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: Major Surgery

Official URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/MajorSurgery | Version: 1.0.0
Active as of 2026-01-16 | Computable Name: MajorSurgery

Major Surgery.

Usages:

- Use this Logical Model: Treatment Summary

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MajorSurgery |  | 0..* | Base | Major Surgery
relatedDiagnosis |  | 0..1 | Identifier | Progressive number of diagnosis
relatedRelapse |  | 0..1 | Identifier | Progressive number of relapse/progression (after FLT)
identifier |  | 0..* | Identifier | Progressive Surgery number
istitutionOfTreatment |  | 0..1 | BackboneElement | Institution of treatment
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
description |  | 0..1 | string | Institution description
name |  | 0..1 | string | Institution name
address |  | 0..1 | BackboneElement | Institution address
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
name |  | 0..1 | string | Institution city
country |  | 0..1 | string | Institution country
date |  | 0..1 | dateTime | Date of surgery
description |  | 0..1 | string | Surgery description
affectedOrgan |  | 0..* | CodeableConcept | Affected Organs
sacrifiedOrgan |  | 0..* | CodeableConcept | Sacrified Organs
shuntApplication |  | 0..* | BackboneElement | Shunt application
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 0..1 | CodeableConcept | Type of shunt
laterality |  | 0..1 | CodeableConcept | Laterality of shunt
isRemoved |  | 0..1 | CodeableConcept | In place or removed ?
amputation |  | 0..1 | CodeableConcept | Amputation
prothesis |  | 0..1 | BackboneElement | Prothesis
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status |  | 0..1 | CodeableConcept | status
deviceType |  | 0..1 | CodeableConcept | device type
colostomy |  | 0..1 | BackboneElement | Colostomy
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status |  | 0..1 | CodeableConcept | status
isRemoved |  | 0..1 | CodeableConcept | In place or removed ?
gastrostomy |  | 0..1 | CodeableConcept | Gastrostomy
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Base

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MajorSurgery |  | 0..* | Base | Major Surgery
relatedDiagnosis |  | 0..1 | Identifier | Progressive number of diagnosis
relatedRelapse |  | 0..1 | Identifier | Progressive number of relapse/progression (after FLT)
identifier |  | 0..* | Identifier | Progressive Surgery number
istitutionOfTreatment |  | 0..1 | BackboneElement | Institution of treatment
description |  | 0..1 | string | Institution description
name |  | 0..1 | string | Institution name
address |  | 0..1 | BackboneElement | Institution address
name |  | 0..1 | string | Institution city
country |  | 0..1 | string | Institution country
date |  | 0..1 | dateTime | Date of surgery
description |  | 0..1 | string | Surgery description
affectedOrgan |  | 0..* | CodeableConcept | Affected Organs
sacrifiedOrgan |  | 0..* | CodeableConcept | Sacrified Organs
shuntApplication |  | 0..* | BackboneElement | Shunt application
type |  | 0..1 | CodeableConcept | Type of shunt
laterality |  | 0..1 | CodeableConcept | Laterality of shunt
isRemoved |  | 0..1 | CodeableConcept | In place or removed ?
amputation |  | 0..1 | CodeableConcept | Amputation
prothesis |  | 0..1 | BackboneElement | Prothesis
status |  | 0..1 | CodeableConcept | status
deviceType |  | 0..1 | CodeableConcept | device type
colostomy |  | 0..1 | BackboneElement | Colostomy
status |  | 0..1 | CodeableConcept | status
isRemoved |  | 0..1 | CodeableConcept | In place or removed ?
gastrostomy |  | 0..1 | CodeableConcept | Gastrostomy
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MajorSurgery |  | 0..* | Base | Major Surgery
relatedDiagnosis |  | 0..1 | Identifier | Progressive number of diagnosis
relatedRelapse |  | 0..1 | Identifier | Progressive number of relapse/progression (after FLT)
identifier |  | 0..* | Identifier | Progressive Surgery number
istitutionOfTreatment |  | 0..1 | BackboneElement | Institution of treatment
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
description |  | 0..1 | string | Institution description
name |  | 0..1 | string | Institution name
address |  | 0..1 | BackboneElement | Institution address
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
name |  | 0..1 | string | Institution city
country |  | 0..1 | string | Institution country
date |  | 0..1 | dateTime | Date of surgery
description |  | 0..1 | string | Surgery description
affectedOrgan |  | 0..* | CodeableConcept | Affected Organs
sacrifiedOrgan |  | 0..* | CodeableConcept | Sacrified Organs
shuntApplication |  | 0..* | BackboneElement | Shunt application
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 0..1 | CodeableConcept | Type of shunt
laterality |  | 0..1 | CodeableConcept | Laterality of shunt
isRemoved |  | 0..1 | CodeableConcept | In place or removed ?
amputation |  | 0..1 | CodeableConcept | Amputation
prothesis |  | 0..1 | BackboneElement | Prothesis
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status |  | 0..1 | CodeableConcept | status
deviceType |  | 0..1 | CodeableConcept | device type
colostomy |  | 0..1 | BackboneElement | Colostomy
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status |  | 0..1 | CodeableConcept | status
isRemoved |  | 0..1 | CodeableConcept | In place or removed ?
gastrostomy |  | 0..1 | CodeableConcept | Gastrostomy
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Base

Summary

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MajorSurgery |  | 0..* | Base | Major Surgery
relatedDiagnosis |  | 0..1 | Identifier | Progressive number of diagnosis
relatedRelapse |  | 0..1 | Identifier | Progressive number of relapse/progression (after FLT)
identifier |  | 0..* | Identifier | Progressive Surgery number
istitutionOfTreatment |  | 0..1 | BackboneElement | Institution of treatment
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
description |  | 0..1 | string | Institution description
name |  | 0..1 | string | Institution name
address |  | 0..1 | BackboneElement | Institution address
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
name |  | 0..1 | string | Institution city
country |  | 0..1 | string | Institution country
date |  | 0..1 | dateTime | Date of surgery
description |  | 0..1 | string | Surgery description
affectedOrgan |  | 0..* | CodeableConcept | Affected Organs
sacrifiedOrgan |  | 0..* | CodeableConcept | Sacrified Organs
shuntApplication |  | 0..* | BackboneElement | Shunt application
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 0..1 | CodeableConcept | Type of shunt
laterality |  | 0..1 | CodeableConcept | Laterality of shunt
isRemoved |  | 0..1 | CodeableConcept | In place or removed ?
amputation |  | 0..1 | CodeableConcept | Amputation
prothesis |  | 0..1 | BackboneElement | Prothesis
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status |  | 0..1 | CodeableConcept | status
deviceType |  | 0..1 | CodeableConcept | device type
colostomy |  | 0..1 | BackboneElement | Colostomy
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status |  | 0..1 | CodeableConcept | status
isRemoved |  | 0..1 | CodeableConcept | In place or removed ?
gastrostomy |  | 0..1 | CodeableConcept | Gastrostomy
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from Base

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MajorSurgery |  | 0..* | Base | Major Surgery
relatedDiagnosis |  | 0..1 | Identifier | Progressive number of diagnosis
relatedRelapse |  | 0..1 | Identifier | Progressive number of relapse/progression (after FLT)
identifier |  | 0..* | Identifier | Progressive Surgery number
istitutionOfTreatment |  | 0..1 | BackboneElement | Institution of treatment
description |  | 0..1 | string | Institution description
name |  | 0..1 | string | Institution name
address |  | 0..1 | BackboneElement | Institution address
name |  | 0..1 | string | Institution city
country |  | 0..1 | string | Institution country
date |  | 0..1 | dateTime | Date of surgery
description |  | 0..1 | string | Surgery description
affectedOrgan |  | 0..* | CodeableConcept | Affected Organs
sacrifiedOrgan |  | 0..* | CodeableConcept | Sacrified Organs
shuntApplication |  | 0..* | BackboneElement | Shunt application
type |  | 0..1 | CodeableConcept | Type of shunt
laterality |  | 0..1 | CodeableConcept | Laterality of shunt
isRemoved |  | 0..1 | CodeableConcept | In place or removed ?
amputation |  | 0..1 | CodeableConcept | Amputation
prothesis |  | 0..1 | BackboneElement | Prothesis
status |  | 0..1 | CodeableConcept | status
deviceType |  | 0..1 | CodeableConcept | device type
colostomy |  | 0..1 | BackboneElement | Colostomy
status |  | 0..1 | CodeableConcept | status
isRemoved |  | 0..1 | CodeableConcept | In place or removed ?
gastrostomy |  | 0..1 | CodeableConcept | Gastrostomy
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MajorSurgery |  | 0..* | Base | Major Surgery
relatedDiagnosis |  | 0..1 | Identifier | Progressive number of diagnosis
relatedRelapse |  | 0..1 | Identifier | Progressive number of relapse/progression (after FLT)
identifier |  | 0..* | Identifier | Progressive Surgery number
istitutionOfTreatment |  | 0..1 | BackboneElement | Institution of treatment
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
description |  | 0..1 | string | Institution description
name |  | 0..1 | string | Institution name
address |  | 0..1 | BackboneElement | Institution address
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
name |  | 0..1 | string | Institution city
country |  | 0..1 | string | Institution country
date |  | 0..1 | dateTime | Date of surgery
description |  | 0..1 | string | Surgery description
affectedOrgan |  | 0..* | CodeableConcept | Affected Organs
sacrifiedOrgan |  | 0..* | CodeableConcept | Sacrified Organs
shuntApplication |  | 0..* | BackboneElement | Shunt application
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 0..1 | CodeableConcept | Type of shunt
laterality |  | 0..1 | CodeableConcept | Laterality of shunt
isRemoved |  | 0..1 | CodeableConcept | In place or removed ?
amputation |  | 0..1 | CodeableConcept | Amputation
prothesis |  | 0..1 | BackboneElement | Prothesis
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status |  | 0..1 | CodeableConcept | status
deviceType |  | 0..1 | CodeableConcept | device type
colostomy |  | 0..1 | BackboneElement | Colostomy
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status |  | 0..1 | CodeableConcept | status
isRemoved |  | 0..1 | CodeableConcept | In place or removed ?
gastrostomy |  | 0..1 | CodeableConcept | Gastrostomy
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Base

Summary

Other representations of profile: CSV, Excel