{
"description": "Treatment Summary data model\\nMaturity Level: 2 - Ready for Review",
"_filename": "StructureDefinition-TreatmentSummary.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": "TreatmentSummary",
"mapping": [ {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
}, {
"uri": "hl7.org/fhir/r4",
"name": "TreatmentSummary model to PCSP HL7 FHIR R4 Profiles",
"identity": "fhir"
} ],
"abstract": false,
"type": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/TreatmentSummary",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "Treatment Summary",
"package_version": "0.1.0",
"snapshot": {
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"id": "TreatmentSummary",
"max": "*",
"min": 0,
"base": {
"max": "*",
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"path": "Base"
},
"path": "TreatmentSummary",
"short": "Treatment Summary",
"definition": "Treatment Summary data model\nMaturity Level: 2 - Ready for Review",
"isModifier": false
}, {
"path": "TreatmentSummary.subject",
"min": 1,
"definition": "Subject",
"short": "Subject",
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"map": "Patient",
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} ],
"type": [ {
"code": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Subject"
} ],
"max": "1",
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"severity": "error",
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"path": "TreatmentSummary.diagnosis",
"min": 0,
"definition": "Diagnosis",
"short": "Diagnosis",
"mapping": [ {
"map": "Condition.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-primaryCancer-eu-pcsp')",
"identity": "fhir"
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"max": "5",
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}
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"type": [ {
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"extension": [ {
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"valueUrl": "string"
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} ],
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"max": "1",
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"path": "Element.id"
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"path": "TreatmentSummary.diagnosis.extension",
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"max": "*",
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"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.",
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"path": "Element.extension"
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"path": "TreatmentSummary.diagnosis.modifierExtension",
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"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
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"type": [ {
"code": "Extension"
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"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
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"base": {
"max": "*",
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"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
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"definition": "Details about this diagnosis",
"short": "Details about this diagnosis",
"mapping": [ {
"map": "(add reference)",
"identity": "fhir"
} ],
"type": [ {
"code": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Diagnosis"
} ],
"max": "1",
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"max": "1",
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"path": "TreatmentSummary.diagnosis.details"
}
}, {
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"definition": "Front line treatment",
"short": "Front line treatment",
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"map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-flt-eu-pcsp')",
"identity": "fhir"
} ],
"type": [ {
"code": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/FrontLineTreatment"
} ],
"max": "1",
"id": "TreatmentSummary.diagnosis.frontLineTreatment",
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"min": 0,
"path": "TreatmentSummary.diagnosis.frontLineTreatment"
}
}, {
"path": "TreatmentSummary.diagnosis.chemotherapy",
"min": 0,
"definition": "Chemotherapy",
"short": "Chemotherapy",
"mapping": [ {
"map": "MedicationAdministration.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/MedicationAdministration-eu-pcsp')",
"identity": "fhir"
} ],
"type": [ {
"code": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Chemotherapy"
} ],
"max": "1",
"id": "TreatmentSummary.diagnosis.chemotherapy",
"base": {
"max": "1",
"min": 0,
"path": "TreatmentSummary.diagnosis.chemotherapy"
}
}, {
"path": "TreatmentSummary.diagnosis.stemCellTransplantation",
"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')",
"identity": "fhir"
} ],
"type": [ {
"code": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/StemCellTransplantation"
} ],
"max": "*",
"id": "TreatmentSummary.diagnosis.stemCellTransplantation",
"base": {
"max": "*",
"min": 0,
"path": "TreatmentSummary.diagnosis.stemCellTransplantation"
}
}, {
"path": "TreatmentSummary.diagnosis.radiotherapy",
"min": 0,
"definition": "Radiotherapy",
"short": "Radiotherapy",
"mapping": [ {
"map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-radiotheraphy-eu-pcsp')",
"identity": "fhir"
} ],
"type": [ {
"code": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Radiotherapy"
} ],
"max": "*",
"id": "TreatmentSummary.diagnosis.radiotherapy",
"base": {
"max": "*",
"min": 0,
"path": "TreatmentSummary.diagnosis.radiotherapy"
}
}, {
"path": "TreatmentSummary.diagnosis.majorSurgery",
"min": 0,
"definition": "Major Surgery",
"short": "Major Surgery",
"mapping": [ {
"map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp')",
"identity": "fhir"
} ],
"type": [ {
"code": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/MajorSurgery"
} ],
"max": "*",
"id": "TreatmentSummary.diagnosis.majorSurgery",
"base": {
"max": "*",
"min": 0,
"path": "TreatmentSummary.diagnosis.majorSurgery"
}
}, {
"path": "TreatmentSummary.diagnosis.otherInfos",
"min": 0,
"definition": "Other info and relevant events",
"short": "Other info and relevant events",
"mapping": [ {
"map": "Procedure",
"identity": "fhir"
}, {
"map": "Condition",
"identity": "fhir"
} ],
"type": [ {
"code": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/OtherInfos"
} ],
"max": "*",
"id": "TreatmentSummary.diagnosis.otherInfos",
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"max": "*",
"min": 0,
"path": "TreatmentSummary.diagnosis.otherInfos"
}
}, {
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"max": "1",
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"base": {
"max": "1",
"min": 0,
"path": "TreatmentSummary.diagnosis.medicalSuggestion"
},
"path": "TreatmentSummary.diagnosis.medicalSuggestion",
"type": [ {
"code": "string"
} ],
"short": "Medical suggestion",
"definition": "Medical suggestion"
}, {
"path": "TreatmentSummary.diagnosis.relapseDuringFLT",
"min": 0,
"definition": "Progression-Relapse during Front line treatment",
"short": "Progression-Relapse during FLT",
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"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"
} ],
"type": [ {
"code": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/RelapseDuringFLT"
} ],
"max": "*",
"id": "TreatmentSummary.diagnosis.relapseDuringFLT",
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"min": 0,
"path": "TreatmentSummary.diagnosis.relapseDuringFLT"
}
}, {
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"severity": "error",
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} ],
"path": "TreatmentSummary.diagnosis.relapseAfterEOT",
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"definition": "Progression-relapse after the End of Treatment",
"short": "Progression-relapse after the End of Treatment",
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"code": "BackboneElement"
} ],
"max": "*",
"id": "TreatmentSummary.diagnosis.relapseAfterEOT",
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"max": "*",
"min": 0,
"path": "TreatmentSummary.diagnosis.relapseAfterEOT"
}
}, {
"path": "TreatmentSummary.diagnosis.relapseAfterEOT.id",
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} ],
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"path": "TreatmentSummary.diagnosis.relapseAfterEOT.extension",
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"max": "*",
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}
}, {
"path": "TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment",
"min": 0,
"definition": "The salvage treatment has been executed following",
"short": "Salvage treatment",
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"max": "1",
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"path": "TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment.followedProtocol",
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"path": "TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment.followedProtocol.extension",
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"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": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment.followedProtocol.type",
"base": {
"max": "1",
"min": 0,
"path": "FrontLineTreatment.followedProtocol.type"
}
}, {
"path": "TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment.followedProtocol.name",
"min": 0,
"definition": "Protocole name",
"short": "Protocole name",
"mapping": [ {
"map": ".title",
"identity": "fhir"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment.followedProtocol.name",
"base": {
"max": "1",
"min": 0,
"path": "FrontLineTreatment.followedProtocol.name"
}
}, {
"path": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment.followedProtocol.description",
"base": {
"max": "1",
"min": 0,
"path": "FrontLineTreatment.followedProtocol.description"
}
}, {
"path": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment.followedProtocol.arm",
"base": {
"max": "1",
"min": 0,
"path": "FrontLineTreatment.followedProtocol.arm"
}
}, {
"path": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment.dateEOT",
"base": {
"max": "1",
"min": 0,
"path": "FrontLineTreatment.dateEOT"
}
}, {
"path": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment.isChemotherapy",
"base": {
"max": "1",
"min": 0,
"path": "FrontLineTreatment.isChemotherapy"
}
}, {
"path": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment.isStemCellTransplantation",
"base": {
"max": "1",
"min": 0,
"path": "FrontLineTreatment.isStemCellTransplantation"
}
}, {
"path": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment.isRadiotherapy",
"base": {
"max": "1",
"min": 0,
"path": "FrontLineTreatment.isRadiotherapy"
}
}, {
"path": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment.notForRelapse",
"base": {
"max": "1",
"min": 0,
"path": "FrontLineTreatment.notForRelapse"
}
}, {
"path": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment.notForRelapse.completeRemission",
"min": 0,
"definition": "Complete remission",
"short": "Complete remission",
"mapping": [ {
"map": "outcome",
"identity": "fhir"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"max": "1",
"id": "TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment.notForRelapse.completeRemission",
"base": {
"max": "1",
"min": 0,
"path": "FrontLineTreatment.notForRelapse.completeRemission"
}
}, {
"path": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment.notForRelapse.completeRemission.status",
"base": {
"max": "1",
"min": 1,
"path": "FrontLineTreatment.notForRelapse.completeRemission.status"
}
}, {
"path": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment.notForRelapse.completeRemission.description",
"base": {
"max": "1",
"min": 1,
"path": "FrontLineTreatment.notForRelapse.completeRemission.description"
}
}, {
"path": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment.notForRelapse.isProgressionRelapseDuringFLT",
"base": {
"max": "1",
"min": 0,
"path": "FrontLineTreatment.notForRelapse.isProgressionRelapseDuringFLT"
}
}, {
"path": "TreatmentSummary.diagnosis.relapseAfterEOT.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": "TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment.notForRelapse.isProgressionRelapseAfterFLT",
"base": {
"max": "1",
"min": 0,
"path": "FrontLineTreatment.notForRelapse.isProgressionRelapseAfterFLT"
}
}, {
"id": "TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment.notForRelapse",
"max": "0",
"min": 0,
"base": {
"max": "0",
"min": 0,
"path": "TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment.notForRelapse"
},
"path": "TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment.notForRelapse",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Details not provided for relapses after EOT",
"definition": "Details not provided for relapses after EOT"
}, {
"path": "TreatmentSummary.diagnosis.relapseAfterEOT.chemotherapy",
"min": 0,
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"short": "Chemotherapy",
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}
}, {
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"definition": "Stem Cell transplantation",
"short": "Stem Cell transplantation",
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} ],
"type": [ {
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"max": "*",
"id": "TreatmentSummary.diagnosis.relapseAfterEOT.stemCellTransplantation",
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"max": "*",
"min": 0,
"path": "TreatmentSummary.diagnosis.relapseAfterEOT.stemCellTransplantation"
}
}, {
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"definition": "Radiotherapy",
"short": "Radiotherapy",
"mapping": [ {
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"type": [ {
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"max": "*",
"id": "TreatmentSummary.diagnosis.relapseAfterEOT.radiotherapy",
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"path": "TreatmentSummary.diagnosis.relapseAfterEOT.radiotherapy"
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}, {
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"definition": "Major Surgery",
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"type": [ {
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"max": "*",
"id": "TreatmentSummary.diagnosis.relapseAfterEOT.majorSurgery",
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"max": "*",
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"path": "TreatmentSummary.diagnosis.relapseAfterEOT.majorSurgery"
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}, {
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"definition": "Other info and relevant events",
"short": "Other info and relevant events",
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"identity": "fhir"
} ],
"type": [ {
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"max": "*",
"id": "TreatmentSummary.diagnosis.relapseAfterEOT.otherInfos",
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"path": "TreatmentSummary.diagnosis.relapseAfterEOT.otherInfos"
}
}, {
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"base": {
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"short": "Medical suggestion",
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},
"path": "TreatmentSummary.diagnosis.otherConditions",
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"short": "Other medical conditions, not cancer associated",
"definition": "Please list here if the patient has or had other medical conditions not reported to be cancer-associated (e.g. diabetes, congenital cardiopathy, amputations, kidney transplant)"
} ]
},
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"definition": "Treatment Summary data model\nMaturity Level: 2 - Ready for Review"
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"path": "TreatmentSummary.diagnosis.details",
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"code": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Diagnosis"
} ],
"short": "Details about this diagnosis",
"mapping": [ {
"map": "(add reference)",
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"definition": "Details about this diagnosis"
}, {
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"path": "TreatmentSummary.diagnosis.frontLineTreatment",
"type": [ {
"code": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/FrontLineTreatment"
} ],
"short": "Front line treatment",
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}, {
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"path": "TreatmentSummary.diagnosis.chemotherapy",
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} ],
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"definition": "Chemotherapy"
}, {
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"path": "TreatmentSummary.diagnosis.stemCellTransplantation",
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"code": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/StemCellTransplantation"
} ],
"short": "Stem Cell transplantation",
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"map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-sct-eu-pcsp')",
"identity": "fhir"
} ],
"definition": "Stem Cell transplantation"
}, {
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"path": "TreatmentSummary.diagnosis.radiotherapy",
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} ],
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"identity": "fhir"
} ],
"definition": "Radiotherapy"
}, {
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"min": 0,
"path": "TreatmentSummary.diagnosis.majorSurgery",
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"code": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/MajorSurgery"
} ],
"short": "Major Surgery",
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"map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-surgery-eu-pcsp')",
"identity": "fhir"
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"definition": "Major Surgery"
}, {
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} ],
"short": "Other info and relevant events",
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}, {
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"identity": "fhir"
} ],
"definition": "Other info and relevant events"
}, {
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"max": "1",
"min": 0,
"path": "TreatmentSummary.diagnosis.medicalSuggestion",
"type": [ {
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"short": "Medical suggestion",
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}, {
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"min": 0,
"path": "TreatmentSummary.diagnosis.relapseDuringFLT",
"type": [ {
"code": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/RelapseDuringFLT"
} ],
"short": "Progression-Relapse during FLT",
"mapping": [ {
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"identity": "fhir"
} ],
"definition": "Progression-Relapse during Front line treatment"
}, {
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"min": 0,
"path": "TreatmentSummary.diagnosis.relapseAfterEOT",
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} ],
"short": "Progression-relapse after the End of Treatment",
"definition": "Progression-relapse after the End of Treatment"
}, {
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"path": "TreatmentSummary.diagnosis.relapseAfterEOT.details",
"type": [ {
"code": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/RelapseAfterFLT"
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"short": "Details about this relapse-progression",
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"identity": "fhir"
} ],
"definition": "Details about this relapse-progression"
}, {
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"path": "TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment",
"type": [ {
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"short": "Salvage treatment",
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} ],
"definition": "The salvage treatment has been executed following"
}, {
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"path": "TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment.notForRelapse",
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} ],
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"definition": "Details not provided for relapses after EOT"
}, {
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"path": "TreatmentSummary.diagnosis.relapseAfterEOT.chemotherapy",
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} ],
"short": "Chemotherapy",
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"identity": "fhir"
} ],
"definition": "Chemotherapy"
}, {
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"min": 0,
"path": "TreatmentSummary.diagnosis.relapseAfterEOT.stemCellTransplantation",
"type": [ {
"code": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/StemCellTransplantation"
} ],
"short": "Stem Cell transplantation",
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} ],
"definition": "Stem Cell transplantation"
}, {
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} ],
"short": "Radiotherapy",
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}, {
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"definition": "Major Surgery"
}, {
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"short": "Other info and relevant events",
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}, {
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"definition": "Other info and relevant events"
}, {
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"min": 0,
"path": "TreatmentSummary.diagnosis.relapseAfterEOT.medicalSuggestion",
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} ],
"short": "Medical suggestion",
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"min": 0,
"path": "TreatmentSummary.diagnosis.otherConditions",
"type": [ {
"code": "string"
} ],
"short": "Other medical conditions, not cancer associated",
"definition": "Please list here if the patient has or had other medical conditions not reported to be cancer-associated (e.g. diabetes, congenital cardiopathy, amputations, kidney transplant)"
} ]
},
"contact": [ {
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}, {
"name": "PanCareSurPass Project",
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}