IDEA4RC FHIR Implementation Guide, published by IDEA4RC Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/idea4rc/ and changes regularly. See the Directory of published versions
Draft as of 2024-11-12 |
Definitions for the SystemicTreatment logical model.
Guidance on how to interpret the contents of this table can be found here
0. SystemicTreatment | |||||||
Definition | Systemic Treatment | ||||||
Short | Systemic Treatment | ||||||
Logical Model | Instances of this logical model are not marked to be the target of a Reference | ||||||
2. SystemicTreatment.episodeEventReference | |||||||
Definition | EpisodeEvent element containing the data regarding the patient's cancer | ||||||
Short | Episode Event reference | ||||||
Control | 1..1 | ||||||
Type | http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent | ||||||
Obligations |
| ||||||
4. SystemicTreatment.typeOfSystemicTreatment | |||||||
Definition | Select the type of Systemic treatment administered. It is possible to directly select the single treatment as appropriate. | ||||||
Short | type of Systemic treatment | ||||||
Comments | Chemotherapy; Immunotherapy; Target therapy; Unknown Chemotherapy - 4273629 Immunotherapy - 40310107 Target therapy - 40488979 Unknown - 4129922 | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
6. SystemicTreatment.intent | |||||||
Definition | Clarifies the reasons why Other therapy is administered ? Curative chemotherapy is chemotherapy administered with the goal of achieving a complete remission and preventing the recurrence of cancer. ? Palliative chemotherapy refers to any chemotherapy administration that is not curative but administered simply to decrease tumor load and increase life expectancy. It has been defined also as ??treatment in circumstances where the impact of intervention is insufficient to result in major survival advantage, but does affect improvement in terms of tumor?related symptoms?? | ||||||
Short | Intent | ||||||
Comments | Palliative; Curative; Unknwon Palliative - 4179711 Curative - Unknown - 4129922 | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
8. SystemicTreatment.setting | |||||||
Definition | clarifies the context / how the therapy was administered alone or in conjunction with other treatments ? Neoadjuvant: treatment given as a first step to shrink a tumor before the main treatment, which is usually surgery, is given. Examples of neoadjuvant therapy include chemotherapy, radiation therapy, and hormone therapy. It is a type of induction therapy. ? Adjuvant: additional cancer treatment given after the primary treatment to lower the risk that the cancer will come back. Adjuvant therapy may include chemotherapy, radiation therapy, hormone therapy, targeted therapy, or biological therapy. ? Concomitant/concurrent: A treatment that is given at the same time as another (es. Chemotherapy + radiotherapy). | ||||||
Short | Setting | ||||||
Comments | Neo-adjuvant; Concomitant; Adjuvant; Other tretament alone; Unknown; Neo-adjuvant - 44808409 Concomitant - Adjuvant - 44804498 Other tretament alone - Unknown - 4129922 | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
10. SystemicTreatment.computedTomographyInfo | |||||||
Definition | Information for computed tomography | ||||||
Short | Computed tomography info | ||||||
Comments | Pre-operative; Post-operative; Intra-operative (hypertermic intraperiotoneal chemotherapy HIPEC ); therapeutic (without surgery) Preoperative - 4119031 Postoperative period - 4118656 Hyperthermic intraperitoneal chemotherapy - 3184898 Therapeutic - 4133895 | ||||||
Control | 0..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
12. SystemicTreatment.startDateSystemicTreatment | |||||||
Definition | Specifies when Other treatment begins | ||||||
Short | Start date Systemic treatment | ||||||
Control | 1..1 | ||||||
Type | date | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
14. SystemicTreatment.endDateSystemicTreatment | |||||||
Definition | Specifies when Other treatment ends | ||||||
Short | End date Systemic treatment | ||||||
Control | 1..1 | ||||||
Type | date | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
16. SystemicTreatment.numberOfCyclesAdministrations | |||||||
Definition | clarifies how many times the treatment was administered. A cycle of treatment is a period of treatment followed by a period of rest (no treatment). For example, treatment given for one week followed by three weeks of rest is one cycle of treatment. A cycle can be repeated multiple times. | ||||||
Short | Number of cycles/ administrations | ||||||
Control | 0..1 | ||||||
Type | decimal | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
18. SystemicTreatment.regimen | |||||||
Definition | Regimen | ||||||
Short | Regimen | ||||||
Control | 0..1 | ||||||
Type | BackboneElement | ||||||
Obligations |
| ||||||
20. SystemicTreatment.regimen.drugs1 | |||||||
Definition | Drugs 1 | ||||||
Short | Drugs 1 | ||||||
Comments | ATC list Athena vocabulary ATC | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
22. SystemicTreatment.regimen.drugs2 | |||||||
Definition | Drugs 2 | ||||||
Short | Drugs 2 | ||||||
Comments | ATC list Athena vocabulary ATC | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
24. SystemicTreatment.regimen.drugs3 | |||||||
Definition | Drugs 3 | ||||||
Short | Drugs 3 | ||||||
Comments | ATC list Athena vocabulary ATC | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
26. SystemicTreatment.regimen.startDateRegimenChanged | |||||||
Definition | specifies when the new Other treatment begins, if a combination please specify the start of the first drug | ||||||
Short | Start date regimen changed | ||||||
Control | 1..1 | ||||||
Type | date | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
28. SystemicTreatment.regimen.endDateRegimenChanged | |||||||
Definition | specifies when the new Other treatment ends,if a combination please specify the end of the last drug | ||||||
Short | End date regimen changed | ||||||
Control | 1..1 | ||||||
Type | date | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
30. SystemicTreatment.reasonForEndOfTreatment | |||||||
Definition | Clarifies the reasons why the treatment ended or was interrupted | ||||||
Short | Reason for end of treatment | ||||||
Comments | Completion; Toxicity; Comorbidity; Patient intolerance; Patients decision; Death; Unknown. Completion - 4058777 Toxicity - 438028 Comorbidity - 4162706 Patient intolerance - 4105297 Patients decision - Death - 4306655 Unknown - 4129922 | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
32. SystemicTreatment.treatmentResponse | |||||||
Definition | Measures how well a cancer patient responds to treatment. RECIST criteria should not be applied. The definition of Complete response; Partial response; Stable disease; Progression, should be based on the clinical judgement based on imaging. Only when setting=neoadiuvant or palliative | ||||||
Short | Treatment response (based on imaging alone; no recist or other criteria) | ||||||
Comments | Complete response; Partial response; Stable disease; Progression; Unknown. Complete response - 4163135 Partial response - 4161302 Stable disease - 4241442 Progression - 4168352 Unknown - 4129922 | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
|
Guidance on how to interpret the contents of this table can be found here
0. SystemicTreatment | |||||||
Definition | Systemic Treatment | ||||||
Short | Systemic Treatment | ||||||
Control | 0..* | ||||||
Is Modifier | false | ||||||
Logical Model | Instances of this logical model are not marked to be the target of a Reference | ||||||
2. SystemicTreatment.episodeEventReference | |||||||
Definition | EpisodeEvent element containing the data regarding the patient's cancer | ||||||
Short | Episode Event reference | ||||||
Control | 1..1 | ||||||
Type | http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent | ||||||
Obligations |
| ||||||
4. SystemicTreatment.typeOfSystemicTreatment | |||||||
Definition | Select the type of Systemic treatment administered. It is possible to directly select the single treatment as appropriate. | ||||||
Short | type of Systemic treatment | ||||||
Comments | Chemotherapy; Immunotherapy; Target therapy; Unknown Chemotherapy - 4273629 Immunotherapy - 40310107 Target therapy - 40488979 Unknown - 4129922 | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
6. SystemicTreatment.intent | |||||||
Definition | Clarifies the reasons why Other therapy is administered ? Curative chemotherapy is chemotherapy administered with the goal of achieving a complete remission and preventing the recurrence of cancer. ? Palliative chemotherapy refers to any chemotherapy administration that is not curative but administered simply to decrease tumor load and increase life expectancy. It has been defined also as ??treatment in circumstances where the impact of intervention is insufficient to result in major survival advantage, but does affect improvement in terms of tumor?related symptoms?? | ||||||
Short | Intent | ||||||
Comments | Palliative; Curative; Unknwon Palliative - 4179711 Curative - Unknown - 4129922 | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
8. SystemicTreatment.setting | |||||||
Definition | clarifies the context / how the therapy was administered alone or in conjunction with other treatments ? Neoadjuvant: treatment given as a first step to shrink a tumor before the main treatment, which is usually surgery, is given. Examples of neoadjuvant therapy include chemotherapy, radiation therapy, and hormone therapy. It is a type of induction therapy. ? Adjuvant: additional cancer treatment given after the primary treatment to lower the risk that the cancer will come back. Adjuvant therapy may include chemotherapy, radiation therapy, hormone therapy, targeted therapy, or biological therapy. ? Concomitant/concurrent: A treatment that is given at the same time as another (es. Chemotherapy + radiotherapy). | ||||||
Short | Setting | ||||||
Comments | Neo-adjuvant; Concomitant; Adjuvant; Other tretament alone; Unknown; Neo-adjuvant - 44808409 Concomitant - Adjuvant - 44804498 Other tretament alone - Unknown - 4129922 | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
10. SystemicTreatment.computedTomographyInfo | |||||||
Definition | Information for computed tomography | ||||||
Short | Computed tomography info | ||||||
Comments | Pre-operative; Post-operative; Intra-operative (hypertermic intraperiotoneal chemotherapy HIPEC ); therapeutic (without surgery) Preoperative - 4119031 Postoperative period - 4118656 Hyperthermic intraperitoneal chemotherapy - 3184898 Therapeutic - 4133895 | ||||||
Control | 0..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
12. SystemicTreatment.startDateSystemicTreatment | |||||||
Definition | Specifies when Other treatment begins | ||||||
Short | Start date Systemic treatment | ||||||
Control | 1..1 | ||||||
Type | date | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
14. SystemicTreatment.endDateSystemicTreatment | |||||||
Definition | Specifies when Other treatment ends | ||||||
Short | End date Systemic treatment | ||||||
Control | 1..1 | ||||||
Type | date | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
16. SystemicTreatment.numberOfCyclesAdministrations | |||||||
Definition | clarifies how many times the treatment was administered. A cycle of treatment is a period of treatment followed by a period of rest (no treatment). For example, treatment given for one week followed by three weeks of rest is one cycle of treatment. A cycle can be repeated multiple times. | ||||||
Short | Number of cycles/ administrations | ||||||
Control | 0..1 | ||||||
Type | decimal | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
18. SystemicTreatment.regimen | |||||||
Definition | Regimen | ||||||
Short | Regimen | ||||||
Control | 0..1 | ||||||
Type | BackboneElement | ||||||
Obligations |
| ||||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||||
20. SystemicTreatment.regimen.modifierExtension | |||||||
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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||||
Short | Extensions that cannot be ignored even if unrecognized | ||||||
Comments | 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. | ||||||
Control | 0..* | ||||||
Type | Extension | ||||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||||
Summary | true | ||||||
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. | ||||||
Alternate Names | extensions, user content, modifiers | ||||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||||
22. SystemicTreatment.regimen.drugs1 | |||||||
Definition | Drugs 1 | ||||||
Short | Drugs 1 | ||||||
Comments | ATC list Athena vocabulary ATC | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
24. SystemicTreatment.regimen.drugs2 | |||||||
Definition | Drugs 2 | ||||||
Short | Drugs 2 | ||||||
Comments | ATC list Athena vocabulary ATC | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
26. SystemicTreatment.regimen.drugs3 | |||||||
Definition | Drugs 3 | ||||||
Short | Drugs 3 | ||||||
Comments | ATC list Athena vocabulary ATC | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
28. SystemicTreatment.regimen.startDateRegimenChanged | |||||||
Definition | specifies when the new Other treatment begins, if a combination please specify the start of the first drug | ||||||
Short | Start date regimen changed | ||||||
Control | 1..1 | ||||||
Type | date | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
30. SystemicTreatment.regimen.endDateRegimenChanged | |||||||
Definition | specifies when the new Other treatment ends,if a combination please specify the end of the last drug | ||||||
Short | End date regimen changed | ||||||
Control | 1..1 | ||||||
Type | date | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
32. SystemicTreatment.reasonForEndOfTreatment | |||||||
Definition | Clarifies the reasons why the treatment ended or was interrupted | ||||||
Short | Reason for end of treatment | ||||||
Comments | Completion; Toxicity; Comorbidity; Patient intolerance; Patients decision; Death; Unknown. Completion - 4058777 Toxicity - 438028 Comorbidity - 4162706 Patient intolerance - 4105297 Patients decision - Death - 4306655 Unknown - 4129922 | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
34. SystemicTreatment.treatmentResponse | |||||||
Definition | Measures how well a cancer patient responds to treatment. RECIST criteria should not be applied. The definition of Complete response; Partial response; Stable disease; Progression, should be based on the clinical judgement based on imaging. Only when setting=neoadiuvant or palliative | ||||||
Short | Treatment response (based on imaging alone; no recist or other criteria) | ||||||
Comments | Complete response; Partial response; Stable disease; Progression; Unknown. Complete response - 4163135 Partial response - 4161302 Stable disease - 4241442 Progression - 4168352 Unknown - 4129922 | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
|
Guidance on how to interpret the contents of this table can be found here
0. SystemicTreatment | |||||||
Definition | Systemic Treatment | ||||||
Short | Systemic Treatment | ||||||
Control | 0..* | ||||||
Is Modifier | false | ||||||
Logical Model | Instances of this logical model are not marked to be the target of a Reference | ||||||
2. SystemicTreatment.episodeEventReference | |||||||
Definition | EpisodeEvent element containing the data regarding the patient's cancer | ||||||
Short | Episode Event reference | ||||||
Control | 1..1 | ||||||
Type | http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent | ||||||
Obligations |
| ||||||
4. SystemicTreatment.typeOfSystemicTreatment | |||||||
Definition | Select the type of Systemic treatment administered. It is possible to directly select the single treatment as appropriate. | ||||||
Short | type of Systemic treatment | ||||||
Comments | Chemotherapy; Immunotherapy; Target therapy; Unknown Chemotherapy - 4273629 Immunotherapy - 40310107 Target therapy - 40488979 Unknown - 4129922 | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
6. SystemicTreatment.intent | |||||||
Definition | Clarifies the reasons why Other therapy is administered ? Curative chemotherapy is chemotherapy administered with the goal of achieving a complete remission and preventing the recurrence of cancer. ? Palliative chemotherapy refers to any chemotherapy administration that is not curative but administered simply to decrease tumor load and increase life expectancy. It has been defined also as ??treatment in circumstances where the impact of intervention is insufficient to result in major survival advantage, but does affect improvement in terms of tumor?related symptoms?? | ||||||
Short | Intent | ||||||
Comments | Palliative; Curative; Unknwon Palliative - 4179711 Curative - Unknown - 4129922 | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
8. SystemicTreatment.setting | |||||||
Definition | clarifies the context / how the therapy was administered alone or in conjunction with other treatments ? Neoadjuvant: treatment given as a first step to shrink a tumor before the main treatment, which is usually surgery, is given. Examples of neoadjuvant therapy include chemotherapy, radiation therapy, and hormone therapy. It is a type of induction therapy. ? Adjuvant: additional cancer treatment given after the primary treatment to lower the risk that the cancer will come back. Adjuvant therapy may include chemotherapy, radiation therapy, hormone therapy, targeted therapy, or biological therapy. ? Concomitant/concurrent: A treatment that is given at the same time as another (es. Chemotherapy + radiotherapy). | ||||||
Short | Setting | ||||||
Comments | Neo-adjuvant; Concomitant; Adjuvant; Other tretament alone; Unknown; Neo-adjuvant - 44808409 Concomitant - Adjuvant - 44804498 Other tretament alone - Unknown - 4129922 | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
10. SystemicTreatment.computedTomographyInfo | |||||||
Definition | Information for computed tomography | ||||||
Short | Computed tomography info | ||||||
Comments | Pre-operative; Post-operative; Intra-operative (hypertermic intraperiotoneal chemotherapy HIPEC ); therapeutic (without surgery) Preoperative - 4119031 Postoperative period - 4118656 Hyperthermic intraperitoneal chemotherapy - 3184898 Therapeutic - 4133895 | ||||||
Control | 0..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
12. SystemicTreatment.startDateSystemicTreatment | |||||||
Definition | Specifies when Other treatment begins | ||||||
Short | Start date Systemic treatment | ||||||
Control | 1..1 | ||||||
Type | date | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
14. SystemicTreatment.endDateSystemicTreatment | |||||||
Definition | Specifies when Other treatment ends | ||||||
Short | End date Systemic treatment | ||||||
Control | 1..1 | ||||||
Type | date | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
16. SystemicTreatment.numberOfCyclesAdministrations | |||||||
Definition | clarifies how many times the treatment was administered. A cycle of treatment is a period of treatment followed by a period of rest (no treatment). For example, treatment given for one week followed by three weeks of rest is one cycle of treatment. A cycle can be repeated multiple times. | ||||||
Short | Number of cycles/ administrations | ||||||
Control | 0..1 | ||||||
Type | decimal | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
18. SystemicTreatment.regimen | |||||||
Definition | Regimen | ||||||
Short | Regimen | ||||||
Control | 0..1 | ||||||
Type | BackboneElement | ||||||
Obligations |
| ||||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||||
20. SystemicTreatment.regimen.id | |||||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||||
Short | Unique id for inter-element referencing | ||||||
Control | 0..1 | ||||||
Type | string | ||||||
Is Modifier | false | ||||||
XML Format | In the XML format, this property is represented as an attribute. | ||||||
Summary | false | ||||||
22. SystemicTreatment.regimen.extension | |||||||
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. | ||||||
Short | Additional content defined by implementations | ||||||
Comments | 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. | ||||||
Control | 0..* | ||||||
Type | Extension | ||||||
Is Modifier | false | ||||||
Summary | false | ||||||
Alternate Names | extensions, user content | ||||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||||
Slicing | This element introduces a set of slices on SystemicTreatment.regimen.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||||
24. SystemicTreatment.regimen.modifierExtension | |||||||
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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||||
Short | Extensions that cannot be ignored even if unrecognized | ||||||
Comments | 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. | ||||||
Control | 0..* | ||||||
Type | Extension | ||||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||||
Summary | true | ||||||
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. | ||||||
Alternate Names | extensions, user content, modifiers | ||||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||||
26. SystemicTreatment.regimen.drugs1 | |||||||
Definition | Drugs 1 | ||||||
Short | Drugs 1 | ||||||
Comments | ATC list Athena vocabulary ATC | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
28. SystemicTreatment.regimen.drugs2 | |||||||
Definition | Drugs 2 | ||||||
Short | Drugs 2 | ||||||
Comments | ATC list Athena vocabulary ATC | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
30. SystemicTreatment.regimen.drugs3 | |||||||
Definition | Drugs 3 | ||||||
Short | Drugs 3 | ||||||
Comments | ATC list Athena vocabulary ATC | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
32. SystemicTreatment.regimen.startDateRegimenChanged | |||||||
Definition | specifies when the new Other treatment begins, if a combination please specify the start of the first drug | ||||||
Short | Start date regimen changed | ||||||
Control | 1..1 | ||||||
Type | date | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
34. SystemicTreatment.regimen.endDateRegimenChanged | |||||||
Definition | specifies when the new Other treatment ends,if a combination please specify the end of the last drug | ||||||
Short | End date regimen changed | ||||||
Control | 1..1 | ||||||
Type | date | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
36. SystemicTreatment.reasonForEndOfTreatment | |||||||
Definition | Clarifies the reasons why the treatment ended or was interrupted | ||||||
Short | Reason for end of treatment | ||||||
Comments | Completion; Toxicity; Comorbidity; Patient intolerance; Patients decision; Death; Unknown. Completion - 4058777 Toxicity - 438028 Comorbidity - 4162706 Patient intolerance - 4105297 Patients decision - Death - 4306655 Unknown - 4129922 | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
38. SystemicTreatment.treatmentResponse | |||||||
Definition | Measures how well a cancer patient responds to treatment. RECIST criteria should not be applied. The definition of Complete response; Partial response; Stable disease; Progression, should be based on the clinical judgement based on imaging. Only when setting=neoadiuvant or palliative | ||||||
Short | Treatment response (based on imaging alone; no recist or other criteria) | ||||||
Comments | Complete response; Partial response; Stable disease; Progression; Unknown. Complete response - 4163135 Partial response - 4161302 Stable disease - 4241442 Progression - 4168352 Unknown - 4129922 | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
|