{
  "resourceType": "StructureDefinition",
  "id": "il-core-procedure",
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 1
    }
  ],
  "url": "http://fhir.health.gov.il/StructureDefinition/il-core-procedure",
  "version": "0.21.0",
  "name": "ILCoreProcedure",
  "title": "ILCore Procedure Profile",
  "status": "active",
  "date": "2026-03-23",
  "publisher": "Israel Core Team",
  "contact": [
    {
      "telecom": [
        {
          "system": "email",
          "value": "tal.primak@moh.gov.il"
        }
      ]
    }
  ],
  "description": "Israel Core proposed constraints and extensions on the Procedure Resource",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Procedure",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Procedure",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Procedure",
        "path": "Procedure",
        "short": "ILCore Procedure Profile",
        "definition": "Israel Core proposed constraints and extensions on the Procedure resource profile."
      },
      {
        "id": "Procedure.identifier",
        "path": "Procedure.identifier",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-identifier"
            ]
          }
        ]
      },
      {
        "id": "Procedure.basedOn",
        "path": "Procedure.basedOn",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-care-plan",
              "http://fhir.health.gov.il/StructureDefinition/il-core-service-request"
            ]
          }
        ]
      },
      {
        "id": "Procedure.partOf",
        "path": "Procedure.partOf",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-procedure",
              "http://fhir.health.gov.il/StructureDefinition/il-core-observation",
              "http://fhir.health.gov.il/StructureDefinition/il-core-medication-administration"
            ]
          }
        ]
      },
      {
        "id": "Procedure.status",
        "path": "Procedure.status",
        "mustSupport": true
      },
      {
        "id": "Procedure.code",
        "path": "Procedure.code",
        "min": 1,
        "example": [
          {
            "valueCodeableConcept": {
              "coding": [
                {
                  "code": "71388002",
                  "system": "http://snomed.info/sct",
                  "display": "Procedure (procedure)"
                }
              ]
            },
            "label": "Valid Example"
          }
        ],
        "constraint": [
          {
            "key": "il-procedure-sct",
            "severity": "warning",
            "human": "Procedure.code.coding SHOULD contain a SNOMED-CT code. Other code systems included in the ValueSet are for historical purposes only",
            "expression": "coding.where(system='http://snomed.info/sct' and code.exists()).exists()",
            "source": "http://fhir.health.gov.il/StructureDefinition/il-core-procedure"
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://fhir.health.gov.il/ValueSet/il-core-procedure-code"
        }
      },
      {
        "id": "Procedure.subject",
        "path": "Procedure.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-patient",
              "http://fhir.health.gov.il/StructureDefinition/il-core-group"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Procedure.encounter",
        "path": "Procedure.encounter",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-encounter"
            ]
          }
        ]
      },
      {
        "id": "Procedure.performed[x]",
        "path": "Procedure.performed[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Procedure.performed[x]:performedDateTime",
        "path": "Procedure.performed[x]",
        "sliceName": "performedDateTime",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Procedure.performed[x]:performedDateTime.extension",
        "path": "Procedure.performed[x].extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Procedure.performed[x]:performedDateTime.extension:relative-date",
        "path": "Procedure.performed[x].extension",
        "sliceName": "relative-date",
        "short": "Extension: Relative Date Criteria",
        "definition": "Specifies that a date is relative to some event. The event happens [Duration] after [Event].",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/relative-date"
            ]
          }
        ]
      },
      {
        "id": "Procedure.recorder",
        "path": "Procedure.recorder",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-patient",
              "http://fhir.health.gov.il/StructureDefinition/il-core-related-person",
              "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner",
              "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role"
            ]
          }
        ]
      },
      {
        "id": "Procedure.asserter",
        "path": "Procedure.asserter",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-patient",
              "http://fhir.health.gov.il/StructureDefinition/il-core-related-person",
              "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner",
              "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role"
            ]
          }
        ]
      },
      {
        "id": "Procedure.performer.actor",
        "path": "Procedure.performer.actor",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner",
              "http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role",
              "http://fhir.health.gov.il/StructureDefinition/il-core-organization",
              "http://fhir.health.gov.il/StructureDefinition/il-core-patient",
              "http://fhir.health.gov.il/StructureDefinition/il-core-related-person",
              "http://fhir.health.gov.il/StructureDefinition/il-core-device"
            ]
          }
        ]
      },
      {
        "id": "Procedure.performer.onBehalfOf",
        "path": "Procedure.performer.onBehalfOf",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-organization"
            ]
          }
        ]
      },
      {
        "id": "Procedure.location",
        "path": "Procedure.location",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-location"
            ]
          }
        ]
      },
      {
        "id": "Procedure.reasonCode",
        "path": "Procedure.reasonCode",
        "binding": {
          "strength": "required",
          "valueSet": "http://fhir.health.gov.il/ValueSet/il-core-procedure-reason"
        }
      },
      {
        "id": "Procedure.reasonReference",
        "path": "Procedure.reasonReference",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-condition",
              "http://fhir.health.gov.il/StructureDefinition/il-core-observation",
              "http://fhir.health.gov.il/StructureDefinition/il-core-procedure",
              "http://fhir.health.gov.il/StructureDefinition/il-core-diagnostic-report",
              "http://fhir.health.gov.il/StructureDefinition/il-core-document-reference"
            ]
          }
        ]
      },
      {
        "id": "Procedure.bodySite",
        "path": "Procedure.bodySite",
        "example": [
          {
            "valueCodeableConcept": {
              "coding": [
                {
                  "code": "344001",
                  "system": "http://snomed.info/sct",
                  "display": "Ankle"
                }
              ]
            },
            "label": "Valid Example"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/ValueSet/body-site"
        }
      },
      {
        "id": "Procedure.report",
        "path": "Procedure.report",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-diagnostic-report",
              "http://fhir.health.gov.il/StructureDefinition/il-core-document-reference",
              "http://hl7.org/fhir/StructureDefinition/Composition"
            ]
          }
        ]
      },
      {
        "id": "Procedure.complication",
        "path": "Procedure.complication",
        "example": [
          {
            "valueCodeableConcept": {
              "coding": [
                {
                  "code": "131148009",
                  "system": "http://snomed.info/sct",
                  "display": "Bleeding (finding)"
                }
              ]
            },
            "label": "Valid Example"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://fhir.health.gov.il/ValueSet/il-core-condition-code"
        }
      },
      {
        "id": "Procedure.complicationDetail",
        "path": "Procedure.complicationDetail",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-condition"
            ]
          }
        ]
      },
      {
        "id": "Procedure.focalDevice.manipulated",
        "path": "Procedure.focalDevice.manipulated",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-device"
            ]
          }
        ]
      },
      {
        "id": "Procedure.usedReference",
        "path": "Procedure.usedReference",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.health.gov.il/StructureDefinition/il-core-device",
              "http://fhir.health.gov.il/StructureDefinition/il-core-medication",
              "http://fhir.health.gov.il/StructureDefinition/il-core-substance"
            ]
          }
        ]
      }
    ]
  }
}