profile-Procedure
type: StructureDefinition
node role: treeRoot
id:
  v: profile-Procedure
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition profile-Procedure Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> Procedure 0..* Procedure An action that is being or was performed on a patient #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:instantiatesCanonical 0..* uri R5: Instantiates FHIR protocol or definition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.instantiatesCanonical #xD; extension:instantiatesUri 0..* uri R5: Instantiates external protocol or definition (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.instantiatesUri #xD; extension:focus 0..1 Reference(Cross-version Profile for R5.Patient for use in FHIR STU3(0.1.0) | Patient | Cross-version Profile for R5.Group for use in FHIR STU3(0.1.0) | Group | Cross-version Profile for R5.RelatedPerson for use in FHIR STU3(0.1.0) | RelatedPerson | Cross-version Profile for R5.Practitioner for use in FHIR STU3(0.1.0) | Practitioner | Cross-version Profile for R5.Organization for use in FHIR STU3(0.1.0) | Organization | Cross-version Profile for R5.CareTeam for use in FHIR STU3(0.1.0) | CareTeam | Cross-version Profile for R5.PractitionerRole for use in FHIR STU3(0.1.0) | PractitionerRole | Cross-version Profile for R5.Specimen for use in FHIR STU3(0.1.0) | Specimen) R5: Who is the target of the procedure when it is not the subject of record only (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.focus #xD; extension:occurrence 0..1 string, Age, Range, Timing R5: When the procedure occurred or is occurring additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.occurrence #xD; extension:recorded 0..1 dateTime R5: When the procedure was first captured in the subject's record (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded #xD; extension:recorder 0..1 Reference(…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
    l: structuredefinition-wg
  value: Code
    v: fhir
extension:
  extension:
    url:
      v: packageId
      l: packageId
    value: Id
      v: hl7.fhir.uv.xver-r5.r3
  extension:
    url:
      v: version
      l: version
    value: String
      v: 0.1.0
  url:
    v: http://hl7.org/fhir/StructureDefinition/package-source
    l: package-source
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
    l: structuredefinition-fmm
  value: Integer
    v: 0
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Uri
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3
        l: hl7.fhir.uv.xver-r5.r3
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: trial-use
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Uri
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3
        l: hl7.fhir.uv.xver-r5.r3
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/profile-Procedure
  l: profile-Procedure
version:
  v: 0.1.0
name:
  v: Profile_R5_Procedure_R3
title:
  v: Cross-version Profile for R5.Procedure for use in FHIR STU3
status:
  v: active
experimental:
  v: false
date:
  v: 2026-03-17T16:05:13.1092851-05:00
publisher:
  v: FHIR Infrastructure
contact:
  name:
    v: FHIR Infrastructure
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/fiwg
description:
  v: This cross-version profile allows R5 Procedure content to be represented via FHIR STU3 Procedure resources.
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 001
    display:
      v: World
fhir version:
  v: 3.0.2
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
mapping:
  identity:
    v: w5
  uri:
    v: http://hl7.org/fhir/w5
    l: w5
  name:
    v: W5 Mapping
mapping:
  identity:
    v: v2
  uri:
    v: http://hl7.org/v2
    l: v2
  name:
    v: HL7 v2 Mapping
kind:
  v: resource
abstract:
  v: false
type:
  v: Procedure
base definition:
  v: http://hl7.org/fhir/StructureDefinition/Procedure
  l: Procedure
derivation:
  v: constraint
snapshot:
  element:
    id:
      v: Procedure
    path:
      v: Procedure
    short:
      v: An action that is being or was performed on a patient
    definition:
      v: An action that is or was performed on a patient. This can be a physical intervention like an operation, or less invasive like counseling or hypnotherapy.
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: Procedure
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      xpath:
        v: not(parent::f:contained and f:contained)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-1
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain any narrative
      expression:
        v: contained.text.empty()
      xpath:
        v: not(parent::f:contained and f:text)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
      expression:
        v: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
      xpath:
        v: not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))

key:
  v: pro-1
severity:
  v: error
human:
  v: Reason not done is only permitted if notDone indicator is true
expression:
  v: notDoneReason.empty() or notDone = true
xpath:
  v: not(exists(f:notDoneReason)) or f:notDone/@value=true()
source:
  v: http://hl7.org/fhir/StructureDefinition/Procedure
  l: Procedure

identity:
  v: rim
map:
  v: Entity. Role, or Act

identity:
  v: rim
map:
  v: Procedure[moodCode=EVN]

identity:
  v: w5
map:
  v: clinical.general

id:
  v: Procedure.id
path:
  v: Procedure.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: id
    l: id
is summary:
  v: true

id:
  v: Procedure.meta
path:
  v: Procedure.meta
short:
  v: Metadata about the resource
definition:
  v: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: Meta
is summary:
  v: true

id:
  v: Procedure.implicitRules
path:
  v: Procedure.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.
comment:
  v: Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
is modifier:
  v: true
is summary:
  v: true

id:
  v: Procedure.language
path:
  v: Procedure.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
      l: elementdefinition-maxValueSet
    value: Reference
      l: 3.0
      l: .2
      reference:
        v: http://hl7.org/fhir/ValueSet/all-languages|3.0.2
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: extensible
  description:
    v: A human language.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/languages|3.0.2

id:
  v: Procedure.text
path:
  v: Procedure.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
comment:
  v: Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
condition:
  v: dom-1
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: Procedure.contained
path:
  v: Procedure.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
comment:
  v: This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Procedure.extension
path:
  v: Procedure.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: Procedure.extension:instantiatesCanonical
path:
  v: Procedure.extension
slice name:
  v: instantiatesCanonical
short:
  v: R5: Instantiates FHIR protocol or definition (new)
definition:
  v: R5: `Procedure.instantiatesCanonical` (new:canonical(PlanDefinition,ActivityDefinition,Measure,OperationDefinition,Questionnaire))
comment:
  v: Element `Procedure.instantiatesCanonical` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.instantiatesCanonical` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.instantiatesCanonical|0.1.0
    l: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.instantiatesCanonical
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: Procedure.extension:instantiatesUri
path:
  v: Procedure.extension
slice name:
  v: instantiatesUri
short:
  v: R5: Instantiates external protocol or definition (new)
definition:
  v: R5: `Procedure.instantiatesUri` (new:uri)
comment:
  v: Element `Procedure.instantiatesUri` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.instantiatesUri` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.instantiatesUri|0.1.0
    l: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.instantiatesUri
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: Procedure.extension:focus
path:
  v: Procedure.extension
slice name:
  v: focus
short:
  v: R5: Who is the target of the procedure when it is not the subject of record only (new)
definition:
  v: R5: `Procedure.focus` (new:Reference(Patient,Group,RelatedPerson,Practitioner,Organization,CareTeam,PractitionerRole,Specimen))
comment:
  v: Element `Procedure.focus` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.focus` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.focus|0.1.0
    l: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.focus
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: Procedure.extension:occurrence
path:
  v: Procedure.extension
slice name:
  v: occurrence
short:
  v: R5: When the procedure occurred or is occurring additional types
definition:
  v: R5: `Procedure.occurrence[x]` additional types (string, Age, Range, Timing)
comment:
  v: Element `Procedure.occurrence[x]` is mapped to FHIR STU3 element `Procedure.performed[x]` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.occurrence[x]` do not cover the following types: Age, Range, string, Timing. The target context `Procedure.performed[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Procedure`. This indicates when the procedure actually occurred or is occurring, not when it was asked/requested/ordered to occur. For the latter, look at the occurence element of the Request this Procedure is "basedOn". The status code allows differentiation of whether the timing reflects a historic event or an ongoing event. Ongoing events should not include an upper bound in the Period or Timing.bounds. Age is generally used when the patient reports an age at which the procedure was performed. Range is generally used when the patient reports an age range when the procedure was performed, such as sometime between 20-25 years old. dateTime supports a range of precision due to some procedures being reported as past procedures that might not have millisecond precision while other procedures performed and documented during the encounter might have more precise UTC timestamps with timezone.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.occurrence|0.1.0
    l: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.occurrence
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: Procedure.extension:recorded
path:
  v: Procedure.extension
slice name:
  v: recorded
short:
  v: R5: When the procedure was first captured in the subject's record (new)
definition:
  v: R5: `Procedure.recorded` (new:dateTime)
comment:
  v: Element `Procedure.recorded` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.recorded` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded|0.1.0
    l: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: Procedure.extension:recorder
path:
  v: Procedure.extension
slice name:
  v: recorder
short:
  v: R5: Who recorded the procedure (new)
definition:
  v: R5: `Procedure.recorder` (new:Reference(Patient,RelatedPerson,Practitioner,PractitionerRole))
comment:
  v: Element `Procedure.recorder` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.recorder` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.extension
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    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorder|0.1.0
    l: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorder
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: Procedure.extension:reported
path:
  v: Procedure.extension
slice name:
  v: reported
short:
  v: R5: Reported rather than primary record (new)
definition:
  v: R5: `Procedure.reported[x]` (new:boolean, Reference(Patient,RelatedPerson,Practitioner,PractitionerRole,Organization))
comment:
  v: Element `Procedure.reported[x]` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.reported[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
min:
  v: 0
max:
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base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.reported|0.1.0
    l: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.reported
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: Procedure.extension:reason
path:
  v: Procedure.extension
slice name:
  v: reason
short:
  v: R5: The justification that the procedure was performed additional types
definition:
  v: R5: `Procedure.reason` additional types (CodeableReference(http://hl7.org/fhir/StructureDefinition/Condition), CodeableReference(http://hl7.org/fhir/StructureDefinition/Observation), CodeableReference(http://hl7.org/fhir/StructureDefinition/Procedure), CodeableReference(http://hl7.org/fhir/StructureDefinition/DiagnosticReport), CodeableReference(http://hl7.org/fhir/StructureDefinition/DocumentReference))
comment:
  v: Element `Procedure.reason` is mapped to FHIR STU3 element `Procedure.notDoneReason` as `SourceIsBroaderThanTarget`. Element `Procedure.reason` is mapped to FHIR STU3 element `Procedure.reasonCode` as `SourceIsBroaderThanTarget`. Element `Procedure.reason` is mapped to FHIR STU3 element `Procedure.reasonReference` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.reason` do not cover the following types: CodeableReference. Use Procedure.reason.concept when a code sufficiently describes the reason. Use Procedure.reason.reference when referencing a resource, which allows more information to be conveyed, such as onset date. For a single Procedure.reason, if both Procedure.reason.concept and Procedure.reason.reference are present, they are expected to be consistent with each other.
min:
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  v: *
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  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.reason|0.1.0
    l: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.reason
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: Procedure.extension:used
path:
  v: Procedure.extension
slice name:
  v: used
short:
  v: R5: Items used during procedure additional types
definition:
  v: R5: `Procedure.used` additional types (CodeableReference(http://hl7.org/fhir/StructureDefinition/Device), CodeableReference(http://hl7.org/fhir/StructureDefinition/Medication), CodeableReference(http://hl7.org/fhir/StructureDefinition/Substance), CodeableReference(http://hl7.org/fhir/StructureDefinition/BiologicallyDerivedProduct))
comment:
  v: Element `Procedure.used` is mapped to FHIR STU3 element `Procedure.usedReference` as `SourceIsBroaderThanTarget`. Element `Procedure.used` is mapped to FHIR STU3 element `Procedure.usedCode` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.used` do not cover the following types: CodeableReference. For devices actually implanted or removed, use Procedure.focalDevice.manipulated.
min:
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max:
  v: *
base:
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    v: DomainResource.extension
  min:
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  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.used|0.1.0
    l: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.used
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: Procedure.extension:supportingInfo
path:
  v: Procedure.extension
slice name:
  v: supportingInfo
short:
  v: R5: Extra information relevant to the procedure (new)
definition:
  v: R5: `Procedure.supportingInfo` (new:Reference(Resource))
comment:
  v: Element `Procedure.supportingInfo` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.supportingInfo` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
min:
  v: 0
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  v: *
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    v: DomainResource.extension
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    l: Extension
  profile:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.supportingInfo|0.1.0
    l: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.supportingInfo
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: Procedure.modifierExtension
path:
  v: Procedure.modifierExtension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
is modifier:
  v: true

id:
  v: Procedure.modifierExtension:status
path:
  v: Procedure.modifierExtension
slice name:
  v: status
short:
  v: R5: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown additional codes
definition:
  v: R5: `Procedure.status` additional codes
comment:
  v: Element `Procedure.status` is mapped to FHIR STU3 element `Procedure.status` as `RelatedTo`. Element `Procedure.status` is mapped to FHIR STU3 element `Procedure.notDone` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.status` do not allow expression of the necessary codes, per the bindings on the source and target. The "unknown" code is not to be used to convey other statuses. The "unknown" code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
min:
  v: 0
max:
  v: 1
base:
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    v: DomainResource.modifierExtension
  min:
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    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.status|0.1.0
    l: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.status
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true

id:
  v: Procedure.identifier
path:
  v: Procedure.identifier
short:
  v: External Identifiers for this procedure
definition:
  v: This records identifiers associated with this procedure that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).
requirements:
  v: Need to allow connection to a wider workflow.
min:
  v: 0
max:
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base:
  path:
    v: Procedure.identifier
  min:
    v: 0
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    v: *
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: Some combination of ORC-2 / ORC-3 / OBR-2 / OBR-3 / IPC-1 / IPC-2 / IPC-3 / IPC-4
mapping:
  identity:
    v: rim
  map:
    v: .id
mapping:
  identity:
    v: w5
  map:
    v: id

id:
  v: Procedure.definition
path:
  v: Procedure.definition
short:
  v: Instantiates protocol or definition
definition:
  v: A protocol, guideline, orderset or other definition that was adhered to in whole or in part by this procedure.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Procedure.definition
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/PlanDefinition
    l: PlanDefinition
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ActivityDefinition
    l: ActivityDefinition
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/HealthcareService
    l: HealthcareService
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=DEFN].target

id:
  v: Procedure.basedOn
path:
  v: Procedure.basedOn
short:
  v: A request for this procedure
definition:
  v: A reference to a resource that contains details of the request for this procedure.
alias:
  v: fulfills
min:
  v: 0
max:
  v: *
base:
  path:
    v: Procedure.basedOn
  min:
    v: 0
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    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/CarePlan
    l: CarePlan
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ProcedureRequest
    l: ProcedureRequest
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ReferralRequest
    l: ReferralRequest
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=FLFS].target[classCode=(various e.g. PROC, OBS, PCPR, ACT, moodCode=RQO].code

id:
  v: Procedure.basedOn.id
path:
  v: Procedure.basedOn.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Procedure.basedOn.extension
path:
  v: Procedure.basedOn.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
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    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: Procedure.basedOn.extension:basedOn
path:
  v: Procedure.basedOn.extension
slice name:
  v: basedOn
short:
  v: R5: basedOn additional types
definition:
  v: R5: `Procedure.basedOn` additional types from child elements (display, identifier, reference, type)
comment:
  v: Element `Procedure.basedOn` is mapped to FHIR STU3 element `Procedure.basedOn` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.basedOn` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Procedure.basedOn` with unmapped reference targets: CarePlan, ServiceRequest.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
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    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: Procedure.basedOn.reference
path:
  v: Procedure.basedOn.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Procedure.basedOn.identifier
path:
  v: Procedure.basedOn.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
min:
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base:
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type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: Procedure.basedOn.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Procedure.basedOn.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
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    v: Reference.display
  min:
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type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Procedure.partOf
path:
  v: Procedure.partOf
short:
  v: Part of referenced event
definition:
  v: A larger event of which this particular procedure is a component or step.
comment:
  v: The MedicationAdministration has a partOf reference to Procedure, but this is not a circular reference. For a surgical procedure, the anesthesia related medicationAdministration is part of the procedure. For an IV medication administration, the procedure to insert the IV port is part of the medication administration.
alias:
  v: container
min:
  v: 0
max:
  v: *
base:
  path:
    v: Procedure.partOf
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    v: 0
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    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Procedure
    l: Procedure
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Observation
    l: Observation
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/MedicationAdministration
    l: MedicationAdministration
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=COMP].source[classCode=SBADM or PROC or OBS, moodCode=EVN]

id:
  v: Procedure.partOf.id
path:
  v: Procedure.partOf.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
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base:
  path:
    v: Element.id
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type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Procedure.partOf.extension
path:
  v: Procedure.partOf.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
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  v: *
base:
  path:
    v: Element.extension
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    v: 0
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type:
  code:
    v: Extension
    l: Extension

id:
  v: Procedure.partOf.extension:partOf
path:
  v: Procedure.partOf.extension
slice name:
  v: partOf
short:
  v: R5: partOf
definition:
  v: R5: `Procedure.partOf`
comment:
  v: Element `Procedure.partOf` is mapped to FHIR STU3 element `Procedure.partOf` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Procedure.partOf` with unmapped reference targets: MedicationAdministration, Observation, Procedure. The MedicationAdministration resource has a partOf reference to Procedure, but this is not a circular reference. For example, the anesthesia MedicationAdministration is part of the surgical Procedure (MedicationAdministration.partOf = Procedure). For example, the procedure to insert the IV port for an IV medication administration is part of the medication administration (Procedure.partOf = MedicationAdministration).
min:
  v: 0
max:
  v: *
base:
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    v: Element.extension
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  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: Procedure.partOf.reference
path:
  v: Procedure.partOf.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Procedure.partOf.identifier
path:
  v: Procedure.partOf.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: Procedure.partOf.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Procedure.partOf.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Procedure.status
path:
  v: Procedure.status
short:
  v: preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown
definition:
  v: A code specifying the state of the procedure. Generally this will be in-progress or completed state.
comment:
  v: The unknown code is not to be used to convey other statuses. The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Procedure.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
is modifier:
  v: true
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ProcedureStatus
  strength:
    v: required
  description:
    v: A code specifying the state of the procedure.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/event-status|3.0.2
mapping:
  identity:
    v: rim
  map:
    v: statusCode
mapping:
  identity:
    v: w5
  map:
    v: status

id:
  v: Procedure.notDone
path:
  v: Procedure.notDone
short:
  v: True if procedure was not performed as scheduled
definition:
  v: Set this to true if the record is saying that the procedure was NOT performed.
comment:
  v: If true, it means the procedure did not occur as described. Typically it would be accompanied by attributes describing the type of activity. It might also be accompanied by body site information or time information (i.e. no procedure was done to the left arm or no procedure was done in this 2-year period). Specifying additional information such as performer, outcome, etc. is generally inappropriate. For example, it's not that useful to say "There was no appendectomy done at 12:03pm June 6th by Dr. Smith with a successful outcome" as it implies that there *could* have been an appendectomy done at any other time, by any other clinician or with any other outcome. This element is labeled as a modifier because it indicates that a procedure didn't happen.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Procedure.notDone
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
default value: Boolean
  v: false
is modifier:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .actionNegationInd

id:
  v: Procedure.notDoneReason
path:
  v: Procedure.notDoneReason
short:
  v: Reason procedure was not performed
definition:
  v: A code indicating why the procedure was not performed.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Procedure.notDoneReason
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
condition:
  v: pro-1
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ProcedureNegationReason
  strength:
    v: example
  description:
    v: A code that identifies the reason a procedure was not performed.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/procedure-not-performed-reason|3.0.2
mapping:
  identity:
    v: rim
  map:
    v: .reason.Observation.value

id:
  v: Procedure.category
path:
  v: Procedure.category
short:
  v: Classification of the procedure
definition:
  v: A code that classifies the procedure for searching, sorting and display purposes (e.g. "Surgical Procedure").
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Procedure.category
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ProcedureCategory
  strength:
    v: example
  description:
    v: A code that classifies a procedure for searching, sorting and display purposes.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/procedure-category|3.0.2
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
mapping:
  identity:
    v: w5
  map:
    v: class

id:
  v: Procedure.code
path:
  v: Procedure.code
short:
  v: Identification of the procedure
definition:
  v: The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. "Laparoscopic Appendectomy").
requirements:
  v: 0..1 to account for primarily narrative only resources.
alias:
  v: type
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Procedure.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ProcedureCode
  strength:
    v: example
  description:
    v: A code to identify a specific procedure .
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/procedure-code|3.0.2
mapping:
  identity:
    v: v2
  map:
    v: OBR-44/OBR-45
mapping:
  identity:
    v: rim
  map:
    v: .code
mapping:
  identity:
    v: w5
  map:
    v: what

id:
  v: Procedure.subject
path:
  v: Procedure.subject
short:
  v: Who the procedure was performed on
definition:
  v: The person, animal or group on which the procedure was performed.
alias:
  v: patient
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Procedure.subject
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient
    l: Patient
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Group
    l: Group
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: PID-3
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=SBJ].role
mapping:
  identity:
    v: w5
  map:
    v: who.focus

id:
  v: Procedure.subject.id
path:
  v: Procedure.subject.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Procedure.subject.extension
path:
  v: Procedure.subject.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: Procedure.subject.extension:subject
path:
  v: Procedure.subject.extension
slice name:
  v: subject
short:
  v: R5: Individual or entity the procedure was performed on
definition:
  v: R5: `Procedure.subject`
comment:
  v: Element `Procedure.subject` is mapped to FHIR STU3 element `Procedure.subject` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Procedure.subject` with unmapped reference targets: Device, Group, Location, Organization, Patient, Practitioner.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: Procedure.subject.reference
path:
  v: Procedure.subject.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Procedure.subject.identifier
path:
  v: Procedure.subject.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: Procedure.subject.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Procedure.subject.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Procedure.context
path:
  v: Procedure.context
short:
  v: Encounter or episode associated with the procedure
definition:
  v: The encounter during which the procedure was performed.
alias:
  v: encounter
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Procedure.context
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Encounter
    l: Encounter
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/EpisodeOfCare
    l: EpisodeOfCare
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: PV1-19
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
mapping:
  identity:
    v: w5
  map:
    v: context

id:
  v: Procedure.context.id
path:
  v: Procedure.context.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Procedure.context.extension
path:
  v: Procedure.context.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: Procedure.context.extension:encounter
path:
  v: Procedure.context.extension
slice name:
  v: encounter
short:
  v: R5: The Encounter during which this Procedure was created additional types
definition:
  v: R5: `Procedure.encounter` additional types from child elements (display, identifier, reference, type)
comment:
  v: Element `Procedure.encounter` is mapped to FHIR STU3 element `Procedure.context` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.encounter` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Procedure.encounter` with unmapped reference targets: Encounter. This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: Procedure.context.reference
path:
  v: Procedure.context.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Procedure.context.identifier
path:
  v: Procedure.context.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: Procedure.context.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Procedure.context.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Procedure.performed[x]
path:
  v: Procedure.performed[x]
short:
  v: Date/Period the procedure was performed
definition:
  v: The date(time)/period over which the procedure was performed. Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be captured.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Procedure.performed[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
type:
  code:
    v: Period
    l: Period
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: OBR-7
mapping:
  identity:
    v: rim
  map:
    v: .effectiveTime
mapping:
  identity:
    v: w5
  map:
    v: when.done

id:
  v: Procedure.performer
path:
  v: Procedure.performer
short:
  v: The people who performed the procedure
definition:
  v: Limited to 'real' people rather than equipment.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Procedure.performer
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=PRF]

id:
  v: Procedure.performer.id
path:
  v: Procedure.performer.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Procedure.performer.extension
path:
  v: Procedure.performer.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: Procedure.performer.extension:period
path:
  v: Procedure.performer.extension
slice name:
  v: period
short:
  v: R5: When the performer performed the procedure (new)
definition:
  v: R5: `Procedure.performer.period` (new:Period)
comment:
  v: Element `Procedure.performer.period` has a context of Procedure.performer based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.performer.period` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.performer.period|0.1.0
    l: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.performer.period
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: Procedure.performer.modifierExtension
path:
  v: Procedure.performer.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
is modifier:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Procedure.performer.role
path:
  v: Procedure.performer.role
short:
  v: The role the actor was in
definition:
  v: For example: surgeon, anaethetist, endoscopist.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Procedure.performer.role
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ProcedurePerformerRole
  strength:
    v: example
  description:
    v: A code that identifies the role of a performer of the procedure.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/performer-role|3.0.2
mapping:
  identity:
    v: v2
  map:
    v: Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25
mapping:
  identity:
    v: rim
  map:
    v: .functionCode

id:
  v: Procedure.performer.actor
path:
  v: Procedure.performer.actor
short:
  v: The reference to the practitioner
definition:
  v: The practitioner who was involved in the procedure.
requirements:
  v: A reference to Device supports use cases, such as pacemakers.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Procedure.performer.actor
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner
    l: Practitioner
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization
    l: Organization
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient
    l: Patient
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/RelatedPerson
    l: RelatedPerson
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Device
    l: Device
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: ORC-19/PRT-5
mapping:
  identity:
    v: rim
  map:
    v: .role
mapping:
  identity:
    v: w5
  map:
    v: who.actor

id:
  v: Procedure.performer.actor.id
path:
  v: Procedure.performer.actor.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Procedure.performer.actor.extension
path:
  v: Procedure.performer.actor.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: Procedure.performer.actor.extension:actor
path:
  v: Procedure.performer.actor.extension
slice name:
  v: actor
short:
  v: R5: Who performed the procedure
definition:
  v: R5: `Procedure.performer.actor`
comment:
  v: Element `Procedure.performer.actor` is mapped to FHIR STU3 element `Procedure.performer.actor` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Procedure.performer.actor` with unmapped reference targets: CareTeam, Device, HealthcareService, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: Procedure.performer.actor.reference
path:
  v: Procedure.performer.actor.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Procedure.performer.actor.identifier
path:
  v: Procedure.performer.actor.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: Procedure.performer.actor.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Procedure.performer.actor.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Procedure.performer.onBehalfOf
path:
  v: Procedure.performer.onBehalfOf
short:
  v: Organization the device or practitioner was acting for
definition:
  v: The organization the device or practitioner was acting on behalf of.
requirements:
  v: Practitioners and Devices can be associated with multiple organizations. This element indicates which organization they were acting on behalf of when performing the action.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Procedure.performer.onBehalfOf
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization
    l: Organization
mapping:
  identity:
    v: rim
  map:
    v: .scoper

id:
  v: Procedure.performer.onBehalfOf.id
path:
  v: Procedure.performer.onBehalfOf.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Procedure.performer.onBehalfOf.extension
path:
  v: Procedure.performer.onBehalfOf.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: Procedure.performer.onBehalfOf.extension:onBehalfOf
path:
  v: Procedure.performer.onBehalfOf.extension
slice name:
  v: onBehalfOf
short:
  v: R5: onBehalfOf additional types
definition:
  v: R5: `Procedure.performer.onBehalfOf` additional types from child elements (display, identifier, reference, type)
comment:
  v: Element `Procedure.performer.onBehalfOf` is mapped to FHIR STU3 element `Procedure.performer.onBehalfOf` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.performer.onBehalfOf` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Procedure.performer.onBehalfOf` with unmapped reference targets: Organization. Organization, Patient, RelatedPerson, Device, CareTeam, and HealthcareService can be associated with multiple organizations. This element indicates which organization they were acting on behalf of when performing the action.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: Procedure.performer.onBehalfOf.reference
path:
  v: Procedure.performer.onBehalfOf.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Procedure.performer.onBehalfOf.identifier
path:
  v: Procedure.performer.onBehalfOf.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: Procedure.performer.onBehalfOf.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Procedure.performer.onBehalfOf.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Procedure.location
path:
  v: Procedure.location
short:
  v: Where the procedure happened
definition:
  v: The location where the procedure actually happened. E.g. a newborn at home, a tracheostomy at a restaurant.
requirements:
  v: Ties a procedure to where the records are likely kept.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Procedure.location
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Location
    l: Location
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=LOC].role[classCode=SDLOC]
mapping:
  identity:
    v: w5
  map:
    v: where

id:
  v: Procedure.location.id
path:
  v: Procedure.location.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Procedure.location.extension
path:
  v: Procedure.location.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: Procedure.location.extension:location
path:
  v: Procedure.location.extension
slice name:
  v: location
short:
  v: R5: location additional types
definition:
  v: R5: `Procedure.location` additional types from child elements (display, identifier, reference, type)
comment:
  v: Element `Procedure.location` is mapped to FHIR STU3 element `Procedure.location` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.location` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Procedure.location` with unmapped reference targets: Location.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: Procedure.location.reference
path:
  v: Procedure.location.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Procedure.location.identifier
path:
  v: Procedure.location.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
min:
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max:
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  path:
    v: Reference.identifier
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type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: Procedure.location.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Procedure.location.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
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  v: 0
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base:
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    v: Reference.display
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    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Procedure.reasonCode
path:
  v: Procedure.reasonCode
short:
  v: Coded reason procedure performed
definition:
  v: The coded reason why the procedure was performed. This may be coded entity of some type, or may simply be present as text.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Procedure.reasonCode
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    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ProcedureReason
  strength:
    v: example
  description:
    v: A code that identifies the reason a procedure is required.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/procedure-reason|3.0.2
mapping:
  identity:
    v: rim
  map:
    v: .reasonCode
mapping:
  identity:
    v: w5
  map:
    v: why

id:
  v: Procedure.reasonReference
path:
  v: Procedure.reasonReference
short:
  v: Condition that is the reason the procedure performed
definition:
  v: The condition that is the reason why the procedure was performed.
comment:
  v: e.g. endoscopy for dilatation and biopsy, combination diagnosis and therapeutic.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Procedure.reasonReference
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    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Condition
    l: Condition
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Observation
    l: Observation
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .reasonCode
mapping:
  identity:
    v: w5
  map:
    v: why

id:
  v: Procedure.bodySite
path:
  v: Procedure.bodySite
short:
  v: Target body sites
definition:
  v: Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion.
min:
  v: 0
max:
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base:
  path:
    v: Procedure.bodySite
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    v: 0
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    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: BodySite
  strength:
    v: example
  description:
    v: Codes describing anatomical locations. May include laterality.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/body-site|3.0.2
mapping:
  identity:
    v: v2
  map:
    v: OBX-20
mapping:
  identity:
    v: rim
  map:
    v: .targetSiteCode

id:
  v: Procedure.outcome
path:
  v: Procedure.outcome
short:
  v: The result of procedure
definition:
  v: The outcome of the procedure - did it resolve reasons for the procedure being performed?
comment:
  v: If outcome contains narrative text only, it can be captured using the CodeableConcept.text.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Procedure.outcome
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ProcedureOutcome
  strength:
    v: example
  description:
    v: An outcome of a procedure - whether it was resolved or otherwise.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/procedure-outcome|3.0.2
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=OUT].target.text

id:
  v: Procedure.report
path:
  v: Procedure.report
short:
  v: Any report resulting from the procedure
definition:
  v: This could be a histology result, pathology report, surgical report, etc..
comment:
  v: There could potentially be multiple reports - e.g. if this was a procedure which took multiple biopsies resulting in a number of anatomical pathology reports.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Procedure.report
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/DiagnosticReport
    l: DiagnosticReport
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN]

id:
  v: Procedure.report.id
path:
  v: Procedure.report.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
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    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Procedure.report.extension
path:
  v: Procedure.report.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: Procedure.report.extension:report
path:
  v: Procedure.report.extension
slice name:
  v: report
short:
  v: R5: report
definition:
  v: R5: `Procedure.report`
comment:
  v: Element `Procedure.report` is mapped to FHIR STU3 element `Procedure.report` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Procedure.report` with unmapped reference targets: Composition, DiagnosticReport, DocumentReference. There could potentially be multiple reports - e.g. if this was a procedure which took multiple biopsies resulting in a number of anatomical pathology reports.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: Procedure.report.reference
path:
  v: Procedure.report.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Procedure.report.identifier
path:
  v: Procedure.report.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
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    v: 1
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: Procedure.report.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Procedure.report.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Procedure.complication
path:
  v: Procedure.complication
short:
  v: Complication following the procedure
definition:
  v: Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the notes, which will typically describe the procedure itself rather than any 'post procedure' issues.
comment:
  v: If complications are only expressed by the narrative text, they can be captured using the CodeableConcept.text.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Procedure.complication
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ProcedureComplication
  strength:
    v: example
  description:
    v: Codes describing complications that resulted from a procedure.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/condition-code|3.0.2
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=OUTC].target[classCode=OBS, code="complication", moodCode=EVN].value

id:
  v: Procedure.complication.id
path:
  v: Procedure.complication.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
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  v: 1
base:
  path:
    v: Element.id
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    v: 0
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    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Procedure.complication.extension
path:
  v: Procedure.complication.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
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    v: 0
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    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: Procedure.complication.extension:complication
path:
  v: Procedure.complication.extension
slice name:
  v: complication
short:
  v: R5: complication additional types
definition:
  v: R5: `Procedure.complication` additional types (CodeableReference(http://hl7.org/fhir/StructureDefinition/Condition)) additional types from child elements (reference)
comment:
  v: Element `Procedure.complication` is mapped to FHIR STU3 element `Procedure.complication` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.complication` do not cover the following types: CodeableReference. The mappings for `Procedure.complication` do not cover the following types based on type expansion: reference. If complications are only expressed by the narrative text, they can be captured using the CodeableReference.concept.text.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.complication|0.1.0
    l: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.complication

id:
  v: Procedure.complication.coding
path:
  v: Procedure.complication.coding
short:
  v: Code defined by a terminology system
definition:
  v: A reference to a code defined by a terminology system.
comment:
  v: Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
requirements:
  v: Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.
min:
  v: 0
max:
  v: *
base:
  path:
    v: CodeableConcept.coding
  min:
    v: 0
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    v: *
type:
  code:
    v: Coding
    l: Coding
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.1-8, C*E.10-22
mapping:
  identity:
    v: rim
  map:
    v: union(., ./translation)
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

id:
  v: Procedure.complication.text
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Procedure.complication.text
short:
  v: Plain text representation of the concept
definition:
  v: A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
comment:
  v: Very often the text is the same as a displayName of one of the codings.
requirements:
  v: The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
min:
  v: 0
max:
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base:
  path:
    v: CodeableConcept.text
  min:
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    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.9. But note many systems use C*E.2 for this
mapping:
  identity:
    v: rim
  map:
    v: ./originalText[mediaType/code="text/plain"]/data
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

id:
  v: Procedure.complicationDetail
path:
  v: Procedure.complicationDetail
short:
  v: A condition that is a result of the procedure
definition:
  v: Any complications that occurred during the procedure, or in the immediate post-performance period.
requirements:
  v: This is used to document a condition that is a result of the procedure, not the condition that was the reason for the procedure.
min:
  v: 0
max:
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base:
  path:
    v: Procedure.complicationDetail
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    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Condition
    l: Condition
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=OUTC].target[classCode=OBS, code="complication", moodCode=EVN].value

id:
  v: Procedure.followUp
path:
  v: Procedure.followUp
short:
  v: Instructions for follow up
definition:
  v: If the procedure required specific follow up - e.g. removal of sutures. The followup may be represented as a simple note, or could potentially be more complex in which case the CarePlan resource can be used.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Procedure.followUp
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    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ProcedureFollowUp
  strength:
    v: example
  description:
    v: Specific follow up required for a procedure e.g. removal of sutures.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/procedure-followup|3.0.2
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP].target[classCode=ACT, moodCode=INT].code

id:
  v: Procedure.note
path:
  v: Procedure.note
short:
  v: Additional information about the procedure
definition:
  v: Any other notes about the procedure. E.g. the operative notes.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Procedure.note
  min:
    v: 0
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    v: *
type:
  code:
    v: Annotation
    l: Annotation
mapping:
  identity:
    v: v2
  map:
    v: NTE
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value

id:
  v: Procedure.focalDevice
path:
  v: Procedure.focalDevice
short:
  v: Device changed in procedure
definition:
  v: A device that is implanted, removed or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure.
min:
  v: 0
max:
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base:
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    v: Procedure.focalDevice
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type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=DEV].role[classCode=MANU]

id:
  v: Procedure.focalDevice.id
path:
  v: Procedure.focalDevice.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Procedure.focalDevice.extension
path:
  v: Procedure.focalDevice.extension
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Procedure.focalDevice.modifierExtension
path:
  v: Procedure.focalDevice.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
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base:
  path:
    v: BackboneElement.modifierExtension
  min:
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    v: *
type:
  code:
    v: Extension
    l: Extension
is modifier:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Procedure.focalDevice.action
path:
  v: Procedure.focalDevice.action
short:
  v: Kind of change to device
definition:
  v: The kind of change that happened to the device during the procedure.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Procedure.focalDevice.action
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: DeviceActionKind
  strength:
    v: preferred
  description:
    v: A kind of change that happened to the device during the procedure.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/device-action|3.0.2
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="procedure device action"].value=:procedure device action codes

id:
  v: Procedure.focalDevice.manipulated
path:
  v: Procedure.focalDevice.manipulated
short:
  v: Device that was changed
definition:
  v: The device that was manipulated (changed) during the procedure.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Procedure.focalDevice.manipulated
  min:
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    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Device
    l: Device
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=DEV].role[classCode=SDLOC]

id:
  v: Procedure.focalDevice.manipulated.id
path:
  v: Procedure.focalDevice.manipulated.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
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base:
  path:
    v: Element.id
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type:
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    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Procedure.focalDevice.manipulated.extension
path:
  v: Procedure.focalDevice.manipulated.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
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type:
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    v: Extension
    l: Extension

id:
  v: Procedure.focalDevice.manipulated.extension:manipulated
path:
  v: Procedure.focalDevice.manipulated.extension
slice name:
  v: manipulated
short:
  v: R5: manipulated additional types
definition:
  v: R5: `Procedure.focalDevice.manipulated` additional types from child elements (display, identifier, reference, type)
comment:
  v: Element `Procedure.focalDevice.manipulated` is mapped to FHIR STU3 element `Procedure.focalDevice.manipulated` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.focalDevice.manipulated` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Procedure.focalDevice.manipulated` with unmapped reference targets: Device.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
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    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: Procedure.focalDevice.manipulated.reference
path:
  v: Procedure.focalDevice.manipulated.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Procedure.focalDevice.manipulated.identifier
path:
  v: Procedure.focalDevice.manipulated.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
min:
  v: 0
max:
  v: 1
base:
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    v: Reference.identifier
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  max:
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type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: Procedure.focalDevice.manipulated.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: Procedure.focalDevice.manipulated.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
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base:
  path:
    v: Reference.display
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type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Procedure.usedReference
path:
  v: Procedure.usedReference
short:
  v: Items used during procedure
definition:
  v: Identifies medications, devices and any other substance used as part of the procedure.
comment:
  v: For devices actually implanted or removed, use Procedure.device.
requirements:
  v: Used for tracking contamination, etc.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Procedure.usedReference
  min:
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    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Device
    l: Device
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Medication
    l: Medication
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Substance
    l: Substance
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=DEV].role[classCode=MANU] or .participation[typeCode=CSM].role[classCode=ADMM] (for Medication or Substance)

id:
  v: Procedure.usedCode
path:
  v: Procedure.usedCode
short:
  v: Coded items used during the procedure
definition:
  v: Identifies coded items that were used as part of the procedure.
comment:
  v: For devices actually implanted or removed, use Procedure.device.
min:
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max:
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base:
  path:
    v: Procedure.usedCode
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    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: ProcedureUsed
  strength:
    v: example
  description:
    v: Codes describing items used during a procedure
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/device-kind|3.0.2
mapping:
  identity:
    v: rim
  map:
    v: participation[typeCode=Dev].role[classCode=MANU]

element:
  id:
    v: Procedure
  path:
    v: Procedure
element:
  id:
    v: Procedure.extension
  path:
    v: Procedure.extension
  slicing:
    discriminator:
      type:
        v: value
      path:
        v: url
    ordered:
      v: false
    rules:
      v: open
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  max:
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element:
  id:
    v: Procedure.extension:instantiatesCanonical
  path:
    v: Procedure.extension
  slice name:
    v: instantiatesCanonical
  short:
    v: R5: Instantiates FHIR protocol or definition (new)
  definition:
    v: R5: `Procedure.instantiatesCanonical` (new:canonical(PlanDefinition,ActivityDefinition,Measure,OperationDefinition,Questionnaire))
  comment:
    v: Element `Procedure.instantiatesCanonical` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.instantiatesCanonical` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
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      v: Extension
      l: Extension
    profile:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.instantiatesCanonical|0.1.0
      l: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.instantiatesCanonical
element:
  id:
    v: Procedure.extension:instantiatesUri
  path:
    v: Procedure.extension
  slice name:
    v: instantiatesUri
  short:
    v: R5: Instantiates external protocol or definition (new)
  definition:
    v: R5: `Procedure.instantiatesUri` (new:uri)
  comment:
    v: Element `Procedure.instantiatesUri` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.instantiatesUri` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.
  min:
    v: 0
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      l: Extension
    profile:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.instantiatesUri|0.1.0
      l: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.instantiatesUri
element:
  id:
    v: Procedure.extension:focus
  path:
    v: Procedure.extension
  slice name:
    v: focus
  short:
    v: R5: Who is the target of the procedure when it is not the subject of record only (new)
  definition:
    v: R5: `Procedure.focus` (new:Reference(Patient,Group,RelatedPerson,Practitioner,Organization,CareTeam,PractitionerRole,Specimen))
  comment:
    v: Element `Procedure.focus` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.focus` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
  min:
    v: 0
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    v: 1
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      v: DomainResource.extension
    min:
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      v: *
  type:
    code:
      v: Extension
      l: Extension
    profile:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.focus|0.1.0
      l: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.focus
element:
  id:
    v: Procedure.extension:occurrence
  path:
    v: Procedure.extension
  slice name:
    v: occurrence
  short:
    v: R5: When the procedure occurred or is occurring additional types
  definition:
    v: R5: `Procedure.occurrence[x]` additional types (string, Age, Range, Timing)
  comment:
    v: Element `Procedure.occurrence[x]` is mapped to FHIR STU3 element `Procedure.performed[x]` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.occurrence[x]` do not cover the following types: Age, Range, string, Timing. The target context `Procedure.performed[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Procedure`. This indicates when the procedure actually occurred or is occurring, not when it was asked/requested/ordered to occur. For the latter, look at the occurence element of the Request this Procedure is "basedOn". The status code allows differentiation of whether the timing reflects a historic event or an ongoing event. Ongoing events should not include an upper bound in the Period or Timing.bounds. Age is generally used when the patient reports an age at which the procedure was performed. Range is generally used when the patient reports an age range when the procedure was performed, such as sometime between 20-25 years old. dateTime supports a range of precision due to some procedures being reported as past procedures that might not have millisecond precision while other procedures performed and documented during the encounter might have more precise UTC timestamps with timezone.
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    v: 1
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  type:
    code:
      v: Extension
      l: Extension
    profile:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.occurrence|0.1.0
      l: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.occurrence
element:
  id:
    v: Procedure.extension:recorded
  path:
    v: Procedure.extension
  slice name:
    v: recorded
  short:
    v: R5: When the procedure was first captured in the subject's record (new)
  definition:
    v: R5: `Procedure.recorded` (new:dateTime)
  comment:
    v: Element `Procedure.recorded` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.recorded` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
  min:
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    profile:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded|0.1.0
      l: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded
element:
  id:
    v: Procedure.extension:recorder
  path:
    v: Procedure.extension
  slice name:
    v: recorder
  short:
    v: R5: Who recorded the procedure (new)
  definition:
    v: R5: `Procedure.recorder` (new:Reference(Patient,RelatedPerson,Practitioner,PractitionerRole))
  comment:
    v: Element `Procedure.recorder` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.recorder` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
  min:
    v: 0
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      v: DomainResource.extension
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      v: *

code:
  v: Extension
  l: Extension
profile:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorder|0.1.0
  l: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorder

id:
  v: Procedure.extension:reported
path:
  v: Procedure.extension
slice name:
  v: reported
short:
  v: R5: Reported rather than primary record (new)
definition:
  v: R5: `Procedure.reported[x]` (new:boolean, Reference(Patient,RelatedPerson,Practitioner,PractitionerRole,Organization))
comment:
  v: Element `Procedure.reported[x]` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.reported[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
min:
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base:
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type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.reported|0.1.0
    l: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.reported

id:
  v: Procedure.extension:reason
path:
  v: Procedure.extension
slice name:
  v: reason
short:
  v: R5: The justification that the procedure was performed additional types
definition:
  v: R5: `Procedure.reason` additional types (CodeableReference(http://hl7.org/fhir/StructureDefinition/Condition), CodeableReference(http://hl7.org/fhir/StructureDefinition/Observation), CodeableReference(http://hl7.org/fhir/StructureDefinition/Procedure), CodeableReference(http://hl7.org/fhir/StructureDefinition/DiagnosticReport), CodeableReference(http://hl7.org/fhir/StructureDefinition/DocumentReference))
comment:
  v: Element `Procedure.reason` is mapped to FHIR STU3 element `Procedure.notDoneReason` as `SourceIsBroaderThanTarget`. Element `Procedure.reason` is mapped to FHIR STU3 element `Procedure.reasonCode` as `SourceIsBroaderThanTarget`. Element `Procedure.reason` is mapped to FHIR STU3 element `Procedure.reasonReference` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.reason` do not cover the following types: CodeableReference. Use Procedure.reason.concept when a code sufficiently describes the reason. Use Procedure.reason.reference when referencing a resource, which allows more information to be conveyed, such as onset date. For a single Procedure.reason, if both Procedure.reason.concept and Procedure.reason.reference are present, they are expected to be consistent with each other.
min:
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max:
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base:
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type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.reason|0.1.0
    l: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.reason

id:
  v: Procedure.extension:used
path:
  v: Procedure.extension
slice name:
  v: used
short:
  v: R5: Items used during procedure additional types
definition:
  v: R5: `Procedure.used` additional types (CodeableReference(http://hl7.org/fhir/StructureDefinition/Device), CodeableReference(http://hl7.org/fhir/StructureDefinition/Medication), CodeableReference(http://hl7.org/fhir/StructureDefinition/Substance), CodeableReference(http://hl7.org/fhir/StructureDefinition/BiologicallyDerivedProduct))
comment:
  v: Element `Procedure.used` is mapped to FHIR STU3 element `Procedure.usedReference` as `SourceIsBroaderThanTarget`. Element `Procedure.used` is mapped to FHIR STU3 element `Procedure.usedCode` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.used` do not cover the following types: CodeableReference. For devices actually implanted or removed, use Procedure.focalDevice.manipulated.
min:
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max:
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    v: DomainResource.extension
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type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.used|0.1.0
    l: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.used

id:
  v: Procedure.extension:supportingInfo
path:
  v: Procedure.extension
slice name:
  v: supportingInfo
short:
  v: R5: Extra information relevant to the procedure (new)
definition:
  v: R5: `Procedure.supportingInfo` (new:Reference(Resource))
comment:
  v: Element `Procedure.supportingInfo` has a context of Procedure based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.supportingInfo` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
min:
  v: 0
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  v: *
base:
  path:
    v: DomainResource.extension
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    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.supportingInfo|0.1.0
    l: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.supportingInfo

id:
  v: Procedure.modifierExtension
path:
  v: Procedure.modifierExtension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
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id:
  v: Procedure.modifierExtension:status
path:
  v: Procedure.modifierExtension
slice name:
  v: status
short:
  v: R5: preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown additional codes
definition:
  v: R5: `Procedure.status` additional codes
comment:
  v: Element `Procedure.status` is mapped to FHIR STU3 element `Procedure.status` as `RelatedTo`. Element `Procedure.status` is mapped to FHIR STU3 element `Procedure.notDone` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.status` do not allow expression of the necessary codes, per the bindings on the source and target. The "unknown" code is not to be used to convey other statuses. The "unknown" code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
min:
  v: 0
max:
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base:
  path:
    v: DomainResource.extension
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    v: 0
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type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.status|0.1.0
    l: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.status

id:
  v: Procedure.basedOn.extension
path:
  v: Procedure.basedOn.extension
slicing:
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id:
  v: Procedure.basedOn.extension:basedOn
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slice name:
  v: basedOn
short:
  v: R5: basedOn additional types
definition:
  v: R5: `Procedure.basedOn` additional types from child elements (display, identifier, reference, type)
comment:
  v: Element `Procedure.basedOn` is mapped to FHIR STU3 element `Procedure.basedOn` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.basedOn` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Procedure.basedOn` with unmapped reference targets: CarePlan, ServiceRequest.
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    l: Extension
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    l: alternate-reference

id:
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  v: Procedure.partOf.extension
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id:
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  v: Procedure.partOf.extension
slice name:
  v: partOf
short:
  v: R5: partOf
definition:
  v: R5: `Procedure.partOf`
comment:
  v: Element `Procedure.partOf` is mapped to FHIR STU3 element `Procedure.partOf` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Procedure.partOf` with unmapped reference targets: MedicationAdministration, Observation, Procedure. The MedicationAdministration resource has a partOf reference to Procedure, but this is not a circular reference. For example, the anesthesia MedicationAdministration is part of the surgical Procedure (MedicationAdministration.partOf = Procedure). For example, the procedure to insert the IV port for an IV medication administration is part of the medication administration (Procedure.partOf = MedicationAdministration).
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id:
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  v: Procedure.subject.extension
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id:
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  v: Procedure.subject.extension
slice name:
  v: subject
short:
  v: R5: Individual or entity the procedure was performed on
definition:
  v: R5: `Procedure.subject`
comment:
  v: Element `Procedure.subject` is mapped to FHIR STU3 element `Procedure.subject` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Procedure.subject` with unmapped reference targets: Device, Group, Location, Organization, Patient, Practitioner.
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id:
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  v: Procedure.context.extension
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      v: url
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    v: false
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  v: 0
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id:
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  v: Procedure.context.extension
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short:
  v: R5: The Encounter during which this Procedure was created additional types
definition:
  v: R5: `Procedure.encounter` additional types from child elements (display, identifier, reference, type)
comment:
  v: Element `Procedure.encounter` is mapped to FHIR STU3 element `Procedure.context` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.encounter` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Procedure.encounter` with unmapped reference targets: Encounter. This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.
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    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
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  v: Procedure.performer.extension
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  v: 0
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id:
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  v: Procedure.performer.extension
slice name:
  v: period
short:
  v: R5: When the performer performed the procedure (new)
definition:
  v: R5: `Procedure.performer.period` (new:Period)
comment:
  v: Element `Procedure.performer.period` has a context of Procedure.performer based on following the parent source element upwards and mapping to `Procedure`. Element `Procedure.performer.period` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
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    l: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.performer.period

id:
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  v: Procedure.performer.actor.extension
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id:
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slice name:
  v: actor
short:
  v: R5: Who performed the procedure
definition:
  v: R5: `Procedure.performer.actor`
comment:
  v: Element `Procedure.performer.actor` is mapped to FHIR STU3 element `Procedure.performer.actor` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Procedure.performer.actor` with unmapped reference targets: CareTeam, Device, HealthcareService, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson.
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id:
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id:
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slice name:
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short:
  v: R5: onBehalfOf additional types
definition:
  v: R5: `Procedure.performer.onBehalfOf` additional types from child elements (display, identifier, reference, type)
comment:
  v: Element `Procedure.performer.onBehalfOf` is mapped to FHIR STU3 element `Procedure.performer.onBehalfOf` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.performer.onBehalfOf` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Procedure.performer.onBehalfOf` with unmapped reference targets: Organization. Organization, Patient, RelatedPerson, Device, CareTeam, and HealthcareService can be associated with multiple organizations. This element indicates which organization they were acting on behalf of when performing the action.
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id:
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  v: Procedure.location.extension
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id:
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  v: Procedure.location.extension
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  v: location
short:
  v: R5: location additional types
definition:
  v: R5: `Procedure.location` additional types from child elements (display, identifier, reference, type)
comment:
  v: Element `Procedure.location` is mapped to FHIR STU3 element `Procedure.location` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.location` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Procedure.location` with unmapped reference targets: Location.
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    v: Extension
    l: Extension
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    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: Procedure.report.extension
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  v: Procedure.report.extension
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    v: open
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id:
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  v: Procedure.report.extension
slice name:
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  v: R5: report
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  v: R5: `Procedure.report`
comment:
  v: Element `Procedure.report` is mapped to FHIR STU3 element `Procedure.report` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Procedure.report` with unmapped reference targets: Composition, DiagnosticReport, DocumentReference. There could potentially be multiple reports - e.g. if this was a procedure which took multiple biopsies resulting in a number of anatomical pathology reports.
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    v: 0
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  code:
    v: Extension
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    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: Procedure.complication.extension
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  v: Procedure.complication.extension
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    v: open
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id:
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  v: Procedure.complication.extension
slice name:
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short:
  v: R5: complication additional types
definition:
  v: R5: `Procedure.complication` additional types (CodeableReference(http://hl7.org/fhir/StructureDefinition/Condition)) additional types from child elements (reference)
comment:
  v: Element `Procedure.complication` is mapped to FHIR STU3 element `Procedure.complication` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.complication` do not cover the following types: CodeableReference. The mappings for `Procedure.complication` do not cover the following types based on type expansion: reference. If complications are only expressed by the narrative text, they can be captured using the CodeableReference.concept.text.
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  v: 0
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  code:
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    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.complication|0.1.0
    l: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.complication

id:
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  v: Procedure.focalDevice.manipulated.extension
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    type:
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      v: url
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    v: false
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id:
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short:
  v: R5: manipulated additional types
definition:
  v: R5: `Procedure.focalDevice.manipulated` additional types from child elements (display, identifier, reference, type)
comment:
  v: Element `Procedure.focalDevice.manipulated` is mapped to FHIR STU3 element `Procedure.focalDevice.manipulated` as `SourceIsBroaderThanTarget`. The mappings for `Procedure.focalDevice.manipulated` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Procedure.focalDevice.manipulated` with unmapped reference targets: Device.
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