<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="Procedure" />
  <url value="https://fhir.centraxx.de/StructureDefinition/Procedure" />
  <version value="2025.4.0" />
  <name value="Procedure" />
  <status value="active" />
  <publisher value="Kairos an IQVIA business" />
  <description value="Represents a CentraXX medical procedure." />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Procedure" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Procedure" />
  <derivation value="constraint" />
  <differential>
    <element id="Procedure.identifier">
      <path value="Procedure.identifier" />
      <min value="0" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.identifier.value">
      <path value="Procedure.identifier.value" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.partOf">
      <path value="Procedure.partOf" />
      <slicing>
        <discriminator>
          <type value="exists" />
          <path value="reference" />
        </discriminator>
        <rules value="closed" />
      </slicing>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.centraxx.de/StructureDefinition/Procedure" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.partOf:byReference">
      <path value="Procedure.partOf" />
      <sliceName value="byReference" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.centraxx.de/StructureDefinition/Procedure" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.partOf:byReference.reference">
      <path value="Procedure.partOf.reference" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.partOf:byIdentifier">
      <path value="Procedure.partOf" />
      <sliceName value="byIdentifier" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.centraxx.de/StructureDefinition/Procedure" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.partOf:byIdentifier.type">
      <path value="Procedure.partOf.type" />
      <min value="1" />
      <fixedUri value="Procedure" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.partOf:byIdentifier.identifier">
      <path value="Procedure.partOf.identifier" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.partOf:byIdentifier.identifier.system">
      <path value="Procedure.partOf.identifier.system" />
      <min value="1" />
      <fixedString value="https://fhir.centraxx.de/system/medProcedure/procedureId" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.partOf:byIdentifier.identifier.value">
      <path value="Procedure.partOf.identifier.value" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.status">
      <path value="Procedure.status" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.status.extension">
      <path value="Procedure.status.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="closed" />
      </slicing>
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Extension" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.status.extension:dataAbsentReason">
      <path value="Procedure.status.extension" />
      <sliceName value="dataAbsentReason" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/data-absent-reason" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.status.extension:dataAbsentReason.url">
      <path value="Procedure.status.extension.url" />
      <comment value="The code UNKNOWN in combination with this extension means that the element is was null in CXX. It will set the corresponding element null during CXX import." />
      <min value="1" />
      <max value="1" />
      <fixedString value="http://hl7.org/fhir/StructureDefinition/data-absent-reason" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.status.extension:dataAbsentReason.value[x]">
      <path value="Procedure.status.extension.value[x]" />
      <type>
        <code value="code" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.status.extension:dataAbsentReason.value[x]:valueCode">
      <path value="Procedure.status.extension.value[x]" />
      <sliceName value="valueCode" />
      <min value="1" />
      <fixedCode value="asked-unknown" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.status.extension:procedureStatusPlanned">
      <path value="Procedure.status.extension" />
      <sliceName value="procedureStatusPlanned" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.centraxx.de/extension/medProcedure/status/planned" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.code">
      <path value="Procedure.code" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.code.coding">
      <path value="Procedure.code.coding" />
      <min value="1" />
      <max value="1" />
      <constraint>
        <key value="pro-cxx-1" />
        <severity value="error" />
        <human value="The catalog system must be supported by CentraXX. The system url must start with 'urn:centraxx:CodeSystem/&lt;catalog&gt;' where &lt;catalog&gt; must be one of: OpsCatalog, Catalog" />
        <expression value="system.startsWith('urn:centraxx:CodeSystem/OpsCatalog') or system.startsWith('urn:centraxx:CodeSystem/Catalog')" />
        <source value="https://fhir.centraxx.de/StructureDefinition/Procedure" />
      </constraint>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.code.coding.system">
      <path value="Procedure.code.coding.system" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.code.coding.code">
      <path value="Procedure.code.coding.code" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.code.coding.display">
      <path value="Procedure.code.coding.display" />
      <min value="0" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.subject">
      <path value="Procedure.subject" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.centraxx.de/StructureDefinition/Patient" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.encounter">
      <path value="Procedure.encounter" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.centraxx.de/StructureDefinition/Encounter" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.performed[x]">
      <path value="Procedure.performed[x]" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.recorder">
      <path value="Procedure.recorder" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.centraxx.de/StructureDefinition/Person" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.asserter">
      <path value="Procedure.asserter" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.centraxx.de/StructureDefinition/Practitioner" />
      </type>
      <constraint>
        <key value="cxx-pro-2" />
        <severity value="error" />
        <human value="If the asserter is given, the encounter must be given as well." />
        <expression value="Procedure.asserter.exists() implies Procedure.encounter.exists()" />
        <source value="https://fhir.centraxx.de/StructureDefinition/Procedure" />
      </constraint>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.note">
      <path value="Procedure.note" />
      <min value="0" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.note.text">
      <path value="Procedure.note.text" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
  </differential>
</StructureDefinition>