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{
  "resourceType": "StructureDefinition",
  "id": "CancerProcedure",
  "meta": {
    "versionId": "2",
    "lastUpdated": "2016-11-27T05:38:32.674+00:00"
  },
  "url": "http://icecoldfhirga.tech/baseDstu3/StructureDefinition/CancerProcedure",
  "identifier": [
    {
      "system": "http://clinfhir.com",
      "value": "author"
    }
  ],
  "name": "CancerProcedure",
  "status": "active",
  "experimental": true,
  "publisher": "http://icecoldfhirga.tech/baseDstu3/",
  "kind": "resource",
  "abstract": false,
  "snapshot": {
    "element": [
      {
        "id": "Procedure",
        "path": "Procedure",
        "short": "An action that is being or was performed on a patient",
        "definition": "An action that is or was performed on a patient. This can be a physical intervention like an operation, or less invasive like counseling or hypnotherapy.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "DomainResource"
          }
        ],
        "constraint": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression",
                "valueString": "reasonNotPerformed.empty() or notPerformed = 'true'"
              }
            ],
            "key": "pro-1",
            "severity": "error",
            "human": "Reason not performed is only permitted if notPerformed indicator is true",
            "xpath": "not(exists(f:reasonNotPerformed)) or f:notPerformed/@value=true()"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "Procedure[moodCode=EVN]"
          },
          {
            "identity": "w5",
            "map": "clinical.general"
          }
        ]
      },
      {
        "id": "Procedure.id",
        "path": "Procedure.id",
        "definition": "Id",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "id"
          }
        ]
      },
      {
        "id": "Procedure.meta",
        "path": "Procedure.meta",
        "definition": "The meta element",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.meta",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Meta"
          }
        ]
      },
      {
        "id": "Procedure.text",
        "path": "Procedure.text",
        "definition": "Narrative",
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.text",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Narrative"
          }
        ]
      },
      {
        "id": "Procedure.identifier",
        "path": "Procedure.identifier",
        "short": "External Identifiers for this procedure",
        "definition": "This records identifiers associated with this procedure that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).",
        "requirements": "Need to allow connection to a wider workflow.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "Some combination of ORC-2 / ORC-3 / OBR-2 / OBR-3 / IPC-1 / IPC-2 / IPC-3 / IPC-4"
          },
          {
            "identity": "rim",
            "map": ".id"
          },
          {
            "identity": "w5",
            "map": "id"
          }
        ]
      },
      {
        "id": "Procedure.subject",
        "path": "Procedure.subject",
        "short": "Who the procedure was performed on",
        "definition": "The person, animal or group on which the procedure was performed.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "profile": "http://hl7.org/fhir/StructureDefinition/Patient"
          },
          {
            "code": "Reference",
            "profile": "http://hl7.org/fhir/StructureDefinition/Group"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "PID-3"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=SBJ].role"
          },
          {
            "identity": "w5",
            "map": "who.focus"
          }
        ]
      },
      {
        "id": "Procedure.status",
        "path": "Procedure.status",
        "short": "in-progress | aborted | completed | entered-in-error",
        "definition": "A code specifying the state of the procedure. Generally this will be in-progress or completed state.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "isModifier": true,
        "isSummary": true,
        "binding": {
          "strength": "required",
          "description": "A code specifying the state of the procedure.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/procedure-status"
          }
        }
      },
      {
        "id": "Procedure.category",
        "path": "Procedure.category",
        "short": "Classification of the procedure",
        "definition": "A code that classifies the procedure for searching, sorting and display purposes (e.g. \"Surgical Procedure\").",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "strength": "example",
          "description": "A code that classifies a procedure for searching, sorting and display purposes.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/procedure-category"
          }
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
          }
        ]
      },
      {
        "id": "Procedure.code",
        "path": "Procedure.code",
        "short": "Identification of the procedure",
        "definition": "The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. \"Laparoscopic Appendectomy\").",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "strength": "preferred",
          "description": "A code to identify a specific procedure .",
          "valueSetUri": "http://hl7.org/fhir/ValueSet/uslab-obs-codedresults"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "OBR-44/OBR-45"
          },
          {
            "identity": "rim",
            "map": ".code"
          },
          {
            "identity": "w5",
            "map": "class"
          }
        ]
      },
      {
        "id": "Procedure.notPerformed",
        "path": "Procedure.notPerformed",
        "short": "True if procedure was not performed as scheduled",
        "definition": "Set this to true if the record is saying that the procedure was NOT performed.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "boolean"
          }
        ],
        "defaultValueBoolean": false,
        "isModifier": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".actionNegationInd"
          }
        ]
      },
      {
        "id": "Procedure.reasonNotPerformed",
        "path": "Procedure.reasonNotPerformed",
        "short": "Reason procedure was not performed",
        "definition": "A code indicating why the procedure was not performed.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "condition": [
          "pro-1"
        ],
        "binding": {
          "strength": "example",
          "description": "A code that identifies the reason a procedure was not performed.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/procedure-not-performed-reason"
          }
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".reason.Observation.value"
          }
        ]
      },
      {
        "id": "Procedure.bodySite",
        "path": "Procedure.bodySite",
        "short": "Target body sites",
        "definition": "Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "strength": "preferred",
          "description": "Codes describing anatomical locations. May include laterality.",
          "valueSetUri": "http://hl7.org/fhir/ValueSet/body-site"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "OBX-20"
          },
          {
            "identity": "rim",
            "map": ".targetSiteCode"
          }
        ]
      },
      {
        "id": "Procedure.reason[x]",
        "path": "Procedure.reason[x]",
        "short": "Reason procedure performed",
        "definition": "The reason why the procedure was performed. This may be due to a Condition, may be coded entity of some type, or may simply be present as text.",
        "comments": "e.g. endoscopy for dilatation and biopsy, combination diagnosis and therapeutic.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          },
          {
            "code": "Reference",
            "profile": "http://hl7.org/fhir/StructureDefinition/Condition"
          }
        ],
        "isSummary": true,
        "binding": {
          "strength": "example",
          "description": "A code that identifies the reason a procedure is  required.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/procedure-reason"
          }
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".reasonCode"
          }
        ]
      },
      {
        "id": "Procedure.performer",
        "path": "Procedure.performer",
        "short": "The people who performed the procedure",
        "definition": "Limited to 'real' people rather than equipment.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".participation[typeCode=PFM]"
          }
        ]
      },
      {
        "id": "Procedure.performer.actor",
        "path": "Procedure.performer.actor",
        "short": "The reference to the practitioner",
        "definition": "The practitioner who was involved in the procedure.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "profile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
          },
          {
            "code": "Reference",
            "profile": "http://hl7.org/fhir/StructureDefinition/Organization"
          },
          {
            "code": "Reference",
            "profile": "http://hl7.org/fhir/StructureDefinition/Patient"
          },
          {
            "code": "Reference",
            "profile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "ORC-19/PRT-5"
          },
          {
            "identity": "rim",
            "map": ".role"
          },
          {
            "identity": "w5",
            "map": "who.actor"
          }
        ]
      },
      {
        "id": "Procedure.performer.role",
        "path": "Procedure.performer.role",
        "short": "The role the actor was in",
        "definition": "For example: surgeon, anaethetist, endoscopist.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "strength": "example",
          "description": "A code that identifies the role of a performer of the procedure.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/performer-role"
          }
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25"
          },
          {
            "identity": "rim",
            "map": ".functionCode"
          }
        ]
      },
      {
        "id": "Procedure.performed[x]",
        "path": "Procedure.performed[x]",
        "short": "Date/Period the procedure was performed",
        "definition": "The date(time)/period over which the procedure was performed. Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be captured.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          },
          {
            "code": "Period"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "OBR-7"
          },
          {
            "identity": "rim",
            "map": ".effectiveTime"
          },
          {
            "identity": "w5",
            "map": "when.done"
          }
        ]
      },
      {
        "id": "Procedure.encounter",
        "path": "Procedure.encounter",
        "short": "The encounter associated with the procedure",
        "definition": "The encounter during which the procedure was performed.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "profile": "http://hl7.org/fhir/StructureDefinition/Encounter"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "PV1-19"
          },
          {
            "identity": "rim",
            "map": ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
          },
          {
            "identity": "w5",
            "map": "context"
          }
        ]
      },
      {
        "id": "Procedure.location",
        "path": "Procedure.location",
        "short": "Where the procedure happened",
        "definition": "The location where the procedure actually happened.  E.g. a newborn at home, a tracheostomy at a restaurant.",
        "requirements": "Ties a procedure to where the records are likely kept.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "profile": "http://hl7.org/fhir/StructureDefinition/Location"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "w5",
            "map": "where"
          }
        ]
      },
      {
        "id": "Procedure.outcome",
        "path": "Procedure.outcome",
        "short": "The result of procedure",
        "definition": "The outcome of the procedure - did it resolve reasons for the procedure being performed?",
        "comments": "If outcome contains narrative text only, it can be captured using the CodeableConcept.text.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "strength": "example",
          "description": "An outcome of a procedure - whether it was resolved or otherwise.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/procedure-outcome"
          }
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=OUT].target.text"
          }
        ]
      },
      {
        "id": "Procedure.report",
        "path": "Procedure.report",
        "short": "Any report resulting from the procedure",
        "definition": "This could be a histology result, pathology report, surgical report, etc..",
        "comments": "There could potentially be multiple reports - e.g. if this was a procedure which took multiple biopsies resulting in a number of anatomical pathology reports.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "profile": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id": "Procedure.complication",
        "path": "Procedure.complication",
        "short": "Complication following the procedure",
        "definition": "Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the notes, which will typically describe the procedure itself rather than any 'post procedure' issues.",
        "comments": "If complications are only expressed by the narrative text, they can be captured using the CodeableConcept.text.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "example",
          "description": "Codes describing complications that resulted from a procedure.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/condition-code"
          }
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "Need specialization of OUT for this."
          }
        ]
      },
      {
        "id": "Procedure.followUp",
        "path": "Procedure.followUp",
        "short": "Instructions for follow up",
        "definition": "If the procedure required specific follow up - e.g. removal of sutures. The followup may be represented as a simple note, or could potentially be more complex in which case the CarePlan resource can be used.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "example",
          "description": "Specific follow up required for a procedure e.g. removal of sutures.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/procedure-followup"
          }
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=ACT, moodCode=INT].code"
          }
        ]
      },
      {
        "id": "Procedure.request",
        "path": "Procedure.request",
        "short": "A request for this procedure",
        "definition": "A reference to a resource that contains details of the request for this procedure.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "profile": "http://hl7.org/fhir/StructureDefinition/CarePlan"
          },
          {
            "code": "Reference",
            "profile": "http://hl7.org/fhir/StructureDefinition/DiagnosticOrder"
          },
          {
            "code": "Reference",
            "profile": "http://hl7.org/fhir/StructureDefinition/ProcedureRequest"
          },
          {
            "code": "Reference",
            "profile": "http://hl7.org/fhir/StructureDefinition/ReferralRequest"
          }
        ]
      },
      {
        "id": "Procedure.notes",
        "path": "Procedure.notes",
        "short": "Additional information about the procedure",
        "definition": "Any other notes about the procedure.  E.g. the operative notes.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Annotation"
          }
        ],
        "mapping": [
          {
            "identity": "v2",
            "map": "NTE"
          },
          {
            "identity": "rim",
            "map": ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
          }
        ]
      },
      {
        "id": "Procedure.focalDevice",
        "path": "Procedure.focalDevice",
        "short": "Device changed in procedure",
        "definition": "A device that is implanted, removed or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ]
      },
      {
        "id": "Procedure.focalDevice.action",
        "path": "Procedure.focalDevice.action",
        "short": "Kind of change to device",
        "definition": "The kind of change that happened to the device during the procedure.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "A kind of change that happened to the device during the procedure.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/device-action"
          }
        }
      },
      {
        "id": "Procedure.focalDevice.manipulated",
        "path": "Procedure.focalDevice.manipulated",
        "short": "Device that was changed",
        "definition": "The device that was manipulated (changed) during the procedure.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "profile": "http://hl7.org/fhir/StructureDefinition/Device"
          }
        ]
      },
      {
        "id": "Procedure.used",
        "path": "Procedure.used",
        "short": "Items used during procedure",
        "definition": "Identifies medications, devices and any other substance used as part of the procedure.",
        "comments": "For devices actually implanted or removed, use Procedure.device.",
        "requirements": "Used for tracking contamination, etc.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "profile": "http://hl7.org/fhir/StructureDefinition/Device"
          },
          {
            "code": "Reference",
            "profile": "http://hl7.org/fhir/StructureDefinition/Medication"
          },
          {
            "code": "Reference",
            "profile": "http://hl7.org/fhir/StructureDefinition/Substance"
          }
        ]
      }
    ]
  }
}

name : CancerProcedure

{

}