{
  "resourceType": "StructureDefinition",
  "id": "nl-core-Procedure",
  "url": "http://nictiz.nl/fhir/StructureDefinition/nl-core-Procedure",
  "name": "NlcoreProcedure",
  "title": "nl core Procedure",
  "status": "draft",
  "fhirVersion": "4.0.1",
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    {
      "identity": "requirements-Procedure",
      "uri": "http://nictiz.nl/gbb/Requirements/Procedure",
      "name": "Information requirements for Procedure"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Procedure",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Procedure",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Procedure",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-compliesWithProfile",
            "valueCanonical": "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
          }
        ],
        "path": "Procedure"
      },
      {
        "id": "Procedure.extension:method",
        "path": "Procedure.extension",
        "sliceName": "method",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/procedure-method"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Procedure.extension:method.value[x]",
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          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "Ontsluitend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "Verwerkend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.extension.value[x]",
        "binding": {
          "extension": [
            {
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "current"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.153.11.21--20260619103221"
                }
              ],
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
            }
          ],
          "strength": "preferred",
          "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.153.11.21--20260619103221"
        },
        "mapping": [
          {
            "identity": "requirements-Procedure",
            "map": "13",
            "comment": "VerrichtingMethode"
          }
        ]
      },
      {
        "id": "Procedure.status",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "Ontsluitend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "Verwerkend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.status",
        "mapping": [
          {
            "identity": "requirements-Procedure",
            "map": "9.1",
            "comment": "VerrichtingStatus"
          },
          {
            "identity": "requirements-Procedure",
            "map": "9.2",
            "comment": "VerrichtingStatusEHDS"
          },
          {
            "identity": "requirements-Procedure",
            "map": "9.3",
            "comment": "VerrichtingStatusOpenEHR"
          }
        ]
      },
      {
        "id": "Procedure.category",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "Ontsluitend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "Verwerkend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.category",
        "binding": {
          "extension": [
            {
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "current"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.153.11.25--20260619103637"
                }
              ],
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
            }
          ],
          "strength": "preferred",
          "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.153.11.25--20260619103637"
        },
        "mapping": [
          {
            "identity": "requirements-Procedure",
            "map": "8",
            "comment": "Categorie"
          }
        ]
      },
      {
        "id": "Procedure.code",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "Ontsluitend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "Verwerkend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.code",
        "min": 1,
        "binding": {
          "extension": [
            {
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "current-extensible"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.153.11.6--20260619092106"
                }
              ],
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
            }
          ],
          "strength": "preferred",
          "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.153.11.7--20260619092503"
        },
        "mapping": [
          {
            "identity": "requirements-Procedure",
            "map": "4.1",
            "comment": "VerrichtingNaam"
          },
          {
            "identity": "requirements-Procedure",
            "map": "4.2",
            "comment": "VerrichtingNaamAnders"
          }
        ]
      },
      {
        "id": "Procedure.subject",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "Ontsluitend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "Verwerkend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient"
            ]
          }
        ],
        "mustSupport": false,
        "mapping": [
          {
            "identity": "requirements-Procedure",
            "map": "10.1",
            "comment": "VerrichtingSubject"
          },
          {
            "identity": "requirements-Procedure",
            "map": "10.2",
            "comment": "VerrichtingSubjectOpenEHR"
          },
          {
            "identity": "requirements-Procedure",
            "map": "10.3",
            "comment": "VerrichtingSubjectEHDS"
          }
        ]
      },
      {
        "id": "Procedure.performed[x]",
        "path": "Procedure.performed[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Procedure.performed[x]:performedDateTime",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "Ontsluitend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "Verwerkend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.performed[x]",
        "sliceName": "performedDateTime",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "requirements-Procedure",
            "map": "1.1.1",
            "comment": "DatumTijdUitvoering"
          }
        ]
      },
      {
        "id": "Procedure.performed[x]:performedPeriod",
        "path": "Procedure.performed[x]",
        "sliceName": "performedPeriod",
        "type": [
          {
            "code": "Period"
          }
        ],
        "mapping": [
          {
            "identity": "requirements-Procedure",
            "map": "1.1.2",
            "comment": "PeriodeUitvoering"
          }
        ]
      },
      {
        "id": "Procedure.performed[x]:performedPeriod.start",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "Ontsluitend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "Verwerkend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.performed[x].start",
        "mapping": [
          {
            "identity": "requirements-Procedure",
            "map": "1.2",
            "comment": "StartdatumTijdNietAfgerondeVerrichting"
          },
          {
            "identity": "requirements-Procedure",
            "map": "1.3",
            "comment": "GeplandeStartdatumTijd"
          }
        ]
      },
      {
        "id": "Procedure.performed[x]:performedPeriod.end",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "Ontsluitend systeem"
              }
            ],
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          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "Verwerkend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.performed[x].end",
        "mapping": [
          {
            "identity": "requirements-Procedure",
            "map": "1.1.3",
            "comment": "Einddatum"
          }
        ]
      },
      {
        "id": "Procedure.performed[x]:performedString",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "Ontsluitend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "Verwerkend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.performed[x]",
        "sliceName": "performedString",
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "requirements-Procedure",
            "map": "1.1.3",
            "comment": "Einddatum"
          },
          {
            "identity": "requirements-Procedure",
            "map": "1.1.1",
            "comment": "DatumTijdUitvoering"
          },
          {
            "identity": "requirements-Procedure",
            "map": "1.1.2",
            "comment": "PeriodeUitvoering"
          },
          {
            "identity": "requirements-Procedure",
            "map": "1.2",
            "comment": "StartdatumTijdNietAfgerondeVerrichting"
          }
        ]
      },
      {
        "id": "Procedure.performer.actor",
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          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "Ontsluitend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "Verwerkend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.performer.actor",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "requirements-Procedure",
            "map": "3.1",
            "comment": "ZorgverlenerAlsUitvoerder"
          },
          {
            "identity": "requirements-Procedure",
            "map": "3.3",
            "comment": "PatientAlsUitvoerder"
          },
          {
            "identity": "requirements-Procedure",
            "map": "3.4",
            "comment": "ContactpersoonAlsUitvoerder"
          }
        ]
      },
      {
        "id": "Procedure.performer.onBehalfOf",
        "path": "Procedure.performer.onBehalfOf",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization"
            ]
          }
        ]
      },
      {
        "id": "Procedure.location",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "Ontsluitend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "Verwerkend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.location",
        "mapping": [
          {
            "identity": "requirements-Procedure",
            "map": "5.1",
            "comment": "ZorginstellingAlsLocatie"
          },
          {
            "identity": "requirements-Procedure",
            "map": "5.2",
            "comment": "AdresAlsLocatie"
          }
        ]
      },
      {
        "id": "Procedure.reasonCode",
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          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "Ontsluitend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "Verwerkend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.reasonCode",
        "binding": {
          "extension": [
            {
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "current-extensible"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.153.11.19--20260619T114014"
                }
              ],
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
            }
          ],
          "strength": "preferred",
          "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.153.11.27--20260619114424"
        },
        "mapping": [
          {
            "identity": "requirements-Procedure",
            "map": "7.1",
            "comment": "Indicatie"
          },
          {
            "identity": "requirements-Procedure",
            "map": "7.2",
            "comment": "Reden"
          }
        ]
      },
      {
        "id": "Procedure.reasonReference",
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          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "Ontsluitend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "Verwerkend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.reasonReference",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://nictiz.nl/fhir/StructureDefinition/nl-core-Problem",
              "http://hl7.org/fhir/StructureDefinition/Observation",
              "http://nictiz.nl/fhir/StructureDefinition/nl-core-Procedure",
              "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
              "http://hl7.org/fhir/StructureDefinition/DocumentReference"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "requirements-Procedure",
            "map": "7.1",
            "comment": "Indicatie"
          },
          {
            "identity": "requirements-Procedure",
            "map": "7.2",
            "comment": "Reden"
          }
        ]
      },
      {
        "id": "Procedure.bodySite",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "Ontsluitend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "Verwerkend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.bodySite",
        "constraint": [
          {
            "key": "eu-bodysite-1",
            "severity": "error",
            "human": "Either a body site code or a reference to a BodyStructure resource SHALL be used, but not both.",
            "expression": "(coding.empty() and text.empty()) or extension('http://hl7.org/fhir/StructureDefinition/bodySite').empty()",
            "source": "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
          }
        ],
        "mapping": [
          {
            "identity": "requirements-Procedure",
            "map": "6",
            "comment": "AnatomischeLocatie"
          }
        ]
      },
      {
        "id": "Procedure.outcome",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "Ontsluitend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "Verwerkend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.outcome",
        "binding": {
          "strength": "preferred",
          "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.153.11.22--20260619103341"
        },
        "mapping": [
          {
            "identity": "requirements-Procedure",
            "map": "16",
            "comment": "Uitkomst"
          }
        ]
      },
      {
        "id": "Procedure.complication",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "Ontsluitend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "Verwerkend systeem"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "Procedure.complication",
        "binding": {
          "strength": "preferred",
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}