description: A Procedure profile describing obstetric procedures, as defined by BabyConnect. Obstetric procedures are procedures related to pregnancy, birth and delivery, such as vacuum delivery. \r\n* For obstetric procedures related to the pregnancy, use Procedure.reasonReference\r\n* For obstetric procedures related to birth and delivery, use the (optional) partOf extension to point to the Delivery (maternal data) or the Birth (child-specific data)\r\n* The context is the Maternal Record or an Encounter\r\nThe profile would have been derived from the zib-Procedure profile in zib2017 2.3.0 but that profile disallows Procedure.report.reference(DiagnosticReport) which prevents bc-PregnancyUltraSound. For now this profile is a full copy of the profile with Birth Care additions
package_name: nictiz.fhir.nl.stu3.geboortezorg
derivation: constraint
name: bc-ObstetricProcedure
type: Procedure
elements:
  category:
    index: 11
    elements:
      coding:
        index: 12
        slicing:
          rules: open
          discriminator:
          - {path: $this, type: value}
          min: null
          slices:
            obstetricProcedure:
              match: {code: '386637004', system: 'http://snomed.info/sct'}
              schema:
                pattern:
                  type: Coding
                  value: {code: '386637004', system: 'http://snomed.info/sct'}
                index: 13
              max: 1
  report:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/DiagnosticReport', 'http://nictiz.nl/fhir/StructureDefinition/bc-PregnancyUltraSound', 'http://nictiz.nl/fhir/StructureDefinition/zib-TextResult']
    index: 41
  usedReference: {index: 44}
  focalDevice:
    index: 42
    elements:
      manipulated:
        type: Reference
        short: MedicalDevice
        refers: ['http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct']
        index: 43
  reasonCode:
    elements:
      coding:
        index: 33
        slicing:
          rules: open
          discriminator:
          - {path: $this, type: value}
          min: null
          slices:
            bc-ObstetricProcedureReasonCode:
              match: {}
              schema: {index: 34}
  performed:
    choices: []
    index: 21
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: type}
      min: null
      slices:
        performedPeriod:
          match: {}
          schema:
            choices: [performedPeriod]
            index: 23
  outcome:
    extensions:
      success: {url: h, max: 1, type: Extension, index: 40}
    elements:
      extension:
        type: Extension
        url: h
        index: 40
        slicing:
          slices:
            success:
              match: {}
              schema: {type: Extension, url: h, index: 40}
              max: 1
  performed[x]:
    elements:
      start: {short: ProcedureStartDate, index: 25}
      end: {short: ProcedureEndDate, index: 26}
  extension:
    type: Extension
    url: h
    index: 0
    slicing:
      slices:
        procedureMethod:
          match: {}
          schema:
            type: Extension
            url: h
            index: 0
            elements:
              valueCodeableConcept:
                short: ProcedureMethod
                index: 1
                slicing:
                  slices:
                    valueCodeableConcept:
                      match: {}
                      schema: {short: ProcedureMethod, index: 1}
        decisionMoment:
          match: {}
          schema:
            type: Extension
            url: h
            index: 2
            elements:
              valueCodeableConcept:
                index: 3
                slicing:
                  slices:
                    valueCodeableConcept:
                      match: {}
                      schema: {index: 3}
        partusPhase:
          match: {}
          schema: {type: Extension, url: h, index: 4}
          max: 1
  code:
    short: ProcedureType
    index: 14
    elements:
      coding:
        index: 15
        slicing:
          rules: open
          discriminator:
          - {path: system, type: value}
          min: null
          slices:
            VerrichtingTypeCodelijst:
              match: {system: 'http://snomed.info/sct'}
              schema:
                short: ProcedureType
                index: 16
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 17
                required: [system]
  identifier: {index: 5}
  bodySite:
    short: ProcedureAnatomicalLocation
    index: 37
    extensions:
      ProcedureLaterality:
        url: h
        type: Extension
        short: ProcedureLaterality
        index: 38
        elements:
          valueCodeableConcept:
            index: 39
            slicing:
              slices:
                valueCodeableConcept:
                  match: {}
                  schema: {index: 39}
    elements:
      extension:
        type: Extension
        short: ProcedureLaterality
        url: h
        index: 38
        slicing:
          slices:
            ProcedureLaterality:
              match: {}
              schema:
                type: Extension
                short: ProcedureLaterality
                url: h
                index: 38
                elements:
                  valueCodeableConcept:
                    index: 39
                    slicing:
                      slices:
                        valueCodeableConcept:
                          match: {}
                          schema: {index: 39}
  context:
    type: Reference
    refers: ['http://nictiz.nl/fhir/StructureDefinition/bc-Encounter', 'http://nictiz.nl/fhir/StructureDefinition/bc-MaternalRecord']
    index: 19
  basedOn:
    index: 6
    slicing:
      rules: open
      discriminator:
      - {path: $this.resolve(), type: type}
      min: null
      slices:
        request:
          match: {}
          schema:
            short: ProcedureRequest
            refers: ['http://nictiz.nl/fhir/StructureDefinition/zib-ProcedureRequest']
            type: Reference
            index: 7
  partOf:
    index: 8
    slicing:
      rules: open
      discriminator:
      - {path: resolve(), type: profile}
      min: null
      slices:
        deliveryProcedure:
          match: {}
          schema:
            type: Reference
            refers: ['http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryProcedure']
            index: 9
          max: 1
        birthProcedure:
          match: {}
          schema:
            type: Reference
            refers: ['http://nictiz.nl/fhir/StructureDefinition/bc-Birth']
            index: 10
          max: 1
  performedPeriod:
    type: Period
    choiceOf: performed
    index: 24
    slicing:
      slices:
        performedPeriod:
          match: {}
          schema: {type: Period, choiceOf: performed, index: 24}
  location: {index: 32}
  subject:
    type: Reference
    refers: ['http://fhir.nl/fhir/StructureDefinition/nl-core-patient', 'http://hl7.org/fhir/StructureDefinition/Group', 'http://nictiz.nl/fhir/StructureDefinition/bc-Woman']
    index: 18
  performer:
    short: HealthProfessional | Location::HealthcareProvider
    index: 27
    elements:
      role:
        elements:
          coding:
            index: 28
            slicing:
              rules: open
              discriminator:
              - {path: $this, type: value}
              min: null
              slices:
                healthProfessionalRole:
                  match: {}
                  schema: {short: HealthProfessionalRole, index: 29}
      actor:
        type: Reference
        refers: ['http://fhir.nl/fhir/StructureDefinition/nl-core-organization', 'http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner']
        index: 30
        extensions:
          practitionerRole: {url: h, max: 1, type: Extension, index: 31}
        elements:
          extension:
            type: Extension
            url: h
            index: 31
            slicing:
              slices:
                practitionerRole:
                  match: {}
                  schema: {type: Extension, url: h, index: 31}
                  max: 1
  reasonReference:
    short: Indication
    refers: ['http://nictiz.nl/fhir/StructureDefinition/zib-Problem']
    type: Reference
    index: 35
    slicing:
      rules: open
      discriminator:
      - {path: resolve(), type: profile}
      min: null
      slices:
        pregnancy:
          match: {}
          schema:
            type: Reference
            refers: ['http://nictiz.nl/fhir/StructureDefinition/zib-Pregnancy']
            index: 36
          max: 1
package_version: 3.0.0
extensions:
  procedureMethod:
    url: h
    type: Extension
    index: 0
    elements:
      valueCodeableConcept:
        short: ProcedureMethod
        index: 1
        slicing:
          slices:
            valueCodeableConcept:
              match: {}
              schema: {short: ProcedureMethod, index: 1}
  decisionMoment:
    url: h
    type: Extension
    index: 2
    elements:
      valueCodeableConcept:
        index: 3
        slicing:
          slices:
            valueCodeableConcept:
              match: {}
              schema: {index: 3}
  partusPhase: {url: h, max: 1, type: Extension, index: 4}
class: profile
kind: resource
url: http://nictiz.nl/fhir/StructureDefinition/bc-ObstetricProcedure
base: http://hl7.org/fhir/StructureDefinition/Procedure
version: 1.3.3
required: [category]