Generated Narrative: StructureDefinition MajorSurgery Name Flags Card. Type Description & Constraints MajorSurgery 0..* Base Major Surgery #xD; relatedDiagnosis 0..1 Identifier Progressive number of diagnosis #xD; relatedRelapse 0..1 Identifier Progressive number of relapse/progression (after FLT) #xD; identifier 0..* Identifier Progressive Surgery number #xD; istitutionOfTreatment 0..1 BackboneElement Institution of treatment #xD; description 0..1 string Institution description #xD; name 0..1 string Institution name #xD; address 0..1 BackboneElement Institution address #xD; name 0..1 string Institution city #xD; country 0..1 string Institution country #xD; date 0..1 dateTime Date of surgery #xD; description 0..1 string Surgery description #xD; affectedOrgan 0..* CodeableConcept Affected Organs #xD; <a href="StructureDefinition-MajorSurgery-definitions.html#MajorSurgery.sacrifiedOrgan" title="During surgery it is possible that some organs are 'sacrified' either to allow a radical excision of the tumor or on purpose (spleen) for staging procedures.#xA;In case of partial resection of an organ (e.g. thyroid, kidney), the organ is not 'sacrified', this type of surgery should be then reported only in the 'tumor description' #xA;For other organs (e.g. hypothalamus) the only surgical procedure on it may determine some 'sacrifcice' of function, thus in this case, the organ should be coded as 'sacrified'.#xA;#xA;(Spleen, Kidney, Eye, Lung, Ovary, Hypothalamus/hypophysis, Thyroid, Bladder, uterus Other)">sacrifiedOrgan 0..* CodeableConcept Sacrified Organs #xD; shuntApplication 0..* BackboneElement Shunt application #xD; Ventriculo-peritoneal#xA;2 => Ventriculo atrial#xA;3 => Subdural_peritoneal#xA;4 => Cisternostomy (III ventricule)#xA;5 => Other#xA;-9922 => NK">type 0..1 CodeableConcept Type of shunt #xD; NK">laterality 0..1 CodeableConcept Laterality of shunt #xD; Still in place#xA;2 => Removed#xA; -9911 => NA#xA; -9922 => NK">isRemoved 0..1 CodeableConcept In place or removed ? #xD; Yes#xA;2 => No#xA;-9911 => Not applicable#xA;-9922 => NK ">amputation 0..1 CodeableConcept Amputation #xD; prothesis 0..1 BackboneElement Prothesis #xD; status 0..1 CodeableConcept status #xD; Internal#xA;2 => External#xA;-9922 => NK">deviceType 0..1 CodeableConcept device type #xD; colostomy 0..1 BackboneElement Colostomy #xD; status 0..1 CodeableConcept status #xD; Still in place#xA;2 => Removed#xA;-9922 =>NK">isRemoved 0..1 CodeableConcept In place or removed ? #xD; Yes#xA;2 => No#xA;-9911 => Not applicable#xA;-9922 =>NK">gastrostomy 0..1 CodeableConcept Gastrostomy #xD; Documentation for this format
MajorSurgery model to PCSP HL7 FHIR R4 Profiles
Progressive number of diagnosis (1=first; 2= second; 3 = third; ?). In this field must be reported the ordinal number of the tumor diagnosis for which the surgery was performed
Progressive number of relapse/progression (after FLT)
Progressive number of surgeries (1=first; 2= second; 3 = third; ?). In this field must be reported the ordinal number of the surgeries given.
Please Identify the institution were surgery was performed
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
Additional content defined by implementations
May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
Extensions that cannot be ignored even if unrecognized
May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Date of surgery (dd/mm/yyyy). If the date is unkown or partially missed insert the year at the best of your knowledge.
Please describe the type of surgery (is a free text section, no coding). In case of surgery on pair organs specify which organ (right or left) was operated.
Was one of these organs involved ? (Oesophagus; Abdomen; Brain; Face; Liver; Spine; Spinal Cord; Sympathetic nerves; Chest/thorax; Pelvis)
During surgery it is possible that some organs are 'sacrified' either to allow a radical excision of the tumor or on purpose (spleen) for staging procedures. In case of partial resection of an organ (e.g. thyroid, kidney), the organ is not 'sacrified', this type of surgery should be then reported only in the 'tumor description' For other organs (e.g. hypothalamus) the only surgical procedure on it may determine some 'sacrifcice' of function, thus in this case, the organ should be coded as 'sacrified'. (Spleen, Kidney, Eye, Lung, Ovary, Hypothalamus/hypophysis, Thyroid, Bladder, uterus Other)
Please report if a cerebrovascular shunt was inserted
This is a free text section in which it is possible to specify the type (e.g. ventriculo-peritoneal) of shunt used 1 => Ventriculo-peritoneal 2 => Ventriculo atrial 3 => Subdural_peritoneal 4 => Cisternostomy (III ventricule) 5 => Other -9922 => NK
Please specify the laterality of the shunt 1 = right 2= left 3 = midline -9911 = not applicable -9922 => NK
Define if it is still in place or is already removed 1 => Still in place 2 => Removed -9911 => NA -9922 => NK
Here it is requested only a yes or no. Details should be reported in the surgery description 1 => Yes 2 => No -9911 => Not applicable -9922 => NK
Please state if the survivor has a prosthesis either internal (e.g. hip replacement) or external (e.g. artificial arm)
Please define if prosthesis is internal (e.g. titanium bone) or external (e.g. artificial limb). Also in this case, details should be reported in the surgery description. 1 => Internal 2 => External -9922 => NK
State if a colostomy was created. Details should be reported in the surgery section.
State if a colostomy was created. Details should be reported in the surgery section. 1 => Still in place 2 => Removed -9922 =>NK
State if a gastrostomy was created. Details should be reported in the surgery section. 1 => Yes 2 => No -9911 => Not applicable -9922 =>NK