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. For a full list of available versions, see the Directory of published versions
Active as of 2023-01-26 |
Definitions for the MajorSurgery logical model.
Guidance on how to interpret the contents of this table can be found here.
1. MajorSurgery | |
Definition | Major Surgery. Maturity Level: 2 - Ready for Review |
Control | 0..? |
2. MajorSurgery.relatedDiagnosis | |
Definition | Progressive number of diagnosis (1=first; 2= second; 3 = third; ?). |
Control | 0..1 |
Type | Identifier |
3. MajorSurgery.relatedRelapse | |
Definition | Progressive number of relapse/progression (after FLT) |
Control | 0..1 |
Type | Identifier |
4. MajorSurgery.identifier | |
Definition | Progressive number of surgeries (1=first; 2= second; 3 = third; ?). In this field must be reported the ordinal number of the surgeries given. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
5. MajorSurgery.istitutionOfTreatment | |
Definition | Please Identify the institution were surgery was performed |
Control | 0..1 |
Type | BackboneElement |
6. MajorSurgery.istitutionOfTreatment.description | |
Definition | Institution description |
Control | 0..1 |
Type | string |
7. MajorSurgery.istitutionOfTreatment.name | |
Definition | Institution name |
Control | 0..1 |
Type | string |
8. MajorSurgery.istitutionOfTreatment.address | |
Definition | Institution address |
Control | 0..1 |
Type | BackboneElement |
9. MajorSurgery.istitutionOfTreatment.address.name | |
Definition | Institution city |
Control | 0..1 |
Type | string |
10. MajorSurgery.istitutionOfTreatment.address.country | |
Definition | Institution country |
Control | 0..1 |
Type | string |
11. MajorSurgery.date | |
Definition | Date of surgery (dd/mm/yyyy). If the date is unkown or partially missed insert the year at the best of your knowledge. |
Control | 0..1 |
Type | dateTime |
12. MajorSurgery.description | |
Definition | Please describe the type of surgery (is a free text section, no coding). In case of surgery on pair organs specify which organ (right or left) was operated. |
Control | 0..1 |
Type | string |
13. MajorSurgery.affectedOrgan | |
Definition | Was one of these organs involved ? (Oesophagus; Abdomen; Brain; Face; Liver; Spine; Spinal Cord; Sympathetic nerves; Chest/thorax; Pelvis) |
Control | 0..* |
Type | CodeableConcept |
14. MajorSurgery.sacrifiedOrgan | |
Definition | During surgery it is possible that some organs are 'sacrified' either to allow a radical excision of the tumor or on purpose (spleen) for staging procedures. In case of partial resection of an organ (e.g. thyroid, kidney), the organ is not 'sacrified', this type of surgery should be then reported only in the 'tumor description' For other organs (e.g. hypothalamus) the only surgical procedure on it may determine some 'sacrifcice' of function, thus in this case, the organ should be coded as 'sacrified'. (Spleen, Kidney, Eye, Lung, Ovary, Hypothalamus/hypophysis, Thyroid, Bladder, uterus Other) |
Control | 0..* |
Type | CodeableConcept |
15. MajorSurgery.shuntApplication | |
Definition | Please report if a cerebrovascular shunt was inserted |
Control | 0..* |
Type | BackboneElement |
16. MajorSurgery.shuntApplication.type | |
Definition | This is a free text section in which it is possible to specify the type (e.g. ventriculo-peritoneal) of shunt used 1 => Ventriculo-peritoneal 2 => Ventriculo atrial 3 => Subdural_peritoneal 4 => Cisternostomy (III ventricule) 5 => Other -9922 => NK |
Control | 0..1 |
Type | CodeableConcept |
17. MajorSurgery.shuntApplication.laterality | |
Definition | Please specify the laterality of the shunt 1 = right 2= left 3 = midline -9911 = not applicable -9922 => NK |
Control | 0..1 |
Type | CodeableConcept |
18. MajorSurgery.shuntApplication.isRemoved | |
Definition | Define if it is still in place or is already removed 1 => Still in place 2 => Removed -9911 => NA -9922 => NK |
Control | 0..1 |
Type | CodeableConcept |
19. MajorSurgery.amputation | |
Definition | Here it is requested only a yes or no. Details should be reported in the surgery description 1 => Yes 2 => No -9911 => Not applicable -9922 => NK |
Control | 0..1 |
Type | CodeableConcept |
20. MajorSurgery.prothesis | |
Definition | Prothesis |
Control | 0..1 |
Type | BackboneElement |
21. MajorSurgery.prothesis.status | |
Definition | Please state if the survivor has a prosthesis either internal (e.g. hip replacement) or external (e.g. artificial arm) |
Control | 0..1 |
Type | CodeableConcept |
22. MajorSurgery.prothesis.deviceType | |
Definition | Please define if prosthesis is internal (e.g. titanium bone) or external (e.g. artificial limb). Also in this case, details should be reported in the surgery description. 1 => Internal 2 => External -9922 => NK |
Control | 0..1 |
Type | CodeableConcept |
23. MajorSurgery.colostomy | |
Definition | Colostomy |
Control | 0..1 |
Type | BackboneElement |
24. MajorSurgery.colostomy.status | |
Definition | State if a colostomy was created. Details should be reported in the surgery section. |
Control | 0..1 |
Type | CodeableConcept |
25. MajorSurgery.colostomy.isRemoved | |
Definition | State if a colostomy was created. Details should be reported in the surgery section. 1 => Still in place 2 => Removed -9922 =>NK |
Control | 0..1 |
Type | CodeableConcept |
26. MajorSurgery.gastrostomy | |
Definition | State if a gastrostomy was created. Details should be reported in the surgery section. 1 => Yes 2 => No -9911 => Not applicable -9922 =>NK |
Control | 0..1 |
Type | CodeableConcept |
Guidance on how to interpret the contents of this table can be found here.
1. MajorSurgery | |
Definition | Major Surgery. Maturity Level: 2 - Ready for Review |
Control | 0..* |
2. MajorSurgery.relatedDiagnosis | |
Definition | Progressive number of diagnosis (1=first; 2= second; 3 = third; ?). |
Control | 0..1 |
Type | Identifier |
3. MajorSurgery.relatedRelapse | |
Definition | Progressive number of relapse/progression (after FLT) |
Control | 0..1 |
Type | Identifier |
4. MajorSurgery.identifier | |
Definition | Progressive number of surgeries (1=first; 2= second; 3 = third; ?). In this field must be reported the ordinal number of the surgeries given. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
5. MajorSurgery.istitutionOfTreatment | |
Definition | Please Identify the institution were surgery was performed |
Control | 0..1 |
Type | BackboneElement |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
6. MajorSurgery.istitutionOfTreatment.modifierExtension | |
Definition | 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). |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Summary | true |
Requirements | 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. |
Alternate Names | extensions, user content, modifiers |
Comments | 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
7. MajorSurgery.istitutionOfTreatment.description | |
Definition | Institution description |
Control | 0..1 |
Type | string |
8. MajorSurgery.istitutionOfTreatment.name | |
Definition | Institution name |
Control | 0..1 |
Type | string |
9. MajorSurgery.istitutionOfTreatment.address | |
Definition | Institution address |
Control | 0..1 |
Type | BackboneElement |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
10. MajorSurgery.istitutionOfTreatment.address.modifierExtension | |
Definition | 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). |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Summary | true |
Requirements | 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. |
Alternate Names | extensions, user content, modifiers |
Comments | 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
11. MajorSurgery.istitutionOfTreatment.address.name | |
Definition | Institution city |
Control | 0..1 |
Type | string |
12. MajorSurgery.istitutionOfTreatment.address.country | |
Definition | Institution country |
Control | 0..1 |
Type | string |
13. MajorSurgery.date | |
Definition | Date of surgery (dd/mm/yyyy). If the date is unkown or partially missed insert the year at the best of your knowledge. |
Control | 0..1 |
Type | dateTime |
14. MajorSurgery.description | |
Definition | Please describe the type of surgery (is a free text section, no coding). In case of surgery on pair organs specify which organ (right or left) was operated. |
Control | 0..1 |
Type | string |
15. MajorSurgery.affectedOrgan | |
Definition | Was one of these organs involved ? (Oesophagus; Abdomen; Brain; Face; Liver; Spine; Spinal Cord; Sympathetic nerves; Chest/thorax; Pelvis) |
Control | 0..* |
Type | CodeableConcept |
16. MajorSurgery.sacrifiedOrgan | |
Definition | During surgery it is possible that some organs are 'sacrified' either to allow a radical excision of the tumor or on purpose (spleen) for staging procedures. In case of partial resection of an organ (e.g. thyroid, kidney), the organ is not 'sacrified', this type of surgery should be then reported only in the 'tumor description' For other organs (e.g. hypothalamus) the only surgical procedure on it may determine some 'sacrifcice' of function, thus in this case, the organ should be coded as 'sacrified'. (Spleen, Kidney, Eye, Lung, Ovary, Hypothalamus/hypophysis, Thyroid, Bladder, uterus Other) |
Control | 0..* |
Type | CodeableConcept |
17. MajorSurgery.shuntApplication | |
Definition | Please report if a cerebrovascular shunt was inserted |
Control | 0..* |
Type | BackboneElement |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
18. MajorSurgery.shuntApplication.modifierExtension | |
Definition | 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). |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Summary | true |
Requirements | 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. |
Alternate Names | extensions, user content, modifiers |
Comments | 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
19. MajorSurgery.shuntApplication.type | |
Definition | This is a free text section in which it is possible to specify the type (e.g. ventriculo-peritoneal) of shunt used 1 => Ventriculo-peritoneal 2 => Ventriculo atrial 3 => Subdural_peritoneal 4 => Cisternostomy (III ventricule) 5 => Other -9922 => NK |
Control | 0..1 |
Type | CodeableConcept |
20. MajorSurgery.shuntApplication.laterality | |
Definition | Please specify the laterality of the shunt 1 = right 2= left 3 = midline -9911 = not applicable -9922 => NK |
Control | 0..1 |
Type | CodeableConcept |
21. MajorSurgery.shuntApplication.isRemoved | |
Definition | Define if it is still in place or is already removed 1 => Still in place 2 => Removed -9911 => NA -9922 => NK |
Control | 0..1 |
Type | CodeableConcept |
22. MajorSurgery.amputation | |
Definition | Here it is requested only a yes or no. Details should be reported in the surgery description 1 => Yes 2 => No -9911 => Not applicable -9922 => NK |
Control | 0..1 |
Type | CodeableConcept |
23. MajorSurgery.prothesis | |
Definition | Prothesis |
Control | 0..1 |
Type | BackboneElement |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
24. MajorSurgery.prothesis.modifierExtension | |
Definition | 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). |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Summary | true |
Requirements | 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. |
Alternate Names | extensions, user content, modifiers |
Comments | 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
25. MajorSurgery.prothesis.status | |
Definition | Please state if the survivor has a prosthesis either internal (e.g. hip replacement) or external (e.g. artificial arm) |
Control | 0..1 |
Type | CodeableConcept |
26. MajorSurgery.prothesis.deviceType | |
Definition | Please define if prosthesis is internal (e.g. titanium bone) or external (e.g. artificial limb). Also in this case, details should be reported in the surgery description. 1 => Internal 2 => External -9922 => NK |
Control | 0..1 |
Type | CodeableConcept |
27. MajorSurgery.colostomy | |
Definition | Colostomy |
Control | 0..1 |
Type | BackboneElement |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
28. MajorSurgery.colostomy.modifierExtension | |
Definition | 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). |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Summary | true |
Requirements | 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. |
Alternate Names | extensions, user content, modifiers |
Comments | 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
29. MajorSurgery.colostomy.status | |
Definition | State if a colostomy was created. Details should be reported in the surgery section. |
Control | 0..1 |
Type | CodeableConcept |
30. MajorSurgery.colostomy.isRemoved | |
Definition | State if a colostomy was created. Details should be reported in the surgery section. 1 => Still in place 2 => Removed -9922 =>NK |
Control | 0..1 |
Type | CodeableConcept |
31. MajorSurgery.gastrostomy | |
Definition | State if a gastrostomy was created. Details should be reported in the surgery section. 1 => Yes 2 => No -9911 => Not applicable -9922 =>NK |
Control | 0..1 |
Type | CodeableConcept |
Guidance on how to interpret the contents of this table can be found here.
1. MajorSurgery | |
Definition | Major Surgery. Maturity Level: 2 - Ready for Review |
Control | 0..* |
2. MajorSurgery.relatedDiagnosis | |
Definition | Progressive number of diagnosis (1=first; 2= second; 3 = third; ?). |
Control | 0..1 |
Type | Identifier |
3. MajorSurgery.relatedRelapse | |
Definition | Progressive number of relapse/progression (after FLT) |
Control | 0..1 |
Type | Identifier |
4. MajorSurgery.identifier | |
Definition | Progressive number of surgeries (1=first; 2= second; 3 = third; ?). In this field must be reported the ordinal number of the surgeries given. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
5. MajorSurgery.istitutionOfTreatment | |
Definition | Please Identify the institution were surgery was performed |
Control | 0..1 |
Type | BackboneElement |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
6. MajorSurgery.istitutionOfTreatment.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
XML Representation | In the XML format, this property is represented as an attribute. |
Summary | false |
7. MajorSurgery.istitutionOfTreatment.extension | |
Definition | 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. |
Control | 0..* |
Type | Extension |
Summary | false |
Alternate Names | extensions, user content |
Comments | 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on MajorSurgery.istitutionOfTreatment.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
8. MajorSurgery.istitutionOfTreatment.modifierExtension | |
Definition | 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). |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Summary | true |
Requirements | 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. |
Alternate Names | extensions, user content, modifiers |
Comments | 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
9. MajorSurgery.istitutionOfTreatment.description | |
Definition | Institution description |
Control | 0..1 |
Type | string |
10. MajorSurgery.istitutionOfTreatment.name | |
Definition | Institution name |
Control | 0..1 |
Type | string |
11. MajorSurgery.istitutionOfTreatment.address | |
Definition | Institution address |
Control | 0..1 |
Type | BackboneElement |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
12. MajorSurgery.istitutionOfTreatment.address.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
XML Representation | In the XML format, this property is represented as an attribute. |
Summary | false |
13. MajorSurgery.istitutionOfTreatment.address.extension | |
Definition | 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. |
Control | 0..* |
Type | Extension |
Summary | false |
Alternate Names | extensions, user content |
Comments | 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on MajorSurgery.istitutionOfTreatment.address.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
14. MajorSurgery.istitutionOfTreatment.address.modifierExtension | |
Definition | 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). |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Summary | true |
Requirements | 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. |
Alternate Names | extensions, user content, modifiers |
Comments | 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
15. MajorSurgery.istitutionOfTreatment.address.name | |
Definition | Institution city |
Control | 0..1 |
Type | string |
16. MajorSurgery.istitutionOfTreatment.address.country | |
Definition | Institution country |
Control | 0..1 |
Type | string |
17. MajorSurgery.date | |
Definition | Date of surgery (dd/mm/yyyy). If the date is unkown or partially missed insert the year at the best of your knowledge. |
Control | 0..1 |
Type | dateTime |
18. MajorSurgery.description | |
Definition | Please describe the type of surgery (is a free text section, no coding). In case of surgery on pair organs specify which organ (right or left) was operated. |
Control | 0..1 |
Type | string |
19. MajorSurgery.affectedOrgan | |
Definition | Was one of these organs involved ? (Oesophagus; Abdomen; Brain; Face; Liver; Spine; Spinal Cord; Sympathetic nerves; Chest/thorax; Pelvis) |
Control | 0..* |
Type | CodeableConcept |
20. MajorSurgery.sacrifiedOrgan | |
Definition | During surgery it is possible that some organs are 'sacrified' either to allow a radical excision of the tumor or on purpose (spleen) for staging procedures. In case of partial resection of an organ (e.g. thyroid, kidney), the organ is not 'sacrified', this type of surgery should be then reported only in the 'tumor description' For other organs (e.g. hypothalamus) the only surgical procedure on it may determine some 'sacrifcice' of function, thus in this case, the organ should be coded as 'sacrified'. (Spleen, Kidney, Eye, Lung, Ovary, Hypothalamus/hypophysis, Thyroid, Bladder, uterus Other) |
Control | 0..* |
Type | CodeableConcept |
21. MajorSurgery.shuntApplication | |
Definition | Please report if a cerebrovascular shunt was inserted |
Control | 0..* |
Type | BackboneElement |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
22. MajorSurgery.shuntApplication.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
XML Representation | In the XML format, this property is represented as an attribute. |
Summary | false |
23. MajorSurgery.shuntApplication.extension | |
Definition | 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. |
Control | 0..* |
Type | Extension |
Summary | false |
Alternate Names | extensions, user content |
Comments | 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on MajorSurgery.shuntApplication.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
24. MajorSurgery.shuntApplication.modifierExtension | |
Definition | 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). |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Summary | true |
Requirements | 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. |
Alternate Names | extensions, user content, modifiers |
Comments | 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
25. MajorSurgery.shuntApplication.type | |
Definition | This is a free text section in which it is possible to specify the type (e.g. ventriculo-peritoneal) of shunt used 1 => Ventriculo-peritoneal 2 => Ventriculo atrial 3 => Subdural_peritoneal 4 => Cisternostomy (III ventricule) 5 => Other -9922 => NK |
Control | 0..1 |
Type | CodeableConcept |
26. MajorSurgery.shuntApplication.laterality | |
Definition | Please specify the laterality of the shunt 1 = right 2= left 3 = midline -9911 = not applicable -9922 => NK |
Control | 0..1 |
Type | CodeableConcept |
27. MajorSurgery.shuntApplication.isRemoved | |
Definition | Define if it is still in place or is already removed 1 => Still in place 2 => Removed -9911 => NA -9922 => NK |
Control | 0..1 |
Type | CodeableConcept |
28. MajorSurgery.amputation | |
Definition | Here it is requested only a yes or no. Details should be reported in the surgery description 1 => Yes 2 => No -9911 => Not applicable -9922 => NK |
Control | 0..1 |
Type | CodeableConcept |
29. MajorSurgery.prothesis | |
Definition | Prothesis |
Control | 0..1 |
Type | BackboneElement |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
30. MajorSurgery.prothesis.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
XML Representation | In the XML format, this property is represented as an attribute. |
Summary | false |
31. MajorSurgery.prothesis.extension | |
Definition | 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. |
Control | 0..* |
Type | Extension |
Summary | false |
Alternate Names | extensions, user content |
Comments | 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on MajorSurgery.prothesis.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
32. MajorSurgery.prothesis.modifierExtension | |
Definition | 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). |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Summary | true |
Requirements | 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. |
Alternate Names | extensions, user content, modifiers |
Comments | 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
33. MajorSurgery.prothesis.status | |
Definition | Please state if the survivor has a prosthesis either internal (e.g. hip replacement) or external (e.g. artificial arm) |
Control | 0..1 |
Type | CodeableConcept |
34. MajorSurgery.prothesis.deviceType | |
Definition | Please define if prosthesis is internal (e.g. titanium bone) or external (e.g. artificial limb). Also in this case, details should be reported in the surgery description. 1 => Internal 2 => External -9922 => NK |
Control | 0..1 |
Type | CodeableConcept |
35. MajorSurgery.colostomy | |
Definition | Colostomy |
Control | 0..1 |
Type | BackboneElement |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
36. MajorSurgery.colostomy.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
XML Representation | In the XML format, this property is represented as an attribute. |
Summary | false |
37. MajorSurgery.colostomy.extension | |
Definition | 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. |
Control | 0..* |
Type | Extension |
Summary | false |
Alternate Names | extensions, user content |
Comments | 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on MajorSurgery.colostomy.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
38. MajorSurgery.colostomy.modifierExtension | |
Definition | 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). |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Summary | true |
Requirements | 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. |
Alternate Names | extensions, user content, modifiers |
Comments | 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
39. MajorSurgery.colostomy.status | |
Definition | State if a colostomy was created. Details should be reported in the surgery section. |
Control | 0..1 |
Type | CodeableConcept |
40. MajorSurgery.colostomy.isRemoved | |
Definition | State if a colostomy was created. Details should be reported in the surgery section. 1 => Still in place 2 => Removed -9922 =>NK |
Control | 0..1 |
Type | CodeableConcept |
41. MajorSurgery.gastrostomy | |
Definition | State if a gastrostomy was created. Details should be reported in the surgery section. 1 => Yes 2 => No -9911 => Not applicable -9922 =>NK |
Control | 0..1 |
Type | CodeableConcept |