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