NAPKON Vaccination Module
1.0.0 - trial-use
NAPKON Vaccination Module - Local Development build (v1.0.0). See the Directory of published versions
Defining URL: | https://www.napkon.de/fhir/StructureDefinition/chemotherapy |
Version: | 1.0.0 |
Name: | Chemotherapy |
Status: | Active as of 2021-09-13 |
Definition: | Whether a patient is or has been receiving a chemotherapy within the last 3 months |
Publisher: | Charité - Universitätsmedizin Berlin |
Source Resource: | XML / JSON / Turtle |
The official URL for this profile is:
https://www.napkon.de/fhir/StructureDefinition/chemotherapy
This profile encodes the presence/absence of chemotherapy currently or in the last 3 months.
Parameter Case Report Form | Response Options |
---|---|
Chemotherapy currently or in the last 3 months | Yes / No / Unknown |
Response Option | Procedure.status |
---|---|
Yes, currently | #in-progress |
Yes, within the last 3 months | #completed |
No | #not-done |
Unknown | #unknown |
This profile of a FHIR Procedure is derived from the Procedure profile of the Medical Informatics Initiative (MII).
Description of Profiles, Differentials, Snapshots and how the different presentations work.
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | I | 0..* | Profile_MII_ProcedureProzedur | An action that is being or was performed on a patient |
id | SΣ | 0..1 | string | Logical id of this artifact |
meta | SΣ | 0..1 | Meta | Metadata about the resource |
id | 0..1 | string | Unique id for inter-element referencing | |
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
versionId | Σ | 0..1 | id | Version specific identifier |
lastUpdated | Σ | 0..1 | instant | When the resource version last changed |
source | SΣ | 0..1 | uri | Identifies where the resource comes from |
profile | SΣ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. |
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
contained | 0..* | Resource | Contained, inline Resources | |
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
ProzedurDokumentationsdatum | S | 0..1 | dateTime | Dokumentationsdatum der Prozedur URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum |
Durchfuehrungsabsicht | S | 0..1 | Coding | Optional Extensions Element URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht Binding: ValueSet_MII_Durchfuehrungsabsicht (required) |
Slices for modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
identifier | Σ | 0..* | Identifier | External Identifiers for this procedure |
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition |
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition |
basedOn | ΣI | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure |
partOf | ΣI | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event |
status | ?!SΣ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: RestrictedEventStatus (required) |
statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. |
category | SΣ | 0..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. |
id | 0..1 | string | Unique id for inter-element referencing | |
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
coding:sct | SΣ | 0..1 | Coding | Code defined by a terminology system Binding: ValueSet_MII_SnomedProcedure-Category (preferred) Required Pattern: At least the following |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
version | 1..1 | string | Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20210731 | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277132007 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Therapeutic procedure (procedure) | |
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
id | 0..1 | string | Unique id for inter-element referencing | |
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
system | SΣ | 1..1 | uri | Identity of the terminology system |
version | Σ | 0..1 | string | Version of the system - if relevant |
code | SΣ | 1..1 | code | Symbol in syntax defined by the system |
display | Σ | 0..1 | string | Representation defined by the system |
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
text | Σ | 0..1 | string | Plain text representation of the concept |
code | SΣI | 1..1 | CodeableConcept | Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . |
id | 0..1 | string | Unique id for inter-element referencing | |
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
Slices for coding | SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system |
coding:ops | SΣ | 0..1 | ?pkp-2? | A reference to a code defined by a terminology system Binding: OpsVS (required) |
id | 0..1 | string | Unique id for inter-element referencing | |
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
seitenlokalisation | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required) | |
seitenlokalisation | S | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required) |
system | SΣ | 1..1 | uri | Canonische CodeSystem URL für OPS Fixed Value: http://fhir.de/CodeSystem/bfarm/ops |
version | SΣ | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") |
code | SΣI | 1..1 | code | Der OPS-Code Example Einfacher OPS-Code: 5-470 |
display | Σ | 0..1 | string | Representation defined by the system |
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
coding:sct | SΣ | 1..1 | Coding | Code defined by a terminology system Binding: ValueSet_MII_SnomedProcedureCodes (required) Required Pattern: At least the following |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
version | 1..1 | string | Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20210731 | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 367336001 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Chemotherapy (procedure) | |
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
id | 0..1 | string | Unique id for inter-element referencing | |
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
system | SΣ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
version | Σ | 0..1 | string | Version of the system - if relevant |
code | SΣ | 1..1 | code | Symbol in syntax defined by the system |
display | Σ | 0..1 | string | Representation defined by the system |
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
text | Σ | 0..1 | string | Plain text representation of the concept |
subject | SΣI | 1..1 | Reference(Patient) | A reference from one resource to another |
encounter | ΣI | 0..1 | Reference(Encounter) | Encounter created as part of |
Slices for performed[x] | SΣ | 1..1 | dateTime | When the procedure was performed Slice: Unordered, Closed by type:$this |
performed[x]:performedDateTime | SΣ | 0..1 | dateTime | When the procedure was performed |
id | 0..1 | string | xml:id (or equivalent in JSON) | |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
data-absent-reason | S | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. |
value | 0..1 | dateTime | Primitive value for dateTime | |
recorder | ΣI | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure |
asserter | ΣI | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure |
performer | Σ | 0..* | BackboneElement | The people who performed the procedure |
id | 0..1 | string | Unique id for inter-element referencing | |
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. |
actor | ΣI | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner |
onBehalfOf | I | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for |
location | ΣI | 0..1 | Reference(Location) | Where the procedure happened |
reasonCode | Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. |
reasonReference | ΣI | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed |
bodySite | SΣ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (extensible): Codes describing anatomical locations. May include laterality. |
outcome | Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. |
report | I | 0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure |
complication | 0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |
complicationDetail | I | 0..* | Reference(Condition) | A condition that is a result of the procedure |
followUp | 0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |
note | S | 0..* | Annotation | Additional information about the procedure |
focalDevice | 0..* | BackboneElement | Manipulated, implanted, or removed device | |
id | 0..1 | string | Unique id for inter-element referencing | |
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
action | 0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure. | |
manipulated | I | 1..1 | Reference(Device) | Device that was changed |
usedReference | I | 0..* | Reference(Device | Medication | Substance) | Items used during procedure |
usedCode | 0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | I | 0..* | Profile_MII_ProcedureProzedur | An action that is being or was performed on a patient |
id | Σ | 0..1 | string | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource |
source | Σ | 0..1 | uri | Identifies where the resource comes from |
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
ProzedurDokumentationsdatum | 0..1 | dateTime | Dokumentationsdatum der Prozedur URL: http://fhir.de/StructureDefinition/ProzedurDokumentationsdatum | |
Durchfuehrungsabsicht | 0..1 | Coding | Optional Extensions Element URL: https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/StructureDefinition/Durchfuehrungsabsicht Binding: ValueSet_MII_Durchfuehrungsabsicht (required) | |
status | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: RestrictedEventStatus (required) |
category | Σ | 0..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. |
coding:sct | Σ | 0..1 | Coding | Code defined by a terminology system Binding: ValueSet_MII_SnomedProcedure-Category (preferred) Required Pattern: At least the following |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
version | 1..1 | string | Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20210731 | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277132007 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Therapeutic procedure (procedure) | |
system | Σ | 1..1 | uri | Identity of the terminology system |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
code | ΣI | 1..1 | CodeableConcept | Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . |
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system |
coding:ops | Σ | 0..1 | ?pkp-2? | A reference to a code defined by a terminology system Binding: OpsVS (required) |
seitenlokalisation | 0..1 | Coding | Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required) | |
system | Σ | 1..1 | uri | Canonische CodeSystem URL für OPS Fixed Value: http://fhir.de/CodeSystem/bfarm/ops |
version | Σ | 1..1 | string | Die Jahresversion des OPS Kataloges. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") |
code | ΣI | 1..1 | code | Der OPS-Code |
coding:sct | Σ | 1..1 | Coding | Code defined by a terminology system Binding: ValueSet_MII_SnomedProcedureCodes (required) Required Pattern: At least the following |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
version | 1..1 | string | Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20210731 | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 367336001 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Chemotherapy (procedure) | |
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
subject | ΣI | 1..1 | Reference(Patient) | A reference from one resource to another |
Slices for performed[x] | Σ | 1..1 | dateTime | When the procedure was performed Slice: Unordered, Closed by type:$this |
performed[x]:performedDateTime | Σ | 0..1 | dateTime | When the procedure was performed |
data-absent-reason | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. | |
bodySite | Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (extensible): Codes describing anatomical locations. May include laterality. |
note | 0..* | Annotation | Additional information about the procedure | |
Documentation for this format |
This structure is derived from Profile_MII_ProcedureProzedur
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | 0..* | Profile_MII_ProcedureProzedur | An action that is being or was performed on a patient | |
status | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: RestrictedEventStatus (required) | |
category | ||||
coding:sct | 0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
version | 1..1 | string | Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20210731 | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 277132007 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Therapeutic procedure (procedure) | |
code | ||||
coding:sct | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
version | 1..1 | string | Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20210731 | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 367336001 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Chemotherapy (procedure) | |
subject | S | 1..1 | Reference(Patient) | A reference from one resource to another |
performedDateTime | 0..1 | dateTime | When the procedure was performed | |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
data-absent-reason | S | 0..1 | code | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required): Used to specify why the normally expected content of the data element is missing. |
Documentation for this format |
This structure is derived from Profile_MII_ProcedureProzedur
Summary
Mandatory: 1 element
Must-Support: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron
Path | Conformance | ValueSet / Code |
Procedure.meta.security | extensible | All Security Labels |
Procedure.meta.tag | example | CommonTags |
Procedure.language | preferred | CommonLanguages Max Binding: AllLanguages |
Procedure.status | required | RestrictedEventStatus |
Procedure.statusReason | example | ProcedureNotPerformedReason(SNOMED-CT) |
Procedure.category | example | ProcedureCategoryCodes(SNOMEDCT) |
Procedure.category.coding:sct | preferred | Pattern: SNOMED CT code 277132007("Therapeutic procedure (procedure)") |
Procedure.code | example | ProcedureCodes(SNOMEDCT) |
Procedure.code.coding:ops | required | OpsVS (missing link) |
Procedure.code.coding:sct | required | Pattern: SNOMED CT code 367336001("Chemotherapy (procedure)") |
Procedure.performer.function | example | ProcedurePerformerRoleCodes |
Procedure.reasonCode | example | ProcedureReasonCodes |
Procedure.bodySite | extensible | SNOMEDCTBodyStructures |
Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT) |
Procedure.complication | example | Condition/Problem/DiagnosisCodes |
Procedure.followUp | example | ProcedureFollowUpCodes(SNOMEDCT) |
Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodes |
Procedure.usedCode | example | FHIRDeviceTypes |