ÚNICAS Rare Diseases HL7 FHIR Implementation Guide
0.0.2 - draft

ÚNICAS Rare Diseases HL7 FHIR Implementation Guide - Local Development build (v0.0.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Procedure Procedimiento Quirúrgico ÚNICAS

Official URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASProcedure Version: 0.0.2
Draft as of 2025-11-10 Computable Name: UNICASProcedure

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:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
.... 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: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:regcess:0123456789
.... value ΣC 1..1 string Identificador interno del sistema para el procedimiento quirúrgico
Example General: 123456
Example ÚNICAS: 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 BindingsPurposeDocumentation
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: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:oid:2.16.724.4.40
..... value ΣC 0..1 string Número CIP-SNS
Example General: 123456
Example ÚNICAS: 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 BindingsPurposeDocumentation
Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
...... system Σ 0..1 uri OID registro de DNI
Example General: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3
...... value ΣC 0..1 string Número del DNI
Example General: 123456
Example ÚNICAS: 0000001X
..... display ΣC 0..1 string Nombre completo del profesional sanitario

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.identifier.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
Procedure.status Base required EventStatus 📍5.0.0 FHIR Std.
Procedure.category Base preferred Value set de Tipos de informaciones para ÚNICAS 📦0.0.2 This IG
Procedure.code Base preferred Value set de Procedimiento quirúrgico 📦0.0.2 This IG
Procedure.subject.type Base extensible Resource Types 📍5.0.0 FHIR Std.
Procedure.subject.identifier.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
Procedure.subject.identifier.​type Base extensible Identifier Type Codes 📦5.0.0 FHIR Std.
Procedure.performer.​actor.type Base extensible Resource Types 📍5.0.0 FHIR Std.
Procedure.performer.​actor.identifier.use Base required IdentifierUse 📍5.0.0 FHIR Std.
Procedure.performer.​actor.identifier.type Base extensible Identifier Type Codes 📦5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure Procedure
... identifier 1..* Identifier Identificador único
.... system C 1..1 uri Sistema para identificar el origen
Constraints: regcess-system
Example ÚNICAS: urn:regcess:0123456789
.... value 1..1 string Identificador interno del sistema para el procedimiento quirúrgico
Example ÚNICAS: 123456
... 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
.... 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 BindingsPurposeDocumentation
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
Example ÚNICAS: urn:oid:2.16.724.4.40
..... value 0..1 string Número CIP-SNS
Example ÚNICAS: BBBBBBBBQR648597
.... 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 BindingsPurposeDocumentation
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
Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3
...... value 0..1 string Número del DNI
Example ÚNICAS: 0000001X
..... display 0..1 string Nombre completo del profesional sanitario

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Procedure.category Base preferred Value set de Tipos de informaciones para ÚNICAS 📦0.0.2 This IG
Procedure.code Base preferred Value set de Procedimiento quirúrgico 📦0.0.2 This IG
Procedure.subject.identifier.​type Base extensible Identifier Type Codes 📦5.0.0 FHIR Std.
Procedure.performer.​actor.identifier.type Base extensible Identifier Type Codes 📦5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
regcess-system warning Procedure.identifier.system system debe comenzar por urn:regcess: seguido del identificador del sistema. matches('^urn:regcess:[A-Za-z0-9]+$')
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
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: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:regcess:0123456789
.... value ΣC 1..1 string Identificador interno del sistema para el procedimiento quirúrgico
Example General: 123456
Example ÚNICAS: 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 BindingsPurposeDocumentation
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: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:oid:2.16.724.4.40
..... value ΣC 0..1 string Número CIP-SNS
Example General: 123456
Example ÚNICAS: 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 BindingsPurposeDocumentation
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: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3
...... value ΣC 0..1 string Número del DNI
Example General: 123456
Example ÚNICAS: 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.language Base required All Languages 📍5.0.0 FHIR Std.
Procedure.identifier.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
Procedure.identifier.​type Base extensible Identifier Type Codes 📍5.0.0 FHIR Std.
Procedure.status Base required EventStatus 📍5.0.0 FHIR Std.
Procedure.statusReason Base example Procedure Not Performed Reason (SNOMED-CT) 📍5.0.0 FHIR Std.
Procedure.category Base preferred Value set de Tipos de informaciones para ÚNICAS 📦0.0.2 This IG
Procedure.code Base preferred Value set de Procedimiento quirúrgico 📦0.0.2 This IG
Procedure.subject.type Base extensible Resource Types 📍5.0.0 FHIR Std.
Procedure.subject.identifier.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
Procedure.subject.identifier.​type Base extensible Identifier Type Codes 📦5.0.0 FHIR Std.
Procedure.performer.​function Base example Procedure Performer Role Codes 📍5.0.0 FHIR Std.
Procedure.performer.​actor.type Base extensible Resource Types 📍5.0.0 FHIR Std.
Procedure.performer.​actor.identifier.use Base required IdentifierUse 📍5.0.0 FHIR Std.
Procedure.performer.​actor.identifier.type Base extensible Identifier Type Codes 📦5.0.0 FHIR Std.
Procedure.reason Base example Procedure Reason Codes 📍5.0.0 FHIR Std.
Procedure.bodySite Base example SNOMED CT Body Structures 📍5.0.0 FHIR Std.
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📍5.0.0 FHIR Std.
Procedure.complication Base example Condition/Problem/Diagnosis Codes 📍5.0.0 FHIR Std.
Procedure.followUp Base example Procedure Follow up Codes (SNOMED CT) 📍5.0.0 FHIR Std.
Procedure.focalDevice.​action Base preferred Procedure Device Action Codes 📍5.0.0 FHIR Std.
Procedure.used Base example Device Type 📍5.0.0 FHIR Std.

Constraints

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
.... 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: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:regcess:0123456789
.... value ΣC 1..1 string Identificador interno del sistema para el procedimiento quirúrgico
Example General: 123456
Example ÚNICAS: 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 BindingsPurposeDocumentation
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: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:oid:2.16.724.4.40
..... value ΣC 0..1 string Número CIP-SNS
Example General: 123456
Example ÚNICAS: 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 BindingsPurposeDocumentation
Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
...... system Σ 0..1 uri OID registro de DNI
Example General: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3
...... value ΣC 0..1 string Número del DNI
Example General: 123456
Example ÚNICAS: 0000001X
..... display ΣC 0..1 string Nombre completo del profesional sanitario

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.identifier.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
Procedure.status Base required EventStatus 📍5.0.0 FHIR Std.
Procedure.category Base preferred Value set de Tipos de informaciones para ÚNICAS 📦0.0.2 This IG
Procedure.code Base preferred Value set de Procedimiento quirúrgico 📦0.0.2 This IG
Procedure.subject.type Base extensible Resource Types 📍5.0.0 FHIR Std.
Procedure.subject.identifier.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
Procedure.subject.identifier.​type Base extensible Identifier Type Codes 📦5.0.0 FHIR Std.
Procedure.performer.​actor.type Base extensible Resource Types 📍5.0.0 FHIR Std.
Procedure.performer.​actor.identifier.use Base required IdentifierUse 📍5.0.0 FHIR Std.
Procedure.performer.​actor.identifier.type Base extensible Identifier Type Codes 📦5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure Procedure
... identifier 1..* Identifier Identificador único
.... system C 1..1 uri Sistema para identificar el origen
Constraints: regcess-system
Example ÚNICAS: urn:regcess:0123456789
.... value 1..1 string Identificador interno del sistema para el procedimiento quirúrgico
Example ÚNICAS: 123456
... 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
.... 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 BindingsPurposeDocumentation
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
Example ÚNICAS: urn:oid:2.16.724.4.40
..... value 0..1 string Número CIP-SNS
Example ÚNICAS: BBBBBBBBQR648597
.... 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 BindingsPurposeDocumentation
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
Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3
...... value 0..1 string Número del DNI
Example ÚNICAS: 0000001X
..... display 0..1 string Nombre completo del profesional sanitario

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Procedure.category Base preferred Value set de Tipos de informaciones para ÚNICAS 📦0.0.2 This IG
Procedure.code Base preferred Value set de Procedimiento quirúrgico 📦0.0.2 This IG
Procedure.subject.identifier.​type Base extensible Identifier Type Codes 📦5.0.0 FHIR Std.
Procedure.performer.​actor.identifier.type Base extensible Identifier Type Codes 📦5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
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: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:regcess:0123456789
.... value ΣC 1..1 string Identificador interno del sistema para el procedimiento quirúrgico
Example General: 123456
Example ÚNICAS: 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 BindingsPurposeDocumentation
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: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:oid:2.16.724.4.40
..... value ΣC 0..1 string Número CIP-SNS
Example General: 123456
Example ÚNICAS: 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 BindingsPurposeDocumentation
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: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3
...... value ΣC 0..1 string Número del DNI
Example General: 123456
Example ÚNICAS: 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.language Base required All Languages 📍5.0.0 FHIR Std.
Procedure.identifier.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
Procedure.identifier.​type Base extensible Identifier Type Codes 📍5.0.0 FHIR Std.
Procedure.status Base required EventStatus 📍5.0.0 FHIR Std.
Procedure.statusReason Base example Procedure Not Performed Reason (SNOMED-CT) 📍5.0.0 FHIR Std.
Procedure.category Base preferred Value set de Tipos de informaciones para ÚNICAS 📦0.0.2 This IG
Procedure.code Base preferred Value set de Procedimiento quirúrgico 📦0.0.2 This IG
Procedure.subject.type Base extensible Resource Types 📍5.0.0 FHIR Std.
Procedure.subject.identifier.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
Procedure.subject.identifier.​type Base extensible Identifier Type Codes 📦5.0.0 FHIR Std.
Procedure.performer.​function Base example Procedure Performer Role Codes 📍5.0.0 FHIR Std.
Procedure.performer.​actor.type Base extensible Resource Types 📍5.0.0 FHIR Std.
Procedure.performer.​actor.identifier.use Base required IdentifierUse 📍5.0.0 FHIR Std.
Procedure.performer.​actor.identifier.type Base extensible Identifier Type Codes 📦5.0.0 FHIR Std.
Procedure.reason Base example Procedure Reason Codes 📍5.0.0 FHIR Std.
Procedure.bodySite Base example SNOMED CT Body Structures 📍5.0.0 FHIR Std.
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📍5.0.0 FHIR Std.
Procedure.complication Base example Condition/Problem/Diagnosis Codes 📍5.0.0 FHIR Std.
Procedure.followUp Base example Procedure Follow up Codes (SNOMED CT) 📍5.0.0 FHIR Std.
Procedure.focalDevice.​action Base preferred Procedure Device Action Codes 📍5.0.0 FHIR Std.
Procedure.used Base example Device Type 📍5.0.0 FHIR Std.

Constraints

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

 

Other representations of profile: CSV, Excel, Schematron

ÚNICAS está impulsado por el Consejo Interterritorial del Sistema Nacional de Salud, y financiado con fondos Next Generation de la Unión Europea, en el marco del Plan de Recuperación, Transformación y Resiliencia del Gobierno de España. El Ministerio de Sanidad ejerce la coordinación del proyecto, y Cataluña lidera la parte del desarrollo de los activos tecnológicos para su implementación.