minimal Common Oncology Data Elements (mCODE) Implementation Guide
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minimal Common Oncology Data Elements (mCODE) Implementation Guide, published by HL7 International / Clinical Interoperability Council. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-mCODE-ig/ and changes regularly. See the Directory of published versions

Resource Profile: Radiotherapy Course Summary Profile

Official URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary Version: 4.0.0-ballot
Active as of 2024-10-30 Maturity Level: 3 Computable Name: RadiotherapyCourseSummary
Other Identifiers: OID:2.16.840.1.113883.4.642.40.15.42.43

A summary of a course of radiotherapy delivered to a patient. It records the treatment intent, termination reason, modalities, techniques, number of sessions, and doses delivered to one or more body volumes. Whether the course has been fully delivered or stopped is indicated in the status element.

Usage

This profile is used to capture a course of radiotherapy delivered to a patient. A course of therapy systematically addresses a condition or set of related conditions. The course can include multiple sessions, can be divided into multiple phases, and can last for several months. A course of treatment has a distinct beginning and end. While the Radiotherapy Course Summary can be incrementally updated as the treatment progresses, the primary purpose is to summarize the entire course of treatment from beginning to end. The status element indicates whether the treatment is in progress or complete.

In radiotherapy, a phase is a subset of a course. A phase is defined as a treatment consisting of one or more identical fractions. Phases are modeled in the forthcoming CODEX Radiation Therapy IG.

The relationship between a course and its phases is exemplified in the following diagram:

Breast Treatment Plan

In this example, the radiotherapy course encompasses three phases. The course summary captures each radiotherapy volume, the total dose for each volume, and total number of fractions delivered for each volume. The course summary also records the modalities and techniques used, without directly associating those with individual volumes. Other elements in the summary include the reason for treatment, the treatment intent, the period of treatment, and the total number of sessions.

At the phase level, each phase consists of a set of identical fractions. In this context, identical means that each fraction uses the same modality, technique, dose per fraction, and is applied to the same volume or volumes. Because of their spatial relationship or the technique used, all volumes do not necessarily receive the same total dose during a phase. Phases may occur in parallel, overlap, or in alternating temporal patterns.

Course and Phase definitions follow the recommendations of the American Association of Physicists in Medicine (AAPM) Operational Ontology for Oncology (O3).

Conformance

Procedure resources whose code is mcode-radiotherapy-course-summary (code system http://hl7.org/fhir/us/mcode/CodeSystem/mcode-resource-identifier-cs) SHALL conform to this profile. Beyond this requirement, a producer of resources SHOULD ensure that any resource instance associated with an in-scope patient that would reasonably be expected to conform to this profile SHOULD be published in this form. Any resource intended to conform to this profile SHOULD populate meta.profile accordingly.

Usage:

Changes since version true:

  • No changes
  • Formal Views of Profile Content

    Description of Profiles, Differentials, Snapshots and how the different presentations work.

    This structure is derived from USCoreProcedureProfile

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Procedure C 0..* USCoreProcedureProfile An action that is being or was performed on a patient
    termination-reason-code-invariant: When status is stopped, only certain statusReason values are allowed
    termination-reason-invariant: Certain statusReason values are allowed only when status is stopped
    mcode-reason-required: One of reasonCode or reasonReference SHALL be present
    ... Slices for extension S 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... treatmentIntent S 0..1 CodeableConcept Procedure Intent Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
    Binding: Procedure Intent Value Set (extensible)
    .... terminationReason 0..1 CodeableConcept Treatment Termination Reason Extension (deprecated)
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason
    Binding: Treatment Termination Reason Value Set (extensible)
    .... modalityAndTechnique S 0..* (Complex) Radiotherapy Modality And Technique Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
    .... actualNumberOfSessions S 0..1 unsignedInt Radiotherapy Number of Sessions Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions
    .... doseDeliveredToVolume S 0..* (Complex) Radiotherapy Dose Delivered To Volume Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume
    ... statusReason S 0..1 CodeableConcept Reason for current status
    Binding: Treatment Termination Reason Value Set (preferred)
    ... code 1..1 CodeableConcept (USCDI) Identification of the procedure
    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: 1217123003
    ... performed[x] 0..1 Period (USCDI) When the procedure was performed
    ... reasonCode S 0..* CodeableConcept Coded reason procedure performed
    Binding: Cancer Disorder Value Set (extensible)
    ... reasonReference S 0..* Reference(US Core Condition Problems and Health Concerns Profile) The justification that the procedure was performed
    ... bodySite S 0..* CodeableConcept All body structure(s) treated
    Binding: Radiotherapy Treatment Location Value Set (extensible)
    .... Slices for extension Content/Rules for all slices
    ..... locationQualifier 0..* CodeableConcept General location qualifier (excluding laterality) for this bodySite
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
    Binding: Body Location Qualifier Value Set (required)
    ..... lateralityQualifier 0..1 CodeableConcept Laterality qualifier for this bodySite
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
    Binding: Laterality Qualifier Value Set (required)

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Procedure.statusReasonpreferredTreatmentTerminationReasonVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-treatment-termination-reason-vs
    from this IG
    Procedure.reasonCodeextensibleCancerDisorderVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs
    from this IG
    Procedure.bodySiteextensibleRadiotherapyTreatmentLocationVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs
    from this IG

    Constraints

    IdGradePath(s)DetailsRequirements
    mcode-reason-requiredwarningProcedureOne of reasonCode or reasonReference SHALL be present
    : reasonCode.exists() or reasonReference.exists()
    termination-reason-code-invarianterrorProcedureWhen status is stopped, only certain statusReason values are allowed
    : status = 'stopped' and statusReason.exists() and statusReason.coding.exists() implies statusReason.coding.exists(system = 'http://snomed.info/sct' and (code = '182992009' or code = '266721009' or code = '407563006' or code = '160932005' or code = '105480006' or code = '184081006' or code = '309846006' or code = '399307001' or code = '419620001' or code = '7058009' or code = '443729008' or code = '77386006'))
    termination-reason-invarianterrorProcedureCertain statusReason values are allowed only when status is stopped
    : statusReason.exists() and statusReason.coding.exists( system = 'http://snomed.info/sct' and (code = '182992009' or code = '266721009' or code = '407563006' or code = '160932005' or code = '105480006' or code = '184081006' or code = '309846006' or code = '399307001' or code = '419620001' or code = '7058009' or code = '443729008' or code = '77386006')) implies status = 'stopped'
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Procedure C 0..* USCoreProcedureProfile An action that is being or was performed on a patient
    us-core-7: Performed SHALL be present if the status is 'completed' or 'in-progress'
    termination-reason-code-invariant: When status is stopped, only certain statusReason values are allowed
    termination-reason-invariant: Certain statusReason values are allowed only when status is stopped
    mcode-reason-required: One of reasonCode or reasonReference SHALL be present
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... Slices for extension S 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... treatmentIntent S 0..1 CodeableConcept Procedure Intent Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
    Binding: Procedure Intent Value Set (extensible)
    .... terminationReason 0..1 CodeableConcept Treatment Termination Reason Extension (deprecated)
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason
    Binding: Treatment Termination Reason Value Set (extensible)
    .... modalityAndTechnique SC 0..* (Complex) Radiotherapy Modality And Technique Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
    TechniquesForNeutronBeamModality: Allowed Techniques for Neutron Beam Modality
    TechniquesForPhotonBeamModality: Allowed Techniques for Photon Beam Modality
    TechniquesForElectronBeamModality: Allowed Techniques for Electron Beam Modality
    TechniquesForCarbonIonBeamModality: Allowed Techniques for Carbon Ion Beam Modality
    TechniquesForProtonBeamModality: Allowed Techniques for Proton Beam Modality
    TechniquesForInternalRadiotherapyPermanentSeeds: Allowed Techniques for Internal Radiotherapy - Permanent Seeds
    TechniquesForLowDoseRateUsingTempRadSource: Allowed Techniques for Low Dose Rate Using Temp Radiation Source
    TechniquesForPulsedDoseRate: Allowed Techniques for Pulsed Dose Rate
    TechniquesForHighDoseRate: Allowed Techniques for High Dose Rate
    TechniquesForHighDoseRateElectronic: Allowed Techniques for High Dose Rate Electronic
    TechniquesForRadioPharmaceutical: Allowed Techniques for Radiopharmaceutical
    ModalityTextRequiredForOther: Require a text literal for code other
    TechniqueTextRequiredForOther: Require a text literal for code other
    .... actualNumberOfSessions S 0..1 unsignedInt Radiotherapy Number of Sessions Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions
    .... doseDeliveredToVolume S 0..* (Complex) Radiotherapy Dose Delivered To Volume Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... statusReason SΣ 0..1 CodeableConcept Reason for current status
    Binding: Treatment Termination Reason Value Set (preferred)
    ... code SΣ 1..1 CodeableConcept (USCDI) Identification of the procedure
    Binding: US Core Procedure Codes (extensible): Codes describing the type of Procedure


    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: 1217123003
    ... subject SΣ 1..1 Reference(Cancer Patient Profile) (USCDI) Who the procedure was performed on
    ... performed[x] SΣC 0..1 Period (USCDI) When the procedure was performed
    ... reasonCode SΣ 0..* CodeableConcept Coded reason procedure performed
    Binding: Cancer Disorder Value Set (extensible)
    ... reasonReference SΣ 0..* Reference(US Core Condition Problems and Health Concerns Profile) The justification that the procedure was performed
    ... bodySite SΣ 0..* CodeableConcept All body structure(s) treated
    Binding: Radiotherapy Treatment Location Value Set (extensible)
    .... Slices for extension Content/Rules for all slices
    ..... locationQualifier 0..* CodeableConcept General location qualifier (excluding laterality) for this bodySite
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
    Binding: Body Location Qualifier Value Set (required)
    ..... lateralityQualifier 0..1 CodeableConcept Laterality qualifier for this bodySite
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
    Binding: Laterality Qualifier Value Set (required)

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Procedure.statusrequiredEventStatus
    http://hl7.org/fhir/ValueSet/event-status
    from the FHIR Standard
    Procedure.statusReasonpreferredTreatmentTerminationReasonVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-treatment-termination-reason-vs
    from this IG
    Procedure.codeextensiblePattern: SNOMED-CT Code 1217123003
    http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
    Procedure.reasonCodeextensibleCancerDisorderVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs
    from this IG
    Procedure.bodySiteextensibleRadiotherapyTreatmentLocationVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs
    from this IG

    Constraints

    IdGradePath(s)DetailsRequirements
    mcode-reason-requiredwarningProcedureOne of reasonCode or reasonReference SHALL be present
    : reasonCode.exists() or reasonReference.exists()
    termination-reason-code-invarianterrorProcedureWhen status is stopped, only certain statusReason values are allowed
    : status = 'stopped' and statusReason.exists() and statusReason.coding.exists() implies statusReason.coding.exists(system = 'http://snomed.info/sct' and (code = '182992009' or code = '266721009' or code = '407563006' or code = '160932005' or code = '105480006' or code = '184081006' or code = '309846006' or code = '399307001' or code = '419620001' or code = '7058009' or code = '443729008' or code = '77386006'))
    termination-reason-invarianterrorProcedureCertain statusReason values are allowed only when status is stopped
    : statusReason.exists() and statusReason.coding.exists( system = 'http://snomed.info/sct' and (code = '182992009' or code = '266721009' or code = '407563006' or code = '160932005' or code = '105480006' or code = '184081006' or code = '309846006' or code = '399307001' or code = '419620001' or code = '7058009' or code = '443729008' or code = '77386006')) implies status = 'stopped'
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Procedure C 0..* USCoreProcedureProfile An action that is being or was performed on a patient
    us-core-7: Performed SHALL be present if the status is 'completed' or 'in-progress'
    termination-reason-code-invariant: When status is stopped, only certain statusReason values are allowed
    termination-reason-invariant: Certain statusReason values are allowed only when status is stopped
    mcode-reason-required: One of reasonCode or reasonReference SHALL be present
    ... 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.

    Additional BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    ... contained 0..* Resource Contained, inline Resources
    ... Slices for extension S 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... treatmentIntent S 0..1 CodeableConcept Procedure Intent Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
    Binding: Procedure Intent Value Set (extensible)
    .... terminationReason 0..1 CodeableConcept Treatment Termination Reason Extension (deprecated)
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason
    Binding: Treatment Termination Reason Value Set (extensible)
    .... modalityAndTechnique SC 0..* (Complex) Radiotherapy Modality And Technique Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
    TechniquesForNeutronBeamModality: Allowed Techniques for Neutron Beam Modality
    TechniquesForPhotonBeamModality: Allowed Techniques for Photon Beam Modality
    TechniquesForElectronBeamModality: Allowed Techniques for Electron Beam Modality
    TechniquesForCarbonIonBeamModality: Allowed Techniques for Carbon Ion Beam Modality
    TechniquesForProtonBeamModality: Allowed Techniques for Proton Beam Modality
    TechniquesForInternalRadiotherapyPermanentSeeds: Allowed Techniques for Internal Radiotherapy - Permanent Seeds
    TechniquesForLowDoseRateUsingTempRadSource: Allowed Techniques for Low Dose Rate Using Temp Radiation Source
    TechniquesForPulsedDoseRate: Allowed Techniques for Pulsed Dose Rate
    TechniquesForHighDoseRate: Allowed Techniques for High Dose Rate
    TechniquesForHighDoseRateElectronic: Allowed Techniques for High Dose Rate Electronic
    TechniquesForRadioPharmaceutical: Allowed Techniques for Radiopharmaceutical
    ModalityTextRequiredForOther: Require a text literal for code other
    TechniqueTextRequiredForOther: Require a text literal for code other
    .... actualNumberOfSessions S 0..1 unsignedInt Radiotherapy Number of Sessions Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions
    .... doseDeliveredToVolume S 0..* (Complex) Radiotherapy Dose Delivered To Volume Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier External Identifiers for this procedure
    ... 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(US Core CarePlan Profile | US Core ServiceRequest Profile) (USCDI) A request for this procedure
    ... partOf Σ 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
    ... status ?!SΣC 1..1 code (USCDI) preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
    Binding: EventStatus (required)
    ... statusReason SΣ 0..1 CodeableConcept Reason for current status
    Binding: Treatment Termination Reason Value Set (preferred)
    ... category Σ 0..1 CodeableConcept Classification of the procedure
    Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.

    ... code SΣ 1..1 CodeableConcept (USCDI) Identification of the procedure
    Binding: US Core Procedure Codes (extensible): Codes describing the type of Procedure


    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: 1217123003
    ..... display 0..1 string Representation defined by the system
    ..... userSelected 0..1 boolean If this coding was chosen directly by the user
    .... text 0..1 string Plain text representation of the concept
    ... subject SΣ 1..1 Reference(Cancer Patient Profile) (USCDI) Who the procedure was performed on
    ... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
    ... performed[x] SΣC 0..1 Period (USCDI) 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) Where the procedure happened
    ... reasonCode SΣ 0..* CodeableConcept Coded reason procedure performed
    Binding: Cancer Disorder Value Set (extensible)
    ... reasonReference SΣ 0..* Reference(US Core Condition Problems and Health Concerns Profile) The justification that the procedure was performed
    ... bodySite SΣ 0..* CodeableConcept All body structure(s) treated
    Binding: Radiotherapy Treatment Location Value Set (extensible)
    .... 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 General location qualifier (excluding laterality) for this bodySite
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
    Binding: Body Location Qualifier Value Set (required)
    ..... lateralityQualifier 0..1 CodeableConcept Laterality qualifier for this bodySite
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
    Binding: Laterality Qualifier Value Set (required)
    .... 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 procedure
    ... 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: FHIRDeviceTypes (example): Codes describing items used during a procedure.



    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Procedure.languagepreferredCommonLanguages
    Additional Bindings Purpose
    AllLanguages Max Binding
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Procedure.statusrequiredEventStatus
    http://hl7.org/fhir/ValueSet/event-status
    from the FHIR Standard
    Procedure.statusReasonpreferredTreatmentTerminationReasonVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-treatment-termination-reason-vs
    from this IG
    Procedure.categoryexampleProcedureCategoryCodes(SNOMEDCT)
    http://hl7.org/fhir/ValueSet/procedure-category
    from the FHIR Standard
    Procedure.codeextensiblePattern: SNOMED-CT Code 1217123003
    http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
    Procedure.performer.functionexampleProcedurePerformerRoleCodes
    http://hl7.org/fhir/ValueSet/performer-role
    from the FHIR Standard
    Procedure.reasonCodeextensibleCancerDisorderVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs
    from this IG
    Procedure.bodySiteextensibleRadiotherapyTreatmentLocationVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs
    from this IG
    Procedure.outcomeexampleProcedureOutcomeCodes(SNOMEDCT)
    http://hl7.org/fhir/ValueSet/procedure-outcome
    from the FHIR Standard
    Procedure.complicationexampleCondition/Problem/DiagnosisCodes
    http://hl7.org/fhir/ValueSet/condition-code
    from the FHIR Standard
    Procedure.followUpexampleProcedureFollowUpCodes(SNOMEDCT)
    http://hl7.org/fhir/ValueSet/procedure-followup
    from the FHIR Standard
    Procedure.focalDevice.actionpreferredProcedureDeviceActionCodes
    http://hl7.org/fhir/ValueSet/device-action
    from the FHIR Standard
    Procedure.usedCodeexampleFHIRDeviceTypes
    http://hl7.org/fhir/ValueSet/device-kind
    from the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    mcode-reason-requiredwarningProcedureOne of reasonCode or reasonReference SHALL be present
    : reasonCode.exists() or reasonReference.exists()
    termination-reason-code-invarianterrorProcedureWhen status is stopped, only certain statusReason values are allowed
    : status = 'stopped' and statusReason.exists() and statusReason.coding.exists() implies statusReason.coding.exists(system = 'http://snomed.info/sct' and (code = '182992009' or code = '266721009' or code = '407563006' or code = '160932005' or code = '105480006' or code = '184081006' or code = '309846006' or code = '399307001' or code = '419620001' or code = '7058009' or code = '443729008' or code = '77386006'))
    termination-reason-invarianterrorProcedureCertain statusReason values are allowed only when status is stopped
    : statusReason.exists() and statusReason.coding.exists( system = 'http://snomed.info/sct' and (code = '182992009' or code = '266721009' or code = '407563006' or code = '160932005' or code = '105480006' or code = '184081006' or code = '309846006' or code = '399307001' or code = '419620001' or code = '7058009' or code = '443729008' or code = '77386006')) implies status = 'stopped'

    Differential View

    This structure is derived from USCoreProcedureProfile

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Procedure C 0..* USCoreProcedureProfile An action that is being or was performed on a patient
    termination-reason-code-invariant: When status is stopped, only certain statusReason values are allowed
    termination-reason-invariant: Certain statusReason values are allowed only when status is stopped
    mcode-reason-required: One of reasonCode or reasonReference SHALL be present
    ... Slices for extension S 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... treatmentIntent S 0..1 CodeableConcept Procedure Intent Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
    Binding: Procedure Intent Value Set (extensible)
    .... terminationReason 0..1 CodeableConcept Treatment Termination Reason Extension (deprecated)
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason
    Binding: Treatment Termination Reason Value Set (extensible)
    .... modalityAndTechnique S 0..* (Complex) Radiotherapy Modality And Technique Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
    .... actualNumberOfSessions S 0..1 unsignedInt Radiotherapy Number of Sessions Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions
    .... doseDeliveredToVolume S 0..* (Complex) Radiotherapy Dose Delivered To Volume Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume
    ... statusReason S 0..1 CodeableConcept Reason for current status
    Binding: Treatment Termination Reason Value Set (preferred)
    ... code 1..1 CodeableConcept (USCDI) Identification of the procedure
    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: 1217123003
    ... performed[x] 0..1 Period (USCDI) When the procedure was performed
    ... reasonCode S 0..* CodeableConcept Coded reason procedure performed
    Binding: Cancer Disorder Value Set (extensible)
    ... reasonReference S 0..* Reference(US Core Condition Problems and Health Concerns Profile) The justification that the procedure was performed
    ... bodySite S 0..* CodeableConcept All body structure(s) treated
    Binding: Radiotherapy Treatment Location Value Set (extensible)
    .... Slices for extension Content/Rules for all slices
    ..... locationQualifier 0..* CodeableConcept General location qualifier (excluding laterality) for this bodySite
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
    Binding: Body Location Qualifier Value Set (required)
    ..... lateralityQualifier 0..1 CodeableConcept Laterality qualifier for this bodySite
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
    Binding: Laterality Qualifier Value Set (required)

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Procedure.statusReasonpreferredTreatmentTerminationReasonVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-treatment-termination-reason-vs
    from this IG
    Procedure.reasonCodeextensibleCancerDisorderVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs
    from this IG
    Procedure.bodySiteextensibleRadiotherapyTreatmentLocationVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs
    from this IG

    Constraints

    IdGradePath(s)DetailsRequirements
    mcode-reason-requiredwarningProcedureOne of reasonCode or reasonReference SHALL be present
    : reasonCode.exists() or reasonReference.exists()
    termination-reason-code-invarianterrorProcedureWhen status is stopped, only certain statusReason values are allowed
    : status = 'stopped' and statusReason.exists() and statusReason.coding.exists() implies statusReason.coding.exists(system = 'http://snomed.info/sct' and (code = '182992009' or code = '266721009' or code = '407563006' or code = '160932005' or code = '105480006' or code = '184081006' or code = '309846006' or code = '399307001' or code = '419620001' or code = '7058009' or code = '443729008' or code = '77386006'))
    termination-reason-invarianterrorProcedureCertain statusReason values are allowed only when status is stopped
    : statusReason.exists() and statusReason.coding.exists( system = 'http://snomed.info/sct' and (code = '182992009' or code = '266721009' or code = '407563006' or code = '160932005' or code = '105480006' or code = '184081006' or code = '309846006' or code = '399307001' or code = '419620001' or code = '7058009' or code = '443729008' or code = '77386006')) implies status = 'stopped'

    Key Elements View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Procedure C 0..* USCoreProcedureProfile An action that is being or was performed on a patient
    us-core-7: Performed SHALL be present if the status is 'completed' or 'in-progress'
    termination-reason-code-invariant: When status is stopped, only certain statusReason values are allowed
    termination-reason-invariant: Certain statusReason values are allowed only when status is stopped
    mcode-reason-required: One of reasonCode or reasonReference SHALL be present
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... Slices for extension S 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... treatmentIntent S 0..1 CodeableConcept Procedure Intent Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
    Binding: Procedure Intent Value Set (extensible)
    .... terminationReason 0..1 CodeableConcept Treatment Termination Reason Extension (deprecated)
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason
    Binding: Treatment Termination Reason Value Set (extensible)
    .... modalityAndTechnique SC 0..* (Complex) Radiotherapy Modality And Technique Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
    TechniquesForNeutronBeamModality: Allowed Techniques for Neutron Beam Modality
    TechniquesForPhotonBeamModality: Allowed Techniques for Photon Beam Modality
    TechniquesForElectronBeamModality: Allowed Techniques for Electron Beam Modality
    TechniquesForCarbonIonBeamModality: Allowed Techniques for Carbon Ion Beam Modality
    TechniquesForProtonBeamModality: Allowed Techniques for Proton Beam Modality
    TechniquesForInternalRadiotherapyPermanentSeeds: Allowed Techniques for Internal Radiotherapy - Permanent Seeds
    TechniquesForLowDoseRateUsingTempRadSource: Allowed Techniques for Low Dose Rate Using Temp Radiation Source
    TechniquesForPulsedDoseRate: Allowed Techniques for Pulsed Dose Rate
    TechniquesForHighDoseRate: Allowed Techniques for High Dose Rate
    TechniquesForHighDoseRateElectronic: Allowed Techniques for High Dose Rate Electronic
    TechniquesForRadioPharmaceutical: Allowed Techniques for Radiopharmaceutical
    ModalityTextRequiredForOther: Require a text literal for code other
    TechniqueTextRequiredForOther: Require a text literal for code other
    .... actualNumberOfSessions S 0..1 unsignedInt Radiotherapy Number of Sessions Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions
    .... doseDeliveredToVolume S 0..* (Complex) Radiotherapy Dose Delivered To Volume Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... statusReason SΣ 0..1 CodeableConcept Reason for current status
    Binding: Treatment Termination Reason Value Set (preferred)
    ... code SΣ 1..1 CodeableConcept (USCDI) Identification of the procedure
    Binding: US Core Procedure Codes (extensible): Codes describing the type of Procedure


    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: 1217123003
    ... subject SΣ 1..1 Reference(Cancer Patient Profile) (USCDI) Who the procedure was performed on
    ... performed[x] SΣC 0..1 Period (USCDI) When the procedure was performed
    ... reasonCode SΣ 0..* CodeableConcept Coded reason procedure performed
    Binding: Cancer Disorder Value Set (extensible)
    ... reasonReference SΣ 0..* Reference(US Core Condition Problems and Health Concerns Profile) The justification that the procedure was performed
    ... bodySite SΣ 0..* CodeableConcept All body structure(s) treated
    Binding: Radiotherapy Treatment Location Value Set (extensible)
    .... Slices for extension Content/Rules for all slices
    ..... locationQualifier 0..* CodeableConcept General location qualifier (excluding laterality) for this bodySite
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
    Binding: Body Location Qualifier Value Set (required)
    ..... lateralityQualifier 0..1 CodeableConcept Laterality qualifier for this bodySite
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
    Binding: Laterality Qualifier Value Set (required)

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Procedure.statusrequiredEventStatus
    http://hl7.org/fhir/ValueSet/event-status
    from the FHIR Standard
    Procedure.statusReasonpreferredTreatmentTerminationReasonVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-treatment-termination-reason-vs
    from this IG
    Procedure.codeextensiblePattern: SNOMED-CT Code 1217123003
    http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
    Procedure.reasonCodeextensibleCancerDisorderVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs
    from this IG
    Procedure.bodySiteextensibleRadiotherapyTreatmentLocationVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs
    from this IG

    Constraints

    IdGradePath(s)DetailsRequirements
    mcode-reason-requiredwarningProcedureOne of reasonCode or reasonReference SHALL be present
    : reasonCode.exists() or reasonReference.exists()
    termination-reason-code-invarianterrorProcedureWhen status is stopped, only certain statusReason values are allowed
    : status = 'stopped' and statusReason.exists() and statusReason.coding.exists() implies statusReason.coding.exists(system = 'http://snomed.info/sct' and (code = '182992009' or code = '266721009' or code = '407563006' or code = '160932005' or code = '105480006' or code = '184081006' or code = '309846006' or code = '399307001' or code = '419620001' or code = '7058009' or code = '443729008' or code = '77386006'))
    termination-reason-invarianterrorProcedureCertain statusReason values are allowed only when status is stopped
    : statusReason.exists() and statusReason.coding.exists( system = 'http://snomed.info/sct' and (code = '182992009' or code = '266721009' or code = '407563006' or code = '160932005' or code = '105480006' or code = '184081006' or code = '309846006' or code = '399307001' or code = '419620001' or code = '7058009' or code = '443729008' or code = '77386006')) implies status = 'stopped'

    Snapshot View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Procedure C 0..* USCoreProcedureProfile An action that is being or was performed on a patient
    us-core-7: Performed SHALL be present if the status is 'completed' or 'in-progress'
    termination-reason-code-invariant: When status is stopped, only certain statusReason values are allowed
    termination-reason-invariant: Certain statusReason values are allowed only when status is stopped
    mcode-reason-required: One of reasonCode or reasonReference SHALL be present
    ... 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.

    Additional BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    ... contained 0..* Resource Contained, inline Resources
    ... Slices for extension S 0..* Extension Extension
    Slice: Unordered, Open by value:url
    .... treatmentIntent S 0..1 CodeableConcept Procedure Intent Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
    Binding: Procedure Intent Value Set (extensible)
    .... terminationReason 0..1 CodeableConcept Treatment Termination Reason Extension (deprecated)
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason
    Binding: Treatment Termination Reason Value Set (extensible)
    .... modalityAndTechnique SC 0..* (Complex) Radiotherapy Modality And Technique Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
    TechniquesForNeutronBeamModality: Allowed Techniques for Neutron Beam Modality
    TechniquesForPhotonBeamModality: Allowed Techniques for Photon Beam Modality
    TechniquesForElectronBeamModality: Allowed Techniques for Electron Beam Modality
    TechniquesForCarbonIonBeamModality: Allowed Techniques for Carbon Ion Beam Modality
    TechniquesForProtonBeamModality: Allowed Techniques for Proton Beam Modality
    TechniquesForInternalRadiotherapyPermanentSeeds: Allowed Techniques for Internal Radiotherapy - Permanent Seeds
    TechniquesForLowDoseRateUsingTempRadSource: Allowed Techniques for Low Dose Rate Using Temp Radiation Source
    TechniquesForPulsedDoseRate: Allowed Techniques for Pulsed Dose Rate
    TechniquesForHighDoseRate: Allowed Techniques for High Dose Rate
    TechniquesForHighDoseRateElectronic: Allowed Techniques for High Dose Rate Electronic
    TechniquesForRadioPharmaceutical: Allowed Techniques for Radiopharmaceutical
    ModalityTextRequiredForOther: Require a text literal for code other
    TechniqueTextRequiredForOther: Require a text literal for code other
    .... actualNumberOfSessions S 0..1 unsignedInt Radiotherapy Number of Sessions Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions
    .... doseDeliveredToVolume S 0..* (Complex) Radiotherapy Dose Delivered To Volume Extension
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier External Identifiers for this procedure
    ... 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(US Core CarePlan Profile | US Core ServiceRequest Profile) (USCDI) A request for this procedure
    ... partOf Σ 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
    ... status ?!SΣC 1..1 code (USCDI) preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
    Binding: EventStatus (required)
    ... statusReason SΣ 0..1 CodeableConcept Reason for current status
    Binding: Treatment Termination Reason Value Set (preferred)
    ... category Σ 0..1 CodeableConcept Classification of the procedure
    Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.

    ... code SΣ 1..1 CodeableConcept (USCDI) Identification of the procedure
    Binding: US Core Procedure Codes (extensible): Codes describing the type of Procedure


    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: 1217123003
    ..... display 0..1 string Representation defined by the system
    ..... userSelected 0..1 boolean If this coding was chosen directly by the user
    .... text 0..1 string Plain text representation of the concept
    ... subject SΣ 1..1 Reference(Cancer Patient Profile) (USCDI) Who the procedure was performed on
    ... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
    ... performed[x] SΣC 0..1 Period (USCDI) 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) Where the procedure happened
    ... reasonCode SΣ 0..* CodeableConcept Coded reason procedure performed
    Binding: Cancer Disorder Value Set (extensible)
    ... reasonReference SΣ 0..* Reference(US Core Condition Problems and Health Concerns Profile) The justification that the procedure was performed
    ... bodySite SΣ 0..* CodeableConcept All body structure(s) treated
    Binding: Radiotherapy Treatment Location Value Set (extensible)
    .... 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 General location qualifier (excluding laterality) for this bodySite
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
    Binding: Body Location Qualifier Value Set (required)
    ..... lateralityQualifier 0..1 CodeableConcept Laterality qualifier for this bodySite
    URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
    Binding: Laterality Qualifier Value Set (required)
    .... 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 procedure
    ... 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: FHIRDeviceTypes (example): Codes describing items used during a procedure.



    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Procedure.languagepreferredCommonLanguages
    Additional Bindings Purpose
    AllLanguages Max Binding
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Procedure.statusrequiredEventStatus
    http://hl7.org/fhir/ValueSet/event-status
    from the FHIR Standard
    Procedure.statusReasonpreferredTreatmentTerminationReasonVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-treatment-termination-reason-vs
    from this IG
    Procedure.categoryexampleProcedureCategoryCodes(SNOMEDCT)
    http://hl7.org/fhir/ValueSet/procedure-category
    from the FHIR Standard
    Procedure.codeextensiblePattern: SNOMED-CT Code 1217123003
    http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
    Procedure.performer.functionexampleProcedurePerformerRoleCodes
    http://hl7.org/fhir/ValueSet/performer-role
    from the FHIR Standard
    Procedure.reasonCodeextensibleCancerDisorderVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs
    from this IG
    Procedure.bodySiteextensibleRadiotherapyTreatmentLocationVS
    http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs
    from this IG
    Procedure.outcomeexampleProcedureOutcomeCodes(SNOMEDCT)
    http://hl7.org/fhir/ValueSet/procedure-outcome
    from the FHIR Standard
    Procedure.complicationexampleCondition/Problem/DiagnosisCodes
    http://hl7.org/fhir/ValueSet/condition-code
    from the FHIR Standard
    Procedure.followUpexampleProcedureFollowUpCodes(SNOMEDCT)
    http://hl7.org/fhir/ValueSet/procedure-followup
    from the FHIR Standard
    Procedure.focalDevice.actionpreferredProcedureDeviceActionCodes
    http://hl7.org/fhir/ValueSet/device-action
    from the FHIR Standard
    Procedure.usedCodeexampleFHIRDeviceTypes
    http://hl7.org/fhir/ValueSet/device-kind
    from the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    mcode-reason-requiredwarningProcedureOne of reasonCode or reasonReference SHALL be present
    : reasonCode.exists() or reasonReference.exists()
    termination-reason-code-invarianterrorProcedureWhen status is stopped, only certain statusReason values are allowed
    : status = 'stopped' and statusReason.exists() and statusReason.coding.exists() implies statusReason.coding.exists(system = 'http://snomed.info/sct' and (code = '182992009' or code = '266721009' or code = '407563006' or code = '160932005' or code = '105480006' or code = '184081006' or code = '309846006' or code = '399307001' or code = '419620001' or code = '7058009' or code = '443729008' or code = '77386006'))
    termination-reason-invarianterrorProcedureCertain statusReason values are allowed only when status is stopped
    : statusReason.exists() and statusReason.coding.exists( system = 'http://snomed.info/sct' and (code = '182992009' or code = '266721009' or code = '407563006' or code = '160932005' or code = '105480006' or code = '184081006' or code = '309846006' or code = '399307001' or code = '419620001' or code = '7058009' or code = '443729008' or code = '77386006')) implies status = 'stopped'

     

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