{
  "resourceType": "StructureDefinition",
  "id": "procedure-ca-core",
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 2
    }
  ],
  "url": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/procedure-ca-core",
  "version": "1.1.0",
  "name": "ProcedureCACore",
  "title": "Procedure (CA-Core)",
  "status": "active",
  "experimental": false,
  "date": "2025-03-06",
  "publisher": "Canada Health Infoway",
  "contact": [
    {
      "name": "National Standards Release Centre",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.infoway-inforoute.ca"
        },
        {
          "system": "email",
          "value": "standards@infoway-inforoute.ca"
        }
      ]
    }
  ],
  "description": "This profile applies constraints to the Procedure resource for CA Core+ to support clinical and diagnostic procedure documentation in the pan-Canadian context.",
  "jurisdiction": [
    {
      "coding": [
        {
          "code": "CA",
          "system": "urn:iso:std:iso:3166"
        }
      ]
    }
  ],
  "copyright": "Copyright © 2025+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy).",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "CACDI",
      "name": "Canadian Core Data for Interoperability (CACDI)"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Procedure",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Procedure",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Procedure.code",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "MAY:populate-if-known"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
              }
            ]
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.code",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core"
            ]
          }
        ],
        "binding": {
          "strength": "preferred",
          "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/procedurecode",
          "extension": [
            {
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "candidate"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "https://fhir.infoway-inforoute.ca/ValueSet/CCI"
                },
                {
                  "url": "documentation",
                  "valueMarkdown": "CCI Codes"
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "candidate"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "https://fhir.infoway-inforoute.ca/ValueSet/ICD10CA"
                },
                {
                  "url": "documentation",
                  "valueMarkdown": "International Classifications of Disease 10 CA Codes"
                }
              ],
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
            },
            {
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "candidate"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "https://fhir.infoway-inforoute.ca/ValueSet/ICD9CM"
                },
                {
                  "url": "documentation",
                  "valueMarkdown": "International Classifications of Disease 9 CM Codes"
                }
              ],
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
            }
          ]
        },
        "mapping": [
          {
            "identity": "CACDI",
            "map": "Procedure Performed"
          },
          {
            "identity": "CACDI",
            "map": "Procedure Code"
          }
        ]
      },
      {
        "id": "Procedure.performed[x]",
        "path": "Procedure.performed[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "mapping": [
          {
            "identity": "CACDI",
            "map": "Reported Clinical Information Date Time"
          }
        ]
      },
      {
        "id": "Procedure.performed[x]:performedDateTime",
        "path": "Procedure.performed[x]",
        "sliceName": "performedDateTime",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "CACDI",
            "map": "Procedure Date and Time"
          }
        ]
      },
      {
        "id": "Procedure.performed[x]:performedPeriod",
        "path": "Procedure.performed[x]",
        "sliceName": "performedPeriod",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Period"
          }
        ]
      },
      {
        "id": "Procedure.performed[x]:performedPeriod.start",
        "path": "Procedure.performed[x].start",
        "mapping": [
          {
            "identity": "CACDI",
            "map": "Event Start Date and Time"
          }
        ]
      },
      {
        "id": "Procedure.performed[x]:performedPeriod.end",
        "path": "Procedure.performed[x].end",
        "mapping": [
          {
            "identity": "CACDI",
            "map": "Event End Date and Time"
          }
        ]
      },
      {
        "id": "Procedure.asserter",
        "path": "Procedure.asserter",
        "mapping": [
          {
            "identity": "CACDI",
            "map": "Reported Clinical Information Source (Recommended)"
          }
        ]
      },
      {
        "id": "Procedure.reasonCode",
        "path": "Procedure.reasonCode",
        "mapping": [
          {
            "identity": "CACDI",
            "map": "Procedure Reason"
          }
        ]
      },
      {
        "id": "Procedure.reasonReference",
        "path": "Procedure.reasonReference",
        "mapping": [
          {
            "identity": "CACDI",
            "map": "Procedure Reason"
          }
        ]
      },
      {
        "id": "Procedure.bodySite",
        "path": "Procedure.bodySite",
        "mapping": [
          {
            "identity": "CACDI",
            "map": "Procedure Body Site"
          }
        ]
      }
    ]
  }
}