ÚNICAS Rare Diseases HL7 FHIR Implementation Guide - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Procedure Procedimiento Quirúrgico ÚNICAS

Este profile define las restricciones del recurso Procedure para representar el registro de un procedimiento quirúrgico en el contexto del caso de uso de ÚNICAS.

Usages:

• Use this Profile: Bundle Antecedentes ÚNICAS
• Refer to this Profile: CarePlan Gestor del Proceso ÚNICAS
• CapabilityStatements using this Profile: Configuración del Servidor FHIR de ÚNICAS

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	An action that is being or was performed on an individual or entity
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identificador único
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	ΣC	1..1	uri	Sistema para identificar el origen Constraints: regcess-system Example General: urn:regcess:0123456789
value	ΣC	1..1	string	Identificador interno del sistema para el procedimiento quirúrgico Example General: 123456
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.
category	Σ	0..*	CodeableConcept	Clasificación de procedimiento: antecedentes quirúrgicos Binding: Value set de Tipos de informaciones para ÚNICAS (preferred): Value set de Tipos de informaciones para ÚNICAS
code	Σ	1..1	CodeableConcept	Procedimiento quirúrgico Binding: Value set de Procedimiento quirúrgico (preferred): Value set de Procedimiento quirúrgico
text	Σ	0..1	string	Descripción narrativa, registrada por el professional
subject	Σ	1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
system	Σ	0..1	uri	OID registro de número de CIP-SNS Example General: urn:oid:2.16.724.4.40
value	ΣC	0..1	string	Número CIP-SNS Example General: BBBBBBBBQR648597
display	ΣC	0..1	string	Nombre completo del paciente
occurrence[x]	Σ	1..1	dateTime	Fecha de la intervención
performer	ΣC	0..*	BackboneElement	Profesional sanitario Constraints: prc-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	ΣC	1..1	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS)	Referencia al profesional sanitario
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
Slices for extension				Content/Rules for all slices
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
system	Σ	0..1	uri	OID registro de DNI Example General: urn:oid:1.3.6.1.4.1.19126.3
value	ΣC	0..1	string	Número del DNI Example General: 0000001X
display	ΣC	0..1	string	Nombre completo del profesional sanitario
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|5.0.0 From the FHIR Standard
Procedure.category	preferred	ValueSetTiposInformacionesUNICAS https://unicas-fhir.sanidad.gob.es/ValueSet/TiposInformacionesUNICAS From this IG
Procedure.code	preferred	ValuesetProcedimientoQuirurgico https://unicas-fhir.sanidad.gob.es/ValueSet/ProcedimientoQuirurgico From this IG
Procedure.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Procedure.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Procedure.subject.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Procedure.performer.actor.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Procedure.performer.actor.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Procedure.performer.actor.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	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	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prc-1	error	Procedure.performer	Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole : onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()
regcess-system	warning	Procedure.identifier.system	system debe comenzar por urn:regcess: seguido del identificador del sistema. : matches('^urn:regcess:[A-Za-z0-9]+$')

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure			Procedure
identifier		1..*	Identifier	Identificador único
system	C	1..1	uri	Sistema para identificar el origen Constraints: regcess-system
value		1..1	string	Identificador interno del sistema para el procedimiento quirúrgico
category		0..*	CodeableConcept	Clasificación de procedimiento: antecedentes quirúrgicos Binding: Value set de Tipos de informaciones para ÚNICAS (preferred): Value set de Tipos de informaciones para ÚNICAS
coding
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código de la clasificación de procedimiento
display		0..1	string	Descripción de la clasificación de procedimiento
code		1..1	CodeableConcept	Procedimiento quirúrgico Binding: Value set de Procedimiento quirúrgico (preferred): Value set de Procedimiento quirúrgico
coding
system		1..1	uri	URL del SNOMED CT. Extensión para España del SNS | OID del CIE-10-ES. Procedimientos
code		1..1	code	Código del procedimento
display		1..1	string	Descripción del procedimiento
text		0..1	string	Descripción narrativa, registrada por el professional
subject		1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
reference		0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type		1..1	uri	Tipo de recurso FHIR
identifier		1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
type		0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
coding
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del identificador
display		0..1	string	Decripción del identificador
system		0..1	uri	OID registro de número de CIP-SNS
value		0..1	string	Número CIP-SNS
display		0..1	string	Nombre completo del paciente
occurrence[x]		1..1	dateTime	Fecha de la intervención
performer		0..*	BackboneElement	Profesional sanitario
actor		1..1	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS)	Referencia al profesional sanitario
reference		0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type		1..1	uri	Tipo de recurso FHIR
identifier		1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
Slices for extension				Content/Rules for all slices
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
type		0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
coding
system		0..1	uri	URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del identificador
display		0..1	string	Decripción del identificador
system		0..1	uri	OID registro de DNI
value		0..1	string	Número del DNI
display		0..1	string	Nombre completo del profesional sanitario
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.category	preferred	ValueSetTiposInformacionesUNICAS https://unicas-fhir.sanidad.gob.es/ValueSet/TiposInformacionesUNICAS From this IG
Procedure.code	preferred	ValuesetProcedimientoQuirurgico https://unicas-fhir.sanidad.gob.es/ValueSet/ProcedimientoQuirurgico From this IG
Procedure.subject.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Procedure.performer.actor.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
regcess-system	warning	Procedure.identifier.system	system debe comenzar por urn:regcess: seguido del identificador del sistema. : matches('^urn:regcess:[A-Za-z0-9]+$')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	An action that is being or was performed on an individual or entity
id	Σ	0..1	id	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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identificador único
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	ΣC	1..1	uri	Sistema para identificar el origen Constraints: regcess-system Example General: urn:regcess:0123456789
value	ΣC	1..1	string	Identificador interno del sistema para el procedimiento quirúrgico Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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	?!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.
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: ProcedureNotPerformedReasonSNOMEDCT (example): A code that identifies the reason a procedure was not performed.
category	Σ	0..*	CodeableConcept	Clasificación de procedimiento: antecedentes quirúrgicos Binding: Value set de Tipos de informaciones para ÚNICAS (preferred): Value set de Tipos de informaciones para ÚNICAS
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código de la clasificación de procedimiento
display	ΣC	0..1	string	Descripción de la clasificación de procedimiento
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	Σ	1..1	CodeableConcept	Procedimiento quirúrgico Binding: Value set de Procedimiento quirúrgico (preferred): Value set de Procedimiento quirúrgico
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	URL del SNOMED CT. Extensión para España del SNS | OID del CIE-10-ES. Procedimientos
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Código del procedimento
display	ΣC	1..1	string	Descripción del procedimiento
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Descripción narrativa, registrada por el professional
subject	Σ	1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del identificador
display	ΣC	0..1	string	Decripción del identificador
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	OID registro de número de CIP-SNS Example General: urn:oid:2.16.724.4.40
value	ΣC	0..1	string	Número CIP-SNS Example General: BBBBBBBBQR648597
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Nombre completo del paciente
focus	Σ	0..1	Reference(Patient | Group | RelatedPerson | Practitioner | Organization | CareTeam | PractitionerRole | Specimen)	Who is the target of the procedure when it is not the subject of record only
encounter	Σ	0..1	Reference(Encounter)	The Encounter during which this Procedure was created
occurrence[x]	Σ	1..1	dateTime	Fecha de la intervención
recorded	Σ	0..1	dateTime	When the procedure was first captured in the subject's record
recorder	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Who recorded the procedure
reported[x]	Σ	0..1		Reported rather than primary record
reportedBoolean			boolean
reportedReference			Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)
performer	ΣC	0..*	BackboneElement	Profesional sanitario Constraints: prc-1
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	ΣC	1..1	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS)	Referencia al profesional sanitario
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del identificador
display	ΣC	0..1	string	Decripción del identificador
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	OID registro de DNI Example General: urn:oid:1.3.6.1.4.1.19126.3
value	ΣC	0..1	string	Número del DNI Example General: 0000001X
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Nombre completo del profesional sanitario
onBehalfOf	C	0..1	Reference(Organization)	Organization the device or practitioner was acting for
period		0..1	Period	When the performer performed the procedure
location	Σ	0..1	Reference(Location)	Where the procedure happened
reason	Σ	0..*	CodeableReference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: ProcedureOutcomeCodesSNOMEDCT (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..*	CodeableReference(Condition)	Complication following the procedure Binding: ConditionProblemDiagnosisCodes (example): Codes describing complications that resulted from a procedure.
followUp		0..*	CodeableConcept	Instructions for follow up Binding: ProcedureFollowUpCodesSNOMEDCT (example): Specific follow up required for a procedure e.g. removal of sutures.
note		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
used		0..*	CodeableReference(Device | Medication | Substance | BiologicallyDerivedProduct)	Items used during procedure Binding: DeviceType (example): Codes describing items used during a procedure.
supportingInfo		0..*	Reference(Resource)	Extra information relevant to the procedure
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Procedure.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Procedure.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|5.0.0 From the FHIR Standard
Procedure.statusReason	example	ProcedureNotPerformedReasonSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-not-performed-reason From the FHIR Standard
Procedure.category	preferred	ValueSetTiposInformacionesUNICAS https://unicas-fhir.sanidad.gob.es/ValueSet/TiposInformacionesUNICAS From this IG
Procedure.code	preferred	ValuesetProcedimientoQuirurgico https://unicas-fhir.sanidad.gob.es/ValueSet/ProcedimientoQuirurgico From this IG
Procedure.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Procedure.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Procedure.subject.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Procedure.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role From the FHIR Standard
Procedure.performer.actor.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Procedure.performer.actor.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Procedure.performer.actor.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Procedure.reason	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard
Procedure.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Procedure.outcome	example	ProcedureOutcomeCodesSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-outcome From the FHIR Standard
Procedure.complication	example	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
Procedure.followUp	example	ProcedureFollowUpCodesSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-followup From the FHIR Standard
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action From the FHIR Standard
Procedure.used	example	DeviceType http://hl7.org/fhir/ValueSet/device-type From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	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	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prc-1	error	Procedure.performer	Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole : onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()
regcess-system	warning	Procedure.identifier.system	system debe comenzar por urn:regcess: seguido del identificador del sistema. : matches('^urn:regcess:[A-Za-z0-9]+$')

This structure is derived from Procedure

Summary

Mandatory: 7 elements(5 nested mandatory elements)

Structures

This structure refers to these other structures:

• Patient Paciente ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPatient)
• PractitionerRole Profesional Sanitario ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPractitionerRole)
• Practitioner Profesional Sanitario ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPractitioner)
• Organization Institución ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASOrganization)

Extensions

This structure refers to these extensions:

• https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	An action that is being or was performed on an individual or entity
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identificador único
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	ΣC	1..1	uri	Sistema para identificar el origen Constraints: regcess-system Example General: urn:regcess:0123456789
value	ΣC	1..1	string	Identificador interno del sistema para el procedimiento quirúrgico Example General: 123456
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.
category	Σ	0..*	CodeableConcept	Clasificación de procedimiento: antecedentes quirúrgicos Binding: Value set de Tipos de informaciones para ÚNICAS (preferred): Value set de Tipos de informaciones para ÚNICAS
code	Σ	1..1	CodeableConcept	Procedimiento quirúrgico Binding: Value set de Procedimiento quirúrgico (preferred): Value set de Procedimiento quirúrgico
text	Σ	0..1	string	Descripción narrativa, registrada por el professional
subject	Σ	1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
system	Σ	0..1	uri	OID registro de número de CIP-SNS Example General: urn:oid:2.16.724.4.40
value	ΣC	0..1	string	Número CIP-SNS Example General: BBBBBBBBQR648597
display	ΣC	0..1	string	Nombre completo del paciente
occurrence[x]	Σ	1..1	dateTime	Fecha de la intervención
performer	ΣC	0..*	BackboneElement	Profesional sanitario Constraints: prc-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	ΣC	1..1	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS)	Referencia al profesional sanitario
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
Slices for extension				Content/Rules for all slices
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
system	Σ	0..1	uri	OID registro de DNI Example General: urn:oid:1.3.6.1.4.1.19126.3
value	ΣC	0..1	string	Número del DNI Example General: 0000001X
display	ΣC	0..1	string	Nombre completo del profesional sanitario
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|5.0.0 From the FHIR Standard
Procedure.category	preferred	ValueSetTiposInformacionesUNICAS https://unicas-fhir.sanidad.gob.es/ValueSet/TiposInformacionesUNICAS From this IG
Procedure.code	preferred	ValuesetProcedimientoQuirurgico https://unicas-fhir.sanidad.gob.es/ValueSet/ProcedimientoQuirurgico From this IG
Procedure.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Procedure.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Procedure.subject.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Procedure.performer.actor.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Procedure.performer.actor.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Procedure.performer.actor.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	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	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prc-1	error	Procedure.performer	Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole : onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()
regcess-system	warning	Procedure.identifier.system	system debe comenzar por urn:regcess: seguido del identificador del sistema. : matches('^urn:regcess:[A-Za-z0-9]+$')

Differential View

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure			Procedure
identifier		1..*	Identifier	Identificador único
system	C	1..1	uri	Sistema para identificar el origen Constraints: regcess-system
value		1..1	string	Identificador interno del sistema para el procedimiento quirúrgico
category		0..*	CodeableConcept	Clasificación de procedimiento: antecedentes quirúrgicos Binding: Value set de Tipos de informaciones para ÚNICAS (preferred): Value set de Tipos de informaciones para ÚNICAS
coding
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código de la clasificación de procedimiento
display		0..1	string	Descripción de la clasificación de procedimiento
code		1..1	CodeableConcept	Procedimiento quirúrgico Binding: Value set de Procedimiento quirúrgico (preferred): Value set de Procedimiento quirúrgico
coding
system		1..1	uri	URL del SNOMED CT. Extensión para España del SNS | OID del CIE-10-ES. Procedimientos
code		1..1	code	Código del procedimento
display		1..1	string	Descripción del procedimiento
text		0..1	string	Descripción narrativa, registrada por el professional
subject		1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
reference		0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type		1..1	uri	Tipo de recurso FHIR
identifier		1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
type		0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
coding
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del identificador
display		0..1	string	Decripción del identificador
system		0..1	uri	OID registro de número de CIP-SNS
value		0..1	string	Número CIP-SNS
display		0..1	string	Nombre completo del paciente
occurrence[x]		1..1	dateTime	Fecha de la intervención
performer		0..*	BackboneElement	Profesional sanitario
actor		1..1	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS)	Referencia al profesional sanitario
reference		0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type		1..1	uri	Tipo de recurso FHIR
identifier		1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
Slices for extension				Content/Rules for all slices
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
type		0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
coding
system		0..1	uri	URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del identificador
display		0..1	string	Decripción del identificador
system		0..1	uri	OID registro de DNI
value		0..1	string	Número del DNI
display		0..1	string	Nombre completo del profesional sanitario
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.category	preferred	ValueSetTiposInformacionesUNICAS https://unicas-fhir.sanidad.gob.es/ValueSet/TiposInformacionesUNICAS From this IG
Procedure.code	preferred	ValuesetProcedimientoQuirurgico https://unicas-fhir.sanidad.gob.es/ValueSet/ProcedimientoQuirurgico From this IG
Procedure.subject.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Procedure.performer.actor.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
regcess-system	warning	Procedure.identifier.system	system debe comenzar por urn:regcess: seguido del identificador del sistema. : matches('^urn:regcess:[A-Za-z0-9]+$')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	An action that is being or was performed on an individual or entity
id	Σ	0..1	id	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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..*	Identifier	Identificador único
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	ΣC	1..1	uri	Sistema para identificar el origen Constraints: regcess-system Example General: urn:regcess:0123456789
value	ΣC	1..1	string	Identificador interno del sistema para el procedimiento quirúrgico Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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	?!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.
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: ProcedureNotPerformedReasonSNOMEDCT (example): A code that identifies the reason a procedure was not performed.
category	Σ	0..*	CodeableConcept	Clasificación de procedimiento: antecedentes quirúrgicos Binding: Value set de Tipos de informaciones para ÚNICAS (preferred): Value set de Tipos de informaciones para ÚNICAS
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código de la clasificación de procedimiento
display	ΣC	0..1	string	Descripción de la clasificación de procedimiento
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	Σ	1..1	CodeableConcept	Procedimiento quirúrgico Binding: Value set de Procedimiento quirúrgico (preferred): Value set de Procedimiento quirúrgico
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	URL del SNOMED CT. Extensión para España del SNS | OID del CIE-10-ES. Procedimientos
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Código del procedimento
display	ΣC	1..1	string	Descripción del procedimiento
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Descripción narrativa, registrada por el professional
subject	Σ	1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del identificador
display	ΣC	0..1	string	Decripción del identificador
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	OID registro de número de CIP-SNS Example General: urn:oid:2.16.724.4.40
value	ΣC	0..1	string	Número CIP-SNS Example General: BBBBBBBBQR648597
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Nombre completo del paciente
focus	Σ	0..1	Reference(Patient | Group | RelatedPerson | Practitioner | Organization | CareTeam | PractitionerRole | Specimen)	Who is the target of the procedure when it is not the subject of record only
encounter	Σ	0..1	Reference(Encounter)	The Encounter during which this Procedure was created
occurrence[x]	Σ	1..1	dateTime	Fecha de la intervención
recorded	Σ	0..1	dateTime	When the procedure was first captured in the subject's record
recorder	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Who recorded the procedure
reported[x]	Σ	0..1		Reported rather than primary record
reportedBoolean			boolean
reportedReference			Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)
performer	ΣC	0..*	BackboneElement	Profesional sanitario Constraints: prc-1
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	ΣC	1..1	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS)	Referencia al profesional sanitario
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del identificador
display	ΣC	0..1	string	Decripción del identificador
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	OID registro de DNI Example General: urn:oid:1.3.6.1.4.1.19126.3
value	ΣC	0..1	string	Número del DNI Example General: 0000001X
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Nombre completo del profesional sanitario
onBehalfOf	C	0..1	Reference(Organization)	Organization the device or practitioner was acting for
period		0..1	Period	When the performer performed the procedure
location	Σ	0..1	Reference(Location)	Where the procedure happened
reason	Σ	0..*	CodeableReference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: ProcedureOutcomeCodesSNOMEDCT (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..*	CodeableReference(Condition)	Complication following the procedure Binding: ConditionProblemDiagnosisCodes (example): Codes describing complications that resulted from a procedure.
followUp		0..*	CodeableConcept	Instructions for follow up Binding: ProcedureFollowUpCodesSNOMEDCT (example): Specific follow up required for a procedure e.g. removal of sutures.
note		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
used		0..*	CodeableReference(Device | Medication | Substance | BiologicallyDerivedProduct)	Items used during procedure Binding: DeviceType (example): Codes describing items used during a procedure.
supportingInfo		0..*	Reference(Resource)	Extra information relevant to the procedure
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Procedure.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Procedure.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|5.0.0 From the FHIR Standard
Procedure.statusReason	example	ProcedureNotPerformedReasonSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-not-performed-reason From the FHIR Standard
Procedure.category	preferred	ValueSetTiposInformacionesUNICAS https://unicas-fhir.sanidad.gob.es/ValueSet/TiposInformacionesUNICAS From this IG
Procedure.code	preferred	ValuesetProcedimientoQuirurgico https://unicas-fhir.sanidad.gob.es/ValueSet/ProcedimientoQuirurgico From this IG
Procedure.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Procedure.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Procedure.subject.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Procedure.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role From the FHIR Standard
Procedure.performer.actor.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Procedure.performer.actor.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Procedure.performer.actor.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Procedure.reason	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard
Procedure.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Procedure.outcome	example	ProcedureOutcomeCodesSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-outcome From the FHIR Standard
Procedure.complication	example	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
Procedure.followUp	example	ProcedureFollowUpCodesSNOMEDCT http://hl7.org/fhir/ValueSet/procedure-followup From the FHIR Standard
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action From the FHIR Standard
Procedure.used	example	DeviceType http://hl7.org/fhir/ValueSet/device-type From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	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	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prc-1	error	Procedure.performer	Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole : onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()
regcess-system	warning	Procedure.identifier.system	system debe comenzar por urn:regcess: seguido del identificador del sistema. : matches('^urn:regcess:[A-Za-z0-9]+$')

This structure is derived from Procedure

Summary

Mandatory: 7 elements(5 nested mandatory elements)

Structures

This structure refers to these other structures:

• Patient Paciente ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPatient)
• PractitionerRole Profesional Sanitario ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPractitionerRole)
• Practitioner Profesional Sanitario ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPractitioner)
• Organization Institución ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASOrganization)

Extensions

This structure refers to these extensions:

• https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario