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 medical and surgical procedures performed on or for a patient during their lifetime. Historical procedures and procedures recorded during a specific visit are returned. Surgical procedures from finalized surgical cases are returned as free-text procedures if the product is configured to write procedures from finalized cases to procedure history.

This resource supports the following HL7 FHIR US Core Implementation Guide STU 4.0.0 profiles:

• US Core Procedure Profile

Note:

The examples provided here are non-normative and replaying them in the public sandbox is not guaranteed to yield the results shown on the site.

Fields

• ID

• Status

• Code

• Subject

  • Reference (Patient)

• Encounter

• Performed Period

  • DateTime

  • Period

• Who recorded

  • Reference (Practitioner)

• Who performed

  • Reference (Practitioner)

• Location

• Reason procedure performed

  • Reference (Condition)

• Comment/Note

  • Annotation Author

• Reference (Practitioner)

Terminology Bindings

• Procedure.status

  Description: Codes identifying the lifecycle stage of an event

  Details: EventStatus

  System: http://hl7.org/fhir/event-status

• 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.function

  Description: A code that distinguishes the performer's type of involvement in the procedure.

  • Details: Procedure Performer Role Codes (SNOMED CT)

    System: https://snomed.info/sct

  • Details: For more information, see Code Set 338 Procedure Personnel Relationship Type under the List of Code Sets section in Proprietary Codes and Systems.

    System: https://fhir.cerner.com/<EHR_source_id>/codeSet/388