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FHIR IG Statistics: StructureDefinition/FrontLineTreatment

Packagehl7.eu.fhir.pcsp
TypeStructureDefinition
IdFrontLineTreatment
FHIR VersionR4
Sourcehttp://hl7.eu/fhir/ig/pcsp/http://hl7.eu/fhir/ig/pcsp/0.1.0/StructureDefinition-FrontLineTreatment.html
URLhttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/FrontLineTreatment
Version0.1.0
Statusactive
Date2023-01-26T09:50:21+01:00
NameFrontLineTreatment
TitleFront Line Treatment
Realmeu
Authorityhl7
DescriptionFront 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. Maturity Level: 2 - Ready for Review
Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/FrontLineTreatment
Kindlogical

Resources that use this resource

StructureDefinition
TreatmentSummaryTreatment Summary

Resources that this resource uses

No resources found


Narrative

Note: links and images are rebased to the (stated) source

NameFlagsCard.TypeDescription & Constraintsdoco
.. FrontLineTreatment 0..*BaseFront Line Treatment
... followedProtocol 0..*BackboneElementFollowed Protocol
.... type 0..1CodeableConceptProtocole type
.... name 0..1stringProtocole name
.... description 0..1stringProtocol name or description
.... arm 0..1stringGroup/Arm/Randomization
... dateEOT 0..1dateTimeDate of end of treatment
... isChemotherapy 0..1CodeableConceptChemotherapy ?
... isStemCellTransplantation 0..1CodeableConceptStem Cell transplantation ?
... isRadiotherapy 0..1CodeableConceptRadiotherapy ?
... isMajorSurgery 0..1CodeableConceptMajor Surgery ?
... notForRelapse 0..1BackboneElementDetails not provided for relapses after EOT
.... completeRemission 0..1BackboneElementComplete remission
..... status 1..1dateTimeComplete remission (Yes/No)
..... description 1..1CodeableConceptTextual description in case of no remission
.... isProgressionRelapseDuringFLT 0..1CodeableConceptProgression/relapse during frontline treatment ?
.... isProgressionRelapseAfterFLT 0..1CodeableConceptProgression/relapse after first elective end of treatment ?

doco Documentation for this format

Source

{
  "resourceType": "StructureDefinition",
  "id": "FrontLineTreatment",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/FrontLineTreatment",
  "version": "0.1.0",
  "name": "FrontLineTreatment",
  "title": "Front Line Treatment",
  "status": "active",
  "date": "2023-01-26T09:50:21+01:00",
  "publisher": "PanCareSurPass Project",
  "contact": [
    {
      "name": "PanCareSurPass Project",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.pancaresurpass.eu/"
        }
      ]
    },
    {
      "name": "PanCareSurPass Project",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.pancaresurpass.eu/"
        }
      ]
    }
  ],
  "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",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "150",
          "display": "Europe"
        }
      ]
    }
  ],
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "fhir",
      "uri": "hl7.org/fhir/r4",
      "name": "FrontLineTreatment model to PCSP HL7 FHIR R4 Profiles"
    }
  ],
  "kind": "logical",
  "abstract": false,
  "type": "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/FrontLineTreatment",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Base",
  "derivation": "specialization",
  "snapshot": {
    "element": [
      {
        "id": "FrontLineTreatment",
        "path": "FrontLineTreatment",
        "short": "Front Line Treatment",
        "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",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Base",
          "min": 0,
          "max": "*"
        },
        "isModifier": false,
        "mapping": [
          {
            "identity": "fhir",
            "map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-flt-eu-pcsp')"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.followedProtocol",
        "path": "FrontLineTreatment.followedProtocol",
        "short": "Followed Protocol",
        "definition": "Followed Protocol",
        "min": 0,
        "max": "*",
        "base": {
          "path": "FrontLineTreatment.followedProtocol",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "map": ".instantiatesCanonical"
          },
          {
            "identity": "fhir",
            "map": "PlanDefinition.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/PlanDefinition-flt-eu-pcsp')"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.followedProtocol.id",
        "path": "FrontLineTreatment.followedProtocol.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.followedProtocol.extension",
        "path": "FrontLineTreatment.followedProtocol.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "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.",
        "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.followedProtocol.modifierExtension",
        "path": "FrontLineTreatment.followedProtocol.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "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).",
        "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.",
        "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).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.followedProtocol.type",
        "path": "FrontLineTreatment.followedProtocol.type",
        "short": "Protocole type",
        "definition": "2 => Trial/protocol\n2 => Personalized\n3 => Guidelines\n-9922 => NK",
        "min": 0,
        "max": "1",
        "base": {
          "path": "FrontLineTreatment.followedProtocol.type",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "map": ".type"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.followedProtocol.name",
        "path": "FrontLineTreatment.followedProtocol.name",
        "short": "Protocole name",
        "definition": "Protocole name",
        "min": 0,
        "max": "1",
        "base": {
          "path": "FrontLineTreatment.followedProtocol.name",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "map": ".title"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.followedProtocol.description",
        "path": "FrontLineTreatment.followedProtocol.description",
        "short": "Protocol name or description",
        "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.  ",
        "min": 0,
        "max": "1",
        "base": {
          "path": "FrontLineTreatment.followedProtocol.description",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "map": ".description"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.followedProtocol.arm",
        "path": "FrontLineTreatment.followedProtocol.arm",
        "short": "Group/Arm/Randomization",
        "definition": "If the trial was randomized, please define randomization arm",
        "min": 0,
        "max": "1",
        "base": {
          "path": "FrontLineTreatment.followedProtocol.arm",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "map": ".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-fltArm').valueString"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.dateEOT",
        "path": "FrontLineTreatment.dateEOT",
        "short": "Date of end of treatment",
        "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.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "FrontLineTreatment.dateEOT",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "map": "Procedure.performedPeriod.end"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.isChemotherapy",
        "path": "FrontLineTreatment.isChemotherapy",
        "short": "Chemotherapy ?",
        "definition": "Chemotherapy ?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "FrontLineTreatment.isChemotherapy",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "map": "MedicationAdministration.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/MedicationAdministration-eu-pcsp').exists()"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.isStemCellTransplantation",
        "path": "FrontLineTreatment.isStemCellTransplantation",
        "short": "Stem Cell transplantation ?",
        "definition": "Stem Cell transplantation ?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "FrontLineTreatment.isStemCellTransplantation",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-sct-eu-pcsp').exists()"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.isRadiotherapy",
        "path": "FrontLineTreatment.isRadiotherapy",
        "short": "Radiotherapy ?",
        "definition": "Radiotherapy ?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "FrontLineTreatment.isRadiotherapy",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-radiotheraphy-eu-pcsp').exists()"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.isMajorSurgery",
        "path": "FrontLineTreatment.isMajorSurgery",
        "short": "Major Surgery ?",
        "definition": "Major Surgery ?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "FrontLineTreatment.isMajorSurgery",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "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]"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.notForRelapse",
        "path": "FrontLineTreatment.notForRelapse",
        "short": "Details not provided for relapses after EOT",
        "definition": "Details not provided for relapses after EOT",
        "min": 0,
        "max": "1",
        "base": {
          "path": "FrontLineTreatment.notForRelapse",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.notForRelapse.id",
        "path": "FrontLineTreatment.notForRelapse.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.notForRelapse.extension",
        "path": "FrontLineTreatment.notForRelapse.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "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.",
        "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.notForRelapse.modifierExtension",
        "path": "FrontLineTreatment.notForRelapse.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "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).",
        "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.",
        "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).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.notForRelapse.completeRemission",
        "path": "FrontLineTreatment.notForRelapse.completeRemission",
        "short": "Complete remission",
        "definition": "Complete remission",
        "min": 0,
        "max": "1",
        "base": {
          "path": "FrontLineTreatment.notForRelapse.completeRemission",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "map": "outcome"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.notForRelapse.completeRemission.id",
        "path": "FrontLineTreatment.notForRelapse.completeRemission.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.notForRelapse.completeRemission.extension",
        "path": "FrontLineTreatment.notForRelapse.completeRemission.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "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.",
        "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.notForRelapse.completeRemission.modifierExtension",
        "path": "FrontLineTreatment.notForRelapse.completeRemission.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "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).",
        "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.",
        "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).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.notForRelapse.completeRemission.status",
        "path": "FrontLineTreatment.notForRelapse.completeRemission.status",
        "short": "Complete remission (Yes/No)",
        "definition": "Complete remission (Yes/No)",
        "min": 1,
        "max": "1",
        "base": {
          "path": "FrontLineTreatment.notForRelapse.completeRemission.status",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "map": "outcome.coding"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.notForRelapse.completeRemission.description",
        "path": "FrontLineTreatment.notForRelapse.completeRemission.description",
        "short": "Textual description in case of no remission",
        "definition": "Textual description in case of no remission",
        "min": 1,
        "max": "1",
        "base": {
          "path": "FrontLineTreatment.notForRelapse.completeRemission.description",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "map": "outcome.text"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.notForRelapse.isProgressionRelapseDuringFLT",
        "path": "FrontLineTreatment.notForRelapse.isProgressionRelapseDuringFLT",
        "short": "Progression/relapse during frontline treatment ?",
        "definition": "Progression/relapse during frontline treatment ?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "FrontLineTreatment.notForRelapse.isProgressionRelapseDuringFLT",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "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()"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.notForRelapse.isProgressionRelapseAfterFLT",
        "path": "FrontLineTreatment.notForRelapse.isProgressionRelapseAfterFLT",
        "short": "Progression/relapse after first elective end of treatment ?",
        "definition": "Progression/relapse after first elective end of treatment ?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "FrontLineTreatment.notForRelapse.isProgressionRelapseAfterFLT",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "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()"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "FrontLineTreatment",
        "path": "FrontLineTreatment",
        "short": "Front Line Treatment",
        "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",
        "mapping": [
          {
            "identity": "fhir",
            "map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-flt-eu-pcsp')"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.followedProtocol",
        "path": "FrontLineTreatment.followedProtocol",
        "short": "Followed Protocol",
        "definition": "Followed Protocol",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "map": ".instantiatesCanonical"
          },
          {
            "identity": "fhir",
            "map": "PlanDefinition.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/PlanDefinition-flt-eu-pcsp')"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.followedProtocol.type",
        "path": "FrontLineTreatment.followedProtocol.type",
        "short": "Protocole type",
        "definition": "2 => Trial/protocol\n2 => Personalized\n3 => Guidelines\n-9922 => NK",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "map": ".type"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.followedProtocol.name",
        "path": "FrontLineTreatment.followedProtocol.name",
        "short": "Protocole name",
        "definition": "Protocole name",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "map": ".title"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.followedProtocol.description",
        "path": "FrontLineTreatment.followedProtocol.description",
        "short": "Protocol name or description",
        "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.  ",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "map": ".description"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.followedProtocol.arm",
        "path": "FrontLineTreatment.followedProtocol.arm",
        "short": "Group/Arm/Randomization",
        "definition": "If the trial was randomized, please define randomization arm",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "map": ".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/procedure-fltArm').valueString"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.dateEOT",
        "path": "FrontLineTreatment.dateEOT",
        "short": "Date of end of treatment",
        "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.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "map": "Procedure.performedPeriod.end"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.isChemotherapy",
        "path": "FrontLineTreatment.isChemotherapy",
        "short": "Chemotherapy ?",
        "definition": "Chemotherapy ?",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "map": "MedicationAdministration.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/MedicationAdministration-eu-pcsp').exists()"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.isStemCellTransplantation",
        "path": "FrontLineTreatment.isStemCellTransplantation",
        "short": "Stem Cell transplantation ?",
        "definition": "Stem Cell transplantation ?",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-sct-eu-pcsp').exists()"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.isRadiotherapy",
        "path": "FrontLineTreatment.isRadiotherapy",
        "short": "Radiotherapy ?",
        "definition": "Radiotherapy ?",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "map": "Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-radiotheraphy-eu-pcsp').exists()"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.isMajorSurgery",
        "path": "FrontLineTreatment.isMajorSurgery",
        "short": "Major Surgery ?",
        "definition": "Major Surgery ?",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "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]"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.notForRelapse",
        "path": "FrontLineTreatment.notForRelapse",
        "short": "Details not provided for relapses after EOT",
        "definition": "Details not provided for relapses after EOT",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.notForRelapse.completeRemission",
        "path": "FrontLineTreatment.notForRelapse.completeRemission",
        "short": "Complete remission",
        "definition": "Complete remission",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "map": "outcome"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.notForRelapse.completeRemission.status",
        "path": "FrontLineTreatment.notForRelapse.completeRemission.status",
        "short": "Complete remission (Yes/No)",
        "definition": "Complete remission (Yes/No)",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "map": "outcome.coding"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.notForRelapse.completeRemission.description",
        "path": "FrontLineTreatment.notForRelapse.completeRemission.description",
        "short": "Textual description in case of no remission",
        "definition": "Textual description in case of no remission",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "map": "outcome.text"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.notForRelapse.isProgressionRelapseDuringFLT",
        "path": "FrontLineTreatment.notForRelapse.isProgressionRelapseDuringFLT",
        "short": "Progression/relapse during frontline treatment ?",
        "definition": "Progression/relapse during frontline treatment ?",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "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()"
          }
        ]
      },
      {
        "id": "FrontLineTreatment.notForRelapse.isProgressionRelapseAfterFLT",
        "path": "FrontLineTreatment.notForRelapse.isProgressionRelapseAfterFLT",
        "short": "Progression/relapse after first elective end of treatment ?",
        "definition": "Progression/relapse after first elective end of treatment ?",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mapping": [
          {
            "identity": "fhir",
            "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()"
          }
        ]
      }
    ]
  }
}