My Health Record FHIR IG
1.2.0 - active

My Health Record FHIR IG - Local Development build (v1.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: MHR Medical Conditions View Procedure

Official URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-procedure-mcv-1 | Version: 1.2.0
Active as of 2024-09-19 | Computable Name: MHRProcedureMCV
Copyright/Legal: Copyright © 2022 Australian Digital Health Agency - All rights reserved. This content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/.

The purpose of this profile is to provide a Medical Conditions View representation of a procedure for the electronic exchange of health information between individuals, healthcare providers, and the My Health Record system infrastructure in Australia. It is a profile of the Condition resource and describes the data structures and obligations to be met when conforming to this profile. This profile is derived from the Provenance resource and describes the data structures and obligations to be met when conforming to this profile.

Usage:

- Refer to this Resource Profile: MHR Medical Conditions View Document Composition and MHR Medical Conditions View Provenance
- Examples for this Resource Profile: Procedure/cholecystectomy-mcv-01

### 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
--- | --- | --- | --- | ---
Procedure |  | 0..* | AUCoreProcedure | A procedure in the context of electronic exchange of health information for the Medical COnditions View
id |  | 1..1 | id | Logical id of this artifact
status | O | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Fixed Value: completed
Obligations | Actor
SHALL:handle | MHR Gateway Requester
code | O | 1..1 | CodeableConcept | Identification of the procedure Binding: Procedure (extensible)
Obligations | Actor
SHALL:handle | MHR Gateway Requester
subject | O | 1..1 | Reference(MHR Patient) | Who the procedure was performed on
Obligations | Actor
SHALL:handle | MHR Gateway Requester
performedDateTime | SO | 1..1 | dateTime | When the procedure was performed
Obligations | Actor
SHALL:handle | MHR Gateway Requester
note | SO | 0..* | Annotation | Additional information about the procedure
Obligations | Actor
SHALL:handle | MHR Gateway Requester
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Procedure.code | extensible | Procedure `https://healthterminologies.gov.au/fhir/ValueSet/procedure-1` from https://tx.ontoserver.csiro.au/fhir

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Procedure |  | 0..* | AUCoreProcedure | A procedure in the context of electronic exchange of health information for the Medical COnditions View
id | Σ | 1..1 | id | Logical id of this artifact
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
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 | ?!SO Σ | 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. Fixed Value: completed
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
SHALL:handle | MHR Gateway Requester
code | SO Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: Procedure (extensible)
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
SHALL:handle | MHR Gateway Requester
subject | SO Σ | 1..1 | Reference(MHR Patient) | Who the procedure was performed on
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
SHALL:handle | MHR Gateway Requester
encounter | SO Σ | 0..1 | Reference(AU Core Encounter) | Encounter created as part of
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
Slices for performed[x] | SO Σ | 1..1 | dateTime | When the procedure was performed Slice: Unordered, Closed by type:$this
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
performed[x]:performedDateTime | SO Σ | 1..1 | dateTime | When the procedure was performed
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
SHALL:handle | MHR Gateway Requester
reasonCode | SO Σ | 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 | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
reasonReference | SO Σ | 0..* | Reference(AU Core Condition | Observation | AU Core Procedure | DocumentReference) | The justification that the procedure was performed
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
note | SO | 0..* | Annotation | Additional information about the procedure
Obligations | Actor
SHALL:handle | MHR Gateway Requester
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Procedure.status | required | Fixed Value: completed `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

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Procedure |  | 0..* | AUCoreProcedure | A procedure in the context of electronic exchange of health information for the Medical COnditions View
id | Σ | 1..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
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
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 | ?!SO Σ | 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. Fixed Value: completed
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
SHALL:handle | MHR Gateway Requester
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 | SO Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: Procedure (extensible)
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
SHALL:handle | MHR Gateway Requester
subject | SO Σ | 1..1 | Reference(MHR Patient) | Who the procedure was performed on
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
SHALL:handle | MHR Gateway Requester
encounter | SO Σ | 0..1 | Reference(AU Core Encounter) | Encounter created as part of
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
Slices for performed[x] | SO Σ | 1..1 | dateTime | When the procedure was performed Slice: Unordered, Closed by type:$this
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
performed[x]:performedDateTime | SO Σ | 1..1 | dateTime | When the procedure was performed
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
SHALL:handle | MHR Gateway Requester
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(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner
onBehalfOf |  | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for
location | Σ | 0..1 | Reference(Location) | Where the procedure happened
reasonCode | SO Σ | 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 | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
reasonReference | SO Σ | 0..* | Reference(AU Core Condition | Observation | AU Core Procedure | DocumentReference) | The justification that the procedure was performed
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
bodySite | O Σ C | 0..* | CodeableConcept | Target body sites Binding: Body Site (extensible) au-core-pro-04: If a coded body site is provided, at least one code shall be from SNOMED CT
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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 | SO | 0..* | Annotation | Additional information about the procedure
Obligations | Actor
SHALL:handle | MHR Gateway Requester
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 / Code | URI
Procedure.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Procedure.status | required | Fixed Value: completed `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.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

This structure is derived from AUCoreProcedure

Summary

Mandatory: 2 elements
Must-Support: 2 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

- MHR Patient (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-patient-mhr-1)

Differential View

This structure is derived from AUCoreProcedure

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Procedure |  | 0..* | AUCoreProcedure | A procedure in the context of electronic exchange of health information for the Medical COnditions View
id |  | 1..1 | id | Logical id of this artifact
status | O | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Fixed Value: completed
Obligations | Actor
SHALL:handle | MHR Gateway Requester
code | O | 1..1 | CodeableConcept | Identification of the procedure Binding: Procedure (extensible)
Obligations | Actor
SHALL:handle | MHR Gateway Requester
subject | O | 1..1 | Reference(MHR Patient) | Who the procedure was performed on
Obligations | Actor
SHALL:handle | MHR Gateway Requester
performedDateTime | SO | 1..1 | dateTime | When the procedure was performed
Obligations | Actor
SHALL:handle | MHR Gateway Requester
note | SO | 0..* | Annotation | Additional information about the procedure
Obligations | Actor
SHALL:handle | MHR Gateway Requester
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Procedure.code | extensible | Procedure `https://healthterminologies.gov.au/fhir/ValueSet/procedure-1` from https://tx.ontoserver.csiro.au/fhir

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Procedure |  | 0..* | AUCoreProcedure | A procedure in the context of electronic exchange of health information for the Medical COnditions View
id | Σ | 1..1 | id | Logical id of this artifact
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
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 | ?!SO Σ | 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. Fixed Value: completed
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
SHALL:handle | MHR Gateway Requester
code | SO Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: Procedure (extensible)
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
SHALL:handle | MHR Gateway Requester
subject | SO Σ | 1..1 | Reference(MHR Patient) | Who the procedure was performed on
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
SHALL:handle | MHR Gateway Requester
encounter | SO Σ | 0..1 | Reference(AU Core Encounter) | Encounter created as part of
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
Slices for performed[x] | SO Σ | 1..1 | dateTime | When the procedure was performed Slice: Unordered, Closed by type:$this
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
performed[x]:performedDateTime | SO Σ | 1..1 | dateTime | When the procedure was performed
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
SHALL:handle | MHR Gateway Requester
reasonCode | SO Σ | 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 | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
reasonReference | SO Σ | 0..* | Reference(AU Core Condition | Observation | AU Core Procedure | DocumentReference) | The justification that the procedure was performed
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
note | SO | 0..* | Annotation | Additional information about the procedure
Obligations | Actor
SHALL:handle | MHR Gateway Requester
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Procedure.status | required | Fixed Value: completed `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

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Procedure |  | 0..* | AUCoreProcedure | A procedure in the context of electronic exchange of health information for the Medical COnditions View
id | Σ | 1..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
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
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 | ?!SO Σ | 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. Fixed Value: completed
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
SHALL:handle | MHR Gateway Requester
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 | SO Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: Procedure (extensible)
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
SHALL:handle | MHR Gateway Requester
subject | SO Σ | 1..1 | Reference(MHR Patient) | Who the procedure was performed on
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
SHALL:handle | MHR Gateway Requester
encounter | SO Σ | 0..1 | Reference(AU Core Encounter) | Encounter created as part of
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
Slices for performed[x] | SO Σ | 1..1 | dateTime | When the procedure was performed Slice: Unordered, Closed by type:$this
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
performed[x]:performedDateTime | SO Σ | 1..1 | dateTime | When the procedure was performed
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
SHALL:handle | MHR Gateway Requester
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(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner
onBehalfOf |  | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for
location | Σ | 0..1 | Reference(Location) | Where the procedure happened
reasonCode | SO Σ | 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 | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
reasonReference | SO Σ | 0..* | Reference(AU Core Condition | Observation | AU Core Procedure | DocumentReference) | The justification that the procedure was performed
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
bodySite | O Σ C | 0..* | CodeableConcept | Target body sites Binding: Body Site (extensible) au-core-pro-04: If a coded body site is provided, at least one code shall be from SNOMED CT
Obligations | Actor
SHALL:populate-if-known | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-responder
SHALL:no-error | http://hl7.org.au/fhir/core/ActorDefinition/au-core-actor-requester
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 | SO | 0..* | Annotation | Additional information about the procedure
Obligations | Actor
SHALL:handle | MHR Gateway Requester
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 / Code | URI
Procedure.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Procedure.status | required | Fixed Value: completed `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.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

This structure is derived from AUCoreProcedure

Summary

Mandatory: 2 elements
Must-Support: 2 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

- MHR Patient (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-patient-mhr-1)

Other representations of profile: CSV, Excel, Schematron