IDEA4RC FHIR Implementation Guide
0.1.0 - CI Build 150

IDEA4RC FHIR Implementation Guide, published by IDEA4RC Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/idea4rc/ and changes regularly. See the Directory of published versions

Resource Profile: Procedure: Radiotherapy

Official URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Procedure-radiotheraphy-eu-i4rc Version: 0.1.0
Draft as of 2024-11-12 Computable Name: ProcedureRadiotherapyI4rc

This profile defines how to represent Procedures in FHIR for describing a set of Radiotherapy data required by the PanCareSurPass algorithm to generate the care plan.

Usage:

Formal Views of Profile Content

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

This structure is derived from Procedure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure Procedure
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... radiotherapy 0..1 base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta Same custodian flag
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/same-custodian-flag
.... procedureCategoryR5 0..* base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.category
.... modalityAndTechnique 0..* (Complex) Radiotherapy Modality And Technique Extension
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-radiotherapy-modality-and-technique
..... Slices for extension Content/Rules for all slices
...... extension:modality 1..1 RadiotherapyModality Modality of external beam or brachytherapy radiation procedures
...... extension:technique 0..* RadiotherapyTechnique Technique of external beam or brachytherapy radiation procedures
.... doseToVolume 0..1 (Complex) Radiotherapy Dose Delivered To Volume Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume
.... terminationReason 0..* 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)
.... procedureIntent 0..1 CodeableConcept Procedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (extensible)
... identifier 0..* Identifier External Identifiers for this radiotherapy / boost
... status 1..1 code Procedure status
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 108290001
..... display 1..1 string Representation defined by the system
Fixed Value: Radiotherapy
... code 1..1 CodeableConcept ADD VOC BINDING
... subject 1..1 Reference(Patient: IDEA4RC) Who the procedure was performed on
... Slices for performed[x] 1..1 Period When the procedure was performed
Slice: Unordered, Open by type:$this
.... performed[x]:performedPeriod 1..1 Period When the procedure was performed
... reasonReference 1..* Reference(Condition: Primary Cancer) The justification that the procedure was performed
... bodySite 0..* CodeableConcept ADD VOC BINDING
.... Slices for extension Content/Rules for all slices
..... locationQualifier 0..* CodeableConcept Body Location Qualifier
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-body-location-qualifier
Binding: Body Location Qualifier Value Set (preferred)
..... lateralityQualifier 0..1 CodeableConcept Laterality Qualifier
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-laterality-qualifier
... note 0..* Annotation Additional information about the Radiotherapy

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..* Procedure An action that is being or was performed on a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... radiotherapy 0..1 base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta Same custodian flag
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/same-custodian-flag
.... procedureCategoryR5 0..* base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.category
.... modalityAndTechnique 0..* (Complex) Radiotherapy Modality And Technique Extension
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-radiotherapy-modality-and-technique
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... modality 1..1 (Complex) Modality of external beam or brachytherapy radiation procedures
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-radiotherapy-modality
....... extension 0..0
....... url 1..1 uri "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-radiotherapy-modality"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: Radiotherapy Modality Value Set (preferred)
...... technique 0..* (Complex) Technique of external beam or brachytherapy radiation procedures
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-radiotherapy-technique
....... extension 0..0
....... url 1..1 uri "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-radiotherapy-technique"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: Radiotherapy Technique Value Set (preferred)
..... url 1..1 uri "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-radiotherapy-modality-and-technique"
.... doseToVolume 0..1 (Complex) Radiotherapy Dose Delivered To Volume Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume
.... terminationReason 0..* 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)
.... procedureIntent 0..1 CodeableConcept Procedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (extensible)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code Procedure status
Binding: EventStatus (required): A code specifying the state of the procedure.

... category Σ 1..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.


Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 108290001
..... display 1..1 string Representation defined by the system
Fixed Value: Radiotherapy
... code Σ 1..1 CodeableConcept ADD VOC BINDING
Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .

... subject Σ 1..1 Reference(Patient: IDEA4RC) Who the procedure was performed on
... Slices for performed[x] Σ 1..1 Period When the procedure was performed
Slice: Unordered, Closed by type:$this
.... performed[x]:performedPeriod Σ 1..1 Period When the procedure was performed
... reasonReference Σ 1..* Reference(Condition: Primary Cancer) The justification that the procedure was performed
... bodySite Σ 0..* CodeableConcept ADD VOC BINDING
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


.... Slices for extension Content/Rules for all slices
..... locationQualifier 0..* CodeableConcept Body Location Qualifier
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-body-location-qualifier
Binding: Body Location Qualifier Value Set (preferred)
..... lateralityQualifier 0..1 CodeableConcept Laterality Qualifier
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-laterality-qualifier
... note 0..* Annotation Additional information about the Radiotherapy

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Procedure.extension:modalityAndTechnique.extension:modality.value[x]preferredRadiotherapyModalityVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs
Procedure.extension:modalityAndTechnique.extension:technique.value[x]preferredRadiotherapyTechniqueVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-technique-vs
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
from the FHIR Standard
Procedure.categoryexamplePattern: SNOMED-CT Code 108290001("Radiotherapy")
http://hl7.org/fhir/ValueSet/procedure-category
from the FHIR Standard
Procedure.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
Procedure.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..* Procedure An action that is being or was performed on a patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

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 0..* Extension Extension
Slice: Unordered, Open by value:url
.... radiotherapy 0..1 base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta Same custodian flag
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/same-custodian-flag
.... procedureCategoryR5 0..* base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.category
.... modalityAndTechnique 0..* (Complex) Radiotherapy Modality And Technique Extension
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-radiotherapy-modality-and-technique
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... modality 1..1 (Complex) Modality of external beam or brachytherapy radiation procedures
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-radiotherapy-modality
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-radiotherapy-modality"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: Radiotherapy Modality Value Set (preferred)
...... technique 0..* (Complex) Technique of external beam or brachytherapy radiation procedures
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-radiotherapy-technique
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-radiotherapy-technique"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: Radiotherapy Technique Value Set (preferred)
..... url 1..1 uri "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-radiotherapy-modality-and-technique"
.... doseToVolume 0..1 (Complex) Radiotherapy Dose Delivered To Volume Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume
.... terminationReason 0..* 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)
.... procedureIntent 0..1 CodeableConcept Procedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (extensible)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Identifiers for this radiotherapy / boost
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest) A request for this procedure
... partOf Σ 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
... status ?!Σ 1..1 code Procedure status
Binding: EventStatus (required): A code specifying the state of the procedure.

... statusReason Σ 0..1 CodeableConcept Reason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.

... category Σ 1..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.


Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 108290001
..... display 1..1 string Representation defined by the system
Fixed Value: Radiotherapy
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... code Σ 1..1 CodeableConcept ADD VOC BINDING
Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .

... subject Σ 1..1 Reference(Patient: IDEA4RC) Who the procedure was performed on
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... Slices for performed[x] Σ 1..1 Period When the procedure was performed
Slice: Unordered, Closed by type:$this
.... performed[x]:performedPeriod Σ 1..1 Period When the procedure was performed
... recorder Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Who recorded the procedure
... asserter Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Person who asserts this procedure
... performer Σ 0..* BackboneElement The people who performed the procedure
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function Σ 0..1 CodeableConcept Type of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.

.... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) The reference to the practitioner
.... onBehalfOf 0..1 Reference(Organization) Organization the device or practitioner was acting for
... location Σ 0..1 Reference(Location) Where the procedure happened
... reasonCode Σ 0..* CodeableConcept Coded reason procedure performed
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.


... reasonReference Σ 1..* Reference(Condition: Primary Cancer) The justification that the procedure was performed
... bodySite Σ 0..* CodeableConcept ADD VOC BINDING
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... locationQualifier 0..* CodeableConcept Body Location Qualifier
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-body-location-qualifier
Binding: Body Location Qualifier Value Set (preferred)
..... lateralityQualifier 0..1 CodeableConcept Laterality Qualifier
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-laterality-qualifier
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... outcome Σ 0..1 CodeableConcept The result of procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.

... report 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
... complication 0..* CodeableConcept Complication following the procedure
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.


... complicationDetail 0..* Reference(Condition) A condition that is a result of the procedure
... followUp 0..* CodeableConcept Instructions for follow up
Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.


... note 0..* Annotation Additional information about the Radiotherapy
... focalDevice 0..* BackboneElement Manipulated, implanted, or removed device
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... action 0..1 CodeableConcept Kind of change to device
Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.

.... manipulated 1..1 Reference(Device) Device that was changed
... usedReference 0..* Reference(Device | Medication | Substance) Items used during procedure
... usedCode 0..* CodeableConcept Coded items used during the procedure
Binding: 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.extension:modalityAndTechnique.extension:modality.value[x]preferredRadiotherapyModalityVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs
Procedure.extension:modalityAndTechnique.extension:technique.value[x]preferredRadiotherapyTechniqueVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-technique-vs
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
from the FHIR Standard
Procedure.statusReasonexampleProcedureNotPerformedReason(SNOMED-CT)
http://hl7.org/fhir/ValueSet/procedure-not-performed-reason
from the FHIR Standard
Procedure.categoryexamplePattern: SNOMED-CT Code 108290001("Radiotherapy")
http://hl7.org/fhir/ValueSet/procedure-category
from the FHIR Standard
Procedure.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
Procedure.performer.functionexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
Procedure.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
Procedure.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
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

Differential View

This structure is derived from Procedure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure Procedure
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... radiotherapy 0..1 base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta Same custodian flag
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/same-custodian-flag
.... procedureCategoryR5 0..* base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.category
.... modalityAndTechnique 0..* (Complex) Radiotherapy Modality And Technique Extension
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-radiotherapy-modality-and-technique
..... Slices for extension Content/Rules for all slices
...... extension:modality 1..1 RadiotherapyModality Modality of external beam or brachytherapy radiation procedures
...... extension:technique 0..* RadiotherapyTechnique Technique of external beam or brachytherapy radiation procedures
.... doseToVolume 0..1 (Complex) Radiotherapy Dose Delivered To Volume Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume
.... terminationReason 0..* 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)
.... procedureIntent 0..1 CodeableConcept Procedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (extensible)
... identifier 0..* Identifier External Identifiers for this radiotherapy / boost
... status 1..1 code Procedure status
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 108290001
..... display 1..1 string Representation defined by the system
Fixed Value: Radiotherapy
... code 1..1 CodeableConcept ADD VOC BINDING
... subject 1..1 Reference(Patient: IDEA4RC) Who the procedure was performed on
... Slices for performed[x] 1..1 Period When the procedure was performed
Slice: Unordered, Open by type:$this
.... performed[x]:performedPeriod 1..1 Period When the procedure was performed
... reasonReference 1..* Reference(Condition: Primary Cancer) The justification that the procedure was performed
... bodySite 0..* CodeableConcept ADD VOC BINDING
.... Slices for extension Content/Rules for all slices
..... locationQualifier 0..* CodeableConcept Body Location Qualifier
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-body-location-qualifier
Binding: Body Location Qualifier Value Set (preferred)
..... lateralityQualifier 0..1 CodeableConcept Laterality Qualifier
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-laterality-qualifier
... note 0..* Annotation Additional information about the Radiotherapy

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..* Procedure An action that is being or was performed on a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... radiotherapy 0..1 base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta Same custodian flag
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/same-custodian-flag
.... procedureCategoryR5 0..* base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.category
.... modalityAndTechnique 0..* (Complex) Radiotherapy Modality And Technique Extension
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-radiotherapy-modality-and-technique
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... modality 1..1 (Complex) Modality of external beam or brachytherapy radiation procedures
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-radiotherapy-modality
....... extension 0..0
....... url 1..1 uri "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-radiotherapy-modality"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: Radiotherapy Modality Value Set (preferred)
...... technique 0..* (Complex) Technique of external beam or brachytherapy radiation procedures
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-radiotherapy-technique
....... extension 0..0
....... url 1..1 uri "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-radiotherapy-technique"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: Radiotherapy Technique Value Set (preferred)
..... url 1..1 uri "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-radiotherapy-modality-and-technique"
.... doseToVolume 0..1 (Complex) Radiotherapy Dose Delivered To Volume Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume
.... terminationReason 0..* 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)
.... procedureIntent 0..1 CodeableConcept Procedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (extensible)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code Procedure status
Binding: EventStatus (required): A code specifying the state of the procedure.

... category Σ 1..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.


Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 108290001
..... display 1..1 string Representation defined by the system
Fixed Value: Radiotherapy
... code Σ 1..1 CodeableConcept ADD VOC BINDING
Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .

... subject Σ 1..1 Reference(Patient: IDEA4RC) Who the procedure was performed on
... Slices for performed[x] Σ 1..1 Period When the procedure was performed
Slice: Unordered, Closed by type:$this
.... performed[x]:performedPeriod Σ 1..1 Period When the procedure was performed
... reasonReference Σ 1..* Reference(Condition: Primary Cancer) The justification that the procedure was performed
... bodySite Σ 0..* CodeableConcept ADD VOC BINDING
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


.... Slices for extension Content/Rules for all slices
..... locationQualifier 0..* CodeableConcept Body Location Qualifier
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-body-location-qualifier
Binding: Body Location Qualifier Value Set (preferred)
..... lateralityQualifier 0..1 CodeableConcept Laterality Qualifier
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-laterality-qualifier
... note 0..* Annotation Additional information about the Radiotherapy

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Procedure.extension:modalityAndTechnique.extension:modality.value[x]preferredRadiotherapyModalityVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs
Procedure.extension:modalityAndTechnique.extension:technique.value[x]preferredRadiotherapyTechniqueVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-technique-vs
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
from the FHIR Standard
Procedure.categoryexamplePattern: SNOMED-CT Code 108290001("Radiotherapy")
http://hl7.org/fhir/ValueSet/procedure-category
from the FHIR Standard
Procedure.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
Procedure.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..* Procedure An action that is being or was performed on a patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

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 0..* Extension Extension
Slice: Unordered, Open by value:url
.... radiotherapy 0..1 base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta Same custodian flag
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/same-custodian-flag
.... procedureCategoryR5 0..* base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta Optional Extensions Element
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.category
.... modalityAndTechnique 0..* (Complex) Radiotherapy Modality And Technique Extension
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-radiotherapy-modality-and-technique
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... modality 1..1 (Complex) Modality of external beam or brachytherapy radiation procedures
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-radiotherapy-modality
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-radiotherapy-modality"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: Radiotherapy Modality Value Set (preferred)
...... technique 0..* (Complex) Technique of external beam or brachytherapy radiation procedures
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-radiotherapy-technique
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-radiotherapy-technique"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: Radiotherapy Technique Value Set (preferred)
..... url 1..1 uri "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-radiotherapy-modality-and-technique"
.... doseToVolume 0..1 (Complex) Radiotherapy Dose Delivered To Volume Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume
.... terminationReason 0..* 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)
.... procedureIntent 0..1 CodeableConcept Procedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (extensible)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Identifiers for this radiotherapy / boost
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest) A request for this procedure
... partOf Σ 0..* Reference(Procedure | Observation | MedicationAdministration) Part of referenced event
... status ?!Σ 1..1 code Procedure status
Binding: EventStatus (required): A code specifying the state of the procedure.

... statusReason Σ 0..1 CodeableConcept Reason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.

... category Σ 1..1 CodeableConcept Classification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.


Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 108290001
..... display 1..1 string Representation defined by the system
Fixed Value: Radiotherapy
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... code Σ 1..1 CodeableConcept ADD VOC BINDING
Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .

... subject Σ 1..1 Reference(Patient: IDEA4RC) Who the procedure was performed on
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... Slices for performed[x] Σ 1..1 Period When the procedure was performed
Slice: Unordered, Closed by type:$this
.... performed[x]:performedPeriod Σ 1..1 Period When the procedure was performed
... recorder Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Who recorded the procedure
... asserter Σ 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) Person who asserts this procedure
... performer Σ 0..* BackboneElement The people who performed the procedure
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function Σ 0..1 CodeableConcept Type of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.

.... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) The reference to the practitioner
.... onBehalfOf 0..1 Reference(Organization) Organization the device or practitioner was acting for
... location Σ 0..1 Reference(Location) Where the procedure happened
... reasonCode Σ 0..* CodeableConcept Coded reason procedure performed
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.


... reasonReference Σ 1..* Reference(Condition: Primary Cancer) The justification that the procedure was performed
... bodySite Σ 0..* CodeableConcept ADD VOC BINDING
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... locationQualifier 0..* CodeableConcept Body Location Qualifier
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-body-location-qualifier
Binding: Body Location Qualifier Value Set (preferred)
..... lateralityQualifier 0..1 CodeableConcept Laterality Qualifier
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-laterality-qualifier
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... outcome Σ 0..1 CodeableConcept The result of procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.

... report 0..* Reference(DiagnosticReport | DocumentReference | Composition) Any report resulting from the procedure
... complication 0..* CodeableConcept Complication following the procedure
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.


... complicationDetail 0..* Reference(Condition) A condition that is a result of the procedure
... followUp 0..* CodeableConcept Instructions for follow up
Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.


... note 0..* Annotation Additional information about the Radiotherapy
... focalDevice 0..* BackboneElement Manipulated, implanted, or removed device
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... action 0..1 CodeableConcept Kind of change to device
Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.

.... manipulated 1..1 Reference(Device) Device that was changed
... usedReference 0..* Reference(Device | Medication | Substance) Items used during procedure
... usedCode 0..* CodeableConcept Coded items used during the procedure
Binding: 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.extension:modalityAndTechnique.extension:modality.value[x]preferredRadiotherapyModalityVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs
Procedure.extension:modalityAndTechnique.extension:technique.value[x]preferredRadiotherapyTechniqueVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-technique-vs
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
from the FHIR Standard
Procedure.statusReasonexampleProcedureNotPerformedReason(SNOMED-CT)
http://hl7.org/fhir/ValueSet/procedure-not-performed-reason
from the FHIR Standard
Procedure.categoryexamplePattern: SNOMED-CT Code 108290001("Radiotherapy")
http://hl7.org/fhir/ValueSet/procedure-category
from the FHIR Standard
Procedure.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
Procedure.performer.functionexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
Procedure.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
Procedure.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
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

 

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