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