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

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON
• TTL

Resource Profile: Procedure: Radiotherapy Shielding

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

Usage:

• Use this Resource Profile: Bundle: Survivor Passport
• Refer to this Resource Profile: Composition: Survivor Passport

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints
Procedure			Procedure
partOf		1..1	Reference(Procedure: Radiotherapy)	Part of referenced event
category		0..1	CodeableConcept	Classification of the procedure 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		0..1	CodeableConcept	Identification of the procedure 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: 228720004
display		1..1	string	Representation defined by the system Fixed Value: Making of shielding block for radiotherapy
subject		1..1	Reference(Patient: PCSP)	Who the procedure was performed on
reasonReference		1..*	Reference(Condition: Primary Cancer)	The justification that the procedure was performed
bodySite		1..*	CodeableConcept	Target body sites 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
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.bodySite	required	VsRadiotherapy http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapy-pcsp from this IG
Procedure.bodySite.extension:locationQualifier.value[x]	required	FromToPosteriorAnteriorVs http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-fromToPosteriorAnterior-eu-pcsp from this IG

Name	Flags	Card.	Type	Description & Constraints
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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
partOf	Σ	1..1	Reference(Procedure: Radiotherapy)	Part of referenced event
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
category	Σ	0..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	0..1	CodeableConcept	Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . 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: 228720004
display		1..1	string	Representation defined by the system Fixed Value: Making of shielding block for radiotherapy
subject	Σ	1..1	Reference(Patient: PCSP)	Who the procedure was performed on
reasonReference	Σ	1..*	Reference(Condition: Primary Cancer)	The justification that the procedure was performed
bodySite	Σ	1..*	CodeableConcept	Target body sites 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Procedure.category	example	Pattern: SNOMED-CT Code 108290001("Radiotherapy") http://hl7.org/fhir/ValueSet/procedure-category from the FHIR Standard
Procedure.code	example	Pattern: SNOMED-CT Code 228720004("Making of shielding block for radiotherapy") http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.bodySite	required	VsRadiotherapy http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapy-pcsp from this IG
Procedure.bodySite.extension:locationQualifier.value[x]	required	FromToPosteriorAnteriorVs http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-fromToPosteriorAnterior-eu-pcsp from this IG

Name	Flags	Card.	Type	Description & Constraints
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 Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifiers for this procedure
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	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown 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	0..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	0..1	CodeableConcept	Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . 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: 228720004
display		1..1	string	Representation defined by the system Fixed Value: Making of shielding block for radiotherapy
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Patient: PCSP)	Who the procedure was performed on
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
performed[x]	Σ	0..1		When the procedure was performed
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
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	1..*	CodeableConcept	Target body sites 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: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Procedure.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Procedure.statusReason	example	ProcedureNotPerformedReason(SNOMED-CT) http://hl7.org/fhir/ValueSet/procedure-not-performed-reason from the FHIR Standard
Procedure.category	example	Pattern: SNOMED-CT Code 108290001("Radiotherapy") http://hl7.org/fhir/ValueSet/procedure-category from the FHIR Standard
Procedure.code	example	Pattern: SNOMED-CT Code 228720004("Making of shielding block for radiotherapy") http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
Procedure.bodySite	required	VsRadiotherapy http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapy-pcsp from this IG
Procedure.bodySite.extension:locationQualifier.value[x]	required	FromToPosteriorAnteriorVs http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-fromToPosteriorAnterior-eu-pcsp from this IG
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-outcome from the FHIR Standard
Procedure.complication	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Procedure.followUp	example	ProcedureFollowUpCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-followup from the FHIR Standard
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action from the FHIR Standard
Procedure.usedCode	example	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind from the FHIR Standard

This structure is derived from Procedure

Summary

Mandatory: 3 elements

Structures

This structure refers to these other structures:

• Procedure: Radiotherapy (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-radiotheraphy-eu-pcsp)
• Patient: PCSP (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Patient-eu-pcsp)
• Condition: Primary Cancer (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-primaryCancer-eu-pcsp)

Extensions

This structure refers to these extensions:

• http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier
• http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier

Differential View

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints
Procedure			Procedure
partOf		1..1	Reference(Procedure: Radiotherapy)	Part of referenced event
category		0..1	CodeableConcept	Classification of the procedure 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		0..1	CodeableConcept	Identification of the procedure 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: 228720004
display		1..1	string	Representation defined by the system Fixed Value: Making of shielding block for radiotherapy
subject		1..1	Reference(Patient: PCSP)	Who the procedure was performed on
reasonReference		1..*	Reference(Condition: Primary Cancer)	The justification that the procedure was performed
bodySite		1..*	CodeableConcept	Target body sites 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
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.bodySite	required	VsRadiotherapy http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapy-pcsp from this IG
Procedure.bodySite.extension:locationQualifier.value[x]	required	FromToPosteriorAnteriorVs http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-fromToPosteriorAnterior-eu-pcsp from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
partOf	Σ	1..1	Reference(Procedure: Radiotherapy)	Part of referenced event
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
category	Σ	0..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	0..1	CodeableConcept	Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . 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: 228720004
display		1..1	string	Representation defined by the system Fixed Value: Making of shielding block for radiotherapy
subject	Σ	1..1	Reference(Patient: PCSP)	Who the procedure was performed on
reasonReference	Σ	1..*	Reference(Condition: Primary Cancer)	The justification that the procedure was performed
bodySite	Σ	1..*	CodeableConcept	Target body sites 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Procedure.category	example	Pattern: SNOMED-CT Code 108290001("Radiotherapy") http://hl7.org/fhir/ValueSet/procedure-category from the FHIR Standard
Procedure.code	example	Pattern: SNOMED-CT Code 228720004("Making of shielding block for radiotherapy") http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.bodySite	required	VsRadiotherapy http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapy-pcsp from this IG
Procedure.bodySite.extension:locationQualifier.value[x]	required	FromToPosteriorAnteriorVs http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-fromToPosteriorAnterior-eu-pcsp from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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 Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifiers for this procedure
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	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown 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	0..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	0..1	CodeableConcept	Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . 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: 228720004
display		1..1	string	Representation defined by the system Fixed Value: Making of shielding block for radiotherapy
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Patient: PCSP)	Who the procedure was performed on
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
performed[x]	Σ	0..1		When the procedure was performed
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
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	1..*	CodeableConcept	Target body sites 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: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Procedure.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Procedure.statusReason	example	ProcedureNotPerformedReason(SNOMED-CT) http://hl7.org/fhir/ValueSet/procedure-not-performed-reason from the FHIR Standard
Procedure.category	example	Pattern: SNOMED-CT Code 108290001("Radiotherapy") http://hl7.org/fhir/ValueSet/procedure-category from the FHIR Standard
Procedure.code	example	Pattern: SNOMED-CT Code 228720004("Making of shielding block for radiotherapy") http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
Procedure.bodySite	required	VsRadiotherapy http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-radiotherapy-pcsp from this IG
Procedure.bodySite.extension:locationQualifier.value[x]	required	FromToPosteriorAnteriorVs http://hl7.eu/fhir/ig/pcsp/ValueSet/vs-fromToPosteriorAnterior-eu-pcsp from this IG
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-outcome from the FHIR Standard
Procedure.complication	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Procedure.followUp	example	ProcedureFollowUpCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-followup from the FHIR Standard
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action from the FHIR Standard
Procedure.usedCode	example	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind from the FHIR Standard

This structure is derived from Procedure

Summary

Mandatory: 3 elements

Structures

This structure refers to these other structures:

• Procedure: Radiotherapy (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-radiotheraphy-eu-pcsp)
• Patient: PCSP (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Patient-eu-pcsp)
• Condition: Primary Cancer (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-primaryCancer-eu-pcsp)

Extensions

This structure refers to these extensions:

• http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-body-location-qualifier
• http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier

Other representations of profile: CSV, Excel, Schematron