Procedure

This topic describes information for the Procedure resource.

To interact with the REST endpoints in the Procedure resource, see Procedure.

Overview

The Procedure resource returns current and historical procedures performed on a patient. A procedure can be invasive or noninvasive treatments or procedures and observations. For example, a patient who has breast cancer could have significant and pertinent procedures that include mammograms, BRCA testing, breast examination documentation, and lumpectomy. The user decides what procedures are clinically significant to document. Surgical and radiology procedures documented in other Oracle Cerner products are returned if manually added by a clinician in the patient's procedure history.

Fields

• ID

• Patient

• Status

• Procedure

• Reason performed

• Who performed

• Date performed

• Patient encounter

• Notes

Terminology Bindings

• Procedure.code

  Description: A code to identify a specific procedure.

  • Details: Procedure Codes (SNOMED CT)

    System: https://snomed.info/sct

  • Details: CPT

    System: https://www.ama-assn.org/go/cpt

  • Details: ICD-10-PCS

    System: https://www.icd10data.com/icd10pcs

• Procedure.performer.role

  Description: A code that identifies the role of a performer of the procedure.

  Details: Procedure Performer Role Codes (SNOMED CT)

  System: http://snomed.info/sct