 처치) 정보에 적용되는 Procedure 구조.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from KRCore_Procedure
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Procedure | 0..* | KRCore_Procedure | KR Core Procedure Profile | |
  identifier | 1..1 | Identifier | External Identifiers for this procedure | |
  system | 1..1 | uri | The namespace for the identifier value | |
 value | 1..1 | string | The value that is unique | |
| status | 1..1 | code | 수술 및 처치 상태: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Fixed Value: completed | |
| code | 1..1 | CodeableConcept | 수술 및 처치 코드 | |
 coding:ICD-9-CM | 0..* | Coding | Code defined by a terminology system Binding: DiagnosisICD9CM (required) | |
 system | S | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/icd9cm |
 code | S | 1..1 | code | Symbol in syntax defined by the system |
| text | S | 0..1 | string | Plain text representation of the concept |
 subject | S | 1..1 | Reference(MyHealthWay Patient Profile) | 수술 및 처치 대상 |
| encounter | S | 1..1 | Reference(MyHealthWay Encounter Profile) | Encounter created as part of |
 performed[x] | 1..1 | dateTime | 수술 및 처치 일자 | |
 performer | ||||
 actor | S | 1..1 | Reference(MyHealthWay PractitionerRole Profile) | The reference to the practitioner |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Procedure.code.coding:ICD-9-CM | required | DiagnosisICD9CM |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure | 0..* | KRCore_Procedure | KR Core 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 |
 identifier | Σ | 1..1 | Identifier | External Identifiers for this procedure |
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
| value | Σ | 1..1 | string | The value that is unique Example General: 123456 |
| status | ?!SΣ | 1..1 | code | 수술 및 처치 상태: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure. Fixed Value: completed |
| code | SΣ | 1..1 | CodeableConcept | 수술 및 처치 코드 Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . |
 Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this |
 coding:EDI | SΣ | 0..* | Coding | 건강보험심사평가원 건강보험요양급여비용 코드 정보 Binding: KR Core EDI Procedure Codes (required) |
 system | SΣ | 1..1 | uri | 건강보험심사평가원 건강보험요양급여비용 코드체계 Fixed Value: http://www.hl7korea.or.kr/CodeSystem/hira-edi-procedure |
| code | SΣ | 1..1 | code | 건강보험심사평가원 건강보험요양급여비용 코드 |
 coding:ICD-9-CM | Σ | 0..* | Coding | Code defined by a terminology system Binding: DiagnosisICD9CM (required) |
| system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/icd9cm |
| code | SΣ | 1..1 | code | Symbol in syntax defined by the system |
| text | SΣ | 0..1 | string | Plain text representation of the concept |
| subject | SΣ | 1..1 | Reference(MyHealthWay Patient Profile) | 수술 및 처치 대상 |
| encounter | SΣ | 1..1 | Reference(MyHealthWay Encounter Profile) | Encounter created as part of |
| performed[x] | SΣ | 1..1 | dateTime | 수술 및 처치 일자 |
| 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(MyHealthWay PractitionerRole Profile) | The reference to the practitioner |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Procedure.identifier.use | required | IdentifierUse |
| Procedure.status | required | Fixed Value: completed |
| Procedure.code | example | ProcedureCodes(SNOMEDCT) |
| Procedure.code.coding:EDI | required | KR_Core_EDI_Procedure_Codes |
| Procedure.code.coding:ICD-9-CM | required | DiagnosisICD9CM |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Procedure | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure | 0..* | KRCore_Procedure | KR Core 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 | 1..1 | Identifier | External Identifiers for this procedure | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
| value | Σ | 1..1 | string | The value that is unique Example General: 123456 | ||||
| period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| 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 | ?!SΣ | 1..1 | code | 수술 및 처치 상태: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure. Fixed Value: completed | ||||
| 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 | 수술 및 처치 코드 Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this | ||||
| coding:EDI | SΣ | 0..* | Coding | 건강보험심사평가원 건강보험요양급여비용 코드 정보 Binding: KR Core EDI Procedure Codes (required) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | SΣ | 1..1 | uri | 건강보험심사평가원 건강보험요양급여비용 코드체계 Fixed Value: http://www.hl7korea.or.kr/CodeSystem/hira-edi-procedure | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | SΣ | 1..1 | code | 건강보험심사평가원 건강보험요양급여비용 코드 | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:ICD-9-CM | Σ | 0..* | Coding | Code defined by a terminology system Binding: DiagnosisICD9CM (required) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/icd9cm | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | SΣ | 0..1 | string | Plain text representation of the concept | ||||
| subject | SΣ | 1..1 | Reference(MyHealthWay Patient Profile) | 수술 및 처치 대상 | ||||
| encounter | SΣ | 1..1 | Reference(MyHealthWay Encounter Profile) | Encounter created as part of | ||||
| performed[x] | SΣ | 1..1 | dateTime S | 수술 및 처치 일자 | ||||
| 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 | |||||
| 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(MyHealthWay PractitionerRole Profile) | 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 | 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(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 | 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 | ||||||||
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Procedure | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from KRCore_Procedure
Summary
Mandatory: 4 elements (2 nested mandatory elements)
Must-Support: 6 elements
Fixed Value: 2 elements
Structures
This structure refers to these other structures:
Differential View
This structure is derived from KRCore_Procedure
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure | 0..* | KRCore_Procedure | KR Core Procedure Profile | |
| identifier | 1..1 | Identifier | External Identifiers for this procedure | |
| system | 1..1 | uri | The namespace for the identifier value | |
| value | 1..1 | string | The value that is unique | |
| status | 1..1 | code | 수술 및 처치 상태: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Fixed Value: completed | |
| code | 1..1 | CodeableConcept | 수술 및 처치 코드 | |
| coding:ICD-9-CM | 0..* | Coding | Code defined by a terminology system Binding: DiagnosisICD9CM (required) | |
| system | S | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/icd9cm |
| code | S | 1..1 | code | Symbol in syntax defined by the system |
| text | S | 0..1 | string | Plain text representation of the concept |
| subject | S | 1..1 | Reference(MyHealthWay Patient Profile) | 수술 및 처치 대상 |
| encounter | S | 1..1 | Reference(MyHealthWay Encounter Profile) | Encounter created as part of |
| performed[x] | 1..1 | dateTime | 수술 및 처치 일자 | |
| performer | ||||
| actor | S | 1..1 | Reference(MyHealthWay PractitionerRole Profile) | The reference to the practitioner |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Procedure.code.coding:ICD-9-CM | required | DiagnosisICD9CM |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure | 0..* | KRCore_Procedure | KR Core 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 |
| identifier | Σ | 1..1 | Identifier | External Identifiers for this procedure |
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
| value | Σ | 1..1 | string | The value that is unique Example General: 123456 |
| status | ?!SΣ | 1..1 | code | 수술 및 처치 상태: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure. Fixed Value: completed |
| code | SΣ | 1..1 | CodeableConcept | 수술 및 처치 코드 Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . |
| Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this |
| coding:EDI | SΣ | 0..* | Coding | 건강보험심사평가원 건강보험요양급여비용 코드 정보 Binding: KR Core EDI Procedure Codes (required) |
| system | SΣ | 1..1 | uri | 건강보험심사평가원 건강보험요양급여비용 코드체계 Fixed Value: http://www.hl7korea.or.kr/CodeSystem/hira-edi-procedure |
| code | SΣ | 1..1 | code | 건강보험심사평가원 건강보험요양급여비용 코드 |
| coding:ICD-9-CM | Σ | 0..* | Coding | Code defined by a terminology system Binding: DiagnosisICD9CM (required) |
| system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/icd9cm |
| code | SΣ | 1..1 | code | Symbol in syntax defined by the system |
| text | SΣ | 0..1 | string | Plain text representation of the concept |
| subject | SΣ | 1..1 | Reference(MyHealthWay Patient Profile) | 수술 및 처치 대상 |
| encounter | SΣ | 1..1 | Reference(MyHealthWay Encounter Profile) | Encounter created as part of |
| performed[x] | SΣ | 1..1 | dateTime | 수술 및 처치 일자 |
| 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(MyHealthWay PractitionerRole Profile) | The reference to the practitioner |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Procedure.identifier.use | required | IdentifierUse |
| Procedure.status | required | Fixed Value: completed |
| Procedure.code | example | ProcedureCodes(SNOMEDCT) |
| Procedure.code.coding:EDI | required | KR_Core_EDI_Procedure_Codes |
| Procedure.code.coding:ICD-9-CM | required | DiagnosisICD9CM |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Procedure | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure | 0..* | KRCore_Procedure | KR Core 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 | 1..1 | Identifier | External Identifiers for this procedure | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
| value | Σ | 1..1 | string | The value that is unique Example General: 123456 | ||||
| period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| 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 | ?!SΣ | 1..1 | code | 수술 및 처치 상태: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure. Fixed Value: completed | ||||
| 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 | 수술 및 처치 코드 Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this | ||||
| coding:EDI | SΣ | 0..* | Coding | 건강보험심사평가원 건강보험요양급여비용 코드 정보 Binding: KR Core EDI Procedure Codes (required) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | SΣ | 1..1 | uri | 건강보험심사평가원 건강보험요양급여비용 코드체계 Fixed Value: http://www.hl7korea.or.kr/CodeSystem/hira-edi-procedure | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | SΣ | 1..1 | code | 건강보험심사평가원 건강보험요양급여비용 코드 | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:ICD-9-CM | Σ | 0..* | Coding | Code defined by a terminology system Binding: DiagnosisICD9CM (required) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/icd9cm | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | SΣ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | SΣ | 0..1 | string | Plain text representation of the concept | ||||
| subject | SΣ | 1..1 | Reference(MyHealthWay Patient Profile) | 수술 및 처치 대상 | ||||
| encounter | SΣ | 1..1 | Reference(MyHealthWay Encounter Profile) | Encounter created as part of | ||||
| performed[x] | SΣ | 1..1 | dateTime S | 수술 및 처치 일자 | ||||
| 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 | |||||
| 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(MyHealthWay PractitionerRole Profile) | 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 | 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(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 | 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 / Code | ||||
| Procedure.language | preferred | CommonLanguages
| ||||
| Procedure.identifier.use | required | IdentifierUse | ||||
| Procedure.identifier.type | extensible | Identifier Type Codes | ||||
| Procedure.status | required | Fixed Value: completed | ||||
| Procedure.statusReason | example | ProcedureNotPerformedReason(SNOMED-CT) | ||||
| Procedure.category | example | ProcedureCategoryCodes(SNOMEDCT) | ||||
| Procedure.code | example | ProcedureCodes(SNOMEDCT) | ||||
| Procedure.code.coding:EDI | required | KR_Core_EDI_Procedure_Codes | ||||
| Procedure.code.coding:ICD-9-CM | required | DiagnosisICD9CM | ||||
| 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 |
| dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Procedure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Procedure | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from KRCore_Procedure
Summary
Mandatory: 4 elements (2 nested mandatory elements)
Must-Support: 6 elements
Fixed Value: 2 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron