ACT-NOW Implementation Guide
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ACT-NOW Implementation Guide, published by Te aho o te kahu - Cancer Control Agency. This guide is not an authorized publication; it is the continuous build for version 0.4.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/davidhay25/actnow/ and changes regularly. See the Directory of published versions

Extension: RegimenDiscontinued

Official URL: http://canshare.co.nz/fhir/StructureDefinition/an-regimen-discontinued Version: 0.4.0
Draft as of 2024-12-18 Computable Name: RegimenDiscontinued

Reasons why a regimen may have been discontinued

Context of Use

This extension may be used on the following element(s):

  • Element ID CarePlan

Usage info

Usage:

Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from Extension

Summary

Complex Extension: Reasons why a regimen may have been discontinued

  • reason: CodeableConcept: The overall reason why the regimen was discontinued
  • patientfactors: CodeableConcept: Patient factors that contributed to the discontinuation
  • toxicity: CodeableConcept: Toxicity factors that contributed to the discontinuation

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:reason 0..1 Extension The overall reason why the regimen was discontinued
..... extension 0..0
..... url 1..1 uri "reason"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: The reason why a regimen was discontinued (preferred)
.... extension:patientfactors 0..* Extension Patient factors that contributed to the discontinuation
..... extension 0..0
..... url 1..1 uri "patientfactors"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Patient factors when discontinuing a regimen (preferred)
.... extension:toxicity 0..* Extension Toxicity factors that contributed to the discontinuation
..... extension 0..0
..... url 1..1 uri "toxicity"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Toxicity reasons why a regimen was discontinued (preferred)
... url 1..1 uri "http://canshare.co.nz/fhir/StructureDefinition/an-regimen-discontinued"
... value[x] 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Extension
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:reason 0..1 Extension The overall reason why the regimen was discontinued
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "reason"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: The reason why a regimen was discontinued (preferred)
.... extension:patientfactors 0..* Extension Patient factors that contributed to the discontinuation
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "patientfactors"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Patient factors when discontinuing a regimen (preferred)
.... extension:toxicity 0..* Extension Toxicity factors that contributed to the discontinuation
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "toxicity"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Toxicity reasons why a regimen was discontinued (preferred)
... url 1..1 uri "http://canshare.co.nz/fhir/StructureDefinition/an-regimen-discontinued"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: Reasons why a regimen may have been discontinued

  • reason: CodeableConcept: The overall reason why the regimen was discontinued
  • patientfactors: CodeableConcept: Patient factors that contributed to the discontinuation
  • toxicity: CodeableConcept: Toxicity factors that contributed to the discontinuation

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:reason 0..1 Extension The overall reason why the regimen was discontinued
..... extension 0..0
..... url 1..1 uri "reason"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: The reason why a regimen was discontinued (preferred)
.... extension:patientfactors 0..* Extension Patient factors that contributed to the discontinuation
..... extension 0..0
..... url 1..1 uri "patientfactors"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Patient factors when discontinuing a regimen (preferred)
.... extension:toxicity 0..* Extension Toxicity factors that contributed to the discontinuation
..... extension 0..0
..... url 1..1 uri "toxicity"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Toxicity reasons why a regimen was discontinued (preferred)
... url 1..1 uri "http://canshare.co.nz/fhir/StructureDefinition/an-regimen-discontinued"
... value[x] 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Extension
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:reason 0..1 Extension The overall reason why the regimen was discontinued
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "reason"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: The reason why a regimen was discontinued (preferred)
.... extension:patientfactors 0..* Extension Patient factors that contributed to the discontinuation
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "patientfactors"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Patient factors when discontinuing a regimen (preferred)
.... extension:toxicity 0..* Extension Toxicity factors that contributed to the discontinuation
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "toxicity"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Toxicity reasons why a regimen was discontinued (preferred)
... url 1..1 uri "http://canshare.co.nz/fhir/StructureDefinition/an-regimen-discontinued"

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSetURI
Extension.extension:reason.value[x]preferredRegimenDiscontinuedReason (a valid code from The reason why a regimen was discontinued)
http://canshare.co.nz/fhir/ValueSet/an-regimen-discontinued-reason-vs
from this IG
Extension.extension:patientfactors.value[x]preferredRegimenDiscontinuedPatientFactors
http://canshare.co.nz/fhir/ValueSet/an-regimen-discontinued-patient-factors-vs
from this IG
Extension.extension:toxicity.value[x]preferredRegimenDiscontinuedToxicity
http://canshare.co.nz/fhir/ValueSet/an-regimen-discontinued-toxicity-vs
from this IG

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()