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-sct-prophylaxis-eu-pcsp | Version: 0.2.0 | |||
Draft as of 2024-09-11 | Computable Name: ProcedureSctProphylaxisPcsp |
This profile defines how to represent GVHD prophylaxis, conditioning regimen Procedures in FHIR for supporting Stem Cell Transplantation data, as required by the PanCareSurPass algorithm to generate the care plan.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Procedure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | Procedure | |||
identifier | 0..* | Identifier | External Identifiers for this SCT-related procedure | |
status | S | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown |
category | 1..1 | CodeableConcept | Classification of the procedure Binding: SCT Prophylaxis Cathegory (required) | |
code | 0..1 | CodeableConcept | Identification of the procedure Binding: SCT Prophylaxis Type (extensible) | |
subject | 1..1 | Reference(Patient: PCSP) | Who the procedure was performed on | |
Slices for performed[x] | 0..1 | dateTime, Period, string, Age, Range | When the procedure was performed Slice: Unordered, Open by type:$this | |
performed[x]:performedPeriod | S | 0..1 | Period | When the procedure was performed |
reasonReference | S | 2..* | Reference(Condition: Primary Cancer | Procedure: Stem Cell Transplantation) | The justification that the procedure was performed |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Procedure.category | required | SctProphylaxisCathegoryhttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-sct-prophylaxis-cathegory-eu-pcsp from this IG | |
Procedure.code | extensible | SctProphylaxisTypehttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-sct-prophylaxis-type-eu-pcsp from this IG |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | 0..* | Procedure | An action that is being or was performed on a patient | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | External Identifiers for this SCT-related procedure |
status | ?!SΣ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure. |
category | Σ | 1..1 | CodeableConcept | Classification of the procedure Binding: SCT Prophylaxis Cathegory (required) |
code | Σ | 0..1 | CodeableConcept | Identification of the procedure Binding: SCT Prophylaxis Type (extensible) |
subject | Σ | 1..1 | Reference(Patient: PCSP) | Who the procedure was performed on |
Slices for performed[x] | Σ | 0..1 | When the procedure was performed Slice: Unordered, Open by type:$this | |
performedDateTime | dateTime | |||
performedPeriod | Period | |||
performedString | string | |||
performedAge | Age | |||
performedRange | Range | |||
performed[x]:performedPeriod | SΣ | 0..1 | Period | When the procedure was performed |
reasonReference | SΣ | 2..* | Reference(Condition: Primary Cancer | Procedure: Stem Cell Transplantation) | The justification that the procedure was performed |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Procedure.status | required | EventStatushttp://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard | |
Procedure.category | required | SctProphylaxisCathegoryhttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-sct-prophylaxis-cathegory-eu-pcsp from this IG | |
Procedure.code | extensible | SctProphylaxisTypehttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-sct-prophylaxis-type-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.
| |||||
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 SCT-related 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 | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | ||||
status | ?!SΣ | 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 | 1..1 | CodeableConcept | Classification of the procedure Binding: SCT Prophylaxis Cathegory (required) | ||||
code | Σ | 0..1 | CodeableConcept | Identification of the procedure Binding: SCT Prophylaxis 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 | 0..1 | When the procedure was performed Slice: Unordered, Open by type:$this | |||||
performedDateTime | dateTime | |||||||
performedPeriod | Period | |||||||
performedString | string | |||||||
performedAge | Age | |||||||
performedRange | Range | |||||||
performed[x]:performedPeriod | SΣ | 0..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 | SΣ | 2..* | Reference(Condition: Primary Cancer | Procedure: Stem Cell Transplantation) | The justification that the procedure was performed | ||||
bodySite | Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
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 procedure | |||||
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 | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Procedure.status | required | EventStatushttp://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 | required | SctProphylaxisCathegoryhttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-sct-prophylaxis-cathegory-eu-pcsp from this IG | ||||
Procedure.code | extensible | SctProphylaxisTypehttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-sct-prophylaxis-type-eu-pcsp from this IG | ||||
Procedure.performer.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | ||||
Procedure.reasonCode | example | ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard | ||||
Procedure.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-outcome from the FHIR Standard | ||||
Procedure.complication | example | Condition/Problem/DiagnosisCodeshttp://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 | ProcedureDeviceActionCodeshttp://hl7.org/fhir/ValueSet/device-action from the FHIR Standard | ||||
Procedure.usedCode | example | FHIRDeviceTypeshttp://hl7.org/fhir/ValueSet/device-kind from the FHIR Standard |
This structure is derived from Procedure
Summary
Mandatory: 1 element
Must-Support: 3 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Procedure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | Procedure | |||
identifier | 0..* | Identifier | External Identifiers for this SCT-related procedure | |
status | S | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown |
category | 1..1 | CodeableConcept | Classification of the procedure Binding: SCT Prophylaxis Cathegory (required) | |
code | 0..1 | CodeableConcept | Identification of the procedure Binding: SCT Prophylaxis Type (extensible) | |
subject | 1..1 | Reference(Patient: PCSP) | Who the procedure was performed on | |
Slices for performed[x] | 0..1 | dateTime, Period, string, Age, Range | When the procedure was performed Slice: Unordered, Open by type:$this | |
performed[x]:performedPeriod | S | 0..1 | Period | When the procedure was performed |
reasonReference | S | 2..* | Reference(Condition: Primary Cancer | Procedure: Stem Cell Transplantation) | The justification that the procedure was performed |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Procedure.category | required | SctProphylaxisCathegoryhttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-sct-prophylaxis-cathegory-eu-pcsp from this IG | |
Procedure.code | extensible | SctProphylaxisTypehttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-sct-prophylaxis-type-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 |
identifier | Σ | 0..* | Identifier | External Identifiers for this SCT-related procedure |
status | ?!SΣ | 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 | 1..1 | CodeableConcept | Classification of the procedure Binding: SCT Prophylaxis Cathegory (required) |
code | Σ | 0..1 | CodeableConcept | Identification of the procedure Binding: SCT Prophylaxis Type (extensible) |
subject | Σ | 1..1 | Reference(Patient: PCSP) | Who the procedure was performed on |
Slices for performed[x] | Σ | 0..1 | When the procedure was performed Slice: Unordered, Open by type:$this | |
performedDateTime | dateTime | |||
performedPeriod | Period | |||
performedString | string | |||
performedAge | Age | |||
performedRange | Range | |||
performed[x]:performedPeriod | SΣ | 0..1 | Period | When the procedure was performed |
reasonReference | SΣ | 2..* | Reference(Condition: Primary Cancer | Procedure: Stem Cell Transplantation) | The justification that the procedure was performed |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Procedure.status | required | EventStatushttp://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard | |
Procedure.category | required | SctProphylaxisCathegoryhttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-sct-prophylaxis-cathegory-eu-pcsp from this IG | |
Procedure.code | extensible | SctProphylaxisTypehttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-sct-prophylaxis-type-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.
| |||||
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 SCT-related 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 | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event | ||||
status | ?!SΣ | 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 | 1..1 | CodeableConcept | Classification of the procedure Binding: SCT Prophylaxis Cathegory (required) | ||||
code | Σ | 0..1 | CodeableConcept | Identification of the procedure Binding: SCT Prophylaxis 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 | 0..1 | When the procedure was performed Slice: Unordered, Open by type:$this | |||||
performedDateTime | dateTime | |||||||
performedPeriod | Period | |||||||
performedString | string | |||||||
performedAge | Age | |||||||
performedRange | Range | |||||||
performed[x]:performedPeriod | SΣ | 0..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 | SΣ | 2..* | Reference(Condition: Primary Cancer | Procedure: Stem Cell Transplantation) | The justification that the procedure was performed | ||||
bodySite | Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
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 procedure | |||||
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 | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Procedure.status | required | EventStatushttp://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 | required | SctProphylaxisCathegoryhttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-sct-prophylaxis-cathegory-eu-pcsp from this IG | ||||
Procedure.code | extensible | SctProphylaxisTypehttp://hl7.eu/fhir/ig/pcsp/ValueSet/vs-sct-prophylaxis-type-eu-pcsp from this IG | ||||
Procedure.performer.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | ||||
Procedure.reasonCode | example | ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard | ||||
Procedure.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-outcome from the FHIR Standard | ||||
Procedure.complication | example | Condition/Problem/DiagnosisCodeshttp://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 | ProcedureDeviceActionCodeshttp://hl7.org/fhir/ValueSet/device-action from the FHIR Standard | ||||
Procedure.usedCode | example | FHIRDeviceTypeshttp://hl7.org/fhir/ValueSet/device-kind from the FHIR Standard |
This structure is derived from Procedure
Summary
Mandatory: 1 element
Must-Support: 3 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron