# Procedure - FR Procedure Act Document - ANS IG document core v0.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Procedure - FR Procedure Act Document**

## Resource Profile: Procedure - FR Procedure Act Document 

| | |
| :--- | :--- |
| *Official URL*:https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-procedure-act-document | *Version*:0.1.0 |
| Draft as of 2025-12-15 | *Computable Name*:FRProcedureActDocument |

 
FRProcedureActDocument est un profil utilisé pour décrire un acte planifié ou réalisé. 

**Utilisations:**

* Ce Profil nest utilisé par aucun profil dans ce guide dimplémentation

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/ans.document.fr.core|current/StructureDefinition/fr-procedure-act-document)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-fr-procedure-act-document.csv), [Excel](StructureDefinition-fr-procedure-act-document.xlsx), [Schematron](StructureDefinition-fr-procedure-act-document.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "fr-procedure-act-document",
  "url" : "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-procedure-act-document",
  "version" : "0.1.0",
  "name" : "FRProcedureActDocument",
  "title" : "Procedure - FR Procedure Act Document",
  "status" : "draft",
  "date" : "2025-12-15T10:54:30+00:00",
  "publisher" : "Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris",
  "contact" : [
    {
      "name" : "Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://esante.gouv.fr"
        }
      ]
    }
  ],
  "description" : "FRProcedureActDocument est un profil utilisé pour décrire un acte planifié ou réalisé.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "FR",
          "display" : "FRANCE"
        }
      ]
    }
  ],
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "workflow",
      "uri" : "http://hl7.org/fhir/workflow",
      "name" : "Workflow Pattern"
    },
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/fivews",
      "name" : "FiveWs Pattern Mapping"
    },
    {
      "identity" : "v2",
      "uri" : "http://hl7.org/v2",
      "name" : "HL7 v2 Mapping"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Procedure",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Procedure",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "Procedure",
        "path" : "Procedure"
      },
      {
        "id" : "Procedure.extension",
        "path" : "Procedure.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        }
      },
      {
        "id" : "Procedure.extension:priority",
        "path" : "Procedure.extension",
        "sliceName" : "priority",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-procedure-priority-extension"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Procedure.extension:difficulte",
        "path" : "Procedure.extension",
        "sliceName" : "difficulte",
        "short" : "Référence vers une Observation représentant la difficulté",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-procedure-difficulty-extension"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Procedure.identifier",
        "path" : "Procedure.identifier",
        "short" : "Identifiant",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Procedure.partOf",
        "path" : "Procedure.partOf",
        "short" : "Références vers des Observations de scores associés à l'acte",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Observation"]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Procedure.status",
        "path" : "Procedure.status",
        "short" : "Statut de l'acte",
        "mustSupport" : true
      },
      {
        "id" : "Procedure.code",
        "path" : "Procedure.code",
        "short" : "Code d'acte",
        "comment" : "Aussi utilisé pour indiquer qu'il n'y a pas d'acte ou qu'on ne sait pas s'il y en a.\nSi l'acte n'est pas trouvé dans CCAM, utiliser le code NCIT 'C25218' (Intervention)\net décrire l'acte en texte libre dans la partie narrative.\nPour les actes chirurgicaux inconnus, utiliser jdv-absent-or-unknown-procedure-cisis.",
        "min" : 1,
        "mustSupport" : true,
        "binding" : {
          "strength" : "extensible",
          "valueSet" : "https://interop.esante.gouv.fr/ig/document/core/ValueSet/fr-vs-procedure-code"
        }
      },
      {
        "id" : "Procedure.subject",
        "path" : "Procedure.subject",
        "short" : "Patient concerné",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-patient-ins-document",
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-patient-document"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Procedure.encounter",
        "path" : "Procedure.encounter",
        "short" : "Circonstances ayant décidé de l'acte",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-encounter-document"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Procedure.performed[x]",
        "path" : "Procedure.performed[x]",
        "short" : "Date de l'acte",
        "mustSupport" : true
      },
      {
        "id" : "Procedure.recorder",
        "path" : "Procedure.recorder",
        "short" : "Auteur",
        "mustSupport" : true
      },
      {
        "id" : "Procedure.recorder.extension:author",
        "path" : "Procedure.recorder.extension",
        "sliceName" : "author",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-actor-extension"
            ]
          }
        ]
      },
      {
        "id" : "Procedure.recorder.extension:author.extension:type",
        "path" : "Procedure.recorder.extension.extension",
        "sliceName" : "type"
      },
      {
        "id" : "Procedure.recorder.extension:author.extension:type.value[x]",
        "path" : "Procedure.recorder.extension.extension.value[x]",
        "patternCode" : "AUT"
      },
      {
        "id" : "Procedure.recorder.extension:author.extension:actor",
        "path" : "Procedure.recorder.extension.extension",
        "sliceName" : "actor"
      },
      {
        "id" : "Procedure.recorder.extension:author.extension:actor.value[x]",
        "path" : "Procedure.recorder.extension.extension.value[x]",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-practitionerRole-document"
            ]
          }
        ]
      },
      {
        "id" : "Procedure.performer",
        "path" : "Procedure.performer",
        "mustSupport" : true
      },
      {
        "id" : "Procedure.performer.actor.extension:Intervenant",
        "path" : "Procedure.performer.actor.extension",
        "sliceName" : "Intervenant",
        "short" : "Intervenant",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-actor-extension"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Procedure.performer.actor.extension:Intervenant.extension:type",
        "path" : "Procedure.performer.actor.extension.extension",
        "sliceName" : "type"
      },
      {
        "id" : "Procedure.performer.actor.extension:Intervenant.extension:type.value[x]",
        "path" : "Procedure.performer.actor.extension.extension.value[x]",
        "patternCode" : "PRF"
      },
      {
        "id" : "Procedure.performer.actor.extension:Intervenant.extension:actor",
        "path" : "Procedure.performer.actor.extension.extension",
        "sliceName" : "actor"
      },
      {
        "id" : "Procedure.performer.actor.extension:Intervenant.extension:actor.value[x]",
        "path" : "Procedure.performer.actor.extension.extension.value[x]",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-practitionerRole-document"
            ]
          }
        ]
      },
      {
        "id" : "Procedure.performer.actor.extension:Informateur",
        "path" : "Procedure.performer.actor.extension",
        "sliceName" : "Informateur",
        "short" : "Informateur",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-actor-extension"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Procedure.performer.actor.extension:Informateur.extension:type",
        "path" : "Procedure.performer.actor.extension.extension",
        "sliceName" : "type"
      },
      {
        "id" : "Procedure.performer.actor.extension:Informateur.extension:type.value[x]",
        "path" : "Procedure.performer.actor.extension.extension.value[x]",
        "patternCode" : "INF"
      },
      {
        "id" : "Procedure.performer.actor.extension:Informateur.extension:actor",
        "path" : "Procedure.performer.actor.extension.extension",
        "sliceName" : "actor"
      },
      {
        "id" : "Procedure.performer.actor.extension:Informateur.extension:actor.value[x]",
        "path" : "Procedure.performer.actor.extension.extension.value[x]",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-practitionerRole-document",
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-related-person-document",
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-patient-ins-document",
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-patient-document"
            ]
          }
        ]
      },
      {
        "id" : "Procedure.performer.actor.extension:Participant",
        "path" : "Procedure.performer.actor.extension",
        "sliceName" : "Participant",
        "short" : "Participant",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-actor-extension"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Procedure.performer.actor.extension:Participant.extension:type",
        "path" : "Procedure.performer.actor.extension.extension",
        "sliceName" : "type"
      },
      {
        "id" : "Procedure.performer.actor.extension:Participant.extension:type.value[x]",
        "path" : "Procedure.performer.actor.extension.extension.value[x]",
        "patternCode" : "PART"
      },
      {
        "id" : "Procedure.performer.actor.extension:Participant.extension:actor",
        "path" : "Procedure.performer.actor.extension.extension",
        "sliceName" : "actor"
      },
      {
        "id" : "Procedure.performer.actor.extension:Participant.extension:actor.value[x]",
        "path" : "Procedure.performer.actor.extension.extension.value[x]",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-practitionerRole-document",
              "http://hl7.org/fhir/StructureDefinition/Device"
            ]
          }
        ]
      },
      {
        "id" : "Procedure.reasonReference",
        "path" : "Procedure.reasonReference",
        "short" : "Motif de l'acte",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-condition-document"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Procedure.bodySite",
        "path" : "Procedure.bodySite",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "pattern",
              "path" : "$this"
            }
          ],
          "rules" : "open"
        },
        "short" : "Voie d'abord et localisation anatomique",
        "mustSupport" : true
      },
      {
        "id" : "Procedure.bodySite:ApproachSiteCode",
        "path" : "Procedure.bodySite",
        "sliceName" : "ApproachSiteCode",
        "short" : "Voie d’abord",
        "min" : 0,
        "max" : "*"
      },
      {
        "id" : "Procedure.bodySite:ApproachSiteCode.coding",
        "path" : "Procedure.bodySite.coding",
        "min" : 1,
        "max" : "1"
      },
      {
        "id" : "Procedure.bodySite:ApproachSiteCode.coding.system",
        "path" : "Procedure.bodySite.coding.system",
        "patternUri" : "http://snomed.info/sct"
      },
      {
        "id" : "Procedure.bodySite:TargetSiteCode",
        "path" : "Procedure.bodySite",
        "sliceName" : "TargetSiteCode",
        "short" : "Localisation anatomique",
        "min" : 0,
        "max" : "*"
      },
      {
        "id" : "Procedure.bodySite:TargetSiteCode.coding",
        "path" : "Procedure.bodySite.coding",
        "min" : 1,
        "max" : "1"
      },
      {
        "id" : "Procedure.bodySite:TargetSiteCode.coding.system",
        "path" : "Procedure.bodySite.coding.system",
        "patternUri" : "http://snomed.info/sct"
      },
      {
        "id" : "Procedure.usedReference",
        "path" : "Procedure.usedReference",
        "short" : "Réference interne à un DM",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }
        ],
        "mustSupport" : true
      }
    ]
  }
}

```
