PanCareSurPass Project HL7 FHIR Implementation Guide
0.2.0 - CI Build
150
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
| Official URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-radiotheraphyBoost-eu-pcsp | Version: 0.2.0 | |||
| Draft as of 2025-09-03 | Computable Name: ProcedureRadiotherapyBoostPcsp | |||
This profile defines how to represent Procedures in FHIR for describing a set of data required by PanCareSurPass for Radiotherapy Boosts
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  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 |
| identifier |
Σ | 0..* | Identifier | External Identifiers for this radiotherapy / boost |
| partOf |
Σ | 1..1 | Reference(Procedure: Radiotherapy) | Part of referenced event |
| 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. |
  Slices for coding |
Σ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
| coding:radiotheraphy |
Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
 system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 108290001 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Radiotherapy | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| coding:boost |
Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 445232009 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Boost radiation therapy | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| code |
Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: Radiotherapy Type (extensible) |
| subject |
Σ | 1..1 | Reference(Patient: PCSP) | Who the procedure was performed on |
| Slices for performed[x] |
Σ | 1..1 | Period | When the procedure was performed Slice: Unordered, Closed by type:$this |
 performed[x]:performedPeriod |
Σ | 1..1 | Period | When the procedure was performed |
| 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 | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Procedure.extension:procedureMethod.value[x] | required | BrachytherapyTypehttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-brachytherapyType-eu-pcspFrom this IG | |
| Procedure.status | required | EventStatushttp://hl7.org/fhir/ValueSet/event-status|4.0.1From the FHIR Standard | |
| Procedure.category | example | ProcedureCategoryCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-categoryFrom the FHIR Standard | |
| Procedure.code | extensible | RadiotherapyTypeVshttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapyType-eu-pcspFrom this IG | |
| Procedure.bodySite | required | VsRadiotherapyhttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapy-pcspFrom this IG | |
| Procedure.bodySite.extension:locationQualifier.value[x] | required | FromToPosteriorAnteriorVshttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-fromToPosteriorAnterior-eu-pcspFrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| 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
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| 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 | |
| partOf |
1..1 | Reference(Procedure: Radiotherapy) | Part of referenced event | |
| status |
1..1 | code | Procedure status | |
| category |
1..1 | CodeableConcept | Classification of the procedure | |
| Slices for coding |
2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | |
| coding:radiotheraphy |
1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 108290001 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Radiotherapy | |
| coding:boost |
1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 445232009 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Boost radiation therapy | |
| code |
1..1 | CodeableConcept | Identification of the procedure Binding: Radiotherapy Type (extensible) | |
| subject |
1..1 | Reference(Patient: PCSP) | Who the procedure was performed on | |
| Slices for performed[x] |
1..1 | Period | When the procedure was performed Slice: Unordered, Open by type:$this | |
| performed[x]:performedPeriod |
1..1 | Period | When the procedure was performed | |
| 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 | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Procedure.extension:procedureMethod.value[x] | required | BrachytherapyTypehttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-brachytherapyType-eu-pcspFrom this IG | |
| Procedure.code | extensible | RadiotherapyTypeVshttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapyType-eu-pcspFrom this IG | |
| Procedure.bodySite | required | VsRadiotherapyhttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapy-pcspFrom this IG | |
| Procedure.bodySite.extension:locationQualifier.value[x] | required | FromToPosteriorAnteriorVshttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-fromToPosteriorAnterior-eu-pcspFrom this IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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.
| |||||
| 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 | 1..1 | Reference(Procedure: Radiotherapy) | 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. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
Σ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
| coding:radiotheraphy |
Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 108290001 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Radiotherapy | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| coding:boost |
Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 445232009 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Boost radiation therapy | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| code |
Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: Radiotherapy Type (extensible) | ||||
| subject |
Σ | 1..1 | Reference(Patient: PCSP) | Who the procedure was performed on | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
| Slices for performed[x] |
Σ | 1..1 | Period | When the procedure was performed Slice: Unordered, Closed by type:$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) | 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: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Procedure.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| Procedure.extension:procedureMethod.value[x] | required | BrachytherapyTypehttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-brachytherapyType-eu-pcspFrom this IG | ||||
| Procedure.extension:performedTiming.value[x].repeat.durationUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1From the FHIR Standard | ||||
| Procedure.extension:performedTiming.value[x].repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1From the FHIR Standard | ||||
| Procedure.extension:performedTiming.value[x].repeat.dayOfWeek | required | DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1From the FHIR Standard | ||||
| Procedure.extension:performedTiming.value[x].repeat.when | required | EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|4.0.1From the FHIR Standard | ||||
| Procedure.extension:performedTiming.value[x].code | preferred | TimingAbbreviationhttp://hl7.org/fhir/ValueSet/timing-abbreviationFrom the FHIR Standard | ||||
| Procedure.status | required | EventStatushttp://hl7.org/fhir/ValueSet/event-status|4.0.1From the FHIR Standard | ||||
| Procedure.statusReason | example | ProcedureNotPerformedReason(SNOMED-CT)http://hl7.org/fhir/ValueSet/procedure-not-performed-reasonFrom the FHIR Standard | ||||
| Procedure.category | example | ProcedureCategoryCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-categoryFrom the FHIR Standard | ||||
| Procedure.code | extensible | RadiotherapyTypeVshttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapyType-eu-pcspFrom this IG | ||||
| Procedure.performer.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-roleFrom the FHIR Standard | ||||
| Procedure.reasonCode | example | ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reasonFrom the FHIR Standard | ||||
| Procedure.bodySite | required | VsRadiotherapyhttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapy-pcspFrom this IG | ||||
| Procedure.bodySite.extension:locationQualifier.value[x] | required | FromToPosteriorAnteriorVshttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-fromToPosteriorAnterior-eu-pcspFrom this IG | ||||
| Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-outcomeFrom the FHIR Standard | ||||
| Procedure.complication | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codeFrom the FHIR Standard | ||||
| Procedure.followUp | example | ProcedureFollowUpCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-followupFrom the FHIR Standard | ||||
| Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodeshttp://hl7.org/fhir/ValueSet/device-actionFrom the FHIR Standard | ||||
| Procedure.usedCode | example | FHIRDeviceTypeshttp://hl7.org/fhir/ValueSet/device-kindFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| 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() |
This structure is derived from Procedure
Summary
Mandatory: 8 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| 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 |
| identifier |
Σ | 0..* | Identifier | External Identifiers for this radiotherapy / boost |
| partOf |
Σ | 1..1 | Reference(Procedure: Radiotherapy) | Part of referenced event |
| 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. |
| Slices for coding |
Σ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
| coding:radiotheraphy |
Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 108290001 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Radiotherapy | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| coding:boost |
Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 445232009 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Boost radiation therapy | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| code |
Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: Radiotherapy Type (extensible) |
| subject |
Σ | 1..1 | Reference(Patient: PCSP) | Who the procedure was performed on |
| Slices for performed[x] |
Σ | 1..1 | Period | When the procedure was performed Slice: Unordered, Closed by type:$this |
| performed[x]:performedPeriod |
Σ | 1..1 | Period | When the procedure was performed |
| 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 | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Procedure.extension:procedureMethod.value[x] | required | BrachytherapyTypehttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-brachytherapyType-eu-pcspFrom this IG | |
| Procedure.status | required | EventStatushttp://hl7.org/fhir/ValueSet/event-status|4.0.1From the FHIR Standard | |
| Procedure.category | example | ProcedureCategoryCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-categoryFrom the FHIR Standard | |
| Procedure.code | extensible | RadiotherapyTypeVshttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapyType-eu-pcspFrom this IG | |
| Procedure.bodySite | required | VsRadiotherapyhttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapy-pcspFrom this IG | |
| Procedure.bodySite.extension:locationQualifier.value[x] | required | FromToPosteriorAnteriorVshttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-fromToPosteriorAnterior-eu-pcspFrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| 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
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| 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 | |
| partOf |
1..1 | Reference(Procedure: Radiotherapy) | Part of referenced event | |
| status |
1..1 | code | Procedure status | |
| category |
1..1 | CodeableConcept | Classification of the procedure | |
| Slices for coding |
2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | |
| coding:radiotheraphy |
1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 108290001 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Radiotherapy | |
| coding:boost |
1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 445232009 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Boost radiation therapy | |
| code |
1..1 | CodeableConcept | Identification of the procedure Binding: Radiotherapy Type (extensible) | |
| subject |
1..1 | Reference(Patient: PCSP) | Who the procedure was performed on | |
| Slices for performed[x] |
1..1 | Period | When the procedure was performed Slice: Unordered, Open by type:$this | |
| performed[x]:performedPeriod |
1..1 | Period | When the procedure was performed | |
| 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 | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Procedure.extension:procedureMethod.value[x] | required | BrachytherapyTypehttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-brachytherapyType-eu-pcspFrom this IG | |
| Procedure.code | extensible | RadiotherapyTypeVshttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapyType-eu-pcspFrom this IG | |
| Procedure.bodySite | required | VsRadiotherapyhttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapy-pcspFrom this IG | |
| Procedure.bodySite.extension:locationQualifier.value[x] | required | FromToPosteriorAnteriorVshttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-fromToPosteriorAnterior-eu-pcspFrom this IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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.
| |||||
| 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 | 1..1 | Reference(Procedure: Radiotherapy) | 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. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
Σ | 2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
| coding:radiotheraphy |
Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 108290001 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Radiotherapy | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| coding:boost |
Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 445232009 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Boost radiation therapy | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| code |
Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: Radiotherapy Type (extensible) | ||||
| subject |
Σ | 1..1 | Reference(Patient: PCSP) | Who the procedure was performed on | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
| Slices for performed[x] |
Σ | 1..1 | Period | When the procedure was performed Slice: Unordered, Closed by type:$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) | 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: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Procedure.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| Procedure.extension:procedureMethod.value[x] | required | BrachytherapyTypehttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-brachytherapyType-eu-pcspFrom this IG | ||||
| Procedure.extension:performedTiming.value[x].repeat.durationUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1From the FHIR Standard | ||||
| Procedure.extension:performedTiming.value[x].repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1From the FHIR Standard | ||||
| Procedure.extension:performedTiming.value[x].repeat.dayOfWeek | required | DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1From the FHIR Standard | ||||
| Procedure.extension:performedTiming.value[x].repeat.when | required | EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|4.0.1From the FHIR Standard | ||||
| Procedure.extension:performedTiming.value[x].code | preferred | TimingAbbreviationhttp://hl7.org/fhir/ValueSet/timing-abbreviationFrom the FHIR Standard | ||||
| Procedure.status | required | EventStatushttp://hl7.org/fhir/ValueSet/event-status|4.0.1From the FHIR Standard | ||||
| Procedure.statusReason | example | ProcedureNotPerformedReason(SNOMED-CT)http://hl7.org/fhir/ValueSet/procedure-not-performed-reasonFrom the FHIR Standard | ||||
| Procedure.category | example | ProcedureCategoryCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-categoryFrom the FHIR Standard | ||||
| Procedure.code | extensible | RadiotherapyTypeVshttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapyType-eu-pcspFrom this IG | ||||
| Procedure.performer.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-roleFrom the FHIR Standard | ||||
| Procedure.reasonCode | example | ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reasonFrom the FHIR Standard | ||||
| Procedure.bodySite | required | VsRadiotherapyhttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapy-pcspFrom this IG | ||||
| Procedure.bodySite.extension:locationQualifier.value[x] | required | FromToPosteriorAnteriorVshttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-fromToPosteriorAnterior-eu-pcspFrom this IG | ||||
| Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-outcomeFrom the FHIR Standard | ||||
| Procedure.complication | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codeFrom the FHIR Standard | ||||
| Procedure.followUp | example | ProcedureFollowUpCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-followupFrom the FHIR Standard | ||||
| Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodeshttp://hl7.org/fhir/ValueSet/device-actionFrom the FHIR Standard | ||||
| Procedure.usedCode | example | FHIRDeviceTypeshttp://hl7.org/fhir/ValueSet/device-kindFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| 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() |
This structure is derived from Procedure
Summary
Mandatory: 8 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2021+ PanCareSurPass Project. Package hl7.eu.fhir.pcsp#0.2.0 based on FHIR 4.0.1. Generated 2025-09-03
Links: Table of Contents |
QA Report
The PanCareSurPass Research and Innovation Action has received funding from the European Union's Horizon 2020
research and innovation programme under grant agreement No. 899999.
