{
  "description": "Progression-Relapse after FLT\\nMaturity Level: 2 - Ready for Review",
  "_filename": "StructureDefinition-RelapseAfterFLT.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": "RelapseAfterFLT",
  "mapping": [ {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  }, {
    "uri": "hl7.org/fhir/r4",
    "name": "RelapseAfterFLT model to PCSP HL7 FHIR R4 Profiles",
    "identity": "fhir"
  } ],
  "abstract": false,
  "type": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/RelapseAfterFLT",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "Progression-Relapse after FLT",
  "package_version": "0.1.0",
  "snapshot": {
    "element": [ {
      "path": "RelapseAfterFLT",
      "min": 0,
      "definition": "Progression-Relapse after FLT\nMaturity Level: 2 - Ready for Review",
      "isModifier": false,
      "short": "Progression-Relapse after FLT",
      "mapping": [ {
        "map": "Condition.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-primaryCancer-eu-pcsp').where( (extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus').valueCode = #replaspe or #recurrence) and  ( onsetDateTime >= Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-flt-eu-pcsp').performedPeriod.end) )",
        "identity": "fhir"
      } ],
      "max": "*",
      "id": "RelapseAfterFLT",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Base"
      }
    }, {
      "path": "RelapseAfterFLT.identifier",
      "min": 0,
      "definition": "Progressive number of progression/relapse (1=first; 2= second; 3 = third; ?) after the end of treatment.\nIn this field must be reported the ordinal number of the progression/relapse after the end of treatment.",
      "short": "Progression-relapse after FLT number",
      "mapping": [ {
        "map": ".identifier",
        "identity": "fhir"
      } ],
      "type": [ {
        "code": "Identifier"
      } ],
      "max": "1",
      "id": "RelapseAfterFLT.identifier",
      "base": {
        "max": "1",
        "min": 0,
        "path": "RelapseAfterFLT.identifier"
      }
    }, {
      "path": "RelapseAfterFLT.relatedDiagnosis",
      "min": 0,
      "definition": "Progressive number of diagnosis (1=first; 2= second; 3 = third; ?).  \nIn this field must be reported the ordinal number of the tumor diagnosis in which progression/relapse ocuured during front line treatment.",
      "short": "Progressive number of diagnosis",
      "mapping": [ {
        "map": ".extension('http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing')",
        "identity": "fhir"
      } ],
      "type": [ {
        "code": "Identifier"
      } ],
      "max": "1",
      "id": "RelapseAfterFLT.relatedDiagnosis",
      "base": {
        "max": "1",
        "min": 0,
        "path": "RelapseAfterFLT.relatedDiagnosis"
      }
    }, {
      "path": "RelapseAfterFLT.date",
      "min": 0,
      "definition": "Report here the date (dd/mm/yyyy ) of the relapse/progression. If the date is unkown or partially missed insert the year at the best of your knowledge.",
      "short": "date of relapse",
      "mapping": [ {
        "map": ".extension('http://hl7.org/fhir/StructureDefinition/condition-assertedDate')",
        "identity": "fhir"
      } ],
      "type": [ {
        "code": "date"
      } ],
      "max": "1",
      "id": "RelapseAfterFLT.date",
      "base": {
        "max": "1",
        "min": 0,
        "path": "RelapseAfterFLT.date"
      }
    }, {
      "path": "RelapseAfterFLT.relapseOrProgression",
      "min": 0,
      "definition": "Report here if a relapse or progression occurred after the elective end of therapies.\nPlease note that 'progressions' may occurr since in some cases (e.g. stage 3 unoperable residual neuroblastoma or residual CNS tumor) that were considered as 'non active' may progress\n1 => Relapse\n2 => Progression\n-9922= > NK",
      "short": "relapse | progression",
      "mapping": [ {
        "map": ".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus').valueCodeableConcept OR Condition.where( clinicalStatus = #relapse or clinicalStatus = #recurrence).clinicalStatus",
        "identity": "fhir"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "max": "1",
      "id": "RelapseAfterFLT.relapseOrProgression",
      "base": {
        "max": "1",
        "min": 0,
        "path": "RelapseAfterFLT.relapseOrProgression"
      }
    }, {
      "path": "RelapseAfterFLT.type",
      "min": 0,
      "definition": "Please define if the relapse/progression was local, distant or combined.",
      "short": "local | distant | combined",
      "mapping": [ {
        "map": ".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType').valueCodeableConcept",
        "identity": "fhir"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "max": "1",
      "id": "RelapseAfterFLT.type",
      "base": {
        "max": "1",
        "min": 0,
        "path": "RelapseAfterFLT.type"
      }
    }, {
      "path": "RelapseAfterFLT.site",
      "min": 0,
      "definition": "Please define if the relapse/progression was local, distant or combined.",
      "short": "If distant, site of metastases",
      "mapping": [ {
        "map": ".bodySite",
        "identity": "fhir"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "1",
      "id": "RelapseAfterFLT.site",
      "base": {
        "max": "1",
        "min": 0,
        "path": "RelapseAfterFLT.site"
      }
    } ]
  },
  "status": "active",
  "id": "674b5907-efcf-4841-9ea5-0dd5d3e00e01",
  "kind": "logical",
  "url": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/RelapseAfterFLT",
  "version": "0.1.0",
  "differential": {
    "element": [ {
      "id": "RelapseAfterFLT",
      "path": "RelapseAfterFLT",
      "short": "Progression-Relapse after FLT",
      "mapping": [ {
        "map": "Condition.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-primaryCancer-eu-pcsp').where( (extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus').valueCode = #replaspe or #recurrence) and  ( onsetDateTime >= Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-flt-eu-pcsp').performedPeriod.end) )",
        "identity": "fhir"
      } ],
      "definition": "Progression-Relapse after FLT\nMaturity Level: 2 - Ready for Review"
    }, {
      "id": "RelapseAfterFLT.identifier",
      "max": "1",
      "min": 0,
      "path": "RelapseAfterFLT.identifier",
      "type": [ {
        "code": "Identifier"
      } ],
      "short": "Progression-relapse after FLT number",
      "mapping": [ {
        "map": ".identifier",
        "identity": "fhir"
      } ],
      "definition": "Progressive number of progression/relapse (1=first; 2= second; 3 = third; ?) after the end of treatment.\nIn this field must be reported the ordinal number of the progression/relapse after the end of treatment."
    }, {
      "id": "RelapseAfterFLT.relatedDiagnosis",
      "max": "1",
      "min": 0,
      "path": "RelapseAfterFLT.relatedDiagnosis",
      "type": [ {
        "code": "Identifier"
      } ],
      "short": "Progressive number of diagnosis",
      "mapping": [ {
        "map": ".extension('http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing')",
        "identity": "fhir"
      } ],
      "definition": "Progressive number of diagnosis (1=first; 2= second; 3 = third; ?).  \nIn this field must be reported the ordinal number of the tumor diagnosis in which progression/relapse ocuured during front line treatment."
    }, {
      "id": "RelapseAfterFLT.date",
      "max": "1",
      "min": 0,
      "path": "RelapseAfterFLT.date",
      "type": [ {
        "code": "date"
      } ],
      "short": "date of relapse",
      "mapping": [ {
        "map": ".extension('http://hl7.org/fhir/StructureDefinition/condition-assertedDate')",
        "identity": "fhir"
      } ],
      "definition": "Report here the date (dd/mm/yyyy ) of the relapse/progression. If the date is unkown or partially missed insert the year at the best of your knowledge."
    }, {
      "id": "RelapseAfterFLT.relapseOrProgression",
      "max": "1",
      "min": 0,
      "path": "RelapseAfterFLT.relapseOrProgression",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "relapse | progression",
      "mapping": [ {
        "map": ".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus').valueCodeableConcept OR Condition.where( clinicalStatus = #relapse or clinicalStatus = #recurrence).clinicalStatus",
        "identity": "fhir"
      } ],
      "definition": "Report here if a relapse or progression occurred after the elective end of therapies.\nPlease note that 'progressions' may occurr since in some cases (e.g. stage 3 unoperable residual neuroblastoma or residual CNS tumor) that were considered as 'non active' may progress\n1 => Relapse\n2 => Progression\n-9922= > NK"
    }, {
      "id": "RelapseAfterFLT.type",
      "max": "1",
      "min": 0,
      "path": "RelapseAfterFLT.type",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "local | distant | combined",
      "mapping": [ {
        "map": ".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType').valueCodeableConcept",
        "identity": "fhir"
      } ],
      "definition": "Please define if the relapse/progression was local, distant or combined."
    }, {
      "id": "RelapseAfterFLT.site",
      "max": "1",
      "min": 0,
      "path": "RelapseAfterFLT.site",
      "type": [ {
        "code": "string"
      } ],
      "short": "If distant, site of metastases",
      "mapping": [ {
        "map": ".bodySite",
        "identity": "fhir"
      } ],
      "definition": "Please define if the relapse/progression was local, distant or combined."
    } ]
  },
  "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"
}