STU3 Candidate

This page is part of the FHIR Specification (v1.8.0: STU 3 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Procedure.shex

Raw ShEx

ShEx statement for procedure

PREFIX fhir: <http://hl7.org/fhir/> 
PREFIX fhirvs: <http://hl7.org/fhir/ValueSet/>
PREFIX xsd: <http://www.w3.org/2001/XMLSchema#> 
BASE <http://hl7.org/fhir/shape/>

start=@<Procedure> AND {fhir:nodeRole [fhir:treeRoot]}


# An action that is being or was performed on a patient
<Procedure> CLOSED {
    a [fhir:Procedure];
    fhir:nodeRole [fhir:treeRoot]?;
    fhir:Resource.id @<id>?;                # Logical id of this artifact
    fhir:Resource.meta @<Meta>?;            # Metadata about the resource
    fhir:Resource.implicitRules @<uri>?;    # A set of rules under which this 
                                            # content was created 
    fhir:Resource.language @<code>?;        # Language of the resource content
    fhir:DomainResource.text @<Narrative>?;  # Text summary of the resource, for 
                                            # human interpretation 
    fhir:DomainResource.contained @<Resource>*;  # Contained, inline Resources
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:modifierExtension @<Extension>*;   # Extensions that cannot be ignored
    fhir:Procedure.identifier @<Identifier>*;  # External Identifiers for this 
                                            # procedure 
    fhir:Procedure.status @<code> AND
    	{fhir:value @fhirvs:procedure-status};  # in-progress | aborted | completed 
                                            # | entered-in-error | unknown 
    fhir:Procedure.category @<CodeableConcept>?;  # Classification of the procedure
    fhir:Procedure.code @<CodeableConcept>;  # Identification of the procedure
    fhir:Procedure.subject                  # Who the procedure was performed on
    (   @<PatientReference> OR
        @<GroupReference>
    );
    fhir:Procedure.encounter @<Reference>?;  # The encounter associated with the 
                                            # procedure 
    (                                       # Date/Period the procedure was 
                                            # performed 
        fhir:Procedure.performedDateTime @<dateTime>  |
        fhir:Procedure.performedPeriod @<Period> 
    )?;
    fhir:Procedure.performer @<Procedure.performer>*;  # The people who performed the 
                                            # procedure 
    fhir:Procedure.location @<Reference>?;  # Where the procedure happened
    fhir:Procedure.reasonReference @<Reference>*;  # Condition that is the reason the 
                                            # procedure performed 
    fhir:Procedure.reasonCode @<CodeableConcept>*;  # Coded reason procedure performed
    fhir:Procedure.notPerformed @<boolean>?;  # True if procedure was not 
                                            # performed as scheduled 
    fhir:Procedure.reasonNotPerformed @<CodeableConcept>*;  # Reason procedure was not performed
    fhir:Procedure.bodySite @<CodeableConcept>*;  # Target body sites
    fhir:Procedure.outcome @<CodeableConcept>?;  # The result of procedure
    fhir:Procedure.report @<Reference>*;    # Any report resulting from the 
                                            # procedure 
    fhir:Procedure.complication @<CodeableConcept>*;  # Complication following the 
                                            # procedure 
    fhir:Procedure.followUp @<CodeableConcept>*;  # Instructions for follow up
    fhir:Procedure.request                  # A request for this procedure
    (   @<CarePlanReference> OR
        @<DiagnosticRequestReference> OR
        @<ProcedureRequestReference> OR
        @<ReferralRequestReference>
    )?;
    fhir:Procedure.notes @<Annotation>*;    # Additional information about the 
                                            # procedure 
    fhir:Procedure.focalDevice @<Procedure.focalDevice>*;  # Device changed in procedure
    fhir:Procedure.usedReference            # Items used during procedure
    (   @<DeviceReference> OR
        @<MedicationReference> OR
        @<SubstanceReference>
    )*;
    fhir:Procedure.usedCode @<CodeableConcept>*;  # Coded items used during the 
                                            # procedure 
    fhir:Procedure.component                # Events related to the procedure
    (   @<MedicationAdministrationReference> OR
        @<ProcedureReference> OR
        @<ObservationReference>
    )*;
    fhir:index xsd:integer?                 # Relative position in a list
}

# The people who performed the procedure
<Procedure.performer> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:modifierExtension @<Extension>*;   # Extensions that cannot be ignored
    fhir:Procedure.performer.actor          # The reference to the practitioner
    (   @<PractitionerReference> OR
        @<OrganizationReference> OR
        @<PatientReference> OR
        @<RelatedPersonReference>
    )?;
    fhir:Procedure.performer.role @<CodeableConcept>?;  # The role the actor was in
    fhir:index xsd:integer?                 # Relative position in a list
}

# Device changed in procedure
<Procedure.focalDevice> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:modifierExtension @<Extension>*;   # Extensions that cannot be ignored
    fhir:Procedure.focalDevice.action @<CodeableConcept> AND
    	{fhir:value @fhirvs:device-action}?;  # Kind of change to device
    fhir:Procedure.focalDevice.manipulated @<Reference>;  # Device that was changed
    fhir:index xsd:integer?                 # Relative position in a list
}

#---------------------- Data Types -------------------

# Primitive Type dateTime
<dateTime> CLOSED {
    fhir:Element.id @<id>?;                 # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:value xsd:gYear OR xsd:gYearMonth OR xsd:date OR xsd:dateTime?;  # Primitive value for dateTime
    fhir:index xsd:integer?                 # Relative position in a list
}

# Metadata about a resource
<Meta> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:Meta.versionId @<id>?;             # Version specific identifier
    fhir:Meta.lastUpdated @<instant>?;      # When the resource version last 
                                            # changed 
    fhir:Meta.profile @<uri>*;              # Profiles this resource claims to 
                                            # conform to 
    fhir:Meta.security @<Coding>*;          # Security Labels applied to this 
                                            # resource 
    fhir:Meta.tag @<Coding>*;               # Tags applied to this resource
    fhir:index xsd:integer?                 # Relative position in a list
}

# Primitive Type code
<code> CLOSED {
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:value xsd:string?;                 # Primitive value for code
    fhir:index xsd:integer?                 # Relative position in a list
}

# Primitive Type string
<string> CLOSED {
    fhir:Element.id @<id>?;                 # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:value xsd:string MAXLENGTH 1048576?;  # Primitive value for string
    fhir:index xsd:integer?                 # Relative position in a list
}

# A reference from one resource to another
<Reference> CLOSED {
    fhir:link IRI?;
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:Reference.reference @<string>?;    # Literal reference, Relative, 
                                            # internal or absolute URL 
    fhir:Reference.identifier @<Identifier>?;  # Logical reference, when literal 
                                            # reference is not known 
    fhir:Reference.display @<string>?;      # Text alternative for the resource
    fhir:index xsd:integer?                 # Relative position in a list
}

# Base Resource
<Resource> {a .+;
    fhir:Resource.id @<id>?;                # Logical id of this artifact
    fhir:Resource.meta @<Meta>?;            # Metadata about the resource
    fhir:Resource.implicitRules @<uri>?;    # A set of rules under which this 
                                            # content was created 
    fhir:Resource.language @<code>?;        # Language of the resource content
    fhir:index xsd:integer?
}

# Time range defined by start and end date/time
<Period> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:Period.start @<dateTime>?;         # Starting time with inclusive 
                                            # boundary 
    fhir:Period.end @<dateTime>?;           # End time with inclusive boundary, 
                                            # if not ongoing 
    fhir:index xsd:integer?                 # Relative position in a list
}

# Primitive Type uri
<uri> CLOSED {
    fhir:Element.id @<id>?;                 # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:value xsd:string?;                 # Primitive value for uri
    fhir:index xsd:integer?                 # Relative position in a list
}

# Text node with attribution
<Annotation> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    (                                       # Individual responsible for the 
                                            # annotation 
        fhir:Annotation.authorReference @<Reference>  |
        fhir:Annotation.authorReference @<Reference>  |
        fhir:Annotation.authorReference @<Reference>  |
        fhir:Annotation.authorString @<string> 
    )?;
    fhir:Annotation.time @<dateTime>?;      # When the annotation was made
    fhir:Annotation.text @<string>;         # The annotation  - text content
    fhir:index xsd:integer?                 # Relative position in a list
}

<Extension> {fhir:extension @<Extension>*;
    fhir:index xsd:integer?
}

# An identifier intended for computation
<Identifier> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:Identifier.use @<code> AND
    	{fhir:value @fhirvs:identifier-use}?;  # usual | official | temp | 
                                            # secondary (If known) 
    fhir:Identifier.type @<CodeableConcept>?;  # Description of identifier
    fhir:Identifier.system @<uri>?;         # The namespace for the identifier
    fhir:Identifier.value @<string>?;       # The value that is unique
    fhir:Identifier.period @<Period>?;      # Time period when id is/was valid 
                                            # for use 
    fhir:Identifier.assigner @<Reference>?;  # Organization that issued id (may 
                                            # be just text) 
    fhir:index xsd:integer?                 # Relative position in a list
}

# Primitive Type boolean
<boolean> CLOSED {
    fhir:Element.id @<id>?;                 # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:value xsd:boolean?;                # Primitive value for boolean
    fhir:index xsd:integer?                 # Relative position in a list
}

# A human-readable formatted text, including images
<Narrative> CLOSED {
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:Narrative.status @<code> AND
    	{fhir:value @fhirvs:narrative-status};  # generated | extensions | 
                                            # additional | empty 
    fhir:Narrative.div xsd:string;          # Limited xhtml content
    fhir:index xsd:integer?                 # Relative position in a list
}

# Primitive Type id
<id> CLOSED {
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:value xsd:string?;                 # Primitive value for id
    fhir:index xsd:integer?                 # Relative position in a list
}

# Concept - reference to a terminology or just  text
<CodeableConcept> CLOSED {
    fhir:concept IRI*;
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:CodeableConcept.coding @<Coding>*;  # Code defined by a terminology 
                                            # system 
    fhir:CodeableConcept.text @<string>?;   # Plain text representation of the 
                                            # concept 
    fhir:index xsd:integer?                 # Relative position in a list
}

# Primitive Type instant
<instant> CLOSED {
    fhir:Element.id @<id>?;                 # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:value xsd:dateTime?;               # Primitive value for instant
    fhir:index xsd:integer?                 # Relative position in a list
}

# A reference to a code defined by a terminology system
<Coding> CLOSED {
    fhir:concept IRI?;
    fhir:Element.id @<string>?;             # xml:id (or equivalent in JSON)
    fhir:extension @<Extension>*;           # Additional Content defined by 
                                            # implementations 
    fhir:Coding.system @<uri>?;             # Identity of the terminology system
    fhir:Coding.version @<string>?;         # Version of the system - if relevant
    fhir:Coding.code @<code>?;              # Symbol in syntax defined by the 
                                            # system 
    fhir:Coding.display @<string>?;         # Representation defined by the 
                                            # system 
    fhir:Coding.userSelected @<boolean>?;   # If this coding was chosen directly 
                                            # by the user 
    fhir:index xsd:integer?                 # Relative position in a list
}

#---------------------- Reference Types -------------------

<GroupReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<Group> OR CLOSED {a fhir:Group}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<Group> {
    a [fhir:Group];
    fhir:nodeRole [fhir:treeRoot]?
}

<ReferralRequestReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<ReferralRequest> OR CLOSED {a fhir:ReferralRequest}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<ReferralRequest> {
    a [fhir:ReferralRequest];
    fhir:nodeRole [fhir:treeRoot]?
}

<OrganizationReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<Organization> OR CLOSED {a fhir:Organization}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<Organization> {
    a [fhir:Organization];
    fhir:nodeRole [fhir:treeRoot]?
}

<DeviceReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<Device> OR CLOSED {a fhir:Device}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<Device> {
    a [fhir:Device];
    fhir:nodeRole [fhir:treeRoot]?
}

<PatientReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<Patient> OR CLOSED {a fhir:Patient}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<Patient> {
    a [fhir:Patient];
    fhir:nodeRole [fhir:treeRoot]?
}

<ProcedureRequestReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<ProcedureRequest> OR CLOSED {a fhir:ProcedureRequest}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<ProcedureRequest> {
    a [fhir:ProcedureRequest];
    fhir:nodeRole [fhir:treeRoot]?
}

<RelatedPersonReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<RelatedPerson> OR CLOSED {a fhir:RelatedPerson}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<RelatedPerson> {
    a [fhir:RelatedPerson];
    fhir:nodeRole [fhir:treeRoot]?
}

<PractitionerReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<Practitioner> OR CLOSED {a fhir:Practitioner}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<Practitioner> {
    a [fhir:Practitioner];
    fhir:nodeRole [fhir:treeRoot]?
}

<CarePlanReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<CarePlan> OR CLOSED {a fhir:CarePlan}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<CarePlan> {
    a [fhir:CarePlan];
    fhir:nodeRole [fhir:treeRoot]?
}

<MedicationReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<Medication> OR CLOSED {a fhir:Medication}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<Medication> {
    a [fhir:Medication];
    fhir:nodeRole [fhir:treeRoot]?
}

<ObservationReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<Observation> OR CLOSED {a fhir:Observation}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<Observation> {
    a [fhir:Observation];
    fhir:nodeRole [fhir:treeRoot]?
}

<SubstanceReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<Substance> OR CLOSED {a fhir:Substance}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<Substance> {
    a [fhir:Substance];
    fhir:nodeRole [fhir:treeRoot]?
}

<MedicationAdministrationReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<MedicationAdministration> OR CLOSED {a fhir:MedicationAdministration}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<MedicationAdministration> {
    a [fhir:MedicationAdministration];
    fhir:nodeRole [fhir:treeRoot]?
}

<ProcedureReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<Procedure> OR CLOSED {a fhir:Procedure}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<Procedure> {
    a [fhir:Procedure];
    fhir:nodeRole [fhir:treeRoot]?
}

<DiagnosticRequestReference> CLOSED {
    fhir:Element.id @<id>?;
    fhir:extension @<Extension>*;
    fhir:link @<DiagnosticRequest> OR CLOSED {a fhir:DiagnosticRequest}?;
    fhir:Reference.reference @<string>?;
    fhir:Reference.display @<string>?;
    fhir:index xsd:integer?
}

<DiagnosticRequest> {
    a [fhir:DiagnosticRequest];
    fhir:nodeRole [fhir:treeRoot]?
}

#---------------------- Value Sets ------------------------

# Example value set for Procedure Device Action code (what happened to a device during a procedure.
fhirvs:device-action ["implanted" "explanted" "manipulated"]

# A code specifying the state of the procedure.
fhirvs:procedure-status ["in-progress" "aborted" "completed" "entered-in-error" "unknown"]

# The status of a resource narrative
fhirvs:narrative-status ["generated" "extensions" "additional" "empty"]

# Identifies the purpose for this identifier, if known .
fhirvs:identifier-use ["usual" "official" "temp" "secondary"]

Usage note: every effort has been made to ensure that the ShEx files are correct and useful, but they are not a normative part of the specification.