{
  "description": "Therapeutic or diagnostic procedure the patient will undergo (the complementary profile HdBe-Procedure-request can be used for therapeutic or diagnostics procedures that the has undergone). 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-request.json",
  "package_name": "healthdata.be.r4.cbb",
  "date": null,
  "derivation": "constraint",
  "publisher": "Healthdata.be (Sciensano)",
  "fhirVersion": "4.0.1",
  "name": "HdBeProcedurerequest",
  "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"
  } ],
  "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": "ServiceRequest",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "HdBe Procedure request",
  "package_version": "0.6.0-alpha2",
  "status": "draft",
  "id": "4c5f9eb7-8e17-441d-9bb9-89212941c19b",
  "kind": "resource",
  "url": "https://fhir.healthdata.be/StructureDefinition/HdBe-Procedure-request",
  "version": null,
  "differential": {
    "element": [ {
      "id": "ServiceRequest",
      "path": "ServiceRequest",
      "alias": [ "Verrichting" ],
      "short": "Procedure",
      "comment": "The CBB Procedure is mapped both to this ServiceRequest profile and a profile on Procedure () 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.\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": "ServiceRequest.status",
      "path": "ServiceRequest.status",
      "mapping": [ {
        "map": "NL-CM:14.1.2",
        "comment": "ProcedureStartDate (implicit, main mapping is on ServiceRequest.occurencePeriod.start and ServiceRequest.occurenceDateTime)",
        "identity": "zib-procedure-v5.2-2020EN"
      }, {
        "map": "procedure_start_date (implicit, main mapping is on ServiceRequest.occurencePeriod.start and ServiceRequest.occurenceDateTime)",
        "identity": "HdBe-Procedure"
      }, {
        "map": "NL-CM:14.1.3",
        "comment": "ProcedureEndDate (implicit, main mapping is on ServiceRequest.occurencePeriod.end)",
        "identity": "zib-procedure-v5.2-2020EN"
      }, {
        "map": "procedure_end_date (implicit, main mapping is on ServiceRequest.occurencePeriod.end)",
        "identity": "HdBe-Procedure"
      } ],
      "definition": "This element is implictly mapped to the concepts ProcedureStartDate (NL-CM:14.1.2) and ProcedureEndDate  (NL-CM:14.1.3). 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 _active_.\r\n* When the ProcedureStartDate is in the past, `.status` will usually be set to _completed_.\r\n* When ProcedureEndDate is in the past, `.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 ProcedureRequest."
    }, {
      "id": "ServiceRequest.intent",
      "path": "ServiceRequest.intent",
      "definition": "Unless intent is explicitly recorded and a more appropriate code is known, the value can be set to _order_ because a Procedure should authorize an action for a patient, pharmacist, professional administrator et cetera."
    }, {
      "id": "ServiceRequest.code",
      "path": "ServiceRequest.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": "ServiceRequest.orderDetail",
      "path": "ServiceRequest.orderDetail",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "value"
        } ]
      }
    }, {
      "id": "ServiceRequest.orderDetail:procedureMethod",
      "path": "ServiceRequest.orderDetail",
      "alias": [ "VerrichtingMethode" ],
      "short": "ProcedureMethod",
      "binding": {
        "strength": "required",
        "valueSet": "https://fhir.healthdata.be/ValueSet/ProcedureMethod"
      },
      "mapping": [ {
        "map": "NL-CM:14.1.12",
        "comment": "ProcedureMethod",
        "identity": "zib-procedure-v5.2-2020EN"
      }, {
        "map": "procedure_method",
        "identity": "HdBe-Procedure"
      } ],
      "sliceName": "procedureMethod",
      "definition": "The method or technique that will be used to perform the procedure, e.g. approach, lavage, pressuring, ets."
    }, {
      "id": "ServiceRequest.occurrence[x]",
      "path": "ServiceRequest.occurrence[x]",
      "alias": [ "VerrichtingStartDatum", "VerrichtingEindDatum" ],
      "short": "ProcedureStartDate / ProcedureEndDate",
      "comment": "The `.occurrencePeriod.start` and `.occurrencePeriod.end` are used for ProcedureStartDate and ProcedureEndDate if the zib Procedure concerns a period. For instantaneous or very short lasting procedures the `.occurrenceDateTime` is used.",
      "mapping": [ {
        "map": "NL-CM:14.1.2",
        "comment": "ProcedureStartDate",
        "identity": "zib-procedure-v5.2-2020EN"
      }, {
        "map": "procedure_start_date",
        "identity": "HdBe-Procedure"
      }, {
        "map": "NL-CM:14.1.3",
        "comment": "ProcedureEndDate",
        "identity": "zib-procedure-v5.2-2020EN"
      }, {
        "map": "procedure_end_date",
        "identity": "HdBe-Procedure"
      } ],
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "definition": "*   The (desired) start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted. \r\n\r\n    The element offers the option to indicate the start of the period of a series of related procedures. \r\n\r\n*   The end date (and if possible end time) of the procedure. A ‘vague’ date, such as only the year, is permitted. \r\n\r\n    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 element is omitted."
    }, {
      "id": "ServiceRequest.occurrence[x]:occurrencePeriod",
      "path": "ServiceRequest.occurrence[x]",
      "type": [ {
        "code": "Period"
      } ],
      "sliceName": "occurrencePeriod"
    }, {
      "id": "ServiceRequest.occurrence[x]:occurrencePeriod.start",
      "path": "ServiceRequest.occurrence[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 (desired) 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": "ServiceRequest.occurrence[x]:occurrencePeriod.end",
      "path": "ServiceRequest.occurrence[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 `occurrenceDateTime` is used."
    }, {
      "id": "ServiceRequest.occurrence[x]:occurrenceDateTime",
      "path": "ServiceRequest.occurrence[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": "occurrenceDateTime",
      "definition": "The (desired) 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": "ServiceRequest.requester",
      "path": "ServiceRequest.requester",
      "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": [ "Aanvrager" ],
      "short": "Requester",
      "mapping": [ {
        "map": "NL-CM:14.1.10",
        "comment": "Requester",
        "identity": "zib-procedure-v5.2-2020EN"
      }, {
        "map": "requester",
        "identity": "HdBe-Procedure"
      } ],
      "definition": "The health professional who requested the procedure."
    }, {
      "id": "ServiceRequest.performer",
      "path": "ServiceRequest.performer",
      "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/CareTeam", "http://hl7.org/fhir/StructureDefinition/HealthcareService", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "https://fhir.healthdata.be/StructureDefinition/HdBe-HealthProfessional-PractitionerRole", "https://fhir.healthdata.be/StructureDefinition/HdBe-CareTeam" ]
      } ],
      "alias": [ "Uitvoerder" ],
      "short": "Performer",
      "comment": "If multiple performers are present, it is interpreted as a list of *alternative* performers without any preference regardless of order. This deviates from the CBB definition where multiple references to the Healthprofessional should be interperted as all the performers of the procedure. If order of preference is needed use the [request-performerOrder extension](extension-request-performerorder.html).  Use CareTeam to represent a group of performers (for example, Practitioner A *and* Practitioner B).",
      "mapping": [ {
        "map": "NL-CM:14.1.6",
        "comment": "Performer",
        "identity": "zib-procedure-v5.2-2020EN"
      }, {
        "map": "performer",
        "identity": "HdBe-Procedure"
      } ],
      "definition": "The healthcare provider 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": "ServiceRequest.locationReference",
      "max": "1",
      "path": "ServiceRequest.locationReference",
      "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": "ServiceRequest.reasonReference",
      "path": "ServiceRequest.reasonReference",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition", "http://hl7.org/fhir/StructureDefinition/Observation", "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."
    }, {
      "id": "ServiceRequest.supportingInfo",
      "path": "ServiceRequest.supportingInfo",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource", "https://fhir.healthdata.be/StructureDefinition/HdBe-MedicalDevice" ]
      } ],
      "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."
    }, {
      "path": "ServiceRequest.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": "ServiceRequest.bodySite"
    } ]
  },
  "contact": [ {
    "name": "Service portal – healthdata.be",
    "telecom": [ {
      "use": "work",
      "value": "https://sciensano.service-now.com/sp",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ServiceRequest"
}