{
  "resourceType": "StructureDefinition",
  "meta": {
    "lastUpdated": "2018-02-20T11:54:56.053+00:00"
  },
  "url": "http://hl7.org/fhir/ips/StructureDefinition/procedure-uv-ips",
  "name": "Procedure-uv-ips",
  "status": "draft",
  "date": "2017-10-27T11:43:30.381+00:00",
  "description": "This profile represents the constraints applied to the Procedure resource by the IPS project, which specifies an entry of the History of Procedure for the international patient summary based on the FHIR standard STU3.",
  "fhirVersion": "3.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Procedure",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Procedure",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Procedure.extension",
        "path": "Procedure.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Procedure.extension:statementDetail",
        "path": "Procedure.extension",
        "sliceName": "statementDetail",
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/ips/StructureDefinition/statement-uv-ips"
          }
        ]
      },
      {
        "id": "Procedure.extension:statementDetail.extension:statementNote",
        "path": "Procedure.extension.extension",
        "sliceName": "statementNote",
        "max": "0"
      },
      {
        "id": "Procedure.partOf",
        "path": "Procedure.partOf",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Procedure"
          }
        ]
      },
      {
        "id": "Procedure.status",
        "path": "Procedure.status",
        "mustSupport": true
      },
      {
        "id": "Procedure.code",
        "path": "Procedure.code",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "coding.system"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ProcedureCode"
            }
          ],
          "strength": "preferred",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ips/ValueSet/procedure-code"
          }
        }
      },
      {
        "id": "Procedure.code:absentOrUnknownProcedure",
        "path": "Procedure.code",
        "sliceName": "absentOrUnknownProcedure",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": "http://hl7.org/fhir/ips/StructureDefinition/CodeableConcept-uv-ips"
          }
        ],
        "mustSupport": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ProcedureCode"
            }
          ],
          "strength": "required",
          "description": "A code to identify absent or unknown procedures",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ips/ValueSet/absent-or-unknown-procedures-uv-ips"
          }
        }
      },
      {
        "id": "Procedure.code:absentOrUnknownProcedure.coding",
        "path": "Procedure.code.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Procedure.code:absentOrUnknownProcedure.coding.system",
        "path": "Procedure.code.coding.system",
        "min": 1,
        "fixedUri": "http://hl7.org/fhir/ips/CodeSystem/absent-unknown"
      },
      {
        "id": "Procedure.code:absentOrUnknownProcedure.coding.code",
        "path": "Procedure.code.coding.code",
        "min": 1
      },
      {
        "id": "Procedure.code:procedureCode",
        "path": "Procedure.code",
        "sliceName": "procedureCode",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": "http://hl7.org/fhir/ips/StructureDefinition/CodeableConcept-uv-ips"
          }
        ],
        "mustSupport": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ProcedureCode"
            }
          ],
          "strength": "preferred",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ips/ValueSet/procedures-uv-ips"
          }
        }
      },
      {
        "id": "Procedure.subject",
        "path": "Procedure.subject",
        "definition": "The person on which the procedure was performed.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Procedure.subject.identifier",
        "path": "Procedure.subject.identifier",
        "max": "0"
      },
      {
        "id": "Procedure.performed[x]",
        "path": "Procedure.performed[x]",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Procedure.performer.actor",
        "path": "Procedure.performer.actor",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
          },
          {
            "code": "Reference",
            "profile": "http://hl7.org/fhir/ipsStructureDefinition/device-observer-uv-ips"
          },
          {
            "code": "Reference",
            "profile": "http://hl7.org/fhir/ips/StructureDefinition/practitioner-uv-ips"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/ips/StructureDefinition/organization-observation-uv-ips"
          }
        ]
      },
      {
        "id": "Procedure.performer.onBehalfOf",
        "path": "Procedure.performer.onBehalfOf",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/ips/StructureDefinition/organization-observation-uv-ips"
          }
        ]
      },
      {
        "id": "Procedure.location",
        "path": "Procedure.location",
        "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.\r\n\r\nTRILLIUM II IMPLEMENTATION COMMENTS: We propose to encode it with SNOMED CT."
      },
      {
        "id": "Procedure.reasonCode",
        "path": "Procedure.reasonCode",
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ProcedureReason"
            }
          ],
          "strength": "example",
          "valueSetUri": "http://hl7.org/fhir/ValueSet/procedure-reason"
        }
      },
      {
        "id": "Procedure.bodySite",
        "path": "Procedure.bodySite",
        "mustSupport": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "BodySite"
            }
          ],
          "strength": "example",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ips/ValueSet/target-site-uv-ips"
          }
        }
      }
    ]
  }
}