Generated Narrative: StructureDefinition Surgery

NameFlagsCard.TypeDescription & Constraintsdoco
.. Surgery 0..*BaseSurgery
... diagnosisReference O1..*DiagnosisDiagnosis reference (M)
ObligationsActor
SHALL:handleHead and Neck
SHALL:handleSarcoma
... episodeEventReference O1..*EpisodeEventEpisode Event reference (M)
ObligationsActor
SHALL:handleHead and Neck
SHALL:handleSarcoma
... surgeryType O1..*CodeableConceptSurgery type (M)
ObligationsActor
SHALL:handleSarcoma
... surgeryHospital O1..*stringSurgery Hospital (M)
ObligationsActor
SHALL:handleHead and Neck
... dateOfSurgery O1..*dateDate of surgery (M)
ObligationsActor
SHALL:handleHead and Neck
SHALL:handleSarcoma
... surgeryIntention O0..*CodeableConceptSurgery intention (O)
ObligationsActor
SHALL:handleHead and Neck
SHALL:handleSarcoma
... typeOfSurgicalApproachOnTumour O1..*CodeableConceptType of surgical approach on Tumour (M)
ObligationsActor
SHALL:handleHead and Neck
... marginsAfterSurgery O1..*CodeableConceptMargins after surgery (M)
ObligationsActor
SHALL:handleHead and Neck
SHALL:handleSarcoma
... tumorRupture O1..*booleanTumor rupture (M)
ObligationsActor
SHALL:handleSarcoma
... extraNodalExtension O1..*CodeableConceptExtra-nodal extension (rEne) (M)
ObligationsActor
SHALL:handleHead and Neck
... surgicalSpecimenMitoticCount O1..*QuantitySurgical specimen Mitotic count (M)
ObligationsActor
SHALL:handleSarcoma
... surgicalSpecimenGradingOnlyInUntreatedTumours O1..*CodeableConceptSurgical specimen grading only in untreated tumours (M)
ObligationsActor
SHALL:handleSarcoma
... reconstruction O1..*booleanReconstruction (M)
ObligationsActor
SHALL:handleHead and Neck
... neckSurgery O1..*booleanNeck surgery (M)
ObligationsActor
SHALL:handleHead and Neck
... dateOfNeckSurgery O1..*dateDate of Neck surgery (M)
ObligationsActor
SHALL:handleHead and Neck
... lateralityOfTheDissection O1..*CodeableConceptLaterality of the dissection (M)
ObligationsActor
SHALL:handleHead and Neck
... surgeryOnM O1..*booleanSurgery on M (M)
ObligationsActor
SHALL:handleHead and Neck
... dateOfSurgeryOnM O1..*dateDate of surgery on M (M)
ObligationsActor
SHALL:handleHead and Neck
... siteOfSurgeryOnMetastasis O0..*BackboneElementSite of surgery on metastasis
ObligationsActor
SHALL:handleHead and Neck
.... softTissue O0..*booleanSite of surgery on metastasis_soft tissue (O)
ObligationsActor
SHALL:handleHead and Neck
.... distantLymphNodes O0..*booleanSite of surgery on metastasis_distant lymph nodes (O)
ObligationsActor
SHALL:handleHead and Neck
.... lung O0..*booleanSite of surgery on metastasis_lung (O)
ObligationsActor
SHALL:handleHead and Neck
.... bone O0..*booleanSite of surgery on metastasis_bone (O)
ObligationsActor
SHALL:handleHead and Neck
.... liver O0..*booleanSite of surgery on metastasis_liver (O)
ObligationsActor
SHALL:handleHead and Neck
.... pleura O0..*booleanSite of surgery on metastasis_pleura (O)
ObligationsActor
SHALL:handleHead and Neck
.... peritoneum O0..*booleanSite of surgery on metastasis_peritoneum (O)
ObligationsActor
SHALL:handleHead and Neck
.... brain O0..*booleanSite of surgery on metastasis_brain (O)
ObligationsActor
SHALL:handleHead and Neck
.... otherViscera O0..*booleanSite of surgery on metastasis_other viscera (O)
ObligationsActor
SHALL:handleHead and Neck
.... unknown O0..*booleanSite of surgery on metastasis_unknown (O)
ObligationsActor
SHALL:handleHead and Neck
... surgicalComplications O1..*CodeableConceptSurgical complications (Clavien-Dindo Classification) (M)
ObligationsActor
SHALL:handleHead and Neck

doco Documentation for this format
 <status value="active"/> <date value="2026-09-17T14:38:18+02:00"/> <publisher value="IDEA4RC Project"/> <contact> <name value="IDEA4RC Project"/> <telecom> <system value="url"/> <value value="https://www.idea4rc.eu/"/> </telecom> </contact> <contact> <name value="IDEA4RC Project"/> <telecom> <system value="url"/> <value value="https://www.idea4rc.eu/"/> </telecom> </contact> <description value="Surgery Maturity Level: 0 Draft"/> <jurisdiction> <coding> <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> <code value="150"/> <display value="Europe"/> </coding> </jurisdiction> <fhirVersion value="4.0.1"/> <kind value="logical"/> <abstract value="false"/> <type value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/> <derivation value="specialization"/> <snapshot> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"> <valueString value="4.0.1"/> </extension> <element id="Surgery"> <path value="Surgery"/> <short value="Surgery"/> <definition value="Surgery Maturity Level: 0 Draft"/> <min value="0"/> <max value="*"/> <base> <path value="Base"/> <min value="0"/> <max value="*"/> </base> <isModifier value="false"/> </element> <element id="Surgery.diagnosisReference"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.diagnosisReference"/> <short value="Diagnosis reference (M)"/> <definition value="Diagnosis reference in case the treatment was done for baseline"/> <min value="1"/> <max value="*"/> <base> <path value="Surgery.diagnosisReference"/> <min value="1"/> <max value="*"/> </base> <type> <code value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Diagnosis"/> </type> </element> <element id="Surgery.episodeEventReference"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.episodeEventReference"/> <short value="Episode Event reference (M)"/> <definition value="EpisodeEvent element containing the data regarding the patient's cancer, in case the treatment was done for an episode event (progression, recurrence...)"/> <min value="1"/> <max value="*"/> <base> <path value="Surgery.episodeEventReference"/> <min value="1"/> <max value="*"/> </base> <type> <code value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent"/> </type> </element> <element id="Surgery.surgeryType"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.surgeryType"/> <short value="Surgery type (M)"/> <definition value="Primary surgery/re-excision (check with unplanned or excisional biopsy) Check "Surgery (with date) is a procedure occurrence, which is referred to in the EPISODE_EVENT table. Provider of the procedure can be defined based on the hospital. If type of surgery is not specified use SURGICAL PROCEDURE." CHILDREN"/> <comment value="Surgical procedure - 4301351 Local excision - 4315400 Amputation - 4217482 Limb operation - 4181193"/> <min value="1"/> <max value="*"/> <base> <path value="Surgery.surgeryType"/> <min value="1"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> </element> <element id="Surgery.surgeryHospital"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.surgeryHospital"/> <short value="Surgery Hospital (M)"/> <definition value="Whether or not a surgical procedure was performed and whether it was performed at the registering hospital or another hospital. Diagnostic procedures (biopsy) are not included."/> <min value="1"/> <max value="*"/> <base> <path value="Surgery.surgeryHospital"/> <min value="1"/> <max value="*"/> </base> <type> <code value="string"/> </type> </element> <element id="Surgery.dateOfSurgery"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.dateOfSurgery"/> <short value="Date of surgery (M)"/> <definition value="Date of the surgery for primary tumor with or without neck surgery Is there a new excision surgery to treat the cancer by removing the tumor ? Yes : New event Is the tumor that is going to be removed metastatic ? Yes: Add True for Surgery on M, with the same date than the surgery date Is the tumor on the Neck ? Yes: add true for Neck Surgery, with the same date than the surgery date Is the neck surgery accompanied by a dissection ? Yes : fill the type of dissection"/> <min value="1"/> <max value="*"/> <base> <path value="Surgery.dateOfSurgery"/> <min value="1"/> <max value="*"/> </base> <type> <code value="date"/> </type> </element> <element id="Surgery.surgeryIntention"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.surgeryIntention"/> <short value="Surgery intention (O)"/> <definition value="Palliative: surgery performed with the intent of improving quality of life or relieving symptoms caused by advanced disease. Curative: surgery performed with the intend of oncologic cure, regardless of its result (R0 / R1/R2)"/> <comment value="Palliative - 4179711 Curative procedure intent - 4162591"/> <min value="0"/> <max value="*"/> <base> <path value="Surgery.surgeryIntention"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> </element> <element id="Surgery.typeOfSurgicalApproachOnTumour"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.typeOfSurgicalApproachOnTumour"/> <short value="Type of surgical approach on Tumour (M)"/> <definition value="Describes the approach to tumor resection whether it includes skin incision (extenal or open ), or it 's aproached through a natural orifice (Transnasal/transorbital/transoral) or if the approach combines two or more of the previous ones Maybe should be a flag"/> <comment value="External/Open - 4236080 Transnasal - 4050374 Transorbital - 4044897 Transoral - 4038679 Craniofacial - 4333339 Combined surgical approach - 2000100027"/> <min value="1"/> <max value="*"/> <base> <path value="Surgery.typeOfSurgicalApproachOnTumour"/> <min value="1"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> </element> <element id="Surgery.marginsAfterSurgery"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.marginsAfterSurgery"/> <short value="Margins after surgery (M)"/> <definition value="The R0 (“no residual rumor”) category applies only to cases in which residual tumor cannot be detected by conventional diagnostic methods. A more exact definition would read “no detectable residual tumor.”This category corresponds to surgical resection for cure. The R1 category is reserved exclusively for cases in which residual tumor is found by histologic examination. This category may apply to biopsy sampling of the regional tissue at the site of resection or of a distant site at the time of surgery. It also applies to microscopic examination of the resection margins of the surgical resection specimen by the pathologist. R2 applies to cases with macroscopically visible residual tumor that is detected either clinically or pathologically."/> <comment value="R0: No residual tumor - 1634643 R1: Microscopic residual tumor - 1633801 R2: Macroscopic residual tumor - 1634484"/> <min value="1"/> <max value="*"/> <base> <path value="Surgery.marginsAfterSurgery"/> <min value="1"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> </element> <element id="Surgery.tumorRupture"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.tumorRupture"/> <short value="Tumor rupture (M)"/> <definition value="Tumor rupture Yes/No Cancer modifiers (associated with diagnosis) For Absence use value_as_concept_id = ABSENT"/> <comment value="Tumor Rupture - 36768904"/> <min value="1"/> <max value="*"/> <base> <path value="Surgery.tumorRupture"/> <min value="1"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="Surgery.extraNodalExtension"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.extraNodalExtension"/> <short value="Extra-nodal extension (rEne) (M)"/> <definition value="Describes the presence or absence of radiological signs of extracapsular extension by histopathologic examination or not, as defined in the AJCC 8th Ed. It's also present in the Clinical/Pathological stages for baseline diagnosis. check CODEs"/> <comment value="ENE- - 36769946 ENE+ - 36770618"/> <min value="1"/> <max value="*"/> <base> <path value="Surgery.extraNodalExtension"/> <min value="1"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> </element> <element id="Surgery.surgicalSpecimenMitoticCount"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.surgicalSpecimenMitoticCount"/> <short value="Surgical specimen Mitotic count (M)"/> <definition value="Surgical specimen Mitotic count"/> <comment value="Number of mitoses per 10 high power fields - 4227243"/> <min value="1"/> <max value="*"/> <base> <path value="Surgery.surgicalSpecimenMitoticCount"/> <min value="1"/> <max value="*"/> </base> <type> <code value="Quantity"/> </type> </element> <element id="Surgery.surgicalSpecimenGradingOnlyInUntreatedTumours"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.surgicalSpecimenGradingOnlyInUntreatedTumours"/> <short value="Surgical specimen grading only in untreated tumours (M)"/> <definition value="Provides the grading for surgical specimen only for untreated tumours"/> <comment value="Grade-1 - 1634371 Grade-2 - 1634752 Grade-3 - 1633749 Grade-H - 1635587 Grade-L - 1634085"/> <min value="1"/> <max value="*"/> <base> <path value="Surgery.surgicalSpecimenGradingOnlyInUntreatedTumours"/> <min value="1"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> </element> <element id="Surgery.reconstruction"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.reconstruction"/> <short value="Reconstruction (M)"/> <definition value="Local flap / regional pedicled flap / free flap"/> <comment value="Yes - 4188539 No - 4188540"/> <min value="1"/> <max value="*"/> <base> <path value="Surgery.reconstruction"/> <min value="1"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="Surgery.neckSurgery"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.neckSurgery"/> <short value="Neck surgery (M)"/> <definition value="Describes whether a surgical procedure to treat and address the neck was performed or not."/> <comment value="Yes - 4188539 No - 4188540"/> <min value="1"/> <max value="*"/> <base> <path value="Surgery.neckSurgery"/> <min value="1"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="Surgery.dateOfNeckSurgery"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.dateOfNeckSurgery"/> <short value="Date of Neck surgery (M)"/> <definition value="Date of the surgery on the neck"/> <min value="1"/> <max value="*"/> <base> <path value="Surgery.dateOfNeckSurgery"/> <min value="1"/> <max value="*"/> </base> <type> <code value="date"/> </type> </element> <element id="Surgery.lateralityOfTheDissection"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.lateralityOfTheDissection"/> <short value="Laterality of the dissection (M)"/> <definition value="Describes laterality of the neck surgical procedure: Ipsilateral when only the neck ipsilateral to the tumor has been treated Contralateral when only the neck contralateral to the tumor has been treated Bilateral: when both sides of the neck have been treated"/> <comment value="Ipsilateral - 4112106 Bilateral Sampling - 4117496 Controlateral - 4112107"/> <min value="1"/> <max value="*"/> <base> <path value="Surgery.lateralityOfTheDissection"/> <min value="1"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> </element> <element id="Surgery.surgeryOnM"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.surgeryOnM"/> <short value="Surgery on M (M)"/> <definition value="Describes whether surgery is performed to treat the Metastasis"/> <comment value="Yes - 4188539 No - 4188540"/> <min value="1"/> <max value="*"/> <base> <path value="Surgery.surgeryOnM"/> <min value="1"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="Surgery.dateOfSurgeryOnM"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.dateOfSurgeryOnM"/> <short value="Date of surgery on M (M)"/> <definition value="Date of the surgery on the metastasis"/> <min value="1"/> <max value="*"/> <base> <path value="Surgery.dateOfSurgeryOnM"/> <min value="1"/> <max value="*"/> </base> <type> <code value="date"/> </type> </element> <element id="Surgery.siteOfSurgeryOnMetastasis"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.siteOfSurgeryOnMetastasis"/> <short value="Site of surgery on metastasis"/> <definition value="Describes if site of surgery on metastasis"/> <min value="0"/> <max value="*"/> <base> <path value="Surgery.siteOfSurgeryOnMetastasis"/> <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() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> </element> <element id="Surgery.siteOfSurgeryOnMetastasis.id"> <path value="Surgery.siteOfSurgeryOnMetastasis.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="Surgery.siteOfSurgeryOnMetastasis.extension"> <path value="Surgery.siteOfSurgeryOnMetastasis.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() > 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(.), "value")])"/> <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="Surgery.siteOfSurgeryOnMetastasis.modifierExtension"> <path value="Surgery.siteOfSurgeryOnMetastasis.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() > 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(.), "value")])"/> <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="Surgery.siteOfSurgeryOnMetastasis.softTissue"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.siteOfSurgeryOnMetastasis.softTissue"/> <short value="Site of surgery on metastasis_soft tissue (O)"/> <definition value="Describes if site of surgery on metastasis is soft tissue"/> <comment value="Metastasis to soft tissues - 35225724"/> <min value="0"/> <max value="*"/> <base> <path value="Surgery.siteOfSurgeryOnMetastasis.softTissue"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="Surgery.siteOfSurgeryOnMetastasis.distantLymphNodes"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.siteOfSurgeryOnMetastasis.distantLymphNodes"/> <short value="Site of surgery on metastasis_distant lymph nodes (O)"/> <definition value="Describes if site of surgery on metastasis is dystan lymph node"/> <comment value="Distant spread to lymph node - 36769243"/> <min value="0"/> <max value="*"/> <base> <path value="Surgery.siteOfSurgeryOnMetastasis.distantLymphNodes"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="Surgery.siteOfSurgeryOnMetastasis.lung"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.siteOfSurgeryOnMetastasis.lung"/> <short value="Site of surgery on metastasis_lung (O)"/> <definition value="Describes if site of surgery on metastasis is lung"/> <comment value="Metastasis to lung - 36770283"/> <min value="0"/> <max value="*"/> <base> <path value="Surgery.siteOfSurgeryOnMetastasis.lung"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="Surgery.siteOfSurgeryOnMetastasis.bone"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.siteOfSurgeryOnMetastasis.bone"/> <short value="Site of surgery on metastasis_bone (O)"/> <definition value="Describes if site of surgery on metastasis is bone"/> <comment value="Metastasis to bone - 36769301"/> <min value="0"/> <max value="*"/> <base> <path value="Surgery.siteOfSurgeryOnMetastasis.bone"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="Surgery.siteOfSurgeryOnMetastasis.liver"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.siteOfSurgeryOnMetastasis.liver"/> <short value="Site of surgery on metastasis_liver (O)"/> <definition value="Describes if site of surgery on metastasis is liver"/> <comment value="Metastasis to liver - 36770544"/> <min value="0"/> <max value="*"/> <base> <path value="Surgery.siteOfSurgeryOnMetastasis.liver"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="Surgery.siteOfSurgeryOnMetastasis.pleura"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.siteOfSurgeryOnMetastasis.pleura"/> <short value="Site of surgery on metastasis_pleura (O)"/> <definition value="Describes if site of surgery on metastasis is pleura"/> <comment value="Metastasis to pleura - 35226258"/> <min value="0"/> <max value="*"/> <base> <path value="Surgery.siteOfSurgeryOnMetastasis.pleura"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="Surgery.siteOfSurgeryOnMetastasis.peritoneum"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.siteOfSurgeryOnMetastasis.peritoneum"/> <short value="Site of surgery on metastasis_peritoneum (O)"/> <definition value="Describes if site of surgery on metastasis is peritoneum"/> <comment value="Metastasis to peritoneum - 35226253"/> <min value="0"/> <max value="*"/> <base> <path value="Surgery.siteOfSurgeryOnMetastasis.peritoneum"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="Surgery.siteOfSurgeryOnMetastasis.brain"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.siteOfSurgeryOnMetastasis.brain"/> <short value="Site of surgery on metastasis_brain (O)"/> <definition value="Describes if site of surgery on metastasis is brain"/> <comment value="Metastasis to brain - 36768862"/> <min value="0"/> <max value="*"/> <base> <path value="Surgery.siteOfSurgeryOnMetastasis.brain"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="Surgery.siteOfSurgeryOnMetastasis.otherViscera"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.siteOfSurgeryOnMetastasis.otherViscera"/> <short value="Site of surgery on metastasis_other viscera (O)"/> <definition value="Describes if site of surgery on metastasis is other viscera Use the generic metastasis code or a metastasis subsumed in it, 36769180"/> <comment value="Metastasis - 36769180"/> <min value="0"/> <max value="*"/> <base> <path value="Surgery.siteOfSurgeryOnMetastasis.otherViscera"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="Surgery.siteOfSurgeryOnMetastasis.unknown"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.siteOfSurgeryOnMetastasis.unknown"/> <short value="Site of surgery on metastasis_unknown (O)"/> <definition value="Describes if site of surgery on metastasis is unknown"/> <comment value="Unknown - 4129922"/> <min value="0"/> <max value="*"/> <base> <path value="Surgery.siteOfSurgeryOnMetastasis.unknown"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="Surgery.surgicalComplications"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|1.0.0"/> </extension> </extension> <path value="Surgery.surgicalComplications"/> <short value="Surgical complications (Clavien-Dindo Classification) (M)"/> <definition value="Describes presence and grade of complications after a surgical procedure,"/> <comment value="Absent - 4132135 Clavien-Dindo complication scale: Grade I - 715974 Clavien-Dindo complication scale: Grade II - 715975 Clavien-Dindo complication scale: Grade III - 715976 Clavien-Dindo complication scale: Grade IIIA - 715977 Clavien-Dindo complication scale: Grade IIIB - 715978 Clavien-Dindo complication scale: Grade IV - 715979 Clavien-Dindo complication scale: Grade IVA - 715980 Clavien-Dindo complication scale: Grade IVB - 715981 Clavien-Dindo complication scale: Grade V - 715982"/> <min value="1"/> <max value="*"/> <base> <path value="Surgery.surgicalComplications"/> <min value="1"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> </element> </snapshot> <differential> <element id="Surgery"> <path value="Surgery"/> <short value="Surgery"/> <definition value="Surgery Maturity Level: 0 Draft"/> </element> <element id="Surgery.diagnosisReference"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="Surgery.diagnosisReference"/> <short value="Diagnosis reference (M)"/> <definition value="Diagnosis reference in case the treatment was done for baseline "/> <min value="1"/> <max value="*"/> <type> <code value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Diagnosis"/> </type> </element> <element id="Surgery.episodeEventReference"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="Surgery.episodeEventReference"/> <short value="Episode Event reference (M)"/> <definition value="EpisodeEvent element containing the data regarding the patient's cancer, in case the treatment was done for an episode event (progression, recurrence...) "/> <min value="1"/> <max value="*"/> <type> <code value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent"/> </type> </element> <element id="Surgery.surgeryType"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="Surgery.surgeryType"/> <short value="Surgery type (M)"/> <definition value="Primary surgery/re-excision (check with unplanned or excisional biopsy) Check "Surgery (with date) is a procedure occurrence, which is referred to in the EPISODE_EVENT table. Provider of the procedure can be defined based on the hospital. If type of surgery is not specified use SURGICAL PROCEDURE." CHILDREN"/> <comment value="Surgical procedure - 4301351 Local excision - 4315400 Amputation - 4217482 Limb operation - 4181193"/> <min value="1"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> </element> <element id="Surgery.surgeryHospital"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="Surgery.surgeryHospital"/> <short value="Surgery Hospital (M)"/> <definition value="Whether or not a surgical procedure was performed and whether it was performed at the registering hospital or another hospital. Diagnostic procedures (biopsy) are not included. "/> <min value="1"/> <max value="*"/> <type> <code value="string"/> </type> </element> <element id="Surgery.dateOfSurgery"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="Surgery.dateOfSurgery"/> <short value="Date of surgery (M)"/> <definition value="Date of the surgery for primary tumor with or without neck surgery Is there a new excision surgery to treat the cancer by removing the tumor ? Yes : New event Is the tumor that is going to be removed metastatic ? Yes: Add True for Surgery on M, with the same date than the surgery date Is the tumor on the Neck ? Yes: add true for Neck Surgery, with the same date than the surgery date Is the neck surgery accompanied by a dissection ? Yes : fill the type of dissection"/> <min value="1"/> <max value="*"/> <type> <code value="date"/> </type> </element> <element id="Surgery.surgeryIntention"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="Surgery.surgeryIntention"/> <short value="Surgery intention (O)"/> <definition value="Palliative: surgery performed with the intent of improving quality of life or relieving symptoms caused by advanced disease. Curative: surgery performed with the intend of oncologic cure, regardless of its result (R0 / R1/R2) "/> <comment value="Palliative - 4179711 Curative procedure intent - 4162591"/> <min value="0"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> </element> <element id="Surgery.typeOfSurgicalApproachOnTumour"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="Surgery.typeOfSurgicalApproachOnTumour"/> <short value="Type of surgical approach on Tumour (M)"/> <definition value="Describes the approach to tumor resection whether it includes skin incision (extenal or open ), or it 's aproached through a natural orifice (Transnasal/transorbital/transoral) or if the approach combines two or more of the previous ones Maybe should be a flag"/> <comment value="External/Open - 4236080 Transnasal - 4050374 Transorbital - 4044897 Transoral - 4038679 Craniofacial - 4333339 Combined surgical approach - 2000100027"/> <min value="1"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> </element> <element id="Surgery.marginsAfterSurgery"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="Surgery.marginsAfterSurgery"/> <short value="Margins after surgery (M)"/> <definition value="The R0 (“no residual rumor”) category applies only to cases in which residual tumor cannot be detected by conventional diagnostic methods. A more exact definition would read “no detectable residual tumor.”This category corresponds to surgical resection for cure. The R1 category is reserved exclusively for cases in which residual tumor is found by histologic examination. This category may apply to biopsy sampling of the regional tissue at the site of resection or of a distant site at the time of surgery. It also applies to microscopic examination of the resection margins of the surgical resection specimen by the pathologist. R2 applies to cases with macroscopically visible residual tumor that is detected either clinically or pathologically. "/> <comment value="R0: No residual tumor - 1634643 R1: Microscopic residual tumor - 1633801 R2: Macroscopic residual tumor - 1634484"/> <min value="1"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> </element> <element id="Surgery.tumorRupture"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="Surgery.tumorRupture"/> <short value="Tumor rupture (M)"/> <definition value="Tumor rupture Yes/No Cancer modifiers (associated with diagnosis) For Absence use value_as_concept_id = ABSENT"/> <comment value="Tumor Rupture - 36768904"/> <min value="1"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="Surgery.extraNodalExtension"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="Surgery.extraNodalExtension"/> <short value="Extra-nodal extension (rEne) (M)"/> <definition value="Describes the presence or absence of radiological signs of extracapsular extension by histopathologic examination or not, as defined in the AJCC 8th Ed. It's also present in the Clinical/Pathological stages for baseline diagnosis. check CODEs"/> <comment value="ENE- - 36769946 ENE+ - 36770618"/> <min value="1"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> </element> <element id="Surgery.surgicalSpecimenMitoticCount"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="Surgery.surgicalSpecimenMitoticCount"/> <short value="Surgical specimen Mitotic count (M)"/> <definition value="Surgical specimen Mitotic count "/> <comment value="Number of mitoses per 10 high power fields - 4227243"/> <min value="1"/> <max value="*"/> <type> <code value="Quantity"/> </type> </element> <element id="Surgery.surgicalSpecimenGradingOnlyInUntreatedTumours"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="Surgery.surgicalSpecimenGradingOnlyInUntreatedTumours"/> <short value="Surgical specimen grading only in untreated tumours (M)"/> <definition value="Provides the grading for surgical specimen only for untreated tumours "/> <comment value="Grade-1 - 1634371 Grade-2 - 1634752 Grade-3 - 1633749 Grade-H - 1635587 Grade-L - 1634085"/> <min value="1"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> </element> <element id="Surgery.reconstruction"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="Surgery.reconstruction"/> <short value="Reconstruction (M)"/> <definition value="Local flap / regional pedicled flap / free flap "/> <comment value="Yes - 4188539 No - 4188540"/> <min value="1"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="Surgery.neckSurgery"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="Surgery.neckSurgery"/> <short value="Neck surgery (M)"/> <definition value="Describes whether a surgical procedure to treat and address the neck was performed or not. "/> <comment value="Yes - 4188539 No - 4188540"/> <min value="1"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="Surgery.dateOfNeckSurgery"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="Surgery.dateOfNeckSurgery"/> <short value="Date of Neck surgery (M)"/> <definition value="Date of the surgery on the neck "/> <min value="1"/> <max value="*"/> <type> <code value="date"/> </type> </element> <element id="Surgery.lateralityOfTheDissection"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="Surgery.lateralityOfTheDissection"/> <short value="Laterality of the dissection (M)"/> <definition value="Describes laterality of the neck surgical procedure: Ipsilateral when only the neck ipsilateral to the tumor has been treated Contralateral when only the neck contralateral to the tumor has been treated Bilateral: when both sides of the neck have been treated "/> <comment value="Ipsilateral - 4112106 Bilateral Sampling - 4117496 Controlateral - 4112107"/> <min value="1"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> </element> <element id="Surgery.surgeryOnM"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="Surgery.surgeryOnM"/> <short value="Surgery on M (M)"/> <definition value="Describes whether surgery is performed to treat the Metastasis "/> <comment value="Yes - 4188539 No - 4188540"/> <min value="1"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="Surgery.dateOfSurgeryOnM"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="Surgery.dateOfSurgeryOnM"/> <short value="Date of surgery on M (M)"/> <definition value="Date of the surgery on the metastasis "/> <min value="1"/> <max value="*"/> <type> <code value="date"/> </type> </element> <element id="Surgery.siteOfSurgeryOnMetastasis"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="Surgery.siteOfSurgeryOnMetastasis"/> <short value="Site of surgery on metastasis"/> <definition value="Describes if site of surgery on metastasis"/> <min value="0"/> <max value="*"/> <type> <code value="BackboneElement"/> </type> </element> <element id="Surgery.siteOfSurgeryOnMetastasis.softTissue"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="Surgery.siteOfSurgeryOnMetastasis.softTissue"/> <short value="Site of surgery on metastasis_soft tissue (O)"/> <definition value="Describes if site of surgery on metastasis is soft tissue "/> <comment value="Metastasis to soft tissues - 35225724"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="Surgery.siteOfSurgeryOnMetastasis.distantLymphNodes"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="Surgery.siteOfSurgeryOnMetastasis.distantLymphNodes"/> <short value="Site of surgery on metastasis_distant lymph nodes (O)"/> <definition value="Describes if site of surgery on metastasis is dystan lymph node "/> <comment value="Distant spread to lymph node - 36769243"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="Surgery.siteOfSurgeryOnMetastasis.lung"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="Surgery.siteOfSurgeryOnMetastasis.lung"/> <short value="Site of surgery on metastasis_lung (O)"/> <definition value="Describes if site of surgery on metastasis is lung "/> <comment value="Metastasis to lung - 36770283"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="Surgery.siteOfSurgeryOnMetastasis.bone"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="Surgery.siteOfSurgeryOnMetastasis.bone"/> <short value="Site of surgery on metastasis_bone (O)"/> <definition value="Describes if site of surgery on metastasis is bone "/> <comment value="Metastasis to bone - 36769301"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="Surgery.siteOfSurgeryOnMetastasis.liver"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="Surgery.siteOfSurgeryOnMetastasis.liver"/> <short value="Site of surgery on metastasis_liver (O)"/> <definition value="Describes if site of surgery on metastasis is liver "/> <comment value="Metastasis to liver - 36770544"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="Surgery.siteOfSurgeryOnMetastasis.pleura"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="Surgery.siteOfSurgeryOnMetastasis.pleura"/> <short value="Site of surgery on metastasis_pleura (O)"/> <definition value="Describes if site of surgery on metastasis is pleura "/> <comment value="Metastasis to pleura - 35226258"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="Surgery.siteOfSurgeryOnMetastasis.peritoneum"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="Surgery.siteOfSurgeryOnMetastasis.peritoneum"/> <short value="Site of surgery on metastasis_peritoneum (O)"/> <definition value="Describes if site of surgery on metastasis is peritoneum "/> <comment value="Metastasis to peritoneum - 35226253"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="Surgery.siteOfSurgeryOnMetastasis.brain"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="Surgery.siteOfSurgeryOnMetastasis.brain"/> <short value="Site of surgery on metastasis_brain (O)"/> <definition value="Describes if site of surgery on metastasis is brain "/> <comment value="Metastasis to brain - 36768862"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="Surgery.siteOfSurgeryOnMetastasis.otherViscera"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="Surgery.siteOfSurgeryOnMetastasis.otherViscera"/> <short value="Site of surgery on metastasis_other viscera (O)"/> <definition value="Describes if site of surgery on metastasis is other viscera Use the generic metastasis code or a metastasis subsumed in it, 36769180"/> <comment value="Metastasis - 36769180"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="Surgery.siteOfSurgeryOnMetastasis.unknown"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="Surgery.siteOfSurgeryOnMetastasis.unknown"/> <short value="Site of surgery on metastasis_unknown (O)"/> <definition value="Describes if site of surgery on metastasis is unknown "/> <comment value="Unknown - 4129922"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="Surgery.surgicalComplications"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="Surgery.surgicalComplications"/> <short value="Surgical complications (Clavien-Dindo Classification) (M)"/> <definition value="Describes presence and grade of complications after a surgical procedure, "/> <comment value="Absent - 4132135 Clavien-Dindo complication scale: Grade I - 715974 Clavien-Dindo complication scale: Grade II - 715975 Clavien-Dindo complication scale: Grade III - 715976 Clavien-Dindo complication scale: Grade IIIA - 715977 Clavien-Dindo complication scale: Grade IIIB - 715978 Clavien-Dindo complication scale: Grade IV - 715979 Clavien-Dindo complication scale: Grade IVA - 715980 Clavien-Dindo complication scale: Grade IVB - 715981 Clavien-Dindo complication scale: Grade V - 715982"/> <min value="1"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> </element> </differential> </StructureDefinition>