Digital Child Health Service - Events Catalogue

CareConnect-DCH-Procedure-1

An action that is or was performed on a patient, within the scope of a Child Health event.

NameCard.TypeDescription & Constraints
..ProcedureDomainResourceAn action that is being or was performed on a patient

...id0..1IdLogical id of this artifact

...meta0..1MetaMetadata about the resource

...implicitRules0..1UriA set of rules under which this content was created

...language0..1CodeLanguage of the resource content
Binding A human language. (http://tools.ietf.org/html/bcp47)
Binding Strength Required

...text0..1NarrativeText summary of the resource, for human interpretation

...contained0..*ResourceContained, inline Resources

...dateRecorded0..1ExtensionThe date that the Procedure was recorded
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-CareConnect-DateRecorded-1

...reason0..*ExtensionReason procedure performed
Extension https://fhir.nhs.uk/StructureDefinition/Extension-CareConnect-DCH-ReasonCondition-1

...identifier1..1IdentifierExternal Identifiers for this procedure

....id0..1Idxml:id (or equivalent in JSON)

....use0..1Codeusual | official | temp | secondary (If known)
Binding Identifies the purpose for this identifier, if known . (http://hl7.org/fhir/ValueSet/identifier-use)
Binding Strength Required

....type0..1CodeableConceptDescription of identifier
Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. (http://hl7.org/fhir/ValueSet/identifier-type)
Binding Strength Extensible

.....id0..1Idxml:id (or equivalent in JSON)

.....coding0..*CodingCode defined by a terminology system

......id0..1Idxml:id (or equivalent in JSON)

......system0..1UriIdentity of the terminology system

......version0..1StringVersion of the system - if relevant

......code0..1CodeSymbol in syntax defined by the system

......display0..1StringRepresentation defined by the system

......userSelected0..1BooleanIf this coding was chosen directly by the user

.....text0..1StringPlain text representation of the concept

....system1..1UriThe namespace for the identifier
Example Value http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri

....value1..1StringThe value that is unique
Example Value 123456

....period0..1PeriodTime period when id is/was valid for use

.....id0..1Idxml:id (or equivalent in JSON)

.....start0..1DateTimeStarting time with inclusive boundary

.....end0..1DateTimeEnd time with inclusive boundary, if not ongoing

....assigner0..1Reference (CareConnect-DCH-Organization-1)Organization that issued id (may be just text)

.....id0..1Idxml:id (or equivalent in JSON)

.....reference0..1StringRelative, internal or absolute URL reference

.....display0..1StringText alternative for the resource

...subject1..1Reference (Group | CareConnect-DCH-Baby-Patient-1)Who the procedure was performed on

....id0..1Idxml:id (or equivalent in JSON)

....reference1..1StringRelative, internal or absolute URL reference

....display0..1StringText alternative for the resource

...status1..1Codein-progress | aborted | completed | entered-in-error
Binding A code specifying the state of the procedure. (http://hl7.org/fhir/ValueSet/procedure-status)
Binding Strength Required

...category0..1CodeableConceptClassification of the procedure
Binding A code that classifies a procedure for searching, sorting and display purposes. (http://hl7.org/fhir/ValueSet/procedure-category)
Binding Strength Example

....id0..1Idxml:id (or equivalent in JSON)

....coding0..*Code defined by a terminology system
Slice: Ordering: Unordered, Discriminator: system, Rules: Open

....coding (SNOMED CT)0..1CodingCode defined by a terminology system

.....id0..1Idxml:id (or equivalent in JSON)

.....snomedCTDescriptionID0..1ExtensionThe SNOMED CT Description ID for the display
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid

.....system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

.....code1..1CodeSymbol in syntax defined by the system

.....display1..1StringRepresentation defined by the system

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...code1..1CodeableConceptIdentification of the procedure
Binding A code to identify a specific procedure . (http://hl7.org/fhir/ValueSet/procedure-code)
Binding Strength Preferred

....id0..1Idxml:id (or equivalent in JSON)

....coding0..*Code defined by a terminology system
Slice: Ordering: Unordered, Discriminator: system, Rules: Open

....coding (SNOMED CT)0..1CodingCode defined by a terminology system

.....id0..1Idxml:id (or equivalent in JSON)

.....snomedCTDescriptionID0..1ExtensionThe SNOMED CT Description ID for the display
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid

.....system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

.....code1..1CodeSymbol in syntax defined by the system

.....display1..1StringRepresentation defined by the system

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...notPerformed0..1BooleanTrue if procedure was not performed as scheduled
Default Value false

...reasonNotPerformed0..*CodeableConceptReason procedure was not performed
Binding A code that identifies the reason a procedure was not performed. (http://hl7.org/fhir/ValueSet/procedure-not-performed-reason)
Binding Strength Example

....id0..1Idxml:id (or equivalent in JSON)

....coding0..*Code defined by a terminology system
Slice: Ordering: Unordered, Discriminator: system, Rules: Open

....coding (SNOMED CT)0..1CodingCode defined by a terminology system

.....id0..1Idxml:id (or equivalent in JSON)

.....snomedCTDescriptionID0..1ExtensionThe SNOMED CT Description ID for the display
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid

.....system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

.....code1..1CodeSymbol in syntax defined by the system

.....display1..1StringRepresentation defined by the system

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...bodySite0..*CodeableConceptTarget body sites
Binding Codes describing anatomical locations. May include laterality. (http://hl7.org/fhir/ValueSet/body-site)
Binding Strength Example

....id0..1Idxml:id (or equivalent in JSON)

....coding0..*Code defined by a terminology system
Slice: Ordering: Unordered, Discriminator: system, Rules: Open

....coding (SNOMED CT)0..1CodingCode defined by a terminology system

.....id0..1Idxml:id (or equivalent in JSON)

.....snomedCTDescriptionID0..1ExtensionThe SNOMED CT Description ID for the display
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid

.....system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

.....code1..1CodeSymbol in syntax defined by the system

.....display1..1StringRepresentation defined by the system

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...performer0..*BackboneElementThe people who performed the procedure

....id0..1Idxml:id (or equivalent in JSON)

....actor0..1Reference (RelatedPerson | CareConnect-DCH-Organization-1 | CareConnect-DCH-Practitioner-1 | CareConnect-DCH-Baby-Patient-1)The reference to the practitioner

....role0..1CodeableConceptThe role the actor was in
Binding A code that identifies the role of a performer of the procedure. (http://hl7.org/fhir/ValueSet/performer-role)
Binding Strength Example

.....id0..1Idxml:id (or equivalent in JSON)

.....coding0..*Code defined by a terminology system
Slice: Ordering: Unordered, Discriminator: system, Rules: Open

.....coding (SNOMED CT)0..1CodingCode defined by a terminology system

......id0..1Idxml:id (or equivalent in JSON)

......snomedCTDescriptionID0..1ExtensionThe SNOMED CT Description ID for the display
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid

......system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

......code1..1CodeSymbol in syntax defined by the system

......display1..1StringRepresentation defined by the system

......userSelected0..1BooleanIf this coding was chosen directly by the user

.....text0..1StringPlain text representation of the concept

...performed[x]0..1DateTime | PeriodDate/Period the procedure was performed

...encounter1..1Reference (CareConnect-DCH-Birth-Encounter-1)The encounter associated with the procedure

....id0..1Idxml:id (or equivalent in JSON)

....reference1..1StringRelative, internal or absolute URL reference

....display0..1StringText alternative for the resource

...location0..1Reference (CareConnect-DCH-Location-1)Where the procedure happened

....id0..1Idxml:id (or equivalent in JSON)

....reference0..1StringRelative, internal or absolute URL reference

....display0..1StringText alternative for the resource

...outcome0..1CodeableConceptThe result of procedure
Binding An outcome of a procedure - whether it was resolved or otherwise. (http://hl7.org/fhir/ValueSet/procedure-outcome)
Binding Strength Example

....id0..1Idxml:id (or equivalent in JSON)

....coding0..*Code defined by a terminology system
Slice: Ordering: Unordered, Discriminator: system, Rules: Open

....coding (SNOMED CT)0..1CodingCode defined by a terminology system

.....id0..1Idxml:id (or equivalent in JSON)

.....snomedCTDescriptionID0..1ExtensionThe SNOMED CT Description ID for the display
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid

.....system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

.....code1..1CodeSymbol in syntax defined by the system

.....display1..1StringRepresentation defined by the system

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...report0..*Reference (DiagnosticReport)Any report resulting from the procedure

....id0..1Idxml:id (or equivalent in JSON)

....reference0..1StringRelative, internal or absolute URL reference

....display0..1StringText alternative for the resource

...complication0..*CodeableConceptComplication following the procedure
Binding Codes describing complications that resulted from a procedure. (http://hl7.org/fhir/ValueSet/condition-code)
Binding Strength Example

....id0..1Idxml:id (or equivalent in JSON)

....coding0..*Code defined by a terminology system
Slice: Ordering: Unordered, Discriminator: system, Rules: Open

....coding (SNOMED CT)0..1CodingCode defined by a terminology system

.....id0..1Idxml:id (or equivalent in JSON)

.....snomedCTDescriptionID0..1ExtensionThe SNOMED CT Description ID for the display
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid

.....system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

.....code1..1CodeSymbol in syntax defined by the system

.....display1..1StringRepresentation defined by the system

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...followUp0..*CodeableConceptInstructions for follow up
Binding Specific follow up required for a procedure e.g. removal of sutures. (http://hl7.org/fhir/ValueSet/procedure-followup)
Binding Strength Example

....id0..1Idxml:id (or equivalent in JSON)

....coding0..*Code defined by a terminology system
Slice: Ordering: Unordered, Discriminator: system, Rules: Open

....coding (SNOMED CT)0..1CodingCode defined by a terminology system

.....id0..1Idxml:id (or equivalent in JSON)

.....snomedCTDescriptionID0..1ExtensionThe SNOMED CT Description ID for the display
Extension https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid

.....system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

.....code1..1CodeSymbol in syntax defined by the system

.....display1..1StringRepresentation defined by the system

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...request0..1Reference (CarePlan | DiagnosticOrder | ProcedureRequest | ReferralRequest)A request for this procedure

...notes0..*AnnotationAdditional information about the procedure

....id0..1Idxml:id (or equivalent in JSON)

....author[x]0..1RelatedPerson | String | CareConnect-DCH-Practitioner-1 | CareConnect-DCH-Baby-Patient-1Individual responsible for the annotation

....time0..1DateTimeWhen the annotation was made

....text1..1StringThe annotation - text content

...focalDevice0..*BackboneElementDevice changed in procedure

....id0..1Idxml:id (or equivalent in JSON)

....action0..1CodeableConceptKind of change to device
Binding A kind of change that happened to the device during the procedure. (http://hl7.org/fhir/ValueSet/device-action)
Binding Strength Required

.....id0..1Idxml:id (or equivalent in JSON)

.....coding0..*CodingCode defined by a terminology system

......id0..1Idxml:id (or equivalent in JSON)

......system0..1UriIdentity of the terminology system

......version0..1StringVersion of the system - if relevant

......code0..1CodeSymbol in syntax defined by the system

......display0..1StringRepresentation defined by the system

......userSelected0..1BooleanIf this coding was chosen directly by the user

.....text0..1StringPlain text representation of the concept

....manipulated1..1Reference (Device)Device that was changed

.....id0..1Idxml:id (or equivalent in JSON)

.....reference0..1StringRelative, internal or absolute URL reference

.....display0..1StringText alternative for the resource

...used0..*Reference (Device | Substance | CareConnect-DCH-Medication-1)Items used during procedure

Name Type Description & Constraints
. . Extension-CareConnect-DateRecorded-1 Extension This Extension resource is constrained to support the date that an event was recorded.
. . Extension-CareConnect-DCH-ReasonCondition-1 Extension The reason why a resource was added/performed/given. This may be due to a Condition, may be coded entity of some type, or may simply be present as text.
. . Extension-coding-sctdescid Extension This Extension resource is constrained to support SNOMED CT Description ID for the display.
. . Extension-coding-sctdescid Extension This Extension resource is constrained to support SNOMED CT Description ID for the display.
. . Extension-coding-sctdescid Extension This Extension resource is constrained to support SNOMED CT Description ID for the display.
. . Extension-coding-sctdescid Extension This Extension resource is constrained to support SNOMED CT Description ID for the display.
. . Extension-coding-sctdescid Extension This Extension resource is constrained to support SNOMED CT Description ID for the display.
. . Extension-coding-sctdescid Extension This Extension resource is constrained to support SNOMED CT Description ID for the display.
. . Extension-coding-sctdescid Extension This Extension resource is constrained to support SNOMED CT Description ID for the display.
. . Extension-coding-sctdescid Extension This Extension resource is constrained to support SNOMED CT Description ID for the display.
Path Name Binding Strength ValueSet
.Procedure.language language Required http://tools.ietf.org/html/bcp47
.Procedure.identifier.use use Required http://hl7.org/fhir/ValueSet/identifier-use
.Procedure.identifier.type type Extensible http://hl7.org/fhir/ValueSet/identifier-type
.Procedure.status status Required http://hl7.org/fhir/ValueSet/procedure-status
.Procedure.category category Example http://hl7.org/fhir/ValueSet/procedure-category
.Procedure.code code Preferred http://hl7.org/fhir/ValueSet/procedure-code
.Procedure.reasonNotPerformed reasonNotPerformed Example http://hl7.org/fhir/ValueSet/procedure-not-performed-reason
.Procedure.bodySite bodySite Example http://hl7.org/fhir/ValueSet/body-site
.Procedure.performer.role role Example http://hl7.org/fhir/ValueSet/performer-role
.Procedure.outcome outcome Example http://hl7.org/fhir/ValueSet/procedure-outcome
.Procedure.complication complication Example http://hl7.org/fhir/ValueSet/condition-code
.Procedure.followUp followUp Example http://hl7.org/fhir/ValueSet/procedure-followup
.Procedure.focalDevice.action action Required http://hl7.org/fhir/ValueSet/device-action