description: 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.
package_name: fhir.r4.spirecore
derivation: constraint
name: SpireCoreProcedure
type: Procedure
elements:
  report:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Composition', 'http://hl7.org/fhir/StructureDefinition/DiagnosticReport', 'http://hl7.org/fhir/StructureDefinition/DocumentReference', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Composition', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-DiagnosticReport', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-DocumentReference']
    index: 28
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 29
  usedReference:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'http://hl7.org/fhir/StructureDefinition/Medication', 'http://hl7.org/fhir/StructureDefinition/Substance', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Device', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Medication', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Substance']
    index: 38
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 39
  focalDevice:
    elements:
      manipulated:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Device']
        index: 36
        elements:
          identifier:
            elements:
              assigner:
                type: Reference
                refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                index: 37
  encounter:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Encounter', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Encounter']
    index: 11
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 12
            elements:
              identifier:
                elements:
                  assigner:
                    type: Reference
                    refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                    index: 13
  complicationDetail:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Condition', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Condition']
    index: 30
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 31
  asserter:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-RelatedPerson']
    index: 17
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 18
            elements:
              identifier:
                elements:
                  assigner:
                    type: Reference
                    refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                    index: 19
  note:
    elements:
      author:
        choices: [authorReference, authorString]
        index: 33
      authorReference:
        type: Reference
        choiceOf: author
        refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Patient', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-RelatedPerson']
        index: 34
      authorString: {type: string, choiceOf: author, index: 35}
  recorder:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-RelatedPerson']
    index: 14
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 15
            elements:
              identifier:
                elements:
                  assigner:
                    type: Reference
                    refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                    index: 16
  identifier:
    elements:
      assigner:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
        index: 0
        elements:
          identifier:
            elements:
              assigner:
                type: Reference
                refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                index: 1
  basedOn:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/CarePlan', 'http://hl7.org/fhir/StructureDefinition/ServiceRequest', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-CarePlan', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-ServiceRequest']
    index: 2
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 3
            elements:
              identifier:
                elements:
                  assigner:
                    type: Reference
                    refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                    index: 4
  partOf:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/MedicationAdministration', 'http://hl7.org/fhir/StructureDefinition/Observation', 'http://hl7.org/fhir/StructureDefinition/Procedure', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-MedicationAdministration', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Observation', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Procedure']
    index: 5
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 6
            elements:
              identifier:
                elements:
                  assigner:
                    type: Reference
                    refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                    index: 7
  location:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Location', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Location']
    index: 24
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 25
  subject:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Group', 'http://hl7.org/fhir/StructureDefinition/Patient', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Group', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient']
    index: 8
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 9
            elements:
              identifier:
                elements:
                  assigner:
                    type: Reference
                    refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                    index: 10
  performer:
    elements:
      actor:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Patient', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Device', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-RelatedPerson']
        index: 20
        elements:
          identifier:
            elements:
              assigner:
                type: Reference
                refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                index: 21
      onBehalfOf:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
        index: 22
        elements:
          identifier:
            elements:
              assigner:
                type: Reference
                refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                index: 23
  reasonReference:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Condition', 'http://hl7.org/fhir/StructureDefinition/DiagnosticReport', 'http://hl7.org/fhir/StructureDefinition/DocumentReference', 'http://hl7.org/fhir/StructureDefinition/Observation', 'http://hl7.org/fhir/StructureDefinition/Procedure', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Condition', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-DiagnosticReport', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-DocumentReference', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Observation', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Procedure']
    index: 26
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 27
package_version: 0.1.0-alpha
class: profile
kind: resource
url: https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Procedure
base: https://fhir.hl7.org.uk/StructureDefinition/UKCore-Procedure
version: null