Scope and usage

In a Danish municipality setting, CompletedIntervention is used to describe what activities has been delivered (e.g. a visit from a nurse to a citizen home where wound care is delivered). A CompletedIntervention always describes actual activities of one encounter. It should not be confused with PlannedIntervention, which describes the intention of activities, typically for several encounters.

In this implementation guide it is only used for interventions delivered acute or otherwise not planned at the time of delivery.

Procedure.subject references the citizen. Procedure.code.coding holds the intervention code from FSIII of the intervention that should be carried out. Start-time is documented in Procedure.performedDateTime. They are all mandatory.

It is optional to document the Condition which is the reason for delivering the CompletedIntervention. If it is present, register it in Procedure.reasonReference. The Encounter where the CompletedIntervention took place, can be referenced in Procedure.encounter. This is also optional.

Procedure.status holds a mandatory status attribute, use only values "completed" and "entered-in-error".

Conversions between Danish information model and FHIR-profile

Nedenstående tabel oversætter mellem de attributter der er defineret i den fælleskommunale informationsmodel (FKI), definerer kort den enkelte attribut på dansk og specificerer hvilke af FHIR-profilens atributter der skal bruges til specifikation af indholdet

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

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	An action that is being or was performed on a patient
identifier		0..0
instantiatesCanonical		0..0
instantiatesUri		0..0
basedOn		0..0
partOf		0..0
status		1..1	code	[DK] leveretIndsatsstatus (completed | entered-in-error)
statusReason		0..0
category		0..0
code		1..1	CodeableConcept	Identification of the procedure
Slices for coding		1..*	Coding	[DK] leveretIndsatsKode Slice: Unordered, Closed by value:system
coding:level2		1..1	Coding	Code defined by a terminology system Binding: FSIIICareInterventions (required)
system		1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
coding:level3	S	0..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/gateway/CodeSystem/LocallyDefinedInterventions
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
subject		1..1	Reference(CareCitizen) {b}	[DK] leveretIndsatsSubjekt
encounter		0..0
performed[x]		1..1	dateTime	[DK] leveretIndsatsStart
recorder		0..0
asserter		0..0
performer		0..0
location		0..0
reasonCode		0..0
reasonReference	S	0..*	Reference(CareCondition) {b}	[DK] leveretIndsatsbegrundelse
bodySite		0..0
outcome		0..0
report		0..0
complication		0..0
complicationDetail		0..0
followUp		0..0
note		0..0
focalDevice		0..0
usedReference		0..0
usedCode		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.code.coding:level2	required	FSIIICareInterventions http://fhir.kl.dk/gateway/ValueSet/FSIIICareInterventions from this IG

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	An action that is being or was performed on a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	[DK] leveretIndsatsstatus (completed | entered-in-error) Binding: EventStatus (required): A code specifying the state of the procedure.
code	Σ	1..1	CodeableConcept	Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
Slices for coding	Σ	1..*	Coding	[DK] leveretIndsatsKode Slice: Unordered, Closed by value:system
coding:level2	Σ	1..1	Coding	Code defined by a terminology system Binding: FSIIICareInterventions (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
coding:level3	SΣ	0..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/gateway/CodeSystem/LocallyDefinedInterventions
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
subject	Σ	1..1	Reference(CareCitizen) {b}	[DK] leveretIndsatsSubjekt
performed[x]	Σ	1..1	dateTime	[DK] leveretIndsatsStart
reasonReference	SΣ	0..*	Reference(CareCondition) {b}	[DK] leveretIndsatsbegrundelse
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Procedure.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.code.coding:level2	required	FSIIICareInterventions http://fhir.kl.dk/gateway/ValueSet/FSIIICareInterventions from this IG

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	An action that is being or was performed on a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	[DK] leveretIndsatsstatus (completed | entered-in-error) Binding: EventStatus (required): A code specifying the state of the procedure.
code	Σ	1..1	CodeableConcept	Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	[DK] leveretIndsatsKode Slice: Unordered, Closed by value:system
coding:level2	Σ	1..1	Coding	Code defined by a terminology system Binding: FSIIICareInterventions (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:level3	SΣ	0..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/gateway/CodeSystem/LocallyDefinedInterventions
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(CareCitizen) {b}	[DK] leveretIndsatsSubjekt
performed[x]	Σ	1..1	dateTime	[DK] leveretIndsatsStart
reasonReference	SΣ	0..*	Reference(CareCondition) {b}	[DK] leveretIndsatsbegrundelse
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Procedure.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.code.coding:level2	required	FSIIICareInterventions http://fhir.kl.dk/gateway/ValueSet/FSIIICareInterventions from this IG
Procedure.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action from the FHIR Standard

Constraints

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

Differential View

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	An action that is being or was performed on a patient
identifier		0..0
instantiatesCanonical		0..0
instantiatesUri		0..0
basedOn		0..0
partOf		0..0
status		1..1	code	[DK] leveretIndsatsstatus (completed | entered-in-error)
statusReason		0..0
category		0..0
code		1..1	CodeableConcept	Identification of the procedure
Slices for coding		1..*	Coding	[DK] leveretIndsatsKode Slice: Unordered, Closed by value:system
coding:level2		1..1	Coding	Code defined by a terminology system Binding: FSIIICareInterventions (required)
system		1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
coding:level3	S	0..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/gateway/CodeSystem/LocallyDefinedInterventions
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
subject		1..1	Reference(CareCitizen) {b}	[DK] leveretIndsatsSubjekt
encounter		0..0
performed[x]		1..1	dateTime	[DK] leveretIndsatsStart
recorder		0..0
asserter		0..0
performer		0..0
location		0..0
reasonCode		0..0
reasonReference	S	0..*	Reference(CareCondition) {b}	[DK] leveretIndsatsbegrundelse
bodySite		0..0
outcome		0..0
report		0..0
complication		0..0
complicationDetail		0..0
followUp		0..0
note		0..0
focalDevice		0..0
usedReference		0..0
usedCode		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.code.coding:level2	required	FSIIICareInterventions http://fhir.kl.dk/gateway/ValueSet/FSIIICareInterventions from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	An action that is being or was performed on a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	[DK] leveretIndsatsstatus (completed | entered-in-error) Binding: EventStatus (required): A code specifying the state of the procedure.
code	Σ	1..1	CodeableConcept	Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
Slices for coding	Σ	1..*	Coding	[DK] leveretIndsatsKode Slice: Unordered, Closed by value:system
coding:level2	Σ	1..1	Coding	Code defined by a terminology system Binding: FSIIICareInterventions (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
coding:level3	SΣ	0..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/gateway/CodeSystem/LocallyDefinedInterventions
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
subject	Σ	1..1	Reference(CareCitizen) {b}	[DK] leveretIndsatsSubjekt
performed[x]	Σ	1..1	dateTime	[DK] leveretIndsatsStart
reasonReference	SΣ	0..*	Reference(CareCondition) {b}	[DK] leveretIndsatsbegrundelse
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Procedure.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.code.coding:level2	required	FSIIICareInterventions http://fhir.kl.dk/gateway/ValueSet/FSIIICareInterventions from this IG

Constraints

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

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	An action that is being or was performed on a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	[DK] leveretIndsatsstatus (completed | entered-in-error) Binding: EventStatus (required): A code specifying the state of the procedure.
code	Σ	1..1	CodeableConcept	Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	[DK] leveretIndsatsKode Slice: Unordered, Closed by value:system
coding:level2	Σ	1..1	Coding	Code defined by a terminology system Binding: FSIIICareInterventions (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:1.2.208.176.2.21
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:level3	SΣ	0..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://fhir.kl.dk/gateway/CodeSystem/LocallyDefinedInterventions
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(CareCitizen) {b}	[DK] leveretIndsatsSubjekt
performed[x]	Σ	1..1	dateTime	[DK] leveretIndsatsStart
reasonReference	SΣ	0..*	Reference(CareCondition) {b}	[DK] leveretIndsatsbegrundelse
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Procedure.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.code.coding:level2	required	FSIIICareInterventions http://fhir.kl.dk/gateway/ValueSet/FSIIICareInterventions from this IG
Procedure.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action from the FHIR Standard

Constraints

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

This structure is derived from Procedure

Summary

Mandatory: 5 elements(3 nested mandatory elements)
Must-Support: 2 elements
Prohibited: 23 elements

Structures

This structure refers to these other structures:

• CareCitizen (http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-citizen)
• CareCondition (http://fhir.kl.dk/gateway/StructureDefinition/klgateway-care-condition)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Procedure.code.coding (Closed)