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Procedure

Overview

The Procedure resource is used to record the details of current and historical procedures performed on or for a patient, such as surgical procedures, diagnostic procedures, endoscopic procedures, biopsies, counseling, physiotherapy, personal support services, adult day care services, non-emergency transportation, home modification, exercise, etc. Procedures may be performed by a healthcare professional, a service provider, a friend or relative or in some cases by the patient themselves.

Each Procedure has next elements:

  • a status
  • a code that identifies the type of procedure performed on the patient
  • a patient
  • when the procedure was performed

Profile specific implementation guidance

  • Procedure codes can be taken from SNOMED-CT, CPT, HCPCS II, ICD-10-PCS, or CDT.
  • A procedure including an implantable device SHOULD use Procedure.focalDevice with a reference to the US Core Implantable Device Profile.

This resource conforms to USCDI V1 profile for Procedure - refer to StructureDefinition US Core Procedure. Procedure response will be provided in JSON (refers to Capability Statement) format as per FHIR standard R4 version.

Must support elements, mandatory and optional search parameters

Procedure must support these elements:

  • status
  • code
  • subject
  • performed[x]
    • performedDateTime

The following search parameters and search parameter combinations SHALL be supported:

The syntax used to describe the interactions is described here.

SHALL support searching for all Procedure for a patient using the patient search parameter:

GET [base url]/Procedure?patient={Type/}[id]

SHALL support searching using the combination of the patient and date search parameters:

  • including support for these date comparators: gt,lt,ge,le
  • including optional support for AND search on date
GET [base url]/Procedure?patient={Type/}[id]&date=[date]

The following search parameter combinations SHOULD be supported (optional): SHOULD support searching using the combination of the patient and status search parameters:

  • including support for OR search on status
GET [base url]/Procedure?patient={Type/}[id]&status={system|}[code],{system|}[code],...}

SHOULD support searching using the combination of the patient and code and date search parameters:

  • including optional support for OR search on code
  • including support for these date comparators: gt,lt,ge,le
  • including optional support for AND search on date
GET [base url]/Procedure?patient={Type/}[id]&code={system|}[code]&date=[date]

The response to any search operation is always a list of resources in a Bundle or an Operation Outcome.

Procedure By Patient Id

Search for Procedure by patient.

METHOD GET

[base url]/Procedure?patient={Type/}[id]

PARAMS

HEADERS

The Authorization token SHALL be obtained during Authentication and Authorization process. Goto Authentication and Authorization for further details.

Header Type Required/Optional Value
Authorization string required 'Bearer'

RESPONSES

Code Description Comment
200 OK The request was processed successfully
400 Bad request Invalid request parameters or FHIR operation outcome resource returned
401 Unauthorized This code indicates that the client request has not been completed because it lacks valid authentication credentials for the requested resource
404 no Route matched with those values The request was able to communicate with a given server, but the server could not find what was requested
500 Internal Server Error The server has encountered a situation it doesn't know how to handle

EXAMPLE:

curl --location --request GET 'https://demo.kodjin.com/fhir/Procedure?patient=Patient/c5137fa5-3216-b12a-cbbc-a0c6bef361g7' \
--header 'Authorization: Bearer fe1cd986-1ac7-4c26-b8b3-d632a48408fd'

Procedure By Id

Get Procedure by ID.

METHOD GET

[base url]/Procedure/{id}

or

[base url]/Procedure?_id={id}

PARAMS

HEADERS

The Authorization token SHALL be obtained during Authentication and Authorization process. Goto Authentication and Authorization for further details.

Header Type Required/Optional Value
Authorization string required 'Bearer'

RESPONSES

Code Description Comment
200 OK The request was processed successfully
400 Bad request Invalid request parameters or FHIR operation outcome resource returned
401 Unauthorized This code indicates that the client request has not been completed because it lacks valid authentication credentials for the requested resource
404 no Route matched with those values The request was able to communicate with a given server, but the server could not find what was requested
500 Internal Server Error The server has encountered a situation it doesn't know how to handle

EXAMPLE:

curl --location --request GET 'https://demo.kodjin.com/fhir/Procedure/c5137fa5-3216-b12a-cbbc-a0c6bef361g7' \
--header 'Authorization: Bearer fe1cd986-1ac7-4c26-b8b3-d632a48408fd'

Procedure by patient and date

Get Procedures for the specified patient and date

METHOD GET

GET [base url]/Procedure?patient={Type/}[id]&date={gt|lt|ge|le}[date]&date={gt|lt|ge|le}[date]

PARAMS

  • [base url] - FHIR base url
  • [id] - patient id
  • [date] - an estimated or actual date, when the procedure was performed

HEADERS

The Authorization token SHALL be obtained during Authentication and Authorization process. Goto Authentication and Authorization for further details.

Header Type Required/Optional Value
Authorization string required 'Bearer'

RESPONSES

Code Description Comment
200 OK The request was processed successfully
400 Bad request Invalid request parameters or FHIR operation outcome resource returned
401 Unauthorized This code indicates that the client request has not been completed because it lacks valid authentication credentials for the requested resource
404 no Route matched with those values The request was able to communicate with a given server, but the server could not find what was requested
500 Internal Server Error The server has encountered a situation it doesn't know how to handle

EXAMPLE:

curl --location --request GET 'https://demo.kodjin.com/fhir/Procedure?patient=Patient/fe1cd986-1ac7-4c26-b8b3-d632a48408fd&date=ge2019-01-14' \
--header 'Authorization: Bearer 1239b275-909e-4754-8f73-1e411fd6769e'

Procedure by patient and status

Get Procedure by patient id and procedure status

METHOD GET

GET [base url]/Procedure?patient={Type/}[id]&status={system|}[code],{system|}[code],...}

PARAMS

  • [base url] - FHIR base url
  • [id] - a patient id
  • {system|} - an identity of the terminology system, used to specify the state of the procedure . FHIR search token parameter. See Search specification for more information.
  • {code} - a code specifying the state of the procedure

HEADERS

The Authorization token SHALL be obtained during Authentication and Authorization process. Goto Authentication and Authorization for further details.

Header Type Required/Optional Value
Authorization string required 'Bearer'

RESPONSES

Code Description Comment
200 OK The request was processed successfully
400 Bad request Invalid request parameters or FHIR operation outcome resource returned
401 Unauthorized This code indicates that the client request has not been completed because it lacks valid authentication credentials for the requested resource
404 no Route matched with those values The request was able to communicate with a given server, but the server could not find what was requested
500 Internal Server Error The server has encountered a situation it doesn't know how to handle

EXAMPLE:

curl --location --request GET 'https://demo.kodjin.com/fhir/Procedure?patient=Patient/fe1cd986-1ac7-4c26-b8b3-d632a48408fd&status=completed' \
--header 'Authorization: Bearer 1239b275-909e-4754-8f73-1e411fd6769e'

Procedure of the patient and code and date search parameters

Fetches a bundle of all Procedure resources for the specified patient and date and procedure code(s)

METHOD GET

GET [base url]/Procedure?patient={Type/}[id]&code={system|}[code]&date=[date]`

PARAMS

  • [base url] - FHIR base url
  • [id] - patient id
  • {system|} - an identity of the terminology system, used to specify the state of the procedure . FHIR search token parameter. See Search specification for more information.
  • {code} - a code specifying the state of the procedure
  • [date] - an estimated or actual date, when the procedure was performed

HEADERS

The Authorization token SHALL be obtained during Authentication and Authorization process. Goto Authentication and Authorization for further details.

Header Type Required/Optional Value
Authorization string required 'Bearer'

RESPONSES

Code Description Comment
200 OK The request was processed successfully
400 Bad request Invalid request parameters or FHIR operation outcome resource returned
401 Unauthorized This code indicates that the client request has not been completed because it lacks valid authentication credentials for the requested resource
404 no Route matched with those values The request was able to communicate with a given server, but the server could not find what was requested
500 Internal Server Error The server has encountered a situation it doesn't know how to handle

EXAMPLE:

curl --location --request GET 'https://demo.kodjin.com/fhir/Procedure?patient=Patient/fe1cd986-1ac7-4c26-b8b3-d632a48408fd&date=ge2019-01-14T00:00:00Z&code=http://snomed.info/sct|35637008' \
--header 'Authorization: Bearer 1239b275-909e-4754-8f73-1e411fd6769e'