{
  "resourceType": "StructureDefinition",
  "id": "profile-transfusion-procedure-submission",
  "url": "http://ontariohealth.ca/fhir/bdp/StructureDefinition/profile-transfusion-procedure-submission",
  "version": "1.0.0",
  "name": "BDPTransfusionProcedureSubmission",
  "title": "BDP Transfusion Procedure",
  "status": "draft",
  "description": "BDP submission profile for a patient-facing transfusion administration event representing administered blood product history.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Procedure",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Procedure",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Procedure.meta.source",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:populate-if-known"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-contributor"
              }
            ]
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:persist"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.meta.source",
        "mustSupport": true
      },
      {
        "id": "Procedure.extension",
        "path": "Procedure.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Procedure.extension:used",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-contributor"
              }
            ]
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:persist"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.extension",
        "sliceName": "used",
        "short": "Reference to the administered BiologicallyDerivedProduct unit/product.",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://ontariohealth.ca/fhir/bdp/StructureDefinition/extension-procedure-used-bdp"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Procedure.extension:administeredVolume",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate-if-known"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-contributor"
              }
            ]
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:persist"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.extension",
        "sliceName": "administeredVolume",
        "short": "Actual administered/transfused volume detail. Unit and code are not fixed to mL.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://ontariohealth.ca/fhir/bdp/StructureDefinition/extension-volume-detail-bdp"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Procedure.basedOn",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate-if-known"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-contributor"
              }
            ]
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:persist"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.basedOn",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/bdp/StructureDefinition/profile-transfusion-order-submission"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Procedure.status",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-contributor"
              }
            ]
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:persist"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.status",
        "patternCode": "completed",
        "mustSupport": true
      },
      {
        "id": "Procedure.code",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-contributor"
              }
            ]
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:persist"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.code",
        "short": "Standard transfusion code with an optional localized procedure description in text.",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "116859006",
              "system": "http://snomed.info/sct",
              "display": "Transfusion of blood product"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Procedure.code.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate-if-known"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-contributor"
              }
            ]
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:persist"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.code.text",
        "short": "Localized description of the procedure performed, when available.",
        "comment": "The standard SNOMED CT coding remains required for this release. If the source has a localized description or display name for the procedure performed, map that wording to CodeableConcept.text. Local terminology codes are not supported in this release and must not replace the required standard coding.",
        "mustSupport": true
      },
      {
        "id": "Procedure.subject",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-contributor"
              }
            ]
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:persist"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/bdp/StructureDefinition/profile-patient-submission"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Procedure.performed[x]",
        "path": "Procedure.performed[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Procedure.performed[x]:performedPeriod",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate-if-known"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-contributor"
              }
            ]
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:persist"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.performed[x]",
        "sliceName": "performedPeriod",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Period"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Procedure.location",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate-if-known"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-contributor"
              }
            ]
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:persist"
              },
              {
                "url": "actor",
                "valueCanonical": "http://ontariohealth.ca/fhir/bdp/CapabilityStatement/bdp-repository"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.location",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/bdp/StructureDefinition/profile-transfusion-facility-submission"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Procedure.usedReference",
        "path": "Procedure.usedReference",
        "comment": "Do not use R4 Procedure.usedReference to reference BiologicallyDerivedProduct. Use extension[used], which permits a BiologicallyDerivedProduct reference."
      }
    ]
  }
}