{
  "resourceType": "StructureDefinition",
  "meta": {
    "lastUpdated": "2018-05-22T13:54:18.51+00:00"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "pc"
    }
  ],
  "url": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Procedure-1",
  "version": "1.2.0",
  "name": "CareConnect-ITK-Procedure-1",
  "status": "active",
  "date": "2024-01-22T11:39:06.3872207+00:00",
  "publisher": "NHS Digital",
  "contact": [
    {
      "name": "Interoperability Team",
      "telecom": [
        {
          "system": "email",
          "value": "interoperabilityteam@nhs.net",
          "use": "work"
        }
      ]
    }
  ],
  "description": "An action that is or was performed on a patient.",
  "purpose": "CURATED BY INTEROPen see: http://www.interopen.org/careconnect-curation-methodology/",
  "copyright": "Copyright © 2017 NHS Digital",
  "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:anaestheticIssues",
        "path": "Procedure.extension",
        "sliceName": "anaestheticIssues",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AnaestheticIssues-1"
          }
        ]
      },
      {
        "id": "Procedure.extension:anaestheticIssues.url",
        "path": "Procedure.extension.url",
        "fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-AnaestheticIssues-1"
      },
      {
        "id": "Procedure.identifier.type.coding.system",
        "path": "Procedure.identifier.type.coding.system",
        "min": 1
      },
      {
        "id": "Procedure.identifier.type.coding.code",
        "path": "Procedure.identifier.type.coding.code",
        "min": 1
      },
      {
        "id": "Procedure.identifier.type.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Procedure.identifier.type.coding.display",
        "min": 1
      },
      {
        "id": "Procedure.identifier.system",
        "path": "Procedure.identifier.system",
        "min": 1
      },
      {
        "id": "Procedure.identifier.value",
        "path": "Procedure.identifier.value",
        "min": 1
      },
      {
        "id": "Procedure.identifier.assigner",
        "path": "Procedure.identifier.assigner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"
          }
        ]
      },
      {
        "id": "Procedure.identifier.assigner.reference",
        "path": "Procedure.identifier.assigner.reference",
        "min": 1
      },
      {
        "id": "Procedure.definition",
        "path": "Procedure.definition",
        "max": "0"
      },
      {
        "id": "Procedure.basedOn",
        "path": "Procedure.basedOn",
        "max": "0"
      },
      {
        "id": "Procedure.basedOn.reference",
        "path": "Procedure.basedOn.reference",
        "min": 1
      },
      {
        "id": "Procedure.partOf",
        "path": "Procedure.partOf",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Procedure-1"
          }
        ]
      },
      {
        "id": "Procedure.partOf.reference",
        "path": "Procedure.partOf.reference",
        "min": 1
      },
      {
        "id": "Procedure.status",
        "path": "Procedure.status",
        "fixedCode": "completed"
      },
      {
        "id": "Procedure.notDone",
        "path": "Procedure.notDone",
        "max": "0"
      },
      {
        "id": "Procedure.notDoneReason",
        "path": "Procedure.notDoneReason",
        "max": "0"
      },
      {
        "id": "Procedure.notDoneReason.coding.system",
        "path": "Procedure.notDoneReason.coding.system",
        "min": 1
      },
      {
        "id": "Procedure.notDoneReason.coding.code",
        "path": "Procedure.notDoneReason.coding.code",
        "min": 1
      },
      {
        "id": "Procedure.notDoneReason.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Procedure.notDoneReason.coding.display",
        "min": 1
      },
      {
        "id": "Procedure.category",
        "path": "Procedure.category",
        "max": "0"
      },
      {
        "id": "Procedure.category.coding.system",
        "path": "Procedure.category.coding.system",
        "min": 1
      },
      {
        "id": "Procedure.category.coding.code",
        "path": "Procedure.category.coding.code",
        "min": 1
      },
      {
        "id": "Procedure.category.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Procedure.category.coding.display",
        "min": 1
      },
      {
        "id": "Procedure.code",
        "path": "Procedure.code",
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ProcedureCode"
            }
          ],
          "strength": "preferred",
          "description": "A code to identify a specific procedure."
        }
      },
      {
        "id": "Procedure.code.coding",
        "path": "Procedure.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Procedure.code.coding:snomedCT",
        "path": "Procedure.code.coding",
        "sliceName": "snomedCT",
        "max": "1",
        "binding": {
          "strength": "extensible",
          "description": "A code from the SNOMED Clinical Terminology UK.",
          "valueSetReference": {
            "reference": "https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-ProcedureCode-1"
          }
        }
      },
      {
        "id": "Procedure.code.coding:snomedCT.extension",
        "path": "Procedure.code.coding.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Procedure.code.coding:snomedCT.extension:snomedCTDescriptionID",
        "path": "Procedure.code.coding.extension",
        "sliceName": "snomedCTDescriptionID",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
          }
        ]
      },
      {
        "id": "Procedure.code.coding:snomedCT.system",
        "path": "Procedure.code.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Procedure.code.coding:snomedCT.version",
        "path": "Procedure.code.coding.version",
        "max": "0"
      },
      {
        "id": "Procedure.code.coding:snomedCT.code",
        "path": "Procedure.code.coding.code",
        "min": 1
      },
      {
        "id": "Procedure.code.coding:snomedCT.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Procedure.code.coding.display",
        "min": 1
      },
      {
        "id": "Procedure.subject",
        "path": "Procedure.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1"
          }
        ]
      },
      {
        "id": "Procedure.subject.reference",
        "path": "Procedure.subject.reference",
        "min": 1
      },
      {
        "id": "Procedure.context",
        "path": "Procedure.context",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Encounter-1"
          }
        ]
      },
      {
        "id": "Procedure.context.reference",
        "path": "Procedure.context.reference",
        "min": 1
      },
      {
        "id": "Procedure.performer.role.coding.system",
        "path": "Procedure.performer.role.coding.system",
        "min": 1
      },
      {
        "id": "Procedure.performer.role.coding.code",
        "path": "Procedure.performer.role.coding.code",
        "min": 1
      },
      {
        "id": "Procedure.performer.role.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Procedure.performer.role.coding.display",
        "min": 1
      },
      {
        "id": "Procedure.performer.actor",
        "path": "Procedure.performer.actor",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Device-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/ITK-RelatedPerson-1"
          }
        ]
      },
      {
        "id": "Procedure.performer.actor.reference",
        "path": "Procedure.performer.actor.reference",
        "min": 1
      },
      {
        "id": "Procedure.performer.onBehalfOf",
        "path": "Procedure.performer.onBehalfOf",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"
          }
        ]
      },
      {
        "id": "Procedure.performer.onBehalfOf.reference",
        "path": "Procedure.performer.onBehalfOf.reference",
        "min": 1
      },
      {
        "id": "Procedure.location",
        "path": "Procedure.location",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Location-1"
          }
        ]
      },
      {
        "id": "Procedure.location.reference",
        "path": "Procedure.location.reference",
        "min": 1
      },
      {
        "id": "Procedure.reasonCode.coding.system",
        "path": "Procedure.reasonCode.coding.system",
        "min": 1
      },
      {
        "id": "Procedure.reasonCode.coding.code",
        "path": "Procedure.reasonCode.coding.code",
        "min": 1
      },
      {
        "id": "Procedure.reasonCode.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Procedure.reasonCode.coding.display",
        "min": 1
      },
      {
        "id": "Procedure.reasonReference",
        "path": "Procedure.reasonReference",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Condition-1"
          }
        ]
      },
      {
        "id": "Procedure.reasonReference.reference",
        "path": "Procedure.reasonReference.reference",
        "min": 1
      },
      {
        "id": "Procedure.bodySite.coding",
        "path": "Procedure.bodySite.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Procedure.bodySite.coding:snomedCT",
        "path": "Procedure.bodySite.coding",
        "sliceName": "snomedCT",
        "max": "1",
        "binding": {
          "strength": "extensible",
          "description": "A code from the SNOMED Clinical Terminology UK.",
          "valueSetReference": {
            "reference": "https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-BodySite-1"
          }
        }
      },
      {
        "id": "Procedure.bodySite.coding:snomedCT.extension",
        "path": "Procedure.bodySite.coding.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Procedure.bodySite.coding:snomedCT.extension:snomedCTDescriptionID",
        "path": "Procedure.bodySite.coding.extension",
        "sliceName": "snomedCTDescriptionID",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
          }
        ]
      },
      {
        "id": "Procedure.bodySite.coding:snomedCT.system",
        "path": "Procedure.bodySite.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Procedure.bodySite.coding:snomedCT.version",
        "path": "Procedure.bodySite.coding.version",
        "max": "0"
      },
      {
        "id": "Procedure.bodySite.coding:snomedCT.code",
        "path": "Procedure.bodySite.coding.code",
        "min": 1
      },
      {
        "id": "Procedure.bodySite.coding:snomedCT.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Procedure.bodySite.coding.display",
        "min": 1
      },
      {
        "id": "Procedure.outcome.coding.system",
        "path": "Procedure.outcome.coding.system",
        "min": 1
      },
      {
        "id": "Procedure.outcome.coding.code",
        "path": "Procedure.outcome.coding.code",
        "min": 1
      },
      {
        "id": "Procedure.outcome.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Procedure.outcome.coding.display",
        "min": 1
      },
      {
        "id": "Procedure.report",
        "path": "Procedure.report",
        "max": "0"
      },
      {
        "id": "Procedure.complication.coding",
        "path": "Procedure.complication.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Procedure.complication.coding:snomedCT",
        "path": "Procedure.complication.coding",
        "sliceName": "snomedCT",
        "max": "1",
        "binding": {
          "strength": "required",
          "description": "A code from the SNOMED Clinical Terminology UK.",
          "valueSetReference": {
            "reference": "https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-ConditionCode-1"
          }
        }
      },
      {
        "id": "Procedure.complication.coding:snomedCT.extension",
        "path": "Procedure.complication.coding.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Procedure.complication.coding:snomedCT.extension:snomedCTDescriptionID",
        "path": "Procedure.complication.coding.extension",
        "sliceName": "snomedCTDescriptionID",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
          }
        ]
      },
      {
        "id": "Procedure.complication.coding:snomedCT.system",
        "path": "Procedure.complication.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Procedure.complication.coding:snomedCT.version",
        "path": "Procedure.complication.coding.version",
        "max": "0"
      },
      {
        "id": "Procedure.complication.coding:snomedCT.code",
        "path": "Procedure.complication.coding.code",
        "min": 1
      },
      {
        "id": "Procedure.complication.coding:snomedCT.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Procedure.complication.coding.display",
        "min": 1
      },
      {
        "id": "Procedure.complicationDetail",
        "path": "Procedure.complicationDetail",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Condition-1"
          }
        ]
      },
      {
        "id": "Procedure.complicationDetail.reference",
        "path": "Procedure.complicationDetail.reference",
        "min": 1
      },
      {
        "id": "Procedure.followUp",
        "path": "Procedure.followUp",
        "max": "0"
      },
      {
        "id": "Procedure.followUp.coding.system",
        "path": "Procedure.followUp.coding.system",
        "min": 1
      },
      {
        "id": "Procedure.followUp.coding.code",
        "path": "Procedure.followUp.coding.code",
        "min": 1
      },
      {
        "id": "Procedure.followUp.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Procedure.followUp.coding.display",
        "min": 1
      },
      {
        "id": "Procedure.note",
        "path": "Procedure.note",
        "max": "0"
      },
      {
        "id": "Procedure.note.author[x]",
        "path": "Procedure.note.author[x]",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
          },
          {
            "code": "string"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"
          }
        ]
      },
      {
        "id": "Procedure.focalDevice.action.coding.system",
        "path": "Procedure.focalDevice.action.coding.system",
        "min": 1
      },
      {
        "id": "Procedure.focalDevice.action.coding.code",
        "path": "Procedure.focalDevice.action.coding.code",
        "min": 1
      },
      {
        "id": "Procedure.focalDevice.action.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Procedure.focalDevice.action.coding.display",
        "min": 1
      },
      {
        "id": "Procedure.focalDevice.manipulated",
        "path": "Procedure.focalDevice.manipulated",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Device-1"
          }
        ]
      },
      {
        "id": "Procedure.focalDevice.manipulated.reference",
        "path": "Procedure.focalDevice.manipulated.reference",
        "min": 1
      },
      {
        "id": "Procedure.usedReference",
        "path": "Procedure.usedReference",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Device-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Medication-1"
          }
        ]
      },
      {
        "id": "Procedure.usedReference.reference",
        "path": "Procedure.usedReference.reference",
        "min": 1
      },
      {
        "id": "Procedure.usedCode.coding.system",
        "path": "Procedure.usedCode.coding.system",
        "min": 1
      },
      {
        "id": "Procedure.usedCode.coding.code",
        "path": "Procedure.usedCode.coding.code",
        "min": 1
      },
      {
        "id": "Procedure.usedCode.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Procedure.usedCode.coding.display",
        "min": 1
      }
    ]
  }
}