"Id","Path","Slice Name","Alias(s)","Label","Min","Max","Must Support?","Is Modifier?","Is Summary?","Type(s)","Short","Definition","Comments","Requirements","Default Value","Meaning When Missing","Fixed Value","Pattern","Example","Minimum Value","Maximum Value","Maximum Length","Binding Strength","Binding Description","Binding Value Set","Code","Slicing Discriminator","Slicing Description","Slicing Ordered","Slicing Rules","Base Path","Base Min","Base Max","Condition(s)","Constraint(s)","Mapping: Workflow Pattern","Mapping: RIM Mapping","Mapping: FiveWs Pattern Mapping","Mapping: HL7 v2 Mapping"
"Procedure","Procedure","","","",0,*,"","","","null {[]} {[]}
","An action that is being or was performed on a patient","An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like long term services, counseling, or hypnotherapy.","","","","","","","","","",,,,,"",,,,"Procedure",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
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 {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: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:If a resource is contained in another resource, it SHALL NOT have a security label {contained.meta.security.empty()}dom-6:A resource should have narrative for robust management {text.`div`.exists()}","Event","Entity. Role, or Act","Procedure[moodCode=EVN]"
"Procedure.id","Procedure.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"Procedure.meta","Procedure.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"Procedure.implicitRules","Procedure.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"Procedure.language","Procedure.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","","","","","","","","",,"preferred","A human language.","http://hl7.org/fhir/ValueSet/languages","",,,,"Resource.language",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"Procedure.text","Procedure.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded information is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Act.text?"
"Procedure.contained","Procedure.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"","","N/A"
"Procedure.extension","Procedure.extension","","","",3,*,"","","","Extension {[]} {[]}
","Extension","An Extension","","","","","","","","","",,,,,"","value:url}
","",,"open","DomainResource.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Procedure.extension:textSource","Procedure.extension","textSource","","",1,1,"Y","","","Extension {[CanonicalType[https://cdt-beta.healthsage.ai/fhir/StructureDefinition/text-source]]} {[]}
","Text Source Extension","Extension to indicate the source text of a FHIR resource in the input clinical document","","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Procedure.extension:textIndexStart","Procedure.extension","textIndexStart","","",1,1,"Y","","","Extension {[CanonicalType[https://cdt-beta.healthsage.ai/fhir/StructureDefinition/text-index-start]]} {[]}
","Text Index Start Extension","Extension to indicate the starting character index of the extracted text in the source clinical document","","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Procedure.extension:textIndexEnd","Procedure.extension","textIndexEnd","","",1,1,"Y","","","Extension {[CanonicalType[https://cdt-beta.healthsage.ai/fhir/StructureDefinition/text-index-end]]} {[]}
","Text Index End Extension","Extension to indicate the ending character index of the extracted text in the source clinical document","","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"ele-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Procedure.modifierExtension","Procedure.modifierExtension","","extensions
user content","",0,*,"","Y","","Extension {[]} {[]}
","Extensions that cannot be ignored","May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","N/A"
"Procedure.identifier","Procedure.identifier","","","",1,*,"Y","","Y","Identifier {[]} {[]}
","External Identifiers for this procedure","Business identifiers assigned to this procedure by the performer or other systems which remain constant as the resource is updated and is propagated from server to server.","This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and Person resource instances might share the same social insurance number.","Allows identification of the procedure as it is known by various participating systems and in a way that remains consistent across servers.","","","","","","","",,,,,"",,,,"Procedure.identifier",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.identifier",".id","FiveWs.identifier","Some combination of ORC-2 / ORC-3 / OBR-2 / OBR-3 / IPC-1 / IPC-2 / IPC-3 / IPC-4"
"Procedure.identifier.id","Procedure.identifier.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"Procedure.identifier.extension","Procedure.identifier.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","n/a"
"Procedure.identifier.use","Procedure.identifier.use","","","",0,1,"","Y","Y","code {[]} {[]}
","usual | official | temp | secondary | old (If known)","The purpose of this identifier.","Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","","","","","","","",,"required","Identifies the purpose for this identifier, if known .","http://hl7.org/fhir/ValueSet/identifier-use|4.0.1","",,,,"Identifier.use",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Role.code or implied by context","N/A"
"Procedure.identifier.type","Procedure.identifier.type","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Description of identifier","A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.   Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","Allows users to make use of identifiers when the identifier system is not known.","","","","","","","",,"extensible","A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","http://hl7.org/fhir/ValueSet/identifier-type","",,,,"Identifier.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Role.code or implied by context","CX.5"
"Procedure.identifier.system","Procedure.identifier.system","","","",0,1,"","","Y","uri {[]} {[]}
","The namespace for the identifier value","Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","Identifier.system is always case sensitive.","There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""https://cdt-beta.healthsage.ai/fhir/identifier/hsai-cdt""/>","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.acme.com/identifiers/patient""/>","","",,,,,"",,,,"Identifier.system",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","II.root or Role.id.root","CX.4 / EI-2-4"
"Procedure.identifier.value","Procedure.identifier.value","","","",1,1,"","","Y","string {[]} {[]}
","The value that is unique","The portion of the identifier typically relevant to the user and which is unique within the context of the system.","If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""123456""/>","","",,,,,"",,,,"Identifier.value",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)","CX.1 / EI.1"
"Procedure.identifier.period","Procedure.identifier.period","","","",0,1,"","","Y","Period {[]} {[]}
","Time period when id is/was valid for use","Time period during which identifier is/was valid for use.","","","","","","","","","",,,,,"",,,,"Identifier.period",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Role.effectiveTime or implied by context","CX.7 + CX.8"
"Procedure.identifier.assigner","Procedure.identifier.assigner","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","Organization that issued id (may be just text)","Organization that issued/manages the identifier.","The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","","","","","","","","",,,,,"",,,,"Identifier.assigner",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper","CX.4 / (CX.4,CX.9,CX.10)"
"Procedure.instantiatesCanonical","Procedure.instantiatesCanonical","","","",0,*,"","","Y","canonical {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PlanDefinition], CanonicalType[http://hl7.org/fhir/StructureDefinition/ActivityDefinition], CanonicalType[http://hl7.org/fhir/StructureDefinition/Measure], CanonicalType[http://hl7.org/fhir/StructureDefinition/OperationDefinition], CanonicalType[http://hl7.org/fhir/StructureDefinition/Questionnaire]]}
","Instantiates FHIR protocol or definition","The URL pointing to a FHIR-defined protocol, guideline, order set or other definition that is adhered to in whole or in part by this Procedure.","","","","","","","","","",,,,,"",,,,"Procedure.instantiatesCanonical",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.instantiatesCanonical",".outboundRelationship[typeCode=DEFN].target"
"Procedure.instantiatesUri","Procedure.instantiatesUri","","","",0,*,"","","Y","uri {[]} {[]}
","Instantiates external protocol or definition","The URL pointing to an externally maintained protocol, guideline, order set or other definition that is adhered to in whole or in part by this Procedure.","This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.","","","","","","","","",,,,,"",,,,"Procedure.instantiatesUri",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.instantiatesUri",".outboundRelationship[typeCode=DEFN].target"
"Procedure.basedOn","Procedure.basedOn","","fulfills
","",0,*,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/CarePlan], CanonicalType[http://hl7.org/fhir/StructureDefinition/ServiceRequest]]}
","A request for this procedure","A reference to a resource that contains details of the request for this procedure.","","","","","","","","","",,,,,"",,,,"Procedure.basedOn",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.basedOn",".outboundRelationship[typeCode=FLFS].target[classCode=(various e.g. PROC, OBS, PCPR, ACT,  moodCode=RQO].code"
"Procedure.partOf","Procedure.partOf","","container
","",0,*,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Procedure], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationAdministration]]}
","Part of referenced event","A larger event of which this particular procedure is a component or step.","The MedicationAdministration resource has a partOf reference to Procedure, but this is not a circular reference.   For example, the anesthesia MedicationAdministration is part of the surgical Procedure (MedicationAdministration.partOf = Procedure).  For example, the procedure to insert the IV port for an IV medication administration is part of the medication administration (Procedure.partOf = MedicationAdministration).","","","","","","","","",,,,,"",,,,"Procedure.partOf",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.partOf",".inboundRelationship[typeCode=COMP].source[classCode=SBADM or PROC or OBS, moodCode=EVN]"
"Procedure.status","Procedure.status","","","",1,1,"Y","Y","Y","code {[]} {[]}
","preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown","A code specifying the state of the procedure. Generally, this will be the in-progress or completed state.","The ""unknown"" code is not to be used to convey other statuses.  The ""unknown"" code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure.

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.","","","","","","","","",,"required","A code specifying the state of the procedure.","http://hl7.org/fhir/ValueSet/event-status|4.0.1","",,,,"Procedure.status",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.status","statusCode","FiveWs.status"
"Procedure.status.id","Procedure.status.id","","","",0,1,"","","","string {[]} {[]}
","xml:id (or equivalent in JSON)","unique id for the element within a resource (for internal references)","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"Procedure.status.extension","Procedure.status.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"Procedure.status.value","Procedure.status.value","","","",0,1,"","","","string {[]} {[]}
","Primitive value for code","Primitive value for code","","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""completed""/>","","","",,,,,"",,,,"string.value",0,1,"",""
"Procedure.statusReason","Procedure.statusReason","","Suspended Reason
Cancelled Reason","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Reason for current status","Captures the reason for the current state of the procedure.","This is generally only used for ""exception"" statuses such as ""not-done"", ""suspended"" or ""aborted"". The reason for performing the event at all is captured in reasonCode, not here.","","","","","","","","",,"example","A code that identifies the reason a procedure was not performed.","http://hl7.org/fhir/ValueSet/procedure-not-performed-reason","",,,,"Procedure.statusReason",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.statusReason",".reason.Observation.value"
"Procedure.category","Procedure.category","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Classification of the procedure","A code that classifies the procedure for searching, sorting and display purposes (e.g. ""Surgical Procedure"").","","","","","","","","","",,"example","A code that classifies a procedure for searching, sorting and display purposes.","http://hl7.org/fhir/ValueSet/procedure-category","",,,,"Procedure.category",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".outboundRelationship[typeCode=""COMP].target[classCode=""LIST"", moodCode=""EVN""].code","FiveWs.class"
"Procedure.code","Procedure.code","","type
","",1,1,"Y","","Y","CodeableConcept {[]} {[]}
","Identification of the procedure","The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. ""Laparoscopic Appendectomy"").","","0..1 to account for primarily narrative only resources.","","","","","","","",,"required","","https://cdt-beta.healthsage.ai/fhir/ValueSet/cdt-procedure-vs","",,,,"Procedure.code",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.code",".code","FiveWs.what[x]","OBR-44/OBR-45"
"Procedure.code.id","Procedure.code.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"Procedure.code.extension","Procedure.code.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","n/a"
"Procedure.code.coding","Procedure.code.coding","","","",0,*,"","","Y","Coding {[]} {[]}
","Code defined by a terminology system","A reference to a code defined by a terminology system.","Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.","Allows for alternative encodings within a code system, and translations to other code systems.","","","","","","","",,,,,"",,,,"CodeableConcept.coding",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","union(., ./translation)","C*E.1-8, C*E.10-22"
"Procedure.code.coding.id","Procedure.code.coding.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"Procedure.code.coding.extension","Procedure.code.coding.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","n/a"
"Procedure.code.coding.system","Procedure.code.coding.system","","","",1,1,"","","Y","uri {[]} {[]}
","Identity of the terminology system","The identification of the code system that defines the meaning of the symbol in the code.","The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.","Need to be unambiguous about the source of the definition of the symbol.","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://snomed.info/sct""/>","","","",,,,,"",,,,"Coding.system",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","./codeSystem","C*E.3"
"Procedure.code.coding.version","Procedure.code.coding.version","","","",1,1,"","","Y","string {[]} {[]}
","Version of the system - if relevant","The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.","Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.","","","","","","","","",,,,,"",,,,"Coding.version",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","./codeSystemVersion","C*E.7"
"Procedure.code.coding.code","Procedure.code.coding.code","","","",1,1,"","","Y","code {[]} {[]}
","Symbol in syntax defined by the system","A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).","","Need to refer to a particular code in the system.","","","","","","","",,,,,"",,,,"Coding.code",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","./code","C*E.1"
"Procedure.code.coding.display","Procedure.code.coding.display","","","",1,1,"","","Y","string {[]} {[]}
","Representation defined by the system","A representation of the meaning of the code in the system, following the rules of the system.","","Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.","","","","","","","",,,,,"",,,,"Coding.display",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","CV.displayName","C*E.2 - but note this is not well followed"
"Procedure.code.coding.userSelected","Procedure.code.coding.userSelected","","","",0,1,"","","Y","boolean {[]} {[]}
","If this coding was chosen directly by the user","Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).","Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.","This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.","","","","","","","",,,,,"",,,,"Coding.userSelected",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","CD.codingRationale","Sometimes implied by being first"
"Procedure.code.text","Procedure.code.text","","","",0,1,"","","Y","string {[]} {[]}
","Plain text representation of the concept","A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.","Very often the text is the same as a displayName of one of the codings.","The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.","","","","","","","",,,,,"",,,,"CodeableConcept.text",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","./originalText[mediaType/code=""text/plain""]/data","C*E.9. But note many systems use C*E.2 for this"
"Procedure.subject","Procedure.subject","","patient
","",1,1,"Y","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Group]]}
","Who the procedure was performed on","The person, animal or group on which the procedure was performed.","","","","","","","","","",,,,,"",,,,"Procedure.subject",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.subject",".participation[typeCode=SBJ].role","FiveWs.subject[x]","FiveWs.subject","PID-3"
"Procedure.encounter","Procedure.encounter","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Encounter]]}
","Encounter created as part of","The Encounter during which this Procedure was created or performed or to which the creation of this record is tightly associated.","This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.","","","","","","","","",,,,,"",,,,"Procedure.encounter",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.context",".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]","FiveWs.context","PV1-19"
"Procedure.performed[x]","Procedure.performed[x]","","","",0,1,"Y","","Y","dateTime {[]} {[]}
Period {[]} {[]}","When the procedure was performed","Estimated or actual date, date-time, period, or age when the procedure was performed.  Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be captured.","Age is generally used when the patient reports an age at which the procedure was performed. Range is generally used when the patient reports an age range when the procedure was performed, such as sometime between 20-25 years old.  dateTime supports a range of precision due to some procedures being reported as past procedures that might not have millisecond precision while other procedures performed and documented during the encounter might have more precise UTC timestamps with timezone.","","","","","","","","",,,,,"",,,,"Procedure.performed[x]",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.occurrence[x]",".effectiveTime","FiveWs.done[x]","OBR-7"
"Procedure.recorder","Procedure.recorder","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole]]}
","Who recorded the procedure","Individual who recorded the record and takes responsibility for its content.","","","","","","","","","",,,,,"",,,,"Procedure.recorder",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".participation[typeCode=AUT].role","FiveWs.author"
"Procedure.asserter","Procedure.asserter","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole]]}
","Person who asserts this procedure","Individual who is making the procedure statement.","","","","","","","","","",,,,,"",,,,"Procedure.asserter",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".participation[typeCode=INF].role","FiveWs.source"
"Procedure.performer","Procedure.performer","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","The people who performed the procedure","Limited to ""real"" people rather than equipment.","","","","","","","","","",,,,,"",,,,"Procedure.performer",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.performer",".participation[typeCode=PRF]"
"Procedure.performer.id","Procedure.performer.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"Procedure.performer.extension","Procedure.performer.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","n/a"
"Procedure.performer.modifierExtension","Procedure.performer.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","N/A"
"Procedure.performer.function","Procedure.performer.function","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Type of performance","Distinguishes the type of involvement of the performer in the procedure. For example, surgeon, anaesthetist, endoscopist.","","Allows disambiguation of the types of involvement of different performers.","","","","","","","",,"example","A code that identifies the role of a performer of the procedure.","http://hl7.org/fhir/ValueSet/performer-role","",,,,"Procedure.performer.function",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.performer.function",".functionCode","Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25"
"Procedure.performer.actor","Procedure.performer.actor","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device]]}
","The reference to the practitioner","The practitioner who was involved in the procedure.","","A reference to Device supports use cases, such as pacemakers.","","","","","","","",,,,,"",,,,"Procedure.performer.actor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.performer.actor",".role","FiveWs.actor","ORC-19/PRT-5"
"Procedure.performer.onBehalfOf","Procedure.performer.onBehalfOf","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]}
","Organization the device or practitioner was acting for","The organization the device or practitioner was acting on behalf of.","","Practitioners and Devices can be associated with multiple organizations.  This element indicates which organization they were acting on behalf of when performing the action.","","","","","","","",,,,,"",,,,"Procedure.performer.onBehalfOf",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".scoper"
"Procedure.location","Procedure.location","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location]]}
","Where the procedure happened","The location where the procedure actually happened.  E.g. a newborn at home, a tracheostomy at a restaurant.","","Ties a procedure to where the records are likely kept.","","","","","","","",,,,,"",,,,"Procedure.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".participation[typeCode=LOC].role[classCode=SDLOC]","FiveWs.where[x]"
"Procedure.reasonCode","Procedure.reasonCode","","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","Coded reason procedure performed","The coded reason why the procedure was performed. This may be a coded entity of some type, or may simply be present as text.","Use Procedure.reasonCode when a code sufficiently describes the reason.  Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative.  For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used.  Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference.  Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure.","","","","","","","","",,"example","A code that identifies the reason a procedure is  required.","http://hl7.org/fhir/ValueSet/procedure-reason","",,,,"Procedure.reasonCode",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.reasonCode",".reasonCode","FiveWs.why[x]"
"Procedure.reasonReference","Procedure.reasonReference","","","",0,*,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Condition], CanonicalType[http://hl7.org/fhir/StructureDefinition/Observation], CanonicalType[http://hl7.org/fhir/StructureDefinition/Procedure], CanonicalType[http://hl7.org/fhir/StructureDefinition/DiagnosticReport], CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference]]}
","The justification that the procedure was performed","The justification of why the procedure was performed.","It is possible for a procedure to be a reason (such as C-Section) for another procedure (such as an epidural). Other examples include endoscopy for dilatation and biopsy (a combination of diagnostic and therapeutic use). 
Use Procedure.reasonCode when a code sufficiently describes the reason.  Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative.  For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used.  Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference.  Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure.","","","","","","","","",,,,,"",,,,"Procedure.reasonReference",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.reasonReference",".reasonCode","FiveWs.why[x]"
"Procedure.bodySite","Procedure.bodySite","","","",0,1,"Y","","Y","CodeableConcept {[]} {[]}
","Body site laterality (left, right, bilateral)","Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion.","If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [procedure-targetbodystructure](http://hl7.org/fhir/R4/extension-procedure-targetbodystructure.html).","","","","","","","","",,"required","","https://cdt-beta.healthsage.ai/fhir/ValueSet/cdt-body-side-vs","",,,,"Procedure.bodySite",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".targetSiteCode","OBX-20"
"Procedure.outcome","Procedure.outcome","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","The result of procedure","The outcome of the procedure - did it resolve the reasons for the procedure being performed?","If outcome contains narrative text only, it can be captured using the CodeableConcept.text.","","","","","","","","",,"example","An outcome of a procedure - whether it was resolved or otherwise.","http://hl7.org/fhir/ValueSet/procedure-outcome","",,,,"Procedure.outcome",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".outboundRelationship[typeCode=OUT].target.text"
"Procedure.report","Procedure.report","","","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/DiagnosticReport], CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference], CanonicalType[http://hl7.org/fhir/StructureDefinition/Composition]]}
","Any report resulting from the procedure","This could be a histology result, pathology report, surgical report, etc.","There could potentially be multiple reports - e.g. if this was a procedure which took multiple biopsies resulting in a number of anatomical pathology reports.","","","","","","","","",,,,,"",,,,"Procedure.report",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN]"
"Procedure.complication","Procedure.complication","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Complication following the procedure","Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the notes, which will typically describe the procedure itself rather than any 'post procedure' issues.","If complications are only expressed by the narrative text, they can be captured using the CodeableConcept.text.","","","","","","","","",,"example","Codes describing complications that resulted from a procedure.","http://hl7.org/fhir/ValueSet/condition-code","",,,,"Procedure.complication",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=""complication"", moodCode=EVN].value"
"Procedure.complicationDetail","Procedure.complicationDetail","","","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Condition]]}
","A condition that is a result of the procedure","Any complications that occurred during the procedure, or in the immediate post-performance period.","","This is used to document a condition that is a result of the procedure, not the condition that was the reason for the procedure.","","","","","","","",,,,,"",,,,"Procedure.complicationDetail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=""complication"", moodCode=EVN].value"
"Procedure.followUp","Procedure.followUp","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Instructions for follow up","If the procedure required specific follow up - e.g. removal of sutures. The follow up may be represented as a simple note or could potentially be more complex, in which case the CarePlan resource can be used.","","","","","","","","","",,"example","Specific follow up required for a procedure e.g. removal of sutures.","http://hl7.org/fhir/ValueSet/procedure-followup","",,,,"Procedure.followUp",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".outboundRelationship[typeCode=COMP].target[classCode=ACT, moodCode=INT].code"
"Procedure.note","Procedure.note","","","",0,*,"","","","Annotation {[]} {[]}
","Additional information about the procedure","Any other notes and comments about the procedure.","","","","","","","","","",,,,,"",,,,"Procedure.note",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","Event.note",".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=""annotation""].value","NTE"
"Procedure.focalDevice","Procedure.focalDevice","","","",0,*,"","","","BackboneElement {[]} {[]}
","Manipulated, implanted, or removed device","A device that is implanted, removed or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure.","","","","","","","","","",,,,,"",,,,"Procedure.focalDevice",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".participation[typeCode=DEV].role[classCode=MANU]"
"Procedure.focalDevice.id","Procedure.focalDevice.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"","","n/a"
"Procedure.focalDevice.extension","Procedure.focalDevice.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","n/a"
"Procedure.focalDevice.modifierExtension","Procedure.focalDevice.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}","N/A"
"Procedure.focalDevice.action","Procedure.focalDevice.action","","","",0,1,"","","","CodeableConcept {[]} {[]}
","Kind of change to device","The kind of change that happened to the device during the procedure.","","","","","","","","","",,"preferred","A kind of change that happened to the device during the procedure.","http://hl7.org/fhir/ValueSet/device-action","",,,,"Procedure.focalDevice.action",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=""procedure device action""].value=:procedure device action codes"
"Procedure.focalDevice.manipulated","Procedure.focalDevice.manipulated","","","",1,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Device]]}
","Device that was changed","The device that was manipulated (changed) during the procedure.","","","","","","","","","",,,,,"",,,,"Procedure.focalDevice.manipulated",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".participation[typeCode=DEV].role[classCode=SDLOC]"
"Procedure.usedReference","Procedure.usedReference","","","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.org/fhir/StructureDefinition/Medication], CanonicalType[http://hl7.org/fhir/StructureDefinition/Substance]]}
","Items used during procedure","Identifies medications, devices and any other substance used as part of the procedure.","For devices actually implanted or removed, use Procedure.device.","Used for tracking contamination, etc.","","","","","","","",,,,,"",,,,"Procedure.usedReference",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
",".participation[typeCode=DEV].role[classCode=MANU] or
.participation[typeCode=CSM].role[classCode=ADMM] (for Medication or Substance)"
"Procedure.usedCode","Procedure.usedCode","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Coded items used during the procedure","Identifies coded items that were used as part of the procedure.","For devices actually implanted or removed, use Procedure.device.","","","","","","","","",,"example","Codes describing items used during a procedure.","http://hl7.org/fhir/ValueSet/device-kind","",,,,"Procedure.usedCode",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
","participation[typeCode=Dev].role[classCode=MANU]"
