## Profile Comparison between http://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ips vs http://hl7.eu/fhir/base-r5/StructureDefinition/procedure-eu-core

Left: | Procedure (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ips)
Right: | Procedure (EU core) (http://hl7.eu/fhir/base-r5/StructureDefinition/procedure-eu-core)

### Messages

Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ips' vs 'http://hl7.eu/fhir/base-r5/StructureDefinition/procedure-eu-core'
Information | StructureDefinition.name | Values for name differ: 'ProcedureUvIps' vs 'ProcedureEuCore'
Information | StructureDefinition.title | Values for title differ: 'Procedure (IPS)' vs 'Procedure (EU core)'
Information | StructureDefinition.date | Values for date differ: '2024-06-19T10:50:07-05:00' vs '2026-04-27T22:41:19+03:00'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Patient Care' vs 'HL7 Europe'
Information | StructureDefinition.jurisdiction | Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
Information | StructureDefinition.jurisdiction | Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
Warning | StructureDefinition.fhirVersion | Values for fhirVersion differ: '4.0.1' vs '5.0.0'
Information | StructureDefinition.short | Values for short differ: 'An action that is being or was performed on a patient' vs 'An action that is being or was performed on an individual or entity'
Information | StructureDefinition.definition | Values for definition differ: 'An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like long term services, counseling, or hypnotherapy.' vs 'An action that is or was performed on or for a patient, practitioner, device, organization, or location. For example, this can be a physical intervention on a patient like an operation, or less invasive like long term services, counseling, or hypnotherapy. This can be a quality or safety inspection for a location, organization, or device. This can be an accreditation procedure on a practitioner for licensing.'
Information | StructureDefinition.comment | Values for comment differ: 'The only time that a resource does not have an id is when it is being submitted to the server using a create operation.' vs 'Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.'
Information | StructureDefinition.comment | Values for comment differ: 'Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.' vs 'Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.'
Information | StructureDefinition.short | Values for short differ: 'Language of the resource content' vs 'Language of the procedure'
Information | StructureDefinition.short | Values for short differ: 'Text summary of the resource, for human interpretation' vs 'Textual representation of the procedure'
Information | StructureDefinition.comment | Values for comment differ: 'Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a 'text blob' or where text is additionally entered raw or narrated and encoded information is added later.' vs 'Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a 'text blob' or where text is additionally entered raw or narrated and encoded information is added later.'
Information | StructureDefinition.definition | Values for definition differ: 'These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.' vs 'These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.'
Information | StructureDefinition.comment | Values for comment differ: 'This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.' vs 'This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.'
Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.'
Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).' vs 'May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).'
Information | StructureDefinition.requirements | Values for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).'
Information | StructureDefinition.short | Values for short differ: 'External Identifiers for this procedure' vs 'Identifier for the procedure'
Information | StructureDefinition.comment | Values for comment differ: 'This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and Person resource instances might share the same social insurance number.' vs 'This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R5/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and Person resource instances might share the same social insurance number.'
Information | Procedure.category | Element maximum cardinalities differ: '1' vs '2147483647'
Warning | Procedure.code | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.short | Values for short differ: 'Who the procedure was performed on' vs 'Individual or entity the procedure was performed on'
Information | StructureDefinition.definition | Values for definition differ: 'The person on which the procedure was performed.' vs 'On whom or on what the procedure was performed. This is usually an individual human, but can also be performed on animals, groups of humans or animals, organizations or practitioners (for licensing), locations or devices (for safety inspections or regulatory authorizations). If the actual focus of the procedure is different from the subject, the focus element specifies the actual focus of the procedure.'
Warning | Procedure.subject | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.short | Values for short differ: 'Encounter created as part of' vs 'The Encounter during which this Procedure was created'
Information | StructureDefinition.short | Values for short differ: 'Who recorded the procedure' vs 'The person or organization who recorded the procedure'
Information | StructureDefinition.short | Values for short differ: 'The people who performed the procedure' vs 'Who performed the procedure and what they did'
Information | StructureDefinition.definition | Values for definition differ: 'Limited to 'real' people rather than equipment.' vs 'Indicates who or what performed the procedure and how they were involved.'
Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.'
Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).' vs 'May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).'
Information | StructureDefinition.requirements | Values for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).'
Information | StructureDefinition.short | Values for short differ: 'The reference to the practitioner' vs 'Who performed the procedure'
Information | StructureDefinition.definition | Values for definition differ: 'The practitioner who was involved in the procedure.' vs 'Indicates who or what performed the procedure.'
Error | Procedure.performer.actor | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/Device-observer-uv-ips], CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/Practitioner-uv-ips], CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/PractitionerRole-uv-ips], CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/Organization-uv-ips]]) vs Reference([CanonicalType[http://hl7.eu/fhir/base-r5/StructureDefinition/practitionerRole-eu-core], CanonicalType[http://hl7.eu/fhir/base-r5/StructureDefinition/practitioner-eu-core], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu-core], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.eu/fhir/base-r5/StructureDefinition/organization-eu-core]])
Information | StructureDefinition.definition | Values for definition differ: 'The organization the device or practitioner was acting on behalf of.' vs 'The Organization the Patient, RelatedPerson, Device, CareTeam, and HealthcareService was acting on behalf of.'
Information | StructureDefinition.definition | Values for definition differ: 'Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion.' vs 'Anatomical location which is the focus of the problem.'
Information | StructureDefinition.comment | Values for comment differ: 'If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [procedure-targetbodystructure](http://hl7.org/fhir/R4/extension-procedure-targetbodystructure.html).' vs 'If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure](http://hl7.org/fhir/extensions/StructureDefinition-procedure-targetBodyStructure.html).'
Information | StructureDefinition.short | Values for short differ: 'The result of procedure' vs 'Outcome of the procedure'
Information | StructureDefinition.comment | Values for comment differ: 'If complications are only expressed by the narrative text, they can be captured using the CodeableConcept.text.' vs 'If complications are only expressed by the narrative text, they can be captured using the CodeableReference.concept.text.'
Information | StructureDefinition.short | Values for short differ: 'Additional information about the procedure' vs 'Additional information about the procedure.'
Information | StructureDefinition.short | Values for short differ: 'Manipulated, implanted, or removed device' vs 'Device implanted, removed or otherwise manipulated'
Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.'
Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).' vs 'May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).'
Information | StructureDefinition.requirements | Values for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).'
Information | Procedure.focalDevice.action | Example/preferred bindings differ at Procedure.focalDevice.action using binding from ProcedureUvIps

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Procedure |
copyright |  | Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0). | Added the item 'Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).'
date | 2024-06-19T10:50:07-05:00 | 2026-04-27T22:41:19+03:00 | Values Differ
description | This profile represents the constraints applied to the Procedure resource by the IPS project, which specifies an entry of the History of Procedure for the international patient summary based on the FHIR standard R4. | This profile introduces essential constraints and extensions for the Procedure resource that apply across multiple use cases. | Values Differ
experimental |  |
fhirVersion | 4.0.1 | 5.0.0 | Values Differ
jurisdiction |  |
jurisdiction[0] | http://unstats.un.org/unsd/methods/m49/m49.htm#001 |  | Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
jurisdiction[1] |  | http://unstats.un.org/unsd/methods/m49/m49.htm#150 | Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
kind | resource |
name | ProcedureUvIps | ProcedureEuCore | Values Differ
publisher | HL7 International / Patient Care | HL7 Europe | Values Differ
purpose |  |
status | active |
title | Procedure (IPS) | Procedure (EU core) | Values Differ
type | Procedure |
url | http://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ips | http://hl7.eu/fhir/base-r5/StructureDefinition/procedure-eu-core | Values Differ
version | 2.0.0 |

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Procedure |  | 0..* | Procedure | An action that is being or was performed on a patient |  | 0..* | Procedure | An action that is being or was performed on an individual or entity |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the procedure Binding: ?? (required): IETF language tag for a human language
Additional Bindings | Purpose
?? | Starter
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 |  | 0..1 | Narrative | Textual representation of the procedure This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
contained |  | 0..* | Resource | Contained, inline Resources |  | 0..* | Resource | Contained, inline Resources |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | External Identifiers for this procedure | Σ | 0..* | Identifier | Identifier for the procedure |
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition |
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | Σ | 0..* | uri | Instantiates external protocol or definition |
basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure |
partOf | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | 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: ?? (required): A code specifying the state of the procedure. | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: ?? (required): A code specifying the state of the procedure. |
statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): A code that identifies the reason a procedure was not performed. | Σ | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): A code that identifies the reason a procedure was not performed. |
category | Σ | 0..1 | CodeableConcept | Classification of the procedure Binding: ?? (example): A code that classifies a procedure for searching, sorting and display purposes. | Σ | 0..* | CodeableConcept | Classification of the procedure Binding: ?? (example): A code that classifies a procedure for searching, sorting and display purposes. | Element maximum cardinalities differ: '1' vs '2147483647'
code | SO Σ | 1..1 | ?? | Identification of the procedure Binding: ?? (preferred): SNOMED CT procedure code set or a code for absent/unknown procedure
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: ?? (preferred) | Elements differ in definition for mustSupport: 'true' vs 'false'
subject | SO Σ | 1..1 | Reference(Patient (IPS)) | Who the procedure was performed on
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| Σ | 1..1 | Reference(Patient (EU core)) | Individual or entity the procedure was performed on | Elements differ in definition for mustSupport: 'true' vs 'false'
id |  | 0..1 | string | Unique id for inter-element referencing |  |  |  |  | Removed this element
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  |  |  |  | Removed this element
reference | SO Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
|  |  |  |  | Removed this element
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). |  |  |  |  | Removed this element
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |  |  |  |  | Removed this element
display | Σ | 0..1 | string | Text alternative for the resource |  |  |  |  | Removed this element
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | Σ | 0..1 | Reference(Encounter) | The Encounter during which this Procedure was created |
Slices for performed[x] | SO Σ | 1..1 | dateTime, Period, string, Age, Range | When the procedure was performed Slice: Unordered, Open by type:$this
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
|  |  |  |  | Removed this element
recorder | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | The person or organization who recorded the procedure |
asserter | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure |  |  |  |  | Removed this element
performer | Σ | 0..* | BackboneElement | The people who performed the procedure | Σ C | 0..* | BackboneElement | Who performed the procedure and what they did |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ?? (example): A code that identifies the role of a performer of the procedure. | Σ | 0..1 | CodeableConcept | Type of performance Binding: ?? (example): A code that identifies the role of a performer of the procedure. |
actor | Σ | 1..1 | Reference(Patient (IPS) | RelatedPerson | Device - Performer or Observer (IPS) | Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS)) | The reference to the practitioner | Σ C | 1..1 | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Device | Patient (EU core) | RelatedPerson | Organization (EU core)) | Who performed the procedure | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/Patient-uv-ips], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/Device-observer-uv-ips], CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/Practitioner-uv-ips], CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/PractitionerRole-uv-ips], CanonicalType[http://hl7.org/fhir/uv/ips/StructureDefinition/Organization-uv-ips]]) vs Reference([CanonicalType[http://hl7.eu/fhir/base-r5/StructureDefinition/practitionerRole-eu-core], CanonicalType[http://hl7.eu/fhir/base-r5/StructureDefinition/practitioner-eu-core], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu-core], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.eu/fhir/base-r5/StructureDefinition/organization-eu-core]])
onBehalfOf |  | 0..1 | Reference(Organization (IPS)) | Organization the device or practitioner was acting for | C | 0..1 | Reference(Organization (EU core)) | Organization the device or practitioner was acting for |
period |  |  |  |  |  | 0..1 | Period | When the performer performed the procedure | Added this element
location | Σ | 0..1 | Reference(Location) | Where the procedure happened | Σ | 0..1 | Reference(Location) | Where the procedure happened |
reasonCode | Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ?? (example): A code that identifies the reason a procedure is required. |  |  |  |  | Removed this element
reasonReference | Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed |  |  |  |  | Removed this element
bodySite | Σ | 0..* | CodeableConcept | Target body sites Binding: ?? (preferred) | Σ C | 0..* | CodeableConcept | Target body sites Binding: ?? (preferred) Constraints: eu-bodysite-1 |
id |  |  |  |  |  | 0..1 | id | Unique id for inter-element referencing | Added this element
Slices for extension |  |  |  |  |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | Added this element
coding |  |  |  |  | Σ | 0..* | Coding | Code defined by a terminology system | Added this element
text |  |  |  |  | Σ | 0..1 | string | Plain text representation of the concept | Added this element
outcome | Σ | 0..1 | CodeableConcept | The result of procedure Binding: ?? (example): An outcome of a procedure - whether it was resolved or otherwise. | Σ | 0..1 | CodeableConcept | Outcome of the procedure Binding: ?? (example): An outcome of a procedure - whether it was resolved or otherwise. |
report |  | 0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure |  | 0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure |
complication |  | 0..* | CodeableConcept | Complication following the procedure Binding: ?? (example): Codes describing complications that resulted from a procedure. |  | 0..* | CodeableReference(Condition (EU core)) | Complication following the procedure Binding: ?? (example): Codes describing complications that resulted from a procedure. |
complicationDetail |  | 0..* | Reference(Condition) | A condition that is a result of the procedure |  |  |  |  | Removed this element
followUp |  | 0..* | CodeableConcept | Instructions for follow up Binding: ?? (example): Specific follow up required for a procedure e.g. removal of sutures. |  | 0..* | CodeableConcept | Instructions for follow up Binding: ?? (example): Specific follow up required for a procedure e.g. removal of sutures. |
note |  | 0..* | Annotation | Additional information about the procedure |  | 0..* | Annotation | Additional information about the procedure. |
focalDevice |  | 0..* | BackboneElement | Manipulated, implanted, or removed device |  | 0..* | BackboneElement | Device implanted, removed or otherwise manipulated |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
action |  | 0..1 | CodeableConcept | Kind of change to device Binding: ?? (preferred): A kind of change that happened to the device during the procedure. |  | 0..1 | CodeableConcept | Kind of change to device Binding: ?? (preferred): A kind of change that happened to the device during the procedure. | Example/preferred bindings differ at Procedure.focalDevice.action using binding from ProcedureUvIps
manipulated |  | 1..1 | Reference(Device) | Device that was changed |  | 1..1 | Reference(Device) | Device that was changed |
usedReference |  | 0..* | Reference(Device | Medication | Substance) | Items used during procedure |  |  |  |  | Removed this element
usedCode |  | 0..* | CodeableConcept | Coded items used during the procedure Binding: ?? (example): Codes describing items used during a procedure. |  |  |  |  | Removed this element
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 | Added this element
occurrence[x] |  |  |  |  | Σ | 1..1 | dateTime, Period, string, Age, Range, Timing | When the procedure occurred or is occurring | Added this element
recorded |  |  |  |  | Σ | 0..1 | dateTime | Date when the procedure was recorded | Added this element
Slices for reported[x] |  |  |  |  | Σ | 0..1 | boolean, Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Reported rather than primary record Slice: Unordered, Open by type:$this | Added this element
reason |  |  |  |  | Σ | 0..* | CodeableReference(Condition (EU core) | Observation | Procedure (EU core) | DiagnosticReport | DocumentReference) | Why the procedure was performed Binding: ?? (example): A code that identifies the reason a procedure is required. | Added this element
used |  |  |  |  |  | 0..* | CodeableReference(Device | Medication (EU core) | Substance | BiologicallyDerivedProduct) | Device used to perform the procedure Binding: ?? (example): Codes describing items used during a procedure. | Added this element
supportingInfo |  |  |  |  |  | 0..* | Reference(Resource) | Extra information relevant to the procedure | Added this element
Documentation for this format