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Resource Procedure (3)

1 forms  
  1. StudyEvent: ODM
    1. Resource Procedure (3)
Procedure
Description

Procedure

Alias
UMLS CUI-1
C0199171
Event of which this procedure is a component
Description

A larger event of which this particular procedure is a component or step.

Data type

text

Alias
UMLS CUI [1,1]
C0199171
UMLS CUI [1,2]
C0449719
UMLS CUI [1,3]
C0205394
UMLS CUI [1,4]
C0441471
Code to specify the state of procedure
Description

A code specifying the state of the procedure. Generally, this will be the in-progress or completed state.

Data type

text

Alias
UMLS CUI [1,1]
C0199171
UMLS CUI [1,2]
C0449438
UMLS CUI [1,3]
C0805701
Reason for the current state of the procedure
Description

Captures the reason for the current state of the procedure. The corresponding value set can be found at https://www.hl7.org/fhir/valueset-procedure-not-performed-reason.html

Data type

text

Alias
UMLS CUI [1,1]
C0199171
UMLS CUI [1,2]
C0449438
UMLS CUI [1,3]
C0566251
Category of procedure
Description

A code that classifies the procedure for searching, sorting and display purposes (e.g. "Surgical Procedure"). The corresponding value set can be found at https://www.hl7.org/fhir/valueset-procedure-category.html

Data type

text

Alias
UMLS CUI [1,1]
C0199171
UMLS CUI [1,2]
C0683312
Time at which the procedure was performed
Description

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.

Data type

durationDatetime

Alias
UMLS CUI [1,1]
C0199171
UMLS CUI [1,2]
C1442880
Distinguishes the type of involvement of the performer in the procedure.
Description

For example, surgeon, anaesthetist, endoscopist.

Data type

durationDatetime

Alias
UMLS CUI [1,1]
C0199171
UMLS CUI [1,2]
C1550480
UMLS CUI [1,3]
C0542341
Location where the procedure happened
Description

The location where the procedure actually happened. E.g. a newborn at home, a tracheostomy at a restaurant.

Data type

text

Alias
UMLS CUI [1,1]
C0199171
UMLS CUI [1,2]
C0450429
Code for reason why the procedure was performed
Description

The coded reason why the procedure was performed. This may be a coded entity of some type, or may simply be present as text. The corresponding value set can be found at https://www.hl7.org/fhir/valueset-procedure-reason.html

Data type

text

Alias
UMLS CUI [1,1]
C0199171
UMLS CUI [1,2]
C0805701
UMLS CUI [1,3]
C1272707
Bodysite at which the procedure was performed
Description

Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion. The corresponding value set can be found at https://www.hl7.org/fhir/valueset-body-site.html

Data type

integer

Alias
UMLS CUI [1,1]
C0199171
UMLS CUI [1,2]
C1545955
Outcome of the procedure
Description

The outcome of the procedure - did it resolve the reasons for the procedure being performed? The corresponding value set can be found at https://www.hl7.org/fhir/valueset-procedure-outcome.html

Data type

integer

Alias
UMLS CUI [1,1]
C0199171
UMLS CUI [1,2]
C1274040
Report of the procedure
Description

This could be a histology result, pathology report, surgical report, etc.

Data type

text

Alias
UMLS CUI [1,1]
C0199171
UMLS CUI [1,2]
C0684224
Complications of the procedure
Description

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. The corresponding value set can be found at https://www.hl7.org/fhir/valueset-condition-code.html

Data type

text

Alias
UMLS CUI [1,1]
C0199171
UMLS CUI [1,2]
C0009566
Complications of the procedure
Description

Any complications that occurred during the procedure, or in the immediate post-performance period.

Data type

text

Alias
UMLS CUI [1,1]
C0199171
UMLS CUI [1,2]
C0009566
UMLS CUI [1,3]
C1522508
Follow up of the procedure
Description

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. The corresponding value set can be found at https://www.hl7.org/fhir/valueset-procedure-followup.html

Data type

text

Alias
UMLS CUI [1,1]
C0199171
UMLS CUI [1,2]
C1704685
Notes about the procedure
Description

Any other notes and comments about the procedure.

Data type

text

Alias
UMLS CUI [1,1]
C0199171
UMLS CUI [1,2]
C1317574
Change that happend to the focal device
Description

The kind of change that happened to the device during the procedure. The corresponding value set can be found at https://www.hl7.org/fhir/valueset-device-action.html

Data type

text

Alias
UMLS CUI [1,1]
C0199171
UMLS CUI [1,2]
C0205234
UMLS CUI [1,3]
C0025080
UMLS CUI [1,4]
C4319952
Manipulated device
Description

The device that was manipulated (changed) during the procedure.

Data type

text

Alias
UMLS CUI [1,1]
C0199171
UMLS CUI [1,2]
C4319952
UMLS CUI [1,3]
C0025080
Used reference for the procedure
Description

Identifies medications, devices and any other substance used as part of the procedure.

Data type

text

Alias
UMLS CUI [1,1]
C0199171
UMLS CUI [1,2]
C1706462
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Similar models

Resource Procedure (3)

1 forms
  1. StudyEvent: ODM
    1. Resource Procedure (3)
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Procedure
C0199171 (UMLS CUI-1)
Procedure.partOf
Item
Event of which this procedure is a component
text
C0199171 (UMLS CUI [1,1])
C0449719 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
C0441471 (UMLS CUI [1,4])
Item
Code to specify the state of procedure
text
C0199171 (UMLS CUI [1,1])
C0449438 (UMLS CUI [1,2])
C0805701 (UMLS CUI [1,3])
Procedure.status
Code List
Code to specify the state of procedure
CL Item
Preparation  (preparation)
The core event has not started yet, but some staging activities have begun (e.g. surgical suite preparation). Preparation stages may be tracked for billing purposes. (Comment:en)
CL Item
In Progress  (in-progress)
The event is currently occurring. (Comment:en)
CL Item
Not done (not-done)
The event was terminated prior to any activity beyond preparation. I.e. The 'main' activity has not yet begun. The boundary between preparatory and the 'main' activity is context-specific. (Comment:en)
CL Item
On Hold  (on-hold )
The event has been temporarily stopped but is expected to resume in the future. (Comment:en)
CL Item
Stopped  (stopped)
The event was terminated prior to the full completion of the intended activity but after at least some of the 'main' activity (beyond preparation) has occurred. (Comment:en)
CL Item
Completed  (completed)
The event has now concluded. (Comment:en)
CL Item
Entered in Error  (entered-in-error)
This electronic record should never have existed, though it is possible that real-world decisions were based on it. (If real-world activity has occurred, the status should be "cancelled" rather than "entered-in-error".). (Comment:en)
CL Item
Unknown  (unknown)
The authoring/source system does not know which of the status values currently applies for this event. Note: This concept is not to be used for "other" - one of the listed statuses is presumed to apply, but the authoring/source system does not know which. (Comment:en)
Item
Reason for the current state of the procedure
text
C0199171 (UMLS CUI [1,1])
C0449438 (UMLS CUI [1,2])
C0566251 (UMLS CUI [1,3])
Procedure.status
Code List
Reason for the current state of the procedure
Procedure.category
Item
Category of procedure
text
C0199171 (UMLS CUI [1,1])
C0683312 (UMLS CUI [1,2])
Procedure.performed[x]
Item
Time at which the procedure was performed
durationDatetime
C0199171 (UMLS CUI [1,1])
C1442880 (UMLS CUI [1,2])
Procedure.performer.function
Item
Distinguishes the type of involvement of the performer in the procedure.
durationDatetime
C0199171 (UMLS CUI [1,1])
C1550480 (UMLS CUI [1,2])
C0542341 (UMLS CUI [1,3])
Procedure.location
Item
Location where the procedure happened
text
C0199171 (UMLS CUI [1,1])
C0450429 (UMLS CUI [1,2])
Procedure.reasonCode
Item
Code for reason why the procedure was performed
text
C0199171 (UMLS CUI [1,1])
C0805701 (UMLS CUI [1,2])
C1272707 (UMLS CUI [1,3])
Procedure.bodySite
Item
Bodysite at which the procedure was performed
integer
C0199171 (UMLS CUI [1,1])
C1545955 (UMLS CUI [1,2])
Procedure.outcome
Item
Outcome of the procedure
integer
C0199171 (UMLS CUI [1,1])
C1274040 (UMLS CUI [1,2])
Procedure.report
Item
Report of the procedure
text
C0199171 (UMLS CUI [1,1])
C0684224 (UMLS CUI [1,2])
Procedure.complication
Item
Complications of the procedure
text
C0199171 (UMLS CUI [1,1])
C0009566 (UMLS CUI [1,2])
Procedure.complicationDetail
Item
Complications of the procedure
text
C0199171 (UMLS CUI [1,1])
C0009566 (UMLS CUI [1,2])
C1522508 (UMLS CUI [1,3])
Procedure.followUp
Item
Follow up of the procedure
text
C0199171 (UMLS CUI [1,1])
C1704685 (UMLS CUI [1,2])
Procedure.note
Item
Notes about the procedure
text
C0199171 (UMLS CUI [1,1])
C1317574 (UMLS CUI [1,2])
Procedure.focalDevice.action
Item
Change that happend to the focal device
text
C0199171 (UMLS CUI [1,1])
C0205234 (UMLS CUI [1,2])
C0025080 (UMLS CUI [1,3])
C4319952 (UMLS CUI [1,4])
Procedure.focalDevice.manipulated
Item
Manipulated device
text
C0199171 (UMLS CUI [1,1])
C4319952 (UMLS CUI [1,2])
C0025080 (UMLS CUI [1,3])
Procedure.usedReference
Item
Used reference for the procedure
text
C0199171 (UMLS CUI [1,1])
C1706462 (UMLS CUI [1,2])
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