C.16 - EHDS refined base model for An action that is or was performed on or for a patient

Procedure identifier

Procedure specification in string form

Code identifying the procedure

SNOMED CT

Date and time of the procedure or interval of its performance

An actor who or what performed the procedure

Anatomic location and laterality where the procedure was performed. This is the target site.

SNOMED CT, ICD-O-3

The reason why the procedure was performed.

The outcome of the procedure - did it resolve the reasons for the procedure being performed?

SNOMED CT

Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the procedure description, which will typically describe the procedure itself rather than any 'post procedure' issues.

ICD-10*, SNOMED CT, Orphacode if rare disease is diagnosed

Device used to perform the procedure

Device or devices that is/are implanted, removed, or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure.

Location where the procedure had been performed

Additional information about the procedure

On whom or on what the procedure was performed. This is usually an individual human, but can also be performed on animals, groups of humans or animals, organizations or practitioners (for licensing), locations or devices (for safety inspections or regulatory authorizations). If the actual focus of the procedure is different from the subject, the focus element specifies the actual focus of the procedure.

C.16 - EHDS refined base model for An action that is or was performed on or for a patient

Procedure identifier

Procedure specification in string form

Code identifying the procedure

SNOMED CT

Date and time of the procedure or interval of its performance

An actor who or what performed the procedure

Anatomic location and laterality where the procedure was performed. This is the target site.

SNOMED CT, ICD-O-3

The reason why the procedure was performed.

The outcome of the procedure - did it resolve the reasons for the procedure being performed?

SNOMED CT

Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the procedure description, which will typically describe the procedure itself rather than any 'post procedure' issues.

ICD-10*, SNOMED CT, Orphacode if rare disease is diagnosed

Device used to perform the procedure

Device or devices that is/are implanted, removed, or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure.

Location where the procedure had been performed

Additional information about the procedure

On whom or on what the procedure was performed. This is usually an individual human, but can also be performed on animals, groups of humans or animals, organizations or practitioners (for licensing), locations or devices (for safety inspections or regulatory authorizations). If the actual focus of the procedure is different from the subject, the focus element specifies the actual focus of the procedure.

C.16 - EHDS refined base model for An action that is or was performed on or for a patient

Procedure identifier

Procedure specification in string form

Code identifying the procedure

SNOMED CT

Date and time of the procedure or interval of its performance

An actor who or what performed the procedure

Anatomic location and laterality where the procedure was performed. This is the target site.

SNOMED CT, ICD-O-3

The reason why the procedure was performed.

The outcome of the procedure - did it resolve the reasons for the procedure being performed?

SNOMED CT

Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the procedure description, which will typically describe the procedure itself rather than any 'post procedure' issues.

ICD-10*, SNOMED CT, Orphacode if rare disease is diagnosed

Device used to perform the procedure

Device or devices that is/are implanted, removed, or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure.

Location where the procedure had been performed

Additional information about the procedure

On whom or on what the procedure was performed. This is usually an individual human, but can also be performed on animals, groups of humans or animals, organizations or practitioners (for licensing), locations or devices (for safety inspections or regulatory authorizations). If the actual focus of the procedure is different from the subject, the focus element specifies the actual focus of the procedure.