category"A code that classifies the procedure for searching, sorting and display purposes (e.g., Surgical Procedure)." - HL7 FHIR, Procedure.category
currentStatus"The latest recorded status of an action within the specified context. An action may be interpretable within a specific context such as whether it is planned, ordered, or performed. Moreover, within each of these contexts, an action may have a set of allowable states in which it can exist. For instance, a proposal may be rejected or an order may be signed, canceled or superceded by another order." - HL7 CIMI, ActionContext.currentStatusThe current state of the Substance Administration. Possible values include: Infusing, Given, Held, Completed, etc. "Status of treatment administration event. Refer to HL7 Table 0322 - Completion Status for valid values." - HL7 Version 2.8, RXA-20"Indicates the current status of the vaccination event." - HL7 FHIR, Immunization.status"Will generally be set to show that the administration has been completed. For some long running administrations such as infusions it is possible for an administration to be started but not completed or it may be paused while some other process is under way." - HL7 FHIR, MedicationAdministration.status"A code specifying the state of the procedure. Generally this will be in-progress or completed state." - HL7 FHIR, Procedure.status
description"An account of the procedure in narrative form." - HL7 CIMI, ProcedureTopic.description"A sub-classification of an activity such as “wound care� which modifies the “patient instruction� classification." - HL7 Care Plan Domain Analysis Model."This provides a textual description of Terminologies on the intended activity occurrence, including relation to other activities. It may also include objectives, pre-conditions and end-conditions. Finally, it may convey specifics about the activity such as body site, method, route, etc." - HL7 FHIR, CarePlan.activity.detail.description
indication"Conditions or situations where the procedure is recommended." - HL7 CIMI, ProcedureTopic.indication
inputFinding"Patient findings expected for the performance of the specified procedure. For instance, an x-ray of a fracture prior to a surgical procedure for a bone fracture." - HL7 CIMI, ProcedureTopic.inputFinding
instantiatesCanonical"The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this [Event sub-type]." - HL7 FHIR, Event.instantiatesCanonical pattern."The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this [Request sub-type]." - HL7 FHIR, Request.instantiatesCanonical pattern."The URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan activity." - HL7 FHIR, CarePlan.activity.detail.instantiatesCanonical"The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Communication." - HL7 FHIR, Communication.instantiatesCanonical"The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this NutritionOrder." - HL7 FHIR, NutritionOrder.instantiatesCanonical"The URL pointing to a FHIR-defined protocol, guideline, order set or other definition that is adhered to in whole or in part by this Procedure." - HL7 FHIR, Procedure.instantiatesCanonical
instantiatesUri"The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this [Event sub-type]." - HL7 FHIR, Event.instantiatesUri pattern."The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this [Request sub-type]." - HL7 FHIR, Request.instantiatesUri pattern."The URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan activity." - HL7 FHIR, CarePlan.activity.detail.instantiatesUri"The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Communication." - HL7 FHIR, Communication.instantiatesUri"A protocol, guideline, orderset, or other definition that was adhered to in whole or in part by this event." - HL7 FHIR, MedicationAdministration.instantiates"The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this NutritionOrder." - HL7 FHIR, NutritionOrder.instantiatesUri"The URL pointing to an externally maintained protocol, guideline, order set or other definition that is adhered to in whole or in part by this Procedure." - HL7 FHIR, Procedure.instantiatesUri
insurance"Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be relevant in delivering the requested service." - HL7 FHIR, Request.insurance pattern.Note that in FHIR, the data type of this property could be a Coverage or a Claim Response. In the FHIM, this is currently modeled as a Coverage.
intent"Indicates the level of authority/intentionality associated with the [Request sub-type] and where the request fits into the workflow chain." Possible values are: Proposal; Plan; Directive; Order; Original Order; Reflex Order; Filler Order; Instance Order; Option. - HL7 FHIR, Request.intent pattern. Note that in the FHIM the distinction of the kind of action is largely handled by subtypes of the Action Statement class, so this property is not needed, except to distinguish between the kinds of orders (i.e., reflex order version filler order, etc.), so this property may be marked as derived in the future. In the meantime, while this property is required in FHIR, it is optional in the FHIM.
justification"Reason the action was done or justification for the action. Reasons may also be specified for not performing an action." - HL7 CIMI, ActionContext.justification
locationThe location at which the procedure or action was performed or is planned to be performed. Note that the FHIM ServiceDeliveryLocation can refer to a medical facility or to a general location identified by mailing address or by geospatial coordinates. For example, actions performed at an automobile accident scene might reference geospatial coordinates. For inpatient situations, this location may be the room, bed, and/or ward at which the patient was located at the time of the action (e.g., medication administration, procedure)."Contains the inpatient or outpatient location at which the drug or treatment was administered (if applicable)." - HL7 Version 2.8, RXA-11"Specifies the location where the drug or treatment was administered." - HL7 Version 2.8, RXA-27"Location where procedure was performed or is to be performed." - HL7 CIMI, ProcedureTopic.location"The principal physical location where the [Event sub-type] was performed." - HL7 FHIR, Event.location pattern."The service delivery location where the vaccine administration occurred." - HL7 FHIR, Immunization.location"The principal physical location where the dispense was performed." - HL7 FHIR, MedicationDispense.location"The location where the procedure actually happened, e.g., a newborn at home, a tracheostomy at a restaurant." - HL7 FHIR, Procedure.location
method"Technique or way of accomplishing the act, e.g., endoscopic, arthroscopic, etc." - HL7 CIMI, ProcedureTopic.method
outputFinding"Patient findings documented during the performance of the procedure." - HL7 CIMI, ProcedureTopic.outputFinding
precondition"Patient state or condition that must be true prior to the performance of the procedure such as 'at rest', 'supine', 'fasting', etc." - HL7 CIMI, ProcedureTopic.precondition
reasonCodeIndicates why the Action was proposed, proposed against, planned, ordered, promised, or performed. For Medication Administrations, this property indicates why the medication was given. Valid values in FHIR currently consist of only Given as ordered and Emergency, whereas in FHIM this property is expected to also provide a reason why a medication was administered when under a PRN* order (e.g., patient was in pain, patient was nauseous, etc.). [*PRN is an abbreviation for "pro re nata", a Latin phrase meaning "as the need arises." In a PRN order, the administration times (if any) are determined by the patient's needs]."Describes why the [Event sub-type] occurred in coded or textual form." - HL7 FHIR, Event.reasonCode pattern."Provides the rationale that drove the inclusion of this particular activity as part of the plan or the reason why the activity was prohibited." - HL7 FHIR, CarePlan.activity.detail.reasonCode"Reasons why a vaccine was administered." - HL7 FHIR, Immunization.explanation.reason"A code indicating why the medication was given." - HL7 FHIR, MedicationAdministration.reasonCode"The coded reason why the procedure was performed. This may be coded entity of some type, or may simply be present as text." - HL7 FHIR, Procedure.reasonCode"Describes why the request is being made in coded or textual form." - HL7 FHIR, Request.reasonCode pattern."This field contains a coded explanation of the reason for the order event described by the order control code " - HL7 Version 2.8, ORC-16"The reason for performing this act." - HL7 CIMI, ProcedureTopic.reasonThe reason that this surgical case was cancelled. [FileMan 130,18]. Possible values include:* Patient Related Issue (e.g., patient did not follow pre-surgery instructions, patient chooses to cancel for any reason);* Environmental Issue (OR availability impacted by e.g., air handling, electrical outage, emergency construction, weather causing OR hospital closure);* Staff Issue (e.g., unavailable surgeon, anesthesia or nursing staff; no documented consent, provider cancels due to change in patient treatment plan);* Patient Health Status (Provider cancels due to change in patient health status);* More clinically urgent/emergent case superseded this scheduled case;* Scheduling Issues Not Created By An Emergency Case (previous case overtime, case delayed, double booked, general time restrictions, administrative scheduling error);* Unavailable Bed;* Unavailable Equipment [excluding RME] (e.g., vendor, c-arm, implant, malfunctioning equipment);* Unavailable Reusable Medical Equipment (RME) (includes defective packaging, damaged instruments or failure of Sterile Processing Services [SPS] to provide reprocessed equipment in a timely manner);* Patient scheduled into an earlier date for surgery.
reasonNarrative"This field contains the explanation (in text form) of the reason for the order event described by the order control code" - HL7 Version 2.8, ORC-16Comments or additional information concerning why the surgical case was canceled. [FileMan 130,19]
reasonReference"Indicates another resource whose existence justifies this [Event sub-type]." - HL7 FHIR, Event.reasonReference pattern."Indicates another resource whose existence justifies this request." - HL7 FHIR, Request.reasonReference pattern."Indicates another resource, such as the health condition(s), whose existence justifies this request and drove the inclusion of this particular activity as part of the plan." - HL7 FHIR, CarePlan.activity.detail.reasonReference"Indicates another resource whose existence justifies this communication." - HL7 FHIR, Communication.reasonReference"Indicates another resource whose existence justifies this request." - HL7 FHIR, CommunicationRequest.reasonReference"The justification of why the procedure was performed." - HL7 FHIR, Procedure.reasonReference
relevantHistory"Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource." - HL7 FHIR, Request.relevantHistory pattern."A summary of the events of interest that have occurred, such as when the administration was verified." - HL7 FHIR, MedicationAdministration.eventHistory"A summary of the events of interest that have occurred, such as when the dispense was verified." - HL7 FHIR, MedicationDispense.eventHistory
scope"Indicates the scope or clinical setting where the context applies, e.g., Inpatient, outpatient, community." - HL7 CIMI, ActionContext.scope
supportingInformation"Additional information that supports the performance, non-performance, ordering, or proposing of the clinical action, for example, the patient height and weight, or documentation of heart rate before administering the medication (in case medication needs to be held if heart rate falls in a specific range)." - HL7 CIMI, ActionContext.supportingInformation"Identifies portions of the patient's record that specifically influenced the formation of the plan. These might include comorbidities, recent procedures, limitations, recent assessments, etc." - HL7 FHIR, CarePlan.supportingInfo"Information that may be needed by/relevant to the performer in their execution of this [Request sub-type]." - HL7 FHIR, Request.supportingInfo pattern."Additional information (for example, patient height and weight) that supports the administration of the medication." - HL7 FHIR, MedicationAdministration.supportingInformation"Additional information that supports the medication being dispensed." - HL7 FHIR, MedicationDispense.supportingInformation
usingDevice"The instrument or equipment utilized to execute an action" - HL7 CIMI, ProcedureTopic.usingDevice
wasReported"Indicates if this record was captured as a secondary reported record rather than as an original primary source-of-truth record. It may also indicate the source of the report." - HL7 FHIR, Event.reported[x] pattern."Indicates if this record was captured as a secondary reported record rather than as an original primary source-of-truth record. It may also indicate the source of the report." - HL7 FHIR, Request.reported[x] pattern.Note that this property can be a boolean or a pointer to a number of different resources in FHIR. In the FHIM, this property is currently modeled only as a boolean.
