FHIR Osiris Implementation Guide
1.1.0 - trial-implementation

Publication Build: This will be filled in by the publication tooling

## Resource Profile: RadiotherapyPlan - Detailed Descriptions

Draft as of 2025-04-03

Definitions for the radiotherapy-plan resource profile.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

Guidance on how to interpret the contents of this table can be found here

0. Procedure
Définition | An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like long term services, counseling, or hypnotherapy.
Short | An action that is being or was performed on a patient
Control | 0..*
Is Modifier | false
Résumé | false
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Procedure.implicitRules
Définition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | A set of rules under which this content was created
Commentaires | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Procedure.extension
Définition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. 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.
Short | ExtensionAdditional content defined by implementations
Commentaires | 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.
Control | 20..*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Procedure.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
6. Procedure.extension:basedOn
Nom de la slice | basedOn
Définition | Connection with the imaging module (ImagingStudy and ROI Segmentation)
Short | Connection with the imaging module
Control | 0..3 This element is affected by the following invariants: ele-1
Type | Extension(Connection with the imaging module) (Complex Extension)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
8. Procedure.extension:basedOn.extension:imagingStudyRef
Nom de la slice | imagingStudyRef
Définition | Imaging Study to which the reference series (UID series) belong
Short | Imaging Study ReferenceAdditional content defined by implementations
Control | 0..1*
Type | Extension
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. Procedure.extension:basedOn.extension:imagingStudyRef.extension
Définition | An Extension 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.
Short | ExtensionAdditional content defined by implementations
Commentaires | 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.
Control | 0..0*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Procedure.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
12. Procedure.extension:basedOn.extension:imagingStudyRef.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `imagingStudyRef`
14. Procedure.extension:basedOn.extension:seriesUID
Nom de la slice | seriesUID
Définition | An Extension
Short | ExtensionAdditional content defined by implementations
Control | 0..1*
Type | Extension
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. Procedure.extension:basedOn.extension:seriesUID.extension
Définition | An Extension 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.
Short | ExtensionAdditional content defined by implementations
Commentaires | 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.
Control | 0..0*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Procedure.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
18. Procedure.extension:basedOn.extension:seriesUID.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `seriesUID`
20. Procedure.extension:basedOn.extension:rtStructUID
Nom de la slice | rtStructUID
Définition | An Extension
Short | ExtensionAdditional content defined by implementations
Control | 0..1*
Type | Extension
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
22. Procedure.extension:basedOn.extension:rtStructUID.extension
Définition | An Extension 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.
Short | ExtensionAdditional content defined by implementations
Commentaires | 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.
Control | 0..0*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Procedure.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
24. Procedure.extension:basedOn.extension:rtStructUID.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `rtStructUID`
26. Procedure.extension:basedOn.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/basedOn`
28. Procedure.extension:basedOn.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 0..01
Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Procedure.extension:doseToVolume
Nom de la slice | doseToVolume
Définition | Dose To Volume
Short | Dose To Volume
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(Dose To Volume) (Complex Extension)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
32. Procedure.extension:doseToVolume.extension
Définition | An Extension 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.
Short | ExtensionAdditional content defined by implementations
Commentaires | 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.
Control | 40..*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Procedure.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
34. Procedure.extension:doseToVolume.extension:volume
Nom de la slice | volume
Définition | The volume targeted by the dose.
Short | Volume targetedAdditional content defined by implementations
Control | 10..*
Type | Extension
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
36. Procedure.extension:doseToVolume.extension:volume.extension
Définition | An Extension 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.
Short | ExtensionAdditional content defined by implementations
Commentaires | 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.
Control | 0..0*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Procedure.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
38. Procedure.extension:doseToVolume.extension:volume.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `volume`
40. Procedure.extension:doseToVolume.extension:volume.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 10..1
Type | Reference(Radiotherapy Volume Profile), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. Procedure.extension:doseToVolume.extension:fractionDose
Nom de la slice | fractionDose
Définition | An Extension
Short | ExtensionAdditional content defined by implementations
Control | 10..1*
Type | Extension
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
44. Procedure.extension:doseToVolume.extension:fractionDose.extension
Définition | An Extension 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.
Short | ExtensionAdditional content defined by implementations
Commentaires | 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.
Control | 0..0*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Procedure.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
46. Procedure.extension:doseToVolume.extension:fractionDose.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `fractionDose`
48. Procedure.extension:doseToVolume.extension:fractionDose.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 10..1
Type | string, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. Procedure.extension:doseToVolume.extension:numberOfFractions
Nom de la slice | numberOfFractions
Définition | An Extension
Short | ExtensionAdditional content defined by implementations
Control | 10..1*
Type | Extension
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
52. Procedure.extension:doseToVolume.extension:numberOfFractions.extension
Définition | An Extension 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.
Short | ExtensionAdditional content defined by implementations
Commentaires | 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.
Control | 0..0*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Procedure.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
54. Procedure.extension:doseToVolume.extension:numberOfFractions.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `numberOfFractions`
56. Procedure.extension:doseToVolume.extension:numberOfFractions.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 10..1
Type | unsignedInt, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, time
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. Procedure.extension:doseToVolume.extension:totalDose
Nom de la slice | totalDose
Définition | An Extension
Short | ExtensionAdditional content defined by implementations
Control | 10..1*
Type | Extension
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
60. Procedure.extension:doseToVolume.extension:totalDose.extension
Définition | An Extension 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.
Short | ExtensionAdditional content defined by implementations
Commentaires | 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.
Control | 0..0*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Procedure.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
62. Procedure.extension:doseToVolume.extension:totalDose.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `totalDose`
64. Procedure.extension:doseToVolume.extension:totalDose.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 10..1
Type | string, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. Procedure.extension:doseToVolume.extension:rtDoseUID
Nom de la slice | rtDoseUID
Définition | An Extension
Short | ExtensionAdditional content defined by implementations
Control | 0..1*
Type | Extension
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
68. Procedure.extension:doseToVolume.extension:rtDoseUID.extension
Définition | An Extension 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.
Short | ExtensionAdditional content defined by implementations
Commentaires | 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.
Control | 0..0*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Procedure.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
70. Procedure.extension:doseToVolume.extension:rtDoseUID.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `rtDoseUID`
72. Procedure.extension:doseToVolume.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/doseToVolume`
74. Procedure.extension:doseToVolume.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 0..01
Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
76. Procedure.extension:modalityAndTechnique
Nom de la slice | modalityAndTechnique
Définition | Modality And Technique
Short | Modality And Technique
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(Modality And Technique) (Complex Extension)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
78. Procedure.extension:modalityAndTechnique.extension
Définition | An Extension 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.
Short | ExtensionAdditional content defined by implementations
Commentaires | 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.
Control | 20..*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Procedure.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
80. Procedure.extension:modalityAndTechnique.extension:radiotherapyModality
Nom de la slice | radiotherapyModality
Définition | An Extension
Short | ExtensionAdditional content defined by implementations
Control | 10..1*
Type | Extension
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
82. Procedure.extension:modalityAndTechnique.extension:radiotherapyModality.extension
Définition | An Extension 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.
Short | ExtensionAdditional content defined by implementations
Commentaires | 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.
Control | 0..0*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Procedure.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
84. Procedure.extension:modalityAndTechnique.extension:radiotherapyModality.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `radiotherapyModality`
86. Procedure.extension:modalityAndTechnique.extension:radiotherapyModality.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 10..1
Binding | The codes SHALL be taken from For codes, see http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs (required to `http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs` )
Type | CodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
88. Procedure.extension:modalityAndTechnique.extension:radiotherapyTechnique
Nom de la slice | radiotherapyTechnique
Définition | An Extension
Short | ExtensionAdditional content defined by implementations
Control | 10..1*
Type | Extension
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
90. Procedure.extension:modalityAndTechnique.extension:radiotherapyTechnique.extension
Définition | An Extension 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.
Short | ExtensionAdditional content defined by implementations
Commentaires | 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.
Control | 0..0*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Procedure.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
92. Procedure.extension:modalityAndTechnique.extension:radiotherapyTechnique.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `radiotherapyTechnique`
94. Procedure.extension:modalityAndTechnique.extension:radiotherapyTechnique.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 10..1
Binding | The codes SHALL be taken from For codes, see http://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs (required to `http://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs` )
Type | CodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
96. Procedure.extension:modalityAndTechnique.extension:radiotherapyTreatmentMachinePlanned
Nom de la slice | radiotherapyTreatmentMachinePlanned
Définition | An Extension
Short | ExtensionAdditional content defined by implementations
Control | 0..1*
Type | Extension
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
98. Procedure.extension:modalityAndTechnique.extension:radiotherapyTreatmentMachinePlanned.extension
Définition | An Extension 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.
Short | ExtensionAdditional content defined by implementations
Commentaires | 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.
Control | 0..0*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Procedure.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
100. Procedure.extension:modalityAndTechnique.extension:radiotherapyTreatmentMachinePlanned.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `radiotherapyTreatmentMachinePlanned`
102. Procedure.extension:modalityAndTechnique.extension:radiotherapyTreatmentMachinePlanned.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 0..1
Type | string, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
104. Procedure.extension:modalityAndTechnique.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/modalityAndTechnique`
106. Procedure.extension:modalityAndTechnique.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 0..01
Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
108. Procedure.extension:energyOrIsotope
Nom de la slice | energyOrIsotope
Définition | Energy Or Isotope
Short | Energy Or Isotope
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(Energy Or Isotope) (Complex Extension)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
110. Procedure.extension:energyOrIsotope.extension
Définition | An Extension 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.
Short | ExtensionAdditional content defined by implementations
Commentaires | 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.
Control | 10..*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Procedure.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
112. Procedure.extension:energyOrIsotope.extension:quantityEnergyOrIsotope
Nom de la slice | quantityEnergyOrIsotope
Définition | An Extension
Short | ExtensionAdditional content defined by implementations
Control | 10..1*
Type | Extension
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
114. Procedure.extension:energyOrIsotope.extension:quantityEnergyOrIsotope.extension
Définition | An Extension 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.
Short | ExtensionAdditional content defined by implementations
Commentaires | 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.
Control | 0..0*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Procedure.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
116. Procedure.extension:energyOrIsotope.extension:quantityEnergyOrIsotope.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `quantityEnergyOrIsotope`
118. Procedure.extension:energyOrIsotope.extension:quantityEnergyOrIsotope.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 10..1
Type | Quantity, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
120. Procedure.extension:energyOrIsotope.extension:nameEnergyOrIsotope
Nom de la slice | nameEnergyOrIsotope
Définition | An Extension
Short | ExtensionAdditional content defined by implementations
Control | 0..1*
Type | Extension
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
122. Procedure.extension:energyOrIsotope.extension:nameEnergyOrIsotope.extension
Définition | An Extension 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.
Short | ExtensionAdditional content defined by implementations
Commentaires | 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.
Control | 0..0*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Procedure.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
124. Procedure.extension:energyOrIsotope.extension:nameEnergyOrIsotope.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `nameEnergyOrIsotope`
126. Procedure.extension:energyOrIsotope.extension:nameEnergyOrIsotope.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 0..1
Type | string, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
128. Procedure.extension:energyOrIsotope.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/energyOrIsotope`
130. Procedure.extension:energyOrIsotope.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 0..01
Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
132. Procedure.extension:numberOfFractions
Nom de la slice | numberOfFractions
Définition | Number of Fractions. If delivred, it should be extracted from MOSAIQ/ARIA Record and Verify. If planned, it corresponds to Dicom Tag (300A,0078)
Short | Number of Fractions
Control | 1..1 This element is affected by the following invariants: ele-1
Type | Extension(Number of Fractions) (Extension Type: unsignedInt)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
134. Procedure.extension:reasonReplanification
Nom de la slice | reasonReplanification
Définition | Reason Replanification. It should be extracted from MOSAIQ/ARIA Record and Verify.
Short | Reason Replanification
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Reason Replanification) (Extension Type: CodeableConcept)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
136. Procedure.extension:algorithmName
Nom de la slice | algorithmName
Définition | Name of the algorithm. Dicom Tag (0066,0036)
Short | Name of the algorithm
Control | 1..1 This element is affected by the following invariants: ele-1
Type | Extension(Algorith mName) (Extension Type: string)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
138. Procedure.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it 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 is allowed to 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored
Commentaires | 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Résumé | false
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.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
140. Procedure.identifier
Définition | Business identifiers assigned to this procedure by the performer or other systems which remain constant as the resource is updated and is propagated from server to server.
Short | External Identifiers for this procedure
Commentaires | This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and Person resource instances might share the same social insurance number.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 10..*
Type | Identifier
Is Modifier | false
Résumé | true
Requirements | Allows identification of the procedure as it is known by various participating systems and in a way that remains consistent across servers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `Procedure.identifier`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ type
142. Procedure.identifier:rtPlanUID
Nom de la slice | rtPlanUID
Définition | Reference SOP Instance UID of the RT Plan. Dicom Tag (0008,1155) Business identifiers assigned to this procedure by the performer or other systems which remain constant as the resource is updated and is propagated from server to server.
Short | UID RT PlanExternal Identifiers for this procedure
Commentaires | This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and Person resource instances might share the same social insurance number.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 10..1*
Type | Identifier
Is Modifier | false
Must Support | true
Résumé | true
Requirements | Allows identification of the procedure as it is known by various participating systems and in a way that remains consistent across servers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
144. Procedure.identifier:rtPlanUID.use
Définition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Commentaires | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 0..1
Binding | The codes SHALL be taken from IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
146. Procedure.identifier:rtPlanUID.type
Définition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | Description of identifier
Commentaires | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 10..1
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type (extensible to `http://hl7.org/fhir/ValueSet/identifier-type` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Type | CodeableConcept
Is Modifier | false
Résumé | true
Requirements | Allows users to make use of identifiers when the identifier system is not known.
Pattern Value | `{ "coding" : [{ "code" : "MR" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
148. Procedure.partOf
Définition | A larger event of which this particular procedure is a component or step.
Short | Should Reference a Radiotherapy Treatment PhasePart of referenced event
Commentaires | The MedicationAdministration resource has a partOf reference to Procedure, but this is not a circular reference. For example, the anesthesia MedicationAdministration is part of the surgical Procedure (MedicationAdministration.partOf = Procedure). For example, the procedure to insert the IV port for an IV medication administration is part of the medication administration (Procedure.partOf = MedicationAdministration).
Control | 10..1*
Type | Reference(Radiotherapy Phase, Procedure, Observation, MedicationAdministration)
Is Modifier | false
Résumé | true
Alternate Names | container
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
150. Procedure.status
Définition | A code specifying the state of the procedure. Generally, this will be the in-progress or completed state.
Short | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Commentaires | The "unknown" code is not to be used to convey other statuses. The "unknown" code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
Control | 1..1
Binding | The codes SHALL be taken from EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 (required to `http://hl7.org/fhir/ValueSet/event-status|4.0.1` ) A code specifying the state of the procedure.
Type | code
Is Modifier | true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
152. Procedure.category
Définition | Type (planned or delivered) A code that classifies the procedure for searching, sorting and display purposes (e.g. "Surgical Procedure").
Short | Type (planned or delivered)Classification of the procedure
Control | 10..1
Binding | For example codes, see ProcedureCategoryCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-category (example to `http://hl7.org/fhir/ValueSet/procedure-category` ) A code that classifies a procedure for searching, sorting and display purposes.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
154. Procedure.category.coding
Définition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Commentaires | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Type | Coding
Is Modifier | false
Résumé | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
156. Procedure.category.coding.code
Définition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | Symbol in syntax defined by the system
Control | 10..1
Binding | The codes SHALL be taken from For codes, see Radiotherapy Category (required to `https://ig-osiris.cancer.fr/ig/osiris/ValueSet/vs-radiotherapy-category` )
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Résumé | true
Requirements | Need to refer to a particular code in the system.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
158. Procedure.code
Définition | The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. "Laparoscopic Appendectomy").
Short | Identification of the procedure
Control | 10..1
Binding | For example codes, see ProcedureCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-code (example to `http://hl7.org/fhir/ValueSet/procedure-code` ) A code to identify a specific procedure .
Type | CodeableConcept
Is Modifier | false
Must Support | true
Résumé | true
Requirements | 0..1 to account for primarily narrative only resources.
Alternate Names | type
Pattern Value | `{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "1255724003" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
160. Procedure.subject
Définition | The person, animal or group on which the procedure was performed.
Short | Who the procedure was performed on
Control | 1..1
Type | Reference(Oncology Patient, Patient, Group)
Is Modifier | false
Must Support | true
Résumé | true
Alternate Names | patient
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
162. Procedure.performed[x]
Définition | The start and end period Estimated or actual date, date-time, period, or age when 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.
Short | When the procedure was performed
Commentaires | Age is generally used when the patient reports an age at which the procedure was performed. Range is generally used when the patient reports an age range when the procedure was performed, such as sometime between 20-25 years old. dateTime supports a range of precision due to some procedures being reported as past procedures that might not have millisecond precision while other procedures performed and documented during the encounter might have more precise UTC timestamps with timezone.
Control | 10..1
Type | Period, dateTime, string, Range, Age
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
164. Procedure.performed[x].start
Définition | Start date and time. They should be extracted from MOSAIQ/ARIA Record and Verify. The start of the period. The boundary is inclusive.
Short | Start dateStarting time with inclusive boundary
Commentaires | If the low element is missing, the meaning is that the low boundary is not known.
Control | 10..1 This element is affected by the following invariants: per-1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
166. Procedure.performed[x].end
Définition | End date and time. They should be extracted from MOSAIQ/ARIA Record and Verify. The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.
Short | End dateEnd time with inclusive boundary, if not ongoing
Commentaires | The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.
Control | 10..1 This element is affected by the following invariants: per-1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Résumé | true
Meaning if Missing | If the end of the period is missing, it means that the period is ongoing
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be found here

0. Procedure
2. Procedure.extension
Control | 2..?
Slicing | This element introduces a set of slices on `Procedure.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
4. Procedure.extension:basedOn
Nom de la slice | basedOn
Control | 0..3
Type | Extension(Connection with the imaging module) (Complex Extension)
Must Support | true
6. Procedure.extension:basedOn.extension:seriesUID
Nom de la slice | seriesUID
8. Procedure.extension:basedOn.extension:rtStructUID
Nom de la slice | rtStructUID
10. Procedure.extension:doseToVolume
Nom de la slice | doseToVolume
Control | 0..*
Type | Extension(Dose To Volume) (Complex Extension)
Must Support | true
12. Procedure.extension:doseToVolume.extension:fractionDose
Nom de la slice | fractionDose
14. Procedure.extension:doseToVolume.extension:numberOfFractions
Nom de la slice | numberOfFractions
16. Procedure.extension:doseToVolume.extension:totalDose
Nom de la slice | totalDose
18. Procedure.extension:doseToVolume.extension:rtDoseUID
Nom de la slice | rtDoseUID
20. Procedure.extension:modalityAndTechnique
Nom de la slice | modalityAndTechnique
Control | 0..*
Type | Extension(Modality And Technique) (Complex Extension)
Must Support | true
22. Procedure.extension:modalityAndTechnique.extension:radiotherapyModality
Nom de la slice | radiotherapyModality
24. Procedure.extension:modalityAndTechnique.extension:radiotherapyTechnique
Nom de la slice | radiotherapyTechnique
26. Procedure.extension:modalityAndTechnique.extension:radiotherapyTreatmentMachinePlanned
Nom de la slice | radiotherapyTreatmentMachinePlanned
28. Procedure.extension:energyOrIsotope
Nom de la slice | energyOrIsotope
Control | 0..*
Type | Extension(Energy Or Isotope) (Complex Extension)
Must Support | true
30. Procedure.extension:energyOrIsotope.extension:quantityEnergyOrIsotope
Nom de la slice | quantityEnergyOrIsotope
32. Procedure.extension:energyOrIsotope.extension:nameEnergyOrIsotope
Nom de la slice | nameEnergyOrIsotope
34. Procedure.extension:numberOfFractions
Nom de la slice | numberOfFractions
Définition | Number of Fractions. If delivred, it should be extracted from MOSAIQ/ARIA Record and Verify. If planned, it corresponds to Dicom Tag (300A,0078)
Short | Number of Fractions
Control | 1..1
Type | Extension(Number of Fractions) (Extension Type: unsignedInt)
Must Support | true
36. Procedure.extension:reasonReplanification
Nom de la slice | reasonReplanification
Définition | Reason Replanification. It should be extracted from MOSAIQ/ARIA Record and Verify.
Short | Reason Replanification
Control | 0..1
Type | Extension(Reason Replanification) (Extension Type: CodeableConcept)
Must Support | true
38. Procedure.extension:algorithmName
Nom de la slice | algorithmName
Définition | Name of the algorithm. Dicom Tag (0066,0036)
Short | Name of the algorithm
Control | 1..1
Type | Extension(Algorith mName) (Extension Type: string)
Must Support | true
40. Procedure.identifier
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..?
Slicing | This element introduces a set of slices on `Procedure.identifier`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ type
42. Procedure.identifier:rtPlanUID
Nom de la slice | rtPlanUID
Définition | Reference SOP Instance UID of the RT Plan. Dicom Tag (0008,1155)
Short | UID RT Plan
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..1
Must Support | true
44. Procedure.identifier:rtPlanUID.type
Control | 1..?
Pattern Value | `{ "coding" : [{ "code" : "MR" }] }`
46. Procedure.partOf
Short | Should Reference a Radiotherapy Treatment Phase
Control | 1..1
Type | Reference(Radiotherapy Phase)
48. Procedure.category
Définition | Type (planned or delivered)
Short | Type (planned or delivered)
Control | 1..?
Must Support | true
50. Procedure.category.coding
52. Procedure.category.coding.code
Control | 1..?
Binding | The codes SHALL be taken from Radiotherapy Category (required to `https://ig-osiris.cancer.fr/ig/osiris/ValueSet/vs-radiotherapy-category` )
Must Support | true
54. Procedure.code
Control | 1..?
Must Support | true
Pattern Value | `{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "1255724003" }] }`
56. Procedure.code.coding
58. Procedure.code.coding.display
Pattern Value | `Radiotherapy treatment plan (regime/therapy)`
60. Procedure.subject
Type | Reference(Oncology Patient)
Must Support | true
62. Procedure.performed[x]
Définition | The start and end period
Control | 1..?
Type | Period, dateTime, string, Range, Age
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
64. Procedure.performed[x].start
Définition | Start date and time. They should be extracted from MOSAIQ/ARIA Record and Verify.
Short | Start date
Control | 1..?
Must Support | true
66. Procedure.performed[x].end
Définition | End date and time. They should be extracted from MOSAIQ/ARIA Record and Verify.
Short | End date
Control | 1..?
Must Support | true

Guidance on how to interpret the contents of this table can be found here

0. Procedure
Définition | An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like long term services, counseling, or hypnotherapy.
Short | An action that is being or was performed on a patient
Control | 0..*
Is Modifier | false
Résumé | false
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (`contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`)
2. Procedure.id
Définition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Short | Logical id of this artifact
Commentaires | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Control | 0..1
Type | id
Is Modifier | false
Résumé | true
4. Procedure.meta
Définition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Short | Metadata about the resource
Control | 0..1
Type | Meta
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. Procedure.implicitRules
Définition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | A set of rules under which this content was created
Commentaires | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. Procedure.language
Définition | The base language in which the resource is written.
Short | Language of the resource content
Commentaires | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Control | 0..1
Binding | The codes SHOULD be taken from CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages` ) A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. Procedure.text
Définition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Short | Text summary of the resource, for human interpretation
Commentaires | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Control | 0..1
Type | Narrative
Is Modifier | false
Résumé | false
Alternate Names | narrative, html, xhtml, display
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. Procedure.contained
Définition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Short | Contained, inline Resources
Commentaires | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Control | 0..*
Type | Resource
Is Modifier | false
Résumé | false
Alternate Names | inline resources, anonymous resources, contained resources
14. Procedure.extension
Définition | An Extension
Short | Extension
Control | 2..*
Type | Extension
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Procedure.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
16. Procedure.extension:basedOn
Nom de la slice | basedOn
Définition | Connection with the imaging module (ImagingStudy and ROI Segmentation)
Short | Connection with the imaging module
Control | 0..3 This element is affected by the following invariants: ele-1
Type | Extension(Connection with the imaging module) (Complex Extension)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
18. Procedure.extension:basedOn.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
20. Procedure.extension:basedOn.extension
Définition | 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.
Short | Additional content defined by implementations
Commentaires | 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.
Control | 0..*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Procedure.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
22. Procedure.extension:basedOn.extension:imagingStudyRef
Nom de la slice | imagingStudyRef
Définition | Imaging Study to which the reference series (UID series) belong
Short | Imaging Study Reference
Control | 0..1
Type | Extension
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
24. Procedure.extension:basedOn.extension:imagingStudyRef.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
26. Procedure.extension:basedOn.extension:imagingStudyRef.extension
Définition | An Extension
Short | Extension
Control | 0..0
Type | Extension
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Procedure.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
28. Procedure.extension:basedOn.extension:imagingStudyRef.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `imagingStudyRef`
30. Procedure.extension:basedOn.extension:imagingStudyRef.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 0..1
Type | Reference(Imaging Study)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
32. Procedure.extension:basedOn.extension:seriesUID
Nom de la slice | seriesUID
Définition | An Extension
Short | Extension
Control | 0..1
Type | Extension
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
34. Procedure.extension:basedOn.extension:seriesUID.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
36. Procedure.extension:basedOn.extension:seriesUID.extension
Définition | An Extension
Short | Extension
Control | 0..0
Type | Extension
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Procedure.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
38. Procedure.extension:basedOn.extension:seriesUID.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `seriesUID`
40. Procedure.extension:basedOn.extension:seriesUID.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 0..1
Type | string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. Procedure.extension:basedOn.extension:rtStructUID
Nom de la slice | rtStructUID
Définition | An Extension
Short | Extension
Control | 0..1
Type | Extension
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
44. Procedure.extension:basedOn.extension:rtStructUID.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
46. Procedure.extension:basedOn.extension:rtStructUID.extension
Définition | An Extension
Short | Extension
Control | 0..0
Type | Extension
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Procedure.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
48. Procedure.extension:basedOn.extension:rtStructUID.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `rtStructUID`
50. Procedure.extension:basedOn.extension:rtStructUID.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 0..1
Type | Reference(ROI segmentation)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
52. Procedure.extension:basedOn.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/basedOn`
54. Procedure.extension:basedOn.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 0..0
Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
56. Procedure.extension:doseToVolume
Nom de la slice | doseToVolume
Définition | Dose To Volume
Short | Dose To Volume
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(Dose To Volume) (Complex Extension)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
58. Procedure.extension:doseToVolume.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
60. Procedure.extension:doseToVolume.extension
Définition | An Extension
Short | Extension
Control | 4..*
Type | Extension
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Procedure.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
62. Procedure.extension:doseToVolume.extension:volume
Nom de la slice | volume
Définition | The volume targeted by the dose.
Short | Volume targeted
Control | 1..*
Type | Extension
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
64. Procedure.extension:doseToVolume.extension:volume.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
66. Procedure.extension:doseToVolume.extension:volume.extension
Définition | An Extension
Short | Extension
Control | 0..0
Type | Extension
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Procedure.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
68. Procedure.extension:doseToVolume.extension:volume.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `volume`
70. Procedure.extension:doseToVolume.extension:volume.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 1..1
Type | Reference(Radiotherapy Volume Profile)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. Procedure.extension:doseToVolume.extension:fractionDose
Nom de la slice | fractionDose
Définition | An Extension
Short | Extension
Control | 1..1
Type | Extension
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
74. Procedure.extension:doseToVolume.extension:fractionDose.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
76. Procedure.extension:doseToVolume.extension:fractionDose.extension
Définition | An Extension
Short | Extension
Control | 0..0
Type | Extension
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Procedure.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
78. Procedure.extension:doseToVolume.extension:fractionDose.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `fractionDose`
80. Procedure.extension:doseToVolume.extension:fractionDose.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 1..1
Type | string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. Procedure.extension:doseToVolume.extension:numberOfFractions
Nom de la slice | numberOfFractions
Définition | An Extension
Short | Extension
Control | 1..1
Type | Extension
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
84. Procedure.extension:doseToVolume.extension:numberOfFractions.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
86. Procedure.extension:doseToVolume.extension:numberOfFractions.extension
Définition | An Extension
Short | Extension
Control | 0..0
Type | Extension
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Procedure.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
88. Procedure.extension:doseToVolume.extension:numberOfFractions.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `numberOfFractions`
90. Procedure.extension:doseToVolume.extension:numberOfFractions.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 1..1
Type | unsignedInt
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
92. Procedure.extension:doseToVolume.extension:totalDose
Nom de la slice | totalDose
Définition | An Extension
Short | Extension
Control | 1..1
Type | Extension
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
94. Procedure.extension:doseToVolume.extension:totalDose.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
96. Procedure.extension:doseToVolume.extension:totalDose.extension
Définition | An Extension
Short | Extension
Control | 0..0
Type | Extension
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Procedure.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
98. Procedure.extension:doseToVolume.extension:totalDose.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `totalDose`
100. Procedure.extension:doseToVolume.extension:totalDose.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 1..1
Type | string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
102. Procedure.extension:doseToVolume.extension:rtDoseUID
Nom de la slice | rtDoseUID
Définition | An Extension
Short | Extension
Control | 0..1
Type | Extension
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
104. Procedure.extension:doseToVolume.extension:rtDoseUID.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
106. Procedure.extension:doseToVolume.extension:rtDoseUID.extension
Définition | An Extension
Short | Extension
Control | 0..0
Type | Extension
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Procedure.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
108. Procedure.extension:doseToVolume.extension:rtDoseUID.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `rtDoseUID`
110. Procedure.extension:doseToVolume.extension:rtDoseUID.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 0..1
Type | string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
112. Procedure.extension:doseToVolume.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/doseToVolume`
114. Procedure.extension:doseToVolume.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 0..0
Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
116. Procedure.extension:modalityAndTechnique
Nom de la slice | modalityAndTechnique
Définition | Modality And Technique
Short | Modality And Technique
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(Modality And Technique) (Complex Extension)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
118. Procedure.extension:modalityAndTechnique.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
120. Procedure.extension:modalityAndTechnique.extension
Définition | An Extension
Short | Extension
Control | 2..*
Type | Extension
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Procedure.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
122. Procedure.extension:modalityAndTechnique.extension:radiotherapyModality
Nom de la slice | radiotherapyModality
Définition | An Extension
Short | Extension
Control | 1..1
Type | Extension
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
124. Procedure.extension:modalityAndTechnique.extension:radiotherapyModality.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
126. Procedure.extension:modalityAndTechnique.extension:radiotherapyModality.extension
Définition | An Extension
Short | Extension
Control | 0..0
Type | Extension
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Procedure.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
128. Procedure.extension:modalityAndTechnique.extension:radiotherapyModality.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `radiotherapyModality`
130. Procedure.extension:modalityAndTechnique.extension:radiotherapyModality.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 1..1
Binding | The codes SHALL be taken from http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs (required to `http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs` )
Type | CodeableConcept
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
132. Procedure.extension:modalityAndTechnique.extension:radiotherapyTechnique
Nom de la slice | radiotherapyTechnique
Définition | An Extension
Short | Extension
Control | 1..1
Type | Extension
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
134. Procedure.extension:modalityAndTechnique.extension:radiotherapyTechnique.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
136. Procedure.extension:modalityAndTechnique.extension:radiotherapyTechnique.extension
Définition | An Extension
Short | Extension
Control | 0..0
Type | Extension
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Procedure.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
138. Procedure.extension:modalityAndTechnique.extension:radiotherapyTechnique.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `radiotherapyTechnique`
140. Procedure.extension:modalityAndTechnique.extension:radiotherapyTechnique.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 1..1
Binding | The codes SHALL be taken from http://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs (required to `http://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs` )
Type | CodeableConcept
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
142. Procedure.extension:modalityAndTechnique.extension:radiotherapyTreatmentMachinePlanned
Nom de la slice | radiotherapyTreatmentMachinePlanned
Définition | An Extension
Short | Extension
Control | 0..1
Type | Extension
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
144. Procedure.extension:modalityAndTechnique.extension:radiotherapyTreatmentMachinePlanned.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
146. Procedure.extension:modalityAndTechnique.extension:radiotherapyTreatmentMachinePlanned.extension
Définition | An Extension
Short | Extension
Control | 0..0
Type | Extension
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Procedure.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
148. Procedure.extension:modalityAndTechnique.extension:radiotherapyTreatmentMachinePlanned.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `radiotherapyTreatmentMachinePlanned`
150. Procedure.extension:modalityAndTechnique.extension:radiotherapyTreatmentMachinePlanned.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 0..1
Type | string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
152. Procedure.extension:modalityAndTechnique.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/modalityAndTechnique`
154. Procedure.extension:modalityAndTechnique.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 0..0
Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
156. Procedure.extension:energyOrIsotope
Nom de la slice | energyOrIsotope
Définition | Energy Or Isotope
Short | Energy Or Isotope
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(Energy Or Isotope) (Complex Extension)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
158. Procedure.extension:energyOrIsotope.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
160. Procedure.extension:energyOrIsotope.extension
Définition | An Extension
Short | Extension
Control | 1..*
Type | Extension
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Procedure.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
162. Procedure.extension:energyOrIsotope.extension:quantityEnergyOrIsotope
Nom de la slice | quantityEnergyOrIsotope
Définition | An Extension
Short | Extension
Control | 1..1
Type | Extension
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
164. Procedure.extension:energyOrIsotope.extension:quantityEnergyOrIsotope.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
166. Procedure.extension:energyOrIsotope.extension:quantityEnergyOrIsotope.extension
Définition | An Extension
Short | Extension
Control | 0..0
Type | Extension
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Procedure.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
168. Procedure.extension:energyOrIsotope.extension:quantityEnergyOrIsotope.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `quantityEnergyOrIsotope`
170. Procedure.extension:energyOrIsotope.extension:quantityEnergyOrIsotope.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 1..1
Type | Quantity
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
172. Procedure.extension:energyOrIsotope.extension:nameEnergyOrIsotope
Nom de la slice | nameEnergyOrIsotope
Définition | An Extension
Short | Extension
Control | 0..1
Type | Extension
Is Modifier | false
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
174. Procedure.extension:energyOrIsotope.extension:nameEnergyOrIsotope.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
176. Procedure.extension:energyOrIsotope.extension:nameEnergyOrIsotope.extension
Définition | An Extension
Short | Extension
Control | 0..0
Type | Extension
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Procedure.extension.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
178. Procedure.extension:energyOrIsotope.extension:nameEnergyOrIsotope.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `nameEnergyOrIsotope`
180. Procedure.extension:energyOrIsotope.extension:nameEnergyOrIsotope.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 0..1
Type | string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
182. Procedure.extension:energyOrIsotope.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/energyOrIsotope`
184. Procedure.extension:energyOrIsotope.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 0..0
Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
186. Procedure.extension:numberOfFractions
Nom de la slice | numberOfFractions
Définition | Number of Fractions. If delivred, it should be extracted from MOSAIQ/ARIA Record and Verify. If planned, it corresponds to Dicom Tag (300A,0078)
Short | Number of Fractions
Control | 1..1 This element is affected by the following invariants: ele-1
Type | Extension(Number of Fractions) (Extension Type: unsignedInt)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
188. Procedure.extension:reasonReplanification
Nom de la slice | reasonReplanification
Définition | Reason Replanification. It should be extracted from MOSAIQ/ARIA Record and Verify.
Short | Reason Replanification
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Reason Replanification) (Extension Type: CodeableConcept)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
190. Procedure.extension:algorithmName
Nom de la slice | algorithmName
Définition | Name of the algorithm. Dicom Tag (0066,0036)
Short | Name of the algorithm
Control | 1..1 This element is affected by the following invariants: ele-1
Type | Extension(Algorith mName) (Extension Type: string)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
192. Procedure.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it 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 is allowed to 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored
Commentaires | 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Résumé | false
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.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
194. Procedure.identifier
Définition | Business identifiers assigned to this procedure by the performer or other systems which remain constant as the resource is updated and is propagated from server to server.
Short | External Identifiers for this procedure
Commentaires | This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and Person resource instances might share the same social insurance number.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..*
Type | Identifier
Is Modifier | false
Résumé | true
Requirements | Allows identification of the procedure as it is known by various participating systems and in a way that remains consistent across servers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `Procedure.identifier`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ type
196. Procedure.identifier:rtPlanUID
Nom de la slice | rtPlanUID
Définition | Reference SOP Instance UID of the RT Plan. Dicom Tag (0008,1155)
Short | UID RT Plan
Commentaires | This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and Person resource instances might share the same social insurance number.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..1
Type | Identifier
Is Modifier | false
Must Support | true
Résumé | true
Requirements | Allows identification of the procedure as it is known by various participating systems and in a way that remains consistent across servers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
198. Procedure.identifier:rtPlanUID.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
200. Procedure.identifier:rtPlanUID.extension
Définition | 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.
Short | Additional content defined by implementations
Commentaires | 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.
Control | 0..*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Procedure.identifier.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
202. Procedure.identifier:rtPlanUID.use
Définition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Commentaires | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 0..1
Binding | The codes SHALL be taken from IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
204. Procedure.identifier:rtPlanUID.type
Définition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | Description of identifier
Commentaires | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes (extensible to `http://hl7.org/fhir/ValueSet/identifier-type` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Type | CodeableConcept
Is Modifier | false
Résumé | true
Requirements | Allows users to make use of identifiers when the identifier system is not known.
Pattern Value | `{ "coding" : [{ "code" : "MR" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
206. Procedure.identifier:rtPlanUID.system
Définition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Commentaires | Identifier.system is always case sensitive.
Control | 0..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Exemple | <br/><b>General</b>:http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
208. Procedure.identifier:rtPlanUID.value
Définition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | The value that is unique
Commentaires | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Exemple | <br/><b>General</b>:123456
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
210. Procedure.identifier:rtPlanUID.period
Définition | Time period during which identifier is/was valid for use.
Short | Time period when id is/was valid for use
Control | 0..1
Type | Period
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
212. Procedure.identifier:rtPlanUID.assigner
Définition | Organization that issued/manages the identifier.
Short | Organization that issued id (may be just text)
Commentaires | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Control | 0..1
Type | Reference(Organization)
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
214. Procedure.instantiatesCanonical
Définition | The URL pointing to a FHIR-defined protocol, guideline, order set or other definition that is adhered to in whole or in part by this Procedure.
Short | Instantiates FHIR protocol or definition
Control | 0..*
Type | canonical(PlanDefinition, ActivityDefinition, Measure, OperationDefinition, Questionnaire)
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
216. Procedure.instantiatesUri
Définition | The URL pointing to an externally maintained protocol, guideline, order set or other definition that is adhered to in whole or in part by this Procedure.
Short | Instantiates external protocol or definition
Commentaires | This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.
Control | 0..*
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
218. Procedure.basedOn
Définition | A reference to a resource that contains details of the request for this procedure.
Short | A request for this procedure
Control | 0..*
Type | Reference(CarePlan, ServiceRequest)
Is Modifier | false
Résumé | true
Alternate Names | fulfills
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
220. Procedure.partOf
Définition | A larger event of which this particular procedure is a component or step.
Short | Should Reference a Radiotherapy Treatment Phase
Commentaires | The MedicationAdministration resource has a partOf reference to Procedure, but this is not a circular reference. For example, the anesthesia MedicationAdministration is part of the surgical Procedure (MedicationAdministration.partOf = Procedure). For example, the procedure to insert the IV port for an IV medication administration is part of the medication administration (Procedure.partOf = MedicationAdministration).
Control | 1..1
Type | Reference(Radiotherapy Phase)
Is Modifier | false
Résumé | true
Alternate Names | container
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
222. Procedure.status
Définition | A code specifying the state of the procedure. Generally, this will be the in-progress or completed state.
Short | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Commentaires | The "unknown" code is not to be used to convey other statuses. The "unknown" code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
Control | 1..1
Binding | The codes SHALL be taken from EventStatus (required to `http://hl7.org/fhir/ValueSet/event-status|4.0.1` ) A code specifying the state of the procedure.
Type | code
Is Modifier | true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
224. Procedure.statusReason
Définition | Captures the reason for the current state of the procedure.
Short | Reason for current status
Commentaires | This is generally only used for "exception" statuses such as "not-done", "suspended" or "aborted". The reason for performing the event at all is captured in reasonCode, not here.
Control | 0..1
Binding | For example codes, see ProcedureNotPerformedReason(SNOMED-CT) (example to `http://hl7.org/fhir/ValueSet/procedure-not-performed-reason` ) A code that identifies the reason a procedure was not performed.
Type | CodeableConcept
Is Modifier | false
Résumé | true
Alternate Names | Suspended Reason, Cancelled Reason
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
226. Procedure.category
Définition | Type (planned or delivered)
Short | Type (planned or delivered)
Control | 1..1
Binding | For example codes, see ProcedureCategoryCodes(SNOMEDCT) (example to `http://hl7.org/fhir/ValueSet/procedure-category` ) A code that classifies a procedure for searching, sorting and display purposes.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
228. Procedure.category.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
230. Procedure.category.extension
Définition | 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.
Short | Additional content defined by implementations
Commentaires | 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.
Control | 0..*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Procedure.category.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
232. Procedure.category.coding
Définition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Commentaires | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Type | Coding
Is Modifier | false
Résumé | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
234. Procedure.category.coding.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
236. Procedure.category.coding.extension
Définition | 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.
Short | Additional content defined by implementations
Commentaires | 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.
Control | 0..*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Procedure.category.coding.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
238. Procedure.category.coding.system
Définition | The identification of the code system that defines the meaning of the symbol in the code.
Short | Identity of the terminology system
Commentaires | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 0..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Need to be unambiguous about the source of the definition of the symbol.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
240. Procedure.category.coding.version
Définition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Short | Version of the system - if relevant
Commentaires | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
242. Procedure.category.coding.code
Définition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | Symbol in syntax defined by the system
Control | 1..1
Binding | The codes SHALL be taken from Radiotherapy Category (required to `https://ig-osiris.cancer.fr/ig/osiris/ValueSet/vs-radiotherapy-category` )
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Résumé | true
Requirements | Need to refer to a particular code in the system.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
244. Procedure.category.coding.display
Définition | A representation of the meaning of the code in the system, following the rules of the system.
Short | Representation defined by the system
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
246. Procedure.category.coding.userSelected
Définition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Short | If this coding was chosen directly by the user
Commentaires | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Control | 0..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
248. Procedure.category.text
Définition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | Plain text representation of the concept
Commentaires | Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
250. Procedure.code
Définition | The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. "Laparoscopic Appendectomy").
Short | Identification of the procedure
Control | 1..1
Binding | For example codes, see ProcedureCodes(SNOMEDCT) (example to `http://hl7.org/fhir/ValueSet/procedure-code` ) A code to identify a specific procedure .
Type | CodeableConcept
Is Modifier | false
Must Support | true
Résumé | true
Requirements | 0..1 to account for primarily narrative only resources.
Alternate Names | type
Pattern Value | `{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "1255724003" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
252. Procedure.code.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
254. Procedure.code.extension
Définition | 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.
Short | Additional content defined by implementations
Commentaires | 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.
Control | 0..*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Procedure.code.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
256. Procedure.code.coding
Définition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Commentaires | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Type | Coding
Is Modifier | false
Résumé | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
258. Procedure.code.coding.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
260. Procedure.code.coding.extension
Définition | 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.
Short | Additional content defined by implementations
Commentaires | 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.
Control | 0..*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Procedure.code.coding.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
262. Procedure.code.coding.system
Définition | The identification of the code system that defines the meaning of the symbol in the code.
Short | Identity of the terminology system
Commentaires | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 0..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Need to be unambiguous about the source of the definition of the symbol.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
264. Procedure.code.coding.version
Définition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Short | Version of the system - if relevant
Commentaires | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
266. Procedure.code.coding.code
Définition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | Symbol in syntax defined by the system
Control | 0..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Need to refer to a particular code in the system.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
268. Procedure.code.coding.display
Définition | A representation of the meaning of the code in the system, following the rules of the system.
Short | Representation defined by the system
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Pattern Value | `Radiotherapy treatment plan (regime/therapy)`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
270. Procedure.code.coding.userSelected
Définition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Short | If this coding was chosen directly by the user
Commentaires | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Control | 0..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
272. Procedure.code.text
Définition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | Plain text representation of the concept
Commentaires | Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
274. Procedure.subject
Définition | The person, animal or group on which the procedure was performed.
Short | Who the procedure was performed on
Control | 1..1
Type | Reference(Oncology Patient)
Is Modifier | false
Must Support | true
Résumé | true
Alternate Names | patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
276. Procedure.encounter
Définition | The Encounter during which this Procedure was created or performed or to which the creation of this record is tightly associated.
Short | Encounter created as part of
Commentaires | This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.
Control | 0..1
Type | Reference(Encounter)
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
278. Procedure.performed[x]
Définition | The start and end period
Short | When the procedure was performed
Commentaires | Age is generally used when the patient reports an age at which the procedure was performed. Range is generally used when the patient reports an age range when the procedure was performed, such as sometime between 20-25 years old. dateTime supports a range of precision due to some procedures being reported as past procedures that might not have millisecond precision while other procedures performed and documented during the encounter might have more precise UTC timestamps with timezone.
Control | 1..1
Type | Period
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
280. Procedure.performed[x].id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
282. Procedure.performed[x].extension
Définition | 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.
Short | Additional content defined by implementations
Commentaires | 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.
Control | 0..*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Procedure.performed[x].extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
284. Procedure.performed[x].start
Définition | Start date and time. They should be extracted from MOSAIQ/ARIA Record and Verify.
Short | Start date
Commentaires | If the low element is missing, the meaning is that the low boundary is not known.
Control | 1..1 This element is affected by the following invariants: per-1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
286. Procedure.performed[x].end
Définition | End date and time. They should be extracted from MOSAIQ/ARIA Record and Verify.
Short | End date
Commentaires | The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.
Control | 1..1 This element is affected by the following invariants: per-1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Résumé | true
Meaning if Missing | If the end of the period is missing, it means that the period is ongoing
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
288. Procedure.recorder
Définition | Individual who recorded the record and takes responsibility for its content.
Short | Who recorded the procedure
Control | 0..1
Type | Reference(Patient, RelatedPerson, Practitioner, PractitionerRole)
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
290. Procedure.asserter
Définition | Individual who is making the procedure statement.
Short | Person who asserts this procedure
Control | 0..1
Type | Reference(Patient, RelatedPerson, Practitioner, PractitionerRole)
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
292. Procedure.performer
Définition | Limited to "real" people rather than equipment.
Short | The people who performed the procedure
Control | 0..*
Type | BackboneElement
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
294. Procedure.performer.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
296. Procedure.performer.extension
Définition | 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.
Short | Additional content defined by implementations
Commentaires | 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.
Control | 0..*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
298. Procedure.performer.modifierExtension
Définition | 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Commentaires | 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
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.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
300. Procedure.performer.function
Définition | Distinguishes the type of involvement of the performer in the procedure. For example, surgeon, anaesthetist, endoscopist.
Short | Type of performance
Control | 0..1
Binding | For example codes, see ProcedurePerformerRoleCodes (example to `http://hl7.org/fhir/ValueSet/performer-role` ) A code that identifies the role of a performer of the procedure.
Type | CodeableConcept
Is Modifier | false
Résumé | true
Requirements | Allows disambiguation of the types of involvement of different performers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
302. Procedure.performer.actor
Définition | The practitioner who was involved in the procedure.
Short | The reference to the practitioner
Control | 1..1
Type | Reference(Practitioner, PractitionerRole, Organization, Patient, RelatedPerson, Device)
Is Modifier | false
Résumé | true
Requirements | A reference to Device supports use cases, such as pacemakers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
304. Procedure.performer.onBehalfOf
Définition | The organization the device or practitioner was acting on behalf of.
Short | Organization the device or practitioner was acting for
Control | 0..1
Type | Reference(Organization)
Is Modifier | false
Résumé | false
Requirements | Practitioners and Devices can be associated with multiple organizations. This element indicates which organization they were acting on behalf of when performing the action.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
306. Procedure.location
Définition | The location where the procedure actually happened. E.g. a newborn at home, a tracheostomy at a restaurant.
Short | Where the procedure happened
Control | 0..1
Type | Reference(Location)
Is Modifier | false
Résumé | true
Requirements | Ties a procedure to where the records are likely kept.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
308. Procedure.reasonCode
Définition | The coded reason why the procedure was performed. This may be a coded entity of some type, or may simply be present as text.
Short | Coded reason procedure performed
Commentaires | Use Procedure.reasonCode when a code sufficiently describes the reason. Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative. For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used. Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference. Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure.
Control | 0..*
Binding | For example codes, see ProcedureReasonCodes (example to `http://hl7.org/fhir/ValueSet/procedure-reason` ) A code that identifies the reason a procedure is required.
Type | CodeableConcept
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
310. Procedure.reasonReference
Définition | The justification of why the procedure was performed.
Short | The justification that the procedure was performed
Commentaires | It is possible for a procedure to be a reason (such as C-Section) for another procedure (such as an epidural). Other examples include endoscopy for dilatation and biopsy (a combination of diagnostic and therapeutic use). Use Procedure.reasonCode when a code sufficiently describes the reason. Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative. For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used. Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference. Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure.
Control | 0..*
Type | Reference(Condition, Observation, Procedure, DiagnosticReport, DocumentReference)
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
312. Procedure.bodySite
Définition | Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion.
Short | Target body sites
Commentaires | If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension procedure-targetbodystructure.
Control | 0..*
Binding | For example codes, see SNOMEDCTBodyStructures (example to `http://hl7.org/fhir/ValueSet/body-site` ) Codes describing anatomical locations. May include laterality.
Type | CodeableConcept
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
314. Procedure.outcome
Définition | The outcome of the procedure - did it resolve the reasons for the procedure being performed?
Short | The result of procedure
Commentaires | If outcome contains narrative text only, it can be captured using the CodeableConcept.text.
Control | 0..1
Binding | For example codes, see ProcedureOutcomeCodes(SNOMEDCT) (example to `http://hl7.org/fhir/ValueSet/procedure-outcome` ) An outcome of a procedure - whether it was resolved or otherwise.
Type | CodeableConcept
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
316. Procedure.report
Définition | This could be a histology result, pathology report, surgical report, etc.
Short | Any report resulting from the procedure
Commentaires | 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.
Control | 0..*
Type | Reference(DiagnosticReport, DocumentReference, Composition)
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
318. Procedure.complication
Définition | 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.
Short | Complication following the procedure
Commentaires | If complications are only expressed by the narrative text, they can be captured using the CodeableConcept.text.
Control | 0..*
Binding | For example codes, see Condition/Problem/DiagnosisCodes (example to `http://hl7.org/fhir/ValueSet/condition-code` ) Codes describing complications that resulted from a procedure.
Type | CodeableConcept
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
320. Procedure.complicationDetail
Définition | Any complications that occurred during the procedure, or in the immediate post-performance period.
Short | A condition that is a result of the procedure
Control | 0..*
Type | Reference(Condition)
Is Modifier | false
Résumé | false
Requirements | This is used to document a condition that is a result of the procedure, not the condition that was the reason for the procedure.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
322. Procedure.followUp
Définition | If the procedure required specific follow up - e.g. removal of sutures. The follow up may be represented as a simple note or could potentially be more complex, in which case the CarePlan resource can be used.
Short | Instructions for follow up
Control | 0..*
Binding | For example codes, see ProcedureFollowUpCodes(SNOMEDCT) (example to `http://hl7.org/fhir/ValueSet/procedure-followup` ) Specific follow up required for a procedure e.g. removal of sutures.
Type | CodeableConcept
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
324. Procedure.note
Définition | Any other notes and comments about the procedure.
Short | Additional information about the procedure
Control | 0..*
Type | Annotation
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
326. Procedure.focalDevice
Définition | 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.
Short | Manipulated, implanted, or removed device
Control | 0..*
Type | BackboneElement
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
328. Procedure.focalDevice.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
330. Procedure.focalDevice.extension
Définition | 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.
Short | Additional content defined by implementations
Commentaires | 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.
Control | 0..*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
332. Procedure.focalDevice.modifierExtension
Définition | 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Commentaires | 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
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.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
334. Procedure.focalDevice.action
Définition | The kind of change that happened to the device during the procedure.
Short | Kind of change to device
Control | 0..1
Binding | The codes SHOULD be taken from ProcedureDeviceActionCodes (preferred to `http://hl7.org/fhir/ValueSet/device-action` ) A kind of change that happened to the device during the procedure.
Type | CodeableConcept
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
336. Procedure.focalDevice.manipulated
Définition | The device that was manipulated (changed) during the procedure.
Short | Device that was changed
Control | 1..1
Type | Reference(Device)
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
338. Procedure.usedReference
Définition | Identifies medications, devices and any other substance used as part of the procedure.
Short | Items used during procedure
Commentaires | For devices actually implanted or removed, use Procedure.device.
Control | 0..*
Type | Reference(Device, Medication, Substance)
Is Modifier | false
Résumé | false
Requirements | Used for tracking contamination, etc.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
340. Procedure.usedCode
Définition | Identifies coded items that were used as part of the procedure.
Short | Coded items used during the procedure
Commentaires | For devices actually implanted or removed, use Procedure.device.
Control | 0..*
Binding | For example codes, see FHIRDeviceTypes (example to `http://hl7.org/fhir/ValueSet/device-kind` ) Codes describing items used during a procedure.
Type | CodeableConcept
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)