{ "description": "Front Line Treatment. The first treatment given for a disease. It is often part of a standard set of treatments, such as surgery followed by chemotherapy and radiation. When used by itself, first-line therapy is the one accepted as the best treatment. If it does not cure the disease or it causes severe side effects, other treatment may be added or used instead. Also called induction therapy, primary therapy, and primary treatment.\\nMaturity Level: 2 - Ready for Review", "_filename": "StructureDefinition-FrontLineTreatment.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": "FrontLineTreatment", "mapping": [ { "uri": "http://hl7.org/v3", "name": "RIM Mapping", "identity": "rim" }, { "uri": "hl7.org/fhir/r4", "name": "FrontLineTreatment model to PCSP HL7 FHIR R4 Profiles", "identity": "fhir" } ], "abstract": false, "type": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/FrontLineTreatment", "experimental": null, "resourceType": "StructureDefinition", "title": "Front Line Treatment", "package_version": "0.1.0", "snapshot": { "element": [ { "path": "FrontLineTreatment", "min": 0, "definition": "Front Line Treatment. The first treatment given for a disease. It is often part of a standard set of treatments, such as surgery followed by chemotherapy and radiation. When used by itself, first-line therapy is the one accepted as the best treatment. If it does not cure the disease or it causes severe side effects, other treatment may be added or used instead. Also called induction therapy, primary therapy, and primary treatment.\nMaturity Level: 2 - Ready for Review", "isModifier": false, "short": "Front Line Treatment", "mapping": [ { "map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-flt-eu-pcsp')", "identity": "fhir" } ], "max": "*", "id": "FrontLineTreatment", "base": { "max": "*", "min": 0, "path": "Base" } }, { "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": "FrontLineTreatment.followedProtocol", "min": 0, "definition": "Followed Protocol", "short": "Followed Protocol", "mapping": [ { "map": ".instantiatesCanonical", "identity": "fhir" }, { "map": "PlanDefinition.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/PlanDefinition-flt-eu-pcsp')", "identity": "fhir" } ], "type": [ { "code": "BackboneElement" } ], "max": "*", "id": "FrontLineTreatment.followedProtocol", "base": { "max": "*", "min": 0, "path": "FrontLineTreatment.followedProtocol" } }, { "path": "FrontLineTreatment.followedProtocol.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": "FrontLineTreatment.followedProtocol.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": "FrontLineTreatment.followedProtocol.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": "FrontLineTreatment.followedProtocol.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": "FrontLineTreatment.followedProtocol.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": "FrontLineTreatment.followedProtocol.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": "FrontLineTreatment.followedProtocol.type", "min": 0, "definition": "2 => Trial/protocol\n2 => Personalized\n3 => Guidelines\n-9922 => NK", "short": "Protocole type", "mapping": [ { "map": ".type", "identity": "fhir" } ], "type": [ { "code": "CodeableConcept" } ], "max": "1", "id": "FrontLineTreatment.followedProtocol.type", "base": { "max": "1", "min": 0, "path": "FrontLineTreatment.followedProtocol.type" } }, { "path": "FrontLineTreatment.followedProtocol.name", "min": 0, "definition": "Protocole name", "short": "Protocole name", "mapping": [ { "map": ".title", "identity": "fhir" } ], "type": [ { "code": "string" } ], "max": "1", "id": "FrontLineTreatment.followedProtocol.name", "base": { "max": "1", "min": 0, "path": "FrontLineTreatment.followedProtocol.name" } }, { "path": "FrontLineTreatment.followedProtocol.description", "min": 0, "definition": "If a specific trial/protocol was used, please specify. \nIn case of relapse/progression during front line treatment,please report both the name of the front line as well of the salvage treatment\nIf personalized, please specify. ", "short": "Protocol name or description", "mapping": [ { "map": ".description", "identity": "fhir" } ], "type": [ { "code": "string" } ], "max": "1", "id": "FrontLineTreatment.followedProtocol.description", "base": { "max": "1", "min": 0, "path": "FrontLineTreatment.followedProtocol.description" } }, { "path": "FrontLineTreatment.followedProtocol.arm", "min": 0, "definition": "If the trial was randomized, please define randomization arm", "short": "Group/Arm/Randomization", "mapping": [ { "map": ".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-fltArm').valueString", "identity": "fhir" } ], "type": [ { "code": "string" } ], "max": "1", "id": "FrontLineTreatment.followedProtocol.arm", "base": { "max": "1", "min": 0, "path": "FrontLineTreatment.followedProtocol.arm" } }, { "path": "FrontLineTreatment.dateEOT", "min": 0, "definition": "It might be the date of first elective end of treatment, or that of the second (or further) end of treatment after the first one. If the date is unkown or partially missed insert the year at the best of your knowledge.", "short": "Date of end of treatment", "mapping": [ { "map": "Procedure.performedPeriod.end", "identity": "fhir" } ], "type": [ { "code": "dateTime" } ], "max": "1", "id": "FrontLineTreatment.dateEOT", "base": { "max": "1", "min": 0, "path": "FrontLineTreatment.dateEOT" } }, { "path": "FrontLineTreatment.isChemotherapy", "min": 0, "definition": "Chemotherapy ?", "short": "Chemotherapy ?", "mapping": [ { "map": "MedicationAdministration.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/MedicationAdministration-eu-pcsp').exists()", "identity": "fhir" } ], "type": [ { "code": "CodeableConcept" } ], "max": "1", "id": "FrontLineTreatment.isChemotherapy", "base": { "max": "1", "min": 0, "path": "FrontLineTreatment.isChemotherapy" } }, { "path": "FrontLineTreatment.isStemCellTransplantation", "min": 0, "definition": "Stem Cell transplantation ?", "short": "Stem Cell transplantation ?", "mapping": [ { "map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-sct-eu-pcsp').exists()", "identity": "fhir" } ], "type": [ { "code": "CodeableConcept" } ], "max": "1", "id": "FrontLineTreatment.isStemCellTransplantation", "base": { "max": "1", "min": 0, "path": "FrontLineTreatment.isStemCellTransplantation" } }, { "path": "FrontLineTreatment.isRadiotherapy", "min": 0, "definition": "Radiotherapy ?", "short": "Radiotherapy ?", "mapping": [ { "map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-radiotheraphy-eu-pcsp').exists()", "identity": "fhir" } ], "type": [ { "code": "CodeableConcept" } ], "max": "1", "id": "FrontLineTreatment.isRadiotherapy", "base": { "max": "1", "min": 0, "path": "FrontLineTreatment.isRadiotherapy" } }, { "path": "FrontLineTreatment.isMajorSurgery", "min": 0, "definition": "Major Surgery ?", "short": "Major Surgery ?", "mapping": [ { "map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp').exists().not() [No Case, implicit]", "identity": "fhir" }, { "map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp')..where(code = 'no-known-procedures').exists() [No Case, explicit]", "identity": "fhir" }, { "map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp').where(code != 'no-known-procedures' or code != 'no-procedure-info').exists() [Yes Case]", "identity": "fhir" }, { "map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp').where(code = 'no-procedure-info').exists() [Unk case]", "identity": "fhir" } ], "type": [ { "code": "CodeableConcept" } ], "max": "1", "id": "FrontLineTreatment.isMajorSurgery", "base": { "max": "1", "min": 0, "path": "FrontLineTreatment.isMajorSurgery" } }, { "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": "FrontLineTreatment.notForRelapse", "min": 0, "definition": "Details not provided for relapses after EOT", "short": "Details not provided for relapses after EOT", "type": [ { "code": "BackboneElement" } ], "max": "1", "id": "FrontLineTreatment.notForRelapse", "base": { "max": "1", "min": 0, "path": "FrontLineTreatment.notForRelapse" } }, { "path": "FrontLineTreatment.notForRelapse.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": "FrontLineTreatment.notForRelapse.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": "FrontLineTreatment.notForRelapse.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": "FrontLineTreatment.notForRelapse.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": "FrontLineTreatment.notForRelapse.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": "FrontLineTreatment.notForRelapse.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 }, { "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": "FrontLineTreatment.notForRelapse.completeRemission", "min": 0, "definition": "Complete remission", "short": "Complete remission", "mapping": [ { "map": "outcome", "identity": "fhir" } ], "type": [ { "code": "BackboneElement" } ], "max": "1", "id": "FrontLineTreatment.notForRelapse.completeRemission", "base": { "max": "1", "min": 0, "path": "FrontLineTreatment.notForRelapse.completeRemission" } }, { "path": "FrontLineTreatment.notForRelapse.completeRemission.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": "FrontLineTreatment.notForRelapse.completeRemission.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": "FrontLineTreatment.notForRelapse.completeRemission.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": "FrontLineTreatment.notForRelapse.completeRemission.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": "FrontLineTreatment.notForRelapse.completeRemission.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": "FrontLineTreatment.notForRelapse.completeRemission.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": "FrontLineTreatment.notForRelapse.completeRemission.status", "min": 1, "definition": "Complete remission (Yes/No)", "short": "Complete remission (Yes/No)", "mapping": [ { "map": "outcome.coding", "identity": "fhir" } ], "type": [ { "code": "dateTime" } ], "max": "1", "id": "FrontLineTreatment.notForRelapse.completeRemission.status", "base": { "max": "1", "min": 1, "path": "FrontLineTreatment.notForRelapse.completeRemission.status" } }, { "path": "FrontLineTreatment.notForRelapse.completeRemission.description", "min": 1, "definition": "Textual description in case of no remission", "short": "Textual description in case of no remission", "mapping": [ { "map": "outcome.text", "identity": "fhir" } ], "type": [ { "code": "CodeableConcept" } ], "max": "1", "id": "FrontLineTreatment.notForRelapse.completeRemission.description", "base": { "max": "1", "min": 1, "path": "FrontLineTreatment.notForRelapse.completeRemission.description" } }, { "path": "FrontLineTreatment.notForRelapse.isProgressionRelapseDuringFLT", "min": 0, "definition": "Progression/relapse during frontline treatment ?", "short": "Progression/relapse during frontline treatment ?", "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) ).exists()", "identity": "fhir" } ], "type": [ { "code": "CodeableConcept" } ], "max": "1", "id": "FrontLineTreatment.notForRelapse.isProgressionRelapseDuringFLT", "base": { "max": "1", "min": 0, "path": "FrontLineTreatment.notForRelapse.isProgressionRelapseDuringFLT" } }, { "path": "FrontLineTreatment.notForRelapse.isProgressionRelapseAfterFLT", "min": 0, "definition": "Progression/relapse after first elective end of treatment ?", "short": "Progression/relapse after first elective end of treatment ?", "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) ).exists()", "identity": "fhir" } ], "type": [ { "code": "CodeableConcept" } ], "max": "1", "id": "FrontLineTreatment.notForRelapse.isProgressionRelapseAfterFLT", "base": { "max": "1", "min": 0, "path": "FrontLineTreatment.notForRelapse.isProgressionRelapseAfterFLT" } } ] }, "status": "active", "id": "8400afab-af43-4f26-8124-3ae3cebcbdfc", "kind": "logical", "url": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/FrontLineTreatment", "version": "0.1.0", "differential": { "element": [ { "id": "FrontLineTreatment", "path": "FrontLineTreatment", "short": "Front Line Treatment", "mapping": [ { "map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-flt-eu-pcsp')", "identity": "fhir" } ], "definition": "Front Line Treatment. The first treatment given for a disease. It is often part of a standard set of treatments, such as surgery followed by chemotherapy and radiation. When used by itself, first-line therapy is the one accepted as the best treatment. If it does not cure the disease or it causes severe side effects, other treatment may be added or used instead. Also called induction therapy, primary therapy, and primary treatment.\nMaturity Level: 2 - Ready for Review" }, { "id": "FrontLineTreatment.followedProtocol", "max": "*", "min": 0, "path": "FrontLineTreatment.followedProtocol", "type": [ { "code": "BackboneElement" } ], "short": "Followed Protocol", "mapping": [ { "map": ".instantiatesCanonical", "identity": "fhir" }, { "map": "PlanDefinition.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/PlanDefinition-flt-eu-pcsp')", "identity": "fhir" } ], "definition": "Followed Protocol" }, { "id": "FrontLineTreatment.followedProtocol.type", "max": "1", "min": 0, "path": "FrontLineTreatment.followedProtocol.type", "type": [ { "code": "CodeableConcept" } ], "short": "Protocole type", "mapping": [ { "map": ".type", "identity": "fhir" } ], "definition": "2 => Trial/protocol\n2 => Personalized\n3 => Guidelines\n-9922 => NK" }, { "id": "FrontLineTreatment.followedProtocol.name", "max": "1", "min": 0, "path": "FrontLineTreatment.followedProtocol.name", "type": [ { "code": "string" } ], "short": "Protocole name", "mapping": [ { "map": ".title", "identity": "fhir" } ], "definition": "Protocole name" }, { "id": "FrontLineTreatment.followedProtocol.description", "max": "1", "min": 0, "path": "FrontLineTreatment.followedProtocol.description", "type": [ { "code": "string" } ], "short": "Protocol name or description", "mapping": [ { "map": ".description", "identity": "fhir" } ], "definition": "If a specific trial/protocol was used, please specify. \nIn case of relapse/progression during front line treatment,please report both the name of the front line as well of the salvage treatment\nIf personalized, please specify. " }, { "id": "FrontLineTreatment.followedProtocol.arm", "max": "1", "min": 0, "path": "FrontLineTreatment.followedProtocol.arm", "type": [ { "code": "string" } ], "short": "Group/Arm/Randomization", "mapping": [ { "map": ".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-fltArm').valueString", "identity": "fhir" } ], "definition": "If the trial was randomized, please define randomization arm" }, { "id": "FrontLineTreatment.dateEOT", "max": "1", "min": 0, "path": "FrontLineTreatment.dateEOT", "type": [ { "code": "dateTime" } ], "short": "Date of end of treatment", "mapping": [ { "map": "Procedure.performedPeriod.end", "identity": "fhir" } ], "definition": "It might be the date of first elective end of treatment, or that of the second (or further) end of treatment after the first one. If the date is unkown or partially missed insert the year at the best of your knowledge." }, { "id": "FrontLineTreatment.isChemotherapy", "max": "1", "min": 0, "path": "FrontLineTreatment.isChemotherapy", "type": [ { "code": "CodeableConcept" } ], "short": "Chemotherapy ?", "mapping": [ { "map": "MedicationAdministration.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/MedicationAdministration-eu-pcsp').exists()", "identity": "fhir" } ], "definition": "Chemotherapy ?" }, { "id": "FrontLineTreatment.isStemCellTransplantation", "max": "1", "min": 0, "path": "FrontLineTreatment.isStemCellTransplantation", "type": [ { "code": "CodeableConcept" } ], "short": "Stem Cell transplantation ?", "mapping": [ { "map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-sct-eu-pcsp').exists()", "identity": "fhir" } ], "definition": "Stem Cell transplantation ?" }, { "id": "FrontLineTreatment.isRadiotherapy", "max": "1", "min": 0, "path": "FrontLineTreatment.isRadiotherapy", "type": [ { "code": "CodeableConcept" } ], "short": "Radiotherapy ?", "mapping": [ { "map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-radiotheraphy-eu-pcsp').exists()", "identity": "fhir" } ], "definition": "Radiotherapy ?" }, { "id": "FrontLineTreatment.isMajorSurgery", "max": "1", "min": 0, "path": "FrontLineTreatment.isMajorSurgery", "type": [ { "code": "CodeableConcept" } ], "short": "Major Surgery ?", "mapping": [ { "map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp').exists().not() [No Case, implicit]", "identity": "fhir" }, { "map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp')..where(code = 'no-known-procedures').exists() [No Case, explicit]", "identity": "fhir" }, { "map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp').where(code != 'no-known-procedures' or code != 'no-procedure-info').exists() [Yes Case]", "identity": "fhir" }, { "map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp').where(code = 'no-procedure-info').exists() [Unk case]", "identity": "fhir" } ], "definition": "Major Surgery ?" }, { "id": "FrontLineTreatment.notForRelapse", "max": "1", "min": 0, "path": "FrontLineTreatment.notForRelapse", "type": [ { "code": "BackboneElement" } ], "short": "Details not provided for relapses after EOT", "definition": "Details not provided for relapses after EOT" }, { "id": "FrontLineTreatment.notForRelapse.completeRemission", "max": "1", "min": 0, "path": "FrontLineTreatment.notForRelapse.completeRemission", "type": [ { "code": "BackboneElement" } ], "short": "Complete remission", "mapping": [ { "map": "outcome", "identity": "fhir" } ], "definition": "Complete remission" }, { "id": "FrontLineTreatment.notForRelapse.completeRemission.status", "max": "1", "min": 1, "path": "FrontLineTreatment.notForRelapse.completeRemission.status", "type": [ { "code": "dateTime" } ], "short": "Complete remission (Yes/No)", "mapping": [ { "map": "outcome.coding", "identity": "fhir" } ], "definition": "Complete remission (Yes/No)" }, { "id": "FrontLineTreatment.notForRelapse.completeRemission.description", "max": "1", "min": 1, "path": "FrontLineTreatment.notForRelapse.completeRemission.description", "type": [ { "code": "CodeableConcept" } ], "short": "Textual description in case of no remission", "mapping": [ { "map": "outcome.text", "identity": "fhir" } ], "definition": "Textual description in case of no remission" }, { "id": "FrontLineTreatment.notForRelapse.isProgressionRelapseDuringFLT", "max": "1", "min": 0, "path": "FrontLineTreatment.notForRelapse.isProgressionRelapseDuringFLT", "type": [ { "code": "CodeableConcept" } ], "short": "Progression/relapse during frontline treatment ?", "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) ).exists()", "identity": "fhir" } ], "definition": "Progression/relapse during frontline treatment ?" }, { "id": "FrontLineTreatment.notForRelapse.isProgressionRelapseAfterFLT", "max": "1", "min": 0, "path": "FrontLineTreatment.notForRelapse.isProgressionRelapseAfterFLT", "type": [ { "code": "CodeableConcept" } ], "short": "Progression/relapse after first elective end of treatment ?", "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) ).exists()", "identity": "fhir" } ], "definition": "Progression/relapse after first elective end of treatment ?" } ] }, "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" }