<status value="active" /> <experimental value="false" /> <description value="Oncology treatment - Surgery" /> <fhirVersion value="4.3.0" /> <kind value="resource" /> <abstract value="false" /> <type value="Procedure" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Procedure" /> <derivation value="constraint" /> <differential> <element id="Procedure"> <path value="Procedure" /> <constraint> <key value="Surgery-con-1" /> <severity value="error" /> <human value="At least one institution is mandatory - either Latvian (Profile: Procedure/Surgery, Field: Procedure.performer.actor.reference) or foreign (Profile: Procedure/Surgery, Field: Procedure.performer.actor.extension:foreignMedicalInstitution)" /> <expression value="performer.actor.reference.exists() or performer.actor.extension.where(url='https://onko.vvis.gov.lv/fhir/StructureDefinition/ForeignMedicalInstitutionExtension-v1').value.exists()" /> </constraint> <constraint> <key value="Surgery-con-2" /> <severity value="error" /> <human value="Procedure date (Profile: Procedure/Surgery, Field: Procedure.peformed) is mandatory and cannot be greater than sysdate" /> <expression value="iif(performed.exists(), performed.toDateTime() <= now(), false)" /> </constraint> <constraint> <key value="Surgery-con-4" /> <severity value="error" /> <human value="Only one medical institution can be submitted at a time - Latvian from the classifier (Profile: Procedure/Surgery, Field: Procedure.performer.actor.reference) or foreign in the text field (Profile: Procedure/Surgery, Field: Procedure.performer.actor.extension:foreignMedicalInstitution.value[x])" /> <expression value="(performer.actor.reference.exists() implies performer.actor.extension.value.exists().not()) and (performer.actor.extension.value.exists() implies performer.actor.reference.exists().not())" /> </constraint> </element> <element id="Procedure.meta"> <path value="Procedure.meta" /> <type> <code value="Meta" /> <profile value="https://vvis.gov.lv/fhir/Datatype/Meta/OncologyMeta-v1" /> </type> </element> <element id="Procedure.meta.profile"> <path value="Procedure.meta.profile" /> <constraint> <key value="Surgery-con-3" /> <severity value="error" /> <human value="If the Profile on Procedure is Surgery (Profile: Procedure/Surgery, Field: Procedure.meta.profile), then treatment type (Profile: Procedure/Surgery, Field: Procedure.category.coding:procedureType.code) should be 1 - Surgery" /> <expression value="$this='https://onko.vvis.gov.lv/fhir/StructureDefinition/Procedure/Surgery-v1' implies (%resource.category.ofType(CodeableConcept).coding.where(system='https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.628').code = '1')" /> </constraint> </element> <element id="Procedure.implicitRules"> <path value="Procedure.implicitRules" /> <max value="0" /> </element> <element id="Procedure.language"> <path value="Procedure.language" /> <max value="0" /> </element> <element id="Procedure.text"> <path value="Procedure.text" /> <max value="0" /> </element> <element id="Procedure.contained"> <path value="Procedure.contained" /> <max value="0" /> </element> <element id="Procedure.identifier"> <path value="Procedure.identifier" /> <short value="External Identifier | Ārējās sistēmas ieraksta ID" /> <min value="1" /> <type> <code value="Identifier" /> <profile value="https://vvis.gov.lv/fhir/Datatype/Identifier/OncologyIdentifier-v1" /> </type> </element> <element id="Procedure.identifier.use"> <path value="Procedure.identifier.use" /> <mustSupport value="false" /> </element> <element id="Procedure.identifier.value"> <path value="Procedure.identifier.value" /> <mustSupport value="false" /> </element> <element id="Procedure.identifier.assigner"> <path value="Procedure.identifier.assigner" /> <mustSupport value="false" /> </element> <element id="Procedure.instantiatesCanonical"> <path value="Procedure.instantiatesCanonical" /> <max value="0" /> </element> <element id="Procedure.instantiatesUri"> <path value="Procedure.instantiatesUri" /> <max value="0" /> </element> <element id="Procedure.basedOn"> <path value="Procedure.basedOn" /> <max value="0" /> </element> <element id="Procedure.partOf"> <path value="Procedure.partOf" /> <max value="0" /> </element> <element id="Procedure.statusReason"> <path value="Procedure.statusReason" /> <max value="0" /> </element> <element id="Procedure.category"> <path value="Procedure.category" /> <short value="Type of procedure | Operācijas veids" /> <min value="1" /> </element> <element id="Procedure.category.coding"> <path value="Procedure.category.coding" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Procedure.category.coding:typeOfTreatment"> <path value="Procedure.category.coding" /> <sliceName value="typeOfTreatment" /> <min value="1" /> <max value="1" /> </element> <element id="Procedure.category.coding:typeOfTreatment.system"> <path value="Procedure.category.coding.system" /> <short value="Classifier of types of treatment | Ārstēšanas veidu klasifikators" /> <fixedUri value="https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.not_found" /> </element> <element id="Procedure.category.coding:typeOfTreatment.code"> <path value="Procedure.category.coding.code" /> <binding> <strength value="required" /> <description value="Classifier of types of treatment code | Ārstēšanas veidu klasifikators kods" /> <valueSet value="https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.not_found" /> </binding> </element> <element id="Procedure.category.coding:procedureType"> <path value="Procedure.category.coding" /> <sliceName value="procedureType" /> <min value="1" /> <max value="1" /> </element> <element id="Procedure.category.coding:procedureType.system"> <path value="Procedure.category.coding.system" /> <short value="Classifier of types of treatment | Ārstēšanas veidu klasifikators" /> <fixedUri value="https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.630" /> </element> <element id="Procedure.category.coding:procedureType.code"> <path value="Procedure.category.coding.code" /> <binding> <strength value="required" /> <description value="Classifier of types of treatment code | Ārstēšanas veidu klasifikators kods" /> <valueSet value="https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.628" /> </binding> </element> <element id="Procedure.code"> <path value="Procedure.code" /> <short value="Procedure code | Operācijas kods" /> <min value="1" /> </element> <element id="Procedure.code.coding"> <path value="Procedure.code.coding" /> <min value="1" /> </element> <element id="Procedure.code.coding.system"> <path value="Procedure.code.coding.system" /> <short value="(NOMESCO) Nordic Classification of Surgical Procedures | (NOMESCO) Ziemeļvalstu ķirurģisko procedūru klasifikācija" /> <fixedUri value="https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.175" /> </element> <element id="Procedure.code.coding.code"> <path value="Procedure.code.coding.code" /> <binding> <strength value="required" /> <description value="(NOMESCO) Nordic Classification of Surgical Procedures code | (NOMESCO) Ziemeļvalstu ķirurģisko procedūru klasifikācijas kods" /> <valueSet value="https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.175" /> </binding> </element> <element id="Procedure.subject"> <path value="Procedure.subject" /> <short value="Reference to Patient profile | Saite uz Patient profilu" /> <type> <code value="Reference" /> <targetProfile value="https://vvis.gov.lv/fhir/StructureDefinition/Patient/LVPatient" /> </type> </element> <element id="Procedure.encounter"> <path value="Procedure.encounter" /> <max value="0" /> </element> <element id="Procedure.performed[x]"> <path value="Procedure.performed[x]" /> <short value="When the procedure was performed | Operācijas datums" /> <min value="1" /> <type> <code value="dateTime" /> </type> <condition value="Surgery-con-2" /> </element> <element id="Procedure.recorder"> <path value="Procedure.recorder" /> <max value="0" /> </element> <element id="Procedure.asserter"> <path value="Procedure.asserter" /> <max value="0" /> </element> <element id="Procedure.performer"> <path value="Procedure.performer" /> <short value="Medical institution where the treatment was received | Ārstniecības iestāde, kurā saņemta ārstēšana" /> <min value="1" /> <max value="1" /> <condition value="Surgery-con-1" /> </element> <element id="Procedure.performer.actor"> <path value="Procedure.performer.actor" /> <type> <code value="Reference" /> <targetProfile value="https://vvis.gov.lv/fhir/StructureDefinition/Organization/MedicalInstitution" /> </type> </element> <element id="Procedure.performer.actor.extension:foreignMedicalInstitution"> <path value="Procedure.performer.actor.extension" /> <sliceName value="foreignMedicalInstitution" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://onko.vvis.gov.lv/fhir/StructureDefinition/ForeignMedicalInstitutionExtension-v1" /> </type> <isModifier value="false" /> </element> <element id="Procedure.location"> <path value="Procedure.location" /> <max value="0" /> </element> <element id="Procedure.reasonCode"> <path value="Procedure.reasonCode" /> <max value="0" /> </element> <element id="Procedure.reasonReference"> <path value="Procedure.reasonReference" /> <short value="Treated disease | Ārstētā slimība" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="https://onko.vvis.gov.lv/fhir/StructureDefinition/Condition/OncologyBasicDataOfDisease-v1" /> </type> </element> <element id="Procedure.reasonReference.identifier"> <path value="Procedure.reasonReference.identifier" /> <max value="0" /> </element> <element id="Procedure.reasonReference.display"> <path value="Procedure.reasonReference.display" /> <max value="0" /> </element> <element id="Procedure.bodySite"> <path value="Procedure.bodySite" /> <max value="0" /> </element> <element id="Procedure.outcome"> <path value="Procedure.outcome" /> <max value="0" /> </element> <element id="Procedure.report"> <path value="Procedure.report" /> <max value="0" /> </element> <element id="Procedure.complication"> <path value="Procedure.complication" /> <max value="0" /> </element> <element id="Procedure.complicationDetail"> <path value="Procedure.complicationDetail" /> <max value="0" /> </element> <element id="Procedure.followUp"> <path value="Procedure.followUp" /> <short value="Indication of further treatment/monitoring of patients | Norāde par pacientu tālāko ārstēšanu/uzraudzību" /> <max value="1" /> </element> <element id="Procedure.followUp.coding"> <path value="Procedure.followUp.coding" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Procedure.followUp.coding:followUp"> <path value="Procedure.followUp.coding" /> <sliceName value="followUp" /> </element> <element id="Procedure.followUp.coding:followUp.system"> <path value="Procedure.followUp.coding.system" /> <short value="Further treatment or monitoring of the patient classifier | Pacienta tālāka ārstēšana vai uzraudzība klasifikators" /> <fixedUri value="https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.629" /> </element> <element id="Procedure.followUp.coding:followUp.code"> <path value="Procedure.followUp.coding.code" /> <binding> <strength value="required" /> <description value="Further treatment or monitoring of the patient classifier code | Pacienta tālāka ārstēšana vai uzraudzība klasifikatora kods" /> <valueSet value="https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.629" /> </binding> </element> <element id="Procedure.followUp.coding:followUpOld"> <path value="Procedure.followUp.coding" /> <sliceName value="followUpOld" /> </element> <element id="Procedure.followUp.coding:followUpOld.system"> <path value="Procedure.followUp.coding.system" /> <short value="Further treatment or monitoring of the patient classifier old | Pacienta tālāka ārstēšana vai uzraudzība klasifikators vēsturiskais" /> <definition value="Further treatment or monitoring of the patient classifier old (only for historical cards until 2024) | Pacienta tālāka ārstēšana vai uzraudzība klasifikators vēsturiskais (tikai vēsturiskām kartēm līdz 2024.gadam)" /> <fixedUri value="https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.204" /> </element> <element id="Procedure.followUp.coding:followUpOld.code"> <path value="Procedure.followUp.coding.code" /> <binding> <strength value="required" /> <description value="Further treatment or monitoring of the patient classifier code old | Pacienta tālāka ārstēšana vai uzraudzība klasifikatora kods vēsturiskais" /> <valueSet value="https://vvis.gov.lv/fhir/ValueSet/1.3.6.1.4.1.38760.2.204" /> </binding> </element> <element id="Procedure.note"> <path value="Procedure.note" /> <max value="0" /> </element> <element id="Procedure.focalDevice"> <path value="Procedure.focalDevice" /> <max value="0" /> </element> <element id="Procedure.usedReference"> <path value="Procedure.usedReference" /> <max value="0" /> </element> <element id="Procedure.usedCode"> <path value="Procedure.usedCode" /> <max value="0" /> </element> </differential> </StructureDefinition>