SE.SOCIALSTYRELSEN.NIM\ÅtgärdVerksamhetsstöd

Nationella informationsmängder - Local Development build (v0.1). See the Directory of published versions

Resource Profile: ÅtgärdVerksamhetsstöd

Defining URL:

https://informationsstruktur.socialstyrelsen.se/nim/hos/fhir/StructureDefinition/NIMClinicalProcedure

Version:

0.1

Name:

NIMClinicalProcedure

Title:

ÅtgärdVerksamhetsstöd

Status:

Active as of 2021-03-30T19:36:18+02:00

Definition:

Publisher:

Socialstyrelsen

Source Resource:

XML / JSON / Turtle

The official URL for this profile is:

https://informationsstruktur.socialstyrelsen.se/nim/hos/fhir/StructureDefinition/NIMClinicalProcedure

Formal Views of Profile Content

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

Text Summary
Differential Table
Snapshot Table
Snapshot Table (Must Support)
All

This structure is derived from NIMMinimalProcedure

Summary

Must-Support: 5 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

The element Procedure.performed[x] is sliced based on the value of type:$this

This structure is derived from NIMMinimalProcedure

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	NIMMinimalProcedure	An action that is being or was performed on a patient
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
nim-procedure-body-position	S	0..1	Coding	Kod från urval kroppsställning URL: https://informationsstruktur.socialstyrelsen.se/nim/hos/fhir/StructureDefinition/nim-procedure-body-position Binding: KropsställningUrval. (required)
nim-procedure-duration	S	0..1	Duration	Angivelse av hastighet för en viss aktivitet URL: https://informationsstruktur.socialstyrelsen.se/nim/hos/fhir/StructureDefinition/nim-procedure-duration
performed[x]		0..1	(Slice Definition)	When the procedure was performed Slice: Unordered, Open by type:$this
performedPeriod	S	0..1	Period	When the procedure was performed
bodySite	S	0..*	CodeableConcept	Target body sites
note	S	0..*	Annotation	Additional information about the procedure
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	NIMMinimalProcedure	An action that is being or was performed on a patient
id	Σ	0..1	string	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: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
nim-procedure-body-position	S	0..1	Coding	Kod från urval kroppsställning URL: https://informationsstruktur.socialstyrelsen.se/nim/hos/fhir/StructureDefinition/nim-procedure-body-position Binding: KropsställningUrval. (required)
nim-procedure-duration	S	0..1	Duration	Angivelse av hastighet för en viss aktivitet URL: https://informationsstruktur.socialstyrelsen.se/nim/hos/fhir/StructureDefinition/nim-procedure-duration
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifiers for this procedure
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition \| ActivityDefinition \| Measure \| OperationDefinition \| Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan \| ServiceRequest)	A request for this procedure
partOf	Σ	0..*	Reference(Procedure \| Observation \| MedicationAdministration)	Part of referenced event
status	?!SΣ	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: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category	Σ	0..1	CodeableConcept	Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
code	SΣ	0..1	CodeableConcept	Identification of the procedure Binding: Åtgärdskodverk. (preferred)
subject	SΣ	1..1	Reference(Patient \| Group)	Who the procedure was performed on
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
performed[x]	Σ	0..1	(Slice Definition)	When the procedure was performed Slice: Unordered, Closed by type:$this
performed[x]:performedPeriod	SΣ	0..1	Period	When the procedure was performed
recorder	Σ	0..1	Reference(Patient \| RelatedPerson \| Practitioner \| PractitionerRole)	Who recorded the procedure
asserter	Σ	0..1	Reference(Patient \| RelatedPerson \| Practitioner \| PractitionerRole)	Person who asserts this procedure
performer	Σ	0..*	BackboneElement	The people who performed the procedure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
actor	Σ	1..1	Reference(Practitioner \| PractitionerRole \| Organization \| Patient \| RelatedPerson \| Device)	The reference to the practitioner
onBehalfOf		0..1	Reference(Organization)	Organization the device or practitioner was acting for
location	Σ	0..1	Reference(Location)	Where the procedure happened
reasonCode	Σ	0..*	CodeableConcept	Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
reasonReference	Σ	0..*	Reference(Condition \| Observation \| Procedure \| DiagnosticReport \| DocumentReference)	The justification that the procedure was performed
bodySite	SΣ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
report		0..*	Reference(DiagnosticReport \| DocumentReference \| Composition)	Any report resulting from the procedure
complication		0..*	CodeableConcept	Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
complicationDetail		0..*	Reference(Condition)	A condition that is a result of the procedure
followUp		0..*	CodeableConcept	Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
note	S	0..*	Annotation	Additional information about the procedure
focalDevice		0..*	BackboneElement	Manipulated, implanted, or removed device
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action		0..1	CodeableConcept	Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
manipulated		1..1	Reference(Device)	Device that was changed
usedReference		0..*	Reference(Device \| Medication \| Substance)	Items used during procedure
usedCode		0..*	CodeableConcept	Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	NIMMinimalProcedure	An action that is being or was performed on a patient
nim-procedure-body-position		0..1	Coding	Kod från urval kroppsställning URL: https://informationsstruktur.socialstyrelsen.se/nim/hos/fhir/StructureDefinition/nim-procedure-body-position Binding: KropsställningUrval. (required)
nim-procedure-duration		0..1	Duration	Angivelse av hastighet för en viss aktivitet URL: https://informationsstruktur.socialstyrelsen.se/nim/hos/fhir/StructureDefinition/nim-procedure-duration
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.
code	Σ	0..1	CodeableConcept	Identification of the procedure Binding: Åtgärdskodverk. (preferred)
subject	Σ	1..1	Reference(Patient \| Group)	Who the procedure was performed on
performed[x]:performedPeriod	Σ	0..1	Period	When the procedure was performed
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note		0..*	Annotation	Additional information about the procedure
Documentation for this format

This structure is derived from NIMMinimalProcedure

Summary

Must-Support: 5 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

The element Procedure.performed[x] is sliced based on the value of type:$this

Differential View

This structure is derived from NIMMinimalProcedure

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	NIMMinimalProcedure	An action that is being or was performed on a patient
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
nim-procedure-body-position	S	0..1	Coding	Kod från urval kroppsställning URL: https://informationsstruktur.socialstyrelsen.se/nim/hos/fhir/StructureDefinition/nim-procedure-body-position Binding: KropsställningUrval. (required)
nim-procedure-duration	S	0..1	Duration	Angivelse av hastighet för en viss aktivitet URL: https://informationsstruktur.socialstyrelsen.se/nim/hos/fhir/StructureDefinition/nim-procedure-duration
performed[x]		0..1	(Slice Definition)	When the procedure was performed Slice: Unordered, Open by type:$this
performedPeriod	S	0..1	Period	When the procedure was performed
bodySite	S	0..*	CodeableConcept	Target body sites
note	S	0..*	Annotation	Additional information about the procedure
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	NIMMinimalProcedure	An action that is being or was performed on a patient
id	Σ	0..1	string	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: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
nim-procedure-body-position	S	0..1	Coding	Kod från urval kroppsställning URL: https://informationsstruktur.socialstyrelsen.se/nim/hos/fhir/StructureDefinition/nim-procedure-body-position Binding: KropsställningUrval. (required)
nim-procedure-duration	S	0..1	Duration	Angivelse av hastighet för en viss aktivitet URL: https://informationsstruktur.socialstyrelsen.se/nim/hos/fhir/StructureDefinition/nim-procedure-duration
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifiers for this procedure
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition \| ActivityDefinition \| Measure \| OperationDefinition \| Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan \| ServiceRequest)	A request for this procedure
partOf	Σ	0..*	Reference(Procedure \| Observation \| MedicationAdministration)	Part of referenced event
status	?!SΣ	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: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category	Σ	0..1	CodeableConcept	Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
code	SΣ	0..1	CodeableConcept	Identification of the procedure Binding: Åtgärdskodverk. (preferred)
subject	SΣ	1..1	Reference(Patient \| Group)	Who the procedure was performed on
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
performed[x]	Σ	0..1	(Slice Definition)	When the procedure was performed Slice: Unordered, Closed by type:$this
performed[x]:performedPeriod	SΣ	0..1	Period	When the procedure was performed
recorder	Σ	0..1	Reference(Patient \| RelatedPerson \| Practitioner \| PractitionerRole)	Who recorded the procedure
asserter	Σ	0..1	Reference(Patient \| RelatedPerson \| Practitioner \| PractitionerRole)	Person who asserts this procedure
performer	Σ	0..*	BackboneElement	The people who performed the procedure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
actor	Σ	1..1	Reference(Practitioner \| PractitionerRole \| Organization \| Patient \| RelatedPerson \| Device)	The reference to the practitioner
onBehalfOf		0..1	Reference(Organization)	Organization the device or practitioner was acting for
location	Σ	0..1	Reference(Location)	Where the procedure happened
reasonCode	Σ	0..*	CodeableConcept	Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
reasonReference	Σ	0..*	Reference(Condition \| Observation \| Procedure \| DiagnosticReport \| DocumentReference)	The justification that the procedure was performed
bodySite	SΣ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
report		0..*	Reference(DiagnosticReport \| DocumentReference \| Composition)	Any report resulting from the procedure
complication		0..*	CodeableConcept	Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
complicationDetail		0..*	Reference(Condition)	A condition that is a result of the procedure
followUp		0..*	CodeableConcept	Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
note	S	0..*	Annotation	Additional information about the procedure
focalDevice		0..*	BackboneElement	Manipulated, implanted, or removed device
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action		0..1	CodeableConcept	Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
manipulated		1..1	Reference(Device)	Device that was changed
usedReference		0..*	Reference(Device \| Medication \| Substance)	Items used during procedure
usedCode		0..*	CodeableConcept	Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

Other representations of profile: Schematron

Terminology Bindings

Path	Conformance	ValueSet
Procedure.language	preferred	CommonLanguages Max Binding: AllLanguages
Procedure.status	required	EventStatus
Procedure.statusReason	example	ProcedureNotPerformedReason(SNOMED-CT)
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT)
Procedure.code	preferred	NIMProcedureValueSet
Procedure.performer.function	example	ProcedurePerformerRoleCodes
Procedure.reasonCode	example	ProcedureReasonCodes
Procedure.bodySite	example	SNOMEDCTBodyStructures
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT)
Procedure.complication	example	Condition/Problem/DiagnosisCodes
Procedure.followUp	example	ProcedureFollowUpCodes(SNOMEDCT)
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes
Procedure.usedCode	example	FHIRDeviceTypes

Constraints

Id	Path	Details	Requirements
dom-2	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	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	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	Procedure.meta	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.implicitRules	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Procedure.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Procedure.extension:body-position	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Procedure.extension:body-position	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Procedure.extension:velocity	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Procedure.extension:velocity	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Procedure.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Procedure.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Procedure.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.instantiatesCanonical	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.instantiatesUri	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.basedOn	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.partOf	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.status	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.statusReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.category	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.subject	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.encounter	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.performed[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.performed[x]:performedPeriod	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.recorder	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.asserter	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.performer	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.performer.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Procedure.performer.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Procedure.performer.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Procedure.performer.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Procedure.performer.function	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.performer.actor	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.performer.onBehalfOf	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.location	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.reasonCode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.reasonReference	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.bodySite	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.outcome	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.report	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.complication	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.complicationDetail	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.followUp	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.note	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.focalDevice	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.focalDevice.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Procedure.focalDevice.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Procedure.focalDevice.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Procedure.focalDevice.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Procedure.focalDevice.action	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.focalDevice.manipulated	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.usedReference	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.usedCode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())