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. For a full list of available versions, see the Directory of published versions

Logical Model: MajorSurgery - Detailed Descriptions

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

Control0..?
2. MajorSurgery.relatedDiagnosis
Definition

Progressive number of diagnosis (1=first; 2= second; 3 = third; ?).
In this field must be reported the ordinal number of the tumor diagnosis for which the surgery was performed

Control0..1
TypeIdentifier
3. MajorSurgery.relatedRelapse
Definition

Progressive number of relapse/progression (after FLT)

Control0..1
TypeIdentifier
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.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
5. MajorSurgery.istitutionOfTreatment
Definition

Please Identify the institution were surgery was performed

Control0..1
TypeBackboneElement
6. MajorSurgery.istitutionOfTreatment.description
Definition

Institution description

Control0..1
Typestring
7. MajorSurgery.istitutionOfTreatment.name
Definition

Institution name

Control0..1
Typestring
8. MajorSurgery.istitutionOfTreatment.address
Definition

Institution address

Control0..1
TypeBackboneElement
9. MajorSurgery.istitutionOfTreatment.address.name
Definition

Institution city

Control0..1
Typestring
10. MajorSurgery.istitutionOfTreatment.address.country
Definition

Institution country

Control0..1
Typestring
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.

Control0..1
TypedateTime
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.

Control0..1
Typestring
13. MajorSurgery.affectedOrgan
Definition

Was one of these organs involved ? (Oesophagus; Abdomen; Brain; Face; Liver; Spine; Spinal Cord; Sympathetic nerves; Chest/thorax; Pelvis)

Control0..*
TypeCodeableConcept
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)

Control0..*
TypeCodeableConcept
15. MajorSurgery.shuntApplication
Definition

Please report if a cerebrovascular shunt was inserted

Control0..*
TypeBackboneElement
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

Control0..1
TypeCodeableConcept
17. MajorSurgery.shuntApplication.laterality
Definition

Please specify the laterality of the shunt 1 = right 2= left 3 = midline -9911 = not applicable -9922 => NK

Control0..1
TypeCodeableConcept
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

Control0..1
TypeCodeableConcept
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

Control0..1
TypeCodeableConcept
20. MajorSurgery.prothesis
Definition

Prothesis

Control0..1
TypeBackboneElement
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)

Control0..1
TypeCodeableConcept
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

Control0..1
TypeCodeableConcept
23. MajorSurgery.colostomy
Definition

Colostomy

Control0..1
TypeBackboneElement
24. MajorSurgery.colostomy.status
Definition

State if a colostomy was created. Details should be reported in the surgery section.

Control0..1
TypeCodeableConcept
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

Control0..1
TypeCodeableConcept
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

Control0..1
TypeCodeableConcept

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

Control0..*
2. MajorSurgery.relatedDiagnosis
Definition

Progressive number of diagnosis (1=first; 2= second; 3 = third; ?).
In this field must be reported the ordinal number of the tumor diagnosis for which the surgery was performed

Control0..1
TypeIdentifier
3. MajorSurgery.relatedRelapse
Definition

Progressive number of relapse/progression (after FLT)

Control0..1
TypeIdentifier
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.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
5. MajorSurgery.istitutionOfTreatment
Definition

Please Identify the institution were surgery was performed

Control0..1
TypeBackboneElement
InvariantsDefined 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).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
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 Namesextensions, 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.

InvariantsDefined 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

Control0..1
Typestring
8. MajorSurgery.istitutionOfTreatment.name
Definition

Institution name

Control0..1
Typestring
9. MajorSurgery.istitutionOfTreatment.address
Definition

Institution address

Control0..1
TypeBackboneElement
InvariantsDefined 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).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
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 Namesextensions, 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.

InvariantsDefined 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

Control0..1
Typestring
12. MajorSurgery.istitutionOfTreatment.address.country
Definition

Institution country

Control0..1
Typestring
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.

Control0..1
TypedateTime
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.

Control0..1
Typestring
15. MajorSurgery.affectedOrgan
Definition

Was one of these organs involved ? (Oesophagus; Abdomen; Brain; Face; Liver; Spine; Spinal Cord; Sympathetic nerves; Chest/thorax; Pelvis)

Control0..*
TypeCodeableConcept
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)

Control0..*
TypeCodeableConcept
17. MajorSurgery.shuntApplication
Definition

Please report if a cerebrovascular shunt was inserted

Control0..*
TypeBackboneElement
InvariantsDefined 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).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
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 Namesextensions, 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.

InvariantsDefined 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

Control0..1
TypeCodeableConcept
20. MajorSurgery.shuntApplication.laterality
Definition

Please specify the laterality of the shunt 1 = right 2= left 3 = midline -9911 = not applicable -9922 => NK

Control0..1
TypeCodeableConcept
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

Control0..1
TypeCodeableConcept
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

Control0..1
TypeCodeableConcept
23. MajorSurgery.prothesis
Definition

Prothesis

Control0..1
TypeBackboneElement
InvariantsDefined 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).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
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 Namesextensions, 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.

InvariantsDefined 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)

Control0..1
TypeCodeableConcept
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

Control0..1
TypeCodeableConcept
27. MajorSurgery.colostomy
Definition

Colostomy

Control0..1
TypeBackboneElement
InvariantsDefined 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).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
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 Namesextensions, 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.

InvariantsDefined 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.

Control0..1
TypeCodeableConcept
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

Control0..1
TypeCodeableConcept
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

Control0..1
TypeCodeableConcept

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

Control0..*
2. MajorSurgery.relatedDiagnosis
Definition

Progressive number of diagnosis (1=first; 2= second; 3 = third; ?).
In this field must be reported the ordinal number of the tumor diagnosis for which the surgery was performed

Control0..1
TypeIdentifier
3. MajorSurgery.relatedRelapse
Definition

Progressive number of relapse/progression (after FLT)

Control0..1
TypeIdentifier
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.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
5. MajorSurgery.istitutionOfTreatment
Definition

Please Identify the institution were surgery was performed

Control0..1
TypeBackboneElement
InvariantsDefined 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.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis element introduces a set of slices on MajorSurgery.istitutionOfTreatment.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
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).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
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 Namesextensions, 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.

InvariantsDefined 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

Control0..1
Typestring
10. MajorSurgery.istitutionOfTreatment.name
Definition

Institution name

Control0..1
Typestring
11. MajorSurgery.istitutionOfTreatment.address
Definition

Institution address

Control0..1
TypeBackboneElement
InvariantsDefined 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.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis 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:
  • value @ url
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).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
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 Namesextensions, 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.

InvariantsDefined 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

Control0..1
Typestring
16. MajorSurgery.istitutionOfTreatment.address.country
Definition

Institution country

Control0..1
Typestring
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.

Control0..1
TypedateTime
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.

Control0..1
Typestring
19. MajorSurgery.affectedOrgan
Definition

Was one of these organs involved ? (Oesophagus; Abdomen; Brain; Face; Liver; Spine; Spinal Cord; Sympathetic nerves; Chest/thorax; Pelvis)

Control0..*
TypeCodeableConcept
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)

Control0..*
TypeCodeableConcept
21. MajorSurgery.shuntApplication
Definition

Please report if a cerebrovascular shunt was inserted

Control0..*
TypeBackboneElement
InvariantsDefined 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.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis element introduces a set of slices on MajorSurgery.shuntApplication.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
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).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
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 Namesextensions, 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.

InvariantsDefined 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

Control0..1
TypeCodeableConcept
26. MajorSurgery.shuntApplication.laterality
Definition

Please specify the laterality of the shunt 1 = right 2= left 3 = midline -9911 = not applicable -9922 => NK

Control0..1
TypeCodeableConcept
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

Control0..1
TypeCodeableConcept
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

Control0..1
TypeCodeableConcept
29. MajorSurgery.prothesis
Definition

Prothesis

Control0..1
TypeBackboneElement
InvariantsDefined 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.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis element introduces a set of slices on MajorSurgery.prothesis.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
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).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
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 Namesextensions, 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.

InvariantsDefined 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)

Control0..1
TypeCodeableConcept
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

Control0..1
TypeCodeableConcept
35. MajorSurgery.colostomy
Definition

Colostomy

Control0..1
TypeBackboneElement
InvariantsDefined 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.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
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.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, 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.

InvariantsDefined 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())
SlicingThis element introduces a set of slices on MajorSurgery.colostomy.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
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).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
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 Namesextensions, 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.

InvariantsDefined 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.

Control0..1
TypeCodeableConcept
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

Control0..1
TypeCodeableConcept
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

Control0..1
TypeCodeableConcept