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Procedure.profile.json

Patient Care Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Encounter, Patient, Practitioner, RelatedPerson

Raw JSON (каноническая форма + also see JSON Format Specification)

StructureDefinition for procedure

{
  "resourceType" : "StructureDefinition",
  "id" : "Procedure",
  "meta" : {
    "lastUpdated" : "2019-05-17T12:34:53.932+00:00"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div>!-- Snipped for Brevity --></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 3
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
    "valueCode" : "patient"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "pc"
  }],
  "url" : "http://hl7.org/fhir/StructureDefinition/Procedure",
  "version" : "3.6.0",
  "name" : "Procedure",
  "status" : "draft",
  "date" : "2019-05-17T12:34:53+00:00",
  "publisher" : "Health Level Seven International (Patient Care)",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  },
  {
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/patientcare/index.cfm"
    }]
  }],
  "description" : "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.",
  "fhirVersion" : "3.6.0",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Procedure",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
  "derivation" : "specialization",
  "snapshot" : {
    "element" : [{
      "id" : "Procedure",
      "path" : "Procedure",
      "short" : "Действие, которое проводится или было проведено над пациентом",
      "definition" : "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.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Procedure",
        "min" : 0,
        "max" : "*"
      },
      "constraint" : [{
        "key" : "dom-2",
        "severity" : "error",
        "human" : "Если ресурс встроен в другой ресурс, он НЕ ДОЛЖЕН содержать описательной части",
        "expression" : "contained.contained.empty()",
        "xpath" : "not(parent::f:contained and f:contained)",
        "source" : "DomainResource"
      },
      {
        "key" : "dom-4",
        "severity" : "error",
        "human" : "Если ресурс встроен в другой ресурс, он НЕ ДОЛЖЕН иметь meta.versionId или meta.lastUpdated",
        "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
        "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
        "source" : "DomainResource"
      },
      {
        "key" : "dom-3",
        "severity" : "error",
        "human" : "Если ресурс встроен в другой ресурс, где-то в родительском ресурсе на него ДОЛЖНА БЫТЬ дана ссылка or SHALL refer to the containing resource",
        "expression" : "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()",
        "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
        "source" : "DomainResource"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
          "valueBoolean" : true
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
          "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
        }],
        "key" : "dom-6",
        "severity" : "warning",
        "human" : "A resource should have narrative for robust management",
        "expression" : "text.div.exists()",
        "xpath" : "exists(f:text/h:div)",
        "source" : "DomainResource"
      },
      {
        "key" : "dom-5",
        "severity" : "error",
        "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
        "expression" : "contained.meta.security.empty()",
        "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
        "source" : "DomainResource"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "Entity. Role, or Act"
      },
      {
        "identity" : "workflow",
        "map" : "Event"
      },
      {
        "identity" : "rim",
        "map" : "Procedure[moodCode=EVN]"
      }]
    },
    {
      "id" : "Procedure.id",
      "path" : "Procedure.id",
      "short" : "Logical id of this artifact",
      "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
      "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "id"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "Procedure.meta",
      "path" : "Procedure.meta",
      "short" : "Метаданные ресурса",
      "definition" : "Метаданные ресурса. Это такая информация, которая поддерживается инфраструктурой. Изменения этой информации не всегда можно ассоциировать с версионными изменениями ресурса.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.meta",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Meta"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "Procedure.implicitRules",
      "path" : "Procedure.implicitRules",
      "short" : "Свод правил, в соответствии с которыми создавалось это содержимое",
      "definition" : "Ссылка на свод правил, которым следовали при создании этого ресурса и которые необходимо понимать при обработке этого содержимого. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
      "comment" : "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.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.implicitRules",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "uri"
      }],
      "isModifier" : true,
      "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
      "isSummary" : true
    },
    {
      "id" : "Procedure.language",
      "path" : "Procedure.language",
      "short" : "Язык содержимого ресурса",
      "definition" : "Основной язык, на котором написан ресурс.",
      "comment" : "Язык указывается для поддержки предварительной обработки текстов и доступности для понимания (например при преобразовании текста в речь используется языковой тег). HTML-тег language в описательной части применяется к этой описательной части. Языковой тег ресурса может использоваться для указания языков других представлений, генерируемых из данных ресурса\n\nНе все содержание ресурса должно быть на указанном основном языке. Resource.language нельзя автоматически принимать за язык описательной части. Если язык указан, его также следует указать в элементе div в HTML (информацию о связи между xml:lang и HTML-атрибутом lang см. в правилах HTML5).",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.language",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
          "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Language"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "preferred",
        "description" : "Естественный язык.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
      }
    },
    {
      "id" : "Procedure.text",
      "path" : "Procedure.text",
      "short" : "Краткое текстовое изложение ресурса для интерпретации человеком",
      "definition" : "Человекочитаемая описательная часть, содержащая краткое изложение ресурса, которая может использоваться для представления содержимого ресурса человеку. От описательной части не требуется кодировать все структурированные данные, но она должна содержать достаточно сведений, чтобы простое её прочтение человеком было \"клинически безопасным\". Определения ресурсов могут описывать, какое содержимое должно быть представлено в описательной части для обеспечения клинической безопасной.",
      "comment" : "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.",
      "alias" : ["narrative",
      "html",
      "xhtml",
      "display"],
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DomainResource.text",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Narrative"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "Act.text?"
      }]
    },
    {
      "id" : "Procedure.contained",
      "path" : "Procedure.contained",
      "short" : "Вложенные, встроенные инлайн ресурсы",
      "definition" : "Эти ресурсы не обладают независимым существованием вне ресурса, который их содержит - их нельзя идентифицировать независимо, и они не могут иметь своей собственной независимой транзакционной области действия.",
      "comment" : "Этого не следует делать, когда содержимое может быть идентифицировано должным образом, поскольку, потеряв идентификацию, будет чрезвычайно сложно (и контекстно-зависимо) снова восстановить её. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
      "alias" : ["inline resources",
      "anonymous resources",
      "contained resources"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.contained",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Resource"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Procedure.extension",
      "path" : "Procedure.extension",
      "short" : "Дополнительное содержимое, определенное реализаторами",
      "definition" : "Может использоваться для представления дополнительной информации, не являющейся частью базового определения ресурса. Чтобы сделать использование расширений надежным и управляемым, существует строгий набор управления применительно к определению и использованию расширений. Хотя каждому реализатору разрешается определять расширения, имеется набор требований, которые должны выполняться в рамках определения расширения.",
      "comment" : "Не должно быть никаких предрассудков по использованию расширений любыми приложениями, проектами или стандартами - вне зависимости от учреждения или юрисдикции, которые используют или задают расширение. Именно использование расширений позволяет спецификации FHIR сохранять простоту для всех.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Procedure.modifierExtension",
      "path" : "Procedure.modifierExtension",
      "short" : "Расширения, которые нельзя игнорировать",
      "definition" : "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. 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "Не должно быть никаких предрассудков по использованию расширений любыми приложениями, проектами или стандартами - вне зависимости от учреждения или юрисдикции, которые используют или задают расширение. Именно использование расширений позволяет спецификации FHIR сохранять простоту для всех.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Procedure.identifier",
      "path" : "Procedure.identifier",
      "short" : "Внешние идентификаторы данной процедуры",
      "definition" : "Business identifiers assigned to this procedure by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
      "comment" : "This is a business identifier, not a resource identifier (see [discussion](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 a Person resource instance might share the same social insurance number.",
      "requirements" : "Allows identification of the procedure as it is known by various participating systems and in a way that remains consistent across servers.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Procedure.identifier",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Identifier"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.identifier"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      },
      {
        "identity" : "v2",
        "map" : "Some combination of ORC-2 / ORC-3 / OBR-2 / OBR-3 / IPC-1 / IPC-2 / IPC-3 / IPC-4"
      },
      {
        "identity" : "rim",
        "map" : ".id"
      }]
    },
    {
      "id" : "Procedure.instantiatesCanonical",
      "path" : "Procedure.instantiatesCanonical",
      "short" : "Instantiates FHIR protocol or definition",
      "definition" : "The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Procedure.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Procedure.instantiatesCanonical",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "canonical",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/PlanDefinition",
        "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
        "http://hl7.org/fhir/StructureDefinition/Measure",
        "http://hl7.org/fhir/StructureDefinition/OperationDefinition",
        "http://hl7.org/fhir/StructureDefinition/Questionnaire"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.instantiatesCanonical"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=DEFN].target"
      }]
    },
    {
      "id" : "Procedure.instantiatesUri",
      "path" : "Procedure.instantiatesUri",
      "short" : "Instantiates external protocol or definition",
      "definition" : "The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Procedure.",
      "comment" : "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Procedure.instantiatesUri",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "uri"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.instantiatesUri"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=DEFN].target"
      }]
    },
    {
      "id" : "Procedure.basedOn",
      "path" : "Procedure.basedOn",
      "short" : "Запрос на данную процедуру",
      "definition" : "Ссылка на ресурс, содержащий сведения о запросе на данную процедуру.",
      "alias" : ["fulfills"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Procedure.basedOn",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan",
        "http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.basedOn"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=FLFS].target[classCode=(various e.g. PROC, OBS, PCPR, ACT,  moodCode=RQO].code"
      }]
    },
    {
      "id" : "Procedure.partOf",
      "path" : "Procedure.partOf",
      "short" : "Part of referenced event",
      "definition" : "A larger event of which this particular procedure is a component or step.",
      "comment" : "The MedicationAdministration 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).",
      "alias" : ["container"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Procedure.partOf",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Procedure",
        "http://hl7.org/fhir/StructureDefinition/Observation",
        "http://hl7.org/fhir/StructureDefinition/MedicationAdministration"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.partOf"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=COMP].source[classCode=SBADM or PROC or OBS, moodCode=EVN]"
      }]
    },
    {
      "id" : "Procedure.status",
      "path" : "Procedure.status",
      "short" : "preparation | in-progress | not-done | suspended | aborted | completed | entered-in-error | unknown",
      "definition" : "Код состояния записи о процедуре. Как правило, это будет состояние in-progress или completed.",
      "comment" : "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.\n\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "Procedure.status",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : true,
      "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProcedureStatus"
        }],
        "strength" : "required",
        "description" : "Код, обозначающий состояние записи процедуры.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/event-status"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.status"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.status"
      },
      {
        "identity" : "rim",
        "map" : "statusCode"
      }]
    },
    {
      "id" : "Procedure.statusReason",
      "path" : "Procedure.statusReason",
      "short" : "Reason for current status",
      "definition" : "Captures the reason for the current state of the procedure.",
      "comment" : "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.",
      "alias" : ["Suspended Reason",
      "Cancelled Reason"],
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Procedure.statusReason",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProcedureNegationReason"
        }],
        "strength" : "example",
        "description" : "Код причины, почему процедура не была выполнена.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-not-performed-reason"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.statusReason"
      },
      {
        "identity" : "rim",
        "map" : ".reason.Observation.value"
      }]
    },
    {
      "id" : "Procedure.category",
      "path" : "Procedure.category",
      "short" : "Классификация процедуры",
      "definition" : "Код, классифицирующий процедуру в целях поиска и отображения (например \"хирургическое вмешательство\").",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Procedure.category",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProcedureCategory"
        }],
        "strength" : "example",
        "description" : "Код классификации процедуры для поиска, сортировки и отображения.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-category"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.class"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
      }]
    },
    {
      "id" : "Procedure.code",
      "path" : "Procedure.code",
      "short" : "Определение процедуры",
      "definition" : "Конкретная процедура, которая была выполнена. Используйте текст, если точный характер процедуры не может быть закодирован (например \"лапароскопическая аппендэктомия\").",
      "requirements" : "0..1 to account for primarily narrative only resources.",
      "alias" : ["type"],
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Procedure.code",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProcedureCode"
        }],
        "strength" : "example",
        "description" : "Код определения конкретной процедуры.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-code"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.code"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.what[x]"
      },
      {
        "identity" : "v2",
        "map" : "OBR-44/OBR-45"
      },
      {
        "identity" : "rim",
        "map" : ".code"
      }]
    },
    {
      "id" : "Procedure.subject",
      "path" : "Procedure.subject",
      "short" : "Над кем выполнялась процедура",
      "definition" : "Человек, животное или группа, над которой выполнялась процедура.",
      "alias" : ["patient"],
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "Procedure.subject",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Group"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.subject"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject[x]"
      },
      {
        "identity" : "v2",
        "map" : "PID-3"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=SBJ].role"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject"
      }]
    },
    {
      "id" : "Procedure.encounter",
      "path" : "Procedure.encounter",
      "short" : "Encounter created as part of",
      "definition" : "The Encounter during which this Procedure was created or performed or to which the creation of this record is tightly associated.",
      "comment" : "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.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Procedure.encounter",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.context"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.context"
      },
      {
        "identity" : "v2",
        "map" : "PV1-19"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
      }]
    },
    {
      "id" : "Procedure.performed[x]",
      "path" : "Procedure.performed[x]",
      "short" : "When the procedure was performed",
      "definition" : "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.",
      "comment" : "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.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Procedure.performed[x]",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "dateTime"
      },
      {
        "code" : "Period"
      },
      {
        "code" : "string"
      },
      {
        "code" : "Age"
      },
      {
        "code" : "Range"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.occurrence[x]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.done[x]"
      },
      {
        "identity" : "v2",
        "map" : "OBR-7"
      },
      {
        "identity" : "rim",
        "map" : ".effectiveTime"
      }]
    },
    {
      "id" : "Procedure.recorder",
      "path" : "Procedure.recorder",
      "short" : "Who recorded the procedure",
      "definition" : "Individual who recorded the record and takes responsibility for its content.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Procedure.recorder",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.author"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=AUT].role"
      }]
    },
    {
      "id" : "Procedure.asserter",
      "path" : "Procedure.asserter",
      "short" : "Person who asserts this procedure",
      "definition" : "Individual who is making the procedure statement.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Procedure.asserter",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.source"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=INF].role"
      }]
    },
    {
      "id" : "Procedure.performer",
      "path" : "Procedure.performer",
      "short" : "Лица, выполнившие процедуру",
      "definition" : "Описание реальных людей, а не оборудования.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Procedure.performer",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=PRF]"
      }]
    },
    {
      "id" : "Procedure.performer.id",
      "path" : "Procedure.performer.id",
      "representation" : ["xmlAttr"],
      "short" : "xml:id (or equivalent in JSON)",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Procedure.performer.extension",
      "path" : "Procedure.performer.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "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.",
      "comment" : "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.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Procedure.performer.modifierExtension",
      "path" : "Procedure.performer.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "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. 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "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.",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Procedure.performer.function",
      "path" : "Procedure.performer.function",
      "short" : "Type of performance",
      "definition" : "Distinguishes the type of involvement of the performer in the procedure. For example, surgeon, anaethetist, endoscopist.",
      "requirements" : "Allows disambiguation of the types of involvement of different performers.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Procedure.performer.function",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProcedurePerformerRole"
        }],
        "strength" : "example",
        "description" : "Код роли исполнителя процедуры.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/performer-role"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer.function"
      },
      {
        "identity" : "v2",
        "map" : "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"
      },
      {
        "identity" : "rim",
        "map" : ".functionCode"
      }]
    },
    {
      "id" : "Procedure.performer.actor",
      "path" : "Procedure.performer.actor",
      "short" : "Ссылка на медицинского специалиста",
      "definition" : "Медицинский специалист, который участвовал в процедуре.",
      "requirements" : "A reference to Device supports use cases, such as pacemakers.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "Procedure.performer.actor",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/Organization",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "http://hl7.org/fhir/StructureDefinition/Device"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer.actor"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.actor"
      },
      {
        "identity" : "v2",
        "map" : "ORC-19/PRT-5"
      },
      {
        "identity" : "rim",
        "map" : ".role"
      }]
    },
    {
      "id" : "Procedure.performer.onBehalfOf",
      "path" : "Procedure.performer.onBehalfOf",
      "short" : "Organization the device or practitioner was acting for",
      "definition" : "The organization the device or practitioner was acting on behalf of.",
      "requirements" : "Practitioners and Devices can be associated with multiple organizations.  This element indicates which organization they were acting on behalf of when performing the action.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Procedure.performer.onBehalfOf",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".scoper"
      }]
    },
    {
      "id" : "Procedure.location",
      "path" : "Procedure.location",
      "short" : "Где проводилась процедура",
      "definition" : "Место, где была проведена процедура. Например роды приняты на дому, трахеостомия в ресторане.",
      "requirements" : "Ties a procedure to where the records are likely kept.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Procedure.location",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.where[x]"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=LOC].role[classCode=SDLOC]"
      }]
    },
    {
      "id" : "Procedure.reasonCode",
      "path" : "Procedure.reasonCode",
      "short" : "Coded reason procedure performed",
      "definition" : "The coded reason why the procedure was performed. This may be coded entity of some type, or may simply be present as text.",
      "comment" : "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.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Procedure.reasonCode",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProcedureReason"
        }],
        "strength" : "example",
        "description" : "Код причины, по которой требуется процедура.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-reason"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.reasonCode"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.why[x]"
      },
      {
        "identity" : "rim",
        "map" : ".reasonCode"
      }]
    },
    {
      "id" : "Procedure.reasonReference",
      "path" : "Procedure.reasonReference",
      "short" : "The justification that the procedure was performed",
      "definition" : "The justification of why the procedure was performed.",
      "comment" : "It is possible for a procedure to be a reason (such as C-Section) for another procedure (such as epidural). Other examples include endoscopy for dilatation and biopsy, combination diagnosis and therapeutic. \nUse 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.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Procedure.reasonReference",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
        "http://hl7.org/fhir/StructureDefinition/Observation",
        "http://hl7.org/fhir/StructureDefinition/Procedure",
        "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
        "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.reasonReference"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.why[x]"
      },
      {
        "identity" : "rim",
        "map" : ".reasonCode"
      }]
    },
    {
      "id" : "Procedure.bodySite",
      "path" : "Procedure.bodySite",
      "short" : "Целевое анатомическое расположение",
      "definition" : "Подробная и структурированная информация об анатомическом расположении. Можно указывать несколько местоположений - например многократная пункционная биопсия раны.",
      "comment" : "If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [procedure-targetbodystructure](extension-procedure-targetbodystructure.html).",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Procedure.bodySite",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "BodySite"
        }],
        "strength" : "example",
        "description" : "Коды описания анатомического расположения. Могут включать в себя указание латеральности.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
      },
      "mapping" : [{
        "identity" : "v2",
        "map" : "OBX-20"
      },
      {
        "identity" : "rim",
        "map" : ".targetSiteCode"
      }]
    },
    {
      "id" : "Procedure.outcome",
      "path" : "Procedure.outcome",
      "short" : "Результат выполнения процедуры",
      "definition" : "Результат процедуры - решила ли она те вопросы, которые были основанием для ее выполнения?",
      "comment" : "Если результат содержит только текстовую часть, его можно записать в элемент CodeableConcept.text.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Procedure.outcome",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProcedureOutcome"
        }],
        "strength" : "example",
        "description" : "Результаты процедуры - были ли достигнуты цели её выполнения или нет.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-outcome"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=OUT].target.text"
      }]
    },
    {
      "id" : "Procedure.report",
      "path" : "Procedure.report",
      "short" : "Все отчеты по процедуре",
      "definition" : "Это может быть гистологический результат, патологический отчёт, хирургический отчёт и т. п.",
      "comment" : "Здесь может быть несколько отчетов - например если во время процедуры было сделано несколько биопсий, в результате чего получилось несколько анатомических патологических отчётов.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Procedure.report",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
        "http://hl7.org/fhir/StructureDefinition/DocumentReference",
        "http://hl7.org/fhir/StructureDefinition/Composition"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN]"
      }]
    },
    {
      "id" : "Procedure.complication",
      "path" : "Procedure.complication",
      "short" : "Осложнение, последовавшее за процедурой",
      "definition" : "Любые осложнения, произошедшие во время выполнения процедуры или в последующий послеоперационный период. Как правило, они отслеживаются отдельно от записей, которые обычно описывают саму процедуру, а нее возникшие после неё проблемы.",
      "comment" : "If complications are only expressed by the narrative text, they can be captured using the CodeableConcept.text.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Procedure.complication",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProcedureComplication"
        }],
        "strength" : "example",
        "description" : "Коды, описывающие осложнения, возникшие из-за процедуры.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/condition-code"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=\"complication\", moodCode=EVN].value"
      }]
    },
    {
      "id" : "Procedure.complicationDetail",
      "path" : "Procedure.complicationDetail",
      "short" : "A condition that is a result of the procedure",
      "definition" : "Any complications that occurred during the procedure, or in the immediate post-performance period.",
      "requirements" : "This is used to document a condition that is a result of the procedure, not the condition that was the reason for the procedure.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Procedure.complicationDetail",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=\"complication\", moodCode=EVN].value"
      }]
    },
    {
      "id" : "Procedure.followUp",
      "path" : "Procedure.followUp",
      "short" : "Указания по последующему наблюдению",
      "definition" : "Если процедура требует определенного последующего наблюдения - например удаления швов. Может быть как простым примечанием, так и более сложным, во втором случае можно использовать ресурс CarePlan.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Procedure.followUp",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProcedureFollowUp"
        }],
        "strength" : "example",
        "description" : "Определённое последующее наблюдение , требуемое после процедуры, например снятие швов.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-followup"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=COMP].target[classCode=ACT, moodCode=INT].code"
      }]
    },
    {
      "id" : "Procedure.note",
      "path" : "Procedure.note",
      "short" : "Дополнительная информация о процедуре",
      "definition" : "Any other notes and comments about the procedure.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Procedure.note",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Annotation"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.note"
      },
      {
        "identity" : "v2",
        "map" : "NTE"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
      }]
    },
    {
      "id" : "Procedure.focalDevice",
      "path" : "Procedure.focalDevice",
      "short" : "Manipulated, implanted, or removed device",
      "definition" : "Медицинское изделие, которое было имплантировано, удалено или над ним была проведена другая манипуляция (калибровка, смена батарейки, подгонка протеза, вакуумное закрытие раны и др.) в рамках данной процедуры.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Procedure.focalDevice",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".participation[typeCode=DEV].role[classCode=MANU]"
      }]
    },
    {
      "id" : "Procedure.focalDevice.id",
      "path" : "Procedure.focalDevice.id",
      "representation" : ["xmlAttr"],
      "short" : "xml:id (or equivalent in JSON)",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Procedure.focalDevice.extension",
      "path" : "Procedure.focalDevice.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "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.",
      "comment" : "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.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Procedure.focalDevice.modifierExtension",
      "path" : "Procedure.focalDevice.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "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. 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "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.",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Procedure.focalDevice.action",
      "path" : "Procedure.focalDevice.action",
      "short" : "Вид изменения изделия",
      "definition" : "Тип изменения, которое произошло с изделием во время процедуры.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Procedure.focalDevice.action",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DeviceActionKind"
        }],
        "strength" : "preferred",
        "description" : "Вид изменения, которое произошло с устройством во время процедуры.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/device-action"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"procedure device action\"].value=:procedure device action codes"
      }]
    },
    {
      "id" : "Procedure.focalDevice.manipulated",
      "path" : "Procedure.focalDevice.manipulated",
      "short" : "Медицинское изделие, которое было изменено",
      "definition" : "Медицинское изделие, которое отрегулировали (изменили) во время процедуры.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "Procedure.focalDevice.manipulated",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".participation[typeCode=DEV].role[classCode=SDLOC]"
      }]
    },
    {
      "id" : "Procedure.usedReference",
      "path" : "Procedure.usedReference",
      "short" : "Медицинские изделия, использованные во время процедуры",
      "definition" : "Указание лекарственных средств, медицинских изделий или других веществ, использованных в рамках процедуры.",
      "comment" : "Для имплантированных или извлеченных медицинских изделий используйте Procedure.device.",
      "requirements" : "Используется для отслеживания заражений и т. п.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Procedure.usedReference",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
        "http://hl7.org/fhir/StructureDefinition/Medication",
        "http://hl7.org/fhir/StructureDefinition/Substance"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".participation[typeCode=DEV].role[classCode=MANU] or\n.participation[typeCode=CSM].role[classCode=ADMM] (for Medication or Substance)"
      }]
    },
    {
      "id" : "Procedure.usedCode",
      "path" : "Procedure.usedCode",
      "short" : "Coded items used during the procedure",
      "definition" : "Identifies coded items that were used as part of the procedure.",
      "comment" : "Для имплантированных или извлеченных медицинских изделий используйте Procedure.device.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Procedure.usedCode",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProcedureUsed"
        }],
        "strength" : "example",
        "description" : "Codes describing items used during a procedure.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/device-kind"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : "participation[typeCode=Dev].role[classCode=MANU]"
      }]
    }]
  },
  "differential" : {
    "element" : [{
      "id" : "Procedure",
      "path" : "Procedure",
      "short" : "Действие, которое проводится или было проведено над пациентом",
      "definition" : "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.",
      "min" : 0,
      "max" : "*",
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event"
      },
      {
        "identity" : "rim",
        "map" : "Procedure[moodCode=EVN]"
      }]
    },
    {
      "id" : "Procedure.identifier",
      "path" : "Procedure.identifier",
      "short" : "Внешние идентификаторы данной процедуры",
      "definition" : "Business identifiers assigned to this procedure by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
      "comment" : "This is a business identifier, not a resource identifier (see [discussion](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 a Person resource instance might share the same social insurance number.",
      "requirements" : "Allows identification of the procedure as it is known by various participating systems and in a way that remains consistent across servers.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.identifier"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      },
      {
        "identity" : "v2",
        "map" : "Some combination of ORC-2 / ORC-3 / OBR-2 / OBR-3 / IPC-1 / IPC-2 / IPC-3 / IPC-4"
      },
      {
        "identity" : "rim",
        "map" : ".id"
      }]
    },
    {
      "id" : "Procedure.instantiatesCanonical",
      "path" : "Procedure.instantiatesCanonical",
      "short" : "Instantiates FHIR protocol or definition",
      "definition" : "The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Procedure.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "canonical",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/PlanDefinition",
        "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
        "http://hl7.org/fhir/StructureDefinition/Measure",
        "http://hl7.org/fhir/StructureDefinition/OperationDefinition",
        "http://hl7.org/fhir/StructureDefinition/Questionnaire"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.instantiatesCanonical"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=DEFN].target"
      }]
    },
    {
      "id" : "Procedure.instantiatesUri",
      "path" : "Procedure.instantiatesUri",
      "short" : "Instantiates external protocol or definition",
      "definition" : "The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Procedure.",
      "comment" : "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "uri"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.instantiatesUri"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=DEFN].target"
      }]
    },
    {
      "id" : "Procedure.basedOn",
      "path" : "Procedure.basedOn",
      "short" : "Запрос на данную процедуру",
      "definition" : "Ссылка на ресурс, содержащий сведения о запросе на данную процедуру.",
      "alias" : ["fulfills"],
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan",
        "http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.basedOn"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=FLFS].target[classCode=(various e.g. PROC, OBS, PCPR, ACT,  moodCode=RQO].code"
      }]
    },
    {
      "id" : "Procedure.partOf",
      "path" : "Procedure.partOf",
      "short" : "Part of referenced event",
      "definition" : "A larger event of which this particular procedure is a component or step.",
      "comment" : "The MedicationAdministration 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).",
      "alias" : ["container"],
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Procedure",
        "http://hl7.org/fhir/StructureDefinition/Observation",
        "http://hl7.org/fhir/StructureDefinition/MedicationAdministration"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.partOf"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=COMP].source[classCode=SBADM or PROC or OBS, moodCode=EVN]"
      }]
    },
    {
      "id" : "Procedure.status",
      "path" : "Procedure.status",
      "short" : "preparation | in-progress | not-done | suspended | aborted | completed | entered-in-error | unknown",
      "definition" : "Код состояния записи о процедуре. Как правило, это будет состояние in-progress или completed.",
      "comment" : "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.\n\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : true,
      "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProcedureStatus"
        }],
        "strength" : "required",
        "description" : "Код, обозначающий состояние записи процедуры.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/event-status"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.status"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.status"
      },
      {
        "identity" : "rim",
        "map" : "statusCode"
      }]
    },
    {
      "id" : "Procedure.statusReason",
      "path" : "Procedure.statusReason",
      "short" : "Reason for current status",
      "definition" : "Captures the reason for the current state of the procedure.",
      "comment" : "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.",
      "alias" : ["Suspended Reason",
      "Cancelled Reason"],
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProcedureNegationReason"
        }],
        "strength" : "example",
        "description" : "Код причины, почему процедура не была выполнена.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-not-performed-reason"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.statusReason"
      },
      {
        "identity" : "rim",
        "map" : ".reason.Observation.value"
      }]
    },
    {
      "id" : "Procedure.category",
      "path" : "Procedure.category",
      "short" : "Классификация процедуры",
      "definition" : "Код, классифицирующий процедуру в целях поиска и отображения (например \"хирургическое вмешательство\").",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProcedureCategory"
        }],
        "strength" : "example",
        "description" : "Код классификации процедуры для поиска, сортировки и отображения.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-category"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.class"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
      }]
    },
    {
      "id" : "Procedure.code",
      "path" : "Procedure.code",
      "short" : "Определение процедуры",
      "definition" : "Конкретная процедура, которая была выполнена. Используйте текст, если точный характер процедуры не может быть закодирован (например \"лапароскопическая аппендэктомия\").",
      "requirements" : "0..1 to account for primarily narrative only resources.",
      "alias" : ["type"],
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProcedureCode"
        }],
        "strength" : "example",
        "description" : "Код определения конкретной процедуры.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-code"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.code"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.what[x]"
      },
      {
        "identity" : "v2",
        "map" : "OBR-44/OBR-45"
      },
      {
        "identity" : "rim",
        "map" : ".code"
      }]
    },
    {
      "id" : "Procedure.subject",
      "path" : "Procedure.subject",
      "short" : "Над кем выполнялась процедура",
      "definition" : "Человек, животное или группа, над которой выполнялась процедура.",
      "alias" : ["patient"],
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Group"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.subject"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject[x]"
      },
      {
        "identity" : "v2",
        "map" : "PID-3"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=SBJ].role"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject"
      }]
    },
    {
      "id" : "Procedure.encounter",
      "path" : "Procedure.encounter",
      "short" : "Encounter created as part of",
      "definition" : "The Encounter during which this Procedure was created or performed or to which the creation of this record is tightly associated.",
      "comment" : "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.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.context"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.context"
      },
      {
        "identity" : "v2",
        "map" : "PV1-19"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
      }]
    },
    {
      "id" : "Procedure.performed[x]",
      "path" : "Procedure.performed[x]",
      "short" : "When the procedure was performed",
      "definition" : "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.",
      "comment" : "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.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      },
      {
        "code" : "Period"
      },
      {
        "code" : "string"
      },
      {
        "code" : "Age"
      },
      {
        "code" : "Range"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.occurrence[x]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.done[x]"
      },
      {
        "identity" : "v2",
        "map" : "OBR-7"
      },
      {
        "identity" : "rim",
        "map" : ".effectiveTime"
      }]
    },
    {
      "id" : "Procedure.recorder",
      "path" : "Procedure.recorder",
      "short" : "Who recorded the procedure",
      "definition" : "Individual who recorded the record and takes responsibility for its content.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.author"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=AUT].role"
      }]
    },
    {
      "id" : "Procedure.asserter",
      "path" : "Procedure.asserter",
      "short" : "Person who asserts this procedure",
      "definition" : "Individual who is making the procedure statement.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.source"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=INF].role"
      }]
    },
    {
      "id" : "Procedure.performer",
      "path" : "Procedure.performer",
      "short" : "Лица, выполнившие процедуру",
      "definition" : "Описание реальных людей, а не оборудования.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=PRF]"
      }]
    },
    {
      "id" : "Procedure.performer.function",
      "path" : "Procedure.performer.function",
      "short" : "Type of performance",
      "definition" : "Distinguishes the type of involvement of the performer in the procedure. For example, surgeon, anaethetist, endoscopist.",
      "requirements" : "Allows disambiguation of the types of involvement of different performers.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProcedurePerformerRole"
        }],
        "strength" : "example",
        "description" : "Код роли исполнителя процедуры.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/performer-role"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer.function"
      },
      {
        "identity" : "v2",
        "map" : "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"
      },
      {
        "identity" : "rim",
        "map" : ".functionCode"
      }]
    },
    {
      "id" : "Procedure.performer.actor",
      "path" : "Procedure.performer.actor",
      "short" : "Ссылка на медицинского специалиста",
      "definition" : "Медицинский специалист, который участвовал в процедуре.",
      "requirements" : "A reference to Device supports use cases, such as pacemakers.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/Organization",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
        "http://hl7.org/fhir/StructureDefinition/Device"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer.actor"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.actor"
      },
      {
        "identity" : "v2",
        "map" : "ORC-19/PRT-5"
      },
      {
        "identity" : "rim",
        "map" : ".role"
      }]
    },
    {
      "id" : "Procedure.performer.onBehalfOf",
      "path" : "Procedure.performer.onBehalfOf",
      "short" : "Organization the device or practitioner was acting for",
      "definition" : "The organization the device or practitioner was acting on behalf of.",
      "requirements" : "Practitioners and Devices can be associated with multiple organizations.  This element indicates which organization they were acting on behalf of when performing the action.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : ".scoper"
      }]
    },
    {
      "id" : "Procedure.location",
      "path" : "Procedure.location",
      "short" : "Где проводилась процедура",
      "definition" : "Место, где была проведена процедура. Например роды приняты на дому, трахеостомия в ресторане.",
      "requirements" : "Ties a procedure to where the records are likely kept.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.where[x]"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=LOC].role[classCode=SDLOC]"
      }]
    },
    {
      "id" : "Procedure.reasonCode",
      "path" : "Procedure.reasonCode",
      "short" : "Coded reason procedure performed",
      "definition" : "The coded reason why the procedure was performed. This may be coded entity of some type, or may simply be present as text.",
      "comment" : "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.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProcedureReason"
        }],
        "strength" : "example",
        "description" : "Код причины, по которой требуется процедура.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-reason"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.reasonCode"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.why[x]"
      },
      {
        "identity" : "rim",
        "map" : ".reasonCode"
      }]
    },
    {
      "id" : "Procedure.reasonReference",
      "path" : "Procedure.reasonReference",
      "short" : "The justification that the procedure was performed",
      "definition" : "The justification of why the procedure was performed.",
      "comment" : "It is possible for a procedure to be a reason (such as C-Section) for another procedure (such as epidural). Other examples include endoscopy for dilatation and biopsy, combination diagnosis and therapeutic. \nUse 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.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
        "http://hl7.org/fhir/StructureDefinition/Observation",
        "http://hl7.org/fhir/StructureDefinition/Procedure",
        "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
        "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.reasonReference"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.why[x]"
      },
      {
        "identity" : "rim",
        "map" : ".reasonCode"
      }]
    },
    {
      "id" : "Procedure.bodySite",
      "path" : "Procedure.bodySite",
      "short" : "Целевое анатомическое расположение",
      "definition" : "Подробная и структурированная информация об анатомическом расположении. Можно указывать несколько местоположений - например многократная пункционная биопсия раны.",
      "comment" : "If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [procedure-targetbodystructure](extension-procedure-targetbodystructure.html).",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "BodySite"
        }],
        "strength" : "example",
        "description" : "Коды описания анатомического расположения. Могут включать в себя указание латеральности.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
      },
      "mapping" : [{
        "identity" : "v2",
        "map" : "OBX-20"
      },
      {
        "identity" : "rim",
        "map" : ".targetSiteCode"
      }]
    },
    {
      "id" : "Procedure.outcome",
      "path" : "Procedure.outcome",
      "short" : "Результат выполнения процедуры",
      "definition" : "Результат процедуры - решила ли она те вопросы, которые были основанием для ее выполнения?",
      "comment" : "Если результат содержит только текстовую часть, его можно записать в элемент CodeableConcept.text.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProcedureOutcome"
        }],
        "strength" : "example",
        "description" : "Результаты процедуры - были ли достигнуты цели её выполнения или нет.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-outcome"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=OUT].target.text"
      }]
    },
    {
      "id" : "Procedure.report",
      "path" : "Procedure.report",
      "short" : "Все отчеты по процедуре",
      "definition" : "Это может быть гистологический результат, патологический отчёт, хирургический отчёт и т. п.",
      "comment" : "Здесь может быть несколько отчетов - например если во время процедуры было сделано несколько биопсий, в результате чего получилось несколько анатомических патологических отчётов.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
        "http://hl7.org/fhir/StructureDefinition/DocumentReference",
        "http://hl7.org/fhir/StructureDefinition/Composition"]
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN]"
      }]
    },
    {
      "id" : "Procedure.complication",
      "path" : "Procedure.complication",
      "short" : "Осложнение, последовавшее за процедурой",
      "definition" : "Любые осложнения, произошедшие во время выполнения процедуры или в последующий послеоперационный период. Как правило, они отслеживаются отдельно от записей, которые обычно описывают саму процедуру, а нее возникшие после неё проблемы.",
      "comment" : "If complications are only expressed by the narrative text, they can be captured using the CodeableConcept.text.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProcedureComplication"
        }],
        "strength" : "example",
        "description" : "Коды, описывающие осложнения, возникшие из-за процедуры.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/condition-code"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=\"complication\", moodCode=EVN].value"
      }]
    },
    {
      "id" : "Procedure.complicationDetail",
      "path" : "Procedure.complicationDetail",
      "short" : "A condition that is a result of the procedure",
      "definition" : "Any complications that occurred during the procedure, or in the immediate post-performance period.",
      "requirements" : "This is used to document a condition that is a result of the procedure, not the condition that was the reason for the procedure.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition"]
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=\"complication\", moodCode=EVN].value"
      }]
    },
    {
      "id" : "Procedure.followUp",
      "path" : "Procedure.followUp",
      "short" : "Указания по последующему наблюдению",
      "definition" : "Если процедура требует определенного последующего наблюдения - например удаления швов. Может быть как простым примечанием, так и более сложным, во втором случае можно использовать ресурс CarePlan.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProcedureFollowUp"
        }],
        "strength" : "example",
        "description" : "Определённое последующее наблюдение , требуемое после процедуры, например снятие швов.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-followup"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=COMP].target[classCode=ACT, moodCode=INT].code"
      }]
    },
    {
      "id" : "Procedure.note",
      "path" : "Procedure.note",
      "short" : "Дополнительная информация о процедуре",
      "definition" : "Any other notes and comments about the procedure.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Annotation"
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.note"
      },
      {
        "identity" : "v2",
        "map" : "NTE"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
      }]
    },
    {
      "id" : "Procedure.focalDevice",
      "path" : "Procedure.focalDevice",
      "short" : "Manipulated, implanted, or removed device",
      "definition" : "Медицинское изделие, которое было имплантировано, удалено или над ним была проведена другая манипуляция (калибровка, смена батарейки, подгонка протеза, вакуумное закрытие раны и др.) в рамках данной процедуры.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : ".participation[typeCode=DEV].role[classCode=MANU]"
      }]
    },
    {
      "id" : "Procedure.focalDevice.action",
      "path" : "Procedure.focalDevice.action",
      "short" : "Вид изменения изделия",
      "definition" : "Тип изменения, которое произошло с изделием во время процедуры.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DeviceActionKind"
        }],
        "strength" : "preferred",
        "description" : "Вид изменения, которое произошло с устройством во время процедуры.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/device-action"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"procedure device action\"].value=:procedure device action codes"
      }]
    },
    {
      "id" : "Procedure.focalDevice.manipulated",
      "path" : "Procedure.focalDevice.manipulated",
      "short" : "Медицинское изделие, которое было изменено",
      "definition" : "Медицинское изделие, которое отрегулировали (изменили) во время процедуры.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : ".participation[typeCode=DEV].role[classCode=SDLOC]"
      }]
    },
    {
      "id" : "Procedure.usedReference",
      "path" : "Procedure.usedReference",
      "short" : "Медицинские изделия, использованные во время процедуры",
      "definition" : "Указание лекарственных средств, медицинских изделий или других веществ, использованных в рамках процедуры.",
      "comment" : "Для имплантированных или извлеченных медицинских изделий используйте Procedure.device.",
      "requirements" : "Используется для отслеживания заражений и т. п.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
        "http://hl7.org/fhir/StructureDefinition/Medication",
        "http://hl7.org/fhir/StructureDefinition/Substance"]
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : ".participation[typeCode=DEV].role[classCode=MANU] or\n.participation[typeCode=CSM].role[classCode=ADMM] (for Medication or Substance)"
      }]
    },
    {
      "id" : "Procedure.usedCode",
      "path" : "Procedure.usedCode",
      "short" : "Coded items used during the procedure",
      "definition" : "Identifies coded items that were used as part of the procedure.",
      "comment" : "Для имплантированных или извлеченных медицинских изделий используйте Procedure.device.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProcedureUsed"
        }],
        "strength" : "example",
        "description" : "Codes describing items used during a procedure.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/device-kind"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : "participation[typeCode=Dev].role[classCode=MANU]"
      }]
    }]
  }
}

Примечание к использованию: мы очень стараемся приводить корректные и полезные примеры, но нормативно они не являются частью спецификации.