Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	ProcedureEu	An action that is being or was performed on an individual or entity dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure. ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	CodeableConcept	Identification of the procedure Binding: Imaging Procedure Type (extensible) ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(Patient (EU base))	Individual or entity the procedure was performed on ele-1: All FHIR elements must have a @value or children
Slices for performer	ΣC	0..*	BackboneElement	Who performed the procedure and what they did Slice: Unordered, Open by value:function ele-1: All FHIR elements must have a @value or children prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole
performer:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
function	Σ	1..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. ele-1: All FHIR elements must have a @value or children
actor	ΣC	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService)	Who performed the procedure ele-1: All FHIR elements must have a @value or children
performer:performer	ΣC	0..*	BackboneElement	Who performed the procedure and what they did ele-1: All FHIR elements must have a @value or children prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
function	Σ	1..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. ele-1: All FHIR elements must have a @value or children
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:""$this"" ele-1: All FHIR elements must have a @value or children
coding:healthcare-professional	Σ	0..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 223366009
display		1..1	string	Representation defined by the system Fixed Value: Healthcare professional
actor	ΣC	1..1	Reference(PractitionerRole (EU base))	Who performed the procedure ele-1: All FHIR elements must have a @value or children
performer:imaging-device	ΣC	0..*	BackboneElement	Who performed the procedure and what they did ele-1: All FHIR elements must have a @value or children prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
function	Σ	1..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. ele-1: All FHIR elements must have a @value or children
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:""$this"" ele-1: All FHIR elements must have a @value or children
coding:imaging-equipment	Σ	0..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 314789007
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging equipment
actor	ΣC	1..1	Reference(Im Imaging Device)	Who performed the procedure ele-1: All FHIR elements must have a @value or children
Slices for used		0..*	CodeableReference(Device | Medication | Substance | BiologicallyDerivedProduct)	Items used during procedure Slice: Unordered, Open by type:concept Binding: DeviceType (example): Codes describing items used during a procedure. ele-1: All FHIR elements must have a @value or children
used:device		0..1	CodeableReference(Device)	Items used during procedure Binding: DeviceType (example): Codes describing items used during a procedure. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|5.0.0 from the FHIR Standard
Procedure.code	extensible	ImProcedureType http://hl7.eu/fhir/imaging-r5/ValueSet/im-procedure-type from this IG
Procedure.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.performer:performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.performer:imaging-device.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.used	example	DeviceType http://hl7.org/fhir/ValueSet/device-type from the FHIR Standard
Procedure.used:device	example	DeviceType http://hl7.org/fhir/ValueSet/device-type from the FHIR Standard

Constraints

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
prc-1	error	Procedure.performer, Procedure.performer:performer, Procedure.performer:imaging-device	Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole : onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()

Name	Flags	Card.	Type	Description & Constraints
Procedure			ProcedureEu
code		1..1	CodeableConcept	Identification of the procedure Binding: Imaging Procedure Type (extensible)
Slices for performer		0..*	BackboneElement	Who performed the procedure and what they did Slice: Unordered, Open by value:function
performer:All Slices				Content/Rules for all slices
function		1..1	CodeableConcept	Type of performance
performer:performer		0..*	BackboneElement	Who performed the procedure and what they did
function
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:""$this""
coding:healthcare-professional		0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 223366009
display		1..1	string	Representation defined by the system Fixed Value: Healthcare professional
actor		1..1	Reference(PractitionerRole (EU base))	Who performed the procedure
performer:imaging-device		0..*	BackboneElement	Who performed the procedure and what they did
function
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:""$this""
coding:imaging-equipment		0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 314789007
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging equipment
actor		1..1	Reference(Im Imaging Device)	Who performed the procedure
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.code	extensible	ImProcedureType http://hl7.eu/fhir/imaging-r5/ValueSet/im-procedure-type from this IG

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	ProcedureEu	An action that is being or was performed on an individual or entity
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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
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	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifiers for this procedure
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure
partOf	Σ	0..*	Reference(Procedure | Observation | MedicationAdministration)	Part of referenced event
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: ProcedureNotPerformedReasonSNOMEDCT (example): A code that identifies the reason a procedure was not performed.
category	Σ	0..*	CodeableConcept	Classification of the procedure Binding: ProcedureCategoryCodesSNOMEDCT (example): A code that classifies a procedure for searching, sorting and display purposes.
code	Σ	1..1	CodeableConcept	Identification of the procedure Binding: Imaging Procedure Type (extensible)
subject	Σ	1..1	Reference(Patient (EU base))	Individual or entity the procedure was performed on
focus	Σ	0..1	Reference(Patient | Group | RelatedPerson | Practitioner | Organization | CareTeam | PractitionerRole | Specimen)	Who is the target of the procedure when it is not the subject of record only
encounter	Σ	0..1	Reference(Encounter)	The Encounter during which this Procedure was created
occurrence[x]	Σ	0..1		When the procedure occurred or is occurring
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceString			string
occurrenceAge			Age
occurrenceRange			Range
occurrenceTiming			Timing
recorded	Σ	0..1	dateTime	When the procedure was first captured in the subject's record
recorder	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Who recorded the procedure
reported[x]	Σ	0..1		Reported rather than primary record
reportedBoolean			boolean
reportedReference			Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)
Slices for performer	ΣC	0..*	BackboneElement	Who performed the procedure and what they did Slice: Unordered, Open by value:function prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole
performer:All Slices				Content/Rules for all slices
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	1..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
actor	ΣC	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService)	Who performed the procedure
onBehalfOf	C	0..1	Reference(Organization)	Organization the device or practitioner was acting for
period		0..1	Period	When the performer performed the procedure
performer:performer	ΣC	0..*	BackboneElement	Who performed the procedure and what they did prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole
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	1..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
id		0..1	id	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:""$this""
coding:healthcare-professional	Σ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 223366009
display		1..1	string	Representation defined by the system Fixed Value: Healthcare professional
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
actor	ΣC	1..1	Reference(PractitionerRole (EU base))	Who performed the procedure
onBehalfOf	C	0..1	Reference(Organization)	Organization the device or practitioner was acting for
period		0..1	Period	When the performer performed the procedure
performer:imaging-device	ΣC	0..*	BackboneElement	Who performed the procedure and what they did prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	1..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:""$this""
coding:imaging-equipment	Σ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 314789007
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging equipment
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
actor	ΣC	1..1	Reference(Im Imaging Device)	Who performed the procedure
onBehalfOf	C	0..1	Reference(Organization)	Organization the device or practitioner was acting for
period		0..1	Period	When the performer performed the procedure
location	Σ	0..1	Reference(Location)	Where the procedure happened
reason	Σ	0..*	CodeableReference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:bodyStructure		0..1	Reference(BodyStructure)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: ProcedureOutcomeCodesSNOMEDCT (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..*	CodeableReference(Condition)	Complication following the procedure Binding: ConditionProblemDiagnosisCodes (example): Codes describing complications that resulted from a procedure.
followUp		0..*	CodeableConcept	Instructions for follow up Binding: ProcedureFollowUpCodesSNOMEDCT (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
Slices for used		0..*	CodeableReference(Device | Medication | Substance | BiologicallyDerivedProduct)	Items used during procedure Slice: Unordered, Open by type:concept Binding: DeviceType (example): Codes describing items used during a procedure.
used:device		0..1	CodeableReference(Device)	Items used during procedure Binding: DeviceType (example): Codes describing items used during a procedure.
supportingInfo		0..*	Reference(Resource)	Extra information relevant to the procedure
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|5.0.0 from the FHIR Standard
Procedure.statusReason	example	ProcedureNotPerformedReasonSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-not-performed-reason from the FHIR Standard
Procedure.category	example	ProcedureCategoryCodesSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-category from the FHIR Standard
Procedure.code	extensible	ImProcedureType http://hl7.eu/fhir/imaging-r5/ValueSet/im-procedure-type from this IG
Procedure.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.performer:performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.performer:imaging-device.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.reason	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
Procedure.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Procedure.outcome	example	ProcedureOutcomeCodesSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-outcome from the FHIR Standard
Procedure.complication	example	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Procedure.followUp	example	ProcedureFollowUpCodesSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-followup from the FHIR Standard
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action from the FHIR Standard
Procedure.used	example	DeviceType http://hl7.org/fhir/ValueSet/device-type from the FHIR Standard
Procedure.used:device	example	DeviceType http://hl7.org/fhir/ValueSet/device-type from the FHIR Standard

Constraints

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
prc-1	error	Procedure.performer, Procedure.performer:performer, Procedure.performer:imaging-device	Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole : onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()

Summary

Mandatory: 1 element(1 nested mandatory element)

Structures

This structure refers to these other structures:

• PractitionerRole (EU base) (http://hl7.eu/fhir/base-r5/StructureDefinition/practitionerRole-eu)
• Im Imaging Device (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImImagingDevice)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Procedure.performer
• The element 1 is sliced based on the value of Procedure.performer.function.coding

Maturity: 1

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	ProcedureEu	An action that is being or was performed on an individual or entity dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure. ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	CodeableConcept	Identification of the procedure Binding: Imaging Procedure Type (extensible) ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(Patient (EU base))	Individual or entity the procedure was performed on ele-1: All FHIR elements must have a @value or children
Slices for performer	ΣC	0..*	BackboneElement	Who performed the procedure and what they did Slice: Unordered, Open by value:function ele-1: All FHIR elements must have a @value or children prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole
performer:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
function	Σ	1..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. ele-1: All FHIR elements must have a @value or children
actor	ΣC	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService)	Who performed the procedure ele-1: All FHIR elements must have a @value or children
performer:performer	ΣC	0..*	BackboneElement	Who performed the procedure and what they did ele-1: All FHIR elements must have a @value or children prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
function	Σ	1..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. ele-1: All FHIR elements must have a @value or children
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:""$this"" ele-1: All FHIR elements must have a @value or children
coding:healthcare-professional	Σ	0..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 223366009
display		1..1	string	Representation defined by the system Fixed Value: Healthcare professional
actor	ΣC	1..1	Reference(PractitionerRole (EU base))	Who performed the procedure ele-1: All FHIR elements must have a @value or children
performer:imaging-device	ΣC	0..*	BackboneElement	Who performed the procedure and what they did ele-1: All FHIR elements must have a @value or children prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
function	Σ	1..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. ele-1: All FHIR elements must have a @value or children
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:""$this"" ele-1: All FHIR elements must have a @value or children
coding:imaging-equipment	Σ	0..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 314789007
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging equipment
actor	ΣC	1..1	Reference(Im Imaging Device)	Who performed the procedure ele-1: All FHIR elements must have a @value or children
Slices for used		0..*	CodeableReference(Device | Medication | Substance | BiologicallyDerivedProduct)	Items used during procedure Slice: Unordered, Open by type:concept Binding: DeviceType (example): Codes describing items used during a procedure. ele-1: All FHIR elements must have a @value or children
used:device		0..1	CodeableReference(Device)	Items used during procedure Binding: DeviceType (example): Codes describing items used during a procedure. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|5.0.0 from the FHIR Standard
Procedure.code	extensible	ImProcedureType http://hl7.eu/fhir/imaging-r5/ValueSet/im-procedure-type from this IG
Procedure.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.performer:performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.performer:imaging-device.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.used	example	DeviceType http://hl7.org/fhir/ValueSet/device-type from the FHIR Standard
Procedure.used:device	example	DeviceType http://hl7.org/fhir/ValueSet/device-type from the FHIR Standard

Constraints

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
prc-1	error	Procedure.performer, Procedure.performer:performer, Procedure.performer:imaging-device	Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole : onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()

Name	Flags	Card.	Type	Description & Constraints
Procedure			ProcedureEu
code		1..1	CodeableConcept	Identification of the procedure Binding: Imaging Procedure Type (extensible)
Slices for performer		0..*	BackboneElement	Who performed the procedure and what they did Slice: Unordered, Open by value:function
performer:All Slices				Content/Rules for all slices
function		1..1	CodeableConcept	Type of performance
performer:performer		0..*	BackboneElement	Who performed the procedure and what they did
function
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:""$this""
coding:healthcare-professional		0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 223366009
display		1..1	string	Representation defined by the system Fixed Value: Healthcare professional
actor		1..1	Reference(PractitionerRole (EU base))	Who performed the procedure
performer:imaging-device		0..*	BackboneElement	Who performed the procedure and what they did
function
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:""$this""
coding:imaging-equipment		0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 314789007
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging equipment
actor		1..1	Reference(Im Imaging Device)	Who performed the procedure
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.code	extensible	ImProcedureType http://hl7.eu/fhir/imaging-r5/ValueSet/im-procedure-type from this IG

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	ProcedureEu	An action that is being or was performed on an individual or entity
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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
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	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifiers for this procedure
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure
partOf	Σ	0..*	Reference(Procedure | Observation | MedicationAdministration)	Part of referenced event
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: ProcedureNotPerformedReasonSNOMEDCT (example): A code that identifies the reason a procedure was not performed.
category	Σ	0..*	CodeableConcept	Classification of the procedure Binding: ProcedureCategoryCodesSNOMEDCT (example): A code that classifies a procedure for searching, sorting and display purposes.
code	Σ	1..1	CodeableConcept	Identification of the procedure Binding: Imaging Procedure Type (extensible)
subject	Σ	1..1	Reference(Patient (EU base))	Individual or entity the procedure was performed on
focus	Σ	0..1	Reference(Patient | Group | RelatedPerson | Practitioner | Organization | CareTeam | PractitionerRole | Specimen)	Who is the target of the procedure when it is not the subject of record only
encounter	Σ	0..1	Reference(Encounter)	The Encounter during which this Procedure was created
occurrence[x]	Σ	0..1		When the procedure occurred or is occurring
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceString			string
occurrenceAge			Age
occurrenceRange			Range
occurrenceTiming			Timing
recorded	Σ	0..1	dateTime	When the procedure was first captured in the subject's record
recorder	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Who recorded the procedure
reported[x]	Σ	0..1		Reported rather than primary record
reportedBoolean			boolean
reportedReference			Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)
Slices for performer	ΣC	0..*	BackboneElement	Who performed the procedure and what they did Slice: Unordered, Open by value:function prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole
performer:All Slices				Content/Rules for all slices
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	1..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
actor	ΣC	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService)	Who performed the procedure
onBehalfOf	C	0..1	Reference(Organization)	Organization the device or practitioner was acting for
period		0..1	Period	When the performer performed the procedure
performer:performer	ΣC	0..*	BackboneElement	Who performed the procedure and what they did prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole
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	1..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
id		0..1	id	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:""$this""
coding:healthcare-professional	Σ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 223366009
display		1..1	string	Representation defined by the system Fixed Value: Healthcare professional
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
actor	ΣC	1..1	Reference(PractitionerRole (EU base))	Who performed the procedure
onBehalfOf	C	0..1	Reference(Organization)	Organization the device or practitioner was acting for
period		0..1	Period	When the performer performed the procedure
performer:imaging-device	ΣC	0..*	BackboneElement	Who performed the procedure and what they did prc-1: Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	1..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:""$this""
coding:imaging-equipment	Σ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 314789007
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging equipment
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
actor	ΣC	1..1	Reference(Im Imaging Device)	Who performed the procedure
onBehalfOf	C	0..1	Reference(Organization)	Organization the device or practitioner was acting for
period		0..1	Period	When the performer performed the procedure
location	Σ	0..1	Reference(Location)	Where the procedure happened
reason	Σ	0..*	CodeableReference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:bodyStructure		0..1	Reference(BodyStructure)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: ProcedureOutcomeCodesSNOMEDCT (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..*	CodeableReference(Condition)	Complication following the procedure Binding: ConditionProblemDiagnosisCodes (example): Codes describing complications that resulted from a procedure.
followUp		0..*	CodeableConcept	Instructions for follow up Binding: ProcedureFollowUpCodesSNOMEDCT (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
Slices for used		0..*	CodeableReference(Device | Medication | Substance | BiologicallyDerivedProduct)	Items used during procedure Slice: Unordered, Open by type:concept Binding: DeviceType (example): Codes describing items used during a procedure.
used:device		0..1	CodeableReference(Device)	Items used during procedure Binding: DeviceType (example): Codes describing items used during a procedure.
supportingInfo		0..*	Reference(Resource)	Extra information relevant to the procedure
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|5.0.0 from the FHIR Standard
Procedure.statusReason	example	ProcedureNotPerformedReasonSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-not-performed-reason from the FHIR Standard
Procedure.category	example	ProcedureCategoryCodesSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-category from the FHIR Standard
Procedure.code	extensible	ImProcedureType http://hl7.eu/fhir/imaging-r5/ValueSet/im-procedure-type from this IG
Procedure.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.performer:performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.performer:imaging-device.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.reason	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
Procedure.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Procedure.outcome	example	ProcedureOutcomeCodesSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-outcome from the FHIR Standard
Procedure.complication	example	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Procedure.followUp	example	ProcedureFollowUpCodesSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-followup from the FHIR Standard
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action from the FHIR Standard
Procedure.used	example	DeviceType http://hl7.org/fhir/ValueSet/device-type from the FHIR Standard
Procedure.used:device	example	DeviceType http://hl7.org/fhir/ValueSet/device-type from the FHIR Standard

Constraints

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
prc-1	error	Procedure.performer, Procedure.performer:performer, Procedure.performer:imaging-device	Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole : onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()

Summary

Mandatory: 1 element(1 nested mandatory element)

Structures

This structure refers to these other structures:

• PractitionerRole (EU base) (http://hl7.eu/fhir/base-r5/StructureDefinition/practitionerRole-eu)
• Im Imaging Device (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImImagingDevice)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Procedure.performer
• The element 1 is sliced based on the value of Procedure.performer.function.coding

Maturity: 1