{
  "description": "Therapeutic or diagnostic procedure undergone by the patient (the complementary profile HdBe-Procedure-request can be used for therapeutic or diagnostics procedures that the patient will undergo). A procedure can be a simple blood pressure measurement, but also a complex heart surgery.\\r\\nIn some care settings, the term treatment is used instead of the term procedure.",
  "_filename": "HdBe-Procedure-event.json",
  "package_name": "healthdata.be.r4.cbb",
  "date": null,
  "derivation": "constraint",
  "publisher": "Healthdata.be (Sciensano)",
  "fhirVersion": "4.0.1",
  "name": "HdBeProcedureevent",
  "mapping": [ {
    "uri": "https://zibs.nl/wiki/Procedure-v5.2(2020EN)",
    "name": "zib Procedure-v5.2(2020EN)",
    "identity": "zib-procedure-v5.2-2020EN"
  }, {
    "uri": "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Procedure",
    "name": "HdBe logical model Procedure",
    "identity": "HdBe-Procedure"
  }, {
    "uri": "https://zibs.nl/wiki/TextResult-v4.4(2020EN)",
    "name": "zib TextResult-v4.4(2020EN)",
    "identity": "zib-textresult-v4.4-2020EN"
  } ],
  "abstract": false,
  "copyright": "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.",
  "type": "Procedure",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "HdBe Procedure event",
  "package_version": "0.6.0-alpha2",
  "status": "draft",
  "id": "2154832f-0bc8-4af1-8daa-6dd984b4c45f",
  "kind": "resource",
  "url": "https://fhir.healthdata.be/StructureDefinition/HdBe-Procedure-event",
  "version": null,
  "differential": {
    "element": [ {
      "id": "Procedure",
      "path": "Procedure",
      "alias": [ "Verrichting" ],
      "short": "Procedure",
      "comment": "The CBB Procedure is mapped both to a Procedure profile and a profile on ServiceRequest to align with the intention of FHIR. All past procedures are covered using this Procedure resource, while all future procedures, including the advised procedures, are covered in the ServiceRequest resource. Both resources contain the CBB mappings, with the exception of the Requester concept; this is not relevant for past procedures and has only been mapped to the ServiceRequest profile.\r\n\r\nThe planned and performed procedures can be linked using `Procedure.basedOn`.",
      "mapping": [ {
        "map": "NL-CM:14.1.1",
        "comment": "Procedure",
        "identity": "zib-procedure-v5.2-2020EN"
      }, {
        "map": "procedure",
        "identity": "HdBe-Procedure"
      } ]
    }, {
      "id": "Procedure.extension",
      "min": 0,
      "path": "Procedure.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Procedure.extension:procedureMethod",
      "min": 0,
      "path": "Procedure.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.healthdata.be/StructureDefinition/ext-Procedure.ProcedureMethod" ]
      } ],
      "mapping": [ {
        "map": "NL-CM:14.1.12",
        "comment": "ProcedureMethod",
        "identity": "zib-procedure-v5.2-2020EN"
      }, {
        "map": "procedure_method",
        "identity": "HdBe-Procedure"
      } ],
      "sliceName": "procedureMethod"
    }, {
      "id": "Procedure.basedOn",
      "path": "Procedure.basedOn",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/CarePlan", "http://hl7.org/fhir/StructureDefinition/ServiceRequest", "https://fhir.healthdata.be/StructureDefinition/HdBe-Procedure-request" ]
      } ],
      "comment": "The root element provides more information on the usage of `Procedure.basedOn` for the zib Procedure."
    }, {
      "id": "Procedure.status",
      "path": "Procedure.status",
      "mapping": [ {
        "map": "NL-CM:14.1.2",
        "comment": "ProcedureStartDate (implicit, main mapping is on Procedure.performedPeriod.start and Procedure.performedDateTime)",
        "identity": "zib-procedure-v5.2-2020EN"
      }, {
        "map": "procedure_start_date (implicit, main mapping is on Procedure.performedPeriod.start and Procedure.performedDateTime)",
        "identity": "HdBe-Procedure"
      }, {
        "map": "NL-CM:14.1.3",
        "comment": "ProcedureEndDate (implicit, main mapping is on Procedure.performedPeriod.end)",
        "identity": "zib-procedure-v5.2-2020EN"
      }, {
        "map": "procedure_end_date (implicit, main mapping is on Procedure.performedPeriod.end)",
        "identity": "HdBe-Procedure"
      } ],
      "definition": "This element is implictly mapped to the concepts ProcedureStartDate and ProcedureEndDate. Unless the status is explicitly recorded, the following guidance applies:\r\n\r\n* When the ProcedureStartDate is in the future, `.status` will usually be set to _preparation_.\r\n* When ProcedureStartDate is in the past and ProcedureEndDate is in the future, `.status` will usually be set to _in-progress_.\r\n* When ProcedureEndDate is in the past, `.status` will usually be set to _completed_.\r\n* When ProcedureStartDate is in the past and ProcedureEndDate is missing, it may be assumed that the Procedure was recorded as a point in time and `.status` will usually be set to _completed_.\r\n* When a system is unable to infer the status from the ProcedureStartDate and ProcedureEndDate , `.status` will be set to _unknown_. The _unknown_ code is not to be used to convey other statuses. The _unknown_ code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the Procedure."
    }, {
      "id": "Procedure.code",
      "path": "Procedure.code",
      "alias": [ "VerrichtingType" ],
      "short": "ProcedureType",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://fhir.healthdata.be/ValueSet/ProcedureType"
      },
      "mapping": [ {
        "map": "NL-CM:14.1.4",
        "comment": "ProcedureType",
        "identity": "zib-procedure-v5.2-2020EN"
      }, {
        "map": "procedure_type",
        "identity": "HdBe-Procedure"
      } ],
      "definition": "The name of the procedure."
    }, {
      "id": "Procedure.performed[x]",
      "path": "Procedure.performed[x]",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Procedure.performed[x]:performedPeriod",
      "path": "Procedure.performed[x]",
      "type": [ {
        "code": "Period"
      } ],
      "sliceName": "performedPeriod"
    }, {
      "id": "Procedure.performed[x]:performedPeriod.start",
      "path": "Procedure.performed[x].start",
      "alias": [ "VerrichtingStartDatum" ],
      "short": "ProcedureStartDate",
      "mapping": [ {
        "map": "NL-CM:14.1.2",
        "comment": "ProcedureStartDate",
        "identity": "zib-procedure-v5.2-2020EN"
      }, {
        "map": "procedure_start_date",
        "identity": "HdBe-Procedure"
      } ],
      "definition": "The start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted. The element offers the option to indicate the start of the period of a series of related procedures."
    }, {
      "id": "Procedure.performed[x]:performedPeriod.end",
      "path": "Procedure.performed[x].end",
      "alias": [ "VerrichtingEindDatum" ],
      "short": "ProcedureEndDate",
      "mapping": [ {
        "map": "NL-CM:14.1.3",
        "comment": "ProcedureEndDate",
        "identity": "zib-procedure-v5.2-2020EN"
      }, {
        "map": "procedure_end_date",
        "identity": "HdBe-Procedure"
      } ],
      "definition": "The end date (and if possible end time) of the procedure. A ‘vague’ date, such as only the year, is permitted. The element offers the option to indicate the end of the period of a series of related procedures. The end date element is only used for a procedures that takes some time and is then always applied. If the procedure still continues, the value is left empty. For instantaneous or very short lasting procedures the `performedDateTime` is used."
    }, {
      "id": "Procedure.performed[x]:performedDateTime",
      "path": "Procedure.performed[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "alias": [ "VerrichtingStartDatum" ],
      "short": "ProcedureStartDate",
      "mapping": [ {
        "map": "NL-CM:14.1.2",
        "comment": "ProcedureStartDate",
        "identity": "zib-procedure-v5.2-2020EN"
      }, {
        "map": "procedure_start_date",
        "identity": "HdBe-Procedure"
      } ],
      "sliceName": "performedDateTime",
      "definition": "The (desired) start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted. `performedDateTime` is used for instantaneous or very short lasting procedures."
    }, {
      "id": "Procedure.performer.actor",
      "path": "Procedure.performer.actor",
      "type": [ {
        "code": "Reference",
        "profile": [ "https://fhir.healthdata.be/StructureDefinition/pattern-HealthProfessionalReference" ],
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Device", "https://fhir.healthdata.be/StructureDefinition/HdBe-HealthProfessional-PractitionerRole" ]
      } ],
      "alias": [ "Uitvoerder" ],
      "short": "Performer",
      "mapping": [ {
        "map": "NL-CM:14.1.6",
        "comment": "Performer",
        "identity": "zib-procedure-v5.2-2020EN"
      }, {
        "map": "performer",
        "identity": "HdBe-Procedure"
      } ],
      "definition": "The health professional who carried out or will carry out the procedure. In most cases, only the medical specialty is entered, and not the name of the healthcare provider."
    }, {
      "id": "Procedure.location",
      "path": "Procedure.location",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Location", "https://fhir.healthdata.be/StructureDefinition/HdBe-HealthcareProvider" ]
      } ],
      "alias": [ "Locatie" ],
      "short": "Location",
      "mapping": [ {
        "map": "NL-CM:14.1.5",
        "comment": "Location",
        "identity": "zib-procedure-v5.2-2020EN"
      }, {
        "map": "location",
        "identity": "HdBe-Procedure"
      } ],
      "definition": "The healthcare provider where the procedure was, is or or will be carried out."
    }, {
      "id": "Procedure.reasonReference",
      "path": "Procedure.reasonReference",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition", "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/Procedure", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport", "http://hl7.org/fhir/StructureDefinition/DocumentReference", "https://fhir.healthdata.be/StructureDefinition/HdBe-Problem" ]
      } ],
      "alias": [ "Indicatie" ],
      "short": "Indication",
      "mapping": [ {
        "map": "NL-CM:14.1.9",
        "comment": "Indication",
        "identity": "zib-procedure-v5.2-2020EN"
      }, {
        "map": "indication",
        "identity": "HdBe-Procedure"
      } ],
      "definition": "The indication is the reason for the procedure."
    }, {
      "path": "Procedure.bodySite",
      "definition": "Anatomical location which is the focus of the procedure.",
      "short": "Location / ProcedureAnatomicalLocation",
      "mapping": [ {
        "map": "NL-CM:14.1.13",
        "comment": "ProcedureAnatomicalLocation",
        "identity": "zib-procedure-v5.2-2020EN"
      }, {
        "map": "procedure_anatomical_location",
        "identity": "HdBe-Procedure"
      } ],
      "type": [ {
        "code": "CodeableConcept",
        "profile": [ "https://fhir.healthdata.be/StructureDefinition/HdBe-AnatomicalLocation" ]
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "https://fhir.healthdata.be/ValueSet/Location"
      },
      "alias": [ "VerrichtingAnatomischeLocatie" ],
      "max": "1",
      "id": "Procedure.bodySite"
    }, {
      "id": "Procedure.report",
      "path": "Procedure.report",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "resolve()",
          "type": "profile"
        } ]
      }
    }, {
      "id": "Procedure.report:textResult",
      "path": "Procedure.report",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.healthdata.be/StructureDefinition/HdBe-TextResult" ]
      } ],
      "alias": [ "TekstUitslag" ],
      "short": "TextResult",
      "comment": "The direction of the reference between CBBs TextResult and Procedure is reversed in FHIR. Therefore the concept Procedure of zib TextResult is mapped to this element.\r\n\r\nPlease note that on a functional level, TextResult references Procedure, but in FHIR this direction is reversed.",
      "mapping": [ {
        "map": "NL-CM:13.2.5",
        "comment": "Reversed reference for zib TextResult.Procedure",
        "identity": "zib-textresult-v4.4-2020EN"
      } ],
      "sliceName": "textResult"
    }, {
      "id": "Procedure.focalDevice.manipulated",
      "path": "Procedure.focalDevice.manipulated",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Device", "https://fhir.healthdata.be/StructureDefinition/HdBe-MedicalDevice.Product" ]
      } ],
      "alias": [ "MedischHulpmiddel" ],
      "short": "MedicalDevice",
      "mapping": [ {
        "map": "NL-CM:14.1.7",
        "comment": "MedicalDevice",
        "identity": "zib-procedure-v5.2-2020EN"
      }, {
        "map": "medical_device",
        "identity": "HdBe-Procedure"
      } ],
      "definition": "The product, the placing of which in or on the body is the purpose of the procedure, for example placing an implant."
    } ]
  },
  "contact": [ {
    "name": "Service portal – healthdata.be",
    "telecom": [ {
      "use": "work",
      "value": "https://sciensano.service-now.com/sp",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Procedure"
}