PanCareSurPass Project HL7 FHIR Implementation Guide
1.0.0 - release 150

PanCareSurPass Project HL7 FHIR Implementation Guide, published by PanCareSurPass Project. This guide is not an authorized publication; it is the continuous build for version 1.0.0 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

Resource Profile: Procedure: Radiotherapy

Official URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-radiotheraphy-eu-pcsp Version: 1.0.0
Active as of 2025-10-16 Computable Name: ProcedureRadiotherapyPcsp

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.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
.... extension:relatedDose 0..* (Complex) Resource related information
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo
..... extension 0..0
..... url 1..1 uri "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo"
..... value[x] 0..1 Reference(Observation: Radiotherapy Total Dose PCSP) Value of extension
.... extension:procedureMethod 0..1 (Complex) The method used to perform the procedure
URL: http://hl7.org/fhir/StructureDefinition/procedure-method
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/procedure-method"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: Brachytherapy Type (required)
.... extension:energyOrIsotope 0..* SimpleQuantity Radiotherapy Energy or Isotope
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/radiotherapy-energy-or-isotope
Binding: Radiotherapy dose units (required)
.... extension:performedTiming 0..1 (Complex) Performed Timing
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-performedTiming
..... extension 0..0
..... url 1..1 uri "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-performedTiming"
... 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
.... 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 Identification of the procedure
Binding: Radiotherapy Type (extensible)
... subject Σ 1..1 Reference(Patient: PCSP) 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
... location Σ 0..1 Reference(Location: PCSP) Where the procedure happened
... reasonReference Σ 1..* Reference(Condition: Primary Cancer) The justification that the procedure was performed
... bodySite Σ 0..* CodeableConcept required for Brachytherapy and External beam
Binding: Radiotherapy sites (required)
.... Slices for extension Content/Rules for all slices
..... extension:locationQualifier 0..* (Complex) Body Location Qualifier
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier
...... extension 0..0
...... url 1..1 uri "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier"
...... value[x] 1..1 CodeableConcept Value of extension
Binding: Body Location Qualifier Value Set (required)
..... extension:lateralityQualifier 0..1 CodeableConcept Laterality Qualifier
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier
... note 0..* Annotation Additional information about the Radiotherapy
... usedCode 0..* CodeableConcept Coded items used during the procedure
Binding: Radiotherapy Device Type (extensible)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.extension:procedureMethod.​value[x] Base required Brachytherapy Type 📦1.0.0 This IG
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.code Base extensible Radiotherapy Type 📦1.0.0 This IG
Procedure.bodySite Base required Radiotherapy sites 📦1.0.0 This IG
Procedure.bodySite.extension:locationQualifier.​value[x] Base required Body Location Qualifier Value Set 📦1.0.0 This IG
Procedure.usedCode Base extensible Radiotherapy Device Type 📦1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Procedure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Procedure If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Procedure If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Procedure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Procedure A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Procedure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure Procedure
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:relatedDose 0..* (Complex) Resource related information
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo
..... value[x] 0..1 Reference(Observation: Radiotherapy Total Dose PCSP) Value of extension
.... extension:procedureMethod 0..1 (Complex) The method used to perform the procedure
URL: http://hl7.org/fhir/StructureDefinition/procedure-method
..... value[x] 1..1 CodeableConcept Value of extension
Binding: Brachytherapy Type (required)
.... extension:energyOrIsotope 0..* SimpleQuantity Radiotherapy Energy or Isotope
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/radiotherapy-energy-or-isotope
Binding: Radiotherapy dose units (required)
.... extension:performedTiming 0..1 (Complex) Performed Timing
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-performedTiming
..... value[x]
...... repeat
....... count 0..1 positiveInt Number of repetitions
... 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 Identification of the procedure
Binding: Radiotherapy Type (extensible)
... subject 1..1 Reference(Patient: PCSP) 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
... location 0..1 Reference(Location: PCSP) Where the procedure happened
... reasonReference 1..* Reference(Condition: Primary Cancer) The justification that the procedure was performed
... bodySite 0..* CodeableConcept required for Brachytherapy and External beam
Binding: Radiotherapy sites (required)
.... Slices for extension Content/Rules for all slices
..... extension:locationQualifier 0..* (Complex) Body Location Qualifier
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier
...... value[x] 1..1 CodeableConcept Value of extension
Binding: Body Location Qualifier Value Set (required)
..... extension:lateralityQualifier 0..1 CodeableConcept Laterality Qualifier
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier
... note 0..* Annotation Additional information about the Radiotherapy
... usedCode 0..* CodeableConcept Coded items used during the procedure
Binding: Radiotherapy Device Type (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Procedure.extension:procedureMethod.​value[x] Base required Brachytherapy Type 📦1.0.0 This IG
Procedure.code Base extensible Radiotherapy Type 📦1.0.0 This IG
Procedure.bodySite Base required Radiotherapy sites 📦1.0.0 This IG
Procedure.bodySite.extension:locationQualifier.​value[x] Base required Body Location Qualifier Value Set 📦1.0.0 This IG
Procedure.usedCode Base extensible Radiotherapy Device Type 📦1.0.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:relatedDose 0..* (Complex) Resource related information
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo"
..... value[x] 0..1 Reference(Observation: Radiotherapy Total Dose PCSP) Value of extension
.... extension:procedureMethod 0..1 (Complex) The method used to perform the procedure
URL: http://hl7.org/fhir/StructureDefinition/procedure-method
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/procedure-method"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: Brachytherapy Type (required)
.... extension:energyOrIsotope 0..* SimpleQuantity Radiotherapy Energy or Isotope
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/radiotherapy-energy-or-isotope
Binding: Radiotherapy dose units (required)
.... extension:performedTiming 0..1 (Complex) Performed Timing
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-performedTiming
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-performedTiming"
..... value[x] 0..1 Timing Value of extension
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... event Σ 0..* dateTime When the event occurs
...... repeat ΣC 0..1 Element When the event is to occur
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... bounds[x] Σ 0..1 Length/Range of lengths, or (Start and/or end) limits
........ boundsDuration Duration
........ boundsRange Range
........ boundsPeriod Period
....... count Σ 0..1 positiveInt Number of repetitions
....... countMax Σ 0..1 positiveInt Maximum number of times to repeat
....... duration Σ 0..1 decimal How long when it happens
....... durationMax Σ 0..1 decimal How long when it happens (Max)
....... durationUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
....... frequency Σ 0..1 positiveInt Event occurs frequency times per period
....... frequencyMax Σ 0..1 positiveInt Event occurs up to frequencyMax times per period
....... period Σ 0..1 decimal Event occurs frequency times per period
....... periodMax Σ 0..1 decimal Upper limit of period (3-4 hours)
....... periodUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
....... dayOfWeek Σ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
....... timeOfDay Σ 0..* time Time of day for action
....... when Σ 0..* code Code for time period of occurrence
Binding: EventTiming (required): Real world event relating to the schedule.
....... offset Σ 0..1 unsignedInt Minutes from event (before or after)
...... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
... 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 Identification of the procedure
Binding: Radiotherapy Type (extensible)
... subject Σ 1..1 Reference(Patient: PCSP) 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: PCSP) 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 required for Brachytherapy and External beam
Binding: Radiotherapy sites (required)
.... 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
..... extension:locationQualifier 0..* (Complex) Body Location Qualifier
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0
...... url 1..1 uri "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier"
...... value[x] 1..1 CodeableConcept Value of extension
Binding: Body Location Qualifier Value Set (required)
..... extension:lateralityQualifier 0..1 CodeableConcept Laterality Qualifier
URL: http://hl7.eu/fhir/ig/pcsp/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: Radiotherapy Device Type (extensible)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Procedure.extension:procedureMethod.​value[x] Base required Brachytherapy Type 📦1.0.0 This IG
Procedure.extension:performedTiming.​value[x].repeat.durationUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
Procedure.extension:performedTiming.​value[x].repeat.periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
Procedure.extension:performedTiming.​value[x].repeat.dayOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.
Procedure.extension:performedTiming.​value[x].repeat.when Base required EventTiming 📍4.0.1 FHIR Std.
Procedure.extension:performedTiming.​value[x].code Base preferred TimingAbbreviation 📍4.0.1 FHIR Std.
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.statusReason Base example Procedure Not Performed Reason (SNOMED-CT) 📍4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.code Base extensible Radiotherapy Type 📦1.0.0 This IG
Procedure.performer.​function Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
Procedure.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
Procedure.bodySite Base required Radiotherapy sites 📦1.0.0 This IG
Procedure.bodySite.extension:locationQualifier.​value[x] Base required Body Location Qualifier Value Set 📦1.0.0 This IG
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.complication Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
Procedure.followUp Base example Procedure Follow up Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.focalDevice.​action Base preferred Procedure Device Action Codes 📍4.0.1 FHIR Std.
Procedure.usedCode Base extensible Radiotherapy Device Type 📦1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Procedure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Procedure If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Procedure If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Procedure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Procedure A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
tim-1 error Procedure.extension:performedTiming.value[x].repeat if there's a duration, there needs to be duration units duration.empty() or durationUnit.exists()
tim-2 error Procedure.extension:performedTiming.value[x].repeat if there's a period, there needs to be period units period.empty() or periodUnit.exists()
tim-4 error Procedure.extension:performedTiming.value[x].repeat duration SHALL be a non-negative value duration.exists() implies duration >= 0
tim-5 error Procedure.extension:performedTiming.value[x].repeat period SHALL be a non-negative value period.exists() implies period >= 0
tim-6 error Procedure.extension:performedTiming.value[x].repeat If there's a periodMax, there must be a period periodMax.empty() or period.exists()
tim-7 error Procedure.extension:performedTiming.value[x].repeat If there's a durationMax, there must be a duration durationMax.empty() or duration.exists()
tim-8 error Procedure.extension:performedTiming.value[x].repeat If there's a countMax, there must be a count countMax.empty() or count.exists()
tim-9 error Procedure.extension:performedTiming.value[x].repeat If there's an offset, there must be a when (and not C, CM, CD, CV) offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10 error Procedure.extension:performedTiming.value[x].repeat If there's a timeOfDay, there cannot be a when, or vice versa timeOfDay.empty() or when.empty()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
.... extension:relatedDose 0..* (Complex) Resource related information
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo
..... extension 0..0
..... url 1..1 uri "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo"
..... value[x] 0..1 Reference(Observation: Radiotherapy Total Dose PCSP) Value of extension
.... extension:procedureMethod 0..1 (Complex) The method used to perform the procedure
URL: http://hl7.org/fhir/StructureDefinition/procedure-method
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/procedure-method"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: Brachytherapy Type (required)
.... extension:energyOrIsotope 0..* SimpleQuantity Radiotherapy Energy or Isotope
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/radiotherapy-energy-or-isotope
Binding: Radiotherapy dose units (required)
.... extension:performedTiming 0..1 (Complex) Performed Timing
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-performedTiming
..... extension 0..0
..... url 1..1 uri "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-performedTiming"
... 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
.... 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 Identification of the procedure
Binding: Radiotherapy Type (extensible)
... subject Σ 1..1 Reference(Patient: PCSP) 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
... location Σ 0..1 Reference(Location: PCSP) Where the procedure happened
... reasonReference Σ 1..* Reference(Condition: Primary Cancer) The justification that the procedure was performed
... bodySite Σ 0..* CodeableConcept required for Brachytherapy and External beam
Binding: Radiotherapy sites (required)
.... Slices for extension Content/Rules for all slices
..... extension:locationQualifier 0..* (Complex) Body Location Qualifier
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier
...... extension 0..0
...... url 1..1 uri "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier"
...... value[x] 1..1 CodeableConcept Value of extension
Binding: Body Location Qualifier Value Set (required)
..... extension:lateralityQualifier 0..1 CodeableConcept Laterality Qualifier
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier
... note 0..* Annotation Additional information about the Radiotherapy
... usedCode 0..* CodeableConcept Coded items used during the procedure
Binding: Radiotherapy Device Type (extensible)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.extension:procedureMethod.​value[x] Base required Brachytherapy Type 📦1.0.0 This IG
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.code Base extensible Radiotherapy Type 📦1.0.0 This IG
Procedure.bodySite Base required Radiotherapy sites 📦1.0.0 This IG
Procedure.bodySite.extension:locationQualifier.​value[x] Base required Body Location Qualifier Value Set 📦1.0.0 This IG
Procedure.usedCode Base extensible Radiotherapy Device Type 📦1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Procedure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Procedure If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Procedure If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Procedure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Procedure A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from Procedure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Procedure Procedure
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:relatedDose 0..* (Complex) Resource related information
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo
..... value[x] 0..1 Reference(Observation: Radiotherapy Total Dose PCSP) Value of extension
.... extension:procedureMethod 0..1 (Complex) The method used to perform the procedure
URL: http://hl7.org/fhir/StructureDefinition/procedure-method
..... value[x] 1..1 CodeableConcept Value of extension
Binding: Brachytherapy Type (required)
.... extension:energyOrIsotope 0..* SimpleQuantity Radiotherapy Energy or Isotope
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/radiotherapy-energy-or-isotope
Binding: Radiotherapy dose units (required)
.... extension:performedTiming 0..1 (Complex) Performed Timing
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-performedTiming
..... value[x]
...... repeat
....... count 0..1 positiveInt Number of repetitions
... 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 Identification of the procedure
Binding: Radiotherapy Type (extensible)
... subject 1..1 Reference(Patient: PCSP) 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
... location 0..1 Reference(Location: PCSP) Where the procedure happened
... reasonReference 1..* Reference(Condition: Primary Cancer) The justification that the procedure was performed
... bodySite 0..* CodeableConcept required for Brachytherapy and External beam
Binding: Radiotherapy sites (required)
.... Slices for extension Content/Rules for all slices
..... extension:locationQualifier 0..* (Complex) Body Location Qualifier
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier
...... value[x] 1..1 CodeableConcept Value of extension
Binding: Body Location Qualifier Value Set (required)
..... extension:lateralityQualifier 0..1 CodeableConcept Laterality Qualifier
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier
... note 0..* Annotation Additional information about the Radiotherapy
... usedCode 0..* CodeableConcept Coded items used during the procedure
Binding: Radiotherapy Device Type (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Procedure.extension:procedureMethod.​value[x] Base required Brachytherapy Type 📦1.0.0 This IG
Procedure.code Base extensible Radiotherapy Type 📦1.0.0 This IG
Procedure.bodySite Base required Radiotherapy sites 📦1.0.0 This IG
Procedure.bodySite.extension:locationQualifier.​value[x] Base required Body Location Qualifier Value Set 📦1.0.0 This IG
Procedure.usedCode Base extensible Radiotherapy Device Type 📦1.0.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:relatedDose 0..* (Complex) Resource related information
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo"
..... value[x] 0..1 Reference(Observation: Radiotherapy Total Dose PCSP) Value of extension
.... extension:procedureMethod 0..1 (Complex) The method used to perform the procedure
URL: http://hl7.org/fhir/StructureDefinition/procedure-method
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/procedure-method"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: Brachytherapy Type (required)
.... extension:energyOrIsotope 0..* SimpleQuantity Radiotherapy Energy or Isotope
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/radiotherapy-energy-or-isotope
Binding: Radiotherapy dose units (required)
.... extension:performedTiming 0..1 (Complex) Performed Timing
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-performedTiming
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-performedTiming"
..... value[x] 0..1 Timing Value of extension
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... event Σ 0..* dateTime When the event occurs
...... repeat ΣC 0..1 Element When the event is to occur
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... bounds[x] Σ 0..1 Length/Range of lengths, or (Start and/or end) limits
........ boundsDuration Duration
........ boundsRange Range
........ boundsPeriod Period
....... count Σ 0..1 positiveInt Number of repetitions
....... countMax Σ 0..1 positiveInt Maximum number of times to repeat
....... duration Σ 0..1 decimal How long when it happens
....... durationMax Σ 0..1 decimal How long when it happens (Max)
....... durationUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
....... frequency Σ 0..1 positiveInt Event occurs frequency times per period
....... frequencyMax Σ 0..1 positiveInt Event occurs up to frequencyMax times per period
....... period Σ 0..1 decimal Event occurs frequency times per period
....... periodMax Σ 0..1 decimal Upper limit of period (3-4 hours)
....... periodUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
....... dayOfWeek Σ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
....... timeOfDay Σ 0..* time Time of day for action
....... when Σ 0..* code Code for time period of occurrence
Binding: EventTiming (required): Real world event relating to the schedule.
....... offset Σ 0..1 unsignedInt Minutes from event (before or after)
...... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
... 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 Identification of the procedure
Binding: Radiotherapy Type (extensible)
... subject Σ 1..1 Reference(Patient: PCSP) 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: PCSP) 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 required for Brachytherapy and External beam
Binding: Radiotherapy sites (required)
.... 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
..... extension:locationQualifier 0..* (Complex) Body Location Qualifier
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0
...... url 1..1 uri "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier"
...... value[x] 1..1 CodeableConcept Value of extension
Binding: Body Location Qualifier Value Set (required)
..... extension:lateralityQualifier 0..1 CodeableConcept Laterality Qualifier
URL: http://hl7.eu/fhir/ig/pcsp/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: Radiotherapy Device Type (extensible)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Procedure.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Procedure.extension:procedureMethod.​value[x] Base required Brachytherapy Type 📦1.0.0 This IG
Procedure.extension:performedTiming.​value[x].repeat.durationUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
Procedure.extension:performedTiming.​value[x].repeat.periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
Procedure.extension:performedTiming.​value[x].repeat.dayOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.
Procedure.extension:performedTiming.​value[x].repeat.when Base required EventTiming 📍4.0.1 FHIR Std.
Procedure.extension:performedTiming.​value[x].code Base preferred TimingAbbreviation 📍4.0.1 FHIR Std.
Procedure.status Base required EventStatus 📍4.0.1 FHIR Std.
Procedure.statusReason Base example Procedure Not Performed Reason (SNOMED-CT) 📍4.0.1 FHIR Std.
Procedure.category Base example Procedure Category Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.code Base extensible Radiotherapy Type 📦1.0.0 This IG
Procedure.performer.​function Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
Procedure.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
Procedure.bodySite Base required Radiotherapy sites 📦1.0.0 This IG
Procedure.bodySite.extension:locationQualifier.​value[x] Base required Body Location Qualifier Value Set 📦1.0.0 This IG
Procedure.outcome Base example Procedure Outcome Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.complication Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
Procedure.followUp Base example Procedure Follow up Codes (SNOMED CT) 📍4.0.1 FHIR Std.
Procedure.focalDevice.​action Base preferred Procedure Device Action Codes 📍4.0.1 FHIR Std.
Procedure.usedCode Base extensible Radiotherapy Device Type 📦1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Procedure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Procedure If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Procedure If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Procedure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Procedure A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
tim-1 error Procedure.extension:performedTiming.value[x].repeat if there's a duration, there needs to be duration units duration.empty() or durationUnit.exists()
tim-2 error Procedure.extension:performedTiming.value[x].repeat if there's a period, there needs to be period units period.empty() or periodUnit.exists()
tim-4 error Procedure.extension:performedTiming.value[x].repeat duration SHALL be a non-negative value duration.exists() implies duration >= 0
tim-5 error Procedure.extension:performedTiming.value[x].repeat period SHALL be a non-negative value period.exists() implies period >= 0
tim-6 error Procedure.extension:performedTiming.value[x].repeat If there's a periodMax, there must be a period periodMax.empty() or period.exists()
tim-7 error Procedure.extension:performedTiming.value[x].repeat If there's a durationMax, there must be a duration durationMax.empty() or duration.exists()
tim-8 error Procedure.extension:performedTiming.value[x].repeat If there's a countMax, there must be a count countMax.empty() or count.exists()
tim-9 error Procedure.extension:performedTiming.value[x].repeat If there's an offset, there must be a when (and not C, CM, CD, CV) offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10 error Procedure.extension:performedTiming.value[x].repeat If there's a timeOfDay, there cannot be a when, or vice versa timeOfDay.empty() or when.empty()

 

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