PanCareSurPass Project HL7 FHIR Implementation Guide
0.1.0 - trial-use
150
PanCareSurPass Project HL7 FHIR Implementation Guide
0.1.0 - trial-use
150
This page is part of the PanCareSurPass Project HL7 FHIR Implementation Guide (v0.1.0: QA Preview) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
| Official URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-radiotheraphy-eu-pcsp | Version: 0.1.0 | |||
| Active as of 2023-01-26 | Computable Name: ProcedureRadiotherapyPcsp | |||
This profile defines how to represent Procedures in FHIR for describing a set of Radiotherapy data required by the PanCareSurPass algorithm to generate the care plan.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Procedure
| Path | Conformance | ValueSet |
| Procedure.extension:procedureMethod.valueCodeableConcept | required | BrachytherapyType |
| Procedure.code | extensible | RadiotherapyTypeVs |
| Procedure.bodySite | required | VsRadiotherapy |
| Procedure.bodySite.extension:locationQualifier.valueCodeableConcept | required | FromToPosteriorAnteriorVs |
| Procedure.usedCode | extensible | RadiotherapyDeviceType |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Procedure | 0..* | Procedure | An action that is being or was performed on a patient | |
  implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
 Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
  relatedDose | 0..* | Reference(Resource) | Resource related information URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo | |
  extension | 0..0 | |||
| url | 1..1 | uri | "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo" | |
  Slices for value[x] | 0..1 | Reference(Resource) | Value of extension Slice: Unordered, Closed by type:$this | |
  value[x]:valueReference | 0..1 | Reference(Observation: Radiotherapy Total Dose PCSP) | Value of extension | |
| procedureMethod | 0..1 | CodeableConcept | The method used to perform the procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-method | |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/procedure-method" | |
| Slices for value[x] | 1..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this | |
| value[x]:valueCodeableConcept | 1..1 | CodeableConcept | Value of extension Binding: Brachytherapy Type (required) | |
| energyOrIsotope | 0..* | SimpleQuantity | Radiotherapy Energy or Isotope URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/radiotherapy-energy-or-isotope Binding: Radiotherapy dose units (required) | |
| performedTiming | 0..1 | Timing | Performed Timing URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-performedTiming | |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-performedTiming" | |
| Slices for value[x] | 0..1 | Timing | Value of extension Slice: Unordered, Closed by type:$this | |
 value[x]:valueTiming | 0..1 | Timing | Value of extension | |
  modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
 identifier | Σ | 0..* | Identifier | External Identifiers for this radiotherapy / boost |
| status | ?!Σ | 1..1 | code | Procedure status Binding: EventStatus (required): A code specifying the state of the procedure. |
| category | Σ | 1..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. Required Pattern: At least the following |
  coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 108290001 | |
 display | 1..1 | string | Representation defined by the system Fixed Value: Radiotherapy | |
| code | Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: Radiotherapy Type (extensible) |
 subject | Σ | 1..1 | Reference(Patient: PCSP) | Who the procedure was performed on |
| Slices for performed[x] | Σ | 1..1 | Period | When the procedure was performed Slice: Unordered, Closed by type:$this |
| performed[x]:performedPeriod | Σ | 1..1 | Period | When the procedure was performed |
| location | Σ | 0..1 | Reference(Location: PCSP) | Where the procedure happened |
| reasonReference | Σ | 1..* | Reference(Condition: Primary Cancer) | The justification that the procedure was performed |
| bodySite | Σ | 0..* | CodeableConcept | required for Brachytherapy and External beam Binding: Radiotherapy sites (required) |
| locationQualifier | 0..* | CodeableConcept | Body Location Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (preferred) | |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier" | |
| Slices for value[x] | 1..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this Binding: Body Location Qualifier Value Set (preferred) | |
| value[x]:valueCodeableConcept | 1..1 | CodeableConcept | Value of extension Binding: Body Location Qualifier Value Set (required) | |
| lateralityQualifier | 0..1 | CodeableConcept | Laterality Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier | |
| note | 0..* | Annotation | Additional information about the Radiotherapy | |
| usedCode | 0..* | CodeableConcept | Coded items used during the procedure Binding: Radiotherapy Device Type (extensible) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Procedure.extension:procedureMethod.value[x]:valueCodeableConcept | required | BrachytherapyType |
| Procedure.status | required | EventStatus |
| Procedure.category | example | Pattern: SNOMED CT code 108290001("Radiotherapy") |
| Procedure.code | extensible | RadiotherapyTypeVs |
| Procedure.bodySite | required | VsRadiotherapy |
| Procedure.bodySite.extension:locationQualifier.value[x] | preferred | BodyLocationQualifierVS |
| Procedure.bodySite.extension:locationQualifier.value[x]:valueCodeableConcept | required | FromToPosteriorAnteriorVs |
| Procedure.usedCode | extensible | RadiotherapyDeviceType |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure | 0..* | Procedure | An action that is being or was performed on a patient | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| relatedDose | 0..* | Reference(Resource) | Resource related information URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo" | |||||
| Slices for value[x] | 0..1 | Reference(Resource) | Value of extension Slice: Unordered, Closed by type:$this | |||||
| value[x]:valueReference | 0..1 | Reference(Observation: Radiotherapy Total Dose PCSP) | Value of extension | |||||
| procedureMethod | 0..1 | CodeableConcept | The method used to perform the procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-method | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/procedure-method" | |||||
| Slices for value[x] | 1..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this | |||||
| value[x]:valueCodeableConcept | 1..1 | CodeableConcept | Value of extension Binding: Brachytherapy Type (required) | |||||
| energyOrIsotope | 0..* | SimpleQuantity | Radiotherapy Energy or Isotope URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/radiotherapy-energy-or-isotope Binding: Radiotherapy dose units (required) | |||||
| performedTiming | 0..1 | Timing | Performed Timing URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-performedTiming | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-performedTiming" | |||||
| Slices for value[x] | 0..1 | Timing | Value of extension Slice: Unordered, Closed by type:$this | |||||
| value[x]:valueTiming | 0..1 | Timing | Value of extension | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| event | Σ | 0..* | dateTime | When the event occurs | ||||
  repeat | ΣC | 0..1 | Element | When the event is to occur | ||||
 id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
 bounds[x] | Σ | 0..1 | Length/Range of lengths, or (Start and/or end) limits | |||||
| boundsDuration | Duration | |||||||
| boundsRange | Range | |||||||
| boundsPeriod | Period | |||||||
| count | Σ | 0..1 | positiveInt | Number of repetitions | ||||
| countMax | Σ | 0..1 | positiveInt | Maximum number of times to repeat | ||||
| duration | Σ | 0..1 | decimal | How long when it happens | ||||
| durationMax | Σ | 0..1 | decimal | How long when it happens (Max) | ||||
| durationUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
| frequency | Σ | 0..1 | positiveInt | Event occurs frequency times per period | ||||
| frequencyMax | Σ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period | ||||
| period | Σ | 0..1 | decimal | Event occurs frequency times per period | ||||
| periodMax | Σ | 0..1 | decimal | Upper limit of period (3-4 hours) | ||||
| periodUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
| dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required) | ||||
| timeOfDay | Σ | 0..* | time | Time of day for action | ||||
| when | Σ | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule. | ||||
| offset | Σ | 0..1 | unsignedInt | Minutes from event (before or after) | ||||
| code | Σ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern. | ||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | External Identifiers for this radiotherapy / boost | ||||
| instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | ||||
| partOf | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | ||||
| status | ?!Σ | 1..1 | code | Procedure status Binding: EventStatus (required): A code specifying the state of the procedure. | ||||
| statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | ||||
| category | Σ | 1..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 108290001 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Radiotherapy | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| code | Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: Radiotherapy Type (extensible) | ||||
| subject | Σ | 1..1 | Reference(Patient: PCSP) | Who the procedure was performed on | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
| Slices for performed[x] | Σ | 1..1 | Period | When the procedure was performed Slice: Unordered, Closed by type:$this | ||||
| performed[x]:performedPeriod | Σ | 1..1 | Period | When the procedure was performed | ||||
| recorder | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure | ||||
| asserter | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure | ||||
| performer | Σ | 0..* | BackboneElement | The people who performed the procedure | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
| actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner | ||||
| onBehalfOf | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||
| location | Σ | 0..1 | Reference(Location: PCSP) | Where the procedure happened | ||||
| reasonCode | Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
| reasonReference | Σ | 1..* | Reference(Condition: Primary Cancer) | The justification that the procedure was performed | ||||
| bodySite | Σ | 0..* | CodeableConcept | required for Brachytherapy and External beam Binding: Radiotherapy sites (required) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| locationQualifier | 0..* | CodeableConcept | Body Location Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (preferred) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier" | |||||
| Slices for value[x] | 1..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this Binding: Body Location Qualifier Value Set (preferred) | |||||
| value[x]:valueCodeableConcept | 1..1 | CodeableConcept | Value of extension Binding: Body Location Qualifier Value Set (required) | |||||
| lateralityQualifier | 0..1 | CodeableConcept | Laterality Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier | |||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| outcome | Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. | ||||
| report | 0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||
| complication | 0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||
| complicationDetail | 0..* | Reference(Condition) | A condition that is a result of the procedure | |||||
| followUp | 0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||
| note | 0..* | Annotation | Additional information about the Radiotherapy | |||||
| focalDevice | 0..* | BackboneElement | Manipulated, implanted, or removed device | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| action | 0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure. | |||||
| manipulated | 1..1 | Reference(Device) | Device that was changed | |||||
| usedReference | 0..* | Reference(Device | Medication | Substance) | Items used during procedure | |||||
| usedCode | 0..* | CodeableConcept | Coded items used during the procedure Binding: Radiotherapy Device Type (extensible) | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Procedure.language | preferred | CommonLanguages
| ||||
| Procedure.extension:procedureMethod.value[x]:valueCodeableConcept | required | BrachytherapyType | ||||
| Procedure.extension:performedTiming.value[x]:valueTiming.repeat.durationUnit | required | UnitsOfTime | ||||
| Procedure.extension:performedTiming.value[x]:valueTiming.repeat.periodUnit | required | UnitsOfTime | ||||
| Procedure.extension:performedTiming.value[x]:valueTiming.repeat.dayOfWeek | required | DaysOfWeek | ||||
| Procedure.extension:performedTiming.value[x]:valueTiming.repeat.when | required | EventTiming | ||||
| Procedure.extension:performedTiming.value[x]:valueTiming.code | preferred | TimingAbbreviation | ||||
| Procedure.status | required | EventStatus | ||||
| Procedure.statusReason | example | ProcedureNotPerformedReason(SNOMED-CT) | ||||
| Procedure.category | example | Pattern: SNOMED CT code 108290001("Radiotherapy") | ||||
| Procedure.code | extensible | RadiotherapyTypeVs | ||||
| Procedure.performer.function | example | ProcedurePerformerRoleCodes | ||||
| Procedure.reasonCode | example | ProcedureReasonCodes | ||||
| Procedure.bodySite | required | VsRadiotherapy | ||||
| Procedure.bodySite.extension:locationQualifier.value[x] | preferred | BodyLocationQualifierVS | ||||
| Procedure.bodySite.extension:locationQualifier.value[x]:valueCodeableConcept | required | FromToPosteriorAnteriorVs | ||||
| Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT) | ||||
| Procedure.complication | example | Condition/Problem/DiagnosisCodes | ||||
| Procedure.followUp | example | ProcedureFollowUpCodes(SNOMEDCT) | ||||
| Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodes | ||||
| Procedure.usedCode | extensible | RadiotherapyDeviceType |
This structure is derived from Procedure
Summary
Mandatory: 5 elements (2 nested mandatory elements)
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Procedure
| Path | Conformance | ValueSet |
| Procedure.extension:procedureMethod.valueCodeableConcept | required | BrachytherapyType |
| Procedure.code | extensible | RadiotherapyTypeVs |
| Procedure.bodySite | required | VsRadiotherapy |
| Procedure.bodySite.extension:locationQualifier.valueCodeableConcept | required | FromToPosteriorAnteriorVs |
| Procedure.usedCode | extensible | RadiotherapyDeviceType |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Procedure | 0..* | Procedure | An action that is being or was performed on a patient | |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| relatedDose | 0..* | Reference(Resource) | Resource related information URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo | |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo" | |
| Slices for value[x] | 0..1 | Reference(Resource) | Value of extension Slice: Unordered, Closed by type:$this | |
| value[x]:valueReference | 0..1 | Reference(Observation: Radiotherapy Total Dose PCSP) | Value of extension | |
| procedureMethod | 0..1 | CodeableConcept | The method used to perform the procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-method | |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/procedure-method" | |
| Slices for value[x] | 1..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this | |
| value[x]:valueCodeableConcept | 1..1 | CodeableConcept | Value of extension Binding: Brachytherapy Type (required) | |
| energyOrIsotope | 0..* | SimpleQuantity | Radiotherapy Energy or Isotope URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/radiotherapy-energy-or-isotope Binding: Radiotherapy dose units (required) | |
| performedTiming | 0..1 | Timing | Performed Timing URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-performedTiming | |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-performedTiming" | |
| Slices for value[x] | 0..1 | Timing | Value of extension Slice: Unordered, Closed by type:$this | |
| value[x]:valueTiming | 0..1 | Timing | Value of extension | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..* | Identifier | External Identifiers for this radiotherapy / boost |
| status | ?!Σ | 1..1 | code | Procedure status Binding: EventStatus (required): A code specifying the state of the procedure. |
| category | Σ | 1..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 108290001 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Radiotherapy | |
| code | Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: Radiotherapy Type (extensible) |
| subject | Σ | 1..1 | Reference(Patient: PCSP) | Who the procedure was performed on |
| Slices for performed[x] | Σ | 1..1 | Period | When the procedure was performed Slice: Unordered, Closed by type:$this |
| performed[x]:performedPeriod | Σ | 1..1 | Period | When the procedure was performed |
| location | Σ | 0..1 | Reference(Location: PCSP) | Where the procedure happened |
| reasonReference | Σ | 1..* | Reference(Condition: Primary Cancer) | The justification that the procedure was performed |
| bodySite | Σ | 0..* | CodeableConcept | required for Brachytherapy and External beam Binding: Radiotherapy sites (required) |
| locationQualifier | 0..* | CodeableConcept | Body Location Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (preferred) | |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier" | |
| Slices for value[x] | 1..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this Binding: Body Location Qualifier Value Set (preferred) | |
| value[x]:valueCodeableConcept | 1..1 | CodeableConcept | Value of extension Binding: Body Location Qualifier Value Set (required) | |
| lateralityQualifier | 0..1 | CodeableConcept | Laterality Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier | |
| note | 0..* | Annotation | Additional information about the Radiotherapy | |
| usedCode | 0..* | CodeableConcept | Coded items used during the procedure Binding: Radiotherapy Device Type (extensible) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Procedure.extension:procedureMethod.value[x]:valueCodeableConcept | required | BrachytherapyType |
| Procedure.status | required | EventStatus |
| Procedure.category | example | Pattern: SNOMED CT code 108290001("Radiotherapy") |
| Procedure.code | extensible | RadiotherapyTypeVs |
| Procedure.bodySite | required | VsRadiotherapy |
| Procedure.bodySite.extension:locationQualifier.value[x] | preferred | BodyLocationQualifierVS |
| Procedure.bodySite.extension:locationQualifier.value[x]:valueCodeableConcept | required | FromToPosteriorAnteriorVs |
| Procedure.usedCode | extensible | RadiotherapyDeviceType |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Procedure | 0..* | Procedure | An action that is being or was performed on a patient | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| relatedDose | 0..* | Reference(Resource) | Resource related information URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo" | |||||
| Slices for value[x] | 0..1 | Reference(Resource) | Value of extension Slice: Unordered, Closed by type:$this | |||||
| value[x]:valueReference | 0..1 | Reference(Observation: Radiotherapy Total Dose PCSP) | Value of extension | |||||
| procedureMethod | 0..1 | CodeableConcept | The method used to perform the procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-method | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/procedure-method" | |||||
| Slices for value[x] | 1..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this | |||||
| value[x]:valueCodeableConcept | 1..1 | CodeableConcept | Value of extension Binding: Brachytherapy Type (required) | |||||
| energyOrIsotope | 0..* | SimpleQuantity | Radiotherapy Energy or Isotope URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/radiotherapy-energy-or-isotope Binding: Radiotherapy dose units (required) | |||||
| performedTiming | 0..1 | Timing | Performed Timing URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-performedTiming | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-performedTiming" | |||||
| Slices for value[x] | 0..1 | Timing | Value of extension Slice: Unordered, Closed by type:$this | |||||
| value[x]:valueTiming | 0..1 | Timing | Value of extension | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| event | Σ | 0..* | dateTime | When the event occurs | ||||
| repeat | ΣC | 0..1 | Element | When the event is to occur | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| bounds[x] | Σ | 0..1 | Length/Range of lengths, or (Start and/or end) limits | |||||
| boundsDuration | Duration | |||||||
| boundsRange | Range | |||||||
| boundsPeriod | Period | |||||||
| count | Σ | 0..1 | positiveInt | Number of repetitions | ||||
| countMax | Σ | 0..1 | positiveInt | Maximum number of times to repeat | ||||
| duration | Σ | 0..1 | decimal | How long when it happens | ||||
| durationMax | Σ | 0..1 | decimal | How long when it happens (Max) | ||||
| durationUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
| frequency | Σ | 0..1 | positiveInt | Event occurs frequency times per period | ||||
| frequencyMax | Σ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period | ||||
| period | Σ | 0..1 | decimal | Event occurs frequency times per period | ||||
| periodMax | Σ | 0..1 | decimal | Upper limit of period (3-4 hours) | ||||
| periodUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
| dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required) | ||||
| timeOfDay | Σ | 0..* | time | Time of day for action | ||||
| when | Σ | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule. | ||||
| offset | Σ | 0..1 | unsignedInt | Minutes from event (before or after) | ||||
| code | Σ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern. | ||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | External Identifiers for this radiotherapy / boost | ||||
| instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure | ||||
| partOf | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | ||||
| status | ?!Σ | 1..1 | code | Procedure status Binding: EventStatus (required): A code specifying the state of the procedure. | ||||
| statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | ||||
| category | Σ | 1..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 108290001 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Radiotherapy | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| code | Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: Radiotherapy Type (extensible) | ||||
| subject | Σ | 1..1 | Reference(Patient: PCSP) | Who the procedure was performed on | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
| Slices for performed[x] | Σ | 1..1 | Period | When the procedure was performed Slice: Unordered, Closed by type:$this | ||||
| performed[x]:performedPeriod | Σ | 1..1 | Period | When the procedure was performed | ||||
| recorder | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure | ||||
| asserter | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure | ||||
| performer | Σ | 0..* | BackboneElement | The people who performed the procedure | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
| actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner | ||||
| onBehalfOf | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||
| location | Σ | 0..1 | Reference(Location: PCSP) | Where the procedure happened | ||||
| reasonCode | Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. | ||||
| reasonReference | Σ | 1..* | Reference(Condition: Primary Cancer) | The justification that the procedure was performed | ||||
| bodySite | Σ | 0..* | CodeableConcept | required for Brachytherapy and External beam Binding: Radiotherapy sites (required) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| locationQualifier | 0..* | CodeableConcept | Body Location Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (preferred) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier" | |||||
| Slices for value[x] | 1..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this Binding: Body Location Qualifier Value Set (preferred) | |||||
| value[x]:valueCodeableConcept | 1..1 | CodeableConcept | Value of extension Binding: Body Location Qualifier Value Set (required) | |||||
| lateralityQualifier | 0..1 | CodeableConcept | Laterality Qualifier URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier | |||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| outcome | Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. | ||||
| report | 0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||
| complication | 0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||
| complicationDetail | 0..* | Reference(Condition) | A condition that is a result of the procedure | |||||
| followUp | 0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||
| note | 0..* | Annotation | Additional information about the Radiotherapy | |||||
| focalDevice | 0..* | BackboneElement | Manipulated, implanted, or removed device | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| action | 0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure. | |||||
| manipulated | 1..1 | Reference(Device) | Device that was changed | |||||
| usedReference | 0..* | Reference(Device | Medication | Substance) | Items used during procedure | |||||
| usedCode | 0..* | CodeableConcept | Coded items used during the procedure Binding: Radiotherapy Device Type (extensible) | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Procedure.language | preferred | CommonLanguages
| ||||
| Procedure.extension:procedureMethod.value[x]:valueCodeableConcept | required | BrachytherapyType | ||||
| Procedure.extension:performedTiming.value[x]:valueTiming.repeat.durationUnit | required | UnitsOfTime | ||||
| Procedure.extension:performedTiming.value[x]:valueTiming.repeat.periodUnit | required | UnitsOfTime | ||||
| Procedure.extension:performedTiming.value[x]:valueTiming.repeat.dayOfWeek | required | DaysOfWeek | ||||
| Procedure.extension:performedTiming.value[x]:valueTiming.repeat.when | required | EventTiming | ||||
| Procedure.extension:performedTiming.value[x]:valueTiming.code | preferred | TimingAbbreviation | ||||
| Procedure.status | required | EventStatus | ||||
| Procedure.statusReason | example | ProcedureNotPerformedReason(SNOMED-CT) | ||||
| Procedure.category | example | Pattern: SNOMED CT code 108290001("Radiotherapy") | ||||
| Procedure.code | extensible | RadiotherapyTypeVs | ||||
| Procedure.performer.function | example | ProcedurePerformerRoleCodes | ||||
| Procedure.reasonCode | example | ProcedureReasonCodes | ||||
| Procedure.bodySite | required | VsRadiotherapy | ||||
| Procedure.bodySite.extension:locationQualifier.value[x] | preferred | BodyLocationQualifierVS | ||||
| Procedure.bodySite.extension:locationQualifier.value[x]:valueCodeableConcept | required | FromToPosteriorAnteriorVs | ||||
| Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT) | ||||
| Procedure.complication | example | Condition/Problem/DiagnosisCodes | ||||
| Procedure.followUp | example | ProcedureFollowUpCodes(SNOMEDCT) | ||||
| Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodes | ||||
| Procedure.usedCode | extensible | RadiotherapyDeviceType |
This structure is derived from Procedure
Summary
Mandatory: 5 elements (2 nested mandatory elements)
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2021+ PanCareSurPass Project. Package hl7.eu.fhir.pcsp#0.1.0 based on FHIR 4.0.1. Generated 2023-01-26
Links: Table of Contents |
QA Report
The PanCareSurPass Research and Innovation Action has received funding from the European Union's Horizon 2020
research and innovation programme under grant agreement No. 899999.
