Name	Flags	Card.	Type	Description & Constraints
Procedure			Procedure
id	S	1..1	id	Id temporal necesario para identificar el recurso
basedOn	S	1..1	Reference(ServiceRequest Cirugía LE)	Referencia a la solicitud de cirugía que originó el procedimiento
status	S	1..1	code	Indica si la cirugía fue realizada o no: completed | not-done
statusReason	S	0..1	CodeableConcept	Motivo por el cual la cirugía no fue realizada Binding: Motivo Suspensión Cirugía (required)
category	S	1..1	CodeableConcept	Tipo de cirugía realizada Binding: Tipo Cirugía Propuesta (required)
code	S	1..1	CodeableConcept	Código de la cirugía realizada
subject	S	1..1	Reference(Patient LE)	Referencia al paciente que fue intervenido quirúrgicamente
Slices for performed[x]		0..1	dateTime, Period, string, Age, Range	When the procedure was performed Slice: Unordered, Open by type:$this
performed[x]:performedDateTime	S	0..1	dateTime	Fecha y hora en que se realizó la cirugía. El formato corresponde a año, mes, día y hora (hh:mm) YYYY-MM-DDTHH:MMZ
performer	S	1..1	BackboneElement	Primer cirujano a cargo de la cirugía
actor	S	1..1	Reference(PractitionerRole LE)	The reference to the practitioner
outcome	S	0..1	CodeableConcept	Condición de salud del paciente después de la cirugía Binding: Condición Salida Cirugía (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.statusReason	required	VSMotivoSuspencionCirugia (a valid code from Motivo Suspensión Cirugía) https://interoperabilidad.minsal.cl/fhir/ig/quirurgico/ValueSet/VSMotivoSuspencionCirugia from this IG
Procedure.category	required	VSTipoCirugiaPropuesta (a valid code from Tipo Cirugía Propuesta) https://interoperabilidad.minsal.cl/fhir/ig/quirurgico/ValueSet/VSTipoCirugiaPropuesta from this IG
Procedure.outcome	required	VSCondicionSalidaCirugia (a valid code from Condición Salida Cirugía) https://interoperabilidad.minsal.cl/fhir/ig/quirurgico/ValueSet/VSCondicionSalidaCirugia from this IG

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	An action that is being or was performed on a patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
id	SΣ	1..1	id	Id temporal necesario para identificar el recurso
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
basedOn	SΣ	1..1	Reference(ServiceRequest Cirugía LE)	Referencia a la solicitud de cirugía que originó el procedimiento ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	Indica si la cirugía fue realizada o no: completed | not-done Binding: EventStatus (required): A code specifying the state of the procedure. ele-1: All FHIR elements must have a @value or children
statusReason	SΣ	0..1	CodeableConcept	Motivo por el cual la cirugía no fue realizada Binding: Motivo Suspensión Cirugía (required) ele-1: All FHIR elements must have a @value or children
category	SΣ	1..1	CodeableConcept	Tipo de cirugía realizada Binding: Tipo Cirugía Propuesta (required) ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	Código de la cirugía realizada Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Patient LE)	Referencia al paciente que fue intervenido quirúrgicamente ele-1: All FHIR elements must have a @value or children
Slices for performed[x]	Σ	0..1		When the procedure was performed Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
performed[x]:performedDateTime	SΣ	0..1	dateTime	Fecha y hora en que se realizó la cirugía. El formato corresponde a año, mes, día y hora (hh:mm) YYYY-MM-DDTHH:MMZ ele-1: All FHIR elements must have a @value or children
performer	SΣ	1..1	BackboneElement	Primer cirujano a cargo de la cirugía ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
actor	SΣ	1..1	Reference(PractitionerRole LE)	The reference to the practitioner ele-1: All FHIR elements must have a @value or children
outcome	SΣ	0..1	CodeableConcept	Condición de salud del paciente después de la cirugía Binding: Condición Salida Cirugía (required) ele-1: All FHIR elements must have a @value or children
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.statusReason	required	VSMotivoSuspencionCirugia (a valid code from Motivo Suspensión Cirugía) https://interoperabilidad.minsal.cl/fhir/ig/quirurgico/ValueSet/VSMotivoSuspencionCirugia from this IG
Procedure.category	required	VSTipoCirugiaPropuesta (a valid code from Tipo Cirugía Propuesta) https://interoperabilidad.minsal.cl/fhir/ig/quirurgico/ValueSet/VSTipoCirugiaPropuesta from this IG
Procedure.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.outcome	required	VSCondicionSalidaCirugia (a valid code from Condición Salida Cirugía) https://interoperabilidad.minsal.cl/fhir/ig/quirurgico/ValueSet/VSCondicionSalidaCirugia from this IG

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()

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	An action that is being or was performed on a patient
id	SΣ	1..1	id	Id temporal necesario para identificar el recurso
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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
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	SΣ	1..1	Reference(ServiceRequest Cirugía LE)	Referencia a la solicitud de cirugía que originó el procedimiento
partOf	Σ	0..*	Reference(Procedure | Observation | MedicationAdministration)	Part of referenced event
status	?!SΣ	1..1	code	Indica si la cirugía fue realizada o no: completed | not-done Binding: EventStatus (required): A code specifying the state of the procedure.
statusReason	SΣ	0..1	CodeableConcept	Motivo por el cual la cirugía no fue realizada Binding: Motivo Suspensión Cirugía (required)
category	SΣ	1..1	CodeableConcept	Tipo de cirugía realizada Binding: Tipo Cirugía Propuesta (required)
code	SΣ	1..1	CodeableConcept	Código de la cirugía realizada Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
subject	SΣ	1..1	Reference(Patient LE)	Referencia al paciente que fue intervenido quirúrgicamente
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
Slices for performed[x]	Σ	0..1		When the procedure was performed Slice: Unordered, Open by type:$this
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
performed[x]:performedDateTime	SΣ	0..1	dateTime	Fecha y hora en que se realizó la cirugía. El formato corresponde a año, mes, día y hora (hh:mm) YYYY-MM-DDTHH:MMZ
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..1	BackboneElement	Primer cirujano a cargo de la cirugía
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	SΣ	1..1	Reference(PractitionerRole LE)	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	Σ	0..*	CodeableConcept	Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
reasonReference	Σ	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
outcome	SΣ	0..1	CodeableConcept	Condición de salud del paciente después de la cirugía Binding: Condición Salida Cirugía (required)
report		0..*	Reference(DiagnosticReport | DocumentReference | Composition)	Any report resulting from the procedure
complication		0..*	CodeableConcept	Complication 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..*	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.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	required	VSMotivoSuspencionCirugia (a valid code from Motivo Suspensión Cirugía) https://interoperabilidad.minsal.cl/fhir/ig/quirurgico/ValueSet/VSMotivoSuspencionCirugia from this IG
Procedure.category	required	VSTipoCirugiaPropuesta (a valid code from Tipo Cirugía Propuesta) https://interoperabilidad.minsal.cl/fhir/ig/quirurgico/ValueSet/VSTipoCirugiaPropuesta from this IG
Procedure.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
Procedure.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Procedure.outcome	required	VSCondicionSalidaCirugia (a valid code from Condición Salida Cirugía) https://interoperabilidad.minsal.cl/fhir/ig/quirurgico/ValueSet/VSCondicionSalidaCirugia from this IG
Procedure.complication	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
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()

Summary

Mandatory: 5 elements
Must-Support: 11 elements

Structures

This structure refers to these other structures:

• ServiceRequest Cirugía LE (https://interoperabilidad.minsal.cl/fhir/ig/quirurgico/StructureDefinition/ServiceRequestCirugiaLE)
• Patient LE (https://interoperabilidad.minsal.cl/fhir/ig/quirurgico/StructureDefinition/PatientLE)
• PractitionerRole LE (https://interoperabilidad.minsal.cl/fhir/ig/quirurgico/StructureDefinition/PractitionerRoleLE)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Procedure.performed[x]

Maturity: 0

Name	Flags	Card.	Type	Description & Constraints
Procedure			Procedure
id	S	1..1	id	Id temporal necesario para identificar el recurso
basedOn	S	1..1	Reference(ServiceRequest Cirugía LE)	Referencia a la solicitud de cirugía que originó el procedimiento
status	S	1..1	code	Indica si la cirugía fue realizada o no: completed | not-done
statusReason	S	0..1	CodeableConcept	Motivo por el cual la cirugía no fue realizada Binding: Motivo Suspensión Cirugía (required)
category	S	1..1	CodeableConcept	Tipo de cirugía realizada Binding: Tipo Cirugía Propuesta (required)
code	S	1..1	CodeableConcept	Código de la cirugía realizada
subject	S	1..1	Reference(Patient LE)	Referencia al paciente que fue intervenido quirúrgicamente
Slices for performed[x]		0..1	dateTime, Period, string, Age, Range	When the procedure was performed Slice: Unordered, Open by type:$this
performed[x]:performedDateTime	S	0..1	dateTime	Fecha y hora en que se realizó la cirugía. El formato corresponde a año, mes, día y hora (hh:mm) YYYY-MM-DDTHH:MMZ
performer	S	1..1	BackboneElement	Primer cirujano a cargo de la cirugía
actor	S	1..1	Reference(PractitionerRole LE)	The reference to the practitioner
outcome	S	0..1	CodeableConcept	Condición de salud del paciente después de la cirugía Binding: Condición Salida Cirugía (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.statusReason	required	VSMotivoSuspencionCirugia (a valid code from Motivo Suspensión Cirugía) https://interoperabilidad.minsal.cl/fhir/ig/quirurgico/ValueSet/VSMotivoSuspencionCirugia from this IG
Procedure.category	required	VSTipoCirugiaPropuesta (a valid code from Tipo Cirugía Propuesta) https://interoperabilidad.minsal.cl/fhir/ig/quirurgico/ValueSet/VSTipoCirugiaPropuesta from this IG
Procedure.outcome	required	VSCondicionSalidaCirugia (a valid code from Condición Salida Cirugía) https://interoperabilidad.minsal.cl/fhir/ig/quirurgico/ValueSet/VSCondicionSalidaCirugia from this IG

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	An action that is being or was performed on a patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
id	SΣ	1..1	id	Id temporal necesario para identificar el recurso
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
basedOn	SΣ	1..1	Reference(ServiceRequest Cirugía LE)	Referencia a la solicitud de cirugía que originó el procedimiento ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	Indica si la cirugía fue realizada o no: completed | not-done Binding: EventStatus (required): A code specifying the state of the procedure. ele-1: All FHIR elements must have a @value or children
statusReason	SΣ	0..1	CodeableConcept	Motivo por el cual la cirugía no fue realizada Binding: Motivo Suspensión Cirugía (required) ele-1: All FHIR elements must have a @value or children
category	SΣ	1..1	CodeableConcept	Tipo de cirugía realizada Binding: Tipo Cirugía Propuesta (required) ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	Código de la cirugía realizada Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Patient LE)	Referencia al paciente que fue intervenido quirúrgicamente ele-1: All FHIR elements must have a @value or children
Slices for performed[x]	Σ	0..1		When the procedure was performed Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
performed[x]:performedDateTime	SΣ	0..1	dateTime	Fecha y hora en que se realizó la cirugía. El formato corresponde a año, mes, día y hora (hh:mm) YYYY-MM-DDTHH:MMZ ele-1: All FHIR elements must have a @value or children
performer	SΣ	1..1	BackboneElement	Primer cirujano a cargo de la cirugía ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
actor	SΣ	1..1	Reference(PractitionerRole LE)	The reference to the practitioner ele-1: All FHIR elements must have a @value or children
outcome	SΣ	0..1	CodeableConcept	Condición de salud del paciente después de la cirugía Binding: Condición Salida Cirugía (required) ele-1: All FHIR elements must have a @value or children
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.statusReason	required	VSMotivoSuspencionCirugia (a valid code from Motivo Suspensión Cirugía) https://interoperabilidad.minsal.cl/fhir/ig/quirurgico/ValueSet/VSMotivoSuspencionCirugia from this IG
Procedure.category	required	VSTipoCirugiaPropuesta (a valid code from Tipo Cirugía Propuesta) https://interoperabilidad.minsal.cl/fhir/ig/quirurgico/ValueSet/VSTipoCirugiaPropuesta from this IG
Procedure.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.outcome	required	VSCondicionSalidaCirugia (a valid code from Condición Salida Cirugía) https://interoperabilidad.minsal.cl/fhir/ig/quirurgico/ValueSet/VSCondicionSalidaCirugia from this IG

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()

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	An action that is being or was performed on a patient
id	SΣ	1..1	id	Id temporal necesario para identificar el recurso
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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
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	SΣ	1..1	Reference(ServiceRequest Cirugía LE)	Referencia a la solicitud de cirugía que originó el procedimiento
partOf	Σ	0..*	Reference(Procedure | Observation | MedicationAdministration)	Part of referenced event
status	?!SΣ	1..1	code	Indica si la cirugía fue realizada o no: completed | not-done Binding: EventStatus (required): A code specifying the state of the procedure.
statusReason	SΣ	0..1	CodeableConcept	Motivo por el cual la cirugía no fue realizada Binding: Motivo Suspensión Cirugía (required)
category	SΣ	1..1	CodeableConcept	Tipo de cirugía realizada Binding: Tipo Cirugía Propuesta (required)
code	SΣ	1..1	CodeableConcept	Código de la cirugía realizada Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
subject	SΣ	1..1	Reference(Patient LE)	Referencia al paciente que fue intervenido quirúrgicamente
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
Slices for performed[x]	Σ	0..1		When the procedure was performed Slice: Unordered, Open by type:$this
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
performed[x]:performedDateTime	SΣ	0..1	dateTime	Fecha y hora en que se realizó la cirugía. El formato corresponde a año, mes, día y hora (hh:mm) YYYY-MM-DDTHH:MMZ
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..1	BackboneElement	Primer cirujano a cargo de la cirugía
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	SΣ	1..1	Reference(PractitionerRole LE)	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	Σ	0..*	CodeableConcept	Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
reasonReference	Σ	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
outcome	SΣ	0..1	CodeableConcept	Condición de salud del paciente después de la cirugía Binding: Condición Salida Cirugía (required)
report		0..*	Reference(DiagnosticReport | DocumentReference | Composition)	Any report resulting from the procedure
complication		0..*	CodeableConcept	Complication 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..*	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.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	required	VSMotivoSuspencionCirugia (a valid code from Motivo Suspensión Cirugía) https://interoperabilidad.minsal.cl/fhir/ig/quirurgico/ValueSet/VSMotivoSuspencionCirugia from this IG
Procedure.category	required	VSTipoCirugiaPropuesta (a valid code from Tipo Cirugía Propuesta) https://interoperabilidad.minsal.cl/fhir/ig/quirurgico/ValueSet/VSTipoCirugiaPropuesta from this IG
Procedure.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
Procedure.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Procedure.outcome	required	VSCondicionSalidaCirugia (a valid code from Condición Salida Cirugía) https://interoperabilidad.minsal.cl/fhir/ig/quirurgico/ValueSet/VSCondicionSalidaCirugia from this IG
Procedure.complication	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
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()

Summary

Mandatory: 5 elements
Must-Support: 11 elements

Structures

This structure refers to these other structures:

• ServiceRequest Cirugía LE (https://interoperabilidad.minsal.cl/fhir/ig/quirurgico/StructureDefinition/ServiceRequestCirugiaLE)
• Patient LE (https://interoperabilidad.minsal.cl/fhir/ig/quirurgico/StructureDefinition/PatientLE)
• PractitionerRole LE (https://interoperabilidad.minsal.cl/fhir/ig/quirurgico/StructureDefinition/PractitionerRoleLE)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Procedure.performed[x]

Maturity: 0