{
"description": "Chemotherapy \\nMaturity Level: 2 - Ready for Review",
"_filename": "StructureDefinition-Chemotherapy.json",
"package_name": "hl7.eu.fhir.pcsp",
"date": "2023-01-26T09:50:21+01:00",
"derivation": "specialization",
"publisher": "PanCareSurPass Project",
"fhirVersion": "4.0.1",
"jurisdiction": [ {
"coding": [ {
"code": "150",
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"display": "Europe"
} ]
} ],
"name": "Chemotherapy",
"mapping": [ {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
}, {
"uri": "hl7.org/fhir/r4",
"name": "Chemotherapy model to PCSP HL7 FHIR R4 Profiles",
"identity": "fhir"
} ],
"abstract": false,
"type": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Chemotherapy",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "Chemotherapy",
"package_version": "0.1.0",
"snapshot": {
"element": [ {
"path": "Chemotherapy",
"min": 0,
"definition": "Chemotherapy \nMaturity Level: 2 - Ready for Review",
"isModifier": false,
"short": "Chemotherapy",
"mapping": [ {
"map": "MedicationAdministration.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/MedicationAdministration-eu-pcsp')",
"identity": "fhir"
} ],
"max": "*",
"id": "Chemotherapy",
"base": {
"max": "*",
"min": 0,
"path": "Base"
}
}, {
"path": "Chemotherapy.relatedDiagnosis",
"min": 1,
"definition": "Identifier of the diagnosis for which this chemotherapy is performed",
"short": "Related Diagnosis",
"mapping": [ {
"map": ".reasonReference",
"identity": "fhir"
} ],
"type": [ {
"code": "Identifier"
} ],
"max": "1",
"id": "Chemotherapy.relatedDiagnosis",
"base": {
"max": "1",
"min": 1,
"path": "Chemotherapy.relatedDiagnosis"
}
}, {
"path": "Chemotherapy.startDate",
"min": 1,
"definition": "Please report the date of the first chemotherapy given. If the date is unkown or partially missed insert the year at the best of your knowledge.",
"short": "Start date",
"mapping": [ {
"map": ".effectivePeriod.start",
"identity": "fhir"
} ],
"type": [ {
"code": "dateTime"
} ],
"max": "1",
"id": "Chemotherapy.startDate",
"base": {
"max": "1",
"min": 1,
"path": "Chemotherapy.startDate"
}
}, {
"path": "Chemotherapy.endDate",
"min": 1,
"definition": "Please report the date of the last chemotherapy given. If the date is unkown or partially missed insert the year at the best of your knowledge.",
"short": "End date",
"mapping": [ {
"map": ".effectivePeriod.end",
"identity": "fhir"
} ],
"type": [ {
"code": "dateTime"
} ],
"max": "1",
"id": "Chemotherapy.endDate",
"base": {
"max": "1",
"min": 1,
"path": "Chemotherapy.endDate"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Chemotherapy.istitutionOfTreatment",
"min": 0,
"definition": "Please indicate the institution in which all or most of the chemotherapeutic treatment was given",
"short": "Institution of treatment",
"mapping": [ {
"map": ".extension(http://hl7.eu/fhir/ig/pcsp/StructureDefinition/ActLocation-eu-pcsp).conformsTo(http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Location-eu-pcsp)",
"identity": "fhir"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "1",
"id": "Chemotherapy.istitutionOfTreatment",
"base": {
"max": "1",
"min": 0,
"path": "Chemotherapy.istitutionOfTreatment"
}
}, {
"path": "Chemotherapy.istitutionOfTreatment.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Chemotherapy.istitutionOfTreatment.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Chemotherapy.istitutionOfTreatment.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Chemotherapy.istitutionOfTreatment.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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Chemotherapy.istitutionOfTreatment.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Chemotherapy.istitutionOfTreatment.modifierExtension",
"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.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"path": "Chemotherapy.istitutionOfTreatment.description",
"min": 0,
"definition": "Please provide name, city and countryof the institution",
"short": "Institution description",
"mapping": [ {
"map": "Location.description",
"identity": "fhir"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Chemotherapy.istitutionOfTreatment.description",
"base": {
"max": "1",
"min": 0,
"path": "Chemotherapy.istitutionOfTreatment.description"
}
}, {
"path": "Chemotherapy.istitutionOfTreatment.name",
"min": 0,
"definition": "Institution name",
"short": "Institution name",
"mapping": [ {
"map": "Location.name",
"identity": "fhir"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Chemotherapy.istitutionOfTreatment.name",
"base": {
"max": "1",
"min": 0,
"path": "Chemotherapy.istitutionOfTreatment.name"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Chemotherapy.istitutionOfTreatment.address",
"min": 0,
"definition": "Institution address",
"short": "Institution address",
"mapping": [ {
"map": "Location.address.city",
"identity": "fhir"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "1",
"id": "Chemotherapy.istitutionOfTreatment.address",
"base": {
"max": "1",
"min": 0,
"path": "Chemotherapy.istitutionOfTreatment.address"
}
}, {
"path": "Chemotherapy.istitutionOfTreatment.address.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Chemotherapy.istitutionOfTreatment.address.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Chemotherapy.istitutionOfTreatment.address.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Chemotherapy.istitutionOfTreatment.address.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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Chemotherapy.istitutionOfTreatment.address.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Chemotherapy.istitutionOfTreatment.address.modifierExtension",
"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.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"id": "Chemotherapy.istitutionOfTreatment.address.name",
"max": "1",
"min": 0,
"base": {
"max": "1",
"min": 0,
"path": "Chemotherapy.istitutionOfTreatment.address.name"
},
"path": "Chemotherapy.istitutionOfTreatment.address.name",
"type": [ {
"code": "string"
} ],
"short": "Institution city",
"definition": "Institution city"
}, {
"path": "Chemotherapy.istitutionOfTreatment.address.country",
"min": 0,
"definition": "Institution country",
"short": "Institution country",
"mapping": [ {
"map": "Location.address.country",
"identity": "fhir"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Chemotherapy.istitutionOfTreatment.address.country",
"base": {
"max": "1",
"min": 0,
"path": "Chemotherapy.istitutionOfTreatment.address.country"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Chemotherapy.productAdministration",
"min": 1,
"definition": "Information about the product(s) administered",
"short": "Product(s) administartion data",
"mapping": [ {
"map": ".medication[x]",
"identity": "fhir"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "20",
"id": "Chemotherapy.productAdministration",
"base": {
"max": "20",
"min": 1,
"path": "Chemotherapy.productAdministration"
}
}, {
"path": "Chemotherapy.productAdministration.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Chemotherapy.productAdministration.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Chemotherapy.productAdministration.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Chemotherapy.productAdministration.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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Chemotherapy.productAdministration.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Chemotherapy.productAdministration.modifierExtension",
"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.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"path": "Chemotherapy.productAdministration.agent",
"min": 1,
"definition": "In this section, any of the 'antineoplastic and immunostimulating agents' received by the survivor should be reported, Drugs names are reported based on the ATC code listed under L01 to L04 in Appendix. Synonyms are included. When you start typing the name of the drug, the possible options will automatically suggested by the system. \nUp to 20 drugs are allowed into the system. The variable acronym changes based on the ordinal cmulative number of drugs received (e.g. FN_1, FN_2, FN_3, ?)",
"short": "Antineoplastic and immunostimulating agents",
"mapping": [ {
"map": ".medicationCodeableConcept",
"identity": "fhir"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "Chemotherapy.productAdministration.agent",
"base": {
"max": "1",
"min": 1,
"path": "Chemotherapy.productAdministration.agent"
}
}, {
"path": "Chemotherapy.productAdministration.dose",
"min": 0,
"definition": "Dose received of each drug for this administration",
"short": "Dose (NOT in PCSP DB)",
"mapping": [ {
"map": ".dosage.dose",
"identity": "fhir"
} ],
"type": [ {
"code": "Quantity"
} ],
"max": "1",
"id": "Chemotherapy.productAdministration.dose",
"base": {
"max": "1",
"min": 0,
"path": "Chemotherapy.productAdministration.dose"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Chemotherapy.productAdministration.cumulativeDose",
"min": 0,
"definition": "Report the total cumulative dose received of each drug. ",
"short": "Cumulative Dose",
"mapping": [ {
"map": ".extension(http://hl7.eu/fhir/ig/pcsp/StructureDefinition/ResourceRelatedInfo-eu-pcsp).conformsTo(http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Observation-cumulativeDoseChemo-eu-pcsp)",
"identity": "fhir"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "1",
"id": "Chemotherapy.productAdministration.cumulativeDose",
"base": {
"max": "1",
"min": 0,
"path": "Chemotherapy.productAdministration.cumulativeDose"
}
}, {
"path": "Chemotherapy.productAdministration.cumulativeDose.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Chemotherapy.productAdministration.cumulativeDose.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Chemotherapy.productAdministration.cumulativeDose.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Chemotherapy.productAdministration.cumulativeDose.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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Chemotherapy.productAdministration.cumulativeDose.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Chemotherapy.productAdministration.cumulativeDose.modifierExtension",
"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.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"path": "Chemotherapy.productAdministration.cumulativeDose.notAvailable",
"min": 0,
"definition": "Flag indicating if the dose was not calculated or it was not known",
"short": "Not calculated or not known dose",
"mapping": [ {
"map": ".valueCodeableConcept = http://terminology.hl7.org/CodeSystem/data-absent-reason#unknown",
"identity": "fhir"
}, {
"map": ".dataAbsentReason",
"identity": "fhir"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "Chemotherapy.productAdministration.cumulativeDose.notAvailable",
"base": {
"max": "1",
"min": 0,
"path": "Chemotherapy.productAdministration.cumulativeDose.notAvailable"
}
}, {
"path": "Chemotherapy.productAdministration.cumulativeDose.measureType",
"min": 0,
"definition": "Specify if the cumulative dose reported has been all calculated on real data or estimated based on the expected dose prescribed by the protocol. If some part of the calculation was based on estimated values, the whole field should be 'estimated'",
"short": "How the dose was determined (estimation or calculation)",
"mapping": [ {
"map": ".method",
"identity": "fhir"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "Chemotherapy.productAdministration.cumulativeDose.measureType",
"base": {
"max": "1",
"min": 0,
"path": "Chemotherapy.productAdministration.cumulativeDose.measureType"
}
}, {
"path": "Chemotherapy.productAdministration.cumulativeDose.completionStatus",
"min": 0,
"definition": "Check in case of incomplete doses",
"short": "The reported doses are incomplete (either under- or over-estimated)",
"mapping": [ {
"map": ".status = #preliminary",
"identity": "fhir"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "Chemotherapy.productAdministration.cumulativeDose.completionStatus",
"base": {
"max": "1",
"min": 0,
"path": "Chemotherapy.productAdministration.cumulativeDose.completionStatus"
}
}, {
"path": "Chemotherapy.productAdministration.cumulativeDose.statusReason",
"min": 0,
"definition": "Specify reasons of incomplete estimated doses",
"short": "Specify reasons why",
"mapping": [ {
"map": ".extension('http://hl7.org/fhir/StructureDefinition/event-statusReason')",
"identity": "fhir"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Chemotherapy.productAdministration.cumulativeDose.statusReason",
"base": {
"max": "1",
"min": 0,
"path": "Chemotherapy.productAdministration.cumulativeDose.statusReason"
}
}, {
"path": "Chemotherapy.productAdministration.cumulativeDose.value",
"min": 0,
"definition": "Report the total cumulative dose received of each drug.",
"short": "Total cumulative dose",
"mapping": [ {
"map": ".valueQuantity.value",
"identity": "fhir"
} ],
"type": [ {
"code": "decimal"
} ],
"max": "1",
"id": "Chemotherapy.productAdministration.cumulativeDose.value",
"base": {
"max": "1",
"min": 0,
"path": "Chemotherapy.productAdministration.cumulativeDose.value"
}
}, {
"path": "Chemotherapy.productAdministration.cumulativeDose.unit",
"min": 0,
"definition": "If the dose was calculated, please report the measure unit of the calculation\n1 => mg/m2\n2 => gr/m2\n3 => UI/m2\n4 => NK\n5 => NC (not calculated)",
"short": "Measure unit",
"mapping": [ {
"map": ".valueQuantity.unit (human readeable)",
"identity": "fhir"
}, {
"map": ".valueQuantity.code (code)",
"identity": "fhir"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "Chemotherapy.productAdministration.cumulativeDose.unit",
"base": {
"max": "1",
"min": 0,
"path": "Chemotherapy.productAdministration.cumulativeDose.unit"
}
}, {
"path": "Chemotherapy.corticosteroids",
"min": 0,
"definition": "Report 'yes' if the survivor was treated with steroids for at least 4 weeks continuously\n1 => Yes\n2 => No\n-9922 => NK",
"short": "Prolonged corticosteroids as anti-cancer treatment at least 4 weeks continuously",
"mapping": [ {
"map": "MedicationStatement.where(medicationCodeableConcept = 'http://www.whocc.no/atc|H02' and dosage.timing.repeat.boundsDuration.where( value='4' and code = 'w' and comparator ='>' )",
"identity": "fhir"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "Chemotherapy.corticosteroids",
"base": {
"max": "1",
"min": 0,
"path": "Chemotherapy.corticosteroids"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Chemotherapy.intrathecalInjections",
"min": 0,
"definition": "Intrathecal injections",
"short": "Intrathecal injections",
"mapping": [ {
"map": "MedicationStatement.where(dosage.route = https://standardterms.edqm.eu|20042000)",
"identity": "fhir"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "1",
"id": "Chemotherapy.intrathecalInjections",
"base": {
"max": "1",
"min": 0,
"path": "Chemotherapy.intrathecalInjections"
}
}, {
"path": "Chemotherapy.intrathecalInjections.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Chemotherapy.intrathecalInjections.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Chemotherapy.intrathecalInjections.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Chemotherapy.intrathecalInjections.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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Chemotherapy.intrathecalInjections.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Chemotherapy.intrathecalInjections.modifierExtension",
"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.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"path": "Chemotherapy.intrathecalInjections.status",
"min": 0,
"definition": "Please state if the survivor received any therapeutic intrathecal injections\n1 => Yes\n2 => No\n-9922 => NK",
"short": "Did the survivor receive therapeutic intrathecal injections ?",
"mapping": [ {
"map": ".exists()",
"identity": "fhir"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "Chemotherapy.intrathecalInjections.status",
"base": {
"max": "1",
"min": 0,
"path": "Chemotherapy.intrathecalInjections.status"
}
}, {
"path": "Chemotherapy.intrathecalInjections.number",
"min": 0,
"definition": "Report the total number of injections",
"short": "Total number",
"mapping": [ {
"map": ".dosage.timing.repeat.count",
"identity": "fhir"
}, {
"map": ".count()",
"identity": "fhir"
} ],
"type": [ {
"code": "integer"
} ],
"max": "1",
"id": "Chemotherapy.intrathecalInjections.number",
"base": {
"max": "1",
"min": 0,
"path": "Chemotherapy.intrathecalInjections.number"
}
}, {
"path": "Chemotherapy.intrathecalInjections.productName",
"min": 0,
"definition": "Please report the names of drugs injected intrathecal",
"short": "Drug(s) administered",
"mapping": [ {
"map": ".medicationCodeableConcept.text",
"identity": "fhir"
} ],
"type": [ {
"code": "string"
} ],
"max": "*",
"id": "Chemotherapy.intrathecalInjections.productName",
"base": {
"max": "*",
"min": 0,
"path": "Chemotherapy.intrathecalInjections.productName"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Chemotherapy.otherTreatments",
"min": 0,
"definition": "Report any other chemothrapeutic treatments that are not included in the ATC code",
"short": "Other chemothrapeutic treatments",
"mapping": [ {
"map": "MedicationStatement",
"identity": "fhir"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "1",
"id": "Chemotherapy.otherTreatments",
"base": {
"max": "1",
"min": 0,
"path": "Chemotherapy.otherTreatments"
}
}, {
"path": "Chemotherapy.otherTreatments.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Chemotherapy.otherTreatments.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Chemotherapy.otherTreatments.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Chemotherapy.otherTreatments.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.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Chemotherapy.otherTreatments.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Chemotherapy.otherTreatments.modifierExtension",
"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.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"path": "Chemotherapy.otherTreatments.productName",
"min": 1,
"definition": "If yes, describe treatments",
"short": "Drugs name",
"mapping": [ {
"map": ".medicationCodeableConcept.text",
"identity": "fhir"
} ],
"type": [ {
"code": "string"
} ],
"max": "*",
"id": "Chemotherapy.otherTreatments.productName",
"base": {
"max": "*",
"min": 1,
"path": "Chemotherapy.otherTreatments.productName"
}
} ]
},
"status": "active",
"id": "63c38401-a07b-4722-906e-e0b420204025",
"kind": "logical",
"url": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Chemotherapy",
"version": "0.1.0",
"differential": {
"element": [ {
"id": "Chemotherapy",
"path": "Chemotherapy",
"short": "Chemotherapy",
"mapping": [ {
"map": "MedicationAdministration.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/MedicationAdministration-eu-pcsp')",
"identity": "fhir"
} ],
"definition": "Chemotherapy \nMaturity Level: 2 - Ready for Review"
}, {
"id": "Chemotherapy.relatedDiagnosis",
"max": "1",
"min": 1,
"path": "Chemotherapy.relatedDiagnosis",
"type": [ {
"code": "Identifier"
} ],
"short": "Related Diagnosis",
"mapping": [ {
"map": ".reasonReference",
"identity": "fhir"
} ],
"definition": "Identifier of the diagnosis for which this chemotherapy is performed"
}, {
"id": "Chemotherapy.startDate",
"max": "1",
"min": 1,
"path": "Chemotherapy.startDate",
"type": [ {
"code": "dateTime"
} ],
"short": "Start date",
"mapping": [ {
"map": ".effectivePeriod.start",
"identity": "fhir"
} ],
"definition": "Please report the date of the first chemotherapy given. If the date is unkown or partially missed insert the year at the best of your knowledge."
}, {
"id": "Chemotherapy.endDate",
"max": "1",
"min": 1,
"path": "Chemotherapy.endDate",
"type": [ {
"code": "dateTime"
} ],
"short": "End date",
"mapping": [ {
"map": ".effectivePeriod.end",
"identity": "fhir"
} ],
"definition": "Please report the date of the last chemotherapy given. If the date is unkown or partially missed insert the year at the best of your knowledge."
}, {
"id": "Chemotherapy.istitutionOfTreatment",
"max": "1",
"min": 0,
"path": "Chemotherapy.istitutionOfTreatment",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Institution of treatment",
"mapping": [ {
"map": ".extension(http://hl7.eu/fhir/ig/pcsp/StructureDefinition/ActLocation-eu-pcsp).conformsTo(http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Location-eu-pcsp)",
"identity": "fhir"
} ],
"definition": "Please indicate the institution in which all or most of the chemotherapeutic treatment was given"
}, {
"id": "Chemotherapy.istitutionOfTreatment.description",
"max": "1",
"min": 0,
"path": "Chemotherapy.istitutionOfTreatment.description",
"type": [ {
"code": "string"
} ],
"short": "Institution description",
"mapping": [ {
"map": "Location.description",
"identity": "fhir"
} ],
"definition": "Please provide name, city and countryof the institution"
}, {
"id": "Chemotherapy.istitutionOfTreatment.name",
"max": "1",
"min": 0,
"path": "Chemotherapy.istitutionOfTreatment.name",
"type": [ {
"code": "string"
} ],
"short": "Institution name",
"mapping": [ {
"map": "Location.name",
"identity": "fhir"
} ],
"definition": "Institution name"
}, {
"id": "Chemotherapy.istitutionOfTreatment.address",
"max": "1",
"min": 0,
"path": "Chemotherapy.istitutionOfTreatment.address",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Institution address",
"mapping": [ {
"map": "Location.address.city",
"identity": "fhir"
} ],
"definition": "Institution address"
}, {
"id": "Chemotherapy.istitutionOfTreatment.address.name",
"max": "1",
"min": 0,
"path": "Chemotherapy.istitutionOfTreatment.address.name",
"type": [ {
"code": "string"
} ],
"short": "Institution city",
"definition": "Institution city"
}, {
"id": "Chemotherapy.istitutionOfTreatment.address.country",
"max": "1",
"min": 0,
"path": "Chemotherapy.istitutionOfTreatment.address.country",
"type": [ {
"code": "string"
} ],
"short": "Institution country",
"mapping": [ {
"map": "Location.address.country",
"identity": "fhir"
} ],
"definition": "Institution country"
}, {
"id": "Chemotherapy.productAdministration",
"max": "20",
"min": 1,
"path": "Chemotherapy.productAdministration",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Product(s) administartion data",
"mapping": [ {
"map": ".medication[x]",
"identity": "fhir"
} ],
"definition": "Information about the product(s) administered"
}, {
"id": "Chemotherapy.productAdministration.agent",
"max": "1",
"min": 1,
"path": "Chemotherapy.productAdministration.agent",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Antineoplastic and immunostimulating agents",
"mapping": [ {
"map": ".medicationCodeableConcept",
"identity": "fhir"
} ],
"definition": "In this section, any of the 'antineoplastic and immunostimulating agents' received by the survivor should be reported, Drugs names are reported based on the ATC code listed under L01 to L04 in Appendix. Synonyms are included. When you start typing the name of the drug, the possible options will automatically suggested by the system. \nUp to 20 drugs are allowed into the system. The variable acronym changes based on the ordinal cmulative number of drugs received (e.g. FN_1, FN_2, FN_3, ?)"
}, {
"id": "Chemotherapy.productAdministration.dose",
"max": "1",
"min": 0,
"path": "Chemotherapy.productAdministration.dose",
"type": [ {
"code": "Quantity"
} ],
"short": "Dose (NOT in PCSP DB)",
"mapping": [ {
"map": ".dosage.dose",
"identity": "fhir"
} ],
"definition": "Dose received of each drug for this administration"
}, {
"id": "Chemotherapy.productAdministration.cumulativeDose",
"max": "1",
"min": 0,
"path": "Chemotherapy.productAdministration.cumulativeDose",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Cumulative Dose",
"mapping": [ {
"map": ".extension(http://hl7.eu/fhir/ig/pcsp/StructureDefinition/ResourceRelatedInfo-eu-pcsp).conformsTo(http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Observation-cumulativeDoseChemo-eu-pcsp)",
"identity": "fhir"
} ],
"definition": "Report the total cumulative dose received of each drug. "
}, {
"id": "Chemotherapy.productAdministration.cumulativeDose.notAvailable",
"max": "1",
"min": 0,
"path": "Chemotherapy.productAdministration.cumulativeDose.notAvailable",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Not calculated or not known dose",
"mapping": [ {
"map": ".valueCodeableConcept = http://terminology.hl7.org/CodeSystem/data-absent-reason#unknown",
"identity": "fhir"
}, {
"map": ".dataAbsentReason",
"identity": "fhir"
} ],
"definition": "Flag indicating if the dose was not calculated or it was not known"
}, {
"id": "Chemotherapy.productAdministration.cumulativeDose.measureType",
"max": "1",
"min": 0,
"path": "Chemotherapy.productAdministration.cumulativeDose.measureType",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "How the dose was determined (estimation or calculation)",
"mapping": [ {
"map": ".method",
"identity": "fhir"
} ],
"definition": "Specify if the cumulative dose reported has been all calculated on real data or estimated based on the expected dose prescribed by the protocol. If some part of the calculation was based on estimated values, the whole field should be 'estimated'"
}, {
"id": "Chemotherapy.productAdministration.cumulativeDose.completionStatus",
"max": "1",
"min": 0,
"path": "Chemotherapy.productAdministration.cumulativeDose.completionStatus",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "The reported doses are incomplete (either under- or over-estimated)",
"mapping": [ {
"map": ".status = #preliminary",
"identity": "fhir"
} ],
"definition": "Check in case of incomplete doses"
}, {
"id": "Chemotherapy.productAdministration.cumulativeDose.statusReason",
"max": "1",
"min": 0,
"path": "Chemotherapy.productAdministration.cumulativeDose.statusReason",
"type": [ {
"code": "string"
} ],
"short": "Specify reasons why",
"mapping": [ {
"map": ".extension('http://hl7.org/fhir/StructureDefinition/event-statusReason')",
"identity": "fhir"
} ],
"definition": "Specify reasons of incomplete estimated doses"
}, {
"id": "Chemotherapy.productAdministration.cumulativeDose.value",
"max": "1",
"min": 0,
"path": "Chemotherapy.productAdministration.cumulativeDose.value",
"type": [ {
"code": "decimal"
} ],
"short": "Total cumulative dose",
"mapping": [ {
"map": ".valueQuantity.value",
"identity": "fhir"
} ],
"definition": "Report the total cumulative dose received of each drug."
}, {
"id": "Chemotherapy.productAdministration.cumulativeDose.unit",
"max": "1",
"min": 0,
"path": "Chemotherapy.productAdministration.cumulativeDose.unit",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Measure unit",
"mapping": [ {
"map": ".valueQuantity.unit (human readeable)",
"identity": "fhir"
}, {
"map": ".valueQuantity.code (code)",
"identity": "fhir"
} ],
"definition": "If the dose was calculated, please report the measure unit of the calculation\n1 => mg/m2\n2 => gr/m2\n3 => UI/m2\n4 => NK\n5 => NC (not calculated)"
}, {
"id": "Chemotherapy.corticosteroids",
"max": "1",
"min": 0,
"path": "Chemotherapy.corticosteroids",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Prolonged corticosteroids as anti-cancer treatment at least 4 weeks continuously",
"mapping": [ {
"map": "MedicationStatement.where(medicationCodeableConcept = 'http://www.whocc.no/atc|H02' and dosage.timing.repeat.boundsDuration.where( value='4' and code = 'w' and comparator ='>' )",
"identity": "fhir"
} ],
"definition": "Report 'yes' if the survivor was treated with steroids for at least 4 weeks continuously\n1 => Yes\n2 => No\n-9922 => NK"
}, {
"id": "Chemotherapy.intrathecalInjections",
"max": "1",
"min": 0,
"path": "Chemotherapy.intrathecalInjections",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Intrathecal injections",
"mapping": [ {
"map": "MedicationStatement.where(dosage.route = https://standardterms.edqm.eu|20042000)",
"identity": "fhir"
} ],
"definition": "Intrathecal injections"
}, {
"id": "Chemotherapy.intrathecalInjections.status",
"max": "1",
"min": 0,
"path": "Chemotherapy.intrathecalInjections.status",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Did the survivor receive therapeutic intrathecal injections ?",
"mapping": [ {
"map": ".exists()",
"identity": "fhir"
} ],
"definition": "Please state if the survivor received any therapeutic intrathecal injections\n1 => Yes\n2 => No\n-9922 => NK"
}, {
"id": "Chemotherapy.intrathecalInjections.number",
"max": "1",
"min": 0,
"path": "Chemotherapy.intrathecalInjections.number",
"type": [ {
"code": "integer"
} ],
"short": "Total number",
"mapping": [ {
"map": ".dosage.timing.repeat.count",
"identity": "fhir"
}, {
"map": ".count()",
"identity": "fhir"
} ],
"definition": "Report the total number of injections"
}, {
"id": "Chemotherapy.intrathecalInjections.productName",
"max": "*",
"min": 0,
"path": "Chemotherapy.intrathecalInjections.productName",
"type": [ {
"code": "string"
} ],
"short": "Drug(s) administered",
"mapping": [ {
"map": ".medicationCodeableConcept.text",
"identity": "fhir"
} ],
"definition": "Please report the names of drugs injected intrathecal"
}, {
"id": "Chemotherapy.otherTreatments",
"max": "1",
"min": 0,
"path": "Chemotherapy.otherTreatments",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Other chemothrapeutic treatments",
"mapping": [ {
"map": "MedicationStatement",
"identity": "fhir"
} ],
"definition": "Report any other chemothrapeutic treatments that are not included in the ATC code"
}, {
"id": "Chemotherapy.otherTreatments.productName",
"max": "*",
"min": 1,
"path": "Chemotherapy.otherTreatments.productName",
"type": [ {
"code": "string"
} ],
"short": "Drugs name",
"mapping": [ {
"map": ".medicationCodeableConcept.text",
"identity": "fhir"
} ],
"definition": "If yes, describe treatments"
} ]
},
"contact": [ {
"name": "PanCareSurPass Project",
"telecom": [ {
"value": "https://www.pancaresurpass.eu/",
"system": "url"
} ]
}, {
"name": "PanCareSurPass Project",
"telecom": [ {
"value": "https://www.pancaresurpass.eu/",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Base"
}