Tiro.health Implementation Guide
0.1.0 - ci-build

Tiro.health Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: PCaMDT

Official URL: http://fhir.tiro.health/StructureDefinition/pca-mdt Version: 0.1.0
Draft as of 2025-10-16 Computable Name: PCaMDT

Multi-disciplinary team (MDT) meeting for prostate cancer.

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* EpisodeOfCare An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... patient Σ 1..1 Reference(Patient) The patient who is the focus of this episode of care

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
EpisodeOfCare.status Base required Episode Of Care Status 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error EpisodeOfCare If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error EpisodeOfCare If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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()
dom-4 error EpisodeOfCare If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error EpisodeOfCare If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice EpisodeOfCare A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from EpisodeOfCare

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* EpisodeOfCare An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility
... status 1..1 code planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Required Pattern: finished
... diagnosis
.... condition
..... reference 0..1 Reference() Reference to a resource (by instance)
Required Pattern: At least the following
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
Fixed Value: Condition/PCaCondition
.... use 0..1 CodeableConcept Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/encounter-diagnosis-use
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: final
...... display 1..1 string Representation defined by the system
Fixed Value: Final

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* EpisodeOfCare An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier Business Identifier(s) relevant for this EpisodeOfCare
... status ?!Σ 1..1 code planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: EpisodeOfCareStatus (required): The status of the episode of care.
Required Pattern: finished
... statusHistory 0..* BackboneElement Past list of status codes (the current status may be included to cover the start date of the status)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: EpisodeOfCareStatus (required): The status of the episode of care.
.... period 1..1 Period Duration the EpisodeOfCare was in the specified status
... type Σ 0..* CodeableConcept Type/class - e.g. specialist referral, disease management
Binding: EpisodeOfCareType (example): The type of the episode of care.
... reason Σ 0..* BackboneElement The list of medical reasons that are expected to be addressed during the episode of care
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... use Σ 0..1 CodeableConcept What the reason value should be used for/as
Binding: EncounterReasonUse (example)
.... value Σ 0..* CodeableReference(Condition | Procedure | Observation | HealthcareService) Medical reason to be addressed
Binding: EncounterReasonCodes (example)
... diagnosis Σ 0..* BackboneElement The list of medical conditions that were addressed during the episode of care
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 0..* CodeableReference(Condition) The medical condition that was addressed during the episode of care
Binding: ConditionProblemDiagnosisCodes (example)
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... concept Σ 0..1 CodeableConcept Reference to a concept (by class)
..... reference Σ 0..1 Reference() Reference to a resource (by instance)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
Fixed Value: Condition/PCaCondition
...... type 0..1 uri Type the reference refers to (e.g. "Patient") - must be a resource in resources
...... identifier 0..1 Identifier Logical reference, when literal reference is not known
...... display 0..1 string Text alternative for the resource
.... use Σ 0..1 CodeableConcept Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)
Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents.
Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/encounter-diagnosis-use
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: final
...... display 1..1 string Representation defined by the system
Fixed Value: Final
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... patient Σ 1..1 Reference(Patient) The patient who is the focus of this episode of care
... managingOrganization Σ 0..1 Reference(Organization) Organization that assumes responsibility for care coordination
... period Σ 0..1 Period Interval during responsibility is assumed
... referralRequest 0..* Reference(ServiceRequest) Originating Referral Request(s)
... careManager 0..1 Reference(Practitioner | PractitionerRole) Care manager/care coordinator for the patient
... careTeam 0..* Reference(CareTeam) Other practitioners facilitating this episode of care
... account 0..* Reference(Account) The set of accounts that may be used for billing for this EpisodeOfCare

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
EpisodeOfCare.language Base required All Languages 📍5.0.0 FHIR Std.
EpisodeOfCare.status Base required Episode Of Care Status 📍5.0.0 FHIR Std.
EpisodeOfCare.statusHistory.​status Base required Episode Of Care Status 📍5.0.0 FHIR Std.
EpisodeOfCare.type Base example Episode Of Care Type 📍5.0.0 FHIR Std.
EpisodeOfCare.reason.​use Base example Encounter Reason Use 📍5.0.0 FHIR Std.
EpisodeOfCare.reason.​value Base example Encounter Reason Codes 📍5.0.0 FHIR Std.
EpisodeOfCare.diagnosis.​condition Base example Condition/Problem/Diagnosis Codes 📍5.0.0 FHIR Std.
EpisodeOfCare.diagnosis.​use Base preferred Encounter Diagnosis Use 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error EpisodeOfCare If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error EpisodeOfCare If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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()
dom-4 error EpisodeOfCare If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error EpisodeOfCare If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice EpisodeOfCare A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from EpisodeOfCare

Summary

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* EpisodeOfCare An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... patient Σ 1..1 Reference(Patient) The patient who is the focus of this episode of care

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
EpisodeOfCare.status Base required Episode Of Care Status 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error EpisodeOfCare If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error EpisodeOfCare If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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()
dom-4 error EpisodeOfCare If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error EpisodeOfCare If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice EpisodeOfCare A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from EpisodeOfCare

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* EpisodeOfCare An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility
... status 1..1 code planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Required Pattern: finished
... diagnosis
.... condition
..... reference 0..1 Reference() Reference to a resource (by instance)
Required Pattern: At least the following
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
Fixed Value: Condition/PCaCondition
.... use 0..1 CodeableConcept Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/encounter-diagnosis-use
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: final
...... display 1..1 string Representation defined by the system
Fixed Value: Final

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* EpisodeOfCare An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier Business Identifier(s) relevant for this EpisodeOfCare
... status ?!Σ 1..1 code planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: EpisodeOfCareStatus (required): The status of the episode of care.
Required Pattern: finished
... statusHistory 0..* BackboneElement Past list of status codes (the current status may be included to cover the start date of the status)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: EpisodeOfCareStatus (required): The status of the episode of care.
.... period 1..1 Period Duration the EpisodeOfCare was in the specified status
... type Σ 0..* CodeableConcept Type/class - e.g. specialist referral, disease management
Binding: EpisodeOfCareType (example): The type of the episode of care.
... reason Σ 0..* BackboneElement The list of medical reasons that are expected to be addressed during the episode of care
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... use Σ 0..1 CodeableConcept What the reason value should be used for/as
Binding: EncounterReasonUse (example)
.... value Σ 0..* CodeableReference(Condition | Procedure | Observation | HealthcareService) Medical reason to be addressed
Binding: EncounterReasonCodes (example)
... diagnosis Σ 0..* BackboneElement The list of medical conditions that were addressed during the episode of care
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 0..* CodeableReference(Condition) The medical condition that was addressed during the episode of care
Binding: ConditionProblemDiagnosisCodes (example)
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... concept Σ 0..1 CodeableConcept Reference to a concept (by class)
..... reference Σ 0..1 Reference() Reference to a resource (by instance)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
Fixed Value: Condition/PCaCondition
...... type 0..1 uri Type the reference refers to (e.g. "Patient") - must be a resource in resources
...... identifier 0..1 Identifier Logical reference, when literal reference is not known
...... display 0..1 string Text alternative for the resource
.... use Σ 0..1 CodeableConcept Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)
Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents.
Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/encounter-diagnosis-use
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: final
...... display 1..1 string Representation defined by the system
Fixed Value: Final
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... patient Σ 1..1 Reference(Patient) The patient who is the focus of this episode of care
... managingOrganization Σ 0..1 Reference(Organization) Organization that assumes responsibility for care coordination
... period Σ 0..1 Period Interval during responsibility is assumed
... referralRequest 0..* Reference(ServiceRequest) Originating Referral Request(s)
... careManager 0..1 Reference(Practitioner | PractitionerRole) Care manager/care coordinator for the patient
... careTeam 0..* Reference(CareTeam) Other practitioners facilitating this episode of care
... account 0..* Reference(Account) The set of accounts that may be used for billing for this EpisodeOfCare

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
EpisodeOfCare.language Base required All Languages 📍5.0.0 FHIR Std.
EpisodeOfCare.status Base required Episode Of Care Status 📍5.0.0 FHIR Std.
EpisodeOfCare.statusHistory.​status Base required Episode Of Care Status 📍5.0.0 FHIR Std.
EpisodeOfCare.type Base example Episode Of Care Type 📍5.0.0 FHIR Std.
EpisodeOfCare.reason.​use Base example Encounter Reason Use 📍5.0.0 FHIR Std.
EpisodeOfCare.reason.​value Base example Encounter Reason Codes 📍5.0.0 FHIR Std.
EpisodeOfCare.diagnosis.​condition Base example Condition/Problem/Diagnosis Codes 📍5.0.0 FHIR Std.
EpisodeOfCare.diagnosis.​use Base preferred Encounter Diagnosis Use 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error EpisodeOfCare If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error EpisodeOfCare If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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()
dom-4 error EpisodeOfCare If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error EpisodeOfCare If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice EpisodeOfCare A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from EpisodeOfCare

Summary

 

Other representations of profile: CSV, Excel, Schematron