{ "resourceType" : "StructureDefinition", "id" : "RadiotherapyProcedure", "text" : { "status" : "extensions", "div" : "

Сгенерированный нарратив: StructureDefinition RadiotherapyProcedure

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Наименование	Флаги	Карта.	Тип	Описание и ограничения $\"doco\"$
$\".\"$ $\".\"$ Procedure	C	0..*	Procedure	Сеанс лучевой терапии Constraints: RadiotherapyProcedureStatusRule, RadiotherapyProcedureStoppeddRule
$\".\"$ $\".\"$ $\".\"$ id		1..1	id	Логический идентификатор этого артефакта
$\".\"$ $\".\"$ $\".\"$ meta		1..1	Meta	Метаданные о ресурсе
$\".\"$ $\".\"$ $\".\"$ $\".\"$ id		0..0		Уникальный идентификатор для межэлементных ссылок
$\".\"$ $\".\"$ $\".\"$ $\".\"$ extension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ $\".\"$ versionId		0..0		Идентификатор конкретной версии
$\".\"$ $\".\"$ $\".\"$ $\".\"$ source		0..0		Определяет, откуда берется ресурс
$\".\"$ $\".\"$ $\".\"$ $\".\"$ profile		1..1	canonical(StructureDefinition)	Ссылка на профиль Требуемый шаблон: https://fhir.by/StructureDefinition/RadiotherapyProcedure
$\".\"$ $\".\"$ $\".\"$ $\".\"$ security		0..0		Метки безопасности, примененные к этому ресурсу
$\".\"$ $\".\"$ $\".\"$ $\".\"$ tag		0..0		Теги, применяемые к этому ресурсу
$\".\"$ $\".\"$ $\".\"$ implicitRules		0..0		Набор правил, в соответствии с которыми был создан этот контент
$\".\"$ $\".\"$ $\".\"$ language		0..0		Language of the resource content
$\".\"$ $\".\"$ $\".\"$ contained		0..0		Автономные встроенные ресурсы
$\".\"$ $\".\"$ $\".\"$ Разрезы для extension		1..1	Extension	Extension Разрез: Не упорядочено, Закрыто от value:$this.url
$\".\"$ $\".\"$ $\".\"$ $\".\"$ extension:procedureNumber	S	1..1	unsignedInt	Порядковый номер сеанса лучевой терапии URL: https://fhir.by/StructureDefinition/ProcedureNumber
$\".\"$ $\".\"$ $\".\"$ modifierExtension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ identifier		0..1	Identifier	Внутренний идентификатор сеанса в МИС
$\".\"$ $\".\"$ $\".\"$ $\".\"$ id		0..0		Уникальный идентификатор для межэлементных ссылок
$\".\"$ $\".\"$ $\".\"$ $\".\"$ extension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ $\".\"$ use		0..0		usual \| official \| temp \| secondary \| old (Если известно)
$\".\"$ $\".\"$ $\".\"$ $\".\"$ type		0..0		Описание идентификатора
$\".\"$ $\".\"$ $\".\"$ $\".\"$ system		0..0		Пространство имен для значения идентификатора
$\".\"$ $\".\"$ $\".\"$ $\".\"$ value		1..1	string	Значение идентификатора
$\".\"$ $\".\"$ $\".\"$ $\".\"$ period		0..0		Период времени, в течение которого идентификатор действителен для использования
$\".\"$ $\".\"$ $\".\"$ $\".\"$ assigner		0..1	Reference(Учреждение здравоохранения)	Учреждение здравоохранения, в котором идентификатор создан
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ id		0..0		Уникальный идентификатор для межэлементных ссылок
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ extension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ reference		1..1	string	Ссылка на ресурс в виде относительного URL
$\".\"$ $\".\"$ $\".\"$ instantiatesCanonical		0..0		Instantiates FHIR protocol or definition
$\".\"$ $\".\"$ $\".\"$ instantiatesUri		0..0		Instantiates external protocol or definition
$\".\"$ $\".\"$ $\".\"$ basedOn		1..1	Reference(Направление на лучевую терапию)	Создан на основе направления
$\".\"$ $\".\"$ $\".\"$ $\".\"$ id		0..0		Уникальный идентификатор для межэлементных ссылок
$\".\"$ $\".\"$ $\".\"$ $\".\"$ extension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ $\".\"$ reference		1..1	string	Ссылка на ресурс в виде относительного URL
$\".\"$ $\".\"$ $\".\"$ partOf		0..0		Часть события, на которое ссылается ссылка
$\".\"$ $\".\"$ $\".\"$ status		1..1	code	Статус процедуры: stopped \| completed
$\".\"$ $\".\"$ $\".\"$ statusReason		0..1	CodeableConcept	Причина прекращения проведения сеанса
$\".\"$ $\".\"$ $\".\"$ $\".\"$ id		0..0		Уникальный идентификатор для межэлементных ссылок
$\".\"$ $\".\"$ $\".\"$ $\".\"$ extension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ $\".\"$ coding		0..0		Код, определенный в справочнике НСИ Терминология
$\".\"$ $\".\"$ $\".\"$ $\".\"$ text		1..1	string	Простое текстовое представление концепции
$\".\"$ $\".\"$ $\".\"$ category		1..1	CodeableConcept	Характер лучевой терапии Привязка: Характер лучевой терапии (required)
$\".\"$ $\".\"$ $\".\"$ $\".\"$ coding		1..1	Coding	Код, определенный в справочнике НСИ Терминология
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ id		0..0		Уникальный идентификатор для межэлементных ссылок
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ extension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ system		1..1	uri	Ссылка на справочник
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ code		1..1	code	Код
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ userSelected		0..0		Если эта кодировка была выбрана непосредственно пользователем
$\".\"$ $\".\"$ $\".\"$ $\".\"$ text		0..0		Простое текстовое представление концепции
$\".\"$ $\".\"$ $\".\"$ code		1..1	CodeableConcept	Метод лучевой терапии Привязка: Способы облучения (required)
$\".\"$ $\".\"$ $\".\"$ $\".\"$ coding		1..1	Coding	Код, определенный в справочнике НСИ Терминология
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ id		0..0		Уникальный идентификатор для межэлементных ссылок
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ Разрезы для extension		1..*	Extension	Extension Разрез: Не упорядочено, Закрыто от value:url
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ extension:parameterRadiotherapy	S	1..1	(Комплекс)	Параметры лучевой терапии URL: https://fhir.by/StructureDefinition/ParameterRadiotherapy
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ system		1..1	uri	Ссылка на справочник
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ code		1..1	code	Код
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ userSelected		0..0		Если эта кодировка была выбрана непосредственно пользователем
$\".\"$ $\".\"$ $\".\"$ subject		1..1	Reference(Пациент \| Пациент без ИН)	Пациент, которому проводится лучевая терапия
$\".\"$ $\".\"$ $\".\"$ $\".\"$ id		0..0		Уникальный идентификатор для межэлементных ссылок
$\".\"$ $\".\"$ $\".\"$ $\".\"$ extension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ $\".\"$ reference		1..1	string	Ссылка на ресурс в виде относительного URL
$\".\"$ $\".\"$ $\".\"$ focus		0..0		Who is the target of the procedure when it is not the subject of record only
$\".\"$ $\".\"$ $\".\"$ encounter		1..1	Reference(Общий профиль для обращения пациента за медицинской помощью)	Прием медицинского специалиста, в рамках которого был проведен сеанс лучевой терапии
$\".\"$ $\".\"$ $\".\"$ $\".\"$ reference		1..1	string	Ссылка на ресурс в виде относительного URL
$\".\"$ $\".\"$ $\".\"$ occurrence[x]		1..1	Period	Дата и время начала и окончания сеанса лучевой терапии
$\".\"$ $\".\"$ $\".\"$ $\".\"$ id		0..0		Уникальный идентификатор для межэлементных ссылок
$\".\"$ $\".\"$ $\".\"$ $\".\"$ extension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ $\".\"$ start		1..1	dateTime	Начало периода действия
$\".\"$ $\".\"$ $\".\"$ $\".\"$ end		1..1	dateTime	Конец периода действия
$\".\"$ $\".\"$ $\".\"$ recorded		1..1	dateTime	Дата, когда была создана запись
$\".\"$ $\".\"$ $\".\"$ recorder		1..1	Reference(Роль медицинского работника)	Лицо, ответственное за внесение информации
$\".\"$ $\".\"$ $\".\"$ $\".\"$ id		0..0		Уникальный идентификатор для межэлементных ссылок
$\".\"$ $\".\"$ $\".\"$ $\".\"$ extension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ $\".\"$ reference		1..1	string	Ссылка на ресурс в виде относительного URL
$\".\"$ $\".\"$ $\".\"$ reported[x]		0..0		Reported rather than primary record
$\".\"$ $\".\"$ $\".\"$ performer		1..10	BackboneElement	Роль медицинского работника и ссылка на специалиста, принимавшего участие в проведении сеанса лучевой терапии
$\".\"$ $\".\"$ $\".\"$ $\".\"$ id		0..0		Уникальный идентификатор для межэлементных ссылок
$\".\"$ $\".\"$ $\".\"$ $\".\"$ extension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ $\".\"$ modifierExtension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ $\".\"$ function		1..1	CodeableConcept	Роль медицинского работника Привязка: Роль исполнителя процедуры (лучевая терапия) (required)
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ id		0..0		Уникальный идентификатор для межэлементных ссылок
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ extension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ coding		1..1	Coding	Код, определенный в справочнике НСИ Терминология
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ id		0..0		Уникальный идентификатор для межэлементных ссылок
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ extension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ system		1..1	uri	Ссылка на справочник
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ code		1..1	code	Код
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ userSelected		0..0		Если эта кодировка была выбрана непосредственно пользователем
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ text		0..0		Простое текстовое представление концепции
$\".\"$ $\".\"$ $\".\"$ $\".\"$ actor		1..1	Reference(Роль медицинского работника)	Ссылка на специалиста
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ id		0..0		Уникальный идентификатор для межэлементных ссылок
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ extension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ reference		1..1	string	Ссылка на ресурс в виде относительного URL
$\".\"$ $\".\"$ $\".\"$ $\".\"$ onBehalfOf		0..1	Reference(Учреждение здравоохранения)	Организация, от имени которой действовал специалист
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ id		0..0		Уникальный идентификатор для межэлементных ссылок
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ extension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ reference		1..1	string	Ссылка на ресурс в виде относительного URL
$\".\"$ $\".\"$ $\".\"$ $\".\"$ period		0..1	Period	Время участия специалиста в сеансе лучевой терапии
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ id		0..0		Уникальный идентификатор для межэлементных ссылок
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ extension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ start		1..1	dateTime	Начало периода действия
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ end		1..1	dateTime	Конец периода действия
$\".\"$ $\".\"$ $\".\"$ location		1..1	Reference(Структурное подразделение)	Структурное подразделение, где проводится лучевая терапия
$\".\"$ $\".\"$ $\".\"$ $\".\"$ reference		1..1	string	Ссылка на ресурс в виде относительного URL
$\".\"$ $\".\"$ $\".\"$ reason		1..1	CodeableReference(Диагноз)	Диагноз Привязка: МКБ-10 (required)
$\".\"$ $\".\"$ $\".\"$ $\".\"$ id		0..0		Уникальный идентификатор для межэлементных ссылок
$\".\"$ $\".\"$ $\".\"$ $\".\"$ extension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ $\".\"$ concept		1..1	CodeableConcept	Диагноз (значение из справочника МКБ-10)
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ id		0..0		Уникальный идентификатор для межэлементных ссылок
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ extension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ coding		1..1	Coding	Код, определенный в справочнике НСИ Терминология
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ id		0..0		Уникальный идентификатор для межэлементных ссылок
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ extension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ system		1..1	uri	Ссылка на справочник
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ code		1..1	code	Код
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ userSelected		0..0		Если эта кодировка была выбрана непосредственно пользователем
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ text		0..1	string	Диагноз (текстом)
$\".\"$ $\".\"$ $\".\"$ $\".\"$ reference		0..1	Reference()	Ссылка на диагноз
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ id		0..0		Уникальный идентификатор для межэлементных ссылок
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ extension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ reference		1..1	string	Ссылка на ресурс в виде относительного URL
$\".\"$ $\".\"$ $\".\"$ bodySite		1..2	CodeableConcept	Анатомическая область, подвергаемая облучению Привязка: Анатомический классификатор (required)
$\".\"$ $\".\"$ $\".\"$ $\".\"$ coding		1..1	Coding	Код, определенный в справочнике НСИ Терминология
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ id		0..0		Уникальный идентификатор для межэлементных ссылок
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ extension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ system		1..1	uri	Ссылка на справочник
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ code		1..1	code	Код
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ userSelected		0..0		Если эта кодировка была выбрана непосредственно пользователем
$\".\"$ $\".\"$ $\".\"$ outcome		0..0		The result of procedure
$\".\"$ $\".\"$ $\".\"$ report		0..0		Any report resulting from the procedure
$\".\"$ $\".\"$ $\".\"$ complication		0..*	CodeableReference(Диагноз)	Осложнения лучевой терапии Привязка: МКБ-10 (required)
$\".\"$ $\".\"$ $\".\"$ $\".\"$ id		0..0		Уникальный идентификатор для межэлементных ссылок
$\".\"$ $\".\"$ $\".\"$ $\".\"$ extension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ $\".\"$ concept		0..1	CodeableConcept	Осложнение (значение из справочника МКБ-10)
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ id		0..0		Уникальный идентификатор для межэлементных ссылок
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ extension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ coding		0..1	Coding	Код, определенный в справочнике НСИ Терминология
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ id		0..0		Уникальный идентификатор для межэлементных ссылок
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ extension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ system		1..1	uri	Ссылка на справочник
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ code		1..1	code	Код
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ userSelected		0..0		Если эта кодировка была выбрана непосредственно пользователем
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ text		0..1	string	Осложнение (текстом)
$\".\"$ $\".\"$ $\".\"$ $\".\"$ reference		0..1	Reference()	Ссылка на осложннение
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ id		0..0		Уникальный идентификатор для межэлементных ссылок
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ extension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ $\".\"$ $\".\"$ reference		1..1	string	Ссылка на ресурс в виде относительного URL
$\".\"$ $\".\"$ $\".\"$ followUp		0..0		Instructions for follow up
$\".\"$ $\".\"$ $\".\"$ note		0..1	Annotation	Дополнительная информация о сеансе лучевой терапии
$\".\"$ $\".\"$ $\".\"$ $\".\"$ id		0..0		Уникальный идентификатор для межэлементных ссылок
$\".\"$ $\".\"$ $\".\"$ $\".\"$ extension		0..0		Extension
$\".\"$ $\".\"$ $\".\"$ $\".\"$ author[x]		0..0		Individual responsible for the annotation
$\".\"$ $\".\"$ $\".\"$ $\".\"$ time		0..0		Когда была сделана аннотация
$\".\"$ $\".\"$ $\".\"$ focalDevice		0..0		Manipulated, implanted, or removed device
$\".\"$ $\".\"$ $\".\"$ used		0..0		Items used during procedure
$\".\"$ $\".\"$ $\".\"$ supportingInfo		0..0		Extra information relevant to the procedure
$\"doco\"$ Документация для этого формата

" }, "url" : "https://fhir.by/StructureDefinition/RadiotherapyProcedure", "version" : "0.2.6803", "name" : "RadiotherapyProcedure", "title" : "Сеанс лучевой терапии", "status" : "active", "date" : "2026-06-25T08:49:26+00:00", "publisher" : "fhir.by", "contact" : [{ "name" : "fhir.by", "telecom" : [{ "system" : "url", "value" : "https://fhir.by" }] }], "description" : "Профиль описывает один сеанс лучевой терапии. Лучевая терапия", "fhirVersion" : "5.0.0", "mapping" : [{ "identity" : "workflow", "uri" : "http://hl7.org/fhir/workflow", "name" : "Workflow Pattern" }, { "identity" : "w5", "uri" : "http://hl7.org/fhir/fivews", "name" : "FiveWs Pattern Mapping" }, { "identity" : "rim", "uri" : "http://hl7.org/v3", "name" : "RIM Mapping" }, { "identity" : "v2", "uri" : "http://hl7.org/v2", "name" : "HL7 V2 Mapping" }], "kind" : "resource", "abstract" : false, "type" : "Procedure", "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Procedure", "derivation" : "constraint", "snapshot" : { "extension" : [{ "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version", "valueString" : "5.0.0" }], "element" : [{ "id" : "Procedure", "path" : "Procedure", "short" : "Сеанс лучевой терапии", "definition" : "An action that is or was performed on or for a patient, practitioner, device, organization, or location. For example, this can be a physical intervention on a patient like an operation, or less invasive like long term services, counseling, or hypnotherapy. This can be a quality or safety inspection for a location, organization, or device. This can be an accreditation procedure on a practitioner for licensing.", "min" : 0, "max" : "*", "base" : { "path" : "Procedure", "min" : 0, "max" : "*" }, "constraint" : [{ "key" : "dom-2", "severity" : "error", "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression" : "contained.contained.empty()", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-3", "severity" : "error", "human" : "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", "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-4", "severity" : "error", "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-5", "severity" : "error", "human" : "If a resource is contained in another resource, it SHALL NOT have a security label", "expression" : "contained.meta.security.empty()", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." }], "key" : "dom-6", "severity" : "warning", "human" : "A resource should have narrative for robust management", "expression" : "text.`div`.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "RadiotherapyProcedureStatusRule", "severity" : "error", "human" : "Статус ресурса может иметь значения stopped | completed", "expression" : "status = 'stopped' or status = 'completed'", "source" : "https://fhir.by/StructureDefinition/RadiotherapyProcedure" }, { "key" : "RadiotherapyProcedureStoppeddRule", "severity" : "error", "human" : "Изменение статуса на 'stopped' предполагает обязательное заполнение statusReason.text", "expression" : "status = 'stopped' implies statusReason.text.exists()", "source" : "https://fhir.by/StructureDefinition/RadiotherapyProcedure" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "Entity, Role, or Act,Procedure[moodCode=EVN]" }, { "identity" : "workflow", "map" : "Event" }, { "identity" : "w5", "map" : "clinical.general" }] }, { "id" : "Procedure.id", "path" : "Procedure.id", "short" : "Логический идентификатор этого артефакта", "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "comment" : "Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.", "min" : 1, "max" : "1", "base" : { "path" : "Resource.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true }, { "id" : "Procedure.meta", "path" : "Procedure.meta", "short" : "Метаданные о ресурсе", "definition" : "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.", "min" : 1, "max" : "1", "base" : { "path" : "Resource.meta", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Meta" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true }, { "id" : "Procedure.meta.id", "path" : "Procedure.meta.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.meta.extension", "path" : "Procedure.meta.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.meta.versionId", "path" : "Procedure.meta.versionId", "short" : "Идентификатор конкретной версии", "definition" : "Идентификатор конкретной версии, который отображается в части URL, относящейся к версии. Это значение изменяется при создании, обновлении или удалении ресурса.", "comment" : "Сервер присваивает это значение и игнорирует то, что указывает клиент, за исключением случая, когда сервер устанавливает целостность версии при обновлении/удалении.", "min" : 0, "max" : "0", "base" : { "path" : "Meta.versionId", "min" : 0, "max" : "1" }, "type" : [{ "code" : "id" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true }, { "id" : "Procedure.meta.lastUpdated", "path" : "Procedure.meta.lastUpdated", "short" : "Когда в последний раз менялась версия ресурса", "definition" : "Когда ресурс менялся в последний раз - например, когда изменилась версия.", "comment" : "Этот элемент обычно опускается в экземплярах, отправляемых с помощью PUT или POST. Вместо этого он заполняется в экземпляре ответа и при получении информации с помощью GET. Это значение задается менеджером сервера / ресурсов; то, что предоставляет клиент, не имеет значения. Это эквивалентно последнему изменению HTTP и должно иметь такое же значение при взаимодействии [read](http://hl7.org/fhir/R5/http.html#read).", "min" : 0, "max" : "1", "base" : { "path" : "Meta.lastUpdated", "min" : 0, "max" : "1" }, "type" : [{ "code" : "instant" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true }, { "id" : "Procedure.meta.source", "path" : "Procedure.meta.source", "short" : "Определяет, откуда берется ресурс", "definition" : "uri, который идентифицирует систему-источник ресурса. Он предоставляет минимальный объем информации о [Provenance] (provenance.html#), которую можно использовать для отслеживания или определения источника информации на ресурсе. Источник может идентифицировать другой сервер FHIR, документ, сообщение, базу данных и т.д.", "comment" : "Точное использование источника (и возможное подразумеваемое Provenance.entity.role и agent.role) остается на усмотрение разработчика. Допускается только один указанный источник; для получения дополнительной информации о происхождении следует использовать полный источник. Источник может соответствовать Provenance.entity.what[x] или Provenance.agent.who[x], хотя это может быть и более общая или абстрактная ссылка. \n\nЭтот элемент может использоваться для указания текущего главного источника ресурса, имеющего канонический URL-адрес, если ресурс больше не размещен по каноническому URL-адресу.", "min" : 0, "max" : "0", "base" : { "path" : "Meta.source", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true }, { "id" : "Procedure.meta.profile", "path" : "Procedure.meta.profile", "short" : "Ссылка на профиль", "definition" : "Список профилей (ссылок на [StructureDefinition](http://hl7.org/fhir/R5/structuredefinition.html#) ресурсы), которым, как утверждается, соответствует этот ресурс. URL-адрес является ссылкой на [StructureDefinition.url](http://hl7.org/fhir/R5/structuredefinition-definitions.html#StructureDefinition.url).", "comment" : "Сервер и/или другая инфраструктура политики должны определять, проверяются ли и/или обновляются ли эти утверждения с течением времени. Список URL-адресов профиля представляет собой набор.", "min" : 1, "max" : "1", "base" : { "path" : "Meta.profile", "min" : 0, "max" : "*" }, "type" : [{ "code" : "canonical", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition|5.0.0"] }], "patternCanonical" : "https://fhir.by/StructureDefinition/RadiotherapyProcedure", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true }, { "id" : "Procedure.meta.security", "path" : "Procedure.meta.security", "short" : "Метки безопасности, примененные к этому ресурсу", "definition" : "Метки безопасности, применяемые к данному ресурсу. Эти метки связывают определенные ресурсы с общей политикой безопасности и инфраструктурой.", "comment" : "Метки безопасности могут быть обновлены без изменения указанной версии ресурса. Список меток безопасности представляет собой набор. Уникальность основана на системе/коде, а версия и отображение игнорируются.", "min" : 0, "max" : "0", "base" : { "path" : "Meta.security", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SecurityLabels" }], "strength" : "extensible", "description" : "Защитные этикетки из системы классификации конфиденциальности и безопасности в сфере здравоохранения.", "valueSet" : "http://hl7.org/fhir/ValueSet/security-labels|5.0.0" } }, { "id" : "Procedure.meta.tag", "path" : "Procedure.meta.tag", "short" : "Теги, применяемые к этому ресурсу", "definition" : "Теги, применяемые к этому ресурсу. Теги предназначены для идентификации ресурсов и соотнесения их с процессами и документооборотом, и приложения не обязаны учитывать теги при интерпретации значения ресурса.", "comment" : "Теги могут быть обновлены без изменения заявленной версии ресурса. Список тегов представляет собой набор. Уникальность основана на системе/коде, а версия и отображение игнорируются.", "min" : 0, "max" : "0", "base" : { "path" : "Meta.tag", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "Tags" }], "strength" : "example", "description" : "Коды, представляющие различные типы тегов, обычно связанные с рабочим процессом; например, \"Требуется проверка доктором Джонсом\".", "valueSet" : "http://hl7.org/fhir/ValueSet/common-tags|5.0.0" } }, { "id" : "Procedure.implicitRules", "path" : "Procedure.implicitRules", "short" : "Набор правил, в соответствии с которыми был создан этот контент", "definition" : "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.", "comment" : "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 its narrative along with other profiles, value sets, etc.", "min" : 0, "max" : "0", "base" : { "path" : "Resource.implicitRules", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : true, "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation", "isSummary" : true }, { "id" : "Procedure.language", "path" : "Procedure.language", "short" : "Language of the resource content", "definition" : "The base language in which the resource is written.", "comment" : "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).", "min" : 0, "max" : "0", "base" : { "path" : "Resource.language", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "Language" }], "strength" : "required", "description" : "Языковой тег IETF для человеческого языка", "valueSet" : "http://hl7.org/fhir/ValueSet/all-languages|5.0.0", "additional" : [{ "purpose" : "starter", "valueSet" : "http://hl7.org/fhir/ValueSet/languages|5.0.0" }] } }, { "id" : "Procedure.text", "path" : "Procedure.text", "short" : "Краткое изложение текста ресурса для интерпретации человеком", "definition" : "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.", "comment" : "Contained resources do not have a 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.", "alias" : ["narrative", "html", "xhtml", "display"], "min" : 0, "max" : "1", "base" : { "path" : "DomainResource.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["dom-6"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "Act.text?" }] }, { "id" : "Procedure.contained", "path" : "Procedure.contained", "short" : "Автономные встроенные ресурсы", "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.", "comment" : "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.", "alias" : ["inline resources", "anonymous resources", "contained resources"], "min" : 0, "max" : "0", "base" : { "path" : "DomainResource.contained", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Resource" }], "condition" : ["dom-2", "dom-4", "dom-3", "dom-5"], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.extension", "path" : "Procedure.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "$this.url" }], "rules" : "closed" }, "short" : "Extension", "definition" : "An Extension", "min" : 1, "max" : "1", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.extension:procedureNumber", "path" : "Procedure.extension", "sliceName" : "procedureNumber", "short" : "Порядковый номер сеанса лучевой терапии", "definition" : "Количество процедур", "min" : 1, "max" : "1", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension", "profile" : ["https://fhir.by/StructureDefinition/ProcedureNumber"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.modifierExtension", "path" : "Procedure.modifierExtension", "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "DomainResource.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "mustSupport" : false, "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them", "isSummary" : true }, { "id" : "Procedure.identifier", "path" : "Procedure.identifier", "short" : "Внутренний идентификатор сеанса в МИС", "definition" : "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.", "comment" : "This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R5/resource.html#identifiers)). 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.", "requirements" : "Allows identification of the procedure as it is known by various participating systems and in a way that remains consistent across servers.", "min" : 0, "max" : "1", "base" : { "path" : "Procedure.identifier", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Identifier" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.identifier" }, { "identity" : "w5", "map" : "FiveWs.identifier" }, { "identity" : "v2", "map" : "PR1-19" }, { "identity" : "rim", "map" : ".id" }] }, { "id" : "Procedure.identifier.id", "path" : "Procedure.identifier.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.identifier.extension", "path" : "Procedure.identifier.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.identifier.use", "path" : "Procedure.identifier.use", "short" : "usual | official | temp | secondary | old (Если известно)", "definition" : "Назначение этого идентификатора.", "comment" : "Приложения могут предполагать, что идентификатор является постоянным, если в нем явно не указано, что он временный.", "requirements" : "Позволяет выбрать соответствующий идентификатор для конкретного контекста использования из набора идентификаторов.", "min" : 0, "max" : "0", "base" : { "path" : "Identifier.use", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierUse" }], "strength" : "required", "description" : "Определяет назначение этого идентификатора, если оно известно.", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-use|5.0.0" }, "mapping" : [{ "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "Role.code or implied by context" }] }, { "id" : "Procedure.identifier.type", "path" : "Procedure.identifier.type", "short" : "Описание идентификатора", "definition" : "Кодированный тип идентификатора, который может быть использован для определения того, какой идентификатор следует использовать для определенной цели..", "comment" : "Этот элемент относится только к общим категориям идентификаторов. Его не следует использовать для кодов, которые соответствуют 1..1 идентификатору.system. Некоторые идентификаторы могут быть разделены на несколько категорий из-за общего использования. Там, где система известна, тип не требуется, поскольку тип всегда является частью определения системы. Однако системам часто приходится обрабатывать идентификаторы, когда система неизвестна. Между типом и системой не существует соотношения 1:1, поскольку многие различные системы имеют один и тот же тип.", "requirements" : "Позволяет пользователям использовать идентификаторы, когда система идентификации неизвестна.", "min" : 0, "max" : "0", "base" : { "path" : "Identifier.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierType" }], "strength" : "extensible", "description" : "Кодированный тип идентификатора, который может быть использован для определения того, какой идентификатор следует использовать для определенной цели..", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-type|5.0.0" }, "mapping" : [{ "identity" : "v2", "map" : "CX.5" }, { "identity" : "rim", "map" : "Role.code or implied by context" }] }, { "id" : "Procedure.identifier.system", "path" : "Procedure.identifier.system", "short" : "Пространство имен для значения идентификатора", "definition" : "Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique.", "comment" : "Identifier.system is always case sensitive.", "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.", "min" : 0, "max" : "0", "base" : { "path" : "Identifier.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "example" : [{ "label" : "General", "valueUri" : "http://www.acme.com/identifiers/patient" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.4 / EI-2-4" }, { "identity" : "rim", "map" : "II.root or Role.id.root" }, { "identity" : "servd", "map" : "./IdentifierType" }] }, { "id" : "Procedure.identifier.value", "path" : "Procedure.identifier.value", "short" : "Значение идентификатора", "definition" : "The portion of the identifier typically relevant to the user and which is unique within the context of the system.", "comment" : "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 [http://hl7.org/fhir/StructureDefinition/rendered-value](http://hl7.org/fhir/extensions/StructureDefinition-rendered-value.html)). 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.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.value", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "example" : [{ "label" : "General", "valueString" : "123456" }], "condition" : ["ident-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.1 / EI.1" }, { "identity" : "rim", "map" : "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity" : "servd", "map" : "./Value" }] }, { "id" : "Procedure.identifier.period", "path" : "Procedure.identifier.period", "short" : "Период времени, в течение которого идентификатор действителен для использования", "definition" : "Период времени, в течение которого идентификатор является/был действителен для использования.", "min" : 0, "max" : "0", "base" : { "path" : "Identifier.period", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Period" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.7 + CX.8" }, { "identity" : "rim", "map" : "Role.effectiveTime or implied by context" }, { "identity" : "servd", "map" : "./StartDate and ./EndDate" }] }, { "id" : "Procedure.identifier.assigner", "path" : "Procedure.identifier.assigner", "short" : "Учреждение здравоохранения, в котором идентификатор создан", "definition" : "Organization that issued/manages the identifier.", "comment" : "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.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.assigner", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.by/StructureDefinition/OrganizationBy"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity" : "rim", "map" : "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity" : "servd", "map" : "./IdentifierIssuingAuthority" }] }, { "id" : "Procedure.identifier.assigner.id", "path" : "Procedure.identifier.assigner.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.identifier.assigner.extension", "path" : "Procedure.identifier.assigner.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.identifier.assigner.reference", "path" : "Procedure.identifier.assigner.reference", "short" : "Ссылка на ресурс в виде относительного URL", "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-2", "ref-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.identifier.assigner.type", "path" : "Procedure.identifier.assigner.type", "short" : "Тип ресурса", "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FHIRResourceTypeExt" }], "strength" : "extensible", "description" : "Ресурс (или, для логических моделей, URI логической модели).", "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|5.0.0" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.identifier.assigner.identifier", "path" : "Procedure.identifier.assigner.identifier", "short" : "Идентификатор ресурса, если не известна ссылка на него", "definition" : "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).\n\nThis element only allows for a single identifier. In the case where additional identifers are required, use the [http://hl7.org/fhir/StructureDefinition/additionalIdentifier](http://hl7.org/fhir/extensions/StructureDefinition-additionalIdentifier.html) extension.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "condition" : ["ref-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".identifier" }] }, { "id" : "Procedure.identifier.assigner.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Procedure.identifier.assigner.display", "short" : "Текстовая трактовка ресурса", "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.instantiatesCanonical", "path" : "Procedure.instantiatesCanonical", "short" : "Instantiates FHIR protocol or definition", "definition" : "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.", "min" : 0, "max" : "0", "base" : { "path" : "Procedure.instantiatesCanonical", "min" : 0, "max" : "*" }, "type" : [{ "code" : "canonical", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/PlanDefinition|5.0.0", "http://hl7.org/fhir/StructureDefinition/ActivityDefinition|5.0.0", "http://hl7.org/fhir/StructureDefinition/Measure|5.0.0", "http://hl7.org/fhir/StructureDefinition/OperationDefinition|5.0.0", "http://hl7.org/fhir/StructureDefinition/Questionnaire|5.0.0"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.instantiatesCanonical" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=DEFN].target" }] }, { "id" : "Procedure.instantiatesUri", "path" : "Procedure.instantiatesUri", "short" : "Instantiates external protocol or definition", "definition" : "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.", "comment" : "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.", "min" : 0, "max" : "0", "base" : { "path" : "Procedure.instantiatesUri", "min" : 0, "max" : "*" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.instantiatesUri" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=DEFN].target" }] }, { "id" : "Procedure.basedOn", "path" : "Procedure.basedOn", "short" : "Создан на основе направления", "definition" : "A reference to a resource that contains details of the request for this procedure.", "alias" : ["fulfills"], "min" : 1, "max" : "1", "base" : { "path" : "Procedure.basedOn", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.by/StructureDefinition/ServiceRequestRadiotherapy"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.basedOn" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=FLFS].target[classCode=(various e.g. PROC, OBS, PCPR, ACT, moodCode=RQO].code" }] }, { "id" : "Procedure.basedOn.id", "path" : "Procedure.basedOn.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.basedOn.extension", "path" : "Procedure.basedOn.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.basedOn.reference", "path" : "Procedure.basedOn.reference", "short" : "Ссылка на ресурс в виде относительного URL", "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-2", "ref-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.basedOn.type", "path" : "Procedure.basedOn.type", "short" : "Тип ресурса", "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FHIRResourceTypeExt" }], "strength" : "extensible", "description" : "Ресурс (или, для логических моделей, URI логической модели).", "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|5.0.0" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.basedOn.identifier", "path" : "Procedure.basedOn.identifier", "short" : "Идентификатор ресурса, если не известна ссылка на него", "definition" : "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).\n\nThis element only allows for a single identifier. In the case where additional identifers are required, use the [http://hl7.org/fhir/StructureDefinition/additionalIdentifier](http://hl7.org/fhir/extensions/StructureDefinition-additionalIdentifier.html) extension.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "condition" : ["ref-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".identifier" }] }, { "id" : "Procedure.basedOn.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Procedure.basedOn.display", "short" : "Текстовая трактовка ресурса", "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.partOf", "path" : "Procedure.partOf", "short" : "Часть события, на которое ссылается ссылка", "definition" : "A larger event of which this particular procedure is a component or step.", "comment" : "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).", "alias" : ["container"], "min" : 0, "max" : "0", "base" : { "path" : "Procedure.partOf", "min" : 0, "max" : "*" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy", "valueBoolean" : true }], "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Procedure|5.0.0", "http://hl7.org/fhir/StructureDefinition/Observation|5.0.0", "http://hl7.org/fhir/StructureDefinition/MedicationAdministration|5.0.0"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.partOf" }, { "identity" : "v2", "map" : "PR1-25" }, { "identity" : "rim", "map" : ".inboundRelationship[typeCode=COMP].source[classCode=SBADM or PROC or OBS, moodCode=EVN]" }] }, { "id" : "Procedure.status", "path" : "Procedure.status", "short" : "Статус процедуры: stopped | completed ", "definition" : "A code specifying the state of the procedure. Generally, this will be the in-progress or completed state.", "comment" : "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.\n\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.", "min" : 1, "max" : "1", "base" : { "path" : "Procedure.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : true, "isModifierReason" : "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", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "ProcedureStatus" }], "strength" : "required", "description" : "A code specifying the state of the procedure.", "valueSet" : "http://hl7.org/fhir/ValueSet/event-status|5.0.0" }, "mapping" : [{ "identity" : "workflow", "map" : "Event.status" }, { "identity" : "w5", "map" : "FiveWs.status" }, { "identity" : "rim", "map" : "statusCode" }] }, { "id" : "Procedure.statusReason", "path" : "Procedure.statusReason", "short" : "Причина прекращения проведения сеанса", "definition" : "Captures the reason for the current state of the procedure.", "comment" : "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.", "alias" : ["Suspended Reason", "Cancelled Reason"], "min" : 0, "max" : "1", "base" : { "path" : "Procedure.statusReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "ProcedureNegationReason" }], "strength" : "example", "description" : "A code that identifies the reason a procedure was not performed.", "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-not-performed-reason|5.0.0" }, "mapping" : [{ "identity" : "workflow", "map" : "Event.statusReason" }, { "identity" : "rim", "map" : ".reason.Observation.value" }] }, { "id" : "Procedure.statusReason.id", "path" : "Procedure.statusReason.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.statusReason.extension", "path" : "Procedure.statusReason.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.statusReason.coding", "path" : "Procedure.statusReason.coding", "short" : "Код, определенный в справочнике НСИ Терминология", "definition" : "Ссылка на код в справочнике НСИ Терминология.", "comment" : "Коды могут быть определены очень небрежно в перечислениях или списках кодов, вплоть до очень формальных определений, таких как SNOMED CT - смотрите HL7 v3 Core Principles для получения дополнительной информации. Порядок кодировок не определен и НЕ должен использоваться для определения значения. Как правило, самое большее только одно из значений кодировки будет помечено как UserSelected = true.", "requirements" : "Позволяет использовать альтернативные кодировки в рамках одной системы кодирования и переводить их в другие системы кодирования.", "min" : 0, "max" : "0", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "Procedure.statusReason.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Procedure.statusReason.text", "short" : "Простое текстовое представление концепции", "definition" : "Представление концепции на человеческом языке, увиденное/выбранное/произнесенное пользователем, который ввел данные, и/или представляющее предполагаемый смысл пользователя.", "comment" : "Очень часто текст совпадает с отображаемым именем одной из кодировок.", "requirements" : "Коды из терминологии не всегда отражают правильное значение со всеми нюансами, присущими человеку, который их использует, а иногда вообще не содержат соответствующего кода. В этих случаях используется текст, чтобы полностью передать значение источника.", "min" : 1, "max" : "1", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.9. But note many systems use C*E.2 for this" }, { "identity" : "rim", "map" : "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" }] }, { "id" : "Procedure.category", "path" : "Procedure.category", "short" : "Характер лучевой терапии", "definition" : "A code that classifies the procedure for searching, sorting and display purposes (e.g. \"Surgical Procedure\").", "min" : 1, "max" : "1", "base" : { "path" : "Procedure.category", "min" : 0, "max" : "*" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "https://fhir.by/ValueSet/RadiationTherapyType" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "v2", "map" : "PR1-6" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code" }] }, { "id" : "Procedure.category.id", "path" : "Procedure.category.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.category.extension", "path" : "Procedure.category.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Дополнительный контент, определяемый реализациями", "definition" : "Может использоваться для представления дополнительной информации, которая не является частью основного определения элемента. Чтобы сделать использование расширений безопасным и управляемым, существует строгий набор правил, применяемых к определению и использованию расширений. Хотя любой разработчик может определить расширение, существует набор требований, которые должны быть выполнены как часть определения расширения.", "comment" : "Использование расширений никаким приложением, проектом или стандартом не может быть сопряжено с осуждением, независимо от учреждения или юрисдикции, которые используют или определяют расширения. Использование расширений - это то, что позволяет спецификации FHIR сохранять базовый уровень простоты для всех.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.category.coding", "path" : "Procedure.category.coding", "short" : "Код, определенный в справочнике НСИ Терминология", "definition" : "Ссылка на код в справочнике НСИ Терминология.", "comment" : "Коды могут быть определены очень небрежно в перечислениях или списках кодов, вплоть до очень формальных определений, таких как SNOMED CT - смотрите HL7 v3 Core Principles для получения дополнительной информации. Порядок кодировок не определен и НЕ должен использоваться для определения значения. Как правило, самое большее только одно из значений кодировки будет помечено как UserSelected = true.", "requirements" : "Позволяет использовать альтернативные кодировки в рамках одной системы кодирования и переводить их в другие системы кодирования.", "min" : 1, "max" : "1", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "Procedure.category.coding.id", "path" : "Procedure.category.coding.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.category.coding.extension", "path" : "Procedure.category.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.category.coding.system", "path" : "Procedure.category.coding.system", "short" : "Ссылка на справочник", "definition" : "Идентификация кодовой системы, которая определяет значение символа в коде.", "comment" : "URI может быть OID (urn:oid:...) или UUID (urn:uuid:...). Идентификаторы и UUID-коды ДОЛЖНЫ быть ссылками на реестр OID HL7. В противном случае URI должен быть взят из списка специальных URI, определенных FHIR в HL7, или он должен быть абсолютной ссылкой на какое-либо определение, которое четко и недвусмысленно устанавливает систему.", "requirements" : "Необходимо четко указать источник определения символа.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" }] }, { "id" : "Procedure.category.coding.version", "path" : "Procedure.category.coding.version", "short" : "Версия системы", "definition" : "Версия системы кодирования, которая использовалась при выборе этого кода. Обратите внимание, что для хорошо поддерживаемой системы кодирования не требуется указывать версию, поскольку значение кодов в разных версиях одинаково. Однако это не может быть гарантировано последовательно, и если нет гарантии, что значение будет непротиворечивым, следует заменить версию.", "comment" : "В тех случаях, когда терминология четко не определяет, какую строку следует использовать для идентификации версий системы кодирования, рекомендуется использовать в качестве даты версии дату (выраженную в формате даты FHIR), когда эта версия была официально опубликована.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" }] }, { "id" : "Procedure.category.coding.code", "path" : "Procedure.category.coding.code", "short" : "Код", "definition" : "Код.", "requirements" : "Необходимо обратиться к определенному коду в системе.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "condition" : ["cod-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "Procedure.category.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Procedure.category.coding.display", "short" : "Значение кода", "definition" : "Представление значения кода в системе в соответствии с правилами системы.", "requirements" : "Необходимо иметь возможность передавать значение кода, понятное человеку, для читателей, которые не знакомы с системой.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["cod-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" }] }, { "id" : "Procedure.category.coding.userSelected", "path" : "Procedure.category.coding.userSelected", "short" : "Если эта кодировка была выбрана непосредственно пользователем", "definition" : "Указывает на то, что данная кодировка была выбрана непосредственно пользователем - например, из списка доступных сущностей(кодов или отображений)..", "comment" : "Из множества альтернативных вариантов код, выбранный непосредственно, является наиболее подходящей отправной точкой для новых переводов. Существует некоторая неясность в отношении того, что именно подразумевается под \"прямым выбором\", и может потребоваться соглашение с торговым партнером, чтобы более полно разъяснить использование этого элемента и его последствия (коды или отображения).", "requirements" : "Это было определено как критерий клинической безопасности - то, что именно эта пара система/код была выбрана явно, а не выведена системой на основе каких-либо правил или языковой обработки.", "min" : 0, "max" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" }] }, { "id" : "Procedure.category.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Procedure.category.text", "short" : "Простое текстовое представление концепции", "definition" : "Представление концепции на человеческом языке, увиденное/выбранное/произнесенное пользователем, который ввел данные, и/или представляющее предполагаемый смысл пользователя.", "comment" : "Очень часто текст совпадает с отображаемым именем одной из кодировок.", "requirements" : "Коды из терминологии не всегда отражают правильное значение со всеми нюансами, присущими человеку, который их использует, а иногда вообще не содержат соответствующего кода. В этих случаях используется текст, чтобы полностью передать значение источника.", "min" : 0, "max" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.9. But note many systems use C*E.2 for this" }, { "identity" : "rim", "map" : "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" }] }, { "id" : "Procedure.code", "path" : "Procedure.code", "short" : "Метод лучевой терапии", "definition" : "The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. \"Laparoscopic Appendectomy\").", "requirements" : "0..1 to account for primarily narrative only resources.", "alias" : ["type"], "min" : 1, "max" : "1", "base" : { "path" : "Procedure.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "https://fhir.by/ValueSet/RadiationTherapyMethods" }, "mapping" : [{ "identity" : "workflow", "map" : "Event.code" }, { "identity" : "w5", "map" : "FiveWs.what[x]" }, { "identity" : "v2", "map" : "PR1-3" }, { "identity" : "rim", "map" : ".code" }] }, { "id" : "Procedure.code.id", "path" : "Procedure.code.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.code.extension", "path" : "Procedure.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Дополнительный контент, определяемый реализациями", "definition" : "Может использоваться для представления дополнительной информации, которая не является частью основного определения элемента. Чтобы сделать использование расширений безопасным и управляемым, существует строгий набор правил, применяемых к определению и использованию расширений. Хотя любой разработчик может определить расширение, существует набор требований, которые должны быть выполнены как часть определения расширения.", "comment" : "Использование расширений никаким приложением, проектом или стандартом не может быть сопряжено с осуждением, независимо от учреждения или юрисдикции, которые используют или определяют расширения. Использование расширений - это то, что позволяет спецификации FHIR сохранять базовый уровень простоты для всех.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.code.coding", "path" : "Procedure.code.coding", "short" : "Код, определенный в справочнике НСИ Терминология", "definition" : "Ссылка на код в справочнике НСИ Терминология.", "comment" : "Коды могут быть определены очень небрежно в перечислениях или списках кодов, вплоть до очень формальных определений, таких как SNOMED CT - смотрите HL7 v3 Core Principles для получения дополнительной информации. Порядок кодировок не определен и НЕ должен использоваться для определения значения. Как правило, самое большее только одно из значений кодировки будет помечено как UserSelected = true.", "requirements" : "Позволяет использовать альтернативные кодировки в рамках одной системы кодирования и переводить их в другие системы кодирования.", "min" : 1, "max" : "1", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "Procedure.code.coding.id", "path" : "Procedure.code.coding.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.code.coding.extension", "path" : "Procedure.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "closed" }, "short" : "Extension", "definition" : "An Extension", "min" : 1, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.code.coding.extension:parameterRadiotherapy", "path" : "Procedure.code.coding.extension", "sliceName" : "parameterRadiotherapy", "short" : "Параметры лучевой терапии", "definition" : "Специфические параметры лучевой терапии", "min" : 1, "max" : "1", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension", "profile" : ["https://fhir.by/StructureDefinition/ParameterRadiotherapy"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.code.coding.system", "path" : "Procedure.code.coding.system", "short" : "Ссылка на справочник", "definition" : "Идентификация кодовой системы, которая определяет значение символа в коде.", "comment" : "URI может быть OID (urn:oid:...) или UUID (urn:uuid:...). Идентификаторы и UUID-коды ДОЛЖНЫ быть ссылками на реестр OID HL7. В противном случае URI должен быть взят из списка специальных URI, определенных FHIR в HL7, или он должен быть абсолютной ссылкой на какое-либо определение, которое четко и недвусмысленно устанавливает систему.", "requirements" : "Необходимо четко указать источник определения символа.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" }] }, { "id" : "Procedure.code.coding.version", "path" : "Procedure.code.coding.version", "short" : "Версия системы", "definition" : "Версия системы кодирования, которая использовалась при выборе этого кода. Обратите внимание, что для хорошо поддерживаемой системы кодирования не требуется указывать версию, поскольку значение кодов в разных версиях одинаково. Однако это не может быть гарантировано последовательно, и если нет гарантии, что значение будет непротиворечивым, следует заменить версию.", "comment" : "В тех случаях, когда терминология четко не определяет, какую строку следует использовать для идентификации версий системы кодирования, рекомендуется использовать в качестве даты версии дату (выраженную в формате даты FHIR), когда эта версия была официально опубликована.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" }] }, { "id" : "Procedure.code.coding.code", "path" : "Procedure.code.coding.code", "short" : "Код", "definition" : "Код.", "requirements" : "Необходимо обратиться к определенному коду в системе.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "condition" : ["cod-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "Procedure.code.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Procedure.code.coding.display", "short" : "Значение кода", "definition" : "Представление значения кода в системе в соответствии с правилами системы.", "requirements" : "Необходимо иметь возможность передавать значение кода, понятное человеку, для читателей, которые не знакомы с системой.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["cod-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" }] }, { "id" : "Procedure.code.coding.userSelected", "path" : "Procedure.code.coding.userSelected", "short" : "Если эта кодировка была выбрана непосредственно пользователем", "definition" : "Указывает на то, что данная кодировка была выбрана непосредственно пользователем - например, из списка доступных сущностей(кодов или отображений)..", "comment" : "Из множества альтернативных вариантов код, выбранный непосредственно, является наиболее подходящей отправной точкой для новых переводов. Существует некоторая неясность в отношении того, что именно подразумевается под \"прямым выбором\", и может потребоваться соглашение с торговым партнером, чтобы более полно разъяснить использование этого элемента и его последствия (коды или отображения).", "requirements" : "Это было определено как критерий клинической безопасности - то, что именно эта пара система/код была выбрана явно, а не выведена системой на основе каких-либо правил или языковой обработки.", "min" : 0, "max" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" }] }, { "id" : "Procedure.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Procedure.code.text", "short" : "Простое текстовое представление концепции", "definition" : "Представление концепции на человеческом языке, увиденное/выбранное/произнесенное пользователем, который ввел данные, и/или представляющее предполагаемый смысл пользователя.", "comment" : "Очень часто текст совпадает с отображаемым именем одной из кодировок.", "requirements" : "Коды из терминологии не всегда отражают правильное значение со всеми нюансами, присущими человеку, который их использует, а иногда вообще не содержат соответствующего кода. В этих случаях используется текст, чтобы полностью передать значение источника.", "min" : 0, "max" : "1", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.9. But note many systems use C*E.2 for this" }, { "identity" : "rim", "map" : "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" }] }, { "id" : "Procedure.subject", "path" : "Procedure.subject", "short" : "Пациент, которому проводится лучевая терапия", "definition" : "On whom or on what the procedure was performed. This is usually an individual human, but can also be performed on animals, groups of humans or animals, organizations or practitioners (for licensing), locations or devices (for safety inspections or regulatory authorizations). If the actual focus of the procedure is different from the subject, the focus element specifies the actual focus of the procedure.", "alias" : ["patient"], "min" : 1, "max" : "1", "base" : { "path" : "Procedure.subject", "min" : 1, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.by/StructureDefinition/PatientWithIdentificationNumber", "https://fhir.by/StructureDefinition/PatientWithoutIdentificationNumber"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.subject" }, { "identity" : "w5", "map" : "FiveWs.subject[x]" }, { "identity" : "v2", "map" : "PID-3" }, { "identity" : "rim", "map" : ".participation[typeCode=SBJ].role" }] }, { "id" : "Procedure.subject.id", "path" : "Procedure.subject.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.subject.extension", "path" : "Procedure.subject.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.subject.reference", "path" : "Procedure.subject.reference", "short" : "Ссылка на ресурс в виде относительного URL", "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-2", "ref-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.subject.type", "path" : "Procedure.subject.type", "short" : "Тип ресурса", "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FHIRResourceTypeExt" }], "strength" : "extensible", "description" : "Ресурс (или, для логических моделей, URI логической модели).", "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|5.0.0" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.subject.identifier", "path" : "Procedure.subject.identifier", "short" : "Идентификатор ресурса, если не известна ссылка на него", "definition" : "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).\n\nThis element only allows for a single identifier. In the case where additional identifers are required, use the [http://hl7.org/fhir/StructureDefinition/additionalIdentifier](http://hl7.org/fhir/extensions/StructureDefinition-additionalIdentifier.html) extension.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "condition" : ["ref-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".identifier" }] }, { "id" : "Procedure.subject.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Procedure.subject.display", "short" : "Текстовая трактовка ресурса", "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.focus", "path" : "Procedure.focus", "short" : "Who is the target of the procedure when it is not the subject of record only", "definition" : "Who is the target of the procedure when it is not the subject of record only. If focus is not present, then subject is the focus. If focus is present and the subject is one of the targets of the procedure, include subject as a focus as well. If focus is present and the subject is not included in focus, it implies that the procedure was only targeted on the focus. For example, when a caregiver is given education for a patient, the caregiver would be the focus and the procedure record is associated with the subject (e.g. patient). For example, use focus when recording the target of the education, training, or counseling is the parent or relative of a patient.", "min" : 0, "max" : "0", "base" : { "path" : "Procedure.focus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient|5.0.0", "http://hl7.org/fhir/StructureDefinition/Group|5.0.0", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|5.0.0", "http://hl7.org/fhir/StructureDefinition/Practitioner|5.0.0", "http://hl7.org/fhir/StructureDefinition/Organization|5.0.0", "http://hl7.org/fhir/StructureDefinition/CareTeam|5.0.0", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|5.0.0", "http://hl7.org/fhir/StructureDefinition/Specimen|5.0.0"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.subject[x]" }] }, { "id" : "Procedure.encounter", "path" : "Procedure.encounter", "short" : "Прием медицинского специалиста, в рамках которого был проведен сеанс лучевой терапии", "definition" : "The Encounter during which this Procedure was created or performed or to which the creation of this record is tightly associated.", "comment" : "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.", "min" : 1, "max" : "1", "base" : { "path" : "Procedure.encounter", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.by/StructureDefinition/EncounterGeneral"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.encounter" }, { "identity" : "w5", "map" : "FiveWs.context" }, { "identity" : "v2", "map" : "PV1-19" }, { "identity" : "rim", "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]" }] }, { "id" : "Procedure.encounter.id", "path" : "Procedure.encounter.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.encounter.extension", "path" : "Procedure.encounter.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Дополнительный контент, определяемый реализациями", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.encounter.reference", "path" : "Procedure.encounter.reference", "short" : "Ссылка на ресурс в виде относительного URL", "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-2", "ref-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.encounter.type", "path" : "Procedure.encounter.type", "short" : "Тип ресурса", "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FHIRResourceTypeExt" }], "strength" : "extensible", "description" : "Ресурс (или, для логических моделей, URI логической модели).", "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|5.0.0" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.encounter.identifier", "path" : "Procedure.encounter.identifier", "short" : "Идентификатор ресурса, если не известна ссылка на него", "definition" : "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).\n\nThis element only allows for a single identifier. In the case where additional identifers are required, use the [http://hl7.org/fhir/StructureDefinition/additionalIdentifier](http://hl7.org/fhir/extensions/StructureDefinition-additionalIdentifier.html) extension.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "condition" : ["ref-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".identifier" }] }, { "id" : "Procedure.encounter.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Procedure.encounter.display", "short" : "Текстовая трактовка ресурса", "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.occurrence[x]", "path" : "Procedure.occurrence[x]", "short" : "Дата и время начала и окончания сеанса лучевой терапии", "definition" : "Estimated or actual date, date-time, period, or age when the procedure did occur or is occurring. 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.", "comment" : "This indicates when the procedure actually occurred or is occurring, not when it was asked/requested/ordered to occur. For the latter, look at the occurence element of the Request this Procedure is \"basedOn\". The status code allows differentiation of whether the timing reflects a historic event or an ongoing event. Ongoing events should not include an upper bound in the Period or Timing.bounds.\n\nAge 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.", "min" : 1, "max" : "1", "base" : { "path" : "Procedure.occurrence[x]", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Period" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.occurrence[x]" }, { "identity" : "w5", "map" : "FiveWs.done[x]" }, { "identity" : "v2", "map" : "PR1-5 - occurrencePeriod.end can be inferred when both PR1-5 (Procedure Date/Time) and PR1-7 (Procedure Minutes) are populated" }, { "identity" : "rim", "map" : ".effectiveTime" }] }, { "id" : "Procedure.occurrence[x].id", "path" : "Procedure.occurrence[x].id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.occurrence[x].extension", "path" : "Procedure.occurrence[x].extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.occurrence[x].start", "path" : "Procedure.occurrence[x].start", "short" : "Начало периода действия", "definition" : "Начало периода действия.", "comment" : "Если нижний элемент отсутствует, это означает, что нижняя граница неизвестна.", "min" : 1, "max" : "1", "base" : { "path" : "Period.start", "min" : 0, "max" : "1" }, "type" : [{ "code" : "dateTime" }], "condition" : ["per-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "DR.1" }, { "identity" : "rim", "map" : "./low" }] }, { "id" : "Procedure.occurrence[x].end", "path" : "Procedure.occurrence[x].end", "short" : "Конец периода действия", "definition" : "Конец периода. Если дата окончания периода отсутствует, это означает, что на момент создания экземпляра не было известно или запланировано его окончание. Начало может быть в прошлом, а дата окончания - в будущем, что означает, что ожидается/планируется окончание периода в это время.", "comment" : "Конечное значение включает любую соответствующую дату/время. т.е. 2012-02-03T10:00:00 относится к периоду, конечное значение которого равно 2012-02-03.", "min" : 1, "max" : "1", "base" : { "path" : "Period.end", "min" : 0, "max" : "1" }, "type" : [{ "code" : "dateTime" }], "meaningWhenMissing" : "Если окончание периода отсутствует, это означает, что период продолжается", "condition" : ["per-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "DR.2" }, { "identity" : "rim", "map" : "./high" }] }, { "id" : "Procedure.recorded", "path" : "Procedure.recorded", "short" : "Дата, когда была создана запись", "definition" : "The date the occurrence of the procedure was first captured in the record regardless of Procedure.status (potentially after the occurrence of the event).", "min" : 1, "max" : "1", "base" : { "path" : "Procedure.recorded", "min" : 0, "max" : "1" }, "type" : [{ "code" : "dateTime" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.recorded" }, { "identity" : "w5", "map" : "FiveWs.recorded" }, { "identity" : "rim", "map" : ".participation[typeCode=AUT].time" }] }, { "id" : "Procedure.recorder", "path" : "Procedure.recorder", "short" : "Лицо, ответственное за внесение информации", "definition" : "Individual who recorded the record and takes responsibility for its content.", "min" : 1, "max" : "1", "base" : { "path" : "Procedure.recorder", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.by/StructureDefinition/PractitionerRoleBy"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=AUT].role" }] }, { "id" : "Procedure.recorder.id", "path" : "Procedure.recorder.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.recorder.extension", "path" : "Procedure.recorder.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.recorder.reference", "path" : "Procedure.recorder.reference", "short" : "Ссылка на ресурс в виде относительного URL", "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-2", "ref-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.recorder.type", "path" : "Procedure.recorder.type", "short" : "Тип ресурса", "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FHIRResourceTypeExt" }], "strength" : "extensible", "description" : "Ресурс (или, для логических моделей, URI логической модели).", "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|5.0.0" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.recorder.identifier", "path" : "Procedure.recorder.identifier", "short" : "Идентификатор ресурса, если не известна ссылка на него", "definition" : "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).\n\nThis element only allows for a single identifier. In the case where additional identifers are required, use the [http://hl7.org/fhir/StructureDefinition/additionalIdentifier](http://hl7.org/fhir/extensions/StructureDefinition-additionalIdentifier.html) extension.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "condition" : ["ref-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".identifier" }] }, { "id" : "Procedure.recorder.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Procedure.recorder.display", "short" : "Текстовая трактовка ресурса", "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.reported[x]", "path" : "Procedure.reported[x]", "short" : "Reported rather than primary record", "definition" : "Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth record. It may also indicate the source of the report.", "requirements" : "Reported data may have different rules on editing and may be visually distinguished from primary data.", "alias" : ["informer"], "min" : 0, "max" : "0", "base" : { "path" : "Procedure.reported[x]", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }, { "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient|5.0.0", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|5.0.0", "http://hl7.org/fhir/StructureDefinition/Practitioner|5.0.0", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|5.0.0", "http://hl7.org/fhir/StructureDefinition/Organization|5.0.0"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.reported[x]" }, { "identity" : "w5", "map" : "FiveWs.source" }, { "identity" : "rim", "map" : ".participation[typeCode=RPT].role" }] }, { "id" : "Procedure.performer", "path" : "Procedure.performer", "short" : "Роль медицинского работника и ссылка на специалиста, принимавшего участие в проведении сеанса лучевой терапии", "definition" : "Indicates who or what performed the procedure and how they were involved.", "min" : 1, "max" : "10", "base" : { "path" : "Procedure.performer", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "prc-1", "severity" : "error", "human" : "Procedure.performer.onBehalfOf can only be populated when performer.actor isn't Practitioner or PractitionerRole", "expression" : "onBehalfOf.exists() and actor.resolve().exists() implies actor.resolve().where($this is Practitioner or $this is PractitionerRole).empty()", "source" : "http://hl7.org/fhir/StructureDefinition/Procedure" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.performer" }, { "identity" : "rim", "map" : ".participation[typeCode=PRF]" }] }, { "id" : "Procedure.performer.id", "path" : "Procedure.performer.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.performer.extension", "path" : "Procedure.performer.extension", "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.performer.modifierExtension", "path" : "Procedure.performer.modifierExtension", "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true }, { "id" : "Procedure.performer.function", "path" : "Procedure.performer.function", "short" : "Роль медицинского работника", "definition" : "Distinguishes the type of involvement of the performer in the procedure. For example, surgeon, anaesthetist, endoscopist.", "requirements" : "Allows disambiguation of the types of involvement of different performers.", "min" : 1, "max" : "1", "base" : { "path" : "Procedure.performer.function", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "https://fhir.by/ValueSet/PerformerRoleProcedure" }, "mapping" : [{ "identity" : "workflow", "map" : "Event.performer.function" }, { "identity" : "v2", "map" : "Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25" }, { "identity" : "rim", "map" : ".functionCode" }] }, { "id" : "Procedure.performer.function.id", "path" : "Procedure.performer.function.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.performer.function.extension", "path" : "Procedure.performer.function.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.performer.function.coding", "path" : "Procedure.performer.function.coding", "short" : "Код, определенный в справочнике НСИ Терминология", "definition" : "Ссылка на код в справочнике НСИ Терминология.", "comment" : "Коды могут быть определены очень небрежно в перечислениях или списках кодов, вплоть до очень формальных определений, таких как SNOMED CT - смотрите HL7 v3 Core Principles для получения дополнительной информации. Порядок кодировок не определен и НЕ должен использоваться для определения значения. Как правило, самое большее только одно из значений кодировки будет помечено как UserSelected = true.", "requirements" : "Позволяет использовать альтернативные кодировки в рамках одной системы кодирования и переводить их в другие системы кодирования.", "min" : 1, "max" : "1", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "Procedure.performer.function.coding.id", "path" : "Procedure.performer.function.coding.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.performer.function.coding.extension", "path" : "Procedure.performer.function.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.performer.function.coding.system", "path" : "Procedure.performer.function.coding.system", "short" : "Ссылка на справочник", "definition" : "Идентификация кодовой системы, которая определяет значение символа в коде.", "comment" : "URI может быть OID (urn:oid:...) или UUID (urn:uuid:...). Идентификаторы и UUID-коды ДОЛЖНЫ быть ссылками на реестр OID HL7. В противном случае URI должен быть взят из списка специальных URI, определенных FHIR в HL7, или он должен быть абсолютной ссылкой на какое-либо определение, которое четко и недвусмысленно устанавливает систему.", "requirements" : "Необходимо четко указать источник определения символа.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" }] }, { "id" : "Procedure.performer.function.coding.version", "path" : "Procedure.performer.function.coding.version", "short" : "Версия системы", "definition" : "Версия системы кодирования, которая использовалась при выборе этого кода. Обратите внимание, что для хорошо поддерживаемой системы кодирования не требуется указывать версию, поскольку значение кодов в разных версиях одинаково. Однако это не может быть гарантировано последовательно, и если нет гарантии, что значение будет непротиворечивым, следует заменить версию.", "comment" : "В тех случаях, когда терминология четко не определяет, какую строку следует использовать для идентификации версий системы кодирования, рекомендуется использовать в качестве даты версии дату (выраженную в формате даты FHIR), когда эта версия была официально опубликована.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" }] }, { "id" : "Procedure.performer.function.coding.code", "path" : "Procedure.performer.function.coding.code", "short" : "Код", "definition" : "Код.", "requirements" : "Необходимо обратиться к определенному коду в системе.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "condition" : ["cod-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "Procedure.performer.function.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Procedure.performer.function.coding.display", "short" : "Значение кода", "definition" : "Представление значения кода в системе в соответствии с правилами системы.", "requirements" : "Необходимо иметь возможность передавать значение кода, понятное человеку, для читателей, которые не знакомы с системой.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["cod-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" }] }, { "id" : "Procedure.performer.function.coding.userSelected", "path" : "Procedure.performer.function.coding.userSelected", "short" : "Если эта кодировка была выбрана непосредственно пользователем", "definition" : "Указывает на то, что данная кодировка была выбрана непосредственно пользователем - например, из списка доступных сущностей(кодов или отображений)..", "comment" : "Из множества альтернативных вариантов код, выбранный непосредственно, является наиболее подходящей отправной точкой для новых переводов. Существует некоторая неясность в отношении того, что именно подразумевается под \"прямым выбором\", и может потребоваться соглашение с торговым партнером, чтобы более полно разъяснить использование этого элемента и его последствия (коды или отображения).", "requirements" : "Это было определено как критерий клинической безопасности - то, что именно эта пара система/код была выбрана явно, а не выведена системой на основе каких-либо правил или языковой обработки.", "min" : 0, "max" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" }] }, { "id" : "Procedure.performer.function.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Procedure.performer.function.text", "short" : "Простое текстовое представление концепции", "definition" : "Представление концепции на человеческом языке, увиденное/выбранное/произнесенное пользователем, который ввел данные, и/или представляющее предполагаемый смысл пользователя.", "comment" : "Очень часто текст совпадает с отображаемым именем одной из кодировок.", "requirements" : "Коды из терминологии не всегда отражают правильное значение со всеми нюансами, присущими человеку, который их использует, а иногда вообще не содержат соответствующего кода. В этих случаях используется текст, чтобы полностью передать значение источника.", "min" : 0, "max" : "0", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.9. But note many systems use C*E.2 for this" }, { "identity" : "rim", "map" : "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" }] }, { "id" : "Procedure.performer.actor", "path" : "Procedure.performer.actor", "short" : "Ссылка на специалиста", "definition" : "Indicates who or what performed the procedure.", "requirements" : "A reference to Device supports use cases, such as pacemakers.", "min" : 1, "max" : "1", "base" : { "path" : "Procedure.performer.actor", "min" : 1, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.by/StructureDefinition/PractitionerRoleBy"] }], "condition" : ["prc-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.performer.actor" }, { "identity" : "w5", "map" : "FiveWs.actor" }, { "identity" : "v2", "map" : "PR1-8 (Anesthesiologist), PR1-11 (Surgeon), PR1-12 (Procedure Practitioner) --> Procedure.performer.actor where Procedure.performer.function is also populated" }, { "identity" : "rim", "map" : ".role" }] }, { "id" : "Procedure.performer.actor.id", "path" : "Procedure.performer.actor.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.performer.actor.extension", "path" : "Procedure.performer.actor.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.performer.actor.reference", "path" : "Procedure.performer.actor.reference", "short" : "Ссылка на ресурс в виде относительного URL", "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-2", "ref-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.performer.actor.type", "path" : "Procedure.performer.actor.type", "short" : "Тип ресурса", "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FHIRResourceTypeExt" }], "strength" : "extensible", "description" : "Ресурс (или, для логических моделей, URI логической модели).", "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|5.0.0" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.performer.actor.identifier", "path" : "Procedure.performer.actor.identifier", "short" : "Идентификатор ресурса, если не известна ссылка на него", "definition" : "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).\n\nThis element only allows for a single identifier. In the case where additional identifers are required, use the [http://hl7.org/fhir/StructureDefinition/additionalIdentifier](http://hl7.org/fhir/extensions/StructureDefinition-additionalIdentifier.html) extension.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "condition" : ["ref-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".identifier" }] }, { "id" : "Procedure.performer.actor.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Procedure.performer.actor.display", "short" : "Текстовая трактовка ресурса", "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.performer.onBehalfOf", "path" : "Procedure.performer.onBehalfOf", "short" : "Организация, от имени которой действовал специалист", "definition" : "The Organization the Patient, RelatedPerson, Device, CareTeam, and HealthcareService was acting on behalf of.", "comment" : "Organization, Patient, RelatedPerson, Device, CareTeam, and HealthcareService can be associated with multiple organizations. This element indicates which organization they were acting on behalf of when performing the action.", "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.", "min" : 0, "max" : "1", "base" : { "path" : "Procedure.performer.onBehalfOf", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.by/StructureDefinition/OrganizationBy"] }], "condition" : ["prc-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".scoper" }] }, { "id" : "Procedure.performer.onBehalfOf.id", "path" : "Procedure.performer.onBehalfOf.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.performer.onBehalfOf.extension", "path" : "Procedure.performer.onBehalfOf.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.performer.onBehalfOf.reference", "path" : "Procedure.performer.onBehalfOf.reference", "short" : "Ссылка на ресурс в виде относительного URL", "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-2", "ref-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.performer.onBehalfOf.type", "path" : "Procedure.performer.onBehalfOf.type", "short" : "Тип ресурса", "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FHIRResourceTypeExt" }], "strength" : "extensible", "description" : "Ресурс (или, для логических моделей, URI логической модели).", "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|5.0.0" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.performer.onBehalfOf.identifier", "path" : "Procedure.performer.onBehalfOf.identifier", "short" : "Идентификатор ресурса, если не известна ссылка на него", "definition" : "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).\n\nThis element only allows for a single identifier. In the case where additional identifers are required, use the [http://hl7.org/fhir/StructureDefinition/additionalIdentifier](http://hl7.org/fhir/extensions/StructureDefinition-additionalIdentifier.html) extension.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "condition" : ["ref-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".identifier" }] }, { "id" : "Procedure.performer.onBehalfOf.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Procedure.performer.onBehalfOf.display", "short" : "Текстовая трактовка ресурса", "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.performer.period", "path" : "Procedure.performer.period", "short" : "Время участия специалиста в сеансе лучевой терапии", "definition" : "Time period during which the performer performed the procedure.", "min" : 0, "max" : "1", "base" : { "path" : "Procedure.performer.period", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Period" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.performer.period.id", "path" : "Procedure.performer.period.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.performer.period.extension", "path" : "Procedure.performer.period.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.performer.period.start", "path" : "Procedure.performer.period.start", "short" : "Начало периода действия", "definition" : "Начало периода действия.", "comment" : "Если нижний элемент отсутствует, это означает, что нижняя граница неизвестна.", "min" : 1, "max" : "1", "base" : { "path" : "Period.start", "min" : 0, "max" : "1" }, "type" : [{ "code" : "dateTime" }], "condition" : ["per-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "DR.1" }, { "identity" : "rim", "map" : "./low" }] }, { "id" : "Procedure.performer.period.end", "path" : "Procedure.performer.period.end", "short" : "Конец периода действия", "definition" : "Конец периода. Если дата окончания периода отсутствует, это означает, что на момент создания экземпляра не было известно или запланировано его окончание. Начало может быть в прошлом, а дата окончания - в будущем, что означает, что ожидается/планируется окончание периода в это время.", "comment" : "Конечное значение включает любую соответствующую дату/время. т.е. 2012-02-03T10:00:00 относится к периоду, конечное значение которого равно 2012-02-03.", "min" : 1, "max" : "1", "base" : { "path" : "Period.end", "min" : 0, "max" : "1" }, "type" : [{ "code" : "dateTime" }], "meaningWhenMissing" : "Если окончание периода отсутствует, это означает, что период продолжается", "condition" : ["per-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "DR.2" }, { "identity" : "rim", "map" : "./high" }] }, { "id" : "Procedure.location", "path" : "Procedure.location", "short" : "Структурное подразделение, где проводится лучевая терапия", "definition" : "The location where the procedure actually happened. E.g. a newborn at home, a tracheostomy at a restaurant.", "min" : 1, "max" : "1", "base" : { "path" : "Procedure.location", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.by/StructureDefinition/LocationUnit"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.where[x]" }, { "identity" : "v2", "map" : "PR1-23" }, { "identity" : "rim", "map" : ".participation[typeCode=LOC].role[classCode=SDLOC]" }] }, { "id" : "Procedure.location.id", "path" : "Procedure.location.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.location.extension", "path" : "Procedure.location.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Дополнительный контент, определяемый реализациями", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.location.reference", "path" : "Procedure.location.reference", "short" : "Ссылка на ресурс в виде относительного URL", "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-2", "ref-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.location.type", "path" : "Procedure.location.type", "short" : "Тип ресурса", "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FHIRResourceTypeExt" }], "strength" : "extensible", "description" : "Ресурс (или, для логических моделей, URI логической модели).", "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|5.0.0" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.location.identifier", "path" : "Procedure.location.identifier", "short" : "Идентификатор ресурса, если не известна ссылка на него", "definition" : "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).\n\nThis element only allows for a single identifier. In the case where additional identifers are required, use the [http://hl7.org/fhir/StructureDefinition/additionalIdentifier](http://hl7.org/fhir/extensions/StructureDefinition-additionalIdentifier.html) extension.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "condition" : ["ref-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".identifier" }] }, { "id" : "Procedure.location.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Procedure.location.display", "short" : "Текстовая трактовка ресурса", "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.reason", "path" : "Procedure.reason", "short" : "Диагноз", "definition" : "The coded reason or reference why the procedure was performed. This may be a coded entity of some type, be present as text, or be a reference to one of several resources that justify the procedure.", "comment" : "Use Procedure.reason.concept when a code sufficiently describes the reason. Use Procedure.reason.reference when referencing a resource, which allows more information to be conveyed, such as onset date. For a single Procedure.reason, if both Procedure.reason.concept and Procedure.reason.reference are present, they are expected to be consistent with each other.", "min" : 1, "max" : "1", "base" : { "path" : "Procedure.reason", "min" : 0, "max" : "*" }, "type" : [{ "code" : "CodeableReference", "targetProfile" : ["https://fhir.by/StructureDefinition/FinalDiagnosis"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "https://fhir.by/ValueSet/InternClassificDiseases10" }, "mapping" : [{ "identity" : "workflow", "map" : "Event.reason" }, { "identity" : "w5", "map" : "FiveWs.why[x]" }, { "identity" : "v2", "map" : "PR1-15" }, { "identity" : "rim", "map" : ".reasonCode" }] }, { "id" : "Procedure.reason.id", "path" : "Procedure.reason.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.reason.extension", "path" : "Procedure.reason.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.reason.concept", "path" : "Procedure.reason.concept", "short" : "Диагноз (значение из справочника МКБ-10)", "definition" : "Ссылка на концепцию - например, информация идентифицируется по ее общему классу с той степенью точности, которая предусмотрена терминологией.", "min" : 1, "max" : "1", "base" : { "path" : "CodeableReference.concept", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.reason.concept.id", "path" : "Procedure.reason.concept.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.reason.concept.extension", "path" : "Procedure.reason.concept.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.reason.concept.coding", "path" : "Procedure.reason.concept.coding", "short" : "Код, определенный в справочнике НСИ Терминология", "definition" : "Ссылка на код в справочнике НСИ Терминология.", "comment" : "Коды могут быть определены очень небрежно в перечислениях или списках кодов, вплоть до очень формальных определений, таких как SNOMED CT - смотрите HL7 v3 Core Principles для получения дополнительной информации. Порядок кодировок не определен и НЕ должен использоваться для определения значения. Как правило, самое большее только одно из значений кодировки будет помечено как UserSelected = true.", "requirements" : "Позволяет использовать альтернативные кодировки в рамках одной системы кодирования и переводить их в другие системы кодирования.", "min" : 1, "max" : "1", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "Procedure.reason.concept.coding.id", "path" : "Procedure.reason.concept.coding.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.reason.concept.coding.extension", "path" : "Procedure.reason.concept.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.reason.concept.coding.system", "path" : "Procedure.reason.concept.coding.system", "short" : "Ссылка на справочник", "definition" : "Идентификация кодовой системы, которая определяет значение символа в коде.", "comment" : "URI может быть OID (urn:oid:...) или UUID (urn:uuid:...). Идентификаторы и UUID-коды ДОЛЖНЫ быть ссылками на реестр OID HL7. В противном случае URI должен быть взят из списка специальных URI, определенных FHIR в HL7, или он должен быть абсолютной ссылкой на какое-либо определение, которое четко и недвусмысленно устанавливает систему.", "requirements" : "Необходимо четко указать источник определения символа.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" }] }, { "id" : "Procedure.reason.concept.coding.version", "path" : "Procedure.reason.concept.coding.version", "short" : "Версия системы", "definition" : "Версия системы кодирования, которая использовалась при выборе этого кода. Обратите внимание, что для хорошо поддерживаемой системы кодирования не требуется указывать версию, поскольку значение кодов в разных версиях одинаково. Однако это не может быть гарантировано последовательно, и если нет гарантии, что значение будет непротиворечивым, следует заменить версию.", "comment" : "В тех случаях, когда терминология четко не определяет, какую строку следует использовать для идентификации версий системы кодирования, рекомендуется использовать в качестве даты версии дату (выраженную в формате даты FHIR), когда эта версия была официально опубликована.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" }] }, { "id" : "Procedure.reason.concept.coding.code", "path" : "Procedure.reason.concept.coding.code", "short" : "Код", "definition" : "Код.", "requirements" : "Необходимо обратиться к определенному коду в системе.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "condition" : ["cod-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "Procedure.reason.concept.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Procedure.reason.concept.coding.display", "short" : "Значение кода", "definition" : "Представление значения кода в системе в соответствии с правилами системы.", "requirements" : "Необходимо иметь возможность передавать значение кода, понятное человеку, для читателей, которые не знакомы с системой.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["cod-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" }] }, { "id" : "Procedure.reason.concept.coding.userSelected", "path" : "Procedure.reason.concept.coding.userSelected", "short" : "Если эта кодировка была выбрана непосредственно пользователем", "definition" : "Указывает на то, что данная кодировка была выбрана непосредственно пользователем - например, из списка доступных сущностей(кодов или отображений)..", "comment" : "Из множества альтернативных вариантов код, выбранный непосредственно, является наиболее подходящей отправной точкой для новых переводов. Существует некоторая неясность в отношении того, что именно подразумевается под \"прямым выбором\", и может потребоваться соглашение с торговым партнером, чтобы более полно разъяснить использование этого элемента и его последствия (коды или отображения).", "requirements" : "Это было определено как критерий клинической безопасности - то, что именно эта пара система/код была выбрана явно, а не выведена системой на основе каких-либо правил или языковой обработки.", "min" : 0, "max" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" }] }, { "id" : "Procedure.reason.concept.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Procedure.reason.concept.text", "short" : "Диагноз (текстом)", "definition" : "Представление концепции на человеческом языке, увиденное/выбранное/произнесенное пользователем, который ввел данные, и/или представляющее предполагаемый смысл пользователя.", "comment" : "Очень часто текст совпадает с отображаемым именем одной из кодировок.", "requirements" : "Коды из терминологии не всегда отражают правильное значение со всеми нюансами, присущими человеку, который их использует, а иногда вообще не содержат соответствующего кода. В этих случаях используется текст, чтобы полностью передать значение источника.", "min" : 0, "max" : "1", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.9. But note many systems use C*E.2 for this" }, { "identity" : "rim", "map" : "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" }] }, { "id" : "Procedure.reason.reference", "path" : "Procedure.reason.reference", "short" : "Ссылка на диагноз", "definition" : "Ссылка на ресурс, который содержит точные сведения об информации, на которую ссылаются.", "min" : 0, "max" : "1", "base" : { "path" : "CodeableReference.reference", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.reason.reference.id", "path" : "Procedure.reason.reference.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.reason.reference.extension", "path" : "Procedure.reason.reference.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.reason.reference.reference", "path" : "Procedure.reason.reference.reference", "short" : "Ссылка на ресурс в виде относительного URL", "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-2", "ref-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.reason.reference.type", "path" : "Procedure.reason.reference.type", "short" : "Тип ресурса", "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FHIRResourceTypeExt" }], "strength" : "extensible", "description" : "Ресурс (или, для логических моделей, URI логической модели).", "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|5.0.0" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.reason.reference.identifier", "path" : "Procedure.reason.reference.identifier", "short" : "Идентификатор ресурса, если не известна ссылка на него", "definition" : "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).\n\nThis element only allows for a single identifier. In the case where additional identifers are required, use the [http://hl7.org/fhir/StructureDefinition/additionalIdentifier](http://hl7.org/fhir/extensions/StructureDefinition-additionalIdentifier.html) extension.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "condition" : ["ref-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".identifier" }] }, { "id" : "Procedure.reason.reference.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Procedure.reason.reference.display", "short" : "Текстовая трактовка ресурса", "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.bodySite", "path" : "Procedure.bodySite", "short" : "Анатомическая область, подвергаемая облучению", "definition" : "Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion.", "comment" : "If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure](http://hl7.org/fhir/extensions/StructureDefinition-procedure-targetBodyStructure.html).", "min" : 1, "max" : "2", "base" : { "path" : "Procedure.bodySite", "min" : 0, "max" : "*" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "https://fhir.by/ValueSet/AnatomicalTerminology" }, "mapping" : [{ "identity" : "v2", "map" : "OBX-20" }, { "identity" : "rim", "map" : ".targetSiteCode" }] }, { "id" : "Procedure.bodySite.id", "path" : "Procedure.bodySite.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.bodySite.extension", "path" : "Procedure.bodySite.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Дополнительный контент, определяемый реализациями", "definition" : "Может использоваться для представления дополнительной информации, которая не является частью основного определения элемента. Чтобы сделать использование расширений безопасным и управляемым, существует строгий набор правил, применяемых к определению и использованию расширений. Хотя любой разработчик может определить расширение, существует набор требований, которые должны быть выполнены как часть определения расширения.", "comment" : "Использование расширений никаким приложением, проектом или стандартом не может быть сопряжено с осуждением, независимо от учреждения или юрисдикции, которые используют или определяют расширения. Использование расширений - это то, что позволяет спецификации FHIR сохранять базовый уровень простоты для всех.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.bodySite.coding", "path" : "Procedure.bodySite.coding", "short" : "Код, определенный в справочнике НСИ Терминология", "definition" : "Ссылка на код в справочнике НСИ Терминология.", "comment" : "Коды могут быть определены очень небрежно в перечислениях или списках кодов, вплоть до очень формальных определений, таких как SNOMED CT - смотрите HL7 v3 Core Principles для получения дополнительной информации. Порядок кодировок не определен и НЕ должен использоваться для определения значения. Как правило, самое большее только одно из значений кодировки будет помечено как UserSelected = true.", "requirements" : "Позволяет использовать альтернативные кодировки в рамках одной системы кодирования и переводить их в другие системы кодирования.", "min" : 1, "max" : "1", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "Procedure.bodySite.coding.id", "path" : "Procedure.bodySite.coding.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.bodySite.coding.extension", "path" : "Procedure.bodySite.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.bodySite.coding.system", "path" : "Procedure.bodySite.coding.system", "short" : "Ссылка на справочник", "definition" : "Идентификация кодовой системы, которая определяет значение символа в коде.", "comment" : "URI может быть OID (urn:oid:...) или UUID (urn:uuid:...). Идентификаторы и UUID-коды ДОЛЖНЫ быть ссылками на реестр OID HL7. В противном случае URI должен быть взят из списка специальных URI, определенных FHIR в HL7, или он должен быть абсолютной ссылкой на какое-либо определение, которое четко и недвусмысленно устанавливает систему.", "requirements" : "Необходимо четко указать источник определения символа.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" }] }, { "id" : "Procedure.bodySite.coding.version", "path" : "Procedure.bodySite.coding.version", "short" : "Версия системы", "definition" : "Версия системы кодирования, которая использовалась при выборе этого кода. Обратите внимание, что для хорошо поддерживаемой системы кодирования не требуется указывать версию, поскольку значение кодов в разных версиях одинаково. Однако это не может быть гарантировано последовательно, и если нет гарантии, что значение будет непротиворечивым, следует заменить версию.", "comment" : "В тех случаях, когда терминология четко не определяет, какую строку следует использовать для идентификации версий системы кодирования, рекомендуется использовать в качестве даты версии дату (выраженную в формате даты FHIR), когда эта версия была официально опубликована.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" }] }, { "id" : "Procedure.bodySite.coding.code", "path" : "Procedure.bodySite.coding.code", "short" : "Код", "definition" : "Код.", "requirements" : "Необходимо обратиться к определенному коду в системе.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "condition" : ["cod-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "Procedure.bodySite.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Procedure.bodySite.coding.display", "short" : "Значение кода", "definition" : "Представление значения кода в системе в соответствии с правилами системы.", "requirements" : "Необходимо иметь возможность передавать значение кода, понятное человеку, для читателей, которые не знакомы с системой.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["cod-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" }] }, { "id" : "Procedure.bodySite.coding.userSelected", "path" : "Procedure.bodySite.coding.userSelected", "short" : "Если эта кодировка была выбрана непосредственно пользователем", "definition" : "Указывает на то, что данная кодировка была выбрана непосредственно пользователем - например, из списка доступных сущностей(кодов или отображений)..", "comment" : "Из множества альтернативных вариантов код, выбранный непосредственно, является наиболее подходящей отправной точкой для новых переводов. Существует некоторая неясность в отношении того, что именно подразумевается под \"прямым выбором\", и может потребоваться соглашение с торговым партнером, чтобы более полно разъяснить использование этого элемента и его последствия (коды или отображения).", "requirements" : "Это было определено как критерий клинической безопасности - то, что именно эта пара система/код была выбрана явно, а не выведена системой на основе каких-либо правил или языковой обработки.", "min" : 0, "max" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" }] }, { "id" : "Procedure.bodySite.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Procedure.bodySite.text", "short" : "Простое текстовое представление концепции", "definition" : "Представление концепции на человеческом языке, увиденное/выбранное/произнесенное пользователем, который ввел данные, и/или представляющее предполагаемый смысл пользователя.", "comment" : "Очень часто текст совпадает с отображаемым именем одной из кодировок.", "requirements" : "Коды из терминологии не всегда отражают правильное значение со всеми нюансами, присущими человеку, который их использует, а иногда вообще не содержат соответствующего кода. В этих случаях используется текст, чтобы полностью передать значение источника.", "min" : 0, "max" : "1", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.9. But note many systems use C*E.2 for this" }, { "identity" : "rim", "map" : "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" }] }, { "id" : "Procedure.outcome", "path" : "Procedure.outcome", "short" : "The result of procedure", "definition" : "The outcome of the procedure - did it resolve the reasons for the procedure being performed?", "comment" : "If outcome contains narrative text only, it can be captured using the CodeableConcept.text.", "min" : 0, "max" : "0", "base" : { "path" : "Procedure.outcome", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "ProcedureOutcome" }], "strength" : "example", "description" : "An outcome of a procedure - whether it was resolved or otherwise.", "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-outcome|5.0.0" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=OUT].target.text" }] }, { "id" : "Procedure.report", "path" : "Procedure.report", "short" : "Any report resulting from the procedure", "definition" : "This could be a histology result, pathology report, surgical report, etc.", "comment" : "There could potentially be multiple reports - e.g. if this was a procedure which took multiple biopsies resulting in a number of anatomical pathology reports.", "min" : 0, "max" : "0", "base" : { "path" : "Procedure.report", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DiagnosticReport|5.0.0", "http://hl7.org/fhir/StructureDefinition/DocumentReference|5.0.0", "http://hl7.org/fhir/StructureDefinition/Composition|5.0.0"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN]" }] }, { "id" : "Procedure.complication", "path" : "Procedure.complication", "short" : "Осложнения лучевой терапии", "definition" : "Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the notes, which will typically describe the procedure itself rather than any 'post procedure' issues.", "comment" : "If complications are only expressed by the narrative text, they can be captured using the CodeableReference.concept.text.", "min" : 0, "max" : "*", "base" : { "path" : "Procedure.complication", "min" : 0, "max" : "*" }, "type" : [{ "code" : "CodeableReference", "targetProfile" : ["https://fhir.by/StructureDefinition/FinalDiagnosis"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "binding" : { "strength" : "required", "valueSet" : "https://fhir.by/ValueSet/InternClassificDiseases10" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=\"complication\", moodCode=EVN].value" }] }, { "id" : "Procedure.complication.id", "path" : "Procedure.complication.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.complication.extension", "path" : "Procedure.complication.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.complication.concept", "path" : "Procedure.complication.concept", "short" : "Осложнение (значение из справочника МКБ-10)", "definition" : "Ссылка на концепцию - например, информация идентифицируется по ее общему классу с той степенью точности, которая предусмотрена терминологией.", "min" : 0, "max" : "1", "base" : { "path" : "CodeableReference.concept", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.complication.concept.id", "path" : "Procedure.complication.concept.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.complication.concept.extension", "path" : "Procedure.complication.concept.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.complication.concept.coding", "path" : "Procedure.complication.concept.coding", "short" : "Код, определенный в справочнике НСИ Терминология", "definition" : "Ссылка на код в справочнике НСИ Терминология.", "comment" : "Коды могут быть определены очень небрежно в перечислениях или списках кодов, вплоть до очень формальных определений, таких как SNOMED CT - смотрите HL7 v3 Core Principles для получения дополнительной информации. Порядок кодировок не определен и НЕ должен использоваться для определения значения. Как правило, самое большее только одно из значений кодировки будет помечено как UserSelected = true.", "requirements" : "Позволяет использовать альтернативные кодировки в рамках одной системы кодирования и переводить их в другие системы кодирования.", "min" : 0, "max" : "1", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "Procedure.complication.concept.coding.id", "path" : "Procedure.complication.concept.coding.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.complication.concept.coding.extension", "path" : "Procedure.complication.concept.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.complication.concept.coding.system", "path" : "Procedure.complication.concept.coding.system", "short" : "Ссылка на справочник", "definition" : "Идентификация кодовой системы, которая определяет значение символа в коде.", "comment" : "URI может быть OID (urn:oid:...) или UUID (urn:uuid:...). Идентификаторы и UUID-коды ДОЛЖНЫ быть ссылками на реестр OID HL7. В противном случае URI должен быть взят из списка специальных URI, определенных FHIR в HL7, или он должен быть абсолютной ссылкой на какое-либо определение, которое четко и недвусмысленно устанавливает систему.", "requirements" : "Необходимо четко указать источник определения символа.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" }] }, { "id" : "Procedure.complication.concept.coding.version", "path" : "Procedure.complication.concept.coding.version", "short" : "Версия системы", "definition" : "Версия системы кодирования, которая использовалась при выборе этого кода. Обратите внимание, что для хорошо поддерживаемой системы кодирования не требуется указывать версию, поскольку значение кодов в разных версиях одинаково. Однако это не может быть гарантировано последовательно, и если нет гарантии, что значение будет непротиворечивым, следует заменить версию.", "comment" : "В тех случаях, когда терминология четко не определяет, какую строку следует использовать для идентификации версий системы кодирования, рекомендуется использовать в качестве даты версии дату (выраженную в формате даты FHIR), когда эта версия была официально опубликована.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" }] }, { "id" : "Procedure.complication.concept.coding.code", "path" : "Procedure.complication.concept.coding.code", "short" : "Код", "definition" : "Код.", "requirements" : "Необходимо обратиться к определенному коду в системе.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "condition" : ["cod-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "Procedure.complication.concept.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Procedure.complication.concept.coding.display", "short" : "Значение кода", "definition" : "Представление значения кода в системе в соответствии с правилами системы.", "requirements" : "Необходимо иметь возможность передавать значение кода, понятное человеку, для читателей, которые не знакомы с системой.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["cod-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" }] }, { "id" : "Procedure.complication.concept.coding.userSelected", "path" : "Procedure.complication.concept.coding.userSelected", "short" : "Если эта кодировка была выбрана непосредственно пользователем", "definition" : "Указывает на то, что данная кодировка была выбрана непосредственно пользователем - например, из списка доступных сущностей(кодов или отображений)..", "comment" : "Из множества альтернативных вариантов код, выбранный непосредственно, является наиболее подходящей отправной точкой для новых переводов. Существует некоторая неясность в отношении того, что именно подразумевается под \"прямым выбором\", и может потребоваться соглашение с торговым партнером, чтобы более полно разъяснить использование этого элемента и его последствия (коды или отображения).", "requirements" : "Это было определено как критерий клинической безопасности - то, что именно эта пара система/код была выбрана явно, а не выведена системой на основе каких-либо правил или языковой обработки.", "min" : 0, "max" : "0", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" }] }, { "id" : "Procedure.complication.concept.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Procedure.complication.concept.text", "short" : "Осложнение (текстом)", "definition" : "Представление концепции на человеческом языке, увиденное/выбранное/произнесенное пользователем, который ввел данные, и/или представляющее предполагаемый смысл пользователя.", "comment" : "Очень часто текст совпадает с отображаемым именем одной из кодировок.", "requirements" : "Коды из терминологии не всегда отражают правильное значение со всеми нюансами, присущими человеку, который их использует, а иногда вообще не содержат соответствующего кода. В этих случаях используется текст, чтобы полностью передать значение источника.", "min" : 0, "max" : "1", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.9. But note many systems use C*E.2 for this" }, { "identity" : "rim", "map" : "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" }] }, { "id" : "Procedure.complication.reference", "path" : "Procedure.complication.reference", "short" : "Ссылка на осложннение", "definition" : "Ссылка на ресурс, который содержит точные сведения об информации, на которую ссылаются.", "min" : 0, "max" : "1", "base" : { "path" : "CodeableReference.reference", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.complication.reference.id", "path" : "Procedure.complication.reference.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.complication.reference.extension", "path" : "Procedure.complication.reference.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.complication.reference.reference", "path" : "Procedure.complication.reference.reference", "short" : "Ссылка на ресурс в виде относительного URL", "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-2", "ref-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.complication.reference.type", "path" : "Procedure.complication.reference.type", "short" : "Тип ресурса", "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FHIRResourceTypeExt" }], "strength" : "extensible", "description" : "Ресурс (или, для логических моделей, URI логической модели).", "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|5.0.0" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.complication.reference.identifier", "path" : "Procedure.complication.reference.identifier", "short" : "Идентификатор ресурса, если не известна ссылка на него", "definition" : "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).\n\nThis element only allows for a single identifier. In the case where additional identifers are required, use the [http://hl7.org/fhir/StructureDefinition/additionalIdentifier](http://hl7.org/fhir/extensions/StructureDefinition-additionalIdentifier.html) extension.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "condition" : ["ref-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".identifier" }] }, { "id" : "Procedure.complication.reference.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Procedure.complication.reference.display", "short" : "Текстовая трактовка ресурса", "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-2"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.followUp", "path" : "Procedure.followUp", "short" : "Instructions for follow up", "definition" : "If the procedure required specific follow up - e.g. removal of sutures. The follow up may be represented as a simple note or could potentially be more complex, in which case the CarePlan resource can be used.", "min" : 0, "max" : "0", "base" : { "path" : "Procedure.followUp", "min" : 0, "max" : "*" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "ProcedureFollowUp" }], "strength" : "example", "description" : "Specific follow up required for a procedure e.g. removal of sutures.", "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-followup|5.0.0" }, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].target[classCode=ACT, moodCode=INT].code" }] }, { "id" : "Procedure.note", "path" : "Procedure.note", "short" : "Дополнительная информация о сеансе лучевой терапии", "definition" : "Any other notes and comments about the procedure.", "min" : 0, "max" : "1", "base" : { "path" : "Procedure.note", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Annotation" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "workflow", "map" : "Event.note" }, { "identity" : "v2", "map" : "NTE" }, { "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value" }] }, { "id" : "Procedure.note.id", "path" : "Procedure.note.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "0", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.note.extension", "path" : "Procedure.note.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Procedure.note.author[x]", "path" : "Procedure.note.author[x]", "short" : "Individual responsible for the annotation", "definition" : "The individual responsible for making the annotation.", "comment" : "Organization is used when there's no need for specific attribution as to who made the comment.", "min" : 0, "max" : "0", "base" : { "path" : "Annotation.author[x]", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|5.0.0", "http://hl7.org/fhir/StructureDefinition/PractitionerRole|5.0.0", "http://hl7.org/fhir/StructureDefinition/Patient|5.0.0", "http://hl7.org/fhir/StructureDefinition/RelatedPerson|5.0.0", "http://hl7.org/fhir/StructureDefinition/Organization|5.0.0"] }, { "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "Act.participant[typeCode=AUT].role" }] }, { "id" : "Procedure.note.time", "path" : "Procedure.note.time", "short" : "Когда была сделана аннотация", "definition" : "Indicates when this particular annotation was made.", "min" : 0, "max" : "0", "base" : { "path" : "Annotation.time", "min" : 0, "max" : "1" }, "type" : [{ "code" : "dateTime" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "Act.effectiveTime" }] }, { "id" : "Procedure.note.text", "path" : "Procedure.note.text", "short" : "Текстовое содержимое аннотации", "definition" : "The text of the annotation in markdown format.", "min" : 1, "max" : "1", "base" : { "path" : "Annotation.text", "min" : 1, "max" : "1" }, "type" : [{ "code" : "markdown" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "Act.text" }] }, { "id" : "Procedure.focalDevice", "path" : "Procedure.focalDevice", "short" : "Manipulated, implanted, or removed device", "definition" : "A device that is implanted, removed or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure.", "min" : 0, "max" : "0", "base" : { "path" : "Procedure.focalDevice", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".participation[typeCode=DEV].role[classCode=MANU]" }] }, { "id" : "Procedure.focalDevice.id", "path" : "Procedure.focalDevice.id", "representation" : ["xmlAttr"], "short" : "Уникальный идентификатор для межэлементных ссылок", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.focalDevice.extension", "path" : "Procedure.focalDevice.extension", "short" : "Дополнительный контент, определяемый реализациями", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Procedure.focalDevice.modifierExtension", "path" : "Procedure.focalDevice.modifierExtension", "short" : "Расширения, которые нельзя игнорировать даже если его не узнают", "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).", "alias" : ["extensions", "user content", "modifiers"], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Procedure.focalDevice.action", "path" : "Procedure.focalDevice.action", "short" : "Kind of change to device", "definition" : "The kind of change that happened to the device during the procedure.", "min" : 0, "max" : "1", "base" : { "path" : "Procedure.focalDevice.action", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "DeviceActionKind" }], "strength" : "preferred", "description" : "A kind of change that happened to the device during the procedure.", "valueSet" : "http://hl7.org/fhir/ValueSet/device-action|5.0.0" }, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"procedure device action\"].value=:procedure device action codes" }] }, { "id" : "Procedure.focalDevice.manipulated", "path" : "Procedure.focalDevice.manipulated", "short" : "Device that was changed", "definition" : "The device that was manipulated (changed) during the procedure.", "min" : 1, "max" : "1", "base" : { "path" : "Procedure.focalDevice.manipulated", "min" : 1, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device|5.0.0"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".participation[typeCode=DEV].role[classCode=SDLOC]" }] }, { "id" : "Procedure.used", "path" : "Procedure.used", "short" : "Items used during procedure", "definition" : "Identifies medications, devices and any other substance used as part of the procedure.", "comment" : "For devices actually implanted or removed, use Procedure.focalDevice.manipulated.", "requirements" : "Used for tracking contamination, etc.", "min" : 0, "max" : "0", "base" : { "path" : "Procedure.used", "min" : 0, "max" : "*" }, "type" : [{ "code" : "CodeableReference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device|5.0.0", "http://hl7.org/fhir/StructureDefinition/Medication|5.0.0", "http://hl7.org/fhir/StructureDefinition/Substance|5.0.0", "http://hl7.org/fhir/StructureDefinition/BiologicallyDerivedProduct|5.0.0"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "ProcedureUsed" }], "strength" : "example", "description" : "Codes describing items used during a procedure.", "valueSet" : "http://hl7.org/fhir/ValueSet/device-type|5.0.0" }, "mapping" : [{ "identity" : "rim", "map" : "participation[typeCode=Dev].role[classCode=MANU]" }] }, { "id" : "Procedure.supportingInfo", "path" : "Procedure.supportingInfo", "short" : "Extra information relevant to the procedure", "definition" : "Other resources from the patient record that may be relevant to the procedure. The information from these resources was either used to create the instance or is provided to help with its interpretation. This extension should not be used if more specific inline elements or extensions are available.", "min" : 0, "max" : "0", "base" : { "path" : "Procedure.supportingInfo", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource|5.0.0"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=PERT].target" }] }] }, "differential" : { "element" : [{ "id" : "Procedure", "path" : "Procedure", "short" : "Сеанс лучевой терапии", "constraint" : [{ "key" : "RadiotherapyProcedureStatusRule", "severity" : "error", "human" : "Статус ресурса может иметь значения stopped | completed", "expression" : "status = 'stopped' or status = 'completed'", "source" : "https://fhir.by/StructureDefinition/RadiotherapyProcedure" }, { "key" : "RadiotherapyProcedureStoppeddRule", "severity" : "error", "human" : "Изменение статуса на 'stopped' предполагает обязательное заполнение statusReason.text", "expression" : "status = 'stopped' implies statusReason.text.exists()", "source" : "https://fhir.by/StructureDefinition/RadiotherapyProcedure" }] }, { "id" : "Procedure.id", "path" : "Procedure.id", "min" : 1 }, { "id" : "Procedure.meta", "path" : "Procedure.meta", "min" : 1 }, { "id" : "Procedure.meta.id", "path" : "Procedure.meta.id", "max" : "0" }, { "id" : "Procedure.meta.extension", "path" : "Procedure.meta.extension", "max" : "0" }, { "id" : "Procedure.meta.versionId", "path" : "Procedure.meta.versionId", "max" : "0" }, { "id" : "Procedure.meta.source", "path" : "Procedure.meta.source", "max" : "0" }, { "id" : "Procedure.meta.profile", "path" : "Procedure.meta.profile", "min" : 1, "max" : "1", "patternCanonical" : "https://fhir.by/StructureDefinition/RadiotherapyProcedure" }, { "id" : "Procedure.meta.security", "path" : "Procedure.meta.security", "max" : "0" }, { "id" : "Procedure.meta.tag", "path" : "Procedure.meta.tag", "max" : "0" }, { "id" : "Procedure.implicitRules", "path" : "Procedure.implicitRules", "max" : "0" }, { "id" : "Procedure.language", "path" : "Procedure.language", "max" : "0" }, { "id" : "Procedure.contained", "path" : "Procedure.contained", "max" : "0" }, { "id" : "Procedure.extension", "path" : "Procedure.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "$this.url" }], "rules" : "closed" }, "min" : 1, "max" : "1" }, { "id" : "Procedure.extension:procedureNumber", "path" : "Procedure.extension", "sliceName" : "procedureNumber", "short" : "Порядковый номер сеанса лучевой терапии", "min" : 1, "max" : "1", "type" : [{ "code" : "Extension", "profile" : ["https://fhir.by/StructureDefinition/ProcedureNumber"] }], "mustSupport" : true }, { "id" : "Procedure.modifierExtension", "path" : "Procedure.modifierExtension", "max" : "0" }, { "id" : "Procedure.identifier", "path" : "Procedure.identifier", "short" : "Внутренний идентификатор сеанса в МИС", "max" : "1" }, { "id" : "Procedure.identifier.id", "path" : "Procedure.identifier.id", "max" : "0" }, { "id" : "Procedure.identifier.extension", "path" : "Procedure.identifier.extension", "max" : "0" }, { "id" : "Procedure.identifier.use", "path" : "Procedure.identifier.use", "max" : "0" }, { "id" : "Procedure.identifier.type", "path" : "Procedure.identifier.type", "max" : "0" }, { "id" : "Procedure.identifier.system", "path" : "Procedure.identifier.system", "max" : "0" }, { "id" : "Procedure.identifier.value", "path" : "Procedure.identifier.value", "short" : "Значение идентификатора", "min" : 1 }, { "id" : "Procedure.identifier.period", "path" : "Procedure.identifier.period", "max" : "0" }, { "id" : "Procedure.identifier.assigner", "path" : "Procedure.identifier.assigner", "short" : "Учреждение здравоохранения, в котором идентификатор создан", "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.by/StructureDefinition/OrganizationBy"] }] }, { "id" : "Procedure.identifier.assigner.id", "path" : "Procedure.identifier.assigner.id", "max" : "0" }, { "id" : "Procedure.identifier.assigner.extension", "path" : "Procedure.identifier.assigner.extension", "max" : "0" }, { "id" : "Procedure.identifier.assigner.reference", "path" : "Procedure.identifier.assigner.reference", "min" : 1 }, { "id" : "Procedure.instantiatesCanonical", "path" : "Procedure.instantiatesCanonical", "max" : "0" }, { "id" : "Procedure.instantiatesUri", "path" : "Procedure.instantiatesUri", "max" : "0" }, { "id" : "Procedure.basedOn", "path" : "Procedure.basedOn", "short" : "Создан на основе направления", "min" : 1, "max" : "1", "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.by/StructureDefinition/ServiceRequestRadiotherapy"] }] }, { "id" : "Procedure.basedOn.id", "path" : "Procedure.basedOn.id", "max" : "0" }, { "id" : "Procedure.basedOn.extension", "path" : "Procedure.basedOn.extension", "max" : "0" }, { "id" : "Procedure.basedOn.reference", "path" : "Procedure.basedOn.reference", "min" : 1 }, { "id" : "Procedure.partOf", "path" : "Procedure.partOf", "max" : "0" }, { "id" : "Procedure.status", "path" : "Procedure.status", "short" : "Статус процедуры: stopped | completed " }, { "id" : "Procedure.statusReason", "path" : "Procedure.statusReason", "short" : "Причина прекращения проведения сеанса" }, { "id" : "Procedure.statusReason.id", "path" : "Procedure.statusReason.id", "max" : "0" }, { "id" : "Procedure.statusReason.extension", "path" : "Procedure.statusReason.extension", "max" : "0" }, { "id" : "Procedure.statusReason.coding", "path" : "Procedure.statusReason.coding", "max" : "0" }, { "id" : "Procedure.statusReason.text", "path" : "Procedure.statusReason.text", "min" : 1 }, { "id" : "Procedure.category", "path" : "Procedure.category", "short" : "Характер лучевой терапии", "min" : 1, "max" : "1", "binding" : { "strength" : "required", "valueSet" : "https://fhir.by/ValueSet/RadiationTherapyType" } }, { "id" : "Procedure.category.coding", "path" : "Procedure.category.coding", "min" : 1, "max" : "1" }, { "id" : "Procedure.category.coding.id", "path" : "Procedure.category.coding.id", "max" : "0" }, { "id" : "Procedure.category.coding.extension", "path" : "Procedure.category.coding.extension", "max" : "0" }, { "id" : "Procedure.category.coding.system", "path" : "Procedure.category.coding.system", "min" : 1 }, { "id" : "Procedure.category.coding.code", "path" : "Procedure.category.coding.code", "min" : 1 }, { "id" : "Procedure.category.coding.userSelected", "path" : "Procedure.category.coding.userSelected", "max" : "0" }, { "id" : "Procedure.category.text", "path" : "Procedure.category.text", "max" : "0" }, { "id" : "Procedure.code", "path" : "Procedure.code", "short" : "Метод лучевой терапии", "min" : 1, "binding" : { "strength" : "required", "valueSet" : "https://fhir.by/ValueSet/RadiationTherapyMethods" } }, { "id" : "Procedure.code.coding", "path" : "Procedure.code.coding", "min" : 1, "max" : "1" }, { "id" : "Procedure.code.coding.id", "path" : "Procedure.code.coding.id", "max" : "0" }, { "id" : "Procedure.code.coding.extension", "path" : "Procedure.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Расширения всегда разделяются по (как минимум) URL-адресу", "rules" : "closed" }, "min" : 1 }, { "id" : "Procedure.code.coding.extension:parameterRadiotherapy", "path" : "Procedure.code.coding.extension", "sliceName" : "parameterRadiotherapy", "min" : 1, "max" : "1", "type" : [{ "code" : "Extension", "profile" : ["https://fhir.by/StructureDefinition/ParameterRadiotherapy"] }], "mustSupport" : true }, { "id" : "Procedure.code.coding.system", "path" : "Procedure.code.coding.system", "min" : 1 }, { "id" : "Procedure.code.coding.code", "path" : "Procedure.code.coding.code", "min" : 1 }, { "id" : "Procedure.code.coding.userSelected", "path" : "Procedure.code.coding.userSelected", "max" : "0" }, { "id" : "Procedure.subject", "path" : "Procedure.subject", "short" : "Пациент, которому проводится лучевая терапия", "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.by/StructureDefinition/PatientWithIdentificationNumber", "https://fhir.by/StructureDefinition/PatientWithoutIdentificationNumber"] }] }, { "id" : "Procedure.subject.id", "path" : "Procedure.subject.id", "max" : "0" }, { "id" : "Procedure.subject.extension", "path" : "Procedure.subject.extension", "max" : "0" }, { "id" : "Procedure.subject.reference", "path" : "Procedure.subject.reference", "min" : 1 }, { "id" : "Procedure.focus", "path" : "Procedure.focus", "max" : "0" }, { "id" : "Procedure.encounter", "path" : "Procedure.encounter", "short" : "Прием медицинского специалиста, в рамках которого был проведен сеанс лучевой терапии", "min" : 1, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.by/StructureDefinition/EncounterGeneral"] }] }, { "id" : "Procedure.encounter.reference", "path" : "Procedure.encounter.reference", "min" : 1 }, { "id" : "Procedure.occurrence[x]", "path" : "Procedure.occurrence[x]", "short" : "Дата и время начала и окончания сеанса лучевой терапии", "min" : 1, "type" : [{ "code" : "Period" }] }, { "id" : "Procedure.occurrence[x].id", "path" : "Procedure.occurrence[x].id", "max" : "0" }, { "id" : "Procedure.occurrence[x].extension", "path" : "Procedure.occurrence[x].extension", "max" : "0" }, { "id" : "Procedure.occurrence[x].start", "path" : "Procedure.occurrence[x].start", "min" : 1 }, { "id" : "Procedure.occurrence[x].end", "path" : "Procedure.occurrence[x].end", "min" : 1 }, { "id" : "Procedure.recorded", "path" : "Procedure.recorded", "short" : "Дата, когда была создана запись", "min" : 1 }, { "id" : "Procedure.recorder", "path" : "Procedure.recorder", "short" : "Лицо, ответственное за внесение информации", "min" : 1, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.by/StructureDefinition/PractitionerRoleBy"] }] }, { "id" : "Procedure.recorder.id", "path" : "Procedure.recorder.id", "max" : "0" }, { "id" : "Procedure.recorder.extension", "path" : "Procedure.recorder.extension", "max" : "0" }, { "id" : "Procedure.recorder.reference", "path" : "Procedure.recorder.reference", "min" : 1 }, { "id" : "Procedure.reported[x]", "path" : "Procedure.reported[x]", "max" : "0" }, { "id" : "Procedure.performer", "path" : "Procedure.performer", "short" : "Роль медицинского работника и ссылка на специалиста, принимавшего участие в проведении сеанса лучевой терапии", "min" : 1, "max" : "10" }, { "id" : "Procedure.performer.id", "path" : "Procedure.performer.id", "max" : "0" }, { "id" : "Procedure.performer.extension", "path" : "Procedure.performer.extension", "max" : "0" }, { "id" : "Procedure.performer.modifierExtension", "path" : "Procedure.performer.modifierExtension", "max" : "0" }, { "id" : "Procedure.performer.function", "path" : "Procedure.performer.function", "short" : "Роль медицинского работника", "min" : 1, "binding" : { "strength" : "required", "valueSet" : "https://fhir.by/ValueSet/PerformerRoleProcedure" } }, { "id" : "Procedure.performer.function.id", "path" : "Procedure.performer.function.id", "max" : "0" }, { "id" : "Procedure.performer.function.extension", "path" : "Procedure.performer.function.extension", "max" : "0" }, { "id" : "Procedure.performer.function.coding", "path" : "Procedure.performer.function.coding", "min" : 1, "max" : "1" }, { "id" : "Procedure.performer.function.coding.id", "path" : "Procedure.performer.function.coding.id", "max" : "0" }, { "id" : "Procedure.performer.function.coding.extension", "path" : "Procedure.performer.function.coding.extension", "max" : "0" }, { "id" : "Procedure.performer.function.coding.system", "path" : "Procedure.performer.function.coding.system", "min" : 1 }, { "id" : "Procedure.performer.function.coding.code", "path" : "Procedure.performer.function.coding.code", "min" : 1 }, { "id" : "Procedure.performer.function.coding.userSelected", "path" : "Procedure.performer.function.coding.userSelected", "max" : "0" }, { "id" : "Procedure.performer.function.text", "path" : "Procedure.performer.function.text", "max" : "0" }, { "id" : "Procedure.performer.actor", "path" : "Procedure.performer.actor", "short" : "Ссылка на специалиста", "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.by/StructureDefinition/PractitionerRoleBy"] }] }, { "id" : "Procedure.performer.actor.id", "path" : "Procedure.performer.actor.id", "max" : "0" }, { "id" : "Procedure.performer.actor.extension", "path" : "Procedure.performer.actor.extension", "max" : "0" }, { "id" : "Procedure.performer.actor.reference", "path" : "Procedure.performer.actor.reference", "min" : 1 }, { "id" : "Procedure.performer.onBehalfOf", "path" : "Procedure.performer.onBehalfOf", "short" : "Организация, от имени которой действовал специалист", "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.by/StructureDefinition/OrganizationBy"] }] }, { "id" : "Procedure.performer.onBehalfOf.id", "path" : "Procedure.performer.onBehalfOf.id", "max" : "0" }, { "id" : "Procedure.performer.onBehalfOf.extension", "path" : "Procedure.performer.onBehalfOf.extension", "max" : "0" }, { "id" : "Procedure.performer.onBehalfOf.reference", "path" : "Procedure.performer.onBehalfOf.reference", "min" : 1 }, { "id" : "Procedure.performer.period", "path" : "Procedure.performer.period", "short" : "Время участия специалиста в сеансе лучевой терапии" }, { "id" : "Procedure.performer.period.id", "path" : "Procedure.performer.period.id", "max" : "0" }, { "id" : "Procedure.performer.period.extension", "path" : "Procedure.performer.period.extension", "max" : "0" }, { "id" : "Procedure.performer.period.start", "path" : "Procedure.performer.period.start", "min" : 1 }, { "id" : "Procedure.performer.period.end", "path" : "Procedure.performer.period.end", "min" : 1 }, { "id" : "Procedure.location", "path" : "Procedure.location", "short" : "Структурное подразделение, где проводится лучевая терапия", "min" : 1, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.by/StructureDefinition/LocationUnit"] }] }, { "id" : "Procedure.location.reference", "path" : "Procedure.location.reference", "min" : 1 }, { "id" : "Procedure.reason", "path" : "Procedure.reason", "short" : "Диагноз", "min" : 1, "max" : "1", "type" : [{ "code" : "CodeableReference", "targetProfile" : ["https://fhir.by/StructureDefinition/FinalDiagnosis"] }], "binding" : { "strength" : "required", "valueSet" : "https://fhir.by/ValueSet/InternClassificDiseases10" } }, { "id" : "Procedure.reason.id", "path" : "Procedure.reason.id", "max" : "0" }, { "id" : "Procedure.reason.extension", "path" : "Procedure.reason.extension", "max" : "0" }, { "id" : "Procedure.reason.concept", "path" : "Procedure.reason.concept", "short" : "Диагноз (значение из справочника МКБ-10)", "min" : 1 }, { "id" : "Procedure.reason.concept.id", "path" : "Procedure.reason.concept.id", "max" : "0" }, { "id" : "Procedure.reason.concept.extension", "path" : "Procedure.reason.concept.extension", "max" : "0" }, { "id" : "Procedure.reason.concept.coding", "path" : "Procedure.reason.concept.coding", "min" : 1, "max" : "1" }, { "id" : "Procedure.reason.concept.coding.id", "path" : "Procedure.reason.concept.coding.id", "max" : "0" }, { "id" : "Procedure.reason.concept.coding.extension", "path" : "Procedure.reason.concept.coding.extension", "max" : "0" }, { "id" : "Procedure.reason.concept.coding.system", "path" : "Procedure.reason.concept.coding.system", "min" : 1 }, { "id" : "Procedure.reason.concept.coding.code", "path" : "Procedure.reason.concept.coding.code", "min" : 1 }, { "id" : "Procedure.reason.concept.coding.userSelected", "path" : "Procedure.reason.concept.coding.userSelected", "max" : "0" }, { "id" : "Procedure.reason.concept.text", "path" : "Procedure.reason.concept.text", "short" : "Диагноз (текстом)" }, { "id" : "Procedure.reason.reference", "path" : "Procedure.reason.reference", "short" : "Ссылка на диагноз" }, { "id" : "Procedure.reason.reference.id", "path" : "Procedure.reason.reference.id", "max" : "0" }, { "id" : "Procedure.reason.reference.extension", "path" : "Procedure.reason.reference.extension", "max" : "0" }, { "id" : "Procedure.reason.reference.reference", "path" : "Procedure.reason.reference.reference", "min" : 1 }, { "id" : "Procedure.bodySite", "path" : "Procedure.bodySite", "short" : "Анатомическая область, подвергаемая облучению", "min" : 1, "max" : "2", "binding" : { "strength" : "required", "valueSet" : "https://fhir.by/ValueSet/AnatomicalTerminology" } }, { "id" : "Procedure.bodySite.coding", "path" : "Procedure.bodySite.coding", "min" : 1, "max" : "1" }, { "id" : "Procedure.bodySite.coding.id", "path" : "Procedure.bodySite.coding.id", "max" : "0" }, { "id" : "Procedure.bodySite.coding.extension", "path" : "Procedure.bodySite.coding.extension", "max" : "0" }, { "id" : "Procedure.bodySite.coding.system", "path" : "Procedure.bodySite.coding.system", "min" : 1 }, { "id" : "Procedure.bodySite.coding.code", "path" : "Procedure.bodySite.coding.code", "min" : 1 }, { "id" : "Procedure.bodySite.coding.userSelected", "path" : "Procedure.bodySite.coding.userSelected", "max" : "0" }, { "id" : "Procedure.outcome", "path" : "Procedure.outcome", "max" : "0" }, { "id" : "Procedure.report", "path" : "Procedure.report", "max" : "0" }, { "id" : "Procedure.complication", "path" : "Procedure.complication", "short" : "Осложнения лучевой терапии", "type" : [{ "code" : "CodeableReference", "targetProfile" : ["https://fhir.by/StructureDefinition/FinalDiagnosis"] }], "binding" : { "strength" : "required", "valueSet" : "https://fhir.by/ValueSet/InternClassificDiseases10" } }, { "id" : "Procedure.complication.id", "path" : "Procedure.complication.id", "max" : "0" }, { "id" : "Procedure.complication.extension", "path" : "Procedure.complication.extension", "max" : "0" }, { "id" : "Procedure.complication.concept", "path" : "Procedure.complication.concept", "short" : "Осложнение (значение из справочника МКБ-10)" }, { "id" : "Procedure.complication.concept.id", "path" : "Procedure.complication.concept.id", "max" : "0" }, { "id" : "Procedure.complication.concept.extension", "path" : "Procedure.complication.concept.extension", "max" : "0" }, { "id" : "Procedure.complication.concept.coding", "path" : "Procedure.complication.concept.coding", "max" : "1" }, { "id" : "Procedure.complication.concept.coding.id", "path" : "Procedure.complication.concept.coding.id", "max" : "0" }, { "id" : "Procedure.complication.concept.coding.extension", "path" : "Procedure.complication.concept.coding.extension", "max" : "0" }, { "id" : "Procedure.complication.concept.coding.system", "path" : "Procedure.complication.concept.coding.system", "min" : 1 }, { "id" : "Procedure.complication.concept.coding.code", "path" : "Procedure.complication.concept.coding.code", "min" : 1 }, { "id" : "Procedure.complication.concept.coding.userSelected", "path" : "Procedure.complication.concept.coding.userSelected", "max" : "0" }, { "id" : "Procedure.complication.concept.text", "path" : "Procedure.complication.concept.text", "short" : "Осложнение (текстом)" }, { "id" : "Procedure.complication.reference", "path" : "Procedure.complication.reference", "short" : "Ссылка на осложннение" }, { "id" : "Procedure.complication.reference.id", "path" : "Procedure.complication.reference.id", "max" : "0" }, { "id" : "Procedure.complication.reference.extension", "path" : "Procedure.complication.reference.extension", "max" : "0" }, { "id" : "Procedure.complication.reference.reference", "path" : "Procedure.complication.reference.reference", "min" : 1 }, { "id" : "Procedure.followUp", "path" : "Procedure.followUp", "max" : "0" }, { "id" : "Procedure.note", "path" : "Procedure.note", "short" : "Дополнительная информация о сеансе лучевой терапии", "max" : "1" }, { "id" : "Procedure.note.id", "path" : "Procedure.note.id", "max" : "0" }, { "id" : "Procedure.note.extension", "path" : "Procedure.note.extension", "max" : "0" }, { "id" : "Procedure.note.author[x]", "path" : "Procedure.note.author[x]", "max" : "0" }, { "id" : "Procedure.note.time", "path" : "Procedure.note.time", "max" : "0" }, { "id" : "Procedure.focalDevice", "path" : "Procedure.focalDevice", "max" : "0" }, { "id" : "Procedure.used", "path" : "Procedure.used", "max" : "0" }, { "id" : "Procedure.supportingInfo", "path" : "Procedure.supportingInfo", "max" : "0" }] } }