Resumen Digital de Atención en Salud (RDA) - Local Development build (v0.7.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Procedimiento realizado (Procedure) RDA

Perfil FHIR de un procedimiento realizado a un paciente durante un encuentro de atención en salud, para su intercambio en un documento RDA en Colombia.

Actividad o intervención realizada por un profesional de la salud autorizado y habilitado, con el objetivo de apoyar, diagnosticar, tratar o prevenir condiciones de salud, como parte de un proceso de atención en salud.

Un procedimiento en salud puede incluir intervenciones quirúrgicas, procedimientos diagnósticos, terapéuticos o de soporte, y se realiza con base en criterios clínicos y científicos, con el fin de contribuir al diagnóstico, tratamiento o recuperación de la salud de una persona, en concordancia con los lineamientos establecidos por la normativa colombiana.

Ámbito

Este perfil define las restricciones y extensiones aplicables al recurso FHIR Procedure (Procedimiento), con el objetivo de estandarizar y representar la información de procedimientos realizados a un paciente durante un proceso de atención en salud, dentro del contexto del Resumen Digital de Atención en salud (RDA).

Ha sido diseñado a partir de los lineamientos normativos definidos por el Ministerio de Salud y Protección Social, y está armonizado con la Guía de Implementación FHIR Core Colombia.

En Colombia, los procedimientos realizados deben registrarse en la historia clínica del paciente, de acuerdo con los lineamientos establecidos por el Ministerio de Salud y Protección Social y con la normatividad vigente sobre la gestión de la información en salud.

Características

• Proceso clínico profesional: realizado por médicos, odontólogos, enfermeras u otros profesionales de salud autorizados conforme a su formación y marco legal.
• Incluye procedimientos quirúrgicos, diagnósticos, terapéuticos y de soporte.
• Registra información sobre el tipo de procedimiento, fecha, profesional responsable, resultado y observaciones relevantes.
• Se expresa mediante terminologías clínicas estandarizadas: como CUPS, SNOMED CT, CIE-10 o códigos controlados nacionales.
• Facilita la trazabilidad y la continuidad de la atención, así como el análisis de intervenciones realizadas.

Uso previsto

Este perfil está diseñado para ser implementado por:

• Plataforma de interoperabilidad del Ministerio de Salud y Protección Social.
• Instituciones Prestadoras de Servicios de Salud.
• Sistemas de información en salud (HIS, HCE, LIS, RIS, etc.).
• Repositorios de datos clínicos (CDR).
• Proveedores y consumidores de servicios interoperables de salud.

Se espera que sea utilizado principalmente en el escenario de intercambio del Resumen Digital de Atención (RDA).

Restricciones y extensiones clave

• Se requiere el uso de terminologías controladas nacionales.
• Se aplican restricciones sobre elementos obligatorios y cardinalidad.
• Utiliza extensiones para representar información adicional relevante para el contexto colombiano.

Relación con otras guías o perfiles

Este perfil se basa en:

• Procedure FHIR R4
• ​Profile: Procedure CO

Consideraciones adicionales

• Este perfil no sustituye las obligaciones legales sobre el registro clínico.
• Se recomienda verificar la conformidad de su implementación.

Usages:

• Use this Profile: Paquete transaccional (Bundle) de documento RDA (Urgencias) and Paquete transaccional (Bundle) de documento RDA (Hospitalización)
• Refer to this Profile: Resumen Digital de Atención en Salud de Urgencias (RDA Urgencias), Resumen Digital de Atención en Salud de Hospitalización (RDA Hospitalización), Resumen Digital de Atención en Salud (RDA), Nota aclaratoria, posterior al reporte del encuentro de atención (Observation) RDA and Resultado de procedimiento (Observation) RDA

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 a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:ExtensionSurgicalMethod	S	0..1	Coding	Additional content defined by implementations URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionSurgicalMethod Binding: ValueSet: Colombian Surgical Method Codes (required)
status	?!SΣ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required)
category	SΣ	0..1	CodeableConcept	Clasificación del tipo de tecnología en salud Binding: ValueSet: Tipo de tecnología en salud (required)
coding	Σ	0..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianHealthTechnologyCategory
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: 01
display	Σ	1..1	string	Representation defined by the system Fixed Value: Procedimiento en salud
code	SΣ	1..1	CodeableConcept	Identification of the procedure Binding: ValueSet: CUPS Procedures (required)
subject	SΣ	1..1	Reference(Paciente (Patient) RDA)	Referencia al paciente que recibió el procedimiento
encounter	SΣ	0..1	Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA)	Referencia al encuentro durante el cual se realizó el procedimiento
performed[x]	SΣ	1..1	dateTime	Fecha de realización del procedimiento
performer	SΣ	1..*	BackboneElement	The people who performed the procedure
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	SΣ	1..1	Reference(Profesional de salud (Practitioner) RDA)	The reference to the Practitioner
reasonCode	SΣ	1..1	CodeableConcept	Finalidad de la tecnología en Salud Binding: ValueSet: Colombian Encounter ReasonCode (required)
Slices for reasonReference	SΣ	2..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed Slice: Ordered, Open by value:id
reasonReference:MainDiagnosis	SΣ	1..1	Reference(Diagnóstico de condición de salud (Condition) RDA)	The justification that the procedure was performed
id		1..1	string	Unique id for inter-element referencing Required Pattern: MainDiagnosis
reasonReference:Comobility	SΣ	1..1	Reference(Diagnóstico de condición de salud (Condition) RDA)	The justification that the procedure was performed
id		1..1	string	Unique id for inter-element referencing Required Pattern: Comobility-1
complication	S	0..*	CodeableConcept	Complication following the procedure Binding: ValueSet: ICD 10 Colombia (required)
followUp	S	0..*	CodeableConcept	Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 From the FHIR Standard
Procedure.category	required	ColombianHealthTechnologyCategoryCodes(a valid code from CodeSystem: Tipo de tecnología en salud) https://fhir.minsalud.gov.co/rda/ValueSet/ColombianHealthTechnologyCategoryCodes From this IG
Procedure.code	required	CoCUPSProcedures(a valid code from CodeSystem: Unified Codes of Procedures and Health Services - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/CoCUPSProcedures From this IG
Procedure.reasonCode	required	RIPSFinalidadConsultaVersion2Codigos(a valid code from CodeSystem: Colombian Encounter ReasonCode) https://fhir.minsalud.gov.co/rda/ValueSet/RIPSFinalidadConsultaVersion2Codigos From this IG
Procedure.complication	required	ICD10CO https://fhir.minsalud.gov.co/rda/ValueSet/ICD10Codes From this IG
Procedure.followUp	example	ProcedureFollowUpCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-followup 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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()

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure			Procedure
meta
profile		1..		Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/ProcedureRDA
contained		..0
Slices for extension				Slice: Unordered, Open by value:url
extension:ExtensionSurgicalMethod	S	0..1	Coding	method or manner of performing the surgical act. URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionSurgicalMethod Binding: ValueSet: Colombian Surgical Method Codes (required)
modifierExtension		..0
status	S			Binding: EventStatus (required)
category	S			Clasificación del tipo de tecnología en salud Binding: ValueSet: Tipo de tecnología en salud (required)
coding
system		1..		Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianHealthTechnologyCategory
code	S	1..		Fixed Value: 01
display		1..		Fixed Value: Procedimiento en salud
code	S	1..		Binding: ValueSet: CUPS Procedures (required)
coding
system		1..		Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/CUPS
code		1..
display		1..
subject	S		Reference(Paciente (Patient) RDA)	Referencia al paciente que recibió el procedimiento
encounter	S		Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA)	Referencia al encuentro durante el cual se realizó el procedimiento
performed[x]	S	1..	dateTime	Fecha de realización del procedimiento
performer	S	1..
function		..0
actor	S		Reference(Profesional de salud (Practitioner) RDA)	The reference to the Practitioner
reasonCode	S	1..1		Finalidad de la tecnología en Salud Binding: ValueSet: Colombian Encounter ReasonCode (required)
coding
system		1..		Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/RIPSFinalidadConsultaVersion2
code		1..
display		1..
Slices for reasonReference	S	2..		Slice: Ordered, Open by value:id
reasonReference:MainDiagnosis	S	1..1	Reference(Diagnóstico de condición de salud (Condition) RDA)
id		1..		Required Pattern: MainDiagnosis
reasonReference:Comobility	S	1..1	Reference(Diagnóstico de condición de salud (Condition) RDA)
id		1..		Required Pattern: Comobility-1
complication	S			Binding: ValueSet: ICD 10 Colombia (required)
coding
system		1..		Fixed Value: http://hl7.org/fhir/sid/icd-10
code		1..
display		1..
followUp	S
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 From the FHIR Standard
Procedure.category	required	ColombianHealthTechnologyCategoryCodes(a valid code from CodeSystem: Tipo de tecnología en salud) https://fhir.minsalud.gov.co/rda/ValueSet/ColombianHealthTechnologyCategoryCodes From this IG
Procedure.code	required	CoCUPSProcedures(a valid code from CodeSystem: Unified Codes of Procedures and Health Services - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/CoCUPSProcedures From this IG
Procedure.reasonCode	required	RIPSFinalidadConsultaVersion2Codigos(a valid code from CodeSystem: Colombian Encounter ReasonCode) https://fhir.minsalud.gov.co/rda/ValueSet/RIPSFinalidadConsultaVersion2Codigos From this IG
Procedure.complication	required	ICD10CO https://fhir.minsalud.gov.co/rda/ValueSet/ICD10Codes From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	An action that is being or was performed on a patient
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/ProcedureRDA
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:ExtensionSurgicalMethod	S	0..1	Coding	Additional content defined by implementations URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionSurgicalMethod Binding: ValueSet: Colombian Surgical Method Codes (required)
identifier	Σ	0..*	Identifier	External Identifiers for this procedure
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	?!SΣ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required)
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category	SΣ	0..1	CodeableConcept	Clasificación del tipo de tecnología en salud Binding: ValueSet: Tipo de tecnología en salud (required)
id		0..1	string	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	string	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	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianHealthTechnologyCategory
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: 01
display	Σ	1..1	string	Representation defined by the system Fixed Value: Procedimiento en salud
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	SΣ	1..1	CodeableConcept	Identification of the procedure Binding: ValueSet: CUPS Procedures (required)
id		0..1	string	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	string	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	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/CUPS
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
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
subject	SΣ	1..1	Reference(Paciente (Patient) RDA)	Referencia al paciente que recibió el procedimiento
encounter	SΣ	0..1	Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA)	Referencia al encuentro durante el cual se realizó el procedimiento
performed[x]	SΣ	1..1	dateTime	Fecha de realización del procedimiento
recorder	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Who recorded the procedure
asserter	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Person who asserts this procedure
performer	SΣ	1..*	BackboneElement	The people who performed the procedure
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
actor	SΣ	1..1	Reference(Profesional de salud (Practitioner) RDA)	The reference to the Practitioner
onBehalfOf		0..1	Reference(Organization)	Organization the device or practitioner was acting for
location	Σ	0..1	Reference(Location)	Where the procedure happened
reasonCode	SΣ	1..1	CodeableConcept	Finalidad de la tecnología en Salud Binding: ValueSet: Colombian Encounter ReasonCode (required)
id		0..1	string	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	string	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	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/RIPSFinalidadConsultaVersion2
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
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
Slices for reasonReference	SΣ	2..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed Slice: Ordered, Open by value:id
reasonReference:MainDiagnosis	SΣ	1..1	Reference(Diagnóstico de condición de salud (Condition) RDA)	The justification that the procedure was performed
id		1..1	string	Unique id for inter-element referencing Required Pattern: MainDiagnosis
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
reasonReference:Comobility	SΣ	1..1	Reference(Diagnóstico de condición de salud (Condition) RDA)	The justification that the procedure was performed
id		1..1	string	Unique id for inter-element referencing Required Pattern: Comobility-1
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (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	S	0..*	CodeableConcept	Complication following the procedure Binding: ValueSet: ICD 10 Colombia (required)
id		0..1	string	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	string	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	Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-10
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
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
complicationDetail		0..*	Reference(Condition)	A condition that is a result of the procedure
followUp	S	0..*	CodeableConcept	Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (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
usedReference		0..*	Reference(Device | Medication | Substance)	Items used during procedure
usedCode		0..*	CodeableConcept	Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
Procedure.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
Procedure.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 From the FHIR Standard
Procedure.statusReason	example	ProcedureNotPerformedReason(SNOMED-CT) http://hl7.org/fhir/ValueSet/procedure-not-performed-reason From the FHIR Standard
Procedure.category	required	ColombianHealthTechnologyCategoryCodes(a valid code from CodeSystem: Tipo de tecnología en salud) https://fhir.minsalud.gov.co/rda/ValueSet/ColombianHealthTechnologyCategoryCodes From this IG
Procedure.code	required	CoCUPSProcedures(a valid code from CodeSystem: Unified Codes of Procedures and Health Services - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/CoCUPSProcedures From this IG
Procedure.reasonCode	required	RIPSFinalidadConsultaVersion2Codigos(a valid code from CodeSystem: Colombian Encounter ReasonCode) https://fhir.minsalud.gov.co/rda/ValueSet/RIPSFinalidadConsultaVersion2Codigos From this IG
Procedure.reasonReference:MainDiagnosis.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Procedure.reasonReference:Comobility.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Procedure.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-outcome From the FHIR Standard
Procedure.complication	required	ICD10CO https://fhir.minsalud.gov.co/rda/ValueSet/ICD10Codes From this IG
Procedure.followUp	example	ProcedureFollowUpCodes(SNOMEDCT) 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.usedCode	example	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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()

This structure is derived from Procedure

Summary

Mandatory: 0 element(21 nested mandatory elements)
Must-Support: 16 elements
Fixed: 7 elements
Prohibited: 3 elements

Structures

This structure refers to these other structures:

• Paciente (Patient) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/PatientRDA)
• Encuentro de atención ambulatoria (Encounter) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterAmbulatoryRDA)
• Encuentro de atención de urgencias en salud (Encounter) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterEmergencyRDA)
• Encuentro de hospitalización (Encounter) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterHospitalizationRDA)
• Profesional de salud (Practitioner) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/PractitionerRDA)
• Diagnóstico de condición de salud (Condition) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/ConditionRDA)

Extensions

This structure refers to these extensions:

• https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionSurgicalMethod

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Procedure.reasonReference (ordered)

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 a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:ExtensionSurgicalMethod	S	0..1	Coding	Additional content defined by implementations URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionSurgicalMethod Binding: ValueSet: Colombian Surgical Method Codes (required)
status	?!SΣ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required)
category	SΣ	0..1	CodeableConcept	Clasificación del tipo de tecnología en salud Binding: ValueSet: Tipo de tecnología en salud (required)
coding	Σ	0..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianHealthTechnologyCategory
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: 01
display	Σ	1..1	string	Representation defined by the system Fixed Value: Procedimiento en salud
code	SΣ	1..1	CodeableConcept	Identification of the procedure Binding: ValueSet: CUPS Procedures (required)
subject	SΣ	1..1	Reference(Paciente (Patient) RDA)	Referencia al paciente que recibió el procedimiento
encounter	SΣ	0..1	Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA)	Referencia al encuentro durante el cual se realizó el procedimiento
performed[x]	SΣ	1..1	dateTime	Fecha de realización del procedimiento
performer	SΣ	1..*	BackboneElement	The people who performed the procedure
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	SΣ	1..1	Reference(Profesional de salud (Practitioner) RDA)	The reference to the Practitioner
reasonCode	SΣ	1..1	CodeableConcept	Finalidad de la tecnología en Salud Binding: ValueSet: Colombian Encounter ReasonCode (required)
Slices for reasonReference	SΣ	2..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed Slice: Ordered, Open by value:id
reasonReference:MainDiagnosis	SΣ	1..1	Reference(Diagnóstico de condición de salud (Condition) RDA)	The justification that the procedure was performed
id		1..1	string	Unique id for inter-element referencing Required Pattern: MainDiagnosis
reasonReference:Comobility	SΣ	1..1	Reference(Diagnóstico de condición de salud (Condition) RDA)	The justification that the procedure was performed
id		1..1	string	Unique id for inter-element referencing Required Pattern: Comobility-1
complication	S	0..*	CodeableConcept	Complication following the procedure Binding: ValueSet: ICD 10 Colombia (required)
followUp	S	0..*	CodeableConcept	Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 From the FHIR Standard
Procedure.category	required	ColombianHealthTechnologyCategoryCodes(a valid code from CodeSystem: Tipo de tecnología en salud) https://fhir.minsalud.gov.co/rda/ValueSet/ColombianHealthTechnologyCategoryCodes From this IG
Procedure.code	required	CoCUPSProcedures(a valid code from CodeSystem: Unified Codes of Procedures and Health Services - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/CoCUPSProcedures From this IG
Procedure.reasonCode	required	RIPSFinalidadConsultaVersion2Codigos(a valid code from CodeSystem: Colombian Encounter ReasonCode) https://fhir.minsalud.gov.co/rda/ValueSet/RIPSFinalidadConsultaVersion2Codigos From this IG
Procedure.complication	required	ICD10CO https://fhir.minsalud.gov.co/rda/ValueSet/ICD10Codes From this IG
Procedure.followUp	example	ProcedureFollowUpCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-followup 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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()

Differential View

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure			Procedure
meta
profile		1..		Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/ProcedureRDA
contained		..0
Slices for extension				Slice: Unordered, Open by value:url
extension:ExtensionSurgicalMethod	S	0..1	Coding	method or manner of performing the surgical act. URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionSurgicalMethod Binding: ValueSet: Colombian Surgical Method Codes (required)
modifierExtension		..0
status	S			Binding: EventStatus (required)
category	S			Clasificación del tipo de tecnología en salud Binding: ValueSet: Tipo de tecnología en salud (required)
coding
system		1..		Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianHealthTechnologyCategory
code	S	1..		Fixed Value: 01
display		1..		Fixed Value: Procedimiento en salud
code	S	1..		Binding: ValueSet: CUPS Procedures (required)
coding
system		1..		Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/CUPS
code		1..
display		1..
subject	S		Reference(Paciente (Patient) RDA)	Referencia al paciente que recibió el procedimiento
encounter	S		Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA)	Referencia al encuentro durante el cual se realizó el procedimiento
performed[x]	S	1..	dateTime	Fecha de realización del procedimiento
performer	S	1..
function		..0
actor	S		Reference(Profesional de salud (Practitioner) RDA)	The reference to the Practitioner
reasonCode	S	1..1		Finalidad de la tecnología en Salud Binding: ValueSet: Colombian Encounter ReasonCode (required)
coding
system		1..		Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/RIPSFinalidadConsultaVersion2
code		1..
display		1..
Slices for reasonReference	S	2..		Slice: Ordered, Open by value:id
reasonReference:MainDiagnosis	S	1..1	Reference(Diagnóstico de condición de salud (Condition) RDA)
id		1..		Required Pattern: MainDiagnosis
reasonReference:Comobility	S	1..1	Reference(Diagnóstico de condición de salud (Condition) RDA)
id		1..		Required Pattern: Comobility-1
complication	S			Binding: ValueSet: ICD 10 Colombia (required)
coding
system		1..		Fixed Value: http://hl7.org/fhir/sid/icd-10
code		1..
display		1..
followUp	S
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 From the FHIR Standard
Procedure.category	required	ColombianHealthTechnologyCategoryCodes(a valid code from CodeSystem: Tipo de tecnología en salud) https://fhir.minsalud.gov.co/rda/ValueSet/ColombianHealthTechnologyCategoryCodes From this IG
Procedure.code	required	CoCUPSProcedures(a valid code from CodeSystem: Unified Codes of Procedures and Health Services - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/CoCUPSProcedures From this IG
Procedure.reasonCode	required	RIPSFinalidadConsultaVersion2Codigos(a valid code from CodeSystem: Colombian Encounter ReasonCode) https://fhir.minsalud.gov.co/rda/ValueSet/RIPSFinalidadConsultaVersion2Codigos From this IG
Procedure.complication	required	ICD10CO https://fhir.minsalud.gov.co/rda/ValueSet/ICD10Codes From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	An action that is being or was performed on a patient
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/ProcedureRDA
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:ExtensionSurgicalMethod	S	0..1	Coding	Additional content defined by implementations URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionSurgicalMethod Binding: ValueSet: Colombian Surgical Method Codes (required)
identifier	Σ	0..*	Identifier	External Identifiers for this procedure
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	?!SΣ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required)
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category	SΣ	0..1	CodeableConcept	Clasificación del tipo de tecnología en salud Binding: ValueSet: Tipo de tecnología en salud (required)
id		0..1	string	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	string	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	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianHealthTechnologyCategory
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: 01
display	Σ	1..1	string	Representation defined by the system Fixed Value: Procedimiento en salud
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	SΣ	1..1	CodeableConcept	Identification of the procedure Binding: ValueSet: CUPS Procedures (required)
id		0..1	string	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	string	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	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/CUPS
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
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
subject	SΣ	1..1	Reference(Paciente (Patient) RDA)	Referencia al paciente que recibió el procedimiento
encounter	SΣ	0..1	Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA)	Referencia al encuentro durante el cual se realizó el procedimiento
performed[x]	SΣ	1..1	dateTime	Fecha de realización del procedimiento
recorder	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Who recorded the procedure
asserter	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Person who asserts this procedure
performer	SΣ	1..*	BackboneElement	The people who performed the procedure
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
actor	SΣ	1..1	Reference(Profesional de salud (Practitioner) RDA)	The reference to the Practitioner
onBehalfOf		0..1	Reference(Organization)	Organization the device or practitioner was acting for
location	Σ	0..1	Reference(Location)	Where the procedure happened
reasonCode	SΣ	1..1	CodeableConcept	Finalidad de la tecnología en Salud Binding: ValueSet: Colombian Encounter ReasonCode (required)
id		0..1	string	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	string	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	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/RIPSFinalidadConsultaVersion2
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
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
Slices for reasonReference	SΣ	2..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed Slice: Ordered, Open by value:id
reasonReference:MainDiagnosis	SΣ	1..1	Reference(Diagnóstico de condición de salud (Condition) RDA)	The justification that the procedure was performed
id		1..1	string	Unique id for inter-element referencing Required Pattern: MainDiagnosis
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
reasonReference:Comobility	SΣ	1..1	Reference(Diagnóstico de condición de salud (Condition) RDA)	The justification that the procedure was performed
id		1..1	string	Unique id for inter-element referencing Required Pattern: Comobility-1
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (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	S	0..*	CodeableConcept	Complication following the procedure Binding: ValueSet: ICD 10 Colombia (required)
id		0..1	string	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	string	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	Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-10
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
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
complicationDetail		0..*	Reference(Condition)	A condition that is a result of the procedure
followUp	S	0..*	CodeableConcept	Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (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
usedReference		0..*	Reference(Device | Medication | Substance)	Items used during procedure
usedCode		0..*	CodeableConcept	Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
Procedure.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
Procedure.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 From the FHIR Standard
Procedure.statusReason	example	ProcedureNotPerformedReason(SNOMED-CT) http://hl7.org/fhir/ValueSet/procedure-not-performed-reason From the FHIR Standard
Procedure.category	required	ColombianHealthTechnologyCategoryCodes(a valid code from CodeSystem: Tipo de tecnología en salud) https://fhir.minsalud.gov.co/rda/ValueSet/ColombianHealthTechnologyCategoryCodes From this IG
Procedure.code	required	CoCUPSProcedures(a valid code from CodeSystem: Unified Codes of Procedures and Health Services - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/CoCUPSProcedures From this IG
Procedure.reasonCode	required	RIPSFinalidadConsultaVersion2Codigos(a valid code from CodeSystem: Colombian Encounter ReasonCode) https://fhir.minsalud.gov.co/rda/ValueSet/RIPSFinalidadConsultaVersion2Codigos From this IG
Procedure.reasonReference:MainDiagnosis.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Procedure.reasonReference:Comobility.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Procedure.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-outcome From the FHIR Standard
Procedure.complication	required	ICD10CO https://fhir.minsalud.gov.co/rda/ValueSet/ICD10Codes From this IG
Procedure.followUp	example	ProcedureFollowUpCodes(SNOMEDCT) 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.usedCode	example	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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()

This structure is derived from Procedure

Summary

Mandatory: 0 element(21 nested mandatory elements)
Must-Support: 16 elements
Fixed: 7 elements
Prohibited: 3 elements

Structures

This structure refers to these other structures:

• Paciente (Patient) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/PatientRDA)
• Encuentro de atención ambulatoria (Encounter) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterAmbulatoryRDA)
• Encuentro de atención de urgencias en salud (Encounter) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterEmergencyRDA)
• Encuentro de hospitalización (Encounter) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterHospitalizationRDA)
• Profesional de salud (Practitioner) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/PractitionerRDA)
• Diagnóstico de condición de salud (Condition) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/ConditionRDA)

Extensions

This structure refers to these extensions:

• https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionSurgicalMethod

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Procedure.reasonReference (ordered)

Other representations of profile: CSV, Excel, Schematron