Polaris Core Procedure Profile

Overview

The Polaris Core Procedure profile represents surgical procedures, diagnostic procedures, and therapeutic interventions performed on patients within primary care EMR systems. This profile captures comprehensive procedure details including codes, timing, performers, body sites, and outcomes across the Polaris ecosystem.

Key Features

• Flexible Procedure Coding: Supports CPT, SNOMED CT, LOINC, and source EMR codes
• Performer Tracking: Documents who performed the procedure and their roles
• Body Site Specification: Detailed anatomical location information
• Outcome Documentation: Captures procedure results and complications
• Status Management: Tracks completed, in-progress, and not-done procedures

Procedure Types

Common procedure categories include:

• Surgical: Minor surgeries, biopsies, excisions
• Diagnostic: Endoscopies, imaging procedures, biopsies
• Therapeutic: Injections, physical therapy, counseling
• Preventive: Screenings, vaccinations, health maintenance
• Administrative: Consents, referrals, case management

Clinical Documentation

Essential elements include:

• Procedure Code: What was performed (CPT, SNOMED CT)
• Performance Date/Time: When the procedure occurred
• Performer: Healthcare provider(s) who performed it
• Body Site: Anatomical location(s) affected
• Reason: Why the procedure was performed
• Outcome: Result and any complications

Workflow Integration

The procedure profile supports:

• Pre-procedure planning and consent
• Intra-procedure documentation
• Post-procedure follow-up
• Complication tracking
• Billing and coding workflows

Relationships to Other Resources

Procedures often link to:

• Encounter: The visit during which it was performed
• Condition: Diagnoses justifying the procedure
• Observation: Results from diagnostic procedures
• DiagnosticReport: Reports generated from procedures
• ServiceRequest: Orders that initiated the procedure

Future Considerations

Potential enhancements being evaluated:

• Anesthesia and sedation details
• Used equipment and devices
• Procedure step sequences
• Follow-up instructions
• Patient preparation requirements
• Consent documentation linking

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure	C	0..*	Procedure	Polaris Procedure Core Constraints: procedure-has-polaris-id
meta	Σ	0..1	Meta	Metadata about the resource
source	SΣ	0..1	uri	Identifies EMR instance & pipeline version the resource came from
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	0..1	Narrative	Narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	Business identifier(s) for procedure Slice: Unordered, Open by pattern:system
identifier:polarisId	SΣ	1..1	Identifier	Polaris Procedure ID
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
system	Σ	1..1	uri	Polaris procedure identifier system: https://fhir.apps.health/NamingSystem/<instance-id>-procedure-identifier Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The actual Polaris procedure ID value: unique in source system Example General: 123456
identifier:rawCode	SΣ	0..*	Identifier	Source EMR procedure identifier
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-procedure-raw-code Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	preparation | in-progress | completed | entered-in-error Binding: EventStatus (required)
category	SΣ	0..1	CodeableConcept	Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example)
code	SΣ	1..1	CodeableConcept	Procedure performed with raw code support Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	Σ	0..*	Coding	Standard procedure code (CPT, SNOMED, LOINC) if available
system	SΣ	1..1	uri	Standard terminology system URI
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:rawCode	SΣ	0..*	Coding	Source EMR procedure code
system	SΣ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-procedure-code-raw-code
code	SΣ	1..1	code	EMR-specific procedure code
display	Σ	1..1	string	EMR's display text for this procedure
text	SΣ	1..1	string	Human-readable procedure description (required)
subject	SΣ	1..1	Reference(Polaris Patient Core)	Who the procedure was performed on
encounter	Σ	0..1	Reference(Polaris Encounter Profile Core)	Encounter when procedure was performed
performed[x]	SΣ	0..1		When the procedure was performed
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
bodySite	SΣ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
text	SΣ	1..1	string	Plain text representation of the concept
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
complication		0..*	CodeableConcept	Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
note	S	0..*	Annotation	Additional information about the procedure
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Procedure.identifier:polarisId.use	required	Pattern Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Procedure.identifier:rawCode.use	required	Pattern Value: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status From the FHIR Standard
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-category From the FHIR Standard
Procedure.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard
Procedure.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-outcome From the FHIR Standard
Procedure.complication	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
procedure-has-polaris-id	error	Procedure	Must have at least one identifier with a canonical Polaris system URI : identifier.exists(system.matches('^https://fhir.apps.health/NamingSystem/[A-Za-z0-9._-]+-procedure-identifier$'))

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure	C	0..*	Procedure	Polaris Procedure Core Constraints: procedure-has-polaris-id
meta
source	S	0..1	uri	Identifies EMR instance & pipeline version the resource came from
text	S	0..1	Narrative	Narrative
Slices for identifier	S	1..*	Identifier	Business identifier(s) for procedure Slice: Unordered, Open by pattern:system
identifier:polarisId	S	1..1	Identifier	Polaris Procedure ID
use		0..1	code	usual | official | temp | secondary | old (If known) Required Pattern: official
system		1..1	uri	Polaris procedure identifier system: https://fhir.apps.health/NamingSystem/<instance-id>-procedure-identifier
value		1..1	string	The actual Polaris procedure ID value: unique in source system
identifier:rawCode	S	0..*	Identifier	Source EMR procedure identifier
use		0..1	code	usual | official | temp | secondary | old (If known) Required Pattern: secondary
system		1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-procedure-raw-code
value		1..1	string	The value that is unique
status	S	1..1	code	preparation | in-progress | completed | entered-in-error Binding: EventStatus (required)
category	S	0..1	CodeableConcept	Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example)
code	S	1..1	CodeableConcept	Procedure performed with raw code support
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard		0..*	Coding	Standard procedure code (CPT, SNOMED, LOINC) if available
system	S	1..1	uri	Standard terminology system URI
code	S	1..1	code	Symbol in syntax defined by the system
coding:rawCode	S	0..*	Coding	Source EMR procedure code
system	S	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-procedure-code-raw-code
code	S	1..1	code	EMR-specific procedure code
display		1..1	string	EMR's display text for this procedure
text	S	1..1	string	Human-readable procedure description (required)
subject	S	1..1	Reference(Polaris Patient Core)	Who the procedure was performed on
encounter		0..1	Reference(Polaris Encounter Profile Core)	Encounter when procedure was performed
performed[x]	S	0..1	dateTime, Period, string, Age, Range	When the procedure was performed
bodySite	S	0..*	CodeableConcept	Target body sites
text	S	1..1	string	Plain text representation of the concept
outcome		0..1	CodeableConcept	The result of procedure
complication		0..*	CodeableConcept	Complication following the procedure
note	S	0..*	Annotation	Additional information about the procedure
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status From the FHIR Standard
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-category From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
procedure-has-polaris-id	error	Procedure	Must have at least one identifier with a canonical Polaris system URI : identifier.exists(system.matches('^https://fhir.apps.health/NamingSystem/[A-Za-z0-9._-]+-procedure-identifier$'))

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure	C	0..*	Procedure	Polaris Procedure Core Constraints: procedure-has-polaris-id
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	SΣ	0..1	uri	Identifies EMR instance & pipeline version the resource came from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	0..1	Narrative	Narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	Business identifier(s) for procedure Slice: Unordered, Open by pattern:system
identifier:polarisId	SΣ	1..1	Identifier	Polaris Procedure ID
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Polaris procedure identifier system: https://fhir.apps.health/NamingSystem/<instance-id>-procedure-identifier Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The actual Polaris procedure ID value: unique in source system Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:rawCode	SΣ	0..*	Identifier	Source EMR procedure identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-procedure-raw-code Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure
partOf	Σ	0..*	Reference(Procedure | Observation | MedicationAdministration)	Part of referenced event
status	?!SΣ	1..1	code	preparation | in-progress | completed | entered-in-error Binding: EventStatus (required)
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category	SΣ	0..1	CodeableConcept	Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example)
code	SΣ	1..1	CodeableConcept	Procedure performed with raw code support Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	Σ	0..*	Coding	Standard procedure code (CPT, SNOMED, LOINC) if available
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Standard terminology system URI
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:rawCode	SΣ	0..*	Coding	Source EMR procedure code
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-procedure-code-raw-code
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	EMR-specific procedure code
display	Σ	1..1	string	EMR's display text for this procedure
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	1..1	string	Human-readable procedure description (required)
subject	SΣ	1..1	Reference(Polaris Patient Core)	Who the procedure was performed on
encounter	Σ	0..1	Reference(Polaris Encounter Profile Core)	Encounter when procedure was performed
performed[x]	SΣ	0..1		When the procedure was performed
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
recorder	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Who recorded the procedure
asserter	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Person who asserts this procedure
performer	Σ	0..*	BackboneElement	The people who performed the procedure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	The reference to the practitioner
onBehalfOf		0..1	Reference(Organization)	Organization the device or practitioner was acting for
location	Σ	0..1	Reference(Location)	Where the procedure happened
reasonCode	Σ	0..*	CodeableConcept	Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
reasonReference	Σ	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed
bodySite	SΣ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	1..1	string	Plain text representation of the concept
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
report		0..*	Reference(DiagnosticReport | DocumentReference | Composition)	Any report resulting from the procedure
complication		0..*	CodeableConcept	Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
complicationDetail		0..*	Reference(Condition)	A condition that is a result of the procedure
followUp		0..*	CodeableConcept	Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
note	S	0..*	Annotation	Additional information about the procedure
focalDevice		0..*	BackboneElement	Manipulated, implanted, or removed device
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action		0..1	CodeableConcept	Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
manipulated		1..1	Reference(Device)	Device that was changed
usedReference		0..*	Reference(Device | Medication | Substance)	Items used during procedure
usedCode		0..*	CodeableConcept	Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Procedure.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
Procedure.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
Procedure.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Procedure.identifier:polarisId.use	required	Pattern Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Procedure.identifier:polarisId.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Procedure.identifier:rawCode.use	required	Pattern Value: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Procedure.identifier:rawCode.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status From the FHIR Standard
Procedure.statusReason	example	ProcedureNotPerformedReason(SNOMED-CT) http://hl7.org/fhir/ValueSet/procedure-not-performed-reason From the FHIR Standard
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-category From the FHIR Standard
Procedure.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard
Procedure.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role From the FHIR Standard
Procedure.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard
Procedure.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-outcome From the FHIR Standard
Procedure.complication	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
Procedure.followUp	example	ProcedureFollowUpCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-followup From the FHIR Standard
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action From the FHIR Standard
Procedure.usedCode	example	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
procedure-has-polaris-id	error	Procedure	Must have at least one identifier with a canonical Polaris system URI : identifier.exists(system.matches('^https://fhir.apps.health/NamingSystem/[A-Za-z0-9._-]+-procedure-identifier$'))

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure	C	0..*	Procedure	Polaris Procedure Core Constraints: procedure-has-polaris-id
meta	Σ	0..1	Meta	Metadata about the resource
source	SΣ	0..1	uri	Identifies EMR instance & pipeline version the resource came from
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	0..1	Narrative	Narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	Business identifier(s) for procedure Slice: Unordered, Open by pattern:system
identifier:polarisId	SΣ	1..1	Identifier	Polaris Procedure ID
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
system	Σ	1..1	uri	Polaris procedure identifier system: https://fhir.apps.health/NamingSystem/<instance-id>-procedure-identifier Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The actual Polaris procedure ID value: unique in source system Example General: 123456
identifier:rawCode	SΣ	0..*	Identifier	Source EMR procedure identifier
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-procedure-raw-code Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	preparation | in-progress | completed | entered-in-error Binding: EventStatus (required)
category	SΣ	0..1	CodeableConcept	Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example)
code	SΣ	1..1	CodeableConcept	Procedure performed with raw code support Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	Σ	0..*	Coding	Standard procedure code (CPT, SNOMED, LOINC) if available
system	SΣ	1..1	uri	Standard terminology system URI
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:rawCode	SΣ	0..*	Coding	Source EMR procedure code
system	SΣ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-procedure-code-raw-code
code	SΣ	1..1	code	EMR-specific procedure code
display	Σ	1..1	string	EMR's display text for this procedure
text	SΣ	1..1	string	Human-readable procedure description (required)
subject	SΣ	1..1	Reference(Polaris Patient Core)	Who the procedure was performed on
encounter	Σ	0..1	Reference(Polaris Encounter Profile Core)	Encounter when procedure was performed
performed[x]	SΣ	0..1		When the procedure was performed
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
bodySite	SΣ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
text	SΣ	1..1	string	Plain text representation of the concept
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
complication		0..*	CodeableConcept	Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
note	S	0..*	Annotation	Additional information about the procedure
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Procedure.identifier:polarisId.use	required	Pattern Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Procedure.identifier:rawCode.use	required	Pattern Value: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status From the FHIR Standard
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-category From the FHIR Standard
Procedure.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard
Procedure.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-outcome From the FHIR Standard
Procedure.complication	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
procedure-has-polaris-id	error	Procedure	Must have at least one identifier with a canonical Polaris system URI : identifier.exists(system.matches('^https://fhir.apps.health/NamingSystem/[A-Za-z0-9._-]+-procedure-identifier$'))

Differential View

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure	C	0..*	Procedure	Polaris Procedure Core Constraints: procedure-has-polaris-id
meta
source	S	0..1	uri	Identifies EMR instance & pipeline version the resource came from
text	S	0..1	Narrative	Narrative
Slices for identifier	S	1..*	Identifier	Business identifier(s) for procedure Slice: Unordered, Open by pattern:system
identifier:polarisId	S	1..1	Identifier	Polaris Procedure ID
use		0..1	code	usual | official | temp | secondary | old (If known) Required Pattern: official
system		1..1	uri	Polaris procedure identifier system: https://fhir.apps.health/NamingSystem/<instance-id>-procedure-identifier
value		1..1	string	The actual Polaris procedure ID value: unique in source system
identifier:rawCode	S	0..*	Identifier	Source EMR procedure identifier
use		0..1	code	usual | official | temp | secondary | old (If known) Required Pattern: secondary
system		1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-procedure-raw-code
value		1..1	string	The value that is unique
status	S	1..1	code	preparation | in-progress | completed | entered-in-error Binding: EventStatus (required)
category	S	0..1	CodeableConcept	Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example)
code	S	1..1	CodeableConcept	Procedure performed with raw code support
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard		0..*	Coding	Standard procedure code (CPT, SNOMED, LOINC) if available
system	S	1..1	uri	Standard terminology system URI
code	S	1..1	code	Symbol in syntax defined by the system
coding:rawCode	S	0..*	Coding	Source EMR procedure code
system	S	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-procedure-code-raw-code
code	S	1..1	code	EMR-specific procedure code
display		1..1	string	EMR's display text for this procedure
text	S	1..1	string	Human-readable procedure description (required)
subject	S	1..1	Reference(Polaris Patient Core)	Who the procedure was performed on
encounter		0..1	Reference(Polaris Encounter Profile Core)	Encounter when procedure was performed
performed[x]	S	0..1	dateTime, Period, string, Age, Range	When the procedure was performed
bodySite	S	0..*	CodeableConcept	Target body sites
text	S	1..1	string	Plain text representation of the concept
outcome		0..1	CodeableConcept	The result of procedure
complication		0..*	CodeableConcept	Complication following the procedure
note	S	0..*	Annotation	Additional information about the procedure
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status From the FHIR Standard
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-category From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
procedure-has-polaris-id	error	Procedure	Must have at least one identifier with a canonical Polaris system URI : identifier.exists(system.matches('^https://fhir.apps.health/NamingSystem/[A-Za-z0-9._-]+-procedure-identifier$'))

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure	C	0..*	Procedure	Polaris Procedure Core Constraints: procedure-has-polaris-id
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	SΣ	0..1	uri	Identifies EMR instance & pipeline version the resource came from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	0..1	Narrative	Narrative This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	1..*	Identifier	Business identifier(s) for procedure Slice: Unordered, Open by pattern:system
identifier:polarisId	SΣ	1..1	Identifier	Polaris Procedure ID
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Polaris procedure identifier system: https://fhir.apps.health/NamingSystem/<instance-id>-procedure-identifier Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The actual Polaris procedure ID value: unique in source system Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:rawCode	SΣ	0..*	Identifier	Source EMR procedure identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-procedure-raw-code Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure
partOf	Σ	0..*	Reference(Procedure | Observation | MedicationAdministration)	Part of referenced event
status	?!SΣ	1..1	code	preparation | in-progress | completed | entered-in-error Binding: EventStatus (required)
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category	SΣ	0..1	CodeableConcept	Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example)
code	SΣ	1..1	CodeableConcept	Procedure performed with raw code support Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:standard	Σ	0..*	Coding	Standard procedure code (CPT, SNOMED, LOINC) if available
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Standard terminology system URI
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:rawCode	SΣ	0..*	Coding	Source EMR procedure code
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Source system URI or https://fhir.apps.health/NamingSystem/<instance-id>-procedure-code-raw-code
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	EMR-specific procedure code
display	Σ	1..1	string	EMR's display text for this procedure
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	1..1	string	Human-readable procedure description (required)
subject	SΣ	1..1	Reference(Polaris Patient Core)	Who the procedure was performed on
encounter	Σ	0..1	Reference(Polaris Encounter Profile Core)	Encounter when procedure was performed
performed[x]	SΣ	0..1		When the procedure was performed
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
recorder	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Who recorded the procedure
asserter	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Person who asserts this procedure
performer	Σ	0..*	BackboneElement	The people who performed the procedure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	The reference to the practitioner
onBehalfOf		0..1	Reference(Organization)	Organization the device or practitioner was acting for
location	Σ	0..1	Reference(Location)	Where the procedure happened
reasonCode	Σ	0..*	CodeableConcept	Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
reasonReference	Σ	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed
bodySite	SΣ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	1..1	string	Plain text representation of the concept
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
report		0..*	Reference(DiagnosticReport | DocumentReference | Composition)	Any report resulting from the procedure
complication		0..*	CodeableConcept	Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
complicationDetail		0..*	Reference(Condition)	A condition that is a result of the procedure
followUp		0..*	CodeableConcept	Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
note	S	0..*	Annotation	Additional information about the procedure
focalDevice		0..*	BackboneElement	Manipulated, implanted, or removed device
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action		0..1	CodeableConcept	Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
manipulated		1..1	Reference(Device)	Device that was changed
usedReference		0..*	Reference(Device | Medication | Substance)	Items used during procedure
usedCode		0..*	CodeableConcept	Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Procedure.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
Procedure.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
Procedure.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Procedure.identifier:polarisId.use	required	Pattern Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Procedure.identifier:polarisId.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Procedure.identifier:rawCode.use	required	Pattern Value: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Procedure.identifier:rawCode.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status From the FHIR Standard
Procedure.statusReason	example	ProcedureNotPerformedReason(SNOMED-CT) http://hl7.org/fhir/ValueSet/procedure-not-performed-reason From the FHIR Standard
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-category From the FHIR Standard
Procedure.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard
Procedure.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role From the FHIR Standard
Procedure.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard
Procedure.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-outcome From the FHIR Standard
Procedure.complication	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
Procedure.followUp	example	ProcedureFollowUpCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-followup From the FHIR Standard
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action From the FHIR Standard
Procedure.usedCode	example	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
procedure-has-polaris-id	error	Procedure	Must have at least one identifier with a canonical Polaris system URI : identifier.exists(system.matches('^https://fhir.apps.health/NamingSystem/[A-Za-z0-9._-]+-procedure-identifier$'))

This structure is derived from Procedure

Summary

Mandatory: 6 elements(8 nested mandatory elements)
Must-Support: 20 elements

Structures

This structure refers to these other structures:

• Polaris Patient Core (https://fhir.apps.health/StructureDefinition/polaris-core-patient)
• Polaris Encounter Profile Core (https://fhir.apps.health/StructureDefinition/polaris-core-encounter)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Procedure.identifier
• The element 1 is sliced based on the value of Procedure.code.coding