## Profile Comparison between http://hl7.eu/fhir/eps/StructureDefinition/procedure-eu-eps vs http://hl7.eu/fhir/eps/StructureDefinition/procedure-eu-eps

Left: | Procedure (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/procedure-eu-eps)
Right: | Procedure (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/procedure-eu-eps)

### Messages

Error | StructureDefinition.version | Values for version differ: '1.0.0-alpha' vs '1.0.0-ballot'
Information | StructureDefinition.date | Values for date differ: '2026-02-24T12:25:03+01:00' vs '2026-06-06T08:56:20+02:00'
Information | StructureDefinition.copyright | Values for copyright differ: 'Used by permission of HL7 Europe, all rights reserved Creative Commons License' vs 'Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).'
Information | StructureDefinition.short | Values for short differ: 'Textual representation of the procedur' vs 'Textual representation of the procedure'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core |
copyright | Used by permission of HL7 Europe, all rights reserved Creative Commons License | Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0). | Values Differ
date | 2026-02-24T12:25:03+01:00 | 2026-06-06T08:56:20+02:00 | Values Differ
description | This profile represents the constraints applied to the Procedure resource by this guide. | This profile constrains the Procedure resource in the scope of the European Patient Summary. | Values Differ
experimental |  |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | http://unstats.un.org/unsd/methods/m49/m49.htm#150 |
kind | resource |
name | ProcedureEuEps |
publisher | HL7 Europe |
purpose |  |
status | draft |
title | Procedure (EPS) |
type | Procedure |
url | http://hl7.eu/fhir/eps/StructureDefinition/procedure-eu-eps |
version | 1.0.0-alpha | 1.0.0-ballot | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Procedure |  | 0..* | ProcedureEuCore | An action that is being or was performed on a patient This profile also imposes the profile Procedure (IPS) |  | 0..* | ProcedureEuCore | An action that is being or was performed on a patient This profile also imposes the profile Procedure (IPS) |
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 procedure Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the procedure Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
text |  | 0..1 | Narrative | Textual representation of the procedur 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 |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | Identifier for the 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 | The status of the procedure Binding: ?? (required): A code specifying the state of the procedure. | ?!Σ | 1..1 | code | The status of the procedure 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..1 | CodeableConcept | Classification of the procedure Binding: ?? (example): A code that classifies a procedure for searching, sorting and display purposes. |
code | O Σ | 1..1 | ?? | Identification of the procedure Binding: ?? (preferred)
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| O Σ | 1..1 | ?? | Identification of the procedure Binding: ?? (preferred)
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
subject | O Σ | 1..1 | Reference(Patient (EU core)) | Who the procedure was performed on
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| O Σ | 1..1 | Reference(Patient (EU core)) | Who the procedure was performed on
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
reference | O Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
| O Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
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). | 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). |
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
display | Σ | 0..1 | string | Text alternative for the resource | Σ | 0..1 | string | Text alternative for the resource |
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | Σ | 0..1 | Reference(Encounter) | Encounter created as part of |
Slices for performed[x] | O Σ | 1..1 | dateTime, Period, string, Age, Range | When the procedure was performed Slice: Unordered, Open by type:$this
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| O Σ | 1..1 | dateTime, Period, string, Age, Range | When the procedure was performed Slice: Unordered, Open by type:$this
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
recorder | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | The person or organization 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) | The person or organization who asserts the procedure | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | The person or organization who asserts the procedure |
performer | Σ | 0..* | BackboneElement | The people who performed the procedure | Σ | 0..* | BackboneElement | The people who performed the procedure |
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(PractitionerRole (EU core) | Practitioner (EU core) | Device - Performer or Observer (IPS) | Patient (EPS) | RelatedPerson | Organization (EU core)) | The reference to the practitioner | Σ | 1..1 | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Device - Performer or Observer (IPS) | Patient (EPS) | RelatedPerson | Organization (EU core)) | The reference to the practitioner |
onBehalfOf |  | 0..1 | Reference(Organization (EU core)) | Organization the device or practitioner was acting for |  | 0..1 | Reference(Organization (EU core)) | Organization the device or practitioner was acting for |
location | Σ | 0..1 | Reference(Location) | Where the procedure happened | Σ | 0..1 | Reference(Location) | Where the procedure happened |
reasonCode | Σ | 0..* | CodeableConcept | Why the procedure was performed (code) Binding: ?? (example): A code that identifies the reason a procedure is required. | Σ | 0..* | CodeableConcept | Why the procedure was performed (code) Binding: ?? (example): A code that identifies the reason a procedure is required. |
reasonReference | Σ | 0..* | Reference(Condition (EU core) | Observation | Procedure (EPS) | DiagnosticReport (EU core) | DocumentReference) | Why the procedure was performed (details) | Σ | 0..* | Reference(Condition (EU core) | Observation | Procedure (EPS) | DiagnosticReport (EU core) | DocumentReference) | Why the procedure was performed (details) |
bodySite | Σ | 0..* | CodeableConcept | Target body sites Binding: ?? (preferred) | Σ C | 0..* | CodeableConcept | Target body sites Binding: ?? (preferred) |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
coding | Σ | 0..* | Coding | Code defined by a terminology system | Σ | 0..* | Coding | Code defined by a terminology system |
text | Σ | 0..1 | string | Plain text representation of the concept | Σ | 0..1 | string | Plain text representation of the concept |
outcome | Σ | 0..1 | CodeableConcept | Outcome of the 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 | Complications that occurred during the procedure (code) Binding: ?? (example): Codes describing complications that resulted from a procedure. |  | 0..* | CodeableConcept | Complications that occurred during the procedure (code) Binding: ?? (example): Codes describing complications that resulted from a procedure. |
complicationDetail |  | 0..* | Reference(Condition (EU core)) | Complications that occurred during the procedure (details) |  | 0..* | Reference(Condition (EU core)) | Complications that occurred during the procedure (details) |
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 | Device implanted, removed or otherwise manipulated |  | 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. |
manipulated |  | 1..1 | Reference(Device) | Device that was changed |  | 1..1 | Reference(Device) | Device that was changed |
usedReference |  | 0..* | Reference(Device | Medication (EU core) | Substance) | Items used during procedure |  | 0..* | Reference(Device | Medication (EU core) | Substance) | Items used during procedure |
usedCode |  | 0..* | CodeableConcept | Device used to perform the procedure (code) Binding: ?? (example): Codes describing items used during a procedure. |  | 0..* | CodeableConcept | Device used to perform the procedure (code) Binding: ?? (example): Codes describing items used during a procedure. |
Documentation for this format