PanCareSurPass Project HL7 FHIR Implementation Guide
0.2.0 - CI Build 150

PanCareSurPass Project HL7 FHIR Implementation Guide, published by PanCareSurPass Project. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/pcsp/ and changes regularly. See the Directory of published versions

Logical Model: Chemotherapy - Detailed Descriptions

Draft as of 2024-09-11

Definitions for the Chemotherapy logical model.

Guidance on how to interpret the contents of this table can be found here

0. Chemotherapy
Definition

Chemotherapy Maturity Level: 2 - Ready for Review

ShortChemotherapy
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. Chemotherapy.relatedDiagnosis
Definition

Identifier of the diagnosis for which this chemotherapy is performed

ShortRelated Diagnosis
Control1..1
TypeIdentifier
4. Chemotherapy.startDate
Definition

Please report the date of the first chemotherapy given. If the date is unkown or partially missed insert the year at the best of your knowledge.

ShortStart date
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
6. Chemotherapy.endDate
Definition

Please report the date of the last chemotherapy given. If the date is unkown or partially missed insert the year at the best of your knowledge.

ShortEnd date
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. Chemotherapy.istitutionOfTreatment
Definition

Please indicate the institution in which all or most of the chemotherapeutic treatment was given

ShortInstitution of treatment
Control0..1
TypeBackboneElement
10. Chemotherapy.istitutionOfTreatment.description
Definition

Please provide name, city and countryof the institution

ShortInstitution description
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. Chemotherapy.istitutionOfTreatment.name
Definition

Institution name

ShortInstitution name
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
14. Chemotherapy.istitutionOfTreatment.address
Definition

Institution address

ShortInstitution address
Control0..1
TypeBackboneElement
16. Chemotherapy.istitutionOfTreatment.address.name
Definition

Institution city

ShortInstitution city
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
18. Chemotherapy.istitutionOfTreatment.address.country
Definition

Institution country

ShortInstitution country
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
20. Chemotherapy.productAdministration
Definition

Information about the product(s) administered

ShortProduct(s) administartion data
Control1..20
TypeBackboneElement
22. Chemotherapy.productAdministration.agent
Definition

In this section, any of the 'antineoplastic and immunostimulating agents' received by the survivor should be reported, Drugs names are reported based on the ATC code listed under L01 to L04 in Appendix. Synonyms are included. When you start typing the name of the drug, the possible options will automatically suggested by the system. Up to 20 drugs are allowed into the system. The variable acronym changes based on the ordinal cmulative number of drugs received (e.g. FN_1, FN_2, FN_3, ?)

ShortAntineoplastic and immunostimulating agents
Control1..1
TypeCodeableConcept
24. Chemotherapy.productAdministration.dose
Definition

Dose received of each drug for this administration

ShortDose (NOT in PCSP DB)
Control0..1
TypeQuantity
26. Chemotherapy.productAdministration.cumulativeDose
Definition

Report the total cumulative dose received of each drug.

ShortCumulative Dose
Control0..1
TypeBackboneElement
28. Chemotherapy.productAdministration.cumulativeDose.notAvailable
Definition

Flag indicating if the dose was not calculated or it was not known

ShortNot calculated or not known dose
Control0..1
TypeCodeableConcept
30. Chemotherapy.productAdministration.cumulativeDose.measureType
Definition

Specify if the cumulative dose reported has been all calculated on real data or estimated based on the expected dose prescribed by the protocol. If some part of the calculation was based on estimated values, the whole field should be 'estimated'

ShortHow the dose was determined (estimation or calculation)
Control0..1
TypeCodeableConcept
32. Chemotherapy.productAdministration.cumulativeDose.completionStatus
Definition

Check in case of incomplete doses

ShortThe reported doses are incomplete (either under- or over-estimated)
Control0..1
TypeCodeableConcept
34. Chemotherapy.productAdministration.cumulativeDose.statusReason
Definition

Specify reasons of incomplete estimated doses

ShortSpecify reasons why
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
36. Chemotherapy.productAdministration.cumulativeDose.value
Definition

Report the total cumulative dose received of each drug.

ShortTotal cumulative dose
Control0..1
Typedecimal
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
38. Chemotherapy.productAdministration.cumulativeDose.unit
Definition

If the dose was calculated, please report the measure unit of the calculation 1 => mg/m2 2 => gr/m2 3 => UI/m2 4 => NK 5 => NC (not calculated)

ShortMeasure unit
Control0..1
TypeCodeableConcept
40. Chemotherapy.corticosteroids
Definition

Report 'yes' if the survivor was treated with steroids for at least 4 weeks continuously 1 => Yes 2 => No -9922 => NK

ShortProlonged corticosteroids as anti-cancer treatment at least 4 weeks continuously
Control0..1
TypeCodeableConcept
42. Chemotherapy.intrathecalInjections
Definition

Intrathecal injections

ShortIntrathecal injections
Control0..1
TypeBackboneElement
44. Chemotherapy.intrathecalInjections.status
Definition

Please state if the survivor received any therapeutic intrathecal injections 1 => Yes 2 => No -9922 => NK

ShortDid the survivor receive therapeutic intrathecal injections ?
Control0..1
TypeCodeableConcept
46. Chemotherapy.intrathecalInjections.number
Definition

Report the total number of injections

ShortTotal number
Control0..1
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
48. Chemotherapy.intrathecalInjections.productName
Definition

Please report the names of drugs injected intrathecal

ShortDrug(s) administered
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
50. Chemotherapy.otherTreatments
Definition

Report any other chemothrapeutic treatments that are not included in the ATC code

ShortOther chemothrapeutic treatments
Control0..1
TypeBackboneElement
52. Chemotherapy.otherTreatments.productName
Definition

If yes, describe treatments

ShortDrugs name
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

Guidance on how to interpret the contents of this table can be found here

0. Chemotherapy
Definition

Chemotherapy Maturity Level: 2 - Ready for Review

ShortChemotherapy
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. Chemotherapy.relatedDiagnosis
Definition

Identifier of the diagnosis for which this chemotherapy is performed

ShortRelated Diagnosis
Control1..1
TypeIdentifier
4. Chemotherapy.startDate
Definition

Please report the date of the first chemotherapy given. If the date is unkown or partially missed insert the year at the best of your knowledge.

ShortStart date
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
6. Chemotherapy.endDate
Definition

Please report the date of the last chemotherapy given. If the date is unkown or partially missed insert the year at the best of your knowledge.

ShortEnd date
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. Chemotherapy.istitutionOfTreatment
Definition

Please indicate the institution in which all or most of the chemotherapeutic treatment was given

ShortInstitution of treatment
Control0..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Chemotherapy.istitutionOfTreatment.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).

ShortExtensions 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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
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 Namesextensions, user content, modifiers
Invariantsele-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())
12. Chemotherapy.istitutionOfTreatment.description
Definition

Please provide name, city and countryof the institution

ShortInstitution description
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
14. Chemotherapy.istitutionOfTreatment.name
Definition

Institution name

ShortInstitution name
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
16. Chemotherapy.istitutionOfTreatment.address
Definition

Institution address

ShortInstitution address
Control0..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Chemotherapy.istitutionOfTreatment.address.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).

ShortExtensions 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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
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 Namesextensions, user content, modifiers
Invariantsele-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())
20. Chemotherapy.istitutionOfTreatment.address.name
Definition

Institution city

ShortInstitution city
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
22. Chemotherapy.istitutionOfTreatment.address.country
Definition

Institution country

ShortInstitution country
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. Chemotherapy.productAdministration
Definition

Information about the product(s) administered

ShortProduct(s) administartion data
Control1..20
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Chemotherapy.productAdministration.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).

ShortExtensions 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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
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 Namesextensions, user content, modifiers
Invariantsele-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())
28. Chemotherapy.productAdministration.agent
Definition

In this section, any of the 'antineoplastic and immunostimulating agents' received by the survivor should be reported, Drugs names are reported based on the ATC code listed under L01 to L04 in Appendix. Synonyms are included. When you start typing the name of the drug, the possible options will automatically suggested by the system. Up to 20 drugs are allowed into the system. The variable acronym changes based on the ordinal cmulative number of drugs received (e.g. FN_1, FN_2, FN_3, ?)

ShortAntineoplastic and immunostimulating agents
Control1..1
TypeCodeableConcept
30. Chemotherapy.productAdministration.dose
Definition

Dose received of each drug for this administration

ShortDose (NOT in PCSP DB)
Control0..1
TypeQuantity
32. Chemotherapy.productAdministration.cumulativeDose
Definition

Report the total cumulative dose received of each drug.

ShortCumulative Dose
Control0..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Chemotherapy.productAdministration.cumulativeDose.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).

ShortExtensions 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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
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 Namesextensions, user content, modifiers
Invariantsele-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())
36. Chemotherapy.productAdministration.cumulativeDose.notAvailable
Definition

Flag indicating if the dose was not calculated or it was not known

ShortNot calculated or not known dose
Control0..1
TypeCodeableConcept
38. Chemotherapy.productAdministration.cumulativeDose.measureType
Definition

Specify if the cumulative dose reported has been all calculated on real data or estimated based on the expected dose prescribed by the protocol. If some part of the calculation was based on estimated values, the whole field should be 'estimated'

ShortHow the dose was determined (estimation or calculation)
Control0..1
TypeCodeableConcept
40. Chemotherapy.productAdministration.cumulativeDose.completionStatus
Definition

Check in case of incomplete doses

ShortThe reported doses are incomplete (either under- or over-estimated)
Control0..1
TypeCodeableConcept
42. Chemotherapy.productAdministration.cumulativeDose.statusReason
Definition

Specify reasons of incomplete estimated doses

ShortSpecify reasons why
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
44. Chemotherapy.productAdministration.cumulativeDose.value
Definition

Report the total cumulative dose received of each drug.

ShortTotal cumulative dose
Control0..1
Typedecimal
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
46. Chemotherapy.productAdministration.cumulativeDose.unit
Definition

If the dose was calculated, please report the measure unit of the calculation 1 => mg/m2 2 => gr/m2 3 => UI/m2 4 => NK 5 => NC (not calculated)

ShortMeasure unit
Control0..1
TypeCodeableConcept
48. Chemotherapy.corticosteroids
Definition

Report 'yes' if the survivor was treated with steroids for at least 4 weeks continuously 1 => Yes 2 => No -9922 => NK

ShortProlonged corticosteroids as anti-cancer treatment at least 4 weeks continuously
Control0..1
TypeCodeableConcept
50. Chemotherapy.intrathecalInjections
Definition

Intrathecal injections

ShortIntrathecal injections
Control0..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. Chemotherapy.intrathecalInjections.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).

ShortExtensions 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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
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 Namesextensions, user content, modifiers
Invariantsele-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())
54. Chemotherapy.intrathecalInjections.status
Definition

Please state if the survivor received any therapeutic intrathecal injections 1 => Yes 2 => No -9922 => NK

ShortDid the survivor receive therapeutic intrathecal injections ?
Control0..1
TypeCodeableConcept
56. Chemotherapy.intrathecalInjections.number
Definition

Report the total number of injections

ShortTotal number
Control0..1
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
58. Chemotherapy.intrathecalInjections.productName
Definition

Please report the names of drugs injected intrathecal

ShortDrug(s) administered
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
60. Chemotherapy.otherTreatments
Definition

Report any other chemothrapeutic treatments that are not included in the ATC code

ShortOther chemothrapeutic treatments
Control0..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
62. Chemotherapy.otherTreatments.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).

ShortExtensions 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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
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 Namesextensions, user content, modifiers
Invariantsele-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())
64. Chemotherapy.otherTreatments.productName
Definition

If yes, describe treatments

ShortDrugs name
Control1..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

Guidance on how to interpret the contents of this table can be found here

0. Chemotherapy
Definition

Chemotherapy Maturity Level: 2 - Ready for Review

ShortChemotherapy
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. Chemotherapy.relatedDiagnosis
Definition

Identifier of the diagnosis for which this chemotherapy is performed

ShortRelated Diagnosis
Control1..1
TypeIdentifier
4. Chemotherapy.startDate
Definition

Please report the date of the first chemotherapy given. If the date is unkown or partially missed insert the year at the best of your knowledge.

ShortStart date
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
6. Chemotherapy.endDate
Definition

Please report the date of the last chemotherapy given. If the date is unkown or partially missed insert the year at the best of your knowledge.

ShortEnd date
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. Chemotherapy.istitutionOfTreatment
Definition

Please indicate the institution in which all or most of the chemotherapeutic treatment was given

ShortInstitution of treatment
Control0..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Chemotherapy.istitutionOfTreatment.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
12. Chemotherapy.istitutionOfTreatment.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.

ShortAdditional 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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-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())
SlicingThis element introduces a set of slices on Chemotherapy.istitutionOfTreatment.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 14. Chemotherapy.istitutionOfTreatment.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).

    ShortExtensions 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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    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 Namesextensions, user content, modifiers
    Invariantsele-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())
    16. Chemotherapy.istitutionOfTreatment.description
    Definition

    Please provide name, city and countryof the institution

    ShortInstitution description
    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    18. Chemotherapy.istitutionOfTreatment.name
    Definition

    Institution name

    ShortInstitution name
    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    20. Chemotherapy.istitutionOfTreatment.address
    Definition

    Institution address

    ShortInstitution address
    Control0..1
    TypeBackboneElement
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. Chemotherapy.istitutionOfTreatment.address.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    24. Chemotherapy.istitutionOfTreatment.address.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.

    ShortAdditional 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.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-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())
    SlicingThis element introduces a set of slices on Chemotherapy.istitutionOfTreatment.address.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 26. Chemotherapy.istitutionOfTreatment.address.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).

      ShortExtensions 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.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      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 Namesextensions, user content, modifiers
      Invariantsele-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())
      28. Chemotherapy.istitutionOfTreatment.address.name
      Definition

      Institution city

      ShortInstitution city
      Control0..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      30. Chemotherapy.istitutionOfTreatment.address.country
      Definition

      Institution country

      ShortInstitution country
      Control0..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      32. Chemotherapy.productAdministration
      Definition

      Information about the product(s) administered

      ShortProduct(s) administartion data
      Control1..20
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      34. Chemotherapy.productAdministration.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      36. Chemotherapy.productAdministration.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.

      ShortAdditional 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.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-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())
      SlicingThis element introduces a set of slices on Chemotherapy.productAdministration.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 38. Chemotherapy.productAdministration.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).

        ShortExtensions 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.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        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 Namesextensions, user content, modifiers
        Invariantsele-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())
        40. Chemotherapy.productAdministration.agent
        Definition

        In this section, any of the 'antineoplastic and immunostimulating agents' received by the survivor should be reported, Drugs names are reported based on the ATC code listed under L01 to L04 in Appendix. Synonyms are included. When you start typing the name of the drug, the possible options will automatically suggested by the system. Up to 20 drugs are allowed into the system. The variable acronym changes based on the ordinal cmulative number of drugs received (e.g. FN_1, FN_2, FN_3, ?)

        ShortAntineoplastic and immunostimulating agents
        Control1..1
        TypeCodeableConcept
        42. Chemotherapy.productAdministration.dose
        Definition

        Dose received of each drug for this administration

        ShortDose (NOT in PCSP DB)
        Control0..1
        TypeQuantity
        44. Chemotherapy.productAdministration.cumulativeDose
        Definition

        Report the total cumulative dose received of each drug.

        ShortCumulative Dose
        Control0..1
        TypeBackboneElement
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        46. Chemotherapy.productAdministration.cumulativeDose.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        48. Chemotherapy.productAdministration.cumulativeDose.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.

        ShortAdditional 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.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-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())
        SlicingThis element introduces a set of slices on Chemotherapy.productAdministration.cumulativeDose.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 50. Chemotherapy.productAdministration.cumulativeDose.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).

          ShortExtensions 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.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          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 Namesextensions, user content, modifiers
          Invariantsele-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())
          52. Chemotherapy.productAdministration.cumulativeDose.notAvailable
          Definition

          Flag indicating if the dose was not calculated or it was not known

          ShortNot calculated or not known dose
          Control0..1
          TypeCodeableConcept
          54. Chemotherapy.productAdministration.cumulativeDose.measureType
          Definition

          Specify if the cumulative dose reported has been all calculated on real data or estimated based on the expected dose prescribed by the protocol. If some part of the calculation was based on estimated values, the whole field should be 'estimated'

          ShortHow the dose was determined (estimation or calculation)
          Control0..1
          TypeCodeableConcept
          56. Chemotherapy.productAdministration.cumulativeDose.completionStatus
          Definition

          Check in case of incomplete doses

          ShortThe reported doses are incomplete (either under- or over-estimated)
          Control0..1
          TypeCodeableConcept
          58. Chemotherapy.productAdministration.cumulativeDose.statusReason
          Definition

          Specify reasons of incomplete estimated doses

          ShortSpecify reasons why
          Control0..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          60. Chemotherapy.productAdministration.cumulativeDose.value
          Definition

          Report the total cumulative dose received of each drug.

          ShortTotal cumulative dose
          Control0..1
          Typedecimal
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          62. Chemotherapy.productAdministration.cumulativeDose.unit
          Definition

          If the dose was calculated, please report the measure unit of the calculation 1 => mg/m2 2 => gr/m2 3 => UI/m2 4 => NK 5 => NC (not calculated)

          ShortMeasure unit
          Control0..1
          TypeCodeableConcept
          64. Chemotherapy.corticosteroids
          Definition

          Report 'yes' if the survivor was treated with steroids for at least 4 weeks continuously 1 => Yes 2 => No -9922 => NK

          ShortProlonged corticosteroids as anti-cancer treatment at least 4 weeks continuously
          Control0..1
          TypeCodeableConcept
          66. Chemotherapy.intrathecalInjections
          Definition

          Intrathecal injections

          ShortIntrathecal injections
          Control0..1
          TypeBackboneElement
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          68. Chemotherapy.intrathecalInjections.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          70. Chemotherapy.intrathecalInjections.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.

          ShortAdditional 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.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-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())
          SlicingThis element introduces a set of slices on Chemotherapy.intrathecalInjections.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 72. Chemotherapy.intrathecalInjections.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).

            ShortExtensions 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.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            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 Namesextensions, user content, modifiers
            Invariantsele-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())
            74. Chemotherapy.intrathecalInjections.status
            Definition

            Please state if the survivor received any therapeutic intrathecal injections 1 => Yes 2 => No -9922 => NK

            ShortDid the survivor receive therapeutic intrathecal injections ?
            Control0..1
            TypeCodeableConcept
            76. Chemotherapy.intrathecalInjections.number
            Definition

            Report the total number of injections

            ShortTotal number
            Control0..1
            Typeinteger
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            78. Chemotherapy.intrathecalInjections.productName
            Definition

            Please report the names of drugs injected intrathecal

            ShortDrug(s) administered
            Control0..*
            Typestring
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            80. Chemotherapy.otherTreatments
            Definition

            Report any other chemothrapeutic treatments that are not included in the ATC code

            ShortOther chemothrapeutic treatments
            Control0..1
            TypeBackboneElement
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            82. Chemotherapy.otherTreatments.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            84. Chemotherapy.otherTreatments.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.

            ShortAdditional 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.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-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())
            SlicingThis element introduces a set of slices on Chemotherapy.otherTreatments.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 86. Chemotherapy.otherTreatments.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).

              ShortExtensions 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.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              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 Namesextensions, user content, modifiers
              Invariantsele-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())
              88. Chemotherapy.otherTreatments.productName
              Definition

              If yes, describe treatments

              ShortDrugs name
              Control1..*
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension