description: '**CHR:** Procedures are recorded in the **Health Profile → Surgical History** section of the patient chart.'
package_name: telus.dw.emr.extract-1-1-21
derivation: constraint
name: DwProcedure
type: Procedure
elements:
  category: {mustSupport: true, index: 6}
  report:
    type: Reference
    mustSupport: true
    refers: ['https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwComposition', 'https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwDiagnosticReport', 'https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwDocumentReference']
    index: 51
  meta:
    elements:
      lastUpdated: {index: 1}
      source: {index: 2}
    required: [lastUpdated, source]
  encounter:
    type: Reference
    mustSupport: true
    refers: ['https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwEncounter']
    index: 37
  performed:
    mustSupport: true
    choices: []
    index: 39
  outcome:
    mustSupport: true
    index: 49
    elements:
      text: {mustSupport: true, index: 50}
  asserter:
    type: Reference
    refers: ['https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient', 'https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitioner', 'https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitionerRole']
    index: 41
  note: {mustSupport: true, index: 52}
  status: {mustSupport: true, index: 5}
  id: {mustSupport: true, index: 0}
  recorder:
    type: Reference
    refers: ['https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient', 'https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitioner', 'https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitionerRole']
    index: 40
  code:
    mustSupport: true
    index: 7
    elements:
      coding:
        mustSupport: true
        index: 8
        slicing:
          rules: open
          discriminator:
          - {path: system, type: value}
          min: null
          slices:
            codeICD9:
              match: {system: 'http://hl7.org/fhir/sid/icd-9-cm'}
              schema:
                binding: {strength: required, valueSet: 'http://fhir.infoway-inforoute.ca/io/psca/ValueSet/ICD9CM'}
                mustSupport: true
                array: true
                index: 9
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://hl7.org/fhir/sid/icd-9-cm'}
                    mustSupport: true
                    index: 10
                  code: {mustSupport: true, index: 11}
                  display: {mustSupport: true, index: 12}
                  userSelected: {mustSupport: true, index: 13}
                required: [system]
            codeICD10:
              match: {system: 'http://hl7.org/fhir/sid/icd-10'}
              schema:
                binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/icd-10'}
                mustSupport: true
                array: true
                index: 14
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://hl7.org/fhir/sid/icd-10'}
                    mustSupport: true
                    index: 15
                  code: {mustSupport: true, index: 16}
                  display: {mustSupport: true, index: 17}
                  userSelected: {mustSupport: true, index: 18}
                required: [system]
            codeSnomedCT:
              match: {system: 'http://snomed.info/sct'}
              schema:
                binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/procedure-code'}
                mustSupport: true
                array: true
                index: 19
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    mustSupport: true
                    index: 20
                  version: {mustSupport: true, index: 21}
                  code: {mustSupport: true, index: 22}
                  display: {mustSupport: true, index: 23}
                  userSelected: {mustSupport: true, index: 24}
                required: [system]
            codeEncode:
              match: {system: 'https://www.insite-fm.com/encode-fm'}
              schema:
                binding: {strength: required, valueSet: 'https://www.insite-fm.com/encode-fm'}
                mustSupport: true
                array: true
                index: 25
                elements:
                  system:
                    pattern: {type: Uri, value: 'https://www.insite-fm.com/encode-fm'}
                    mustSupport: true
                    index: 26
                  code: {mustSupport: true, index: 27}
                  display: {mustSupport: true, index: 28}
                  userSelected: {mustSupport: true, index: 29}
                required: [system]
            absentOrUnknownProcedure:
              match: {system: 'http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips'}
              schema:
                binding: {strength: required, valueSet: 'http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-procedures-uv-ips'}
                mustSupport: true
                array: true
                index: 30
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips'}
                    mustSupport: true
                    index: 31
                  code: {mustSupport: true, index: 32}
                  display: {mustSupport: true, index: 33}
                  userSelected: {mustSupport: true, index: 34}
                required: [system]
      text: {mustSupport: true, index: 35}
  identifier: {mustSupport: true, index: 4}
  bodySite:
    mustSupport: true
    index: 47
    elements:
      text: {mustSupport: true, index: 48}
  location:
    type: Reference
    mustSupport: true
    refers: ['https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwLocation']
    index: 45
    elements:
      display: {mustSupport: true, index: 46}
  subject:
    type: Reference
    mustSupport: true
    refers: ['https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient']
    index: 36
  performer:
    mustSupport: true
    index: 42
    elements:
      actor:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwOrganization', 'https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient', 'https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitioner', 'https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitionerRole']
        index: 43
        elements:
          display: {index: 44}
        required: [display]
  text: {mustSupport: true, index: 3}
package_version: 1.1.21
class: profile
kind: resource
url: https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwProcedure
base: http://hl7.org/fhir/StructureDefinition/Procedure
version: 2.0.0
required: [id, identifier, performed, code]