{
  "description": "This profile defines the UK constraints and extensions on the International FHIR resource [Procedure](https://hl7.org/fhir/R4/Procedure.html).",
  "_filename": "UKCore-Procedure.json",
  "package_name": "fhir.r4.ukcore.stu3.currentbuild",
  "date": "2022-12-16",
  "derivation": "constraint",
  "publisher": "HL7 UK",
  "fhirVersion": "4.0.1",
  "purpose": "This profile allows exchange of details of current and historical procedures performed on or for an individual. A procedure is an activity that is performed on, with, or for an individual as part of the provision of care. Examples include surgical procedures, diagnostic procedures, endoscopic procedures, biopsies, counselling, physiotherapy, personal support services, adult day care services, non-emergency transportation, home modification, exercise, etc. Procedures may be performed by a healthcare professional, a service provider, a friend or relative or in some cases by themselves.",
  "name": "UKCoreProcedure",
  "mapping": [ {
    "uri": "http://hl7.org/fhir/workflow",
    "name": "Workflow Pattern",
    "identity": "workflow"
  }, {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  }, {
    "uri": "http://hl7.org/fhir/fivews",
    "name": "FiveWs Pattern Mapping",
    "identity": "w5"
  }, {
    "uri": "http://hl7.org/v2",
    "name": "HL7 v2 Mapping",
    "identity": "v2"
  } ],
  "abstract": false,
  "copyright": "Copyright © 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the \"License\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \"AS IS\" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html.",
  "type": "Procedure",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "UK Core Procedure",
  "package_version": "0.0.3-pre-release",
  "status": "active",
  "id": "fe047660-00e3-48ba-b239-3d1285683203",
  "kind": "resource",
  "url": "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Procedure",
  "version": "2.3.0",
  "differential": {
    "element": [ {
      "id": "Procedure",
      "path": "Procedure",
      "definition": "An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like long term services, counselling, or hypnotherapy."
    }, {
      "id": "Procedure.extension",
      "min": 0,
      "path": "Procedure.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Procedure.extension:AnaestheticIssues",
      "min": 0,
      "path": "Procedure.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AnaestheticIssues" ]
      } ],
      "short": "An extension to support recording of details of any adverse reaction to any anaesthetic agents including local anaesthesia and problematic intubation, transfusion reaction, etc.",
      "sliceName": "AnaestheticIssues",
      "definition": "This extension extends the Procedure resource to support the exchange of the recording of details of any adverse reaction to any anaesthetic agents which is currently not supported by the FHIR standard."
    }, {
      "id": "Procedure.identifier.assigner",
      "path": "Procedure.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ]
      } ]
    }, {
      "id": "Procedure.instantiatesCanonical",
      "path": "Procedure.instantiatesCanonical",
      "type": [ {
        "code": "canonical",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/PlanDefinition", "http://hl7.org/fhir/StructureDefinition/ActivityDefinition", "http://hl7.org/fhir/StructureDefinition/Measure", "http://hl7.org/fhir/StructureDefinition/OperationDefinition", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Questionnaire" ]
      } ]
    }, {
      "id": "Procedure.basedOn",
      "path": "Procedure.basedOn",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-CarePlan", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest" ]
      } ]
    }, {
      "id": "Procedure.basedOn.identifier.assigner",
      "path": "Procedure.basedOn.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ]
      } ]
    }, {
      "id": "Procedure.partOf",
      "path": "Procedure.partOf",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationAdministration", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Procedure" ]
      } ]
    }, {
      "id": "Procedure.partOf.identifier.assigner",
      "path": "Procedure.partOf.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ]
      } ]
    }, {
      "id": "Procedure.code",
      "path": "Procedure.code",
      "binding": {
        "strength": "preferred",
        "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-ProcedureCode",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "ProcedureCode"
        } ],
        "description": "A code from the SNOMED Clinical Terminology UK with the expression (<<71388002 |Procedure|<<129125009 |Procedure with explicit context|)."
      }
    }, {
      "id": "Procedure.subject",
      "path": "Procedure.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Group", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" ]
      } ]
    }, {
      "id": "Procedure.subject.identifier.assigner",
      "path": "Procedure.subject.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ]
      } ]
    }, {
      "id": "Procedure.encounter",
      "path": "Procedure.encounter",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Encounter" ]
      } ]
    }, {
      "id": "Procedure.encounter.identifier.assigner",
      "path": "Procedure.encounter.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ]
      } ]
    }, {
      "id": "Procedure.recorder",
      "path": "Procedure.recorder",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole" ]
      } ]
    }, {
      "id": "Procedure.recorder.identifier.assigner",
      "path": "Procedure.recorder.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ]
      } ]
    }, {
      "id": "Procedure.asserter",
      "path": "Procedure.asserter",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole" ]
      } ]
    }, {
      "id": "Procedure.asserter.identifier.assigner",
      "path": "Procedure.asserter.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ]
      } ]
    }, {
      "id": "Procedure.performer.actor",
      "path": "Procedure.performer.actor",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Device", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson" ]
      } ]
    }, {
      "id": "Procedure.performer.actor.identifier.assigner",
      "path": "Procedure.performer.actor.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ]
      } ]
    }, {
      "id": "Procedure.performer.onBehalfOf",
      "path": "Procedure.performer.onBehalfOf",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ]
      } ]
    }, {
      "id": "Procedure.performer.onBehalfOf.identifier.assigner",
      "path": "Procedure.performer.onBehalfOf.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ]
      } ]
    }, {
      "id": "Procedure.location",
      "path": "Procedure.location",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Location" ]
      } ]
    }, {
      "id": "Procedure.location.identifier.assigner",
      "path": "Procedure.location.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ]
      } ]
    }, {
      "id": "Procedure.reasonReference",
      "path": "Procedure.reasonReference",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Condition", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-DiagnosticReport", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-DocumentReference", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Procedure" ]
      } ]
    }, {
      "id": "Procedure.reasonReference.identifier.assigner",
      "path": "Procedure.reasonReference.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ]
      } ]
    }, {
      "id": "Procedure.bodySite",
      "path": "Procedure.bodySite",
      "binding": {
        "strength": "preferred",
        "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-BodySite",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "BodySite"
        } ],
        "description": "A code from the SNOMED Clinical Terminology UK with the expression (<<442083009 |anatomical or acquired body structure|)."
      }
    }, {
      "id": "Procedure.report",
      "path": "Procedure.report",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Composition", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-DiagnosticReport", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-DocumentReference" ]
      } ]
    }, {
      "id": "Procedure.report.identifier.assigner",
      "path": "Procedure.report.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ]
      } ]
    }, {
      "id": "Procedure.complication",
      "path": "Procedure.complication",
      "binding": {
        "strength": "preferred",
        "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCode",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "ProcedureComplication"
        } ],
        "description": "A code from the SNOMED Clinical Terminology UK with the expression (<404684003 |Clinical finding| OR <413350009 |Finding with explicit context| OR <272379006 |Event|)."
      }
    }, {
      "id": "Procedure.complicationDetail",
      "path": "Procedure.complicationDetail",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Condition" ]
      } ]
    }, {
      "id": "Procedure.complicationDetail.identifier.assigner",
      "path": "Procedure.complicationDetail.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ]
      } ]
    }, {
      "id": "Procedure.note.author[x]",
      "path": "Procedure.note.author[x]",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ]
      }, {
        "code": "string"
      } ]
    }, {
      "id": "Procedure.focalDevice.manipulated",
      "path": "Procedure.focalDevice.manipulated",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Device" ]
      } ]
    }, {
      "id": "Procedure.focalDevice.manipulated.identifier.assigner",
      "path": "Procedure.focalDevice.manipulated.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ]
      } ]
    }, {
      "id": "Procedure.usedReference",
      "path": "Procedure.usedReference",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Substance", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Device", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Medication" ]
      } ]
    }, {
      "id": "Procedure.usedReference.identifier.assigner",
      "path": "Procedure.usedReference.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ]
      } ]
    } ]
  },
  "contact": [ {
    "name": "HL7 UK",
    "telecom": [ {
      "use": "work",
      "rank": 1,
      "value": "ukcore@hl7.org.uk",
      "system": "email"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Procedure"
}