{
  "resourceType": "StructureDefinition",
  "url": "https://fhir.clevermed.com/StructureDefinition/Procedure-BNet-Child-ShoulderDystociaProcedures",
  "name": "Procedure-BNet-Child-ShoulderDystociaProcedures",
  "status": "active",
  "date": "2025-03-25T15:48:12.9850598Z",
  "publisher": "Clevermed Ltd.",
  "contact": [
    {
      "name": "Clevermed BadgerNet Spine FHIR Team",
      "telecom": [
        {
          "system": "email",
          "value": "support@clevermed.com",
          "use": "work"
        }
      ]
    }
  ],
  "description": "Procedures required to deliver the baby during the shoulder dystocia.This item is mandatory when the observation \"Shoulder dystocia\" is marked as yes.",
  "copyright": "(c) Clevermed Ltd.  Usage by permission and for BadgerNet Spine Platform integration only.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Procedure",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Procedure",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Procedure.id",
        "path": "Procedure.id",
        "short": "Unique resource identifier",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Procedure.status",
        "path": "Procedure.status",
        "short": "Status of procedure",
        "definition": "",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Procedure.category",
        "path": "Procedure.category",
        "short": "Category to define procedure",
        "definition": "",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Procedure.category.coding.system",
        "path": "Procedure.category.coding.system",
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Procedure.category.coding.code",
        "path": "Procedure.category.coding.code",
        "fixedString": "237008007"
      },
      {
        "id": "Procedure.category.coding.display",
        "path": "Procedure.category.coding.display",
        "fixedString": "Maneuvers for delivery in shoulder dystocia"
      },
      {
        "id": "Procedure.extension.shoulderInteger",
        "path": "Procedure.extension.shoulderInteger",
        "short": "This integer is required to identify which manoeuvre this is. The allowable set is 1-7. The extension URL is: https://fhir.clevermed.com/StructureDefinition/BNet-Child-ShoulderDystociaInteger",
        "definition": "",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Procedure.subject",
        "path": "Procedure.subject",
        "short": "Reference to the baby birth care record",
        "definition": "",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Procedure.reasonCode",
        "path": "Procedure.reasonCode",
        "short": "Shoulder dystocia reason code",
        "definition": "",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Procedure.reasonCode.coding.system",
        "path": "Procedure.reasonCode.coding.system",
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Procedure.reasonCode.coding.code",
        "path": "Procedure.reasonCode.coding.code",
        "fixedString": "89700002"
      },
      {
        "id": "Procedure.reasonCode.coding.display",
        "path": "Procedure.reasonCode.coding.display",
        "fixedString": "Shoulder dystocia"
      },
      {
        "id": "Procedure.code",
        "path": "Procedure.code",
        "short": "Procedures required to deliver the baby during the shoulder dystocia",
        "definition": "",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Procedure.code.coding.system",
        "path": "Procedure.code.coding.system",
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Procedure.code.coding.code",
        "path": "Procedure.code.coding.code",
        "min": 1,
        "binding": {
          "strength": "required",
          "description": "The following is the allowable values for the presenting part of the baby at birth.",
          "valueSet": "https://simplifier.net/badgernet/ValueSet-BNet-Preg-ShoulderDystociaProcedures"
        }
      },
      {
        "id": "Procedure.code.coding.text",
        "path": "Procedure.code.coding.text",
        "short": "String for when code is '237008007'",
        "definition": "",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Procedure.extension.episodeOfCare",
        "path": "Procedure.extension.episodeOfCare",
        "short": "The episode(s) of care that establishes the context for this resource. In this case, it is a reference to the 'birth episode' episode of care. The extension URL is: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare",
        "definition": "",
        "min": 1,
        "max": "1"
      }
    ]
  }
}