SDOH Clinical Care
3.0.0-ballot - STU 3 Ballot

SDOH Clinical Care - Downloaded Version 3.0.0-ballot See the Directory of published versions

## Resource Profile: SDOHCC Procedure - XML Profile

Page standards status: Trial-use | Maturity Level: 2

XML representation of the SDOHCC-Procedure resource profile.

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    <StructureDefinition xmlns="http://hl7.org/fhir">
      <id value="SDOHCC-Procedure"/>
      <language value="en"/>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition SDOHCC-Procedure</b></p><a name="SDOHCC-Procedure"> </a><a name="hcSDOHCC-Procedure"> </a><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64, " alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-SDOHCC-Procedure-definitions.html#Procedure">Procedure</a><a name="Procedure"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="This element has or is affected by constraints ( us-core-7 )">C</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/procedure.html">Procedure</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">An action that is being or was performed on a patient</span><br class="constraint"/><span title="null" class="constraint">Constraints: </span><span style="font-weight:bold" title="Performed SHALL be present if the status is 'completed' or 'in-progress'" class="constraint">us-core-7</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="StructureDefinition-SDOHCC-Procedure-definitions.html#Procedure.extension">Slices for extension</a><a name="Procedure.extension"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Extension</span><br/><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck125.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-SDOHCC-Procedure-definitions.html#Procedure.extension:pertainsToGoal" title="Extension URL = http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal">extension:pertainsToGoal</a><a name="Procedure.extension.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">(Complex)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Pertains to SDOH goal<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/extensions/5.2.0/StructureDefinition-resource-pertainsToGoal.html">http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal</a><br/></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1240.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-SDOHCC-Procedure-definitions.html#Procedure.extension:pertainsToGoal.value[x]" title="Value of extension must reference a Goal resource.">value[x]</a><a name="Procedure.extension.value_x_"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-SDOHCC-Goal.html">SDOHCC Goal</a>)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Value of extension</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: white; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic; font-style: italic" href="StructureDefinition-SDOHCC-Procedure-definitions.html#Procedure.basedOn">Slices for basedOn</a><a name="Procedure.basedOn"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-style: italic"/><span style="opacity: 0.5; font-style: italic">0</span><span style="opacity: 0.5; font-style: italic">..</span><span style="opacity: 0.5; font-style: italic">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="font-style: italic; font-style: italic" href="http://hl7.org/fhir/R4/references.html">Reference</a><span style="font-style: italic">(</span><a style="opacity: 0.5; font-style: italic; opacity: 0.5; font-style: italic" href="http://hl7.org/fhir/R4/careplan.html">CarePlan</a><span style="font-style: italic"> | </span><a style="opacity: 0.5; font-style: italic; opacity: 0.5; font-style: italic" href="http://hl7.org/fhir/R4/servicerequest.html">ServiceRequest</a><span style="font-style: italic">)</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5; font-style: italic">A request for this procedure</span><br style="font-style: italic"/><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by profile:resolve()</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck124.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-SDOHCC-Procedure-definitions.html#Procedure.basedOn:SupportedBasedOn" title="Slice SupportedBasedOn: A reference to an SDOHCC service request or US Core Care Plan that contains details of the request for this procedure.">basedOn:SupportedBasedOn</a><a name="Procedure.basedOn.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-SDOHCC-ServiceRequest.html">SDOHCC ServiceRequest</a> | <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-careplan.html">US Core CarePlan Profile(7.0.0)</a>)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">An SDOH service request or US Core Care Plan for this procedure<br/></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-SDOHCC-Procedure-definitions.html#Procedure.status">status</a><a name="Procedure.status"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="This element has or is affected by constraints ( us-core-7 )">C</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown</span><br class="binding"/><span style="font-weight:bold" title="null" class="binding">Binding: </span><a href="http://hl7.org/fhir/R4/valueset-event-status.html" title="http://hl7.org/fhir/ValueSet/event-status" class="binding">EventStatus</a><span title="null" class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set." class="binding">required</a><span title="null" class="binding">)</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-SDOHCC-Procedure-definitions.html#Procedure.category" title="A code that classifies the procedure for searching, sorting and display purposes (e.g. &quot;Social service procedure&quot;).">category</a><a name="Procedure.category"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Classification of the procedure</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck103.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: white; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic; font-style: italic" href="StructureDefinition-SDOHCC-Procedure-definitions.html#Procedure.category.coding">Slices for coding</a><a name="Procedure.category.coding"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-style: italic"/><span style="opacity: 0.5; font-style: italic">0</span><span style="opacity: 0.5; font-style: italic">..</span><span style="opacity: 0.5; font-style: italic">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; font-style: italic; opacity: 0.5; font-style: italic" href="http://hl7.org/fhir/R4/datatypes.html#Coding">Coding</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5; font-style: italic">Code defined by a terminology system</span><br style="font-style: italic"/><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:$this</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1024.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-SDOHCC-Procedure-definitions.html#Procedure.category.coding:SDOHCC" title="Slice SDOHCC: An SDOH category assigned to the procedure.">coding:SDOHCC</a><a name="Procedure.category.coding.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#Coding">Coding</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">e.g., food-insecurity | transportation-insecurity<br class="binding"/><span style="font-weight:bold" title="null" class="binding">Binding: </span><a href="ValueSet-SDOHCC-ValueSetSDOHCategory.html" title="http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory" class="binding">SDOHCC ValueSet SDOH Category</a><span title="null" class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set." class="binding">required</a><span title="null" class="binding">)</span><span title="null" class="binding">: </span><span title="null" class="binding">Codes for high-level SDOH categories.</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-SDOHCC-Procedure-definitions.html#Procedure.code" title="The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded.">code</a><a name="Procedure.code"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Identification of the procedure</span><br class="binding"/><span style="font-weight:bold" title="null" class="binding">Binding: </span><a href="http://hl7.org/fhir/us/core/STU7/ValueSet-us-core-procedure-code.html" title="http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code" class="binding">USCoreProcedureCodes (7.0.0)</a><span title="null" class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set." class="binding">required</a><span title="null" class="binding">)</span><table class="binding grid"><tr><td style="font-size: 11px"><b>Additional Bindings</b></td><td style="font-size: 11px">Purpose</td><td style="font-size: 11px">Usage</td></tr><tr><td style="font-size: 11px"><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.235/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.235">DigitalAccessProcedures (20240615) <img src="external.png" alt="."/></a></td><td style="font-size: 11px"><a href="http://hl7.org/fhir/R4/terminologies.html#strength" title="Validators will check this binding (strength = extensible)">Extensible</a></td><td><a href="StructureDefinition-SDOHCC-Procedure.html">SDOHCCProcedure</a>#<code>Procedure.category</code> = <span title="Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes digital-access}">digital-access</span></td></tr><tr><td style="font-size: 11px"><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.226/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.226">DigitalLiteracyProcedures (20240628) <img src="external.png" alt="."/></a></td><td style="font-size: 11px"><a href="http://hl7.org/fhir/R4/terminologies.html#strength" title="Validators will check this binding (strength = extensible)">Extensible</a></td><td><a href="StructureDefinition-SDOHCC-Procedure.html">SDOHCCProcedure</a>#<code>Procedure.category</code> = <span title="Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes digital-literacy}">digital-literacy</span></td></tr><tr><td style="font-size: 11px"><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.56/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.56">LessThanHighSchoolEducationProcedures (20240604) <img src="external.png" alt="."/></a></td><td style="font-size: 11px"><a href="http://hl7.org/fhir/R4/terminologies.html#strength" title="Validators will check this binding (strength = extensible)">Extensible</a></td><td><a href="StructureDefinition-SDOHCC-Procedure.html">SDOHCCProcedure</a>#<code>Procedure.category</code> = <span title="Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes educational-attainment}">educational-attainment</span></td></tr><tr><td style="font-size: 11px"><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.67/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.67">ElderAbuseProcedures (20240604) <img src="external.png" alt="."/></a></td><td style="font-size: 11px"><a href="http://hl7.org/fhir/R4/terminologies.html#strength" title="Validators will check this binding (strength = extensible)">Extensible</a></td><td><a href="StructureDefinition-SDOHCC-Procedure.html">SDOHCCProcedure</a>#<code>Procedure.category</code> = <span title="Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes elder-abuse}">elder-abuse</span></td></tr><tr><td style="font-size: 11px"><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.59/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.59">UnemploymentProcedures (20240604) <img src="external.png" alt="."/></a></td><td style="font-size: 11px"><a href="http://hl7.org/fhir/R4/terminologies.html#strength" title="Validators will check this binding (strength = extensible)">Extensible</a></td><td><a href="StructureDefinition-SDOHCC-Procedure.html">SDOHCCProcedure</a>#<code>Procedure.category</code> = <span title="Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes employment-status}">employment-status</span></td></tr><tr><td style="font-size: 11px"><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.32/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.32">FinancialInsecurityProcedures (20240604) <img src="external.png" alt="."/></a></td><td style="font-size: 11px"><a href="http://hl7.org/fhir/R4/terminologies.html#strength" title="Validators will check this binding (strength = extensible)">Extensible</a></td><td><a href="StructureDefinition-SDOHCC-Procedure.html">SDOHCCProcedure</a>#<code>Procedure.category</code> = <span title="Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes financial-insecurity}">financial-insecurity</span></td></tr><tr><td style="font-size: 11px"><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.7/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.7">FoodInsecurityProcedures (20240604) <img src="external.png" alt="."/></a></td><td style="font-size: 11px"><a href="http://hl7.org/fhir/R4/terminologies.html#strength" title="Validators will check this binding (strength = extensible)">Extensible</a></td><td><a href="StructureDefinition-SDOHCC-Procedure.html">SDOHCCProcedure</a>#<code>Procedure.category</code> = <span title="Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes food-insecurity}">food-insecurity</span></td></tr><tr><td style="font-size: 11px"><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.125/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.125">HealthInsuranceCoverageStatusProcedures (20240604) <img src="external.png" alt="."/></a></td><td style="font-size: 11px"><a href="http://hl7.org/fhir/R4/terminologies.html#strength" title="Validators will check this binding (strength = extensible)">Extensible</a></td><td><a href="StructureDefinition-SDOHCC-Procedure.html">SDOHCCProcedure</a>#<code>Procedure.category</code> = <span title="Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes health-insurance-coverage-status}">health-insurance-coverage-status</span></td></tr><tr><td style="font-size: 11px"><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.20/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.20">HomelessnessProcedures (20240604) <img src="external.png" alt="."/></a></td><td style="font-size: 11px"><a href="http://hl7.org/fhir/R4/terminologies.html#strength" title="Validators will check this binding (strength = extensible)">Extensible</a></td><td><a href="StructureDefinition-SDOHCC-Procedure.html">SDOHCCProcedure</a>#<code>Procedure.category</code> = <span title="Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes homelessness}">homelessness</span></td></tr><tr><td style="font-size: 11px"><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.44/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.44">HousingInstabilityProcedures (20240604) <img src="external.png" alt="."/></a></td><td style="font-size: 11px"><a href="http://hl7.org/fhir/R4/terminologies.html#strength" title="Validators will check this binding (strength = extensible)">Extensible</a></td><td><a href="StructureDefinition-SDOHCC-Procedure.html">SDOHCCProcedure</a>#<code>Procedure.category</code> = <span title="Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes housing-instability}">housing-instability</span></td></tr><tr><td style="font-size: 11px"><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.52/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.52">InadequateHousingProcedures (20240604) <img src="external.png" alt="."/></a></td><td style="font-size: 11px"><a href="http://hl7.org/fhir/R4/terminologies.html#strength" title="Validators will check this binding (strength = extensible)">Extensible</a></td><td><a href="StructureDefinition-SDOHCC-Procedure.html">SDOHCCProcedure</a>#<code>Procedure.category</code> = <span title="Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes inadequate-housing}">inadequate-housing</span></td></tr><tr><td style="font-size: 11px"><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.260/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.260">Incarceration Status Procedures <img src="external.png" alt="."/></a></td><td style="font-size: 11px"><a href="http://hl7.org/fhir/R4/terminologies.html#strength" title="Validators will check this binding (strength = extensible)">Extensible</a></td><td><a href="StructureDefinition-SDOHCC-Procedure.html">SDOHCCProcedure</a>#<code>Procedure.category</code> = <span title="Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes incarceration-status}">incarceration-status</span></td></tr><tr><td style="font-size: 11px"><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.97/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.97">IntimatePartnerViolenceProcedures (20240604) <img src="external.png" alt="."/></a></td><td style="font-size: 11px"><a href="http://hl7.org/fhir/R4/terminologies.html#strength" title="Validators will check this binding (strength = extensible)">Extensible</a></td><td><a href="StructureDefinition-SDOHCC-Procedure.html">SDOHCCProcedure</a>#<code>Procedure.category</code> = <span title="Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes intimate-partner-violence}">intimate-partner-violence</span></td></tr><tr><td style="font-size: 11px"><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.268/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.268">Language Access Procedures <img src="external.png" alt="."/></a></td><td style="font-size: 11px"><a href="http://hl7.org/fhir/R4/terminologies.html#strength" title="Validators will check this binding (strength = extensible)">Extensible</a></td><td><a href="StructureDefinition-SDOHCC-Procedure.html">SDOHCCProcedure</a>#<code>Procedure.category</code> = <span title="Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes language-access}">language-access</span></td></tr><tr><td style="font-size: 11px"><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.39/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.39">MaterialHardshipProcedures (20240604) <img src="external.png" alt="."/></a></td><td style="font-size: 11px"><a href="http://hl7.org/fhir/R4/terminologies.html#strength" title="Validators will check this binding (strength = extensible)">Extensible</a></td><td><a href="StructureDefinition-SDOHCC-Procedure.html">SDOHCCProcedure</a>#<code>Procedure.category</code> = <span title="Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes material-hardship}">material-hardship</span></td></tr><tr><td style="font-size: 11px"><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.122/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.122">MedicalCostBurdenProcedures (20240604) <img src="external.png" alt="."/></a></td><td style="font-size: 11px"><a href="http://hl7.org/fhir/R4/terminologies.html#strength" title="Validators will check this binding (strength = extensible)">Extensible</a></td><td><a href="StructureDefinition-SDOHCC-Procedure.html">SDOHCCProcedure</a>#<code>Procedure.category</code> = <span title="Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes medical-cost-burden}">medical-cost-burden</span></td></tr><tr><td style="font-size: 11px"><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.118/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.118">HealthLiteracyProcedures (20240604) <img src="external.png" alt="."/></a></td><td style="font-size: 11px"><a href="http://hl7.org/fhir/R4/terminologies.html#strength" title="Validators will check this binding (strength = extensible)">Extensible</a></td><td><a href="StructureDefinition-SDOHCC-Procedure.html">SDOHCCProcedure</a>#<code>Procedure.category</code> = <span title="Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes personal-health-literacy}">personal-health-literacy</span></td></tr><tr><td style="font-size: 11px"><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.94/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.94">SocialConnectionProcedures (20240604) <img src="external.png" alt="."/></a></td><td style="font-size: 11px"><a href="http://hl7.org/fhir/R4/terminologies.html#strength" title="Validators will check this binding (strength = extensible)">Extensible</a></td><td><a href="StructureDefinition-SDOHCC-Procedure.html">SDOHCCProcedure</a>#<code>Procedure.category</code> = <span title="Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes social-connection}">social-connection</span></td></tr><tr><td style="font-size: 11px"><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.87/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.87">StressProcedures (20240604) <img src="external.png" alt="."/></a></td><td style="font-size: 11px"><a href="http://hl7.org/fhir/R4/terminologies.html#strength" title="Validators will check this binding (strength = extensible)">Extensible</a></td><td><a href="StructureDefinition-SDOHCC-Procedure.html">SDOHCCProcedure</a>#<code>Procedure.category</code> = <span title="Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes stress}">stress</span></td></tr><tr><td style="font-size: 11px"><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.27/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.27">TransportationInsecurityProcedures (20240604) <img src="external.png" alt="."/></a></td><td style="font-size: 11px"><a href="http://hl7.org/fhir/R4/terminologies.html#strength" title="Validators will check this binding (strength = extensible)">Extensible</a></td><td><a href="StructureDefinition-SDOHCC-Procedure.html">SDOHCCProcedure</a>#<code>Procedure.category</code> = <span title="Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes transportation-insecurity}">transportation-insecurity</span></td></tr><tr><td style="font-size: 11px"><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.247/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.247">UtilityInsecurityProcedures (20240524) <img src="external.png" alt="."/></a></td><td style="font-size: 11px"><a href="http://hl7.org/fhir/R4/terminologies.html#strength" title="Validators will check this binding (strength = extensible)">Extensible</a></td><td><a href="StructureDefinition-SDOHCC-Procedure.html">SDOHCCProcedure</a>#<code>Procedure.category</code> = <span title="Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes utility-insecurity}">utility-insecurity</span></td></tr><tr><td style="font-size: 11px"><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.90/expansion" title="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.90">VeteranStatusProcedures (20240604) <img src="external.png" alt="."/></a></td><td style="font-size: 11px"><a href="http://hl7.org/fhir/R4/terminologies.html#strength" title="Validators will check this binding (strength = extensible)">Extensible</a></td><td><a href="StructureDefinition-SDOHCC-Procedure.html">SDOHCCProcedure</a>#<code>Procedure.category</code> = <span title="Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes veteran-status}">veteran-status</span></td></tr><tr><td style="font-size: 11px"><a href="http://hl7.org/fhir/us/core/STU7/ValueSet-us-core-procedure-code.html" title="http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code">USCoreProcedureCodes (7.0.0)</a></td><td style="font-size: 11px"><a href="http://hl7.org/fhir/R4/terminologies.html#strength" title="Validators will check this binding (strength = required)">Required</a></td><td><a href="StructureDefinition-SDOHCC-Procedure.html">SDOHCCProcedure</a>#<code>Procedure.category</code> = <span title="Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes sdoh-category-unspecified}">sdoh-category-unspecified</span></td></tr></table></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-SDOHCC-Procedure-definitions.html#Procedure.subject">subject</a><a name="Procedure.subject"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-patient.html">US Core Patient Profile(7.0.0)</a>)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Who the procedure was performed on</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-SDOHCC-Procedure-definitions.html#Procedure.encounter">encounter</a><a name="Procedure.encounter"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-encounter.html">US Core Encounter Profile(7.0.0)</a>)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Encounter associated with the procedure</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_choice.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Choice of Types" class="hierarchy"/> <a href="StructureDefinition-SDOHCC-Procedure-definitions.html#Procedure.performed[x]">performed[x]</a><a name="Procedure.performed_x_"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="This element has or is affected by constraints ( us-core-7 )">C</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">When the procedure was performed</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span title="Base StructureDefinition for dateTime Type: A date, date-time or partial date (e.g. just year or year + month).  If hours and minutes are specified, a time zone SHALL be populated. The format is a union of the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints but may be zero-filled and may be ignored.                 Dates SHALL be valid dates.">performedDateTime</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#dateTime">dateTime</a> <span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This target must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <span title="Base StructureDefinition for Period Type: A time period defined by a start and end date and optionally time.">performedPeriod</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Period">Period</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span title="Base StructureDefinition for string Type: A sequence of Unicode characters">performedString</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <span title="Base StructureDefinition for Age Type: A duration of time during which an organism (or a process) has existed.">performedAge</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Age">Age</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <span title="Base StructureDefinition for Range Type: A set of ordered Quantities defined by a low and high limit.">performedRange</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Range">Range</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-SDOHCC-Procedure-definitions.html#Procedure.reasonCode">reasonCode</a><a name="Procedure.reasonCode"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Coded reason procedure performed</span><br class="binding"/><span style="font-weight:bold" title="null" class="binding">Binding: </span><a href="http://hl7.org/fhir/us/core/STU7/ValueSet-us-core-condition-code.html" title="http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code" class="binding">USCoreConditionCodes (7.0.0)</a><span title="null" class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead." class="binding">extensible</a><span title="null" class="binding">)</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: white; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic; font-style: italic" href="StructureDefinition-SDOHCC-Procedure-definitions.html#Procedure.reasonReference">Slices for reasonReference</a><a name="Procedure.reasonReference"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-style: italic"/><span style="opacity: 0.5; font-style: italic">0</span><span style="opacity: 0.5; font-style: italic">..</span><span style="opacity: 0.5; font-style: italic">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="font-style: italic; font-style: italic" href="http://hl7.org/fhir/R4/references.html">Reference</a><span style="font-style: italic">(</span><a style="opacity: 0.5; font-style: italic; opacity: 0.5; font-style: italic" href="http://hl7.org/fhir/R4/condition.html">Condition</a><span style="font-style: italic"> | </span><a style="opacity: 0.5; font-style: italic; opacity: 0.5; font-style: italic" href="http://hl7.org/fhir/R4/observation.html">Observation</a><span style="font-style: italic"> | </span><a style="opacity: 0.5; font-style: italic; opacity: 0.5; font-style: italic" href="http://hl7.org/fhir/R4/procedure.html">Procedure</a><span style="font-style: italic"> | </span><a style="opacity: 0.5; font-style: italic; opacity: 0.5; font-style: italic" href="http://hl7.org/fhir/R4/diagnosticreport.html">DiagnosticReport</a><span style="font-style: italic"> | </span><a style="opacity: 0.5; font-style: italic; opacity: 0.5; font-style: italic" href="http://hl7.org/fhir/R4/documentreference.html">DocumentReference</a><span style="font-style: italic">)</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5; font-style: italic">The justification that the procedure was performed</span><br style="font-style: italic"/><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by profile:resolve()</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck024.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="StructureDefinition-SDOHCC-Procedure-definitions.html#Procedure.reasonReference:SupportedReasonReference" title="Slice SupportedReasonReference">reasonReference:SupportedReasonReference</a><a name="Procedure.reasonReference.2"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-SDOHCC-Condition.html">SDOHCC Condition</a> | <a href="StructureDefinition-SDOHCC-ObservationScreeningResponse.html">SDOHCC Observation Screening Response</a> | <a href="StructureDefinition-SDOHCC-ObservationAssessment.html">SDOHCC Observation Assessment</a>)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">The justification that the procedure was performed</span><br/></td></tr>
    <tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64, " alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
      </text>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
        <valueCode value="pc"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
        <valueInteger value="2">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
            <valueCanonical
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/ImplementationGuide/hl7.fhir.us.sdoh-clinicalcare"/>
          </extension>
        </valueInteger>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="trial-use">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
            <valueCanonical
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/ImplementationGuide/hl7.fhir.us.sdoh-clinicalcare"/>
          </extension>
        </valueCode>
      </extension>
      <url
           value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
      <version value="3.0.0-ballot"/>
      <name value="SDOHCCProcedure"/>
      <title value="SDOHCC Procedure"/>
      <status value="active"/>
      <date value="2025-12-13T17:11:59+00:00"/>
      <publisher value="HL7 International / Patient Care"/>
      <contact>
        <name value="HL7 International / Patient Care"/>
        <telecom>
          <system value="url"/>
          <value value="http://www.hl7.org/Special/committees/patientcare"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="patientcare@lists.hl7.org"/>
        </telecom>
      </contact>
      <description
                   value="Profile for interventions that address Social Determinants of Health."/>
      <jurisdiction>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="US"/>
          <display value="United States of America"/>
        </coding>
      </jurisdiction>
      <fhirVersion value="4.0.1"/>
      <mapping>
        <identity value="workflow"/>
        <uri value="http://hl7.org/fhir/workflow"/>
        <name value="Workflow Pattern"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <uri value="http://hl7.org/v3"/>
        <name value="RIM Mapping"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <uri value="http://hl7.org/fhir/fivews"/>
        <name value="FiveWs Pattern Mapping"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <uri value="http://hl7.org/v2"/>
        <name value="HL7 v2 Mapping"/>
      </mapping>
      <kind value="resource"/>
      <abstract value="false"/>
      <type value="Procedure"/>
      <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
      <derivation value="constraint"/>
      <snapshot>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
          <valueString value="4.0.1"/>
        </extension>
        <element id="Procedure">
          <path value="Procedure"/>
          <short value="An action that is being or was performed on a patient"/>
          <definition
                      value="An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like long term services, counseling, or hypnotherapy."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Procedure"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <constraint>
            <key value="dom-2"/>
            <severity value="error"/>
            <human
                   value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
            <expression value="contained.contained.empty()"/>
            <xpath value="not(parent::f:contained and f:contained)"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
          </constraint>
          <constraint>
            <key value="dom-3"/>
            <severity value="error"/>
            <human
                   value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"/>
            <expression
                        value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"/>
            <xpath
                   value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
          </constraint>
          <constraint>
            <key value="dom-4"/>
            <severity value="error"/>
            <human
                   value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
            <expression
                        value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
            <xpath
                   value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
          </constraint>
          <constraint>
            <key value="dom-5"/>
            <severity value="error"/>
            <human
                   value="If a resource is contained in another resource, it SHALL NOT have a security label"/>
            <expression value="contained.meta.security.empty()"/>
            <xpath value="not(exists(f:contained/*/f:meta/f:security))"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
          </constraint>
          <constraint>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
              <valueBoolean value="true"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
              <valueMarkdown
                             value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/>
            </extension>
            <key value="dom-6"/>
            <severity value="warning"/>
            <human
                   value="A resource should have narrative for robust management"/>
            <expression value="text.`div`.exists()"/>
            <xpath value="exists(f:text/h:div)"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
          </constraint>
          <constraint>
            <key value="us-core-7"/>
            <severity value="error"/>
            <human
                   value="Performed SHALL be present if the status is 'completed' or 'in-progress'"/>
            <expression
                        value="(status='completed' or status='in-progress') implies performed.exists()"/>
            <source
                    value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="Entity. Role, or Act"/>
          </mapping>
          <mapping>
            <identity value="workflow"/>
            <map value="Event"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="Procedure[moodCode=EVN]"/>
          </mapping>
        </element>
        <element id="Procedure.id">
          <path value="Procedure.id"/>
          <short value="Logical id of this artifact"/>
          <definition
                      value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
          <comment
                   value="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 value="0"/>
          <max value="1"/>
          <base>
            <path value="Resource.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="id"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="true"/>
        </element>
        <element id="Procedure.meta">
          <path value="Procedure.meta"/>
          <short value="Metadata about the resource"/>
          <definition
                      value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Resource.meta"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Meta"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
        </element>
        <element id="Procedure.implicitRules">
          <path value="Procedure.implicitRules"/>
          <short value="A set of rules under which this content was created"/>
          <definition
                      value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc."/>
          <comment
                   value="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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Resource.implicitRules"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="uri"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation"/>
          <isSummary value="true"/>
        </element>
        <element id="Procedure.language">
          <path value="Procedure.language"/>
          <short value="Language of the resource content"/>
          <definition
                      value="The base language in which the resource is written."/>
          <comment
                   value="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 value="0"/>
          <max value="1"/>
          <base>
            <path value="Resource.language"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
              <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="Language"/>
            </extension>
            <strength value="preferred"/>
            <description value="A human language."/>
            <valueSet value="http://hl7.org/fhir/ValueSet/languages|4.0.1"/>
          </binding>
        </element>
        <element id="Procedure.text">
          <path value="Procedure.text"/>
          <short value="Text summary of the resource, for human interpretation"/>
          <definition
                      value="A human-readable narrative that contains a summary of the resource and can 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 &quot;clinically safe&quot; 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
                   value="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 &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded information is added later."/>
          <alias value="narrative"/>
          <alias value="html"/>
          <alias value="xhtml"/>
          <alias value="display"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="DomainResource.text"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Narrative"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="Act.text?"/>
          </mapping>
        </element>
        <element id="Procedure.contained">
          <path value="Procedure.contained"/>
          <short value="Contained, inline Resources"/>
          <definition
                      value="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
                   value="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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."/>
          <alias value="inline resources"/>
          <alias value="anonymous resources"/>
          <alias value="contained resources"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="DomainResource.contained"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Resource"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Procedure.extension">
          <path value="Procedure.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <rules value="open"/>
          </slicing>
          <short value="Extension"/>
          <definition value="An Extension"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="DomainResource.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
        </element>
        <element id="Procedure.extension:pertainsToGoal">
          <path value="Procedure.extension"/>
          <sliceName value="pertainsToGoal"/>
          <short value="Pertains to SDOH goal"/>
          <definition
                      value="Indicates that the resource is related to either the measurement, achievement or progress towards the referenced goal.  For example, a Procedure to provide food vouchers pertainsToGoal of achieving food security."/>
          <comment
                   value="This extension is  limited to subject-specific activity-related resources (events &amp; intents).  I.e. This can't be put on Goal or Patient.  This association isn't for the purpose of goal management, but for things such as noting that a particular observation result, prescription or other activity is pertinent to the achievement (or possibly non-achievement) of the referenced goal."/>
          <requirements
                        value="Indicates that the procedure is related to the referenced SDOHCC Goal."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="DomainResource.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
            <profile
                     value="http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal|5.2.0"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="false"/>
        </element>
        <element id="Procedure.extension:pertainsToGoal.id">
          <path value="Procedure.extension.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="id"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <condition value="ele-1"/>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Procedure.extension:pertainsToGoal.extension">
          <path value="Procedure.extension.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Extension"/>
          <definition value="An Extension"/>
          <min value="0"/>
          <max value="0"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
        </element>
        <element id="Procedure.extension:pertainsToGoal.url">
          <path value="Procedure.extension.url"/>
          <representation value="xmlAttr"/>
          <short value="identifies the meaning of the extension"/>
          <definition
                      value="Source of the definition for the extension code - a logical name or a URL."/>
          <comment
                   value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Extension.url"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="uri"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <fixedUri
                    value="http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"/>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Procedure.extension:pertainsToGoal.value[x]">
          <path value="Procedure.extension.value[x]"/>
          <short value="Value of extension"/>
          <definition value="Value of extension must reference a Goal resource."/>
          <requirements
                        value="Indicates that the procedure is related to the referenced SDOHCC Goal."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Extension.value[x]"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Goal"/>
          </type>
          <condition value="ext-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Procedure.modifierExtension">
          <path value="Procedure.modifierExtension"/>
          <short value="Extensions that cannot be ignored"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
          <comment
                   value="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."/>
          <requirements
                        value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="DomainResource.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Procedure.identifier">
          <path value="Procedure.identifier"/>
          <short value="External Identifiers for this procedure"/>
          <definition
                      value="Business identifiers assigned to this procedure by the performer or other systems which remain constant as the resource is updated and is propagated from server to server."/>
          <comment
                   value="This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and Person resource instances might share the same social insurance number."/>
          <requirements
                        value="Allows identification of the procedure as it is known by various participating systems and in a way that remains consistent across servers."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Procedure.identifier"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Identifier"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.identifier"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.identifier"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map
                 value="Some combination of ORC-2 / ORC-3 / OBR-2 / OBR-3 / IPC-1 / IPC-2 / IPC-3 / IPC-4"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".id"/>
          </mapping>
        </element>
        <element id="Procedure.instantiatesCanonical">
          <path value="Procedure.instantiatesCanonical"/>
          <short value="Instantiates FHIR protocol or definition"/>
          <definition
                      value="The URL pointing to a FHIR-defined protocol, guideline, order set or other definition that is adhered to in whole or in part by this Procedure."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Procedure.instantiatesCanonical"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="canonical"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/PlanDefinition|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Measure|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/OperationDefinition|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Questionnaire|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.instantiatesCanonical"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".outboundRelationship[typeCode=DEFN].target"/>
          </mapping>
        </element>
        <element id="Procedure.instantiatesUri">
          <path value="Procedure.instantiatesUri"/>
          <short value="Instantiates external protocol or definition"/>
          <definition
                      value="The URL pointing to an externally maintained protocol, guideline, order set or other definition that is adhered to in whole or in part by this Procedure."/>
          <comment
                   value="This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Procedure.instantiatesUri"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="uri"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.instantiatesUri"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".outboundRelationship[typeCode=DEFN].target"/>
          </mapping>
        </element>
        <element id="Procedure.basedOn">
          <path value="Procedure.basedOn"/>
          <slicing>
            <discriminator>
              <type value="profile"/>
              <path value="resolve()"/>
            </discriminator>
            <rules value="open"/>
          </slicing>
          <short value="A request for this procedure"/>
          <definition
                      value="A reference to a resource that contains details of the request for this procedure."/>
          <alias value="fulfills"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Procedure.basedOn"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.basedOn"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".outboundRelationship[typeCode=FLFS].target[classCode=(various e.g. PROC, OBS, PCPR, ACT,  moodCode=RQO].code"/>
          </mapping>
        </element>
        <element id="Procedure.basedOn:SupportedBasedOn">
          <path value="Procedure.basedOn"/>
          <sliceName value="SupportedBasedOn"/>
          <short
                 value="An SDOH service request or US Core Care Plan for this procedure"/>
          <definition
                      value="A reference to an SDOHCC service request or US Core Care Plan that contains details of the request for this procedure."/>
          <requirements
                        value="When a procedure is based on an SDOH ServiceRequest, Procedure.basedOn should reference instances that comply with the SDOHCC ServiceRequest profile and when a procedure is based on a SDOH Care Plan, Procedure.basedOn should reference instances that comply with the US Core Care Plan profile. However, references to other instance types are also possible."/>
          <alias value="fulfills"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Procedure.basedOn"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ServiceRequest"/>
            <targetProfile
                           value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan|7.0.0"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.basedOn"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".outboundRelationship[typeCode=FLFS].target[classCode=(various e.g. PROC, OBS, PCPR, ACT,  moodCode=RQO].code"/>
          </mapping>
        </element>
        <element id="Procedure.partOf">
          <path value="Procedure.partOf"/>
          <short value="Part of referenced event"/>
          <definition
                      value="A larger event of which this particular procedure is a component or step."/>
          <comment
                   value="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)."/>
          <alias value="container"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Procedure.partOf"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.partOf"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".inboundRelationship[typeCode=COMP].source[classCode=SBADM or PROC or OBS, moodCode=EVN]"/>
          </mapping>
        </element>
        <element id="Procedure.status">
          <path value="Procedure.status"/>
          <short
                 value="preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown"/>
          <definition
                      value="A code specifying the state of the procedure. Generally, this will be the in-progress or completed state."/>
          <comment
                   value="The &quot;unknown&quot; code is not to be used to convey other statuses.  The &quot;unknown&quot; 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 value="1"/>
          <max value="1"/>
          <base>
            <path value="Procedure.status"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <condition value="us-core-7"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="true"/>
          <isModifierReason
                            value="This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid"/>
          <isSummary value="true"/>
          <binding>
            <strength value="required"/>
            <valueSet value="http://hl7.org/fhir/ValueSet/event-status"/>
          </binding>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.status"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.status"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="statusCode"/>
          </mapping>
        </element>
        <element id="Procedure.statusReason">
          <path value="Procedure.statusReason"/>
          <short value="Reason for current status"/>
          <definition
                      value="Captures the reason for the current state of the procedure."/>
          <comment
                   value="This is generally only used for &quot;exception&quot; statuses such as &quot;not-done&quot;, &quot;suspended&quot; or &quot;aborted&quot;. The reason for performing the event at all is captured in reasonCode, not here."/>
          <alias value="Suspended Reason"/>
          <alias value="Cancelled Reason"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Procedure.statusReason"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="ProcedureNegationReason"/>
            </extension>
            <strength value="example"/>
            <description
                         value="A code that identifies the reason a procedure was not performed."/>
            <valueSet
                      value="http://hl7.org/fhir/ValueSet/procedure-not-performed-reason|4.0.1"/>
          </binding>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.statusReason"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".reason.Observation.value"/>
          </mapping>
        </element>
        <element id="Procedure.category">
          <path value="Procedure.category"/>
          <short value="Classification of the procedure"/>
          <definition
                      value="A code that classifies the procedure for searching, sorting and display purposes (e.g. &quot;Social service procedure&quot;)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Procedure.category"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="ProcedureCategory"/>
            </extension>
            <strength value="example"/>
            <description
                         value="A code that classifies a procedure for searching, sorting and display purposes."/>
            <valueSet
                      value="http://hl7.org/fhir/ValueSet/procedure-category|4.0.1"/>
          </binding>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.class"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".outboundRelationship[typeCode=&quot;COMP].target[classCode=&quot;LIST&quot;, moodCode=&quot;EVN&quot;].code"/>
          </mapping>
        </element>
        <element id="Procedure.category.id">
          <path value="Procedure.category.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Procedure.category.extension">
          <path value="Procedure.category.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="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 value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Procedure.category.coding">
          <path value="Procedure.category.coding"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="$this"/>
            </discriminator>
            <rules value="open"/>
          </slicing>
          <short value="Code defined by a terminology system"/>
          <definition
                      value="A reference to a code defined by a terminology system."/>
          <comment
                   value="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
                        value="Allows for alternative encodings within a code system, and translations to other code systems."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="CodeableConcept.coding"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Coding"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.1-8, C*E.10-22"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="union(., ./translation)"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
          </mapping>
        </element>
        <element id="Procedure.category.coding:SDOHCC">
          <path value="Procedure.category.coding"/>
          <sliceName value="SDOHCC"/>
          <short value="e.g., food-insecurity | transportation-insecurity"/>
          <definition value="An SDOH category assigned to the procedure."/>
          <comment
                   value="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
                        value="Allows for alternative encodings within a code system, and translations to other code systems.
    Codes from this value set can be used to assign an SDOH category (e.g., food-insecurity, transportation-insecurity, etc.) to a procedure. It is recommended that SDOH category codes be used to facilitate searching for SDOH procedures that address SDOH conditions, observations, service requests, or goals."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CodeableConcept.coding"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Coding"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <strength value="required"/>
            <description value="Codes for high-level SDOH categories."/>
            <valueSet
                      value="http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory"/>
          </binding>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.1-8, C*E.10-22"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="union(., ./translation)"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
          </mapping>
        </element>
        <element id="Procedure.category.text">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
          </extension>
          <path value="Procedure.category.text"/>
          <short value="Plain text representation of the concept"/>
          <definition
                      value="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
                   value="Very often the text is the same as a displayName of one of the codings."/>
          <requirements
                        value="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 value="0"/>
          <max value="1"/>
          <base>
            <path value="CodeableConcept.text"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.9. But note many systems use C*E.2 for this"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value="./originalText[mediaType/code=&quot;text/plain&quot;]/data"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
          </mapping>
        </element>
        <element id="Procedure.code">
          <path value="Procedure.code"/>
          <short value="Identification of the procedure"/>
          <definition
                      value="The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded."/>
          <requirements
                        value="Code is required and must be selected from the bound value set."/>
          <alias value="type"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Procedure.code"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="digital-access"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.235|20240615"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="digital-access"/>
                    </coding>
                    <text value="digital-access"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="digital-literacy"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.226|20240628"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="digital-literacy"/>
                    </coding>
                    <text value="digital-literacy"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="educational-attainment"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.56|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="educational-attainment"/>
                    </coding>
                    <text value="educational-attainment"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="elder-abuse"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.67|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="elder-abuse"/>
                    </coding>
                    <text value="elder-abuse"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="employment-status"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.59|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="employment-status"/>
                    </coding>
                    <text value="employment-status"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="financial-insecurity"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.32|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="financial-insecurity"/>
                    </coding>
                    <text value="financial-insecurity"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="food-insecurity"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.7|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="food-insecurity"/>
                    </coding>
                    <text value="food-insecurity"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="health-insurance-coverage-status"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.125|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="health-insurance-coverage-status"/>
                    </coding>
                    <text value="health-insurance-coverage-status"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="homelessness"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.20|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="homelessness"/>
                    </coding>
                    <text value="homelessness"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="housing-instability"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.44|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="housing-instability"/>
                    </coding>
                    <text value="housing-instability"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="inadequate-housing"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.52|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="inadequate-housing"/>
                    </coding>
                    <text value="inadequate-housing"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="incarceration-status"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.260"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="incarceration-status"/>
                    </coding>
                    <text value="incarceration-status"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="intimate-partner-violence"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.97|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="intimate-partner-violence"/>
                    </coding>
                    <text value="intimate-partner-violence"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="language-access"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.268"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="language-access"/>
                    </coding>
                    <text value="language-access"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="material-hardship"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.39|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="material-hardship"/>
                    </coding>
                    <text value="material-hardship"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="medical-cost-burden"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.122|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="medical-cost-burden"/>
                    </coding>
                    <text value="medical-cost-burden"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="personal-health-literacy"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.118|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="personal-health-literacy"/>
                    </coding>
                    <text value="personal-health-literacy"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="social-connection"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.94|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="social-connection"/>
                    </coding>
                    <text value="social-connection"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="stress"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.87|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="stress"/>
                    </coding>
                    <text value="stress"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="transportation-insecurity"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.27|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="transportation-insecurity"/>
                    </coding>
                    <text value="transportation-insecurity"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="utility-insecurity"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.247|20240524"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="utility-insecurity"/>
                    </coding>
                    <text value="utility-insecurity"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="veteran-status"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.90|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="veteran-status"/>
                    </coding>
                    <text value="veteran-status"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="sdoh-category-unspecified"/>
              </extension>
              <extension url="purpose">
                <valueCode value="required"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code|7.0.0"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="sdoh-category-unspecified"/>
                    </coding>
                    <text value="sdoh-category-unspecified"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <strength value="required"/>
            <valueSet
                      value="http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code|7.0.0"/>
          </binding>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.code"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.what[x]"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="OBR-44/OBR-45"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".code"/>
          </mapping>
        </element>
        <element id="Procedure.subject">
          <path value="Procedure.subject"/>
          <short value="Who the procedure was performed on"/>
          <definition
                      value="The person, animal or group on which the procedure was performed."/>
          <alias value="patient"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Procedure.subject"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|7.0.0"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.subject"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.subject[x]"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="PID-3"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".participation[typeCode=SBJ].role"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.subject"/>
          </mapping>
        </element>
        <element id="Procedure.encounter">
          <path value="Procedure.encounter"/>
          <short value="Encounter associated with the procedure"/>
          <definition
                      value="The Encounter during which this Procedure was created or performed or to which the creation of this record is tightly associated."/>
          <comment
                   value="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 value="0"/>
          <max value="1"/>
          <base>
            <path value="Procedure.encounter"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|7.0.0"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.context"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.context"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="PV1-19"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/>
          </mapping>
        </element>
        <element id="Procedure.performed[x]">
          <path value="Procedure.performed[x]"/>
          <short value="When the procedure was performed"/>
          <definition
                      value="Estimated or actual date, date-time, period, or age when 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."/>
          <comment
                   value="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 value="0"/>
          <max value="1"/>
          <base>
            <path value="Procedure.performed[x]"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support">
              <valueBoolean value="true"/>
            </extension>
            <code value="dateTime"/>
          </type>
          <type>
            <code value="Period"/>
          </type>
          <type>
            <code value="string"/>
          </type>
          <type>
            <code value="Age"/>
          </type>
          <type>
            <code value="Range"/>
          </type>
          <condition value="us-core-7"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.occurrence[x]"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.done[x]"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="OBR-7"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".effectiveTime"/>
          </mapping>
        </element>
        <element id="Procedure.recorder">
          <path value="Procedure.recorder"/>
          <short value="Who recorded the procedure"/>
          <definition
                      value="Individual who recorded the record and takes responsibility for its content."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Procedure.recorder"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.author"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".participation[typeCode=AUT].role"/>
          </mapping>
        </element>
        <element id="Procedure.asserter">
          <path value="Procedure.asserter"/>
          <short value="Person who asserts this procedure"/>
          <definition value="Individual who is making the procedure statement."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Procedure.asserter"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.source"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".participation[typeCode=INF].role"/>
          </mapping>
        </element>
        <element id="Procedure.performer">
          <path value="Procedure.performer"/>
          <short value="The people who performed the procedure"/>
          <definition
                      value="Limited to &quot;real&quot; people rather than equipment."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Procedure.performer"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="BackboneElement"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.performer"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".participation[typeCode=PRF]"/>
          </mapping>
        </element>
        <element id="Procedure.performer.id">
          <path value="Procedure.performer.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Procedure.performer.extension">
          <path value="Procedure.performer.extension"/>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="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 value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Procedure.performer.modifierExtension">
          <path value="Procedure.performer.modifierExtension"/>
          <short value="Extensions that cannot be ignored even if unrecognized"/>
          <definition
                      value="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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
          <comment
                   value="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."/>
          <requirements
                        value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <alias value="modifiers"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="BackboneElement.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Procedure.performer.function">
          <path value="Procedure.performer.function"/>
          <short value="Type of performance"/>
          <definition
                      value="Distinguishes the type of involvement of the performer in the procedure. For example, surgeon, anaesthetist, endoscopist."/>
          <requirements
                        value="Allows disambiguation of the types of involvement of different performers."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Procedure.performer.function"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="ProcedurePerformerRole"/>
            </extension>
            <strength value="example"/>
            <description
                         value="A code that identifies the role of a performer of the procedure."/>
            <valueSet value="http://hl7.org/fhir/ValueSet/performer-role|4.0.1"/>
          </binding>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.performer.function"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map
                 value="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>
          <mapping>
            <identity value="rim"/>
            <map value=".functionCode"/>
          </mapping>
        </element>
        <element id="Procedure.performer.actor">
          <path value="Procedure.performer.actor"/>
          <short value="The reference to the practitioner"/>
          <definition
                      value="The practitioner who was involved in the procedure."/>
          <requirements
                        value="A reference to Device supports use cases, such as pacemakers."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Procedure.performer.actor"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Device|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.performer.actor"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.actor"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="ORC-19/PRT-5"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".role"/>
          </mapping>
        </element>
        <element id="Procedure.performer.onBehalfOf">
          <path value="Procedure.performer.onBehalfOf"/>
          <short value="Organization the device or practitioner was acting for"/>
          <definition
                      value="The organization the device or practitioner was acting on behalf of."/>
          <requirements
                        value="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 value="0"/>
          <max value="1"/>
          <base>
            <path value="Procedure.performer.onBehalfOf"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value=".scoper"/>
          </mapping>
        </element>
        <element id="Procedure.location">
          <path value="Procedure.location"/>
          <short value="Where the procedure happened"/>
          <definition
                      value="The location where the procedure actually happened.  E.g. a newborn at home, a tracheostomy at a restaurant."/>
          <requirements
                        value="Ties a procedure to where the records are likely kept."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Procedure.location"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Location|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.where[x]"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".participation[typeCode=LOC].role[classCode=SDLOC]"/>
          </mapping>
        </element>
        <element id="Procedure.reasonCode">
          <path value="Procedure.reasonCode"/>
          <short value="Coded reason procedure performed"/>
          <definition
                      value="The coded reason why the procedure was performed. This may be a coded entity of some type, or may simply be present as text."/>
          <comment
                   value="Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative.  For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used. Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference.  Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure.

    Information represented by Procedure.reasonCode may overlap significantly with information represented by Procedure.reasonReference. Multiple approaches to representing the same information may negatively impact interoperability. Therefore, where similar information could be provided by either Procedure.reasonCode or Procedure.reasonReference, it is recommended that Procedure.reasonReference be used to provide a reason for why a procedure was performed."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Procedure.reasonCode"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <strength value="extensible"/>
            <valueSet
                      value="http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|7.0.0"/>
          </binding>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.reasonCode"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.why[x]"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".reasonCode"/>
          </mapping>
        </element>
        <element id="Procedure.reasonReference">
          <path value="Procedure.reasonReference"/>
          <slicing>
            <discriminator>
              <type value="profile"/>
              <path value="resolve()"/>
            </discriminator>
            <rules value="open"/>
          </slicing>
          <short value="The justification that the procedure was performed"/>
          <definition
                      value="The justification of why the procedure was performed."/>
          <comment
                   value="Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative.  For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used.  Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference.  Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure.

    Additionally, see Comments for reasonCode."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Procedure.reasonReference"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Condition|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Observation|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.reasonReference"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.why[x]"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".reasonCode"/>
          </mapping>
        </element>
        <element id="Procedure.reasonReference:SupportedReasonReference">
          <path value="Procedure.reasonReference"/>
          <sliceName value="SupportedReasonReference"/>
          <short value="The justification that the procedure was performed"/>
          <definition
                      value="The justification of why the procedure was performed."/>
          <comment
                   value="Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative.  For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used.  Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference.  Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure."/>
          <requirements
                        value="When a procedure is justified by one or more SDOH conditions or observations, Procedure.reasonReference should reference instances that comply with the SDOHCC Condition profile, or one of the SDOHCC Observation profiles. However, references to other instance types are also possible."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Procedure.reasonReference"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Condition"/>
            <targetProfile
                           value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse"/>
            <targetProfile
                           value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationAssessment"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.reasonReference"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.why[x]"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".reasonCode"/>
          </mapping>
        </element>
        <element id="Procedure.bodySite">
          <path value="Procedure.bodySite"/>
          <short value="Target body sites"/>
          <definition
                      value="Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion."/>
          <comment
                   value="If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [procedure-targetbodystructure](http://hl7.org/fhir/R4/extension-procedure-targetbodystructure.html)."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Procedure.bodySite"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="BodySite"/>
            </extension>
            <strength value="example"/>
            <description
                         value="Codes describing anatomical locations. May include laterality."/>
            <valueSet value="http://hl7.org/fhir/ValueSet/body-site|4.0.1"/>
          </binding>
          <mapping>
            <identity value="v2"/>
            <map value="OBX-20"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".targetSiteCode"/>
          </mapping>
        </element>
        <element id="Procedure.outcome">
          <path value="Procedure.outcome"/>
          <short value="The result of procedure"/>
          <definition
                      value="The outcome of the procedure - did it resolve the reasons for the procedure being performed?"/>
          <comment
                   value="If outcome contains narrative text only, it can be captured using the CodeableConcept.text."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Procedure.outcome"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="ProcedureOutcome"/>
            </extension>
            <strength value="example"/>
            <description
                         value="An outcome of a procedure - whether it was resolved or otherwise."/>
            <valueSet
                      value="http://hl7.org/fhir/ValueSet/procedure-outcome|4.0.1"/>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map value=".outboundRelationship[typeCode=OUT].target.text"/>
          </mapping>
        </element>
        <element id="Procedure.report">
          <path value="Procedure.report"/>
          <short value="Any report resulting from the procedure"/>
          <definition
                      value="This could be a histology result, pathology report, surgical report, etc."/>
          <comment
                   value="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 value="0"/>
          <max value="*"/>
          <base>
            <path value="Procedure.report"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Composition|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN]"/>
          </mapping>
        </element>
        <element id="Procedure.complication">
          <path value="Procedure.complication"/>
          <short value="Complication following the procedure"/>
          <definition
                      value="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
                   value="If complications are only expressed by the narrative text, they can be captured using the CodeableConcept.text."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Procedure.complication"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="ProcedureComplication"/>
            </extension>
            <strength value="example"/>
            <description
                         value="Codes describing complications that resulted from a procedure."/>
            <valueSet value="http://hl7.org/fhir/ValueSet/condition-code|4.0.1"/>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=&quot;complication&quot;, moodCode=EVN].value"/>
          </mapping>
        </element>
        <element id="Procedure.complicationDetail">
          <path value="Procedure.complicationDetail"/>
          <short value="A condition that is a result of the procedure"/>
          <definition
                      value="Any complications that occurred during the procedure, or in the immediate post-performance period."/>
          <requirements
                        value="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 value="0"/>
          <max value="*"/>
          <base>
            <path value="Procedure.complicationDetail"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Condition|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=&quot;complication&quot;, moodCode=EVN].value"/>
          </mapping>
        </element>
        <element id="Procedure.followUp">
          <path value="Procedure.followUp"/>
          <short value="Instructions for follow up"/>
          <definition
                      value="If the procedure required specific follow up - e.g. removal of sutures. The follow up may be represented as a simple note or could potentially be more complex, in which case the CarePlan resource can be used."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Procedure.followUp"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="ProcedureFollowUp"/>
            </extension>
            <strength value="example"/>
            <description
                         value="Specific follow up required for a procedure e.g. removal of sutures."/>
            <valueSet
                      value="http://hl7.org/fhir/ValueSet/procedure-followup|4.0.1"/>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".outboundRelationship[typeCode=COMP].target[classCode=ACT, moodCode=INT].code"/>
          </mapping>
        </element>
        <element id="Procedure.note">
          <path value="Procedure.note"/>
          <short value="Additional information about the procedure"/>
          <definition value="Any other notes and comments about the procedure."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Procedure.note"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Annotation"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.note"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="NTE"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;annotation&quot;].value"/>
          </mapping>
        </element>
        <element id="Procedure.focalDevice">
          <path value="Procedure.focalDevice"/>
          <short value="Manipulated, implanted, or removed device"/>
          <definition
                      value="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 value="0"/>
          <max value="*"/>
          <base>
            <path value="Procedure.focalDevice"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="BackboneElement"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value=".participation[typeCode=DEV].role[classCode=MANU]"/>
          </mapping>
        </element>
        <element id="Procedure.focalDevice.id">
          <path value="Procedure.focalDevice.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Procedure.focalDevice.extension">
          <path value="Procedure.focalDevice.extension"/>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="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 value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Procedure.focalDevice.modifierExtension">
          <path value="Procedure.focalDevice.modifierExtension"/>
          <short value="Extensions that cannot be ignored even if unrecognized"/>
          <definition
                      value="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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
          <comment
                   value="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."/>
          <requirements
                        value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <alias value="modifiers"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="BackboneElement.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Procedure.focalDevice.action">
          <path value="Procedure.focalDevice.action"/>
          <short value="Kind of change to device"/>
          <definition
                      value="The kind of change that happened to the device during the procedure."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Procedure.focalDevice.action"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="DeviceActionKind"/>
            </extension>
            <strength value="preferred"/>
            <description
                         value="A kind of change that happened to the device during the procedure."/>
            <valueSet value="http://hl7.org/fhir/ValueSet/device-action|4.0.1"/>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;procedure device action&quot;].value=:procedure device action codes"/>
          </mapping>
        </element>
        <element id="Procedure.focalDevice.manipulated">
          <path value="Procedure.focalDevice.manipulated"/>
          <short value="Device that was changed"/>
          <definition
                      value="The device that was manipulated (changed) during the procedure."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Procedure.focalDevice.manipulated"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Device|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value=".participation[typeCode=DEV].role[classCode=SDLOC]"/>
          </mapping>
        </element>
        <element id="Procedure.usedReference">
          <path value="Procedure.usedReference"/>
          <short value="Items used during procedure"/>
          <definition
                      value="Identifies medications, devices and any other substance used as part of the procedure."/>
          <comment
                   value="For devices actually implanted or removed, use Procedure.device."/>
          <requirements value="Used for tracking contamination, etc."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Procedure.usedReference"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Device|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Medication|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Substance|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".participation[typeCode=DEV].role[classCode=MANU] or
    .participation[typeCode=CSM].role[classCode=ADMM] (for Medication or Substance)"/>
          </mapping>
        </element>
        <element id="Procedure.usedCode">
          <path value="Procedure.usedCode"/>
          <short value="Coded items used during the procedure"/>
          <definition
                      value="Identifies coded items that were used as part of the procedure."/>
          <comment
                   value="For devices actually implanted or removed, use Procedure.device."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Procedure.usedCode"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="ProcedureUsed"/>
            </extension>
            <strength value="example"/>
            <description value="Codes describing items used during a procedure."/>
            <valueSet value="http://hl7.org/fhir/ValueSet/device-kind|4.0.1"/>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map value="participation[typeCode=Dev].role[classCode=MANU]"/>
          </mapping>
        </element>
      </snapshot>
      <differential>
        <element id="Procedure">
          <path value="Procedure"/>
          <constraint>
            <key value="us-core-7"/>
            <severity value="error"/>
            <human
                   value="Performed SHALL be present if the status is 'completed' or 'in-progress'"/>
            <expression
                        value="(status='completed' or status='in-progress') implies performed.exists()"/>
            <source
                    value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
          </constraint>
        </element>
        <element id="Procedure.extension">
          <path value="Procedure.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <rules value="open"/>
          </slicing>
        </element>
        <element id="Procedure.extension:pertainsToGoal">
          <path value="Procedure.extension"/>
          <sliceName value="pertainsToGoal"/>
          <short value="Pertains to SDOH goal"/>
          <definition
                      value="Indicates that the resource is related to either the measurement, achievement or progress towards the referenced goal.  For example, a Procedure to provide food vouchers pertainsToGoal of achieving food security."/>
          <requirements
                        value="Indicates that the procedure is related to the referenced SDOHCC Goal."/>
          <min value="0"/>
          <max value="*"/>
          <type>
            <code value="Extension"/>
            <profile
                     value="http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal|5.2.0"/>
          </type>
          <mustSupport value="true"/>
        </element>
        <element id="Procedure.extension:pertainsToGoal.value[x]">
          <path value="Procedure.extension.value[x]"/>
          <definition value="Value of extension must reference a Goal resource."/>
          <requirements
                        value="Indicates that the procedure is related to the referenced SDOHCC Goal."/>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Goal"/>
          </type>
          <mustSupport value="true"/>
        </element>
        <element id="Procedure.basedOn">
          <path value="Procedure.basedOn"/>
          <slicing>
            <discriminator>
              <type value="profile"/>
              <path value="resolve()"/>
            </discriminator>
            <rules value="open"/>
          </slicing>
          <mustSupport value="true"/>
        </element>
        <element id="Procedure.basedOn:SupportedBasedOn">
          <path value="Procedure.basedOn"/>
          <sliceName value="SupportedBasedOn"/>
          <short
                 value="An SDOH service request or US Core Care Plan for this procedure"/>
          <definition
                      value="A reference to an SDOHCC service request or US Core Care Plan that contains details of the request for this procedure."/>
          <requirements
                        value="When a procedure is based on an SDOH ServiceRequest, Procedure.basedOn should reference instances that comply with the SDOHCC ServiceRequest profile and when a procedure is based on a SDOH Care Plan, Procedure.basedOn should reference instances that comply with the US Core Care Plan profile. However, references to other instance types are also possible."/>
          <min value="0"/>
          <max value="*"/>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ServiceRequest"/>
            <targetProfile
                           value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan|7.0.0"/>
          </type>
          <mustSupport value="true"/>
        </element>
        <element id="Procedure.status">
          <path value="Procedure.status"/>
          <condition value="us-core-7"/>
          <mustSupport value="true"/>
          <binding>
            <strength value="required"/>
            <valueSet value="http://hl7.org/fhir/ValueSet/event-status"/>
          </binding>
        </element>
        <element id="Procedure.category">
          <path value="Procedure.category"/>
          <definition
                      value="A code that classifies the procedure for searching, sorting and display purposes (e.g. &quot;Social service procedure&quot;)."/>
        </element>
        <element id="Procedure.category.coding">
          <path value="Procedure.category.coding"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="$this"/>
            </discriminator>
            <rules value="open"/>
          </slicing>
          <mustSupport value="true"/>
        </element>
        <element id="Procedure.category.coding:SDOHCC">
          <path value="Procedure.category.coding"/>
          <sliceName value="SDOHCC"/>
          <short value="e.g., food-insecurity | transportation-insecurity"/>
          <definition value="An SDOH category assigned to the procedure."/>
          <requirements
                        value="Allows for alternative encodings within a code system, and translations to other code systems.
    Codes from this value set can be used to assign an SDOH category (e.g., food-insecurity, transportation-insecurity, etc.) to a procedure. It is recommended that SDOH category codes be used to facilitate searching for SDOH procedures that address SDOH conditions, observations, service requests, or goals."/>
          <min value="0"/>
          <max value="1"/>
          <mustSupport value="true"/>
          <binding>
            <strength value="required"/>
            <description value="Codes for high-level SDOH categories."/>
            <valueSet
                      value="http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory"/>
          </binding>
        </element>
        <element id="Procedure.code">
          <path value="Procedure.code"/>
          <definition
                      value="The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded."/>
          <requirements
                        value="Code is required and must be selected from the bound value set."/>
          <min value="1"/>
          <mustSupport value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="digital-access"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.235|20240615"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="digital-access"/>
                    </coding>
                    <text value="digital-access"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="digital-literacy"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.226|20240628"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="digital-literacy"/>
                    </coding>
                    <text value="digital-literacy"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="educational-attainment"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.56|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="educational-attainment"/>
                    </coding>
                    <text value="educational-attainment"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="elder-abuse"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.67|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="elder-abuse"/>
                    </coding>
                    <text value="elder-abuse"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="employment-status"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.59|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="employment-status"/>
                    </coding>
                    <text value="employment-status"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="financial-insecurity"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.32|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="financial-insecurity"/>
                    </coding>
                    <text value="financial-insecurity"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="food-insecurity"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.7|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="food-insecurity"/>
                    </coding>
                    <text value="food-insecurity"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="health-insurance-coverage-status"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.125|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="health-insurance-coverage-status"/>
                    </coding>
                    <text value="health-insurance-coverage-status"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="homelessness"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.20|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="homelessness"/>
                    </coding>
                    <text value="homelessness"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="housing-instability"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.44|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="housing-instability"/>
                    </coding>
                    <text value="housing-instability"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="inadequate-housing"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.52|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="inadequate-housing"/>
                    </coding>
                    <text value="inadequate-housing"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="incarceration-status"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.260"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="incarceration-status"/>
                    </coding>
                    <text value="incarceration-status"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="intimate-partner-violence"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.97|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="intimate-partner-violence"/>
                    </coding>
                    <text value="intimate-partner-violence"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="language-access"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.268"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="language-access"/>
                    </coding>
                    <text value="language-access"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="material-hardship"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.39|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="material-hardship"/>
                    </coding>
                    <text value="material-hardship"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="medical-cost-burden"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.122|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="medical-cost-burden"/>
                    </coding>
                    <text value="medical-cost-burden"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="personal-health-literacy"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.118|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="personal-health-literacy"/>
                    </coding>
                    <text value="personal-health-literacy"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="social-connection"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.94|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="social-connection"/>
                    </coding>
                    <text value="social-connection"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="stress"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.87|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="stress"/>
                    </coding>
                    <text value="stress"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="transportation-insecurity"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.27|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="transportation-insecurity"/>
                    </coding>
                    <text value="transportation-insecurity"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="utility-insecurity"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.247|20240524"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="utility-insecurity"/>
                    </coding>
                    <text value="utility-insecurity"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="veteran-status"/>
              </extension>
              <extension url="purpose">
                <valueCode value="extensible"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.90|20240604"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="veteran-status"/>
                    </coding>
                    <text value="veteran-status"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
              <extension url="key">
                <valueId value="sdoh-category-unspecified"/>
              </extension>
              <extension url="purpose">
                <valueCode value="required"/>
              </extension>
              <extension url="valueSet">
                <valueCanonical
                                value="http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code|7.0.0"/>
              </extension>
              <extension url="usage">
                <valueUsageContext>
                  <code>
                    <system
                            value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure"/>
                    <code value="Procedure.category"/>
                  </code>
                  <valueCodeableConcept>
                    <coding>
                      <system
                              value="http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"/>
                      <code value="sdoh-category-unspecified"/>
                    </coding>
                    <text value="sdoh-category-unspecified"/>
                  </valueCodeableConcept>
                </valueUsageContext>
              </extension>
            </extension>
            <strength value="required"/>
            <valueSet
                      value="http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code|7.0.0"/>
          </binding>
        </element>
        <element id="Procedure.subject">
          <path value="Procedure.subject"/>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|7.0.0"/>
          </type>
          <mustSupport value="true"/>
        </element>
        <element id="Procedure.encounter">
          <path value="Procedure.encounter"/>
          <short value="Encounter associated with the procedure"/>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|7.0.0"/>
          </type>
          <mustSupport value="true"/>
        </element>
        <element id="Procedure.performed[x]">
          <path value="Procedure.performed[x]"/>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support">
              <valueBoolean value="true"/>
            </extension>
            <code value="dateTime"/>
          </type>
          <type>
            <code value="Period"/>
          </type>
          <type>
            <code value="string"/>
          </type>
          <type>
            <code value="Age"/>
          </type>
          <type>
            <code value="Range"/>
          </type>
          <condition value="us-core-7"/>
          <mustSupport value="true"/>
        </element>
        <element id="Procedure.reasonCode">
          <path value="Procedure.reasonCode"/>
          <comment
                   value="Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative.  For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used. Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference.  Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure.

    Information represented by Procedure.reasonCode may overlap significantly with information represented by Procedure.reasonReference. Multiple approaches to representing the same information may negatively impact interoperability. Therefore, where similar information could be provided by either Procedure.reasonCode or Procedure.reasonReference, it is recommended that Procedure.reasonReference be used to provide a reason for why a procedure was performed."/>
          <binding>
            <strength value="extensible"/>
            <valueSet
                      value="http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|7.0.0"/>
          </binding>
        </element>
        <element id="Procedure.reasonReference">
          <path value="Procedure.reasonReference"/>
          <slicing>
            <discriminator>
              <type value="profile"/>
              <path value="resolve()"/>
            </discriminator>
            <rules value="open"/>
          </slicing>
          <comment
                   value="Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative.  For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used.  Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference.  Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure.

    Additionally, see Comments for reasonCode."/>
        </element>
        <element id="Procedure.reasonReference:SupportedReasonReference">
          <path value="Procedure.reasonReference"/>
          <sliceName value="SupportedReasonReference"/>
          <comment
                   value="Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative.  For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used.  Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference.  Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure."/>
          <requirements
                        value="When a procedure is justified by one or more SDOH conditions or observations, Procedure.reasonReference should reference instances that comply with the SDOHCC Condition profile, or one of the SDOHCC Observation profiles. However, references to other instance types are also possible."/>
          <min value="0"/>
          <max value="*"/>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Condition"/>
            <targetProfile
                           value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse"/>
            <targetProfile
                           value="http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationAssessment"/>
          </type>
          <mustSupport value="true"/>
        </element>
      </differential>
    </StructureDefinition>