NP Core Procedure

Sets minimum expectations for recording a clinical procedure performed on or for a patient in Nepal.

Canonical URL: http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-procedure
Resource / type: Procedure
Based on: http://hl7.org/fhir/StructureDefinition/Procedure
Claim conformance: Put the canonical URL in meta.profile of each instance.

Required elements

“Always” means the element must be present in every instance. Otherwise it is required only when its parent element is present.

Element	Card.	When
`Procedure.status` preparation \| in-progress \| not-done \| on-hold \| stopped \| completed \| entered-in-error \| unknown	1..1	Always
`Procedure.code` Identification of the procedure	1..1	Always
`Procedure.subject` Who the procedure was performed on	1..1	Always
`Procedure.performer` The people who performed the procedure	1..*	Always
`Procedure.performer.actor` The reference to the practitioner	1..1	Always
`Procedure.focalDevice.manipulated` Device that was changed	1..1	If parent present

Must-support elements

If your system has this data it SHALL send it, and receivers SHALL process it. Must-support does not by itself make an element mandatory.

Procedure.status
Procedure.code
Procedure.subject
Procedure.encounter
Procedure.performer
Procedure.performer.actor
Procedure.location
Procedure.reasonReference

Terminology bindings

required: codes SHALL come from the value set · extensible: use the value set if a suitable code exists · preferred / example: guidance only.

Element	Strength	Value set
`Procedure.language`	preferred	http://hl7.org/fhir/ValueSet/languages
`Procedure.status`	required	http://hl7.org/fhir/ValueSet/event-status
`Procedure.statusReason`	example	http://hl7.org/fhir/ValueSet/procedure-not-performed-reason
`Procedure.category`	example	http://hl7.org/fhir/ValueSet/procedure-category
`Procedure.code`	required	NP Core Procedure Value Set http://fhir.digitalhealth.gov.np/core/ValueSet/np-core-procedure-vs
`Procedure.performer.function`	example	http://hl7.org/fhir/ValueSet/performer-role
`Procedure.reasonCode`	example	http://hl7.org/fhir/ValueSet/procedure-reason
`Procedure.bodySite`	example	http://hl7.org/fhir/ValueSet/body-site
`Procedure.outcome`	example	http://hl7.org/fhir/ValueSet/procedure-outcome
`Procedure.complication`	example	http://hl7.org/fhir/ValueSet/condition-code
`Procedure.followUp`	example	http://hl7.org/fhir/ValueSet/procedure-followup
`Procedure.focalDevice.action`	preferred	http://hl7.org/fhir/ValueSet/device-action
`Procedure.usedCode`	example	http://hl7.org/fhir/ValueSet/device-kind

Official examples

Procedure/ExampleNPCoreProcedure

View in IG ↗

{
  "resourceType": "Procedure",
  "id": "ExampleNPCoreProcedure",
  "meta": {
    "profile": [
      "http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-procedure"
    ]
  },
  "status": "completed",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "45595009",
        "display": "Laparoscopic cholecystectomy (procedure)"
      }
    ]
  },
  "subject": {
    "reference": "Patient/ExampleNPCorePatient"
  },
  "encounter": {
    "reference": "Encounter/ExampleNPCoreEncounter"
  },
  "performedDateTime": "2026-05-10T10:00:00+05:45",
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/ExampleNPCorePractitioner"
      },
      "onBehalfOf": {
        "reference": "Organization/ExampleNPCoreOrganization"
      }
    }
  ],
  "location": {
    "reference": "Location/ExampleNPCoreLocation"
  },
  "reasonReference": [
    {
      "reference": "Condition/ExampleNPCoreCondition"
    }
  ]
}

Narrative (text) removed for readability.