Swissnoso Implementation Guide (R4)
1.0.0 - STU 1 Switzerland flag

This page is part of the Swissnoso Implementation Guide (R4) (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: Swissnoso Procedure Microbiology

Official URL: http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-procedure-microbiology Version: 1.0.0
Active as of 2022-06-14 Computable Name: SwissnosoProcedureMicrobiology

Copyright/Legal: CC-BY-SA-4.0

This profile constrains the Procedure resource to represent the microbiology in the context of the CAUTI Surveillance module.

Usage:

Formal Views of Profile Content

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

This structure is derived from SwissnosoProcedure

Summary

Mandatory: 5 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Procedure.performed[x] is sliced based on the value of type:$this

This structure is derived from SwissnosoProcedure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..*SwissnosoProcedureSwissnoso Procedure Microbiology
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... swissnoso-sequence-number 1..1positiveIntSequence number of the microbiology
URL: http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-sequence-number
... status 1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 269934003
... performed[x] 1..1dateTimeWhen the procedure was performed
Slice: Unordered, Open by type:$this
... performedDateTime 1..1dateTimeSampling date
... reasonReference 1..1Reference(Swissnoso Observation Symptoms)The justification that the procedure was performed

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..*SwissnosoProcedureSwissnoso Procedure Microbiology
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... swissnoso-sequence-number 1..1positiveIntSequence number of the microbiology
URL: http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-sequence-number
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Identifiers for this procedure
... instantiatesCanonical Σ0..*canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn Σ0..*Reference(CarePlan | ServiceRequest)A request for this procedure
... partOf Σ0..*Reference(Procedure | Observation | MedicationAdministration)Part of referenced event
... status ?!Σ1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.

... statusReason Σ0..1CodeableConceptReason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.

... category Σ0..1CodeableConceptClassification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.

... code Σ1..1CodeableConceptMicrobiology (procedure)
Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 269934003
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... subject Σ1..1Reference(Swissnoso Patient)Who the procedure was performed on
... encounter Σ1..1Reference(Swissnoso Encounter)Encounter created as part of
... Slices for performed[x] Σ1..1dateTimeWhen the procedure was performed
Slice: Unordered, Closed by type:$this
.... performed[x]:performedDateTime Σ1..1dateTimeSampling date
... recorder Σ0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Who recorded the procedure
... asserter Σ0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Person who asserts this procedure
... performer Σ0..*BackboneElementThe people who performed the procedure
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function Σ0..1CodeableConceptType of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.

.... actor Σ1..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)The reference to the practitioner
.... onBehalfOf 0..1Reference(Organization)Organization the device or practitioner was acting for
... location Σ0..1Reference(Location)Where the procedure happened
... reasonCode Σ0..*CodeableConceptCoded reason procedure performed
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.


... reasonReference Σ1..1Reference(Swissnoso Observation Symptoms)The justification that the procedure was performed
... bodySite Σ0..*CodeableConceptTarget body sites
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... outcome Σ0..1CodeableConceptThe 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 0..*CodeableConceptComplication following the procedure
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.


... complicationDetail 0..*Reference(Condition)A condition that is a result of the procedure
... followUp 0..*CodeableConceptInstructions for follow up
Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.


... note 0..*AnnotationAdditional information about the procedure
... focalDevice 0..*BackboneElementManipulated, implanted, or removed device
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... action 0..1CodeableConceptKind of change to device
Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.

.... manipulated 1..1Reference(Device)Device that was changed
... usedReference 0..*Reference(Device | Medication | Substance)Items used during procedure
... usedCode 0..*CodeableConceptCoded items used during the procedure
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.



doco Documentation for this format

This structure is derived from SwissnosoProcedure

Summary

Mandatory: 5 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Procedure.performed[x] is sliced based on the value of type:$this

Differential View

This structure is derived from SwissnosoProcedure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..*SwissnosoProcedureSwissnoso Procedure Microbiology
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... swissnoso-sequence-number 1..1positiveIntSequence number of the microbiology
URL: http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-sequence-number
... status 1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 269934003
... performed[x] 1..1dateTimeWhen the procedure was performed
Slice: Unordered, Open by type:$this
... performedDateTime 1..1dateTimeSampling date
... reasonReference 1..1Reference(Swissnoso Observation Symptoms)The justification that the procedure was performed

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..*SwissnosoProcedureSwissnoso Procedure Microbiology
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... swissnoso-sequence-number 1..1positiveIntSequence number of the microbiology
URL: http://fhir.ch/ig/swissnoso/StructureDefinition/swissnoso-sequence-number
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Identifiers for this procedure
... instantiatesCanonical Σ0..*canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn Σ0..*Reference(CarePlan | ServiceRequest)A request for this procedure
... partOf Σ0..*Reference(Procedure | Observation | MedicationAdministration)Part of referenced event
... status ?!Σ1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): A code specifying the state of the procedure.

... statusReason Σ0..1CodeableConceptReason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.

... category Σ0..1CodeableConceptClassification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.

... code Σ1..1CodeableConceptMicrobiology (procedure)
Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 269934003
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... subject Σ1..1Reference(Swissnoso Patient)Who the procedure was performed on
... encounter Σ1..1Reference(Swissnoso Encounter)Encounter created as part of
... Slices for performed[x] Σ1..1dateTimeWhen the procedure was performed
Slice: Unordered, Closed by type:$this
.... performed[x]:performedDateTime Σ1..1dateTimeSampling date
... recorder Σ0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Who recorded the procedure
... asserter Σ0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Person who asserts this procedure
... performer Σ0..*BackboneElementThe people who performed the procedure
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function Σ0..1CodeableConceptType of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.

.... actor Σ1..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)The reference to the practitioner
.... onBehalfOf 0..1Reference(Organization)Organization the device or practitioner was acting for
... location Σ0..1Reference(Location)Where the procedure happened
... reasonCode Σ0..*CodeableConceptCoded reason procedure performed
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.


... reasonReference Σ1..1Reference(Swissnoso Observation Symptoms)The justification that the procedure was performed
... bodySite Σ0..*CodeableConceptTarget body sites
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... outcome Σ0..1CodeableConceptThe 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 0..*CodeableConceptComplication following the procedure
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.


... complicationDetail 0..*Reference(Condition)A condition that is a result of the procedure
... followUp 0..*CodeableConceptInstructions for follow up
Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.


... note 0..*AnnotationAdditional information about the procedure
... focalDevice 0..*BackboneElementManipulated, implanted, or removed device
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... action 0..1CodeableConceptKind of change to device
Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.

.... manipulated 1..1Reference(Device)Device that was changed
... usedReference 0..*Reference(Device | Medication | Substance)Items used during procedure
... usedCode 0..*CodeableConceptCoded items used during the procedure
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.



doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / Code
Procedure.languagepreferredCommonLanguages
Max Binding: AllLanguages
Procedure.statusrequiredEventStatus
Procedure.statusReasonexampleProcedureNotPerformedReason(SNOMED-CT)
Procedure.categoryexampleProcedureCategoryCodes(SNOMEDCT)
Procedure.codeexamplePattern: SNOMED CT code 269934003
Procedure.performer.functionexampleProcedurePerformerRoleCodes
Procedure.reasonCodeexampleProcedureReasonCodes
Procedure.bodySiteexampleSNOMEDCTBodyStructures
Procedure.outcomeexampleProcedureOutcomeCodes(SNOMEDCT)
Procedure.complicationexampleCondition/Problem/DiagnosisCodes
Procedure.followUpexampleProcedureFollowUpCodes(SNOMEDCT)
Procedure.focalDevice.actionpreferredProcedureDeviceActionCodes
Procedure.usedCodeexampleFHIRDeviceTypes

Constraints

IdGradePathDetailsRequirements
dom-2errorProcedureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorProcedureIf 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-4errorProcedureIf 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-5errorProcedureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6Best PracticeProcedureA resource should have narrative for robust management
: text.`div`.exists()
ele-1errorProcedure.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorProcedure.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorProcedure.extension:sequenceNumberAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorProcedure.extension:sequenceNumberMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorProcedure.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorProcedure.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorProcedure.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.instantiatesCanonicalAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.instantiatesUriAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.basedOnAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.partOfAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.statusReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.categoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.encounterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.performed[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.performed[x]:performedDateTimeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.recorderAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.asserterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.performerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.performer.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorProcedure.performer.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorProcedure.performer.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorProcedure.performer.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorProcedure.performer.functionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.performer.actorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.performer.onBehalfOfAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.locationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.reasonCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.reasonReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.bodySiteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.outcomeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.reportAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.complicationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.complicationDetailAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.followUpAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.noteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.focalDeviceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.focalDevice.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorProcedure.focalDevice.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorProcedure.focalDevice.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorProcedure.focalDevice.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorProcedure.focalDevice.actionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.focalDevice.manipulatedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.usedReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorProcedure.usedCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())