Procedure FHIR Resource Proposal

Procedure

Owning committee name

Patient Care

(Temporarily managed by FHIR Core with review from Patient care)

Contributing or Reviewing Work Groups

None

FHIR Resource Development Project Insight ID

Pending

Scope of coverage

An action that is performed on a patient. This can be a physical 'thing' like an operation, or less invasive like counselling or hypnotherapy.

An Act whose immediate and primary outcome (post-condition) is the alteration of the physical condition of the subject. Used to record the details of procedures performed on a patient. This includes surgical procedures, diagnostic procedures, endoscopic precedures, biopsies. It excludes things for which there are specific resources, such as immunizations, drug administrations

Resource appropriateness

Procedures are a common activity within medical practice and recorded by most EMR systems.

Expected implementations

A part of CCDA so can be expected to be implemented by most systems that support this. There are many specialist systems (particularly for surgical procedures) that record details of procedures.

Content sources

CCDA, openEHR, existing systems

Resource Relationships

The procedure resource is linked to:

• Patient resource as the subject
• Practitioner resource as the author
• DiagnosticReport for the report of the procedure
• Procedure/MedicationPrescription as related resources

It is likely the Specimen will also be included once that resource is specified.

Timelines

Expected to be balloted DSTU in September 2013

gForge Users

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