<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ca-on-seris-profile-Procedure" />
  <url value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-seris-profile-Procedure" />
  <version value="1.0.1" />
  <name value="Procedure" />
  <title value="Procedure" />
  <status value="draft" />
  <date value="2023-03-10" />
  <publisher value="Ontario Health" />
  <contact>
    <telecom>
      <system value="url" />
      <value value="http://ontariohealth.ca/fhir/" />
    </telecom>
    <telecom>
      <system value="email" />
      <value value="some.email@ontariohealth.ca" />
    </telecom>
  </contact>
  <description value="SERIS Procedure Profile" />
  <copyright value="Used by permission of HL7 International, all rights reserved Creative Commons License" />
  <fhirVersion value="4.0.1" />
  <mapping>
    <identity value="workflow" />
    <uri value="http://hl7.org/fhir/workflow" />
    <name value="Workflow Pattern" />
  </mapping>
  <mapping>
    <identity value="rim" />
    <uri value="http://hl7.org/v3" />
    <name value="RIM Mapping" />
  </mapping>
  <mapping>
    <identity value="w5" />
    <uri value="http://hl7.org/fhir/fivews" />
    <name value="FiveWs Pattern Mapping" />
  </mapping>
  <mapping>
    <identity value="v2" />
    <uri value="http://hl7.org/v2" />
    <name value="HL7 v2 Mapping" />
  </mapping>
  <mapping>
    <identity value="SERIS-MDS-Mapping" />
    <name value="SERIS MDS Mapping" />
  </mapping>
  <kind value="resource" />
  <abstract value="false" />
  <type value="Procedure" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Procedure" />
  <derivation value="constraint" />
  <differential>
    <element id="Procedure.meta">
      <path value="Procedure.meta" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.meta.profile">
      <path value="Procedure.meta.profile" />
      <comment value="#### **_` FOR SERIS USAGE: The meta.profile = http://ontariohealth.ca/fhir/StructureDefinition/ca-on-seris-profile-Procedure|1.0.1 `_**&#xD;&#xA;&#xD;&#xA;It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time.  The list of profile URLs is a set." />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:preadmissionScreening">
      <path value="Procedure.extension" />
      <sliceName value="preadmissionScreening" />
      <type>
        <code value="Extension" />
        <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-seris-ext-preadmissionscreening" />
      </type>
      <isModifier value="false" />
      <mapping>
        <identity value="SERIS-MDS-Mapping" />
        <map value="Preadmission Screening Indicator" />
      </mapping>
    </element>
    <element id="Procedure.extension:preadmissionScreening.url">
      <path value="Procedure.extension.url" />
      <fixedUri value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-seris-ext-preadmissionscreening" />
    </element>
    <element id="Procedure.extension:surgicalChecklist">
      <path value="Procedure.extension" />
      <sliceName value="surgicalChecklist" />
      <type>
        <code value="Extension" />
        <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-seris-ext-surgicalchecklist" />
      </type>
      <isModifier value="false" />
      <mapping>
        <identity value="SERIS-MDS-Mapping" />
        <map value="Surgical Checklist" />
      </mapping>
    </element>
    <element id="Procedure.extension:surgicalChecklist.url">
      <path value="Procedure.extension.url" />
      <fixedUri value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-seris-ext-surgicalchecklist" />
    </element>
    <element id="Procedure.extension:inRoom">
      <path value="Procedure.extension" />
      <sliceName value="inRoom" />
      <type>
        <code value="Extension" />
        <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-seris-ext-in-room" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
    </element>
    <element id="Procedure.extension:inRoom.url">
      <path value="Procedure.extension.url" />
      <fixedUri value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-seris-ext-in-room" />
    </element>
    <element id="Procedure.extension:inRoom.value[x]">
      <path value="Procedure.extension.value[x]" />
    </element>
    <element id="Procedure.extension:inRoom.value[x].start">
      <path value="Procedure.extension.value[x].start" />
      <mapping>
        <identity value="SERIS-MDS-Mapping" />
        <map value="Patient In Room Time" />
      </mapping>
    </element>
    <element id="Procedure.extension:inRoom.value[x].end">
      <path value="Procedure.extension.value[x].end" />
      <mapping>
        <identity value="SERIS-MDS-Mapping" />
        <map value="Patient Out of Room Time" />
      </mapping>
    </element>
    <element id="Procedure.partOf">
      <path value="Procedure.partOf" />
      <mustSupport value="false" />
    </element>
    <element id="Procedure.status">
      <path value="Procedure.status" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.category">
      <path value="Procedure.category" />
      <short value="Procedure Service" />
      <min value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <valueSet value="http://ontariohealth.ca/fhir/ValueSet/hospital-service" />
      </binding>
      <mapping>
        <identity value="SERIS-MDS-Mapping" />
        <map value="Procedure Service" />
      </mapping>
    </element>
    <element id="Procedure.category.coding">
      <path value="Procedure.category.coding" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <description value="Hospital Service used for Procedure Service or Surgeon Service" />
        <valueSet value="http://ontariohealth.ca/fhir/ValueSet/hospital-service" />
      </binding>
    </element>
    <element id="Procedure.category.coding.system">
      <path value="Procedure.category.coding.system" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.category.coding.code">
      <path value="Procedure.category.coding.code" />
      <min value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <description value="Hospital Service used for Procedure Service or Surgeon Service" />
        <valueSet value="http://ontariohealth.ca/fhir/ValueSet/hospital-service" />
      </binding>
    </element>
    <element id="Procedure.category.coding.display">
      <path value="Procedure.category.coding.display" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.code">
      <path value="Procedure.code" />
      <short value="Procedure Code/Description" />
      <min value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <valueSet value="http://ontariohealth.ca/fhir/ValueSet/procedure-code" />
      </binding>
      <mapping>
        <identity value="SERIS-MDS-Mapping" />
        <map value="Procedure Code/Description" />
      </mapping>
    </element>
    <element id="Procedure.code.coding">
      <path value="Procedure.code.coding" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <description value="A code to identify a specific procedure ." />
        <valueSet value="http://ontariohealth.ca/fhir/ValueSet/procedure-code" />
      </binding>
    </element>
    <element id="Procedure.code.coding.system">
      <path value="Procedure.code.coding.system" />
      <min value="1" />
      <fixedUri value="http://ontariohealth.ca/fhir/CodeSystem/WTIS-procedure-code" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.code.coding.code">
      <path value="Procedure.code.coding.code" />
      <min value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <description value="A code to identify a specific procedure ." />
        <valueSet value="http://ontariohealth.ca/fhir/ValueSet/procedure-code" />
      </binding>
    </element>
    <element id="Procedure.code.coding.display">
      <path value="Procedure.code.coding.display" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.subject">
      <path value="Procedure.subject" />
      <short value="The patient receiving the surgical procedure" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-seris-profile-Patient" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.subject.reference">
      <path value="Procedure.subject.reference" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.performed[x]">
      <path value="Procedure.performed[x]" />
      <type>
        <code value="Period" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.performed[x].start">
      <path value="Procedure.performed[x].start" />
      <short value="Surgery Date/Procedure Start Time" />
      <mustSupport value="true" />
      <mapping>
        <identity value="SERIS-MDS-Mapping" />
        <map value="Procedure Start Time" />
      </mapping>
    </element>
    <element id="Procedure.performed[x].end">
      <path value="Procedure.performed[x].end" />
      <short value="Procedure End Time" />
      <mustSupport value="true" />
      <mapping>
        <identity value="SERIS-MDS-Mapping" />
        <map value="Procedure Stop Time" />
      </mapping>
    </element>
    <element id="Procedure.performer">
      <path value="Procedure.performer" />
      <min value="1" />
      <max value="2" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.performer.function">
      <path value="Procedure.performer.function" />
      <short value="the category of the performer" />
      <mustSupport value="false" />
    </element>
    <element id="Procedure.performer.actor">
      <path value="Procedure.performer.actor" />
      <short value="the surgeon or anaesthetist" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-seris-profile-practitionerrole" />
        <aggregation value="bundled" />
      </type>
      <mustSupport value="true" />
      <mapping>
        <identity value="SERIS-MDS-Mapping" />
        <map value="Surgeon, Anaesthesiologist" />
      </mapping>
    </element>
    <element id="Procedure.performer.actor.reference">
      <path value="Procedure.performer.actor.reference" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.location">
      <path value="Procedure.location" />
      <short value="Reference to the OR Room for this Procedure" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.location.identifier">
      <path value="Procedure.location.identifier" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.location.identifier.system">
      <path value="Procedure.location.identifier.system" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.location.identifier.value">
      <path value="Procedure.location.identifier.value" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.complication">
      <path value="Procedure.complication" />
      <max value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="example" />
        <description value="Complication following the procedure" />
        <valueSet value="http://ontariohealth.ca/fhir/ValueSet/procedure-complication" />
      </binding>
      <mapping>
        <identity value="SERIS-MDS-Mapping" />
        <map value="Reason for unplanned OR return" />
      </mapping>
    </element>
    <element id="Procedure.complication.coding">
      <path value="Procedure.complication.coding" />
      <mustSupport value="true" />
      <binding>
        <strength value="example" />
        <description value="Complication following the procedure" />
        <valueSet value="http://ontariohealth.ca/fhir/ValueSet/procedure-complication" />
      </binding>
    </element>
    <element id="Procedure.complication.coding.system">
      <path value="Procedure.complication.coding.system" />
      <fixedUri value="http://snomed.info/sct" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.complication.coding.code">
      <path value="Procedure.complication.coding.code" />
      <mustSupport value="true" />
      <binding>
        <strength value="example" />
        <description value="Complication following the procedure" />
        <valueSet value="http://ontariohealth.ca/fhir/ValueSet/procedure-complication" />
      </binding>
    </element>
    <element id="Procedure.complication.coding.display">
      <path value="Procedure.complication.coding.display" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.note">
      <path value="Procedure.note" />
      <max value="0" />
      <mapping>
        <identity value="SERIS-MDS-Mapping" />
        <map value="Notes" />
      </mapping>
    </element>
  </differential>
</StructureDefinition>