{
"description": "Major Surgery.\\nMaturity Level: 2 - Ready for Review",
"_filename": "StructureDefinition-MajorSurgery.json",
"package_name": "hl7.eu.fhir.pcsp",
"date": "2023-01-26T09:50:21+01:00",
"derivation": "specialization",
"publisher": "PanCareSurPass Project",
"fhirVersion": "4.0.1",
"jurisdiction": [ {
"coding": [ {
"code": "150",
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"display": "Europe"
} ]
} ],
"name": "MajorSurgery",
"mapping": [ {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
}, {
"uri": "hl7.org/fhir/r4",
"name": "MajorSurgery model to PCSP HL7 FHIR R4 Profiles",
"identity": "fhir"
} ],
"abstract": false,
"type": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/MajorSurgery",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "Major Surgery",
"package_version": "0.1.0",
"snapshot": {
"element": [ {
"path": "MajorSurgery",
"min": 0,
"definition": "Major Surgery.\nMaturity Level: 2 - Ready for Review",
"isModifier": false,
"short": "Major Surgery",
"mapping": [ {
"map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp')",
"identity": "fhir"
} ],
"max": "*",
"id": "MajorSurgery",
"base": {
"max": "*",
"min": 0,
"path": "Base"
}
}, {
"path": "MajorSurgery.relatedDiagnosis",
"min": 0,
"definition": "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",
"short": "Progressive number of diagnosis",
"mapping": [ {
"map": ".reasonReference",
"identity": "fhir"
} ],
"type": [ {
"code": "Identifier"
} ],
"max": "1",
"id": "MajorSurgery.relatedDiagnosis",
"base": {
"max": "1",
"min": 0,
"path": "MajorSurgery.relatedDiagnosis"
}
}, {
"path": "MajorSurgery.relatedRelapse",
"min": 0,
"definition": "Progressive number of relapse/progression (after FLT)",
"short": "Progressive number of relapse/progression (after FLT)",
"mapping": [ {
"map": ".reasonReference",
"identity": "fhir"
} ],
"type": [ {
"code": "Identifier"
} ],
"max": "1",
"id": "MajorSurgery.relatedRelapse",
"base": {
"max": "1",
"min": 0,
"path": "MajorSurgery.relatedRelapse"
}
}, {
"path": "MajorSurgery.identifier",
"min": 0,
"definition": "Progressive number of surgeries (1=first; 2= second; 3 = third; ?).\nIn this field must be reported the ordinal number of the surgeries given. ",
"short": "Progressive Surgery number",
"mapping": [ {
"map": ".identifier",
"identity": "fhir"
} ],
"type": [ {
"code": "Identifier"
} ],
"max": "*",
"id": "MajorSurgery.identifier",
"base": {
"max": "*",
"min": 0,
"path": "MajorSurgery.identifier"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "MajorSurgery.istitutionOfTreatment",
"min": 0,
"definition": "Please Identify the institution were surgery was performed",
"short": "Institution of treatment",
"mapping": [ {
"map": "location.resolve().conformsTo(http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Location-eu-pcsp)",
"identity": "fhir"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "1",
"id": "MajorSurgery.istitutionOfTreatment",
"base": {
"max": "1",
"min": 0,
"path": "MajorSurgery.istitutionOfTreatment"
}
}, {
"path": "MajorSurgery.istitutionOfTreatment.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "MajorSurgery.istitutionOfTreatment.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "MajorSurgery.istitutionOfTreatment.extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "MajorSurgery.istitutionOfTreatment.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "MajorSurgery.istitutionOfTreatment.modifierExtension",
"requirements": "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).",
"min": 0,
"definition": "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).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "MajorSurgery.istitutionOfTreatment.modifierExtension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"path": "MajorSurgery.istitutionOfTreatment.description",
"min": 0,
"definition": "Institution description",
"short": "Institution description",
"mapping": [ {
"map": "Location.description",
"identity": "fhir"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "MajorSurgery.istitutionOfTreatment.description",
"base": {
"max": "1",
"min": 0,
"path": "MajorSurgery.istitutionOfTreatment.description"
}
}, {
"path": "MajorSurgery.istitutionOfTreatment.name",
"min": 0,
"definition": "Institution name",
"short": "Institution name",
"mapping": [ {
"map": "Location.name",
"identity": "fhir"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "MajorSurgery.istitutionOfTreatment.name",
"base": {
"max": "1",
"min": 0,
"path": "MajorSurgery.istitutionOfTreatment.name"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "MajorSurgery.istitutionOfTreatment.address",
"min": 0,
"definition": "Institution address",
"short": "Institution address",
"mapping": [ {
"map": "Location.address.city",
"identity": "fhir"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "1",
"id": "MajorSurgery.istitutionOfTreatment.address",
"base": {
"max": "1",
"min": 0,
"path": "MajorSurgery.istitutionOfTreatment.address"
}
}, {
"path": "MajorSurgery.istitutionOfTreatment.address.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "MajorSurgery.istitutionOfTreatment.address.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "MajorSurgery.istitutionOfTreatment.address.extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "MajorSurgery.istitutionOfTreatment.address.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "MajorSurgery.istitutionOfTreatment.address.modifierExtension",
"requirements": "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).",
"min": 0,
"definition": "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).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "MajorSurgery.istitutionOfTreatment.address.modifierExtension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"id": "MajorSurgery.istitutionOfTreatment.address.name",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "MajorSurgery.istitutionOfTreatment.address.name"
},
"path": "MajorSurgery.istitutionOfTreatment.address.name",
"type": [ {
"code": "string"
} ],
"short": "Institution city",
"definition": "Institution city"
}, {
"path": "MajorSurgery.istitutionOfTreatment.address.country",
"min": 0,
"definition": "Institution country",
"short": "Institution country",
"mapping": [ {
"map": "Location.address.country",
"identity": "fhir"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "MajorSurgery.istitutionOfTreatment.address.country",
"base": {
"max": "1",
"min": 0,
"path": "MajorSurgery.istitutionOfTreatment.address.country"
}
}, {
"path": "MajorSurgery.date",
"min": 0,
"definition": "Date of surgery (dd/mm/yyyy). If the date is unkown or partially missed insert the year at the best of your knowledge.",
"short": "Date of surgery",
"mapping": [ {
"map": "Procedure.performedDateTime",
"identity": "fhir"
} ],
"type": [ {
"code": "dateTime"
} ],
"max": "1",
"id": "MajorSurgery.date",
"base": {
"max": "1",
"min": 0,
"path": "MajorSurgery.date"
}
}, {
"path": "MajorSurgery.description",
"min": 0,
"definition": "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.",
"short": "Surgery description",
"mapping": [ {
"map": ".text",
"identity": "fhir"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "MajorSurgery.description",
"base": {
"max": "1",
"min": 0,
"path": "MajorSurgery.description"
}
}, {
"path": "MajorSurgery.affectedOrgan",
"min": 0,
"definition": "Was one of these organs involved ? \n(Oesophagus; Abdomen; Brain; Face; Liver; Spine; Spinal Cord; Sympathetic nerves; Chest/thorax; Pelvis)",
"short": "Affected Organs",
"mapping": [ {
"map": ".bodySite",
"identity": "fhir"
}, {
"map": ".code",
"identity": "fhir"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "*",
"id": "MajorSurgery.affectedOrgan",
"base": {
"max": "*",
"min": 0,
"path": "MajorSurgery.affectedOrgan"
}
}, {
"path": "MajorSurgery.sacrifiedOrgan",
"min": 0,
"definition": "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)",
"short": "Sacrified Organs",
"mapping": [ {
"map": ".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/surgery-sacrifiedOrgan').valueCodeableConcept",
"identity": "fhir"
}, {
"map": ".code",
"identity": "fhir"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "*",
"id": "MajorSurgery.sacrifiedOrgan",
"base": {
"max": "*",
"min": 0,
"path": "MajorSurgery.sacrifiedOrgan"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "MajorSurgery.shuntApplication",
"min": 0,
"definition": "Please report if a cerebrovascular shunt was inserted ",
"short": "Shunt application",
"mapping": [ {
"map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp').where(code.memberOf(ShuntProcedureTypeVs))",
"identity": "fhir"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "*",
"id": "MajorSurgery.shuntApplication",
"base": {
"max": "*",
"min": 0,
"path": "MajorSurgery.shuntApplication"
}
}, {
"path": "MajorSurgery.shuntApplication.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "MajorSurgery.shuntApplication.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "MajorSurgery.shuntApplication.extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "MajorSurgery.shuntApplication.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "MajorSurgery.shuntApplication.modifierExtension",
"requirements": "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).",
"min": 0,
"definition": "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).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "MajorSurgery.shuntApplication.modifierExtension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"path": "MajorSurgery.shuntApplication.type",
"min": 0,
"definition": "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",
"short": "Type of shunt",
"mapping": [ {
"map": ".code",
"identity": "fhir"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "MajorSurgery.shuntApplication.type",
"base": {
"max": "1",
"min": 0,
"path": "MajorSurgery.shuntApplication.type"
}
}, {
"path": "MajorSurgery.shuntApplication.laterality",
"min": 0,
"definition": "Please specify the laterality of the shunt\n1 = right\n2= left\n3 = midline\n-9911 = not applicable\n-9922 => NK",
"short": "Laterality of shunt",
"mapping": [ {
"map": ".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier').valueCodeableConcept",
"identity": "fhir"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "MajorSurgery.shuntApplication.laterality",
"base": {
"max": "1",
"min": 0,
"path": "MajorSurgery.shuntApplication.laterality"
}
}, {
"path": "MajorSurgery.shuntApplication.isRemoved",
"min": 0,
"definition": "Define if it is still in place or is already removed \n1 => Still in place\n2 => Removed\n -9911 => NA\n -9922 => NK",
"short": "In place or removed ?",
"mapping": [ {
"map": ".focalDevice.action",
"identity": "fhir"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "MajorSurgery.shuntApplication.isRemoved",
"base": {
"max": "1",
"min": 0,
"path": "MajorSurgery.shuntApplication.isRemoved"
}
}, {
"path": "MajorSurgery.amputation",
"min": 0,
"definition": "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 ",
"short": "Amputation",
"mapping": [ {
"map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp').where(code.memberOf(AmputationProcedureTypeVs)).exists()",
"identity": "fhir"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "MajorSurgery.amputation",
"base": {
"max": "1",
"min": 0,
"path": "MajorSurgery.amputation"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "MajorSurgery.prothesis",
"min": 0,
"definition": "Prothesis",
"short": "Prothesis",
"mapping": [ {
"map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp').where(code.memberOf(ProstheticProcedureTypeVs))",
"identity": "fhir"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "1",
"id": "MajorSurgery.prothesis",
"base": {
"max": "1",
"min": 0,
"path": "MajorSurgery.prothesis"
}
}, {
"path": "MajorSurgery.prothesis.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "MajorSurgery.prothesis.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "MajorSurgery.prothesis.extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "MajorSurgery.prothesis.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "MajorSurgery.prothesis.modifierExtension",
"requirements": "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).",
"min": 0,
"definition": "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).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "MajorSurgery.prothesis.modifierExtension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"path": "MajorSurgery.prothesis.status",
"min": 0,
"definition": "Please state if the survivor has a prosthesis either internal (e.g. hip replacement) or external (e.g. artificial arm)",
"short": "status",
"mapping": [ {
"map": ".exists()",
"identity": "fhir"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "MajorSurgery.prothesis.status",
"base": {
"max": "1",
"min": 0,
"path": "MajorSurgery.prothesis.status"
}
}, {
"path": "MajorSurgery.prothesis.deviceType",
"min": 0,
"definition": "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",
"short": "device type",
"mapping": [ {
"map": "usedCode",
"identity": "fhir"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "MajorSurgery.prothesis.deviceType",
"base": {
"max": "1",
"min": 0,
"path": "MajorSurgery.prothesis.deviceType"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "MajorSurgery.colostomy",
"min": 0,
"definition": "Colostomy",
"short": "Colostomy",
"mapping": [ {
"map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp').where(code.memberOf(ColostomyProcedureTypeVs))",
"identity": "fhir"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "1",
"id": "MajorSurgery.colostomy",
"base": {
"max": "1",
"min": 0,
"path": "MajorSurgery.colostomy"
}
}, {
"path": "MajorSurgery.colostomy.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "MajorSurgery.colostomy.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "MajorSurgery.colostomy.extension",
"min": 0,
"definition": "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.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "MajorSurgery.colostomy.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "MajorSurgery.colostomy.modifierExtension",
"requirements": "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).",
"min": 0,
"definition": "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).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "MajorSurgery.colostomy.modifierExtension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"path": "MajorSurgery.colostomy.status",
"min": 0,
"definition": "State if a colostomy was created. Details should be reported in the surgery section.",
"short": "status",
"mapping": [ {
"map": ".exists()",
"identity": "fhir"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "MajorSurgery.colostomy.status",
"base": {
"max": "1",
"min": 0,
"path": "MajorSurgery.colostomy.status"
}
}, {
"path": "MajorSurgery.colostomy.isRemoved",
"min": 0,
"definition": "State if a colostomy was created. Details should be reported in the surgery section.\n1 => Still in place\n2 => Removed\n-9922 =>NK",
"short": "In place or removed ?",
"mapping": [ {
"map": ".focalDevice.action",
"identity": "fhir"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "MajorSurgery.colostomy.isRemoved",
"base": {
"max": "1",
"min": 0,
"path": "MajorSurgery.colostomy.isRemoved"
}
}, {
"path": "MajorSurgery.gastrostomy",
"min": 0,
"definition": "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",
"short": "Gastrostomy",
"mapping": [ {
"map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp').where(code.memberOf(GastrostomyProcedureTypeVs)).exists()",
"identity": "fhir"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "MajorSurgery.gastrostomy",
"base": {
"max": "1",
"min": 0,
"path": "MajorSurgery.gastrostomy"
}
} ]
},
"status": "active",
"id": "b566e836-a0d7-4fbc-a1c0-d1e93cfcbea6",
"kind": "logical",
"url": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/MajorSurgery",
"version": "0.1.0",
"differential": {
"element": [ {
"id": "MajorSurgery",
"path": "MajorSurgery",
"short": "Major Surgery",
"mapping": [ {
"map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp')",
"identity": "fhir"
} ],
"definition": "Major Surgery.\nMaturity Level: 2 - Ready for Review"
}, {
"id": "MajorSurgery.relatedDiagnosis",
"max": "1",
"min": 0,
"path": "MajorSurgery.relatedDiagnosis",
"type": [ {
"code": "Identifier"
} ],
"short": "Progressive number of diagnosis",
"mapping": [ {
"map": ".reasonReference",
"identity": "fhir"
} ],
"definition": "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"
}, {
"id": "MajorSurgery.relatedRelapse",
"max": "1",
"min": 0,
"path": "MajorSurgery.relatedRelapse",
"type": [ {
"code": "Identifier"
} ],
"short": "Progressive number of relapse/progression (after FLT)",
"mapping": [ {
"map": ".reasonReference",
"identity": "fhir"
} ],
"definition": "Progressive number of relapse/progression (after FLT)"
}, {
"id": "MajorSurgery.identifier",
"max": "*",
"min": 0,
"path": "MajorSurgery.identifier",
"type": [ {
"code": "Identifier"
} ],
"short": "Progressive Surgery number",
"mapping": [ {
"map": ".identifier",
"identity": "fhir"
} ],
"definition": "Progressive number of surgeries (1=first; 2= second; 3 = third; ?).\nIn this field must be reported the ordinal number of the surgeries given. "
}, {
"id": "MajorSurgery.istitutionOfTreatment",
"max": "1",
"min": 0,
"path": "MajorSurgery.istitutionOfTreatment",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Institution of treatment",
"mapping": [ {
"map": "location.resolve().conformsTo(http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Location-eu-pcsp)",
"identity": "fhir"
} ],
"definition": "Please Identify the institution were surgery was performed"
}, {
"id": "MajorSurgery.istitutionOfTreatment.description",
"max": "1",
"min": 0,
"path": "MajorSurgery.istitutionOfTreatment.description",
"type": [ {
"code": "string"
} ],
"short": "Institution description",
"mapping": [ {
"map": "Location.description",
"identity": "fhir"
} ],
"definition": "Institution description"
}, {
"id": "MajorSurgery.istitutionOfTreatment.name",
"max": "1",
"min": 0,
"path": "MajorSurgery.istitutionOfTreatment.name",
"type": [ {
"code": "string"
} ],
"short": "Institution name",
"mapping": [ {
"map": "Location.name",
"identity": "fhir"
} ],
"definition": "Institution name"
}, {
"id": "MajorSurgery.istitutionOfTreatment.address",
"max": "1",
"min": 0,
"path": "MajorSurgery.istitutionOfTreatment.address",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Institution address",
"mapping": [ {
"map": "Location.address.city",
"identity": "fhir"
} ],
"definition": "Institution address"
}, {
"id": "MajorSurgery.istitutionOfTreatment.address.name",
"max": "1",
"min": 0,
"path": "MajorSurgery.istitutionOfTreatment.address.name",
"type": [ {
"code": "string"
} ],
"short": "Institution city",
"definition": "Institution city"
}, {
"id": "MajorSurgery.istitutionOfTreatment.address.country",
"max": "1",
"min": 0,
"path": "MajorSurgery.istitutionOfTreatment.address.country",
"type": [ {
"code": "string"
} ],
"short": "Institution country",
"mapping": [ {
"map": "Location.address.country",
"identity": "fhir"
} ],
"definition": "Institution country"
}, {
"id": "MajorSurgery.date",
"max": "1",
"min": 0,
"path": "MajorSurgery.date",
"type": [ {
"code": "dateTime"
} ],
"short": "Date of surgery",
"mapping": [ {
"map": "Procedure.performedDateTime",
"identity": "fhir"
} ],
"definition": "Date of surgery (dd/mm/yyyy). If the date is unkown or partially missed insert the year at the best of your knowledge."
}, {
"id": "MajorSurgery.description",
"max": "1",
"min": 0,
"path": "MajorSurgery.description",
"type": [ {
"code": "string"
} ],
"short": "Surgery description",
"mapping": [ {
"map": ".text",
"identity": "fhir"
} ],
"definition": "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."
}, {
"id": "MajorSurgery.affectedOrgan",
"max": "*",
"min": 0,
"path": "MajorSurgery.affectedOrgan",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Affected Organs",
"mapping": [ {
"map": ".bodySite",
"identity": "fhir"
}, {
"map": ".code",
"identity": "fhir"
} ],
"definition": "Was one of these organs involved ? \n(Oesophagus; Abdomen; Brain; Face; Liver; Spine; Spinal Cord; Sympathetic nerves; Chest/thorax; Pelvis)"
}, {
"id": "MajorSurgery.sacrifiedOrgan",
"max": "*",
"min": 0,
"path": "MajorSurgery.sacrifiedOrgan",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Sacrified Organs",
"mapping": [ {
"map": ".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/surgery-sacrifiedOrgan').valueCodeableConcept",
"identity": "fhir"
}, {
"map": ".code",
"identity": "fhir"
} ],
"definition": "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)"
}, {
"id": "MajorSurgery.shuntApplication",
"max": "*",
"min": 0,
"path": "MajorSurgery.shuntApplication",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Shunt application",
"mapping": [ {
"map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp').where(code.memberOf(ShuntProcedureTypeVs))",
"identity": "fhir"
} ],
"definition": "Please report if a cerebrovascular shunt was inserted "
}, {
"id": "MajorSurgery.shuntApplication.type",
"max": "1",
"min": 0,
"path": "MajorSurgery.shuntApplication.type",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Type of shunt",
"mapping": [ {
"map": ".code",
"identity": "fhir"
} ],
"definition": "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"
}, {
"id": "MajorSurgery.shuntApplication.laterality",
"max": "1",
"min": 0,
"path": "MajorSurgery.shuntApplication.laterality",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Laterality of shunt",
"mapping": [ {
"map": ".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/mcode-laterality-qualifier').valueCodeableConcept",
"identity": "fhir"
} ],
"definition": "Please specify the laterality of the shunt\n1 = right\n2= left\n3 = midline\n-9911 = not applicable\n-9922 => NK"
}, {
"id": "MajorSurgery.shuntApplication.isRemoved",
"max": "1",
"min": 0,
"path": "MajorSurgery.shuntApplication.isRemoved",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "In place or removed ?",
"mapping": [ {
"map": ".focalDevice.action",
"identity": "fhir"
} ],
"definition": "Define if it is still in place or is already removed \n1 => Still in place\n2 => Removed\n -9911 => NA\n -9922 => NK"
}, {
"id": "MajorSurgery.amputation",
"max": "1",
"min": 0,
"path": "MajorSurgery.amputation",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Amputation",
"mapping": [ {
"map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp').where(code.memberOf(AmputationProcedureTypeVs)).exists()",
"identity": "fhir"
} ],
"definition": "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 "
}, {
"id": "MajorSurgery.prothesis",
"max": "1",
"min": 0,
"path": "MajorSurgery.prothesis",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Prothesis",
"mapping": [ {
"map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp').where(code.memberOf(ProstheticProcedureTypeVs))",
"identity": "fhir"
} ],
"definition": "Prothesis"
}, {
"id": "MajorSurgery.prothesis.status",
"max": "1",
"min": 0,
"path": "MajorSurgery.prothesis.status",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "status",
"mapping": [ {
"map": ".exists()",
"identity": "fhir"
} ],
"definition": "Please state if the survivor has a prosthesis either internal (e.g. hip replacement) or external (e.g. artificial arm)"
}, {
"id": "MajorSurgery.prothesis.deviceType",
"max": "1",
"min": 0,
"path": "MajorSurgery.prothesis.deviceType",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "device type",
"mapping": [ {
"map": "usedCode",
"identity": "fhir"
} ],
"definition": "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"
}, {
"id": "MajorSurgery.colostomy",
"max": "1",
"min": 0,
"path": "MajorSurgery.colostomy",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Colostomy",
"mapping": [ {
"map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp').where(code.memberOf(ColostomyProcedureTypeVs))",
"identity": "fhir"
} ],
"definition": "Colostomy"
}, {
"id": "MajorSurgery.colostomy.status",
"max": "1",
"min": 0,
"path": "MajorSurgery.colostomy.status",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "status",
"mapping": [ {
"map": ".exists()",
"identity": "fhir"
} ],
"definition": "State if a colostomy was created. Details should be reported in the surgery section."
}, {
"id": "MajorSurgery.colostomy.isRemoved",
"max": "1",
"min": 0,
"path": "MajorSurgery.colostomy.isRemoved",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "In place or removed ?",
"mapping": [ {
"map": ".focalDevice.action",
"identity": "fhir"
} ],
"definition": "State if a colostomy was created. Details should be reported in the surgery section.\n1 => Still in place\n2 => Removed\n-9922 =>NK"
}, {
"id": "MajorSurgery.gastrostomy",
"max": "1",
"min": 0,
"path": "MajorSurgery.gastrostomy",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Gastrostomy",
"mapping": [ {
"map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp').where(code.memberOf(GastrostomyProcedureTypeVs)).exists()",
"identity": "fhir"
} ],
"definition": "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"
} ]
},
"contact": [ {
"name": "PanCareSurPass Project",
"telecom": [ {
"value": "https://www.pancaresurpass.eu/",
"system": "url"
} ]
}, {
"name": "PanCareSurPass Project",
"telecom": [ {
"value": "https://www.pancaresurpass.eu/",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Base"
}