PanCareSurPass Project HL7 FHIR Implementation Guide
1.0.0 - release 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 1.0.0 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

## Logical Model: MajorSurgery - TTL Profile

Active as of 2026-01-16

TTL representation of the MajorSurgery logical model.

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:StructureDefinition ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "MajorSurgery"] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition MajorSurgery</b></p><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MajorSurgery-definitions.html#MajorSurgery\" title=\"Major Surgery.\">MajorSurgery</a><a name=\"MajorSurgery\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://build.fhir.org/types.html#Base\">Base</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Major Surgery</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MajorSurgery-definitions.html#MajorSurgery.relatedDiagnosis\" title=\"Progressive number of diagnosis (1=first; 2= second; 3 = third; ?).  #xA;In this field must be reported the ordinal number of the tumor diagnosis for which the surgery was performed\">relatedDiagnosis</a><a name=\"MajorSurgery.relatedDiagnosis\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Progressive number of diagnosis</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MajorSurgery-definitions.html#MajorSurgery.relatedRelapse\" title=\"Progressive number of relapse/progression (after FLT)\">relatedRelapse</a><a name=\"MajorSurgery.relatedRelapse\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Progressive number of relapse/progression (after FLT)</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MajorSurgery-definitions.html#MajorSurgery.identifier\" title=\"Progressive number of surgeries (1=first; 2= second; 3 = third; ?).#xA;In this field must be reported the ordinal number of the surgeries given. \">identifier</a><a name=\"MajorSurgery.identifier\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Progressive Surgery number<br/></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MajorSurgery-definitions.html#MajorSurgery.istitutionOfTreatment\" title=\"Please Identify the institution were surgery was performed\">istitutionOfTreatment</a><a name=\"MajorSurgery.istitutionOfTreatment\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Institution of treatment</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MajorSurgery-definitions.html#MajorSurgery.istitutionOfTreatment.description\" title=\"Institution description\">description</a><a name=\"MajorSurgery.istitutionOfTreatment.description\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Institution description</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MajorSurgery-definitions.html#MajorSurgery.istitutionOfTreatment.name\" title=\"Institution name\">name</a><a name=\"MajorSurgery.istitutionOfTreatment.name\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Institution name</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MajorSurgery-definitions.html#MajorSurgery.istitutionOfTreatment.address\" title=\"Institution address\">address</a><a name=\"MajorSurgery.istitutionOfTreatment.address\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Institution address</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MajorSurgery-definitions.html#MajorSurgery.istitutionOfTreatment.address.name\" title=\"Institution city\">name</a><a name=\"MajorSurgery.istitutionOfTreatment.address.name\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Institution city</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MajorSurgery-definitions.html#MajorSurgery.istitutionOfTreatment.address.country\" title=\"Institution country\">country</a><a name=\"MajorSurgery.istitutionOfTreatment.address.country\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Institution country</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MajorSurgery-definitions.html#MajorSurgery.date\" title=\"Date of surgery (dd/mm/yyyy). If the date is unkown or partially missed insert the year at the best of your knowledge.\">date</a><a name=\"MajorSurgery.date\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Date of surgery</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MajorSurgery-definitions.html#MajorSurgery.description\" title=\"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.\">description</a><a name=\"MajorSurgery.description\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Surgery description</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MajorSurgery-definitions.html#MajorSurgery.affectedOrgan\" title=\"Was one of these organs involved ? #xA;(Oesophagus; Abdomen; Brain; Face; Liver; Spine; Spinal Cord; Sympathetic nerves; Chest/thorax; Pelvis)\">affectedOrgan</a><a name=\"MajorSurgery.affectedOrgan\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Affected Organs<br/></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <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</a><a name=\"MajorSurgery.sacrifiedOrgan\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Sacrified Organs<br/></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MajorSurgery-definitions.html#MajorSurgery.shuntApplication\" title=\"Please report if a cerebrovascular shunt was inserted \">shuntApplication</a><a name=\"MajorSurgery.shuntApplication\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Shunt application<br/></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MajorSurgery-definitions.html#MajorSurgery.shuntApplication.type\" title=\"This is a free text section in which it is possible to specify the type (e.g. ventriculo-peritoneal) of shunt used #xA;1 => Ventriculo-peritoneal#xA;2 => Ventriculo atrial#xA;3 => Subdural_peritoneal#xA;4 =>  Cisternostomy (III ventricule)#xA;5 => Other#xA;-9922 => NK\">type</a><a name=\"MajorSurgery.shuntApplication.type\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Type of shunt</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MajorSurgery-definitions.html#MajorSurgery.shuntApplication.laterality\" title=\"Please specify the laterality of the shunt#xA;1 = right#xA;2= left#xA;3 = midline#xA;-9911 = not applicable#xA;-9922 => NK\">laterality</a><a name=\"MajorSurgery.shuntApplication.laterality\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Laterality of shunt</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MajorSurgery-definitions.html#MajorSurgery.shuntApplication.isRemoved\" title=\"Define if it is still in place or is already removed #xA;1 => Still in place#xA;2 => Removed#xA; -9911 => NA#xA; -9922 => NK\">isRemoved</a><a name=\"MajorSurgery.shuntApplication.isRemoved\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">In place or removed ?</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MajorSurgery-definitions.html#MajorSurgery.amputation\" title=\"Here it is requested only a yes or no. Details should be reported in the surgery description #xA;1 => Yes#xA;2 => No#xA;-9911 => Not applicable#xA;-9922 => NK \">amputation</a><a name=\"MajorSurgery.amputation\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Amputation</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MajorSurgery-definitions.html#MajorSurgery.prothesis\" title=\"Prothesis\">prothesis</a><a name=\"MajorSurgery.prothesis\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Prothesis</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MajorSurgery-definitions.html#MajorSurgery.prothesis.status\" title=\"Please state if the survivor has a prosthesis either internal (e.g. hip replacement) or external (e.g. artificial arm)\">status</a><a name=\"MajorSurgery.prothesis.status\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">status</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MajorSurgery-definitions.html#MajorSurgery.prothesis.deviceType\" title=\"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.#xA;1 => Internal#xA;2 => External#xA;-9922 => NK\">deviceType</a><a name=\"MajorSurgery.prothesis.deviceType\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">device type</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MajorSurgery-definitions.html#MajorSurgery.colostomy\" title=\"Colostomy\">colostomy</a><a name=\"MajorSurgery.colostomy\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Colostomy</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MajorSurgery-definitions.html#MajorSurgery.colostomy.status\" title=\"State if a colostomy was created. Details should be reported in the surgery section.\">status</a><a name=\"MajorSurgery.colostomy.status\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">status</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MajorSurgery-definitions.html#MajorSurgery.colostomy.isRemoved\" title=\"State if a colostomy was created. Details should be reported in the surgery section.#xA;1 => Still in place#xA;2 => Removed#xA;-9922 =>NK\">isRemoved</a><a name=\"MajorSurgery.colostomy.isRemoved\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">In place or removed ?</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-MajorSurgery-definitions.html#MajorSurgery.gastrostomy\" title=\"State if a gastrostomy was created. Details should be reported in the surgery section.#xA;1 => Yes#xA;2 => No#xA;-9911 => Not applicable#xA;-9922 =>NK\">gastrostomy</a><a name=\"MajorSurgery.gastrostomy\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Gastrostomy</td></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:url [
    fhir:v "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/MajorSurgery"^^xsd:anyURI ;
    fhir:l <http://hl7.eu/fhir/ig/pcsp/StructureDefinition/MajorSurgery>
      ] ; #
      fhir:version [ fhir:v "1.0.0"] ; #
      fhir:name [ fhir:v "MajorSurgery"] ; #
      fhir:title [ fhir:v "Major Surgery"] ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:date [ fhir:v "2026-01-16T12:01:48+00:00"^^xsd:dateTime] ; #
      fhir:publisher [ fhir:v "PanCareSurPass Project"] ; #
      fhir:contact ( [
    fhir:name [ fhir:v "PanCareSurPass Project" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "https://www.pancaresurpass.eu/" ]     ] )
      ] [
    fhir:name [ fhir:v "PanCareSurPass Project" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "https://www.pancaresurpass.eu/" ]     ] )
      ] ) ; #
      fhir:description [ fhir:v "Major Surgery."] ; #
      fhir:jurisdiction ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ;
    fhir:l <http://unstats.un.org/unsd/methods/m49/m49.htm>       ] ;
    fhir:code [ fhir:v "150" ] ;
    fhir:display [ fhir:v "Europe" ]     ] )
      ] ) ; #
      fhir:fhirVersion [ fhir:v "4.0.1"] ; #
      fhir:mapping ( [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:uri [
    fhir:v "hl7.org/fhir/r4"^^xsd:anyURI ;
    fhir:l fhir:hl7.org/fhir/r4     ] ;
    fhir:name [ fhir:v "MajorSurgery model to PCSP HL7 FHIR R4 Profiles" ]
      ] ) ; #
      fhir:kind [ fhir:v "logical"] ; #
      fhir:abstract [ fhir:v false] ; #
      fhir:type [
    fhir:v "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/MajorSurgery"^^xsd:anyURI ;
    fhir:l <http://hl7.eu/fhir/ig/pcsp/StructureDefinition/MajorSurgery>
      ] ; #
      fhir:baseDefinition [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Base"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Base>
      ] ; #
      fhir:derivation [ fhir:v "specialization"] ; #
      fhir:snapshot [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version>       ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "4.0.1"       ]     ] ) ;
        ( fhir:element [
    fhir:id [ fhir:v "MajorSurgery" ] ;
    fhir:path [ fhir:v "MajorSurgery" ] ;
    fhir:short [ fhir:v "Major Surgery" ] ;
    fhir:definition [ fhir:v "Major Surgery." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Base" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
    fhir:isModifier [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp')" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.relatedDiagnosis" ] ;
    fhir:path [ fhir:v "MajorSurgery.relatedDiagnosis" ] ;
    fhir:short [ fhir:v "Progressive number of diagnosis" ] ;
    fhir:definition [ fhir:v "Progressive number of diagnosis (1=first; 2= second; 3 = third; ?).  \nIn this field must be reported the ordinal number of the tumor diagnosis for which the surgery was performed" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "MajorSurgery.relatedDiagnosis" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "Identifier"^^xsd:anyURI ;
    fhir:l fhir:Identifier         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".reasonReference" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.relatedRelapse" ] ;
    fhir:path [ fhir:v "MajorSurgery.relatedRelapse" ] ;
    fhir:short [ fhir:v "Progressive number of relapse/progression (after FLT)" ] ;
    fhir:definition [ fhir:v "Progressive number of relapse/progression (after FLT)" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "MajorSurgery.relatedRelapse" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "Identifier"^^xsd:anyURI ;
    fhir:l fhir:Identifier         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".reasonReference" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.identifier" ] ;
    fhir:path [ fhir:v "MajorSurgery.identifier" ] ;
    fhir:short [ fhir:v "Progressive Surgery number" ] ;
    fhir:definition [ fhir:v "Progressive number of surgeries (1=first; 2= second; 3 = third; ?).\nIn this field must be reported the ordinal number of the surgeries given." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "MajorSurgery.identifier" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "Identifier"^^xsd:anyURI ;
    fhir:l fhir:Identifier         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".identifier" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.istitutionOfTreatment" ] ;
    fhir:path [ fhir:v "MajorSurgery.istitutionOfTreatment" ] ;
    fhir:short [ fhir:v "Institution of treatment" ] ;
    fhir:definition [ fhir:v "Please Identify the institution were surgery was performed" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "MajorSurgery.istitutionOfTreatment" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "BackboneElement"^^xsd:anyURI ;
    fhir:l fhir:BackboneElement         ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "location.resolve().conformsTo(http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Location-eu-pcsp)" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.istitutionOfTreatment.id" ] ;
    fhir:path [ fhir:v "MajorSurgery.istitutionOfTreatment.id" ] ;
          ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
    fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
    fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Element.id" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
            ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
    fhir:value [
    a fhir:Url ;
    fhir:v "string"^^xsd:anyURI ;
    fhir:l fhir:string           ]         ] ) ;
    fhir:code [
    fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "n/a" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.istitutionOfTreatment.extension" ] ;
    fhir:path [ fhir:v "MajorSurgery.istitutionOfTreatment.extension" ] ;
    fhir:slicing [
            ( fhir:discriminator [
    fhir:type [ fhir:v "value" ] ;
    fhir:path [ fhir:v "url" ]         ] ) ;
    fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ;
    fhir:rules [ fhir:v "open" ]       ] ;
    fhir:short [ fhir:v "Additional content defined by implementations" ] ;
    fhir:definition [ fhir:v "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." ] ;
    fhir:comment [ fhir:v "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." ] ;
          ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Element.extension" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "Extension"^^xsd:anyURI ;
    fhir:l fhir:Extension         ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
    fhir:key [ fhir:v "ext-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
    fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
    fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "n/a" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.istitutionOfTreatment.modifierExtension" ] ;
    fhir:path [ fhir:v "MajorSurgery.istitutionOfTreatment.modifierExtension" ] ;
    fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
    fhir:definition [ fhir:v "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
    fhir:comment [ fhir:v "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." ] ;
    fhir:requirements [ fhir:v "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)." ] ;
          ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "Extension"^^xsd:anyURI ;
    fhir:l fhir:Extension         ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
    fhir:key [ fhir:v "ext-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
    fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
    fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
    fhir:isModifier [ fhir:v true ] ;
    fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "N/A" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.istitutionOfTreatment.description" ] ;
    fhir:path [ fhir:v "MajorSurgery.istitutionOfTreatment.description" ] ;
    fhir:short [ fhir:v "Institution description" ] ;
    fhir:definition [ fhir:v "Institution description" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "MajorSurgery.istitutionOfTreatment.description" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "string"^^xsd:anyURI ;
    fhir:l fhir:string         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "Location.description" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.istitutionOfTreatment.name" ] ;
    fhir:path [ fhir:v "MajorSurgery.istitutionOfTreatment.name" ] ;
    fhir:short [ fhir:v "Institution name" ] ;
    fhir:definition [ fhir:v "Institution name" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "MajorSurgery.istitutionOfTreatment.name" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "string"^^xsd:anyURI ;
    fhir:l fhir:string         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "Location.name" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.istitutionOfTreatment.address" ] ;
    fhir:path [ fhir:v "MajorSurgery.istitutionOfTreatment.address" ] ;
    fhir:short [ fhir:v "Institution address" ] ;
    fhir:definition [ fhir:v "Institution address" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "MajorSurgery.istitutionOfTreatment.address" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "BackboneElement"^^xsd:anyURI ;
    fhir:l fhir:BackboneElement         ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "Location.address.city" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.istitutionOfTreatment.address.id" ] ;
    fhir:path [ fhir:v "MajorSurgery.istitutionOfTreatment.address.id" ] ;
          ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
    fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
    fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Element.id" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
            ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
    fhir:value [
    a fhir:Url ;
    fhir:v "string"^^xsd:anyURI ;
    fhir:l fhir:string           ]         ] ) ;
    fhir:code [
    fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "n/a" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.istitutionOfTreatment.address.extension" ] ;
    fhir:path [ fhir:v "MajorSurgery.istitutionOfTreatment.address.extension" ] ;
    fhir:slicing [
            ( fhir:discriminator [
    fhir:type [ fhir:v "value" ] ;
    fhir:path [ fhir:v "url" ]         ] ) ;
    fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ;
    fhir:rules [ fhir:v "open" ]       ] ;
    fhir:short [ fhir:v "Additional content defined by implementations" ] ;
    fhir:definition [ fhir:v "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." ] ;
    fhir:comment [ fhir:v "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." ] ;
          ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Element.extension" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "Extension"^^xsd:anyURI ;
    fhir:l fhir:Extension         ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
    fhir:key [ fhir:v "ext-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
    fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
    fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "n/a" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.istitutionOfTreatment.address.modifierExtension" ] ;
    fhir:path [ fhir:v "MajorSurgery.istitutionOfTreatment.address.modifierExtension" ] ;
    fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
    fhir:definition [ fhir:v "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
    fhir:comment [ fhir:v "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." ] ;
    fhir:requirements [ fhir:v "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)." ] ;
          ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "Extension"^^xsd:anyURI ;
    fhir:l fhir:Extension         ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
    fhir:key [ fhir:v "ext-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
    fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
    fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
    fhir:isModifier [ fhir:v true ] ;
    fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "N/A" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.istitutionOfTreatment.address.name" ] ;
    fhir:path [ fhir:v "MajorSurgery.istitutionOfTreatment.address.name" ] ;
    fhir:short [ fhir:v "Institution city" ] ;
    fhir:definition [ fhir:v "Institution city" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "MajorSurgery.istitutionOfTreatment.address.name" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "string"^^xsd:anyURI ;
    fhir:l fhir:string         ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.istitutionOfTreatment.address.country" ] ;
    fhir:path [ fhir:v "MajorSurgery.istitutionOfTreatment.address.country" ] ;
    fhir:short [ fhir:v "Institution country" ] ;
    fhir:definition [ fhir:v "Institution country" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "MajorSurgery.istitutionOfTreatment.address.country" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "string"^^xsd:anyURI ;
    fhir:l fhir:string         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "Location.address.country" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.date" ] ;
    fhir:path [ fhir:v "MajorSurgery.date" ] ;
    fhir:short [ fhir:v "Date of surgery" ] ;
    fhir:definition [ fhir:v "Date of surgery (dd/mm/yyyy). If the date is unkown or partially missed insert the year at the best of your knowledge." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "MajorSurgery.date" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "dateTime"^^xsd:anyURI ;
    fhir:l fhir:dateTime         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "Procedure.performedDateTime" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.description" ] ;
    fhir:path [ fhir:v "MajorSurgery.description" ] ;
    fhir:short [ fhir:v "Surgery description" ] ;
    fhir:definition [ fhir:v "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." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "MajorSurgery.description" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "string"^^xsd:anyURI ;
    fhir:l fhir:string         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".text" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.affectedOrgan" ] ;
    fhir:path [ fhir:v "MajorSurgery.affectedOrgan" ] ;
    fhir:short [ fhir:v "Affected Organs" ] ;
    fhir:definition [ fhir:v "Was one of these organs involved ? \n(Oesophagus; Abdomen; Brain; Face; Liver; Spine; Spinal Cord; Sympathetic nerves; Chest/thorax; Pelvis)" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "MajorSurgery.affectedOrgan" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".bodySite" ]       ] [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".code" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.sacrifiedOrgan" ] ;
    fhir:path [ fhir:v "MajorSurgery.sacrifiedOrgan" ] ;
    fhir:short [ fhir:v "Sacrified Organs" ] ;
    fhir:definition [ fhir:v "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.\nIn 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' \nFor 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'.\n\n(Spleen, Kidney, Eye, Lung, Ovary, Hypothalamus/hypophysis, Thyroid, Bladder, uterus Other)" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "MajorSurgery.sacrifiedOrgan" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/surgery-sacrifiedOrgan').valueCodeableConcept" ]       ] [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".code" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.shuntApplication" ] ;
    fhir:path [ fhir:v "MajorSurgery.shuntApplication" ] ;
    fhir:short [ fhir:v "Shunt application" ] ;
    fhir:definition [ fhir:v "Please report if a cerebrovascular shunt was inserted" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "MajorSurgery.shuntApplication" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "BackboneElement"^^xsd:anyURI ;
    fhir:l fhir:BackboneElement         ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp').where(code.memberOf(ShuntProcedureTypeVs))" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.shuntApplication.id" ] ;
    fhir:path [ fhir:v "MajorSurgery.shuntApplication.id" ] ;
          ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
    fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
    fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Element.id" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
            ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
    fhir:value [
    a fhir:Url ;
    fhir:v "string"^^xsd:anyURI ;
    fhir:l fhir:string           ]         ] ) ;
    fhir:code [
    fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "n/a" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.shuntApplication.extension" ] ;
    fhir:path [ fhir:v "MajorSurgery.shuntApplication.extension" ] ;
    fhir:slicing [
            ( fhir:discriminator [
    fhir:type [ fhir:v "value" ] ;
    fhir:path [ fhir:v "url" ]         ] ) ;
    fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ;
    fhir:rules [ fhir:v "open" ]       ] ;
    fhir:short [ fhir:v "Additional content defined by implementations" ] ;
    fhir:definition [ fhir:v "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." ] ;
    fhir:comment [ fhir:v "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." ] ;
          ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Element.extension" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "Extension"^^xsd:anyURI ;
    fhir:l fhir:Extension         ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
    fhir:key [ fhir:v "ext-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
    fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
    fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "n/a" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.shuntApplication.modifierExtension" ] ;
    fhir:path [ fhir:v "MajorSurgery.shuntApplication.modifierExtension" ] ;
    fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
    fhir:definition [ fhir:v "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
    fhir:comment [ fhir:v "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." ] ;
    fhir:requirements [ fhir:v "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)." ] ;
          ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "Extension"^^xsd:anyURI ;
    fhir:l fhir:Extension         ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
    fhir:key [ fhir:v "ext-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
    fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
    fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
    fhir:isModifier [ fhir:v true ] ;
    fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "N/A" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.shuntApplication.type" ] ;
    fhir:path [ fhir:v "MajorSurgery.shuntApplication.type" ] ;
    fhir:short [ fhir:v "Type of shunt" ] ;
    fhir:definition [ fhir:v "This is a free text section in which it is possible to specify the type (e.g. ventriculo-peritoneal) of shunt used \n1 => Ventriculo-peritoneal\n2 => Ventriculo atrial\n3 => Subdural_peritoneal\n4 =>  Cisternostomy (III ventricule)\n5 => Other\n-9922 => NK" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "MajorSurgery.shuntApplication.type" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".code" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.shuntApplication.laterality" ] ;
    fhir:path [ fhir:v "MajorSurgery.shuntApplication.laterality" ] ;
    fhir:short [ fhir:v "Laterality of shunt" ] ;
    fhir:definition [ fhir:v "Please specify the laterality of the shunt\n1 = right\n2= left\n3 = midline\n-9911 = not applicable\n-9922 => NK" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "MajorSurgery.shuntApplication.laterality" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier').valueCodeableConcept" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.shuntApplication.isRemoved" ] ;
    fhir:path [ fhir:v "MajorSurgery.shuntApplication.isRemoved" ] ;
    fhir:short [ fhir:v "In place or removed ?" ] ;
    fhir:definition [ fhir:v "Define if it is still in place or is already removed \n1 => Still in place\n2 => Removed\n -9911 => NA\n -9922 => NK" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "MajorSurgery.shuntApplication.isRemoved" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".focalDevice.action" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.amputation" ] ;
    fhir:path [ fhir:v "MajorSurgery.amputation" ] ;
    fhir:short [ fhir:v "Amputation" ] ;
    fhir:definition [ fhir:v "Here it is requested only a yes or no. Details should be reported in the surgery description \n1 => Yes\n2 => No\n-9911 => Not applicable\n-9922 => NK" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "MajorSurgery.amputation" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp').where(code.memberOf(AmputationProcedureTypeVs)).exists()" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.prothesis" ] ;
    fhir:path [ fhir:v "MajorSurgery.prothesis" ] ;
    fhir:short [ fhir:v "Prothesis" ] ;
    fhir:definition [ fhir:v "Prothesis" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "MajorSurgery.prothesis" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "BackboneElement"^^xsd:anyURI ;
    fhir:l fhir:BackboneElement         ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp').where(code.memberOf(ProstheticProcedureTypeVs))" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.prothesis.id" ] ;
    fhir:path [ fhir:v "MajorSurgery.prothesis.id" ] ;
          ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
    fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
    fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Element.id" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
            ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
    fhir:value [
    a fhir:Url ;
    fhir:v "string"^^xsd:anyURI ;
    fhir:l fhir:string           ]         ] ) ;
    fhir:code [
    fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "n/a" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.prothesis.extension" ] ;
    fhir:path [ fhir:v "MajorSurgery.prothesis.extension" ] ;
    fhir:slicing [
            ( fhir:discriminator [
    fhir:type [ fhir:v "value" ] ;
    fhir:path [ fhir:v "url" ]         ] ) ;
    fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ;
    fhir:rules [ fhir:v "open" ]       ] ;
    fhir:short [ fhir:v "Additional content defined by implementations" ] ;
    fhir:definition [ fhir:v "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." ] ;
    fhir:comment [ fhir:v "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." ] ;
          ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Element.extension" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "Extension"^^xsd:anyURI ;
    fhir:l fhir:Extension         ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
    fhir:key [ fhir:v "ext-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
    fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
    fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "n/a" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.prothesis.modifierExtension" ] ;
    fhir:path [ fhir:v "MajorSurgery.prothesis.modifierExtension" ] ;
    fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
    fhir:definition [ fhir:v "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
    fhir:comment [ fhir:v "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." ] ;
    fhir:requirements [ fhir:v "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)." ] ;
          ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "Extension"^^xsd:anyURI ;
    fhir:l fhir:Extension         ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
    fhir:key [ fhir:v "ext-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
    fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
    fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
    fhir:isModifier [ fhir:v true ] ;
    fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "N/A" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.prothesis.status" ] ;
    fhir:path [ fhir:v "MajorSurgery.prothesis.status" ] ;
    fhir:short [ fhir:v "status" ] ;
    fhir:definition [ fhir:v "Please state if the survivor has a prosthesis either internal (e.g. hip replacement) or external (e.g. artificial arm)" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "MajorSurgery.prothesis.status" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".exists()" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.prothesis.deviceType" ] ;
    fhir:path [ fhir:v "MajorSurgery.prothesis.deviceType" ] ;
    fhir:short [ fhir:v "device type" ] ;
    fhir:definition [ fhir:v "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.\n1 => Internal\n2 => External\n-9922 => NK" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "MajorSurgery.prothesis.deviceType" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "usedCode" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.colostomy" ] ;
    fhir:path [ fhir:v "MajorSurgery.colostomy" ] ;
    fhir:short [ fhir:v "Colostomy" ] ;
    fhir:definition [ fhir:v "Colostomy" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "MajorSurgery.colostomy" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "BackboneElement"^^xsd:anyURI ;
    fhir:l fhir:BackboneElement         ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp').where(code.memberOf(ColostomyProcedureTypeVs))" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.colostomy.id" ] ;
    fhir:path [ fhir:v "MajorSurgery.colostomy.id" ] ;
          ( fhir:representation [ fhir:v "xmlAttr" ] ) ;
    fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
    fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "Element.id" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
            ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>           ] ;
    fhir:value [
    a fhir:Url ;
    fhir:v "string"^^xsd:anyURI ;
    fhir:l fhir:string           ]         ] ) ;
    fhir:code [
    fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhirpath/System.String>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "n/a" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.colostomy.extension" ] ;
    fhir:path [ fhir:v "MajorSurgery.colostomy.extension" ] ;
    fhir:slicing [
            ( fhir:discriminator [
    fhir:type [ fhir:v "value" ] ;
    fhir:path [ fhir:v "url" ]         ] ) ;
    fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ;
    fhir:rules [ fhir:v "open" ]       ] ;
    fhir:short [ fhir:v "Additional content defined by implementations" ] ;
    fhir:definition [ fhir:v "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." ] ;
    fhir:comment [ fhir:v "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." ] ;
          ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Element.extension" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "Extension"^^xsd:anyURI ;
    fhir:l fhir:Extension         ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
    fhir:key [ fhir:v "ext-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
    fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
    fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ] ;
    fhir:isSummary [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "n/a" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.colostomy.modifierExtension" ] ;
    fhir:path [ fhir:v "MajorSurgery.colostomy.modifierExtension" ] ;
    fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
    fhir:definition [ fhir:v "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
    fhir:comment [ fhir:v "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." ] ;
    fhir:requirements [ fhir:v "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)." ] ;
          ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "Extension"^^xsd:anyURI ;
    fhir:l fhir:Extension         ]       ] ) ;
          ( fhir:constraint [
    fhir:key [ fhir:v "ele-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
    fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
    fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Element>         ]       ] [
    fhir:key [ fhir:v "ext-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
    fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
    fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
    fhir:source [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ] ) ;
    fhir:isModifier [ fhir:v true ] ;
    fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
    fhir:isSummary [ fhir:v true ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "rim" ] ;
    fhir:map [ fhir:v "N/A" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.colostomy.status" ] ;
    fhir:path [ fhir:v "MajorSurgery.colostomy.status" ] ;
    fhir:short [ fhir:v "status" ] ;
    fhir:definition [ fhir:v "State if a colostomy was created. Details should be reported in the surgery section." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "MajorSurgery.colostomy.status" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".exists()" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.colostomy.isRemoved" ] ;
    fhir:path [ fhir:v "MajorSurgery.colostomy.isRemoved" ] ;
    fhir:short [ fhir:v "In place or removed ?" ] ;
    fhir:definition [ fhir:v "State if a colostomy was created. Details should be reported in the surgery section.\n1 => Still in place\n2 => Removed\n-9922 =>NK" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "MajorSurgery.colostomy.isRemoved" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".focalDevice.action" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.gastrostomy" ] ;
    fhir:path [ fhir:v "MajorSurgery.gastrostomy" ] ;
    fhir:short [ fhir:v "Gastrostomy" ] ;
    fhir:definition [ fhir:v "State if a gastrostomy was created. Details should be reported in the surgery section.\n1 => Yes\n2 => No\n-9911 => Not applicable\n-9922 =>NK" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "MajorSurgery.gastrostomy" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp').where(code.memberOf(GastrostomyProcedureTypeVs)).exists()" ]       ] )     ] )
      ] ; #
      fhir:differential [
        ( fhir:element [
    fhir:id [ fhir:v "MajorSurgery" ] ;
    fhir:path [ fhir:v "MajorSurgery" ] ;
    fhir:short [ fhir:v "Major Surgery" ] ;
    fhir:definition [ fhir:v "Major Surgery." ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp')" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.relatedDiagnosis" ] ;
    fhir:path [ fhir:v "MajorSurgery.relatedDiagnosis" ] ;
    fhir:short [ fhir:v "Progressive number of diagnosis" ] ;
    fhir:definition [ fhir:v "Progressive number of diagnosis (1=first; 2= second; 3 = third; ?).  \nIn this field must be reported the ordinal number of the tumor diagnosis for which the surgery was performed" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "Identifier"^^xsd:anyURI ;
    fhir:l fhir:Identifier         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".reasonReference" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.relatedRelapse" ] ;
    fhir:path [ fhir:v "MajorSurgery.relatedRelapse" ] ;
    fhir:short [ fhir:v "Progressive number of relapse/progression (after FLT)" ] ;
    fhir:definition [ fhir:v "Progressive number of relapse/progression (after FLT)" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "Identifier"^^xsd:anyURI ;
    fhir:l fhir:Identifier         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".reasonReference" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.identifier" ] ;
    fhir:path [ fhir:v "MajorSurgery.identifier" ] ;
    fhir:short [ fhir:v "Progressive Surgery number" ] ;
    fhir:definition [ fhir:v "Progressive number of surgeries (1=first; 2= second; 3 = third; ?).\nIn this field must be reported the ordinal number of the surgeries given. " ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "Identifier"^^xsd:anyURI ;
    fhir:l fhir:Identifier         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".identifier" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.istitutionOfTreatment" ] ;
    fhir:path [ fhir:v "MajorSurgery.istitutionOfTreatment" ] ;
    fhir:short [ fhir:v "Institution of treatment" ] ;
    fhir:definition [ fhir:v "Please Identify the institution were surgery was performed" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "BackboneElement"^^xsd:anyURI ;
    fhir:l fhir:BackboneElement         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "location.resolve().conformsTo(http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Location-eu-pcsp)" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.istitutionOfTreatment.description" ] ;
    fhir:path [ fhir:v "MajorSurgery.istitutionOfTreatment.description" ] ;
    fhir:short [ fhir:v "Institution description" ] ;
    fhir:definition [ fhir:v "Institution description" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "string"^^xsd:anyURI ;
    fhir:l fhir:string         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "Location.description" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.istitutionOfTreatment.name" ] ;
    fhir:path [ fhir:v "MajorSurgery.istitutionOfTreatment.name" ] ;
    fhir:short [ fhir:v "Institution name" ] ;
    fhir:definition [ fhir:v "Institution name" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "string"^^xsd:anyURI ;
    fhir:l fhir:string         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "Location.name" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.istitutionOfTreatment.address" ] ;
    fhir:path [ fhir:v "MajorSurgery.istitutionOfTreatment.address" ] ;
    fhir:short [ fhir:v "Institution address" ] ;
    fhir:definition [ fhir:v "Institution address" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "BackboneElement"^^xsd:anyURI ;
    fhir:l fhir:BackboneElement         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "Location.address.city" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.istitutionOfTreatment.address.name" ] ;
    fhir:path [ fhir:v "MajorSurgery.istitutionOfTreatment.address.name" ] ;
    fhir:short [ fhir:v "Institution city" ] ;
    fhir:definition [ fhir:v "Institution city" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "string"^^xsd:anyURI ;
    fhir:l fhir:string         ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.istitutionOfTreatment.address.country" ] ;
    fhir:path [ fhir:v "MajorSurgery.istitutionOfTreatment.address.country" ] ;
    fhir:short [ fhir:v "Institution country" ] ;
    fhir:definition [ fhir:v "Institution country" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "string"^^xsd:anyURI ;
    fhir:l fhir:string         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "Location.address.country" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.date" ] ;
    fhir:path [ fhir:v "MajorSurgery.date" ] ;
    fhir:short [ fhir:v "Date of surgery" ] ;
    fhir:definition [ fhir:v "Date of surgery (dd/mm/yyyy). If the date is unkown or partially missed insert the year at the best of your knowledge." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "dateTime"^^xsd:anyURI ;
    fhir:l fhir:dateTime         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "Procedure.performedDateTime" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.description" ] ;
    fhir:path [ fhir:v "MajorSurgery.description" ] ;
    fhir:short [ fhir:v "Surgery description" ] ;
    fhir:definition [ fhir:v "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." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "string"^^xsd:anyURI ;
    fhir:l fhir:string         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".text" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.affectedOrgan" ] ;
    fhir:path [ fhir:v "MajorSurgery.affectedOrgan" ] ;
    fhir:short [ fhir:v "Affected Organs" ] ;
    fhir:definition [ fhir:v "Was one of these organs involved ? \n(Oesophagus; Abdomen; Brain; Face; Liver; Spine; Spinal Cord; Sympathetic nerves; Chest/thorax; Pelvis)" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".bodySite" ]       ] [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".code" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.sacrifiedOrgan" ] ;
    fhir:path [ fhir:v "MajorSurgery.sacrifiedOrgan" ] ;
    fhir:short [ fhir:v "Sacrified Organs" ] ;
    fhir:definition [ fhir:v "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.\nIn 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' \nFor 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'.\n\n(Spleen, Kidney, Eye, Lung, Ovary, Hypothalamus/hypophysis, Thyroid, Bladder, uterus Other)" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/surgery-sacrifiedOrgan').valueCodeableConcept" ]       ] [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".code" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.shuntApplication" ] ;
    fhir:path [ fhir:v "MajorSurgery.shuntApplication" ] ;
    fhir:short [ fhir:v "Shunt application" ] ;
    fhir:definition [ fhir:v "Please report if a cerebrovascular shunt was inserted " ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "BackboneElement"^^xsd:anyURI ;
    fhir:l fhir:BackboneElement         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp').where(code.memberOf(ShuntProcedureTypeVs))" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.shuntApplication.type" ] ;
    fhir:path [ fhir:v "MajorSurgery.shuntApplication.type" ] ;
    fhir:short [ fhir:v "Type of shunt" ] ;
    fhir:definition [ fhir:v "This is a free text section in which it is possible to specify the type (e.g. ventriculo-peritoneal) of shunt used \n1 => Ventriculo-peritoneal\n2 => Ventriculo atrial\n3 => Subdural_peritoneal\n4 =>  Cisternostomy (III ventricule)\n5 => Other\n-9922 => NK" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".code" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.shuntApplication.laterality" ] ;
    fhir:path [ fhir:v "MajorSurgery.shuntApplication.laterality" ] ;
    fhir:short [ fhir:v "Laterality of shunt" ] ;
    fhir:definition [ fhir:v "Please specify the laterality of the shunt\n1 = right\n2= left\n3 = midline\n-9911 = not applicable\n-9922 => NK" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier').valueCodeableConcept" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.shuntApplication.isRemoved" ] ;
    fhir:path [ fhir:v "MajorSurgery.shuntApplication.isRemoved" ] ;
    fhir:short [ fhir:v "In place or removed ?" ] ;
    fhir:definition [ fhir:v "Define if it is still in place or is already removed \n1 => Still in place\n2 => Removed\n -9911 => NA\n -9922 => NK" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".focalDevice.action" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.amputation" ] ;
    fhir:path [ fhir:v "MajorSurgery.amputation" ] ;
    fhir:short [ fhir:v "Amputation" ] ;
    fhir:definition [ fhir:v "Here it is requested only a yes or no. Details should be reported in the surgery description \n1 => Yes\n2 => No\n-9911 => Not applicable\n-9922 => NK " ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp').where(code.memberOf(AmputationProcedureTypeVs)).exists()" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.prothesis" ] ;
    fhir:path [ fhir:v "MajorSurgery.prothesis" ] ;
    fhir:short [ fhir:v "Prothesis" ] ;
    fhir:definition [ fhir:v "Prothesis" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "BackboneElement"^^xsd:anyURI ;
    fhir:l fhir:BackboneElement         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp').where(code.memberOf(ProstheticProcedureTypeVs))" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.prothesis.status" ] ;
    fhir:path [ fhir:v "MajorSurgery.prothesis.status" ] ;
    fhir:short [ fhir:v "status" ] ;
    fhir:definition [ fhir:v "Please state if the survivor has a prosthesis either internal (e.g. hip replacement) or external (e.g. artificial arm)" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".exists()" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.prothesis.deviceType" ] ;
    fhir:path [ fhir:v "MajorSurgery.prothesis.deviceType" ] ;
    fhir:short [ fhir:v "device type" ] ;
    fhir:definition [ fhir:v "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.\n1 => Internal\n2 => External\n-9922 => NK" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "usedCode" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.colostomy" ] ;
    fhir:path [ fhir:v "MajorSurgery.colostomy" ] ;
    fhir:short [ fhir:v "Colostomy" ] ;
    fhir:definition [ fhir:v "Colostomy" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "BackboneElement"^^xsd:anyURI ;
    fhir:l fhir:BackboneElement         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp').where(code.memberOf(ColostomyProcedureTypeVs))" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.colostomy.status" ] ;
    fhir:path [ fhir:v "MajorSurgery.colostomy.status" ] ;
    fhir:short [ fhir:v "status" ] ;
    fhir:definition [ fhir:v "State if a colostomy was created. Details should be reported in the surgery section." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".exists()" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.colostomy.isRemoved" ] ;
    fhir:path [ fhir:v "MajorSurgery.colostomy.isRemoved" ] ;
    fhir:short [ fhir:v "In place or removed ?" ] ;
    fhir:definition [ fhir:v "State if a colostomy was created. Details should be reported in the surgery section.\n1 => Still in place\n2 => Removed\n-9922 =>NK" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".focalDevice.action" ]       ] )     ] [
    fhir:id [ fhir:v "MajorSurgery.gastrostomy" ] ;
    fhir:path [ fhir:v "MajorSurgery.gastrostomy" ] ;
    fhir:short [ fhir:v "Gastrostomy" ] ;
    fhir:definition [ fhir:v "State if a gastrostomy was created. Details should be reported in the surgery section.\n1 => Yes\n2 => No\n-9911 => Not applicable\n-9922 =>NK" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp').where(code.memberOf(GastrostomyProcedureTypeVs)).exists()" ]       ] )     ] )
      ] . #