Left: | AU Core Procedure (http://hl7.org.au/fhir/core/StructureDefinition/au-core-procedure) |
Right: | AU Core Procedure (http://hl7.org.au/fhir/core/StructureDefinition/au-core-procedure) |
Name | Value | Comments | |
---|---|---|---|
abstract | false | ||
baseDefinition | http://hl7.org.au/fhir/StructureDefinition/au-procedure | ||
copyright | Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved. | ||
description | This profile sets minimum expectations for a Procedure resource to record, search, and fetch procedures associated with a patient. It is based on the [AU Base Procedure](http://build.fhir.org/ig/hl7au/au-fhir-base/StructureDefinition-au-procedure.html) profile and identifies the *additional* mandatory core elements, extensions, vocabularies and value sets that **SHALL** be present in the Procedure resource when conforming to this profile. It provides the floor for standards development for specific uses cases in an Australian context. | ||
experimental | |||
fhirVersion | 4.0.1 | ||
jurisdiction | |||
jurisdiction[0] | urn:iso:std:iso:3166#AU | ||
kind | resource | ||
name | AUCoreProcedure | ||
publisher | HL7 Australia | ||
purpose | |||
status | active | ||
title | AU Core Procedure | ||
type | Procedure | ||
url | http://hl7.org.au/fhir/core/StructureDefinition/au-core-procedure |
Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Procedure | 0..* | AUBaseProcedure | A procedure in an Australian healthcare context | 0..* | AUBaseProcedure | A procedure in an Australian healthcare context | |||||||||||||||
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||||||
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||||||
language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||||||
contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||||||
identifier | Σ | 0..* | Identifier | External Identifiers for this procedure | Σ | 0..* | Identifier | External Identifiers for this procedure | |||||||||||||
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | |||||||||||||
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | Σ | 0..* | uri | Instantiates external protocol or definition | |||||||||||||
basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | |||||||||||||
partOf | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | |||||||||||||
status | ?!SOΣ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: ?? (required): A code specifying the state of the procedure.
| ?!SOΣ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: ?? (required): A code specifying the state of the procedure.
| |||||||||||||
statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): A code that identifies the reason a procedure was not performed. | Σ | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): A code that identifies the reason a procedure was not performed. | |||||||||||||
category | Σ | 0..1 | CodeableConcept | Classification of the procedure Binding: ?? (example): A code that classifies a procedure for searching, sorting and display purposes. | Σ | 0..1 | CodeableConcept | Classification of the procedure Binding: ?? (example): A code that classifies a procedure for searching, sorting and display purposes. | |||||||||||||
code | SOΣ | 1..1 | CodeableConcept | Identification of the procedure Binding: ?? (extensible)
| SOΣ | 1..1 | CodeableConcept | Identification of the procedure Binding: ?? (extensible)
| |||||||||||||
subject | SOΣ | 1..1 | Reference(AU Core Patient) | Who the procedure was performed on
| SOΣ | 1..1 | Reference(AU Core Patient) | Who the procedure was performed on
| |||||||||||||
encounter | SOΣ | 0..1 | Reference(AU Core Encounter) | Encounter created as part of
| SOΣ | 0..1 | Reference(AU Core Encounter) | Encounter created as part of
| |||||||||||||
performed[x] | SOΣ | 0..1 | dateTime, Period, string, Age, Range | When the procedure was performed
| SOΣ | 0..1 | dateTime, Period, string, Age, Range | When the procedure was performed
| |||||||||||||
recorder | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure | |||||||||||||
asserter | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure | |||||||||||||
performer | Σ | 0..* | BackboneElement | The people who performed the procedure | Σ | 0..* | BackboneElement | The people who performed the procedure | |||||||||||||
id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ?? (example): A code that identifies the role of a performer of the procedure. | Σ | 0..1 | CodeableConcept | Type of performance Binding: ?? (example): A code that identifies the role of a performer of the procedure. | |||||||||||||
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner | |||||||||||||
onBehalfOf | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||||||||||||
location | Σ | 0..1 | Reference(Location) | Where the procedure happened | Σ | 0..1 | Reference(Location) | Where the procedure happened | |||||||||||||
reasonCode | SOΣ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ?? (example): A code that identifies the reason a procedure is required.
| SOΣ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ?? (example): A code that identifies the reason a procedure is required.
| |||||||||||||
reasonReference | SOΣ | 0..* | Reference(AU Core Condition | Observation | AU Core Procedure | DocumentReference) | The justification that the procedure was performed
| SOΣ | 0..* | Reference(AU Core Condition | Observation | AU Core Procedure | DocumentReference) | The justification that the procedure was performed
| |||||||||||||
bodySite | OΣC | 0..* | CodeableConcept | Target body sites Binding: ?? (extensible) au-core-pro-04: If a coded body site is provided, at least one code shall be from SNOMED CT
| ΣC | 0..* | CodeableConcept | Target body sites Binding: ?? (extensible) au-core-pro-01: If a coded body site is provided, at least one code shall be from SNOMED CT | |||||||||||||
outcome | Σ | 0..1 | CodeableConcept | The result of procedure Binding: ?? (example): An outcome of a procedure - whether it was resolved or otherwise. | Σ | 0..1 | CodeableConcept | The result of procedure Binding: ?? (example): An outcome of a procedure - whether it was resolved or otherwise. | |||||||||||||
report | 0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | 0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||||||||||||
complication | 0..* | CodeableConcept | Complication following the procedure Binding: ?? (example): Codes describing complications that resulted from a procedure. | 0..* | CodeableConcept | Complication following the procedure Binding: ?? (example): Codes describing complications that resulted from a procedure. | |||||||||||||||
complicationDetail | 0..* | Reference(Condition) | A condition that is a result of the procedure | 0..* | Reference(Condition) | A condition that is a result of the procedure | |||||||||||||||
followUp | 0..* | CodeableConcept | Instructions for follow up Binding: ?? (example): Specific follow up required for a procedure e.g. removal of sutures. | 0..* | CodeableConcept | Instructions for follow up Binding: ?? (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||||||||||||
note | 0..* | Annotation | Additional information about the procedure | 0..* | Annotation | Additional information about the procedure | |||||||||||||||
focalDevice | 0..* | BackboneElement | Manipulated, implanted, or removed device | 0..* | BackboneElement | Manipulated, implanted, or removed device | |||||||||||||||
id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||
action | 0..1 | CodeableConcept | Kind of change to device Binding: ?? (preferred): A kind of change that happened to the device during the procedure. | 0..1 | CodeableConcept | Kind of change to device Binding: ?? (preferred): A kind of change that happened to the device during the procedure. | |||||||||||||||
manipulated | 1..1 | Reference(Device) | Device that was changed | 1..1 | Reference(Device) | Device that was changed | |||||||||||||||
usedReference | 0..* | Reference(Device | Medication | Substance) | Items used during procedure | 0..* | Reference(Device | Medication | Substance) | Items used during procedure | |||||||||||||||
usedCode | 0..* | CodeableConcept | Coded items used during the procedure Binding: ?? (example): Codes describing items used during a procedure. | 0..* | CodeableConcept | Coded items used during the procedure Binding: ?? (example): Codes describing items used during a procedure. | |||||||||||||||
Documentation for this format |