FHIR IG Statistics: StructureDefinition/Surgery
Resources that use this resource
Resources that this resource uses
Narrative
Note: links and images are rebased to the (stated) source
Source
{
"resourceType": "StructureDefinition",
"id": "Surgery",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery",
"version": "0.1.0",
"name": "SurgeryI4RC",
"title": "Surgery",
"status": "draft",
"date": "2025-07-21T15:34:12+00:00",
"publisher": "IDEA4RC Project",
"contact": [
{
"name": "IDEA4RC Project",
"telecom": [
{
"system": "url",
"value": "https://www.idea4rc.eu/"
}
]
},
{
"name": "IDEA4RC Project",
"telecom": [
{
"system": "url",
"value": "https://www.idea4rc.eu/"
}
]
}
],
"description": "Surgery\nMaturity Level: 0 Draft",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "150",
"display": "Europe"
}
]
}
],
"fhirVersion": "4.0.1",
"kind": "logical",
"abstract": false,
"type": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Base",
"derivation": "specialization",
"snapshot": {
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "4.0.1"
}
],
"element": [
{
"id": "Surgery",
"path": "Surgery",
"short": "Surgery",
"definition": "Surgery\nMaturity Level: 0 Draft",
"min": 0,
"max": "*",
"base": {
"path": "Base",
"min": 0,
"max": "*"
},
"isModifier": false
},
{
"id": "Surgery.diagnosisReference",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.diagnosisReference",
"short": "Diagnosis reference (M)",
"definition": "Diagnosis reference in case the treatment was done for baseline",
"min": 1,
"max": "*",
"base": {
"path": "Surgery.diagnosisReference",
"min": 1,
"max": "*"
},
"type": [
{
"code": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Diagnosis"
}
]
},
{
"id": "Surgery.episodeEvent",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.episodeEvent",
"short": "Episode Event reference (M)",
"definition": "EpisodeEvent element containing the data regarding the patient's cancer, in case the treatment was done for an episode event (progression, recurrence...)",
"min": 1,
"max": "*",
"base": {
"path": "Surgery.episodeEvent",
"min": 1,
"max": "*"
},
"type": [
{
"code": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent"
}
]
},
{
"id": "Surgery.surgeryType",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.surgeryType",
"short": "Surgery type (M)",
"definition": "Primary surgery/re-excision (check with unplanned or excisional biopsy)\n\nCheck\n\n\"Surgery (with date) is a procedure occurrence, which is \nreferred to in the EPISODE_EVENT table. \nProvider of the procedure can be defined based on the hospital.\n\nIf type of surgery is not specified use SURGICAL PROCEDURE.\"\n\nCHILDREN",
"comment": "Surgical procedure - 4301351\nLocal excision - 4315400\nAmputation - 4217482\nLimb operation - 4181193",
"min": 1,
"max": "*",
"base": {
"path": "Surgery.surgeryType",
"min": 1,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Surgery.surgeryHospital",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.surgeryHospital",
"short": "Surgery Hospital (M)",
"definition": "Whether or not a surgical procedure was performed and whether it was performed at the registering hospital or another hospital. Diagnostic procedures (biopsy) are not included.",
"min": 1,
"max": "*",
"base": {
"path": "Surgery.surgeryHospital",
"min": 1,
"max": "*"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "Surgery.dateOfSurgery",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.dateOfSurgery",
"short": "Date of surgery (M)",
"definition": "Date of the surgery for primary tumor with or without neck surgery \nIs there a new excision surgery to treat the cancer by removing the tumor ?\nYes : New event\nIs the tumor that is going to be removed metastatic ?\nYes: Add True for Surgery on M, with the same date than the surgery date\nIs the tumor on the Neck ?\nYes: add true for Neck Surgery, with the same date than the surgery date\nIs the neck surgery accompanied by a dissection ?\nYes : fill the type of dissection",
"min": 1,
"max": "*",
"base": {
"path": "Surgery.dateOfSurgery",
"min": 1,
"max": "*"
},
"type": [
{
"code": "date"
}
]
},
{
"id": "Surgery.surgeryIntention",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.surgeryIntention",
"short": "Surgery intention (O)",
"definition": "Palliative: surgery performed with the intent of improving quality of life or relieving symptoms caused by advanced disease.\nCurative: surgery performed with the intend of oncologic cure, regardless of its result (R0 / R1/R2)",
"comment": "Palliative - 4179711\nCurative procedure intent - 4162591",
"min": 0,
"max": "*",
"base": {
"path": "Surgery.surgeryIntention",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Surgery.typeOfSurgicalApproachOnTumour",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.typeOfSurgicalApproachOnTumour",
"short": "Type of surgical approach on Tumour (M)",
"definition": "Describes the approach to tumor resection whether it includes skin incision (extenal or open ), or it 's aproached through a natural orifice (Transnasal/transorbital/transoral) or if the approach combines two or more of the previous ones \nMaybe should be a flag",
"comment": "External/Open - 4236080\nTransnasal - 4050374\nTransorbital - 4044897\nTransoral - 4038679\nCraniofacial - 4333339\nCombined surgical approach - 2000100027",
"min": 1,
"max": "*",
"base": {
"path": "Surgery.typeOfSurgicalApproachOnTumour",
"min": 1,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Surgery.marginsAfterSurgery",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.marginsAfterSurgery",
"short": "Margins after surgery (M)",
"definition": "The R0 (“no residual rumor”) category applies only to cases in which residual tumor cannot be detected by conventional diagnostic methods. A more exact definition would read “no detectable residual tumor.”This category corresponds to surgical resection for cure.\nThe R1 category is reserved exclusively for cases in which residual tumor is found by histologic examination. This category may apply to biopsy sampling of the regional tissue at the site of resection or of a distant site at the time of surgery. It also applies to microscopic examination of the resection margins of the surgical resection specimen by the pathologist.\nR2 applies to cases with macroscopically visible residual tumor that is detected either clinically or pathologically.",
"comment": "R0: No residual tumor - 1634643\nR1: Microscopic residual tumor - 1633801\nR2: Macroscopic residual tumor - 1634484",
"min": 1,
"max": "*",
"base": {
"path": "Surgery.marginsAfterSurgery",
"min": 1,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Surgery.tumorRupture",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.tumorRupture",
"short": "Tumor rupture (M)",
"definition": "Tumor rupture Yes/No \nCancer modifiers (associated with diagnosis)\n\nFor Absence use value_as_concept_id = ABSENT",
"comment": "Tumor Rupture - 36768904",
"min": 1,
"max": "*",
"base": {
"path": "Surgery.tumorRupture",
"min": 1,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.extraNodalExtension",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.extraNodalExtension",
"short": "Extra-nodal extension (rEne) (M)",
"definition": "Describes the presence or absence of radiological signs of extracapsular extension by histopathologic examination or not, as defined in the AJCC 8th Ed. It's also present in the Clinical/Pathological stages for baseline diagnosis. \ncheck CODEs",
"comment": "ENE- - 36769946\nENE+ - 36770618",
"min": 1,
"max": "*",
"base": {
"path": "Surgery.extraNodalExtension",
"min": 1,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Surgery.surgicalSpecimenMitoticCount",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.surgicalSpecimenMitoticCount",
"short": "Surgical specimen Mitotic count (M)",
"definition": "Surgical specimen Mitotic count",
"comment": "Number of mitoses per 10 high power fields - 4227243",
"min": 1,
"max": "*",
"base": {
"path": "Surgery.surgicalSpecimenMitoticCount",
"min": 1,
"max": "*"
},
"type": [
{
"code": "Quantity"
}
]
},
{
"id": "Surgery.surgicalSpecimenGradingOnlyInUntreatedTumours",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.surgicalSpecimenGradingOnlyInUntreatedTumours",
"short": "Surgical specimen grading only in untreated tumours (M)",
"definition": "Provides the grading for surgical specimen only for untreated tumours",
"comment": "Grade-1 - 1634371\nGrade-2 - 1634752\nGrade-3 - 1633749\nGrade-H - 1635587\nGrade-L - 1634085",
"min": 1,
"max": "*",
"base": {
"path": "Surgery.surgicalSpecimenGradingOnlyInUntreatedTumours",
"min": 1,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Surgery.reconstruction",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.reconstruction",
"short": "Reconstruction (M)",
"definition": "Local flap / regional pedicled flap / free flap",
"comment": "Yes - 4188539\nNo - 4188540",
"min": 1,
"max": "*",
"base": {
"path": "Surgery.reconstruction",
"min": 1,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.neckSurgery",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.neckSurgery",
"short": "Neck surgery (M)",
"definition": "Describes whether a surgical procedure to treat and address the neck was performed or not.",
"comment": "Yes - 4188539\nNo - 4188540",
"min": 1,
"max": "*",
"base": {
"path": "Surgery.neckSurgery",
"min": 1,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.dateOfNeckSurgery",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.dateOfNeckSurgery",
"short": "Date of Neck surgery (M)",
"definition": "Date of the surgery on the neck",
"min": 1,
"max": "*",
"base": {
"path": "Surgery.dateOfNeckSurgery",
"min": 1,
"max": "*"
},
"type": [
{
"code": "date"
}
]
},
{
"id": "Surgery.lateralityOfTheDissection",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.lateralityOfTheDissection",
"short": "Laterality of the dissection (M)",
"definition": "Describes laterality of the neck surgical procedure: \nIpsilateral when only the neck ipsilateral to the tumor has been treated\nContralateral when only the neck contralateral to the tumor has been treated \nBilateral: when both sides of the neck have been treated",
"comment": "Ipsilateral - 4112106\nBilateral Sampling - 4117496\nControlateral - 4112107",
"min": 1,
"max": "*",
"base": {
"path": "Surgery.lateralityOfTheDissection",
"min": 1,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Surgery.surgeryOnM",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.surgeryOnM",
"short": "Surgery on M (M)",
"definition": "Describes whether surgery is performed to treat the Metastasis",
"comment": "Yes - 4188539\nNo - 4188540",
"min": 1,
"max": "*",
"base": {
"path": "Surgery.surgeryOnM",
"min": 1,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.dateOfSurgeryOnM",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.dateOfSurgeryOnM",
"short": "Date of surgery on M (M)",
"definition": "Date of the surgery on the metastasis",
"min": 1,
"max": "*",
"base": {
"path": "Surgery.dateOfSurgeryOnM",
"min": 1,
"max": "*"
},
"type": [
{
"code": "date"
}
]
},
{
"id": "Surgery.siteOfSurgeryOnMetastasis",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.siteOfSurgeryOnMetastasis",
"short": "Site of surgery on metastasis_soft tissue (O)",
"definition": "Describes if site of surgery on metastasis is soft tissue",
"min": 0,
"max": "*",
"base": {
"path": "Surgery.siteOfSurgeryOnMetastasis",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
]
},
{
"id": "Surgery.siteOfSurgeryOnMetastasis.id",
"path": "Surgery.siteOfSurgeryOnMetastasis.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Surgery.siteOfSurgeryOnMetastasis.extension",
"path": "Surgery.siteOfSurgeryOnMetastasis.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"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.",
"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.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Surgery.siteOfSurgeryOnMetastasis.modifierExtension",
"path": "Surgery.siteOfSurgeryOnMetastasis.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"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).",
"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.",
"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).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Surgery.siteOfSurgeryOnMetastasis.softTissue",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.siteOfSurgeryOnMetastasis.softTissue",
"short": "Site of surgery on metastasis_soft tissue (O)",
"definition": "Describes if site of surgery on metastasis is soft tissue",
"comment": "Metastasis to soft tissues - 35225724",
"min": 0,
"max": "*",
"base": {
"path": "Surgery.siteOfSurgeryOnMetastasis.softTissue",
"min": 0,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.siteOfSurgeryOnMetastasis.distantLymphNodes",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.siteOfSurgeryOnMetastasis.distantLymphNodes",
"short": "Site of surgery on metastasis_distant lymph nodes (O)",
"definition": "Describes if site of surgery on metastasis is dystan lymph node",
"comment": "Distant spread to lymph node - 36769243",
"min": 0,
"max": "*",
"base": {
"path": "Surgery.siteOfSurgeryOnMetastasis.distantLymphNodes",
"min": 0,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.siteOfSurgeryOnMetastasis.lung",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.siteOfSurgeryOnMetastasis.lung",
"short": "Site of surgery on metastasis_lung (O)",
"definition": "Describes if site of surgery on metastasis is lung",
"comment": "Metastasis to lung - 36770283",
"min": 0,
"max": "*",
"base": {
"path": "Surgery.siteOfSurgeryOnMetastasis.lung",
"min": 0,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.siteOfSurgeryOnMetastasis.bone",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.siteOfSurgeryOnMetastasis.bone",
"short": "Site of surgery on metastasis_bone (O)",
"definition": "Describes if site of surgery on metastasis is bone",
"comment": "Metastasis to bone - 36769301",
"min": 0,
"max": "*",
"base": {
"path": "Surgery.siteOfSurgeryOnMetastasis.bone",
"min": 0,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.siteOfSurgeryOnMetastasis.liver",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.siteOfSurgeryOnMetastasis.liver",
"short": "Site of surgery on metastasis_liver (O)",
"definition": "Describes if site of surgery on metastasis is liver",
"comment": "Metastasis to liver - 36770544",
"min": 0,
"max": "*",
"base": {
"path": "Surgery.siteOfSurgeryOnMetastasis.liver",
"min": 0,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.siteOfSurgeryOnMetastasis.pleura",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.siteOfSurgeryOnMetastasis.pleura",
"short": "Site of surgery on metastasis_pleura (O)",
"definition": "Describes if site of surgery on metastasis is pleura",
"comment": "Metastasis to pleura - 35226258",
"min": 0,
"max": "*",
"base": {
"path": "Surgery.siteOfSurgeryOnMetastasis.pleura",
"min": 0,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.siteOfSurgeryOnMetastasis.peritoneum",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.siteOfSurgeryOnMetastasis.peritoneum",
"short": "Site of surgery on metastasis_peritoneum (O)",
"definition": "Describes if site of surgery on metastasis is peritoneum",
"comment": "Metastasis to peritoneum - 35226253",
"min": 0,
"max": "*",
"base": {
"path": "Surgery.siteOfSurgeryOnMetastasis.peritoneum",
"min": 0,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.siteOfSurgeryOnMetastasis.brain",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.siteOfSurgeryOnMetastasis.brain",
"short": "Site of surgery on metastasis_brain (O)",
"definition": "Describes if site of surgery on metastasis is brain",
"comment": "Metastasis to brain - 36768862",
"min": 0,
"max": "*",
"base": {
"path": "Surgery.siteOfSurgeryOnMetastasis.brain",
"min": 0,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.siteOfSurgeryOnMetastasis.otherViscera",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.siteOfSurgeryOnMetastasis.otherViscera",
"short": "Site of surgery on metastasis_other viscera (O)",
"definition": "Describes if site of surgery on metastasis is other viscera \nUse the generic metastasis code or a metastasis subsumed in it, 36769180",
"comment": "Metastasis - 36769180",
"min": 0,
"max": "*",
"base": {
"path": "Surgery.siteOfSurgeryOnMetastasis.otherViscera",
"min": 0,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.siteOfSurgeryOnMetastasis.unknown",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.siteOfSurgeryOnMetastasis.unknown",
"short": "Site of surgery on metastasis_unknown (O)",
"definition": "Describes if site of surgery on metastasis is unknown",
"comment": "Unknown - 4129922",
"min": 0,
"max": "*",
"base": {
"path": "Surgery.siteOfSurgeryOnMetastasis.unknown",
"min": 0,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.surgicalComplications",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.surgicalComplications",
"short": "Surgical complications (Clavien-Dindo Classification) (M)",
"definition": "Describes presence and grade of complications after a surgical procedure,",
"comment": "Absent - 4132135\nClavien-Dindo complication scale: Grade I - 715974\nClavien-Dindo complication scale: Grade II - 715975\nClavien-Dindo complication scale: Grade III - 715976\nClavien-Dindo complication scale: Grade IIIA - 715977\nClavien-Dindo complication scale: Grade IIIB - 715978\nClavien-Dindo complication scale: Grade IV - 715979\nClavien-Dindo complication scale: Grade IVA - 715980\nClavien-Dindo complication scale: Grade IVB - 715981\nClavien-Dindo complication scale: Grade V - 715982",
"min": 1,
"max": "*",
"base": {
"path": "Surgery.surgicalComplications",
"min": 1,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
]
}
]
},
"differential": {
"element": [
{
"id": "Surgery",
"path": "Surgery",
"short": "Surgery",
"definition": "Surgery\nMaturity Level: 0 Draft"
},
{
"id": "Surgery.diagnosisReference",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.diagnosisReference",
"short": "Diagnosis reference (M)",
"definition": "Diagnosis reference in case the treatment was done for baseline ",
"min": 1,
"max": "*",
"type": [
{
"code": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Diagnosis"
}
]
},
{
"id": "Surgery.episodeEvent",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.episodeEvent",
"short": "Episode Event reference (M)",
"definition": "EpisodeEvent element containing the data regarding the patient's cancer, in case the treatment was done for an episode event (progression, recurrence...) ",
"min": 1,
"max": "*",
"type": [
{
"code": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent"
}
]
},
{
"id": "Surgery.surgeryType",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.surgeryType",
"short": "Surgery type (M)",
"definition": "Primary surgery/re-excision (check with unplanned or excisional biopsy)\n\nCheck\n\n\"Surgery (with date) is a procedure occurrence, which is \nreferred to in the EPISODE_EVENT table. \nProvider of the procedure can be defined based on the hospital.\n\nIf type of surgery is not specified use SURGICAL PROCEDURE.\"\n\nCHILDREN",
"comment": "Surgical procedure - 4301351\nLocal excision - 4315400\nAmputation - 4217482\nLimb operation - 4181193",
"min": 1,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Surgery.surgeryHospital",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.surgeryHospital",
"short": "Surgery Hospital (M)",
"definition": "Whether or not a surgical procedure was performed and whether it was performed at the registering hospital or another hospital. Diagnostic procedures (biopsy) are not included. ",
"min": 1,
"max": "*",
"type": [
{
"code": "string"
}
]
},
{
"id": "Surgery.dateOfSurgery",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.dateOfSurgery",
"short": "Date of surgery (M)",
"definition": "Date of the surgery for primary tumor with or without neck surgery \nIs there a new excision surgery to treat the cancer by removing the tumor ?\nYes : New event\nIs the tumor that is going to be removed metastatic ?\nYes: Add True for Surgery on M, with the same date than the surgery date\nIs the tumor on the Neck ?\nYes: add true for Neck Surgery, with the same date than the surgery date\nIs the neck surgery accompanied by a dissection ?\nYes : fill the type of dissection",
"min": 1,
"max": "*",
"type": [
{
"code": "date"
}
]
},
{
"id": "Surgery.surgeryIntention",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.surgeryIntention",
"short": "Surgery intention (O)",
"definition": "Palliative: surgery performed with the intent of improving quality of life or relieving symptoms caused by advanced disease.\nCurative: surgery performed with the intend of oncologic cure, regardless of its result (R0 / R1/R2) ",
"comment": "Palliative - 4179711\nCurative procedure intent - 4162591",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Surgery.typeOfSurgicalApproachOnTumour",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.typeOfSurgicalApproachOnTumour",
"short": "Type of surgical approach on Tumour (M)",
"definition": "Describes the approach to tumor resection whether it includes skin incision (extenal or open ), or it 's aproached through a natural orifice (Transnasal/transorbital/transoral) or if the approach combines two or more of the previous ones \nMaybe should be a flag",
"comment": "External/Open - 4236080\nTransnasal - 4050374\nTransorbital - 4044897\nTransoral - 4038679\nCraniofacial - 4333339\nCombined surgical approach - 2000100027",
"min": 1,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Surgery.marginsAfterSurgery",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.marginsAfterSurgery",
"short": "Margins after surgery (M)",
"definition": "The R0 (“no residual rumor”) category applies only to cases in which residual tumor cannot be detected by conventional diagnostic methods. A more exact definition would read “no detectable residual tumor.”This category corresponds to surgical resection for cure.\nThe R1 category is reserved exclusively for cases in which residual tumor is found by histologic examination. This category may apply to biopsy sampling of the regional tissue at the site of resection or of a distant site at the time of surgery. It also applies to microscopic examination of the resection margins of the surgical resection specimen by the pathologist.\nR2 applies to cases with macroscopically visible residual tumor that is detected either clinically or pathologically. ",
"comment": "R0: No residual tumor - 1634643\nR1: Microscopic residual tumor - 1633801\nR2: Macroscopic residual tumor - 1634484",
"min": 1,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Surgery.tumorRupture",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.tumorRupture",
"short": "Tumor rupture (M)",
"definition": "Tumor rupture Yes/No \nCancer modifiers (associated with diagnosis)\n\nFor Absence use value_as_concept_id = ABSENT",
"comment": "Tumor Rupture - 36768904",
"min": 1,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.extraNodalExtension",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.extraNodalExtension",
"short": "Extra-nodal extension (rEne) (M)",
"definition": "Describes the presence or absence of radiological signs of extracapsular extension by histopathologic examination or not, as defined in the AJCC 8th Ed. It's also present in the Clinical/Pathological stages for baseline diagnosis. \ncheck CODEs",
"comment": "ENE- - 36769946\nENE+ - 36770618",
"min": 1,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Surgery.surgicalSpecimenMitoticCount",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.surgicalSpecimenMitoticCount",
"short": "Surgical specimen Mitotic count (M)",
"definition": "Surgical specimen Mitotic count ",
"comment": "Number of mitoses per 10 high power fields - 4227243",
"min": 1,
"max": "*",
"type": [
{
"code": "Quantity"
}
]
},
{
"id": "Surgery.surgicalSpecimenGradingOnlyInUntreatedTumours",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.surgicalSpecimenGradingOnlyInUntreatedTumours",
"short": "Surgical specimen grading only in untreated tumours (M)",
"definition": "Provides the grading for surgical specimen only for untreated tumours ",
"comment": "Grade-1 - 1634371\nGrade-2 - 1634752\nGrade-3 - 1633749\nGrade-H - 1635587\nGrade-L - 1634085",
"min": 1,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Surgery.reconstruction",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.reconstruction",
"short": "Reconstruction (M)",
"definition": "Local flap / regional pedicled flap / free flap ",
"comment": "Yes - 4188539\nNo - 4188540",
"min": 1,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.neckSurgery",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.neckSurgery",
"short": "Neck surgery (M)",
"definition": "Describes whether a surgical procedure to treat and address the neck was performed or not. ",
"comment": "Yes - 4188539\nNo - 4188540",
"min": 1,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.dateOfNeckSurgery",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.dateOfNeckSurgery",
"short": "Date of Neck surgery (M)",
"definition": "Date of the surgery on the neck ",
"min": 1,
"max": "*",
"type": [
{
"code": "date"
}
]
},
{
"id": "Surgery.lateralityOfTheDissection",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.lateralityOfTheDissection",
"short": "Laterality of the dissection (M)",
"definition": "Describes laterality of the neck surgical procedure: \nIpsilateral when only the neck ipsilateral to the tumor has been treated\nContralateral when only the neck contralateral to the tumor has been treated \nBilateral: when both sides of the neck have been treated ",
"comment": "Ipsilateral - 4112106\nBilateral Sampling - 4117496\nControlateral - 4112107",
"min": 1,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Surgery.surgeryOnM",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.surgeryOnM",
"short": "Surgery on M (M)",
"definition": "Describes whether surgery is performed to treat the Metastasis ",
"comment": "Yes - 4188539\nNo - 4188540",
"min": 1,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.dateOfSurgeryOnM",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.dateOfSurgeryOnM",
"short": "Date of surgery on M (M)",
"definition": "Date of the surgery on the metastasis ",
"min": 1,
"max": "*",
"type": [
{
"code": "date"
}
]
},
{
"id": "Surgery.siteOfSurgeryOnMetastasis",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.siteOfSurgeryOnMetastasis",
"short": "Site of surgery on metastasis_soft tissue (O)",
"definition": "Describes if site of surgery on metastasis is soft tissue ",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
]
},
{
"id": "Surgery.siteOfSurgeryOnMetastasis.softTissue",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.siteOfSurgeryOnMetastasis.softTissue",
"short": "Site of surgery on metastasis_soft tissue (O)",
"definition": "Describes if site of surgery on metastasis is soft tissue ",
"comment": "Metastasis to soft tissues - 35225724",
"min": 0,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.siteOfSurgeryOnMetastasis.distantLymphNodes",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.siteOfSurgeryOnMetastasis.distantLymphNodes",
"short": "Site of surgery on metastasis_distant lymph nodes (O)",
"definition": "Describes if site of surgery on metastasis is dystan lymph node ",
"comment": "Distant spread to lymph node - 36769243",
"min": 0,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.siteOfSurgeryOnMetastasis.lung",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.siteOfSurgeryOnMetastasis.lung",
"short": "Site of surgery on metastasis_lung (O)",
"definition": "Describes if site of surgery on metastasis is lung ",
"comment": "Metastasis to lung - 36770283",
"min": 0,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.siteOfSurgeryOnMetastasis.bone",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.siteOfSurgeryOnMetastasis.bone",
"short": "Site of surgery on metastasis_bone (O)",
"definition": "Describes if site of surgery on metastasis is bone ",
"comment": "Metastasis to bone - 36769301",
"min": 0,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.siteOfSurgeryOnMetastasis.liver",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.siteOfSurgeryOnMetastasis.liver",
"short": "Site of surgery on metastasis_liver (O)",
"definition": "Describes if site of surgery on metastasis is liver ",
"comment": "Metastasis to liver - 36770544",
"min": 0,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.siteOfSurgeryOnMetastasis.pleura",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.siteOfSurgeryOnMetastasis.pleura",
"short": "Site of surgery on metastasis_pleura (O)",
"definition": "Describes if site of surgery on metastasis is pleura ",
"comment": "Metastasis to pleura - 35226258",
"min": 0,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.siteOfSurgeryOnMetastasis.peritoneum",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.siteOfSurgeryOnMetastasis.peritoneum",
"short": "Site of surgery on metastasis_peritoneum (O)",
"definition": "Describes if site of surgery on metastasis is peritoneum ",
"comment": "Metastasis to peritoneum - 35226253",
"min": 0,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.siteOfSurgeryOnMetastasis.brain",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.siteOfSurgeryOnMetastasis.brain",
"short": "Site of surgery on metastasis_brain (O)",
"definition": "Describes if site of surgery on metastasis is brain ",
"comment": "Metastasis to brain - 36768862",
"min": 0,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.siteOfSurgeryOnMetastasis.otherViscera",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.siteOfSurgeryOnMetastasis.otherViscera",
"short": "Site of surgery on metastasis_other viscera (O)",
"definition": "Describes if site of surgery on metastasis is other viscera \nUse the generic metastasis code or a metastasis subsumed in it, 36769180",
"comment": "Metastasis - 36769180",
"min": 0,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.siteOfSurgeryOnMetastasis.unknown",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.siteOfSurgeryOnMetastasis.unknown",
"short": "Site of surgery on metastasis_unknown (O)",
"definition": "Describes if site of surgery on metastasis is unknown ",
"comment": "Unknown - 4129922",
"min": 0,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Surgery.surgicalComplications",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Surgery.surgicalComplications",
"short": "Surgical complications (Clavien-Dindo Classification) (M)",
"definition": "Describes presence and grade of complications after a surgical procedure, ",
"comment": "Absent - 4132135\nClavien-Dindo complication scale: Grade I - 715974\nClavien-Dindo complication scale: Grade II - 715975\nClavien-Dindo complication scale: Grade III - 715976\nClavien-Dindo complication scale: Grade IIIA - 715977\nClavien-Dindo complication scale: Grade IIIB - 715978\nClavien-Dindo complication scale: Grade IV - 715979\nClavien-Dindo complication scale: Grade IVA - 715980\nClavien-Dindo complication scale: Grade IVB - 715981\nClavien-Dindo complication scale: Grade V - 715982",
"min": 1,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
]
}
]
}
}
Surgery 
diagnosisReference 
surgeryType 
surgeryHospital 
FHIR