AU Patient Summary Implementation Guide, published by HL7 Australia. This guide is not an authorized publication; it is the continuous build for version 0.5.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7au/au-fhir-ps/ and changes regularly. See the Directory of published versions

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Resource Profile: AU PS Procedure

This profile sets minimum expectations for a Procedure resource in the context of a patient summary in an Australian context. It is based on the AU Core Procedure profile, and applies the additional requirements from Procedure (IPS).

Usages:

• Use this Profile: AU PS Bundle
• Refer to this Profile: AU PS Composition, AU PS Encounter and AU PS Procedure

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from AUCoreProcedure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	AUCoreProcedure	A procedure in an Australian healthcare context This profile also complies with the profile Procedure (IPS)
status	O	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
code	O	1..1	CodeableConceptIPS	Identification of the procedure Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
subject	O	1..1	Reference(AU PS Patient)	Who the procedure was performed on Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
reference	SO	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer
encounter	O	0..1	Reference(AU PS Encounter)	Encounter created as part of Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
performed[x]	O	1..1		When the procedure was performed Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
performer
actor		1..1	Reference(AU PS Patient | AU PS RelatedPerson | Device - Performer or Observer (IPS) | AU PS Practitioner | AU PS PractitionerRole | AU PS Organization)	The reference to the practitioner
onBehalfOf		0..1	Reference(AU PS Organization)	Organization the device or practitioner was acting for
reasonCode	O	0..*	CodeableConcept	Coded reason procedure performed Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
reasonReference	O	0..*	Reference(AU PS Condition | Observation | AU PS Procedure | DocumentReference)	The justification that the procedure was performed Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	AUCoreProcedure	A procedure in an Australian healthcare context This profile also complies with the profile Procedure (IPS)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:sexParameterForClinicalUse		0..*	(Complex)	A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
extension:targetBodyStructure		0..*	Reference(BodyStructure)	The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SOΣ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure. Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
code	SOΣ	1..1	CodeableConceptIPS	Identification of the procedure Binding: Procedure (extensible) Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
subject	SOΣ	1..1	Reference(AU PS Patient)	Who the procedure was performed on Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
reference	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer
encounter	SOΣ	0..1	Reference(AU PS Encounter)	Encounter created as part of Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
performed[x]	SOΣ	1..1		When the procedure was performed Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
performedDateTime			dateTime S
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
reasonCode	SOΣ	0..*	CodeableConcept	Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
reasonReference	SOΣ	0..*	Reference(AU PS Condition | Observation | AU PS Procedure | DocumentReference)	The justification that the procedure was performed Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 From the FHIR Standard
Procedure.code	extensible	Procedure https://healthterminologies.gov.au/fhir/ValueSet/procedure-1 From https://tx.ontoserver.csiro.au/fhir
Procedure.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	AUCoreProcedure	A procedure in an Australian healthcare context This profile also complies with the profile Procedure (IPS)
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:sexParameterForClinicalUse		0..*	(Complex)	A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
extension:targetBodyStructure		0..*	Reference(BodyStructure)	The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifiers for this procedure
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure
partOf	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: EventStatus (required): A code specifying the state of the procedure. Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category	Σ	0..1	CodeableConcept	Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
code	SOΣ	1..1	CodeableConceptIPS	Identification of the procedure Binding: Procedure (extensible) Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
subject	SOΣ	1..1	Reference(AU PS Patient)	Who the procedure was performed on Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	SOΣ	0..1	Reference(AU PS Encounter)	Encounter created as part of Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
performed[x]	SOΣ	1..1		When the procedure was performed Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
performedDateTime			dateTime S
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
recorder	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
performer	Σ	0..*	BackboneElement	The people who performed the procedure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
actor	Σ	1..1	Reference(AU PS Patient | AU PS RelatedPerson | Device - Performer or Observer (IPS) | AU PS Practitioner | AU PS PractitionerRole | AU PS Organization)	The reference to the practitioner
onBehalfOf		0..1	Reference(AU PS Organization)	Organization the device or practitioner was acting for
location	Σ	0..1	Reference(Location)	Where the procedure happened
reasonCode	SOΣ	0..*	CodeableConcept	Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
reasonReference	SOΣ	0..*	Reference(AU PS Condition | Observation | AU PS Procedure | DocumentReference)	The justification that the procedure was performed Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
bodySite	ΣC	0..*	CodeableConcept	Target body sites Binding: Body Site (extensible) Constraints: au-core-pro-01
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
report		0..*	Reference(DiagnosticReport | DocumentReference | Composition)	Any report resulting from the procedure
complication		0..*	CodeableConcept	Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
complicationDetail		0..*	Reference(Condition)	A condition that is a result of the procedure
followUp		0..*	CodeableConcept	Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
note		0..*	Annotation	Additional information about the procedure
focalDevice		0..*	BackboneElement	Manipulated, implanted, or removed device
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action		0..1	CodeableConcept	Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
manipulated		1..1	Reference(Device)	Device that was changed
usedReference		0..*	Reference(Device | Medication | Substance)	Items used during procedure
usedCode		0..*	CodeableConcept	Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 From the FHIR Standard
Procedure.statusReason	example	ProcedureNotPerformedReason(SNOMED-CT) http://hl7.org/fhir/ValueSet/procedure-not-performed-reason From the FHIR Standard
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-category From the FHIR Standard
Procedure.code	extensible	Procedure https://healthterminologies.gov.au/fhir/ValueSet/procedure-1 From https://tx.ontoserver.csiro.au/fhir
Procedure.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types|4.0.1 From the FHIR Standard
Procedure.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role From the FHIR Standard
Procedure.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard
Procedure.bodySite	extensible	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 From https://tx.ontoserver.csiro.au/fhir
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-outcome From the FHIR Standard
Procedure.complication	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
Procedure.followUp	example	ProcedureFollowUpCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-followup From the FHIR Standard
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action From the FHIR Standard
Procedure.usedCode	example	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
au-core-pro-01	error	Procedure.bodySite	If a coded body site is provided, at least one coding shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from AUCoreProcedure

Summary

Mandatory: 2 elements
Must-Support: 1 element

Structures

This structure refers to these other structures:

• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• AU PS Patient (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-patient)
• AU PS Encounter (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-encounter)
• AU PS RelatedPerson (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-relatedperson)
• Device - Performer or Observer (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Device-observer-uv-ips)
• AU PS Practitioner (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-practitioner)
• AU PS PractitionerRole (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-practitionerrole)
• AU PS Organization (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-organization)
• AU PS Condition (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-condition)
• AU PS Procedure (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-procedure)

Maturity: 0

Differential View

This structure is derived from AUCoreProcedure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	AUCoreProcedure	A procedure in an Australian healthcare context This profile also complies with the profile Procedure (IPS)
status	O	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
code	O	1..1	CodeableConceptIPS	Identification of the procedure Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
subject	O	1..1	Reference(AU PS Patient)	Who the procedure was performed on Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
reference	SO	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer
encounter	O	0..1	Reference(AU PS Encounter)	Encounter created as part of Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
performed[x]	O	1..1		When the procedure was performed Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
performer
actor		1..1	Reference(AU PS Patient | AU PS RelatedPerson | Device - Performer or Observer (IPS) | AU PS Practitioner | AU PS PractitionerRole | AU PS Organization)	The reference to the practitioner
onBehalfOf		0..1	Reference(AU PS Organization)	Organization the device or practitioner was acting for
reasonCode	O	0..*	CodeableConcept	Coded reason procedure performed Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
reasonReference	O	0..*	Reference(AU PS Condition | Observation | AU PS Procedure | DocumentReference)	The justification that the procedure was performed Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	AUCoreProcedure	A procedure in an Australian healthcare context This profile also complies with the profile Procedure (IPS)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:sexParameterForClinicalUse		0..*	(Complex)	A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
extension:targetBodyStructure		0..*	Reference(BodyStructure)	The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SOΣ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure. Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
code	SOΣ	1..1	CodeableConceptIPS	Identification of the procedure Binding: Procedure (extensible) Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
subject	SOΣ	1..1	Reference(AU PS Patient)	Who the procedure was performed on Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
reference	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer
encounter	SOΣ	0..1	Reference(AU PS Encounter)	Encounter created as part of Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
performed[x]	SOΣ	1..1		When the procedure was performed Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
performedDateTime			dateTime S
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
reasonCode	SOΣ	0..*	CodeableConcept	Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
reasonReference	SOΣ	0..*	Reference(AU PS Condition | Observation | AU PS Procedure | DocumentReference)	The justification that the procedure was performed Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 From the FHIR Standard
Procedure.code	extensible	Procedure https://healthterminologies.gov.au/fhir/ValueSet/procedure-1 From https://tx.ontoserver.csiro.au/fhir
Procedure.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	AUCoreProcedure	A procedure in an Australian healthcare context This profile also complies with the profile Procedure (IPS)
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:sexParameterForClinicalUse		0..*	(Complex)	A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
extension:targetBodyStructure		0..*	Reference(BodyStructure)	The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifiers for this procedure
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure
partOf	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: EventStatus (required): A code specifying the state of the procedure. Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category	Σ	0..1	CodeableConcept	Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
code	SOΣ	1..1	CodeableConceptIPS	Identification of the procedure Binding: Procedure (extensible) Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
subject	SOΣ	1..1	Reference(AU PS Patient)	Who the procedure was performed on Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	SOΣ	0..1	Reference(AU PS Encounter)	Encounter created as part of Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
performed[x]	SOΣ	1..1		When the procedure was performed Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
performedDateTime			dateTime S
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
recorder	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
performer	Σ	0..*	BackboneElement	The people who performed the procedure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
actor	Σ	1..1	Reference(AU PS Patient | AU PS RelatedPerson | Device - Performer or Observer (IPS) | AU PS Practitioner | AU PS PractitionerRole | AU PS Organization)	The reference to the practitioner
onBehalfOf		0..1	Reference(AU PS Organization)	Organization the device or practitioner was acting for
location	Σ	0..1	Reference(Location)	Where the procedure happened
reasonCode	SOΣ	0..*	CodeableConcept	Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
reasonReference	SOΣ	0..*	Reference(AU PS Condition | Observation | AU PS Procedure | DocumentReference)	The justification that the procedure was performed Obligations Actor SHALL:populate-if-known AU PS Producer SHALL:handle AU PS Consumer SHOULD:display AU PS Consumer
bodySite	ΣC	0..*	CodeableConcept	Target body sites Binding: Body Site (extensible) Constraints: au-core-pro-01
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
report		0..*	Reference(DiagnosticReport | DocumentReference | Composition)	Any report resulting from the procedure
complication		0..*	CodeableConcept	Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
complicationDetail		0..*	Reference(Condition)	A condition that is a result of the procedure
followUp		0..*	CodeableConcept	Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
note		0..*	Annotation	Additional information about the procedure
focalDevice		0..*	BackboneElement	Manipulated, implanted, or removed device
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action		0..1	CodeableConcept	Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
manipulated		1..1	Reference(Device)	Device that was changed
usedReference		0..*	Reference(Device | Medication | Substance)	Items used during procedure
usedCode		0..*	CodeableConcept	Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 From the FHIR Standard
Procedure.statusReason	example	ProcedureNotPerformedReason(SNOMED-CT) http://hl7.org/fhir/ValueSet/procedure-not-performed-reason From the FHIR Standard
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-category From the FHIR Standard
Procedure.code	extensible	Procedure https://healthterminologies.gov.au/fhir/ValueSet/procedure-1 From https://tx.ontoserver.csiro.au/fhir
Procedure.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types|4.0.1 From the FHIR Standard
Procedure.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role From the FHIR Standard
Procedure.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard
Procedure.bodySite	extensible	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 From https://tx.ontoserver.csiro.au/fhir
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-outcome From the FHIR Standard
Procedure.complication	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
Procedure.followUp	example	ProcedureFollowUpCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-followup From the FHIR Standard
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action From the FHIR Standard
Procedure.usedCode	example	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
au-core-pro-01	error	Procedure.bodySite	If a coded body site is provided, at least one coding shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from AUCoreProcedure

Summary

Mandatory: 2 elements
Must-Support: 1 element

Structures

This structure refers to these other structures:

• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• AU PS Patient (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-patient)
• AU PS Encounter (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-encounter)
• AU PS RelatedPerson (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-relatedperson)
• Device - Performer or Observer (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Device-observer-uv-ips)
• AU PS Practitioner (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-practitioner)
• AU PS PractitionerRole (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-practitionerrole)
• AU PS Organization (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-organization)
• AU PS Condition (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-condition)
• AU PS Procedure (http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-procedure)

Maturity: 0

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