Procedure Resource

Overview

The Procedure resource describes an activity performed with or on a patient as part of healthcare delivery. This includes diagnostic procedures, surgeries, therapies, and other interventions.

Critical Components

Field	Description	Standard Values/Examples
`resourceType`	Always "Procedure"	"Procedure"
`id`	Unique identifier for the procedure	"1334760"
`meta`	Contains version information and metadata	Includes `versionId`, `lastUpdated`, and `profile`
`basedOn`	The request that initiated this procedure	References ServiceRequest resources
`status`	Current state of the procedure	Standard Values: "preparation", "in-progress", "not-done", "on-hold", "stopped", "completed", "entered-in-error", "unknown"
`code`	Identification of the procedure	Typically uses SNOMED CT or LOINC codes
`subject`	Reference to the patient	Format: "Patient/[ID]"
`encounter`	Encounter during which procedure was performed	References Encounter resources
`performedDateTime`	When the procedure was performed	ISO 8601 datetime format
`performer`	Who performed the procedure	Includes `function` (role) and `actor` (practitioner)
`reasonCode`	Why procedure was performed	Typically uses SNOMED CT codes
`note`	Additional information about the procedure	Free text notes from clinicians

Example:

{
    "resourceType": "Procedure",
    "id": "1334760",
    "meta": {
        "versionId": "1",
        "lastUpdated": "2025-03-20T14:22:33.395+00:00",
        "source": "#74bfcfbd6e1872cb",
        "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"
        ]
    },
    "basedOn": [
        {"reference": "ServiceRequest/procedure-request-skull-xray"}
    ],
    "status": "completed",
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "24640-3",
                "display": "Skull 2 Views"
            },
            {
                "system": "http://snomed.info/sct",
                "code": "169074008",
                "display": "Skull X-ray"
            }
        ],
        "text": "Skull X-ray, 2 views"
    },
    "subject": {"reference": "Patient/CR7794222774698-5"},
    "encounter": {"reference": "Encounter/encounter-ed-345678"},
    "performedDateTime": "2025-03-10T08:45:00Z",
    "performer": [
        {
            "function": {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0443",
                        "code": "RAD",
                        "display": "Radiologist"
                    }
                ]
            },
            "actor": {
                "reference": "Practitioner/radiologist-456789",
                "display": "Dr. Michael Wong"
            }
        }
    ],
    "reasonCode": [
        {
            "coding": [
                {
                    "system": "http://snomed.info/sct",
                    "code": "82271004",
                    "display": "Head injury"
                }
            ]
        }
    ],
    "note": [
        {
            "text": "Patient cooperative during procedure. Standard AP and lateral views obtained."
        }
    ]
}

Key Details

Common Use Cases

Recording surgical operations
Documenting diagnostic imaging studies
Tracking therapeutic interventions
Recording bedside procedures
Documenting laboratory specimen collections

Often initiated by a ServiceRequest (referenced via basedOn)
Links to Patient resources via subject
Links to Encounter resources via encounter
Links to Practitioner resources via performer.actor
May generate Observation or DiagnosticReport resources with findings

Procedure Resource

Procedure Resource

Overview

Critical Components

Example:

Key Details

Common Use Cases

Related Resources