PanCareSurPass Project HL7 FHIR Implementation Guide
0.2.0 - CI Build 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 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

Resource Profile: Procedure: Radiotherapy

Official URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-radiotheraphy-eu-pcsp Version: 0.2.0
Draft as of 2024-09-11 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.

Usage:

Formal Views of Profile Content

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

This structure is derived from Procedure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure Procedure
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
.... 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)
.... energyOrIsotope 0..* SimpleQuantity Radiotherapy Energy or Isotope
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/radiotherapy-energy-or-isotope
Binding: Radiotherapy dose units (required)
.... 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
..... 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)
..... 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)

PathConformanceValueSetURI
Procedure.extension:procedureMethod.value[x]requiredBrachytherapyType
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-brachytherapyType-eu-pcsp
from this IG
Procedure.codeextensibleRadiotherapyTypeVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapyType-eu-pcsp
from this IG
Procedure.bodySiterequiredVsRadiotherapy
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapy-pcsp
from this IG
Procedure.bodySite.extension:locationQualifier.value[x]requiredFromToPosteriorAnteriorVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-fromToPosteriorAnterior-eu-pcsp
from this IG
Procedure.usedCodeextensibleRadiotherapyDeviceType
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapyDeviceType-eu-pcsp
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..* Procedure An action that is being or was performed on a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
.... 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)
.... energyOrIsotope 0..* SimpleQuantity Radiotherapy Energy or Isotope
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/radiotherapy-energy-or-isotope
Binding: Radiotherapy dose units (required)
.... 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
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 108290001
..... display 1..1 string Representation defined by the system
Fixed Value: Radiotherapy
... code Σ 1..1 CodeableConcept 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
..... 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)
..... 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

PathConformanceValueSet / CodeURI
Procedure.extension:procedureMethod.value[x]requiredBrachytherapyType
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-brachytherapyType-eu-pcsp
from this IG
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
from the FHIR Standard
Procedure.categoryexamplePattern: SNOMED-CT Code 108290001("Radiotherapy")
http://hl7.org/fhir/ValueSet/procedure-category
from the FHIR Standard
Procedure.codeextensibleRadiotherapyTypeVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapyType-eu-pcsp
from this IG
Procedure.bodySiterequiredVsRadiotherapy
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapy-pcsp
from this IG
Procedure.bodySite.extension:locationQualifier.value[x]requiredFromToPosteriorAnteriorVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-fromToPosteriorAnterior-eu-pcsp
from this IG
Procedure.usedCodeextensibleRadiotherapyDeviceType
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapyDeviceType-eu-pcsp
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..* Procedure An action that is being or was performed on a patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
.... 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)
.... energyOrIsotope 0..* SimpleQuantity Radiotherapy Energy or Isotope
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/radiotherapy-energy-or-isotope
Binding: Radiotherapy dose units (required)
.... 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
tim-1: if there's a duration, there needs to be duration units
tim-2: if there's a period, there needs to be period units
tim-4: duration SHALL be a non-negative value
tim-5: period SHALL be a non-negative value
tim-6: If there's a periodMax, there must be a period
tim-7: If there's a durationMax, there must be a duration
tim-8: If there's a countMax, there must be a count
tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV)
tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
....... 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
..... 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)
..... 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

PathConformanceValueSet / CodeURI
Procedure.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Procedure.extension:procedureMethod.value[x]requiredBrachytherapyType
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-brachytherapyType-eu-pcsp
from this IG
Procedure.extension:performedTiming.value[x].repeat.durationUnitrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|4.0.1
from the FHIR Standard
Procedure.extension:performedTiming.value[x].repeat.periodUnitrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|4.0.1
from the FHIR Standard
Procedure.extension:performedTiming.value[x].repeat.dayOfWeekrequiredDaysOfWeek
http://hl7.org/fhir/ValueSet/days-of-week|4.0.1
from the FHIR Standard
Procedure.extension:performedTiming.value[x].repeat.whenrequiredEventTiming
http://hl7.org/fhir/ValueSet/event-timing|4.0.1
from the FHIR Standard
Procedure.extension:performedTiming.value[x].codepreferredTimingAbbreviation
http://hl7.org/fhir/ValueSet/timing-abbreviation
from the FHIR Standard
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
from the FHIR Standard
Procedure.statusReasonexampleProcedureNotPerformedReason(SNOMED-CT)
http://hl7.org/fhir/ValueSet/procedure-not-performed-reason
from the FHIR Standard
Procedure.categoryexamplePattern: SNOMED-CT Code 108290001("Radiotherapy")
http://hl7.org/fhir/ValueSet/procedure-category
from the FHIR Standard
Procedure.codeextensibleRadiotherapyTypeVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapyType-eu-pcsp
from this IG
Procedure.performer.functionexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
Procedure.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
Procedure.bodySiterequiredVsRadiotherapy
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapy-pcsp
from this IG
Procedure.bodySite.extension:locationQualifier.value[x]requiredFromToPosteriorAnteriorVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-fromToPosteriorAnterior-eu-pcsp
from this IG
Procedure.outcomeexampleProcedureOutcomeCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-outcome
from the FHIR Standard
Procedure.complicationexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
Procedure.followUpexampleProcedureFollowUpCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-followup
from the FHIR Standard
Procedure.focalDevice.actionpreferredProcedureDeviceActionCodes
http://hl7.org/fhir/ValueSet/device-action
from the FHIR Standard
Procedure.usedCodeextensibleRadiotherapyDeviceType
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapyDeviceType-eu-pcsp
from this IG

Differential View

This structure is derived from Procedure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure Procedure
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
.... 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)
.... energyOrIsotope 0..* SimpleQuantity Radiotherapy Energy or Isotope
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/radiotherapy-energy-or-isotope
Binding: Radiotherapy dose units (required)
.... 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
..... 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)
..... 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)

PathConformanceValueSetURI
Procedure.extension:procedureMethod.value[x]requiredBrachytherapyType
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-brachytherapyType-eu-pcsp
from this IG
Procedure.codeextensibleRadiotherapyTypeVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapyType-eu-pcsp
from this IG
Procedure.bodySiterequiredVsRadiotherapy
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapy-pcsp
from this IG
Procedure.bodySite.extension:locationQualifier.value[x]requiredFromToPosteriorAnteriorVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-fromToPosteriorAnterior-eu-pcsp
from this IG
Procedure.usedCodeextensibleRadiotherapyDeviceType
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapyDeviceType-eu-pcsp
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..* Procedure An action that is being or was performed on a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
.... 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)
.... energyOrIsotope 0..* SimpleQuantity Radiotherapy Energy or Isotope
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/radiotherapy-energy-or-isotope
Binding: Radiotherapy dose units (required)
.... 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
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 108290001
..... display 1..1 string Representation defined by the system
Fixed Value: Radiotherapy
... code Σ 1..1 CodeableConcept 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
..... 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)
..... 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

PathConformanceValueSet / CodeURI
Procedure.extension:procedureMethod.value[x]requiredBrachytherapyType
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-brachytherapyType-eu-pcsp
from this IG
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
from the FHIR Standard
Procedure.categoryexamplePattern: SNOMED-CT Code 108290001("Radiotherapy")
http://hl7.org/fhir/ValueSet/procedure-category
from the FHIR Standard
Procedure.codeextensibleRadiotherapyTypeVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapyType-eu-pcsp
from this IG
Procedure.bodySiterequiredVsRadiotherapy
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapy-pcsp
from this IG
Procedure.bodySite.extension:locationQualifier.value[x]requiredFromToPosteriorAnteriorVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-fromToPosteriorAnterior-eu-pcsp
from this IG
Procedure.usedCodeextensibleRadiotherapyDeviceType
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapyDeviceType-eu-pcsp
from this IG

Snapshot View

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

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
.... 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)
.... energyOrIsotope 0..* SimpleQuantity Radiotherapy Energy or Isotope
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/radiotherapy-energy-or-isotope
Binding: Radiotherapy dose units (required)
.... 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
tim-1: if there's a duration, there needs to be duration units
tim-2: if there's a period, there needs to be period units
tim-4: duration SHALL be a non-negative value
tim-5: period SHALL be a non-negative value
tim-6: If there's a periodMax, there must be a period
tim-7: If there's a durationMax, there must be a duration
tim-8: If there's a countMax, there must be a count
tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV)
tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
....... 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
..... 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)
..... 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

PathConformanceValueSet / CodeURI
Procedure.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Procedure.extension:procedureMethod.value[x]requiredBrachytherapyType
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-brachytherapyType-eu-pcsp
from this IG
Procedure.extension:performedTiming.value[x].repeat.durationUnitrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|4.0.1
from the FHIR Standard
Procedure.extension:performedTiming.value[x].repeat.periodUnitrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|4.0.1
from the FHIR Standard
Procedure.extension:performedTiming.value[x].repeat.dayOfWeekrequiredDaysOfWeek
http://hl7.org/fhir/ValueSet/days-of-week|4.0.1
from the FHIR Standard
Procedure.extension:performedTiming.value[x].repeat.whenrequiredEventTiming
http://hl7.org/fhir/ValueSet/event-timing|4.0.1
from the FHIR Standard
Procedure.extension:performedTiming.value[x].codepreferredTimingAbbreviation
http://hl7.org/fhir/ValueSet/timing-abbreviation
from the FHIR Standard
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
from the FHIR Standard
Procedure.statusReasonexampleProcedureNotPerformedReason(SNOMED-CT)
http://hl7.org/fhir/ValueSet/procedure-not-performed-reason
from the FHIR Standard
Procedure.categoryexamplePattern: SNOMED-CT Code 108290001("Radiotherapy")
http://hl7.org/fhir/ValueSet/procedure-category
from the FHIR Standard
Procedure.codeextensibleRadiotherapyTypeVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapyType-eu-pcsp
from this IG
Procedure.performer.functionexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
Procedure.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
Procedure.bodySiterequiredVsRadiotherapy
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapy-pcsp
from this IG
Procedure.bodySite.extension:locationQualifier.value[x]requiredFromToPosteriorAnteriorVs
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-fromToPosteriorAnterior-eu-pcsp
from this IG
Procedure.outcomeexampleProcedureOutcomeCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-outcome
from the FHIR Standard
Procedure.complicationexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
Procedure.followUpexampleProcedureFollowUpCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-followup
from the FHIR Standard
Procedure.focalDevice.actionpreferredProcedureDeviceActionCodes
http://hl7.org/fhir/ValueSet/device-action
from the FHIR Standard
Procedure.usedCodeextensibleRadiotherapyDeviceType
http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapyDeviceType-eu-pcsp
from this IG

 

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