PanCareSurPass Project HL7 FHIR Implementation Guide, published by PanCareSurPass Project. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/pcsp/ and changes regularly. See the Directory of published versions
Draft as of 2024-09-11 |
Definitions for the MajorSurgery logical model.
Guidance on how to interpret the contents of this table can be found here
0. MajorSurgery | |
Definition | Major Surgery. Maturity Level: 2 - Ready for Review |
Short | Major Surgery |
Logical Model | Instances of this logical model are not marked to be the target of a Reference |
2. MajorSurgery.relatedDiagnosis | |
Definition | Progressive number of diagnosis (1=first; 2= second; 3 = third; ?). |
Short | Progressive number of diagnosis |
Control | 0..1 |
Type | Identifier |
4. MajorSurgery.relatedRelapse | |
Definition | Progressive number of relapse/progression (after FLT) |
Short | Progressive number of relapse/progression (after FLT) |
Control | 0..1 |
Type | Identifier |
6. MajorSurgery.identifier | |
Definition | Progressive number of surgeries (1=first; 2= second; 3 = third; ?). In this field must be reported the ordinal number of the surgeries given. |
Short | Progressive Surgery number |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
8. MajorSurgery.istitutionOfTreatment | |
Definition | Please Identify the institution were surgery was performed |
Short | Institution of treatment |
Control | 0..1 |
Type | BackboneElement |
10. MajorSurgery.istitutionOfTreatment.description | |
Definition | Institution description |
Short | Institution description |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
12. MajorSurgery.istitutionOfTreatment.name | |
Definition | Institution name |
Short | Institution name |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
14. MajorSurgery.istitutionOfTreatment.address | |
Definition | Institution address |
Short | Institution address |
Control | 0..1 |
Type | BackboneElement |
16. MajorSurgery.istitutionOfTreatment.address.name | |
Definition | Institution city |
Short | Institution city |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
18. MajorSurgery.istitutionOfTreatment.address.country | |
Definition | Institution country |
Short | Institution country |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
20. MajorSurgery.date | |
Definition | Date of surgery (dd/mm/yyyy). If the date is unkown or partially missed insert the year at the best of your knowledge. |
Short | Date of surgery |
Control | 0..1 |
Type | dateTime |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
22. MajorSurgery.description | |
Definition | Please describe the type of surgery (is a free text section, no coding). In case of surgery on pair organs specify which organ (right or left) was operated. |
Short | Surgery description |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
24. MajorSurgery.affectedOrgan | |
Definition | Was one of these organs involved ? (Oesophagus; Abdomen; Brain; Face; Liver; Spine; Spinal Cord; Sympathetic nerves; Chest/thorax; Pelvis) |
Short | Affected Organs |
Control | 0..* |
Type | CodeableConcept |
26. MajorSurgery.sacrifiedOrgan | |
Definition | During surgery it is possible that some organs are 'sacrified' either to allow a radical excision of the tumor or on purpose (spleen) for staging procedures. In case of partial resection of an organ (e.g. thyroid, kidney), the organ is not 'sacrified', this type of surgery should be then reported only in the 'tumor description' For other organs (e.g. hypothalamus) the only surgical procedure on it may determine some 'sacrifcice' of function, thus in this case, the organ should be coded as 'sacrified'. (Spleen, Kidney, Eye, Lung, Ovary, Hypothalamus/hypophysis, Thyroid, Bladder, uterus Other) |
Short | Sacrified Organs |
Control | 0..* |
Type | CodeableConcept |
28. MajorSurgery.shuntApplication | |
Definition | Please report if a cerebrovascular shunt was inserted |
Short | Shunt application |
Control | 0..* |
Type | BackboneElement |
30. MajorSurgery.shuntApplication.type | |
Definition | This is a free text section in which it is possible to specify the type (e.g. ventriculo-peritoneal) of shunt used 1 => Ventriculo-peritoneal 2 => Ventriculo atrial 3 => Subdural_peritoneal 4 => Cisternostomy (III ventricule) 5 => Other -9922 => NK |
Short | Type of shunt |
Control | 0..1 |
Type | CodeableConcept |
32. MajorSurgery.shuntApplication.laterality | |
Definition | Please specify the laterality of the shunt 1 = right 2= left 3 = midline -9911 = not applicable -9922 => NK |
Short | Laterality of shunt |
Control | 0..1 |
Type | CodeableConcept |
34. MajorSurgery.shuntApplication.isRemoved | |
Definition | Define if it is still in place or is already removed 1 => Still in place 2 => Removed -9911 => NA -9922 => NK |
Short | In place or removed ? |
Control | 0..1 |
Type | CodeableConcept |
36. MajorSurgery.amputation | |
Definition | Here it is requested only a yes or no. Details should be reported in the surgery description 1 => Yes 2 => No -9911 => Not applicable -9922 => NK |
Short | Amputation |
Control | 0..1 |
Type | CodeableConcept |
38. MajorSurgery.prothesis | |
Definition | Prothesis |
Short | Prothesis |
Control | 0..1 |
Type | BackboneElement |
40. MajorSurgery.prothesis.status | |
Definition | Please state if the survivor has a prosthesis either internal (e.g. hip replacement) or external (e.g. artificial arm) |
Short | status |
Control | 0..1 |
Type | CodeableConcept |
42. MajorSurgery.prothesis.deviceType | |
Definition | Please define if prosthesis is internal (e.g. titanium bone) or external (e.g. artificial limb). Also in this case, details should be reported in the surgery description. 1 => Internal 2 => External -9922 => NK |
Short | device type |
Control | 0..1 |
Type | CodeableConcept |
44. MajorSurgery.colostomy | |
Definition | Colostomy |
Short | Colostomy |
Control | 0..1 |
Type | BackboneElement |
46. MajorSurgery.colostomy.status | |
Definition | State if a colostomy was created. Details should be reported in the surgery section. |
Short | status |
Control | 0..1 |
Type | CodeableConcept |
48. MajorSurgery.colostomy.isRemoved | |
Definition | State if a colostomy was created. Details should be reported in the surgery section. 1 => Still in place 2 => Removed -9922 =>NK |
Short | In place or removed ? |
Control | 0..1 |
Type | CodeableConcept |
50. MajorSurgery.gastrostomy | |
Definition | State if a gastrostomy was created. Details should be reported in the surgery section. 1 => Yes 2 => No -9911 => Not applicable -9922 =>NK |
Short | Gastrostomy |
Control | 0..1 |
Type | CodeableConcept |
Guidance on how to interpret the contents of this table can be found here
0. MajorSurgery | |
Definition | Major Surgery. Maturity Level: 2 - Ready for Review |
Short | Major Surgery |
Control | 0..* |
Is Modifier | false |
Logical Model | Instances of this logical model are not marked to be the target of a Reference |
2. MajorSurgery.relatedDiagnosis | |
Definition | Progressive number of diagnosis (1=first; 2= second; 3 = third; ?). |
Short | Progressive number of diagnosis |
Control | 0..1 |
Type | Identifier |
4. MajorSurgery.relatedRelapse | |
Definition | Progressive number of relapse/progression (after FLT) |
Short | Progressive number of relapse/progression (after FLT) |
Control | 0..1 |
Type | Identifier |
6. MajorSurgery.identifier | |
Definition | Progressive number of surgeries (1=first; 2= second; 3 = third; ?). In this field must be reported the ordinal number of the surgeries given. |
Short | Progressive Surgery number |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
8. MajorSurgery.istitutionOfTreatment | |
Definition | Please Identify the institution were surgery was performed |
Short | Institution of treatment |
Control | 0..1 |
Type | BackboneElement |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
10. MajorSurgery.istitutionOfTreatment.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
12. MajorSurgery.istitutionOfTreatment.description | |
Definition | Institution description |
Short | Institution description |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
14. MajorSurgery.istitutionOfTreatment.name | |
Definition | Institution name |
Short | Institution name |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
16. MajorSurgery.istitutionOfTreatment.address | |
Definition | Institution address |
Short | Institution address |
Control | 0..1 |
Type | BackboneElement |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
18. MajorSurgery.istitutionOfTreatment.address.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
20. MajorSurgery.istitutionOfTreatment.address.name | |
Definition | Institution city |
Short | Institution city |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
22. MajorSurgery.istitutionOfTreatment.address.country | |
Definition | Institution country |
Short | Institution country |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
24. MajorSurgery.date | |
Definition | Date of surgery (dd/mm/yyyy). If the date is unkown or partially missed insert the year at the best of your knowledge. |
Short | Date of surgery |
Control | 0..1 |
Type | dateTime |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
26. MajorSurgery.description | |
Definition | Please describe the type of surgery (is a free text section, no coding). In case of surgery on pair organs specify which organ (right or left) was operated. |
Short | Surgery description |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
28. MajorSurgery.affectedOrgan | |
Definition | Was one of these organs involved ? (Oesophagus; Abdomen; Brain; Face; Liver; Spine; Spinal Cord; Sympathetic nerves; Chest/thorax; Pelvis) |
Short | Affected Organs |
Control | 0..* |
Type | CodeableConcept |
30. MajorSurgery.sacrifiedOrgan | |
Definition | During surgery it is possible that some organs are 'sacrified' either to allow a radical excision of the tumor or on purpose (spleen) for staging procedures. In case of partial resection of an organ (e.g. thyroid, kidney), the organ is not 'sacrified', this type of surgery should be then reported only in the 'tumor description' For other organs (e.g. hypothalamus) the only surgical procedure on it may determine some 'sacrifcice' of function, thus in this case, the organ should be coded as 'sacrified'. (Spleen, Kidney, Eye, Lung, Ovary, Hypothalamus/hypophysis, Thyroid, Bladder, uterus Other) |
Short | Sacrified Organs |
Control | 0..* |
Type | CodeableConcept |
32. MajorSurgery.shuntApplication | |
Definition | Please report if a cerebrovascular shunt was inserted |
Short | Shunt application |
Control | 0..* |
Type | BackboneElement |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
34. MajorSurgery.shuntApplication.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
36. MajorSurgery.shuntApplication.type | |
Definition | This is a free text section in which it is possible to specify the type (e.g. ventriculo-peritoneal) of shunt used 1 => Ventriculo-peritoneal 2 => Ventriculo atrial 3 => Subdural_peritoneal 4 => Cisternostomy (III ventricule) 5 => Other -9922 => NK |
Short | Type of shunt |
Control | 0..1 |
Type | CodeableConcept |
38. MajorSurgery.shuntApplication.laterality | |
Definition | Please specify the laterality of the shunt 1 = right 2= left 3 = midline -9911 = not applicable -9922 => NK |
Short | Laterality of shunt |
Control | 0..1 |
Type | CodeableConcept |
40. MajorSurgery.shuntApplication.isRemoved | |
Definition | Define if it is still in place or is already removed 1 => Still in place 2 => Removed -9911 => NA -9922 => NK |
Short | In place or removed ? |
Control | 0..1 |
Type | CodeableConcept |
42. MajorSurgery.amputation | |
Definition | Here it is requested only a yes or no. Details should be reported in the surgery description 1 => Yes 2 => No -9911 => Not applicable -9922 => NK |
Short | Amputation |
Control | 0..1 |
Type | CodeableConcept |
44. MajorSurgery.prothesis | |
Definition | Prothesis |
Short | Prothesis |
Control | 0..1 |
Type | BackboneElement |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
46. MajorSurgery.prothesis.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
48. MajorSurgery.prothesis.status | |
Definition | Please state if the survivor has a prosthesis either internal (e.g. hip replacement) or external (e.g. artificial arm) |
Short | status |
Control | 0..1 |
Type | CodeableConcept |
50. MajorSurgery.prothesis.deviceType | |
Definition | Please define if prosthesis is internal (e.g. titanium bone) or external (e.g. artificial limb). Also in this case, details should be reported in the surgery description. 1 => Internal 2 => External -9922 => NK |
Short | device type |
Control | 0..1 |
Type | CodeableConcept |
52. MajorSurgery.colostomy | |
Definition | Colostomy |
Short | Colostomy |
Control | 0..1 |
Type | BackboneElement |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
54. MajorSurgery.colostomy.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
56. MajorSurgery.colostomy.status | |
Definition | State if a colostomy was created. Details should be reported in the surgery section. |
Short | status |
Control | 0..1 |
Type | CodeableConcept |
58. MajorSurgery.colostomy.isRemoved | |
Definition | State if a colostomy was created. Details should be reported in the surgery section. 1 => Still in place 2 => Removed -9922 =>NK |
Short | In place or removed ? |
Control | 0..1 |
Type | CodeableConcept |
60. MajorSurgery.gastrostomy | |
Definition | State if a gastrostomy was created. Details should be reported in the surgery section. 1 => Yes 2 => No -9911 => Not applicable -9922 =>NK |
Short | Gastrostomy |
Control | 0..1 |
Type | CodeableConcept |
Guidance on how to interpret the contents of this table can be found here
0. MajorSurgery | |
Definition | Major Surgery. Maturity Level: 2 - Ready for Review |
Short | Major Surgery |
Control | 0..* |
Is Modifier | false |
Logical Model | Instances of this logical model are not marked to be the target of a Reference |
2. MajorSurgery.relatedDiagnosis | |
Definition | Progressive number of diagnosis (1=first; 2= second; 3 = third; ?). |
Short | Progressive number of diagnosis |
Control | 0..1 |
Type | Identifier |
4. MajorSurgery.relatedRelapse | |
Definition | Progressive number of relapse/progression (after FLT) |
Short | Progressive number of relapse/progression (after FLT) |
Control | 0..1 |
Type | Identifier |
6. MajorSurgery.identifier | |
Definition | Progressive number of surgeries (1=first; 2= second; 3 = third; ?). In this field must be reported the ordinal number of the surgeries given. |
Short | Progressive Surgery number |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
8. MajorSurgery.istitutionOfTreatment | |
Definition | Please Identify the institution were surgery was performed |
Short | Institution of treatment |
Control | 0..1 |
Type | BackboneElement |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
10. MajorSurgery.istitutionOfTreatment.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Short | Unique id for inter-element referencing |
Control | 0..1 |
Type | string |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
12. MajorSurgery.istitutionOfTreatment.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | Additional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
Slicing | This element introduces a set of slices on MajorSurgery.istitutionOfTreatment.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
14. MajorSurgery.istitutionOfTreatment.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
16. MajorSurgery.istitutionOfTreatment.description | |
Definition | Institution description |
Short | Institution description |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
18. MajorSurgery.istitutionOfTreatment.name | |
Definition | Institution name |
Short | Institution name |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
20. MajorSurgery.istitutionOfTreatment.address | |
Definition | Institution address |
Short | Institution address |
Control | 0..1 |
Type | BackboneElement |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
22. MajorSurgery.istitutionOfTreatment.address.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Short | Unique id for inter-element referencing |
Control | 0..1 |
Type | string |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
24. MajorSurgery.istitutionOfTreatment.address.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | Additional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
Slicing | This element introduces a set of slices on MajorSurgery.istitutionOfTreatment.address.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
26. MajorSurgery.istitutionOfTreatment.address.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
28. MajorSurgery.istitutionOfTreatment.address.name | |
Definition | Institution city |
Short | Institution city |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
30. MajorSurgery.istitutionOfTreatment.address.country | |
Definition | Institution country |
Short | Institution country |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
32. MajorSurgery.date | |
Definition | Date of surgery (dd/mm/yyyy). If the date is unkown or partially missed insert the year at the best of your knowledge. |
Short | Date of surgery |
Control | 0..1 |
Type | dateTime |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
34. MajorSurgery.description | |
Definition | Please describe the type of surgery (is a free text section, no coding). In case of surgery on pair organs specify which organ (right or left) was operated. |
Short | Surgery description |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
36. MajorSurgery.affectedOrgan | |
Definition | Was one of these organs involved ? (Oesophagus; Abdomen; Brain; Face; Liver; Spine; Spinal Cord; Sympathetic nerves; Chest/thorax; Pelvis) |
Short | Affected Organs |
Control | 0..* |
Type | CodeableConcept |
38. MajorSurgery.sacrifiedOrgan | |
Definition | During surgery it is possible that some organs are 'sacrified' either to allow a radical excision of the tumor or on purpose (spleen) for staging procedures. In case of partial resection of an organ (e.g. thyroid, kidney), the organ is not 'sacrified', this type of surgery should be then reported only in the 'tumor description' For other organs (e.g. hypothalamus) the only surgical procedure on it may determine some 'sacrifcice' of function, thus in this case, the organ should be coded as 'sacrified'. (Spleen, Kidney, Eye, Lung, Ovary, Hypothalamus/hypophysis, Thyroid, Bladder, uterus Other) |
Short | Sacrified Organs |
Control | 0..* |
Type | CodeableConcept |
40. MajorSurgery.shuntApplication | |
Definition | Please report if a cerebrovascular shunt was inserted |
Short | Shunt application |
Control | 0..* |
Type | BackboneElement |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
42. MajorSurgery.shuntApplication.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Short | Unique id for inter-element referencing |
Control | 0..1 |
Type | string |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
44. MajorSurgery.shuntApplication.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | Additional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
Slicing | This element introduces a set of slices on MajorSurgery.shuntApplication.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
46. MajorSurgery.shuntApplication.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
48. MajorSurgery.shuntApplication.type | |
Definition | This is a free text section in which it is possible to specify the type (e.g. ventriculo-peritoneal) of shunt used 1 => Ventriculo-peritoneal 2 => Ventriculo atrial 3 => Subdural_peritoneal 4 => Cisternostomy (III ventricule) 5 => Other -9922 => NK |
Short | Type of shunt |
Control | 0..1 |
Type | CodeableConcept |
50. MajorSurgery.shuntApplication.laterality | |
Definition | Please specify the laterality of the shunt 1 = right 2= left 3 = midline -9911 = not applicable -9922 => NK |
Short | Laterality of shunt |
Control | 0..1 |
Type | CodeableConcept |
52. MajorSurgery.shuntApplication.isRemoved | |
Definition | Define if it is still in place or is already removed 1 => Still in place 2 => Removed -9911 => NA -9922 => NK |
Short | In place or removed ? |
Control | 0..1 |
Type | CodeableConcept |
54. MajorSurgery.amputation | |
Definition | Here it is requested only a yes or no. Details should be reported in the surgery description 1 => Yes 2 => No -9911 => Not applicable -9922 => NK |
Short | Amputation |
Control | 0..1 |
Type | CodeableConcept |
56. MajorSurgery.prothesis | |
Definition | Prothesis |
Short | Prothesis |
Control | 0..1 |
Type | BackboneElement |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
58. MajorSurgery.prothesis.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Short | Unique id for inter-element referencing |
Control | 0..1 |
Type | string |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
60. MajorSurgery.prothesis.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | Additional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
Slicing | This element introduces a set of slices on MajorSurgery.prothesis.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
62. MajorSurgery.prothesis.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
64. MajorSurgery.prothesis.status | |
Definition | Please state if the survivor has a prosthesis either internal (e.g. hip replacement) or external (e.g. artificial arm) |
Short | status |
Control | 0..1 |
Type | CodeableConcept |
66. MajorSurgery.prothesis.deviceType | |
Definition | Please define if prosthesis is internal (e.g. titanium bone) or external (e.g. artificial limb). Also in this case, details should be reported in the surgery description. 1 => Internal 2 => External -9922 => NK |
Short | device type |
Control | 0..1 |
Type | CodeableConcept |
68. MajorSurgery.colostomy | |
Definition | Colostomy |
Short | Colostomy |
Control | 0..1 |
Type | BackboneElement |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
70. MajorSurgery.colostomy.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Short | Unique id for inter-element referencing |
Control | 0..1 |
Type | string |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
72. MajorSurgery.colostomy.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | Additional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
Slicing | This element introduces a set of slices on MajorSurgery.colostomy.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
74. MajorSurgery.colostomy.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
76. MajorSurgery.colostomy.status | |
Definition | State if a colostomy was created. Details should be reported in the surgery section. |
Short | status |
Control | 0..1 |
Type | CodeableConcept |
78. MajorSurgery.colostomy.isRemoved | |
Definition | State if a colostomy was created. Details should be reported in the surgery section. 1 => Still in place 2 => Removed -9922 =>NK |
Short | In place or removed ? |
Control | 0..1 |
Type | CodeableConcept |
80. MajorSurgery.gastrostomy | |
Definition | State if a gastrostomy was created. Details should be reported in the surgery section. 1 => Yes 2 => No -9911 => Not applicable -9922 =>NK |
Short | Gastrostomy |
Control | 0..1 |
Type | CodeableConcept |