CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
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CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Local Development build (v2.0.0-cibuild) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: ACH Monthly Event Procedure

Official URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-procedure Version: 2.0.0-cibuild
Standards status: Trial-use Maturity Level: 1 Computable Name: AcuteCareHospitalMonthlyReportingProcedure

This profile contains Required and Must Support data elements for reporting procedure information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile inherits from the US Core 6.1.0 Procedure profile and applies capabilities from the QI Core 6.0.0 Procedure profile and QI Core 6.0.0 Procedure Not Done profile.

Usages:

You can also check for usages in the FHIR IG Statistics

Changes since version 1.0.0:

  • New Content

    • Formal Views of Profile Content

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

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Procedure C 0..* USCoreProcedureProfile(6.1.0) An action that is being or was performed on a patient
    Constraints: us-core-7
    ... id Σ 1..1 id Logical id of this artifact
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:recorded 0..1 dateTime (QI-Core) When the procedure was first captured in the subject's record
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-recorded
    ... basedOn Σ 0..* Reference(US Core CarePlan Profile(6.1.0) | US Core ServiceRequest Profile) (QI-Core)(USCDI) A request for this procedure
    ... status ?!SΣC 1..1 code (QI-Core)(USCDI) preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
    Binding: EventStatus (required)
    ... statusReason Σ 0..1 CodeableConcept (QI-Core) Reason for the current status
    Binding: QICore Negation Reason Codes (extensible)
    ... code SΣC 1..1 CodeableConcept (USCDI) Identification of the procedure
    Binding: USCoreProcedureCodes (6.1.0) (extensible): Codes describing the type of Procedure
    Constraints: not-done-extension-present
    .... Slices for extension Content/Rules for all slices
    ..... extension:notDoneValueSet 0..1 canonical(ValueSet) (QI-Core) What was not performed
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
    ... subject SΣ 1..1 Reference(Cross-Measure Patient Profile) (QI-Core)(USCDI) Who the procedure was performed on
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    ... encounter SΣ 0..1 Reference(Encounter) Encounter created as part of
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    ... performed[x] SΣC 0..1 (QI-Core)(USCDI) When the procedure was performed
    .... performedDateTime dateTime S
    .... performedPeriod Period
    .... performedString string
    .... performedAge Age
    .... performedRange Range
    ... location SΣ 0..1 Reference(Location) Where the procedure happened
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    ... reasonCode SΣ 0..* CodeableConcept (QI-Core)(USCDI) Coded reason procedure performed or Explanation/Justification for procedure or service
    Binding: Procedure Reason ValueSet (extensible)
    ... reasonReference SΣ 0..* Reference(ACH Monthly Event Condition | ACH Monthly Event Diagnostic Report - Report and Note | US Core DocumentReference Profile(6.1.0)) (QI-Core)(USCDI) Coded reason procedure performed or Explanation/Justification for procedure or service
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    ... bodySite SΣ 0..* CodeableConcept Target body sites
    Binding: SNOMEDCTBodyStructures (extensible)

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Procedure.status Base required EventStatus 📦4.0.1 FHIR Std.
    Procedure.statusReason Base extensible QICore Negation Reason Codes 📦6.0.0 QI-Core Implementation Guide v6.0
    Procedure.code Base extensible US Core Procedure Codes 📍6.1.0 US Core v6.1
    Procedure.reasonCode Base extensible Procedure Reason ValueSet 📦2.0.0-cibuild This IG
    Procedure.bodySite Base extensible SNOMED CT Body Structures 📦4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    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()
    not-done-extension-present error Procedure.code qicore-notDoneValueSet extension does not exist extension.where(url='http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists().not()
    us-core-7 error Procedure Performed SHALL be present if the status is 'completed' or 'in-progress' (status='completed' or status='in-progress') implies performed.exists()

    This structure is derived from USCoreProcedureProfile

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Procedure 0..* USCoreProcedureProfile(6.1.0) An action that is being or was performed on a patient
    ... id 1..1 id Logical id of this artifact
    ... meta
    .... Slices for extension Content/Rules for all slices
    ..... extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:recorded 0..1 dateTime (QI-Core) When the procedure was first captured in the subject's record
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-recorded
    ... status 1..1 code (QI-Core)(USCDI) preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
    ... statusReason 0..1 CodeableConcept (QI-Core) Reason for the current status
    Binding: QICore Negation Reason Codes (extensible)
    ... code C 1..1 CodeableConcept (USCDI) Identification of the procedure
    Constraints: not-done-extension-present
    .... Slices for extension Content/Rules for all slices
    ..... extension:notDoneValueSet 0..1 canonical(ValueSet) (QI-Core) What was not performed
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
    ... subject 1..1 Reference(Cross-Measure Patient Profile) (QI-Core)(USCDI) Who the procedure was performed on
    .... reference S 1..1 string Literal reference, Relative, internal or absolute URL
    ... encounter S 0..1 Reference(Encounter) Encounter created as part of
    .... reference S 1..1 string Literal reference, Relative, internal or absolute URL
    ... performed[x] 0..1 dateTime, Period, string, Age, Range (QI-Core)(USCDI) When the procedure was performed
    ... location S 0..1 Reference(Location) Where the procedure happened
    .... reference S 1..1 string Literal reference, Relative, internal or absolute URL
    ... reasonCode S 0..* CodeableConcept (QI-Core)(USCDI) Coded reason procedure performed or Explanation/Justification for procedure or service
    Binding: Procedure Reason ValueSet (extensible)
    ... reasonReference S 0..* Reference(ACH Monthly Event Condition | ACH Monthly Event Diagnostic Report - Report and Note | US Core DocumentReference Profile(6.1.0)) (QI-Core)(USCDI) Coded reason procedure performed or Explanation/Justification for procedure or service
    .... reference S 1..1 string Literal reference, Relative, internal or absolute URL
    ... bodySite S 0..* CodeableConcept Target body sites
    Binding: SNOMEDCTBodyStructures (extensible)

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    Procedure.statusReason Base extensible QICore Negation Reason Codes 📦6.0.0 QI-Core Implementation Guide v6.0
    Procedure.reasonCode Base extensible Procedure Reason ValueSet 📦2.0.0-cibuild This IG
    Procedure.bodySite Base extensible SNOMED CT Body Structures 📦4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    not-done-extension-present error Procedure.code qicore-notDoneValueSet extension does not exist extension.where(url='http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists().not()
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Procedure C 0..* USCoreProcedureProfile(6.1.0) An action that is being or was performed on a patient
    Constraints: us-core-7
    ... id Σ 1..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    .... id 0..1 string Unique id for inter-element referencing
    .... Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    .... versionId Σ 0..1 id Version specific identifier
    .... lastUpdated Σ 0..1 instant When the resource version last changed
    .... source Σ 0..1 uri Identifies where the resource comes from
    .... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
    .... security Σ 0..* Coding Security Labels applied to this resource
    Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
    .... tag Σ 0..* Coding Tags applied to this resource
    Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
    ... 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.
    Additional BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ... contained 0..* Resource Contained, inline Resources
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:recorded 0..1 dateTime (QI-Core) When the procedure was first captured in the subject's record
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-recorded
    ... 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(US Core CarePlan Profile(6.1.0) | US Core ServiceRequest Profile) (QI-Core)(USCDI) A request for this procedure
    ... partOf Σ 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
    ... status ?!SΣC 1..1 code (QI-Core)(USCDI) preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
    Binding: EventStatus (required)
    ... statusReason Σ 0..1 CodeableConcept (QI-Core) Reason for the current status
    Binding: QICore Negation Reason Codes (extensible)
    ... 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 (USCDI) Identification of the procedure
    Binding: USCoreProcedureCodes (6.1.0) (extensible): Codes describing the type of Procedure
    Constraints: not-done-extension-present
    .... id 0..1 string Unique id for inter-element referencing
    .... Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:notDoneValueSet 0..1 canonical(ValueSet) (QI-Core) What was not performed
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
    .... coding Σ 0..* Coding Code defined by a terminology system
    .... text Σ 0..1 string Plain text representation of the concept
    ... subject SΣ 1..1 Reference(Cross-Measure Patient Profile) (QI-Core)(USCDI) Who the procedure was performed on
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
    Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... encounter SΣ 0..1 Reference(Encounter) Encounter created as part of
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
    Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... performed[x] SΣC 0..1 (QI-Core)(USCDI) When the procedure was performed
    .... performedDateTime dateTime S
    .... performedPeriod Period
    .... performedString string
    .... performedAge Age
    .... performedRange Range
    ... 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 Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) The reference to the practitioner
    .... onBehalfOf 0..1 Reference(Organization) Organization the device or practitioner was acting for
    ... location SΣ 0..1 Reference(Location) Where the procedure happened
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
    Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... reasonCode SΣ 0..* CodeableConcept (QI-Core)(USCDI) Coded reason procedure performed or Explanation/Justification for procedure or service
    Binding: Procedure Reason ValueSet (extensible)
    ... reasonReference SΣ 0..* Reference(ACH Monthly Event Condition | ACH Monthly Event Diagnostic Report - Report and Note | US Core DocumentReference Profile(6.1.0)) (QI-Core)(USCDI) Coded reason procedure performed or Explanation/Justification for procedure or service
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
    Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... bodySite SΣ 0..* CodeableConcept Target body sites
    Binding: SNOMEDCTBodyStructures (extensible)
    ... 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.

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Procedure.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
    Procedure.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
    Procedure.language Base preferred Common Languages 📦4.0.1 FHIR Std.
    Procedure.status Base required EventStatus 📦4.0.1 FHIR Std.
    Procedure.statusReason Base extensible QICore Negation Reason Codes 📦6.0.0 QI-Core Implementation Guide v6.0
    Procedure.category Base example Procedure Category Codes (SNOMED CT) 📦4.0.1 FHIR Std.
    Procedure.code Base extensible US Core Procedure Codes 📍6.1.0 US Core v6.1
    Procedure.subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.
    Procedure.encounter.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
    Procedure.performer.​function Base example Procedure Performer Role Codes 📦4.0.1 FHIR Std.
    Procedure.location.type Base extensible ResourceType 📍4.0.1 FHIR Std.
    Procedure.reasonCode Base extensible Procedure Reason ValueSet 📦2.0.0-cibuild This IG
    Procedure.reasonReference.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
    Procedure.bodySite Base extensible SNOMED CT Body Structures 📦4.0.1 FHIR Std.
    Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📦4.0.1 FHIR Std.
    Procedure.complication Base example Condition/Problem/Diagnosis Codes 📦4.0.1 FHIR Std.
    Procedure.followUp Base example Procedure Follow up Codes (SNOMED CT) 📦4.0.1 FHIR Std.
    Procedure.focalDevice.​action Base preferred Procedure Device Action Codes 📦4.0.1 FHIR Std.
    Procedure.usedCode Base example FHIR Device Types 📦4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    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()
    not-done-extension-present error Procedure.code qicore-notDoneValueSet extension does not exist extension.where(url='http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists().not()
    us-core-7 error Procedure Performed SHALL be present if the status is 'completed' or 'in-progress' (status='completed' or status='in-progress') implies performed.exists()

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Procedure C 0..* USCoreProcedureProfile(6.1.0) An action that is being or was performed on a patient
    Constraints: us-core-7
    ... id Σ 1..1 id Logical id of this artifact
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:recorded 0..1 dateTime (QI-Core) When the procedure was first captured in the subject's record
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-recorded
    ... basedOn Σ 0..* Reference(US Core CarePlan Profile(6.1.0) | US Core ServiceRequest Profile) (QI-Core)(USCDI) A request for this procedure
    ... status ?!SΣC 1..1 code (QI-Core)(USCDI) preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
    Binding: EventStatus (required)
    ... statusReason Σ 0..1 CodeableConcept (QI-Core) Reason for the current status
    Binding: QICore Negation Reason Codes (extensible)
    ... code SΣC 1..1 CodeableConcept (USCDI) Identification of the procedure
    Binding: USCoreProcedureCodes (6.1.0) (extensible): Codes describing the type of Procedure
    Constraints: not-done-extension-present
    .... Slices for extension Content/Rules for all slices
    ..... extension:notDoneValueSet 0..1 canonical(ValueSet) (QI-Core) What was not performed
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
    ... subject SΣ 1..1 Reference(Cross-Measure Patient Profile) (QI-Core)(USCDI) Who the procedure was performed on
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    ... encounter SΣ 0..1 Reference(Encounter) Encounter created as part of
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    ... performed[x] SΣC 0..1 (QI-Core)(USCDI) When the procedure was performed
    .... performedDateTime dateTime S
    .... performedPeriod Period
    .... performedString string
    .... performedAge Age
    .... performedRange Range
    ... location SΣ 0..1 Reference(Location) Where the procedure happened
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    ... reasonCode SΣ 0..* CodeableConcept (QI-Core)(USCDI) Coded reason procedure performed or Explanation/Justification for procedure or service
    Binding: Procedure Reason ValueSet (extensible)
    ... reasonReference SΣ 0..* Reference(ACH Monthly Event Condition | ACH Monthly Event Diagnostic Report - Report and Note | US Core DocumentReference Profile(6.1.0)) (QI-Core)(USCDI) Coded reason procedure performed or Explanation/Justification for procedure or service
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    ... bodySite SΣ 0..* CodeableConcept Target body sites
    Binding: SNOMEDCTBodyStructures (extensible)

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Procedure.status Base required EventStatus 📦4.0.1 FHIR Std.
    Procedure.statusReason Base extensible QICore Negation Reason Codes 📦6.0.0 QI-Core Implementation Guide v6.0
    Procedure.code Base extensible US Core Procedure Codes 📍6.1.0 US Core v6.1
    Procedure.reasonCode Base extensible Procedure Reason ValueSet 📦2.0.0-cibuild This IG
    Procedure.bodySite Base extensible SNOMED CT Body Structures 📦4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    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()
    not-done-extension-present error Procedure.code qicore-notDoneValueSet extension does not exist extension.where(url='http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists().not()
    us-core-7 error Procedure Performed SHALL be present if the status is 'completed' or 'in-progress' (status='completed' or status='in-progress') implies performed.exists()

    Differential View

    This structure is derived from USCoreProcedureProfile

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Procedure 0..* USCoreProcedureProfile(6.1.0) An action that is being or was performed on a patient
    ... id 1..1 id Logical id of this artifact
    ... meta
    .... Slices for extension Content/Rules for all slices
    ..... extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:recorded 0..1 dateTime (QI-Core) When the procedure was first captured in the subject's record
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-recorded
    ... status 1..1 code (QI-Core)(USCDI) preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
    ... statusReason 0..1 CodeableConcept (QI-Core) Reason for the current status
    Binding: QICore Negation Reason Codes (extensible)
    ... code C 1..1 CodeableConcept (USCDI) Identification of the procedure
    Constraints: not-done-extension-present
    .... Slices for extension Content/Rules for all slices
    ..... extension:notDoneValueSet 0..1 canonical(ValueSet) (QI-Core) What was not performed
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
    ... subject 1..1 Reference(Cross-Measure Patient Profile) (QI-Core)(USCDI) Who the procedure was performed on
    .... reference S 1..1 string Literal reference, Relative, internal or absolute URL
    ... encounter S 0..1 Reference(Encounter) Encounter created as part of
    .... reference S 1..1 string Literal reference, Relative, internal or absolute URL
    ... performed[x] 0..1 dateTime, Period, string, Age, Range (QI-Core)(USCDI) When the procedure was performed
    ... location S 0..1 Reference(Location) Where the procedure happened
    .... reference S 1..1 string Literal reference, Relative, internal or absolute URL
    ... reasonCode S 0..* CodeableConcept (QI-Core)(USCDI) Coded reason procedure performed or Explanation/Justification for procedure or service
    Binding: Procedure Reason ValueSet (extensible)
    ... reasonReference S 0..* Reference(ACH Monthly Event Condition | ACH Monthly Event Diagnostic Report - Report and Note | US Core DocumentReference Profile(6.1.0)) (QI-Core)(USCDI) Coded reason procedure performed or Explanation/Justification for procedure or service
    .... reference S 1..1 string Literal reference, Relative, internal or absolute URL
    ... bodySite S 0..* CodeableConcept Target body sites
    Binding: SNOMEDCTBodyStructures (extensible)

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    Procedure.statusReason Base extensible QICore Negation Reason Codes 📦6.0.0 QI-Core Implementation Guide v6.0
    Procedure.reasonCode Base extensible Procedure Reason ValueSet 📦2.0.0-cibuild This IG
    Procedure.bodySite Base extensible SNOMED CT Body Structures 📦4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    not-done-extension-present error Procedure.code qicore-notDoneValueSet extension does not exist extension.where(url='http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists().not()

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Procedure C 0..* USCoreProcedureProfile(6.1.0) An action that is being or was performed on a patient
    Constraints: us-core-7
    ... id Σ 1..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    .... id 0..1 string Unique id for inter-element referencing
    .... Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    .... versionId Σ 0..1 id Version specific identifier
    .... lastUpdated Σ 0..1 instant When the resource version last changed
    .... source Σ 0..1 uri Identifies where the resource comes from
    .... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
    .... security Σ 0..* Coding Security Labels applied to this resource
    Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
    .... tag Σ 0..* Coding Tags applied to this resource
    Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
    ... 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.
    Additional BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ... contained 0..* Resource Contained, inline Resources
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:recorded 0..1 dateTime (QI-Core) When the procedure was first captured in the subject's record
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-recorded
    ... 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(US Core CarePlan Profile(6.1.0) | US Core ServiceRequest Profile) (QI-Core)(USCDI) A request for this procedure
    ... partOf Σ 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
    ... status ?!SΣC 1..1 code (QI-Core)(USCDI) preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
    Binding: EventStatus (required)
    ... statusReason Σ 0..1 CodeableConcept (QI-Core) Reason for the current status
    Binding: QICore Negation Reason Codes (extensible)
    ... 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 (USCDI) Identification of the procedure
    Binding: USCoreProcedureCodes (6.1.0) (extensible): Codes describing the type of Procedure
    Constraints: not-done-extension-present
    .... id 0..1 string Unique id for inter-element referencing
    .... Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:notDoneValueSet 0..1 canonical(ValueSet) (QI-Core) What was not performed
    URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
    .... coding Σ 0..* Coding Code defined by a terminology system
    .... text Σ 0..1 string Plain text representation of the concept
    ... subject SΣ 1..1 Reference(Cross-Measure Patient Profile) (QI-Core)(USCDI) Who the procedure was performed on
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
    Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... encounter SΣ 0..1 Reference(Encounter) Encounter created as part of
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
    Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... performed[x] SΣC 0..1 (QI-Core)(USCDI) When the procedure was performed
    .... performedDateTime dateTime S
    .... performedPeriod Period
    .... performedString string
    .... performedAge Age
    .... performedRange Range
    ... 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 Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) The reference to the practitioner
    .... onBehalfOf 0..1 Reference(Organization) Organization the device or practitioner was acting for
    ... location SΣ 0..1 Reference(Location) Where the procedure happened
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
    Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... reasonCode SΣ 0..* CodeableConcept (QI-Core)(USCDI) Coded reason procedure performed or Explanation/Justification for procedure or service
    Binding: Procedure Reason ValueSet (extensible)
    ... reasonReference SΣ 0..* Reference(ACH Monthly Event Condition | ACH Monthly Event Diagnostic Report - Report and Note | US Core DocumentReference Profile(6.1.0)) (QI-Core)(USCDI) Coded reason procedure performed or Explanation/Justification for procedure or service
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
    Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... bodySite SΣ 0..* CodeableConcept Target body sites
    Binding: SNOMEDCTBodyStructures (extensible)
    ... 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.

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Procedure.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
    Procedure.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
    Procedure.language Base preferred Common Languages 📦4.0.1 FHIR Std.
    Procedure.status Base required EventStatus 📦4.0.1 FHIR Std.
    Procedure.statusReason Base extensible QICore Negation Reason Codes 📦6.0.0 QI-Core Implementation Guide v6.0
    Procedure.category Base example Procedure Category Codes (SNOMED CT) 📦4.0.1 FHIR Std.
    Procedure.code Base extensible US Core Procedure Codes 📍6.1.0 US Core v6.1
    Procedure.subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.
    Procedure.encounter.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
    Procedure.performer.​function Base example Procedure Performer Role Codes 📦4.0.1 FHIR Std.
    Procedure.location.type Base extensible ResourceType 📍4.0.1 FHIR Std.
    Procedure.reasonCode Base extensible Procedure Reason ValueSet 📦2.0.0-cibuild This IG
    Procedure.reasonReference.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
    Procedure.bodySite Base extensible SNOMED CT Body Structures 📦4.0.1 FHIR Std.
    Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📦4.0.1 FHIR Std.
    Procedure.complication Base example Condition/Problem/Diagnosis Codes 📦4.0.1 FHIR Std.
    Procedure.followUp Base example Procedure Follow up Codes (SNOMED CT) 📦4.0.1 FHIR Std.
    Procedure.focalDevice.​action Base preferred Procedure Device Action Codes 📦4.0.1 FHIR Std.
    Procedure.usedCode Base example FHIR Device Types 📦4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    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()
    not-done-extension-present error Procedure.code qicore-notDoneValueSet extension does not exist extension.where(url='http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists().not()
    us-core-7 error Procedure Performed SHALL be present if the status is 'completed' or 'in-progress' (status='completed' or status='in-progress') implies performed.exists()

     

    Other representations of profile: CSV, Excel, Schematron