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: TreatmentSummary - Detailed Descriptions

Draft as of 2024-12-11

Definitions for the TreatmentSummary logical model.

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

0. TreatmentSummary
Definition

Treatment Summary data model Maturity Level: 2 - Ready for Review

ShortTreatment Summary
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. TreatmentSummary.subject
Definition

Subject

ShortSubject
Control1..1
Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/Subject
4. TreatmentSummary.diagnosis
Definition

Diagnosis

ShortDiagnosis
Control0..5
TypeBackboneElement
6. TreatmentSummary.diagnosis.details
Definition

Details about this diagnosis

ShortDetails about this diagnosis
Control0..1
Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/Diagnosis
8. TreatmentSummary.diagnosis.frontLineTreatment
Definition

Front line treatment

ShortFront line treatment
Control0..1
Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/FrontLineTreatment
10. TreatmentSummary.diagnosis.chemotherapy
Definition

Chemotherapy

ShortChemotherapy
Control0..1
Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/Chemotherapy
12. TreatmentSummary.diagnosis.stemCellTransplantation
Definition

Stem Cell transplantation

ShortStem Cell transplantation
Control0..*
Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/StemCellTransplantation
14. TreatmentSummary.diagnosis.radiotherapy
Definition

Radiotherapy

ShortRadiotherapy
Control0..*
Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/Radiotherapy
16. TreatmentSummary.diagnosis.majorSurgery
Definition

Major Surgery

ShortMajor Surgery
Control0..*
Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/MajorSurgery
18. TreatmentSummary.diagnosis.otherInfos
Definition

Other info and relevant events

ShortOther info and relevant events
Control0..*
Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/OtherInfos
20. TreatmentSummary.diagnosis.medicalSuggestion
Definition

Medical suggestion

ShortMedical suggestion
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
22. TreatmentSummary.diagnosis.relapseDuringFLT
Definition

Progression-Relapse during Front line treatment

ShortProgression-Relapse during FLT
Control0..*
Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/RelapseDuringFLT
24. TreatmentSummary.diagnosis.relapseAfterEOT
Definition

Progression-relapse after the End of Treatment

ShortProgression-relapse after the End of Treatment
Control0..*
TypeBackboneElement
26. TreatmentSummary.diagnosis.relapseAfterEOT.details
Definition

Details about this relapse-progression

ShortDetails about this relapse-progression
Control0..1
Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/RelapseAfterFLT
28. TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment
Definition

The salvage treatment has been executed following

ShortSalvage treatment
Control0..1
Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/FrontLineTreatment
Invariantsno-frontLineTreatment: notForRelapse details are not provided for relapses after EOT (notForRelapse.exists())
30. TreatmentSummary.diagnosis.relapseAfterEOT.chemotherapy
Definition

Chemotherapy

ShortChemotherapy
Control0..1
Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/Chemotherapy
32. TreatmentSummary.diagnosis.relapseAfterEOT.stemCellTransplantation
Definition

Stem Cell transplantation

ShortStem Cell transplantation
Control0..*
Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/StemCellTransplantation
34. TreatmentSummary.diagnosis.relapseAfterEOT.radiotherapy
Definition

Radiotherapy

ShortRadiotherapy
Control0..*
Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/Radiotherapy
36. TreatmentSummary.diagnosis.relapseAfterEOT.majorSurgery
Definition

Major Surgery

ShortMajor Surgery
Control0..*
Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/MajorSurgery
38. TreatmentSummary.diagnosis.relapseAfterEOT.otherInfos
Definition

Other info and relevant events

ShortOther info and relevant events
Control0..*
Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/OtherInfos
40. TreatmentSummary.diagnosis.relapseAfterEOT.medicalSuggestion
Definition

Medical suggestion

ShortMedical suggestion
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
42. TreatmentSummary.diagnosis.otherConditions
Definition

Please list here if the patient has or had other medical conditions not reported to be cancer-associated (e.g. diabetes, congenital cardiopathy, amputations, kidney transplant)

ShortOther medical conditions, not cancer associated
Control0..*
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. TreatmentSummary
Definition

Treatment Summary data model Maturity Level: 2 - Ready for Review

ShortTreatment Summary
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. TreatmentSummary.subject
Definition

Subject

ShortSubject
Control1..1
Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/Subject
4. TreatmentSummary.diagnosis
Definition

Diagnosis

ShortDiagnosis
Control0..5
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. TreatmentSummary.diagnosis.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
8. TreatmentSummary.diagnosis.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 TreatmentSummary.diagnosis.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 10. TreatmentSummary.diagnosis.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. TreatmentSummary.diagnosis.details
    Definition

    Details about this diagnosis

    ShortDetails about this diagnosis
    Control0..1
    Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/Diagnosis
    14. TreatmentSummary.diagnosis.frontLineTreatment
    Definition

    Front line treatment

    ShortFront line treatment
    Control0..1
    Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/FrontLineTreatment
    16. TreatmentSummary.diagnosis.chemotherapy
    Definition

    Chemotherapy

    ShortChemotherapy
    Control0..1
    Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/Chemotherapy
    18. TreatmentSummary.diagnosis.stemCellTransplantation
    Definition

    Stem Cell transplantation

    ShortStem Cell transplantation
    Control0..*
    Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/StemCellTransplantation
    20. TreatmentSummary.diagnosis.radiotherapy
    Definition

    Radiotherapy

    ShortRadiotherapy
    Control0..*
    Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/Radiotherapy
    22. TreatmentSummary.diagnosis.majorSurgery
    Definition

    Major Surgery

    ShortMajor Surgery
    Control0..*
    Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/MajorSurgery
    24. TreatmentSummary.diagnosis.otherInfos
    Definition

    Other info and relevant events

    ShortOther info and relevant events
    Control0..*
    Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/OtherInfos
    26. TreatmentSummary.diagnosis.medicalSuggestion
    Definition

    Medical suggestion

    ShortMedical suggestion
    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    28. TreatmentSummary.diagnosis.relapseDuringFLT
    Definition

    Progression-Relapse during Front line treatment

    ShortProgression-Relapse during FLT
    Control0..*
    Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/RelapseDuringFLT
    30. TreatmentSummary.diagnosis.relapseAfterEOT
    Definition

    Progression-relapse after the End of Treatment

    ShortProgression-relapse after the End of Treatment
    Control0..*
    TypeBackboneElement
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    32. TreatmentSummary.diagnosis.relapseAfterEOT.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
    34. TreatmentSummary.diagnosis.relapseAfterEOT.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 TreatmentSummary.diagnosis.relapseAfterEOT.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 36. TreatmentSummary.diagnosis.relapseAfterEOT.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())
      38. TreatmentSummary.diagnosis.relapseAfterEOT.details
      Definition

      Details about this relapse-progression

      ShortDetails about this relapse-progression
      Control0..1
      Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/RelapseAfterFLT
      40. TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment
      Definition

      The salvage treatment has been executed following

      ShortSalvage treatment
      Control0..1
      Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/FrontLineTreatment
      Invariantsno-frontLineTreatment: notForRelapse details are not provided for relapses after EOT (notForRelapse.exists())
      42. TreatmentSummary.diagnosis.relapseAfterEOT.chemotherapy
      Definition

      Chemotherapy

      ShortChemotherapy
      Control0..1
      Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/Chemotherapy
      44. TreatmentSummary.diagnosis.relapseAfterEOT.stemCellTransplantation
      Definition

      Stem Cell transplantation

      ShortStem Cell transplantation
      Control0..*
      Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/StemCellTransplantation
      46. TreatmentSummary.diagnosis.relapseAfterEOT.radiotherapy
      Definition

      Radiotherapy

      ShortRadiotherapy
      Control0..*
      Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/Radiotherapy
      48. TreatmentSummary.diagnosis.relapseAfterEOT.majorSurgery
      Definition

      Major Surgery

      ShortMajor Surgery
      Control0..*
      Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/MajorSurgery
      50. TreatmentSummary.diagnosis.relapseAfterEOT.otherInfos
      Definition

      Other info and relevant events

      ShortOther info and relevant events
      Control0..*
      Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/OtherInfos
      52. TreatmentSummary.diagnosis.relapseAfterEOT.medicalSuggestion
      Definition

      Medical suggestion

      ShortMedical suggestion
      Control0..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      54. TreatmentSummary.diagnosis.otherConditions
      Definition

      Please list here if the patient has or had other medical conditions not reported to be cancer-associated (e.g. diabetes, congenital cardiopathy, amputations, kidney transplant)

      ShortOther medical conditions, not cancer associated
      Control0..*
      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. TreatmentSummary
      Definition

      Treatment Summary data model Maturity Level: 2 - Ready for Review

      ShortTreatment Summary
      Control0..*
      Is Modifierfalse
      Logical ModelInstances of this logical model are not marked to be the target of a Reference
      2. TreatmentSummary.subject
      Definition

      Subject

      ShortSubject
      Control1..1
      Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/Subject
      4. TreatmentSummary.diagnosis
      Definition

      Diagnosis

      ShortDiagnosis
      Control0..5
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      6. TreatmentSummary.diagnosis.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
      8. TreatmentSummary.diagnosis.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 TreatmentSummary.diagnosis.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 10. TreatmentSummary.diagnosis.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. TreatmentSummary.diagnosis.details
        Definition

        Details about this diagnosis

        ShortDetails about this diagnosis
        Control0..1
        Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/Diagnosis
        14. TreatmentSummary.diagnosis.frontLineTreatment
        Definition

        Front line treatment

        ShortFront line treatment
        Control0..1
        Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/FrontLineTreatment
        16. TreatmentSummary.diagnosis.chemotherapy
        Definition

        Chemotherapy

        ShortChemotherapy
        Control0..1
        Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/Chemotherapy
        18. TreatmentSummary.diagnosis.stemCellTransplantation
        Definition

        Stem Cell transplantation

        ShortStem Cell transplantation
        Control0..*
        Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/StemCellTransplantation
        20. TreatmentSummary.diagnosis.radiotherapy
        Definition

        Radiotherapy

        ShortRadiotherapy
        Control0..*
        Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/Radiotherapy
        22. TreatmentSummary.diagnosis.majorSurgery
        Definition

        Major Surgery

        ShortMajor Surgery
        Control0..*
        Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/MajorSurgery
        24. TreatmentSummary.diagnosis.otherInfos
        Definition

        Other info and relevant events

        ShortOther info and relevant events
        Control0..*
        Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/OtherInfos
        26. TreatmentSummary.diagnosis.medicalSuggestion
        Definition

        Medical suggestion

        ShortMedical suggestion
        Control0..1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        28. TreatmentSummary.diagnosis.relapseDuringFLT
        Definition

        Progression-Relapse during Front line treatment

        ShortProgression-Relapse during FLT
        Control0..*
        Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/RelapseDuringFLT
        30. TreatmentSummary.diagnosis.relapseAfterEOT
        Definition

        Progression-relapse after the End of Treatment

        ShortProgression-relapse after the End of Treatment
        Control0..*
        TypeBackboneElement
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        32. TreatmentSummary.diagnosis.relapseAfterEOT.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
        34. TreatmentSummary.diagnosis.relapseAfterEOT.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 TreatmentSummary.diagnosis.relapseAfterEOT.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 36. TreatmentSummary.diagnosis.relapseAfterEOT.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())
          38. TreatmentSummary.diagnosis.relapseAfterEOT.details
          Definition

          Details about this relapse-progression

          ShortDetails about this relapse-progression
          Control0..1
          Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/RelapseAfterFLT
          40. TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment
          Definition

          The salvage treatment has been executed following

          ShortSalvage treatment
          Control0..1
          Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/FrontLineTreatment
          Invariantsno-frontLineTreatment: notForRelapse details are not provided for relapses after EOT (notForRelapse.exists())
          42. TreatmentSummary.diagnosis.relapseAfterEOT.chemotherapy
          Definition

          Chemotherapy

          ShortChemotherapy
          Control0..1
          Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/Chemotherapy
          44. TreatmentSummary.diagnosis.relapseAfterEOT.stemCellTransplantation
          Definition

          Stem Cell transplantation

          ShortStem Cell transplantation
          Control0..*
          Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/StemCellTransplantation
          46. TreatmentSummary.diagnosis.relapseAfterEOT.radiotherapy
          Definition

          Radiotherapy

          ShortRadiotherapy
          Control0..*
          Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/Radiotherapy
          48. TreatmentSummary.diagnosis.relapseAfterEOT.majorSurgery
          Definition

          Major Surgery

          ShortMajor Surgery
          Control0..*
          Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/MajorSurgery
          50. TreatmentSummary.diagnosis.relapseAfterEOT.otherInfos
          Definition

          Other info and relevant events

          ShortOther info and relevant events
          Control0..*
          Typehttp://hl7.eu/fhir/ig/pcsp/StructureDefinition/OtherInfos
          52. TreatmentSummary.diagnosis.relapseAfterEOT.medicalSuggestion
          Definition

          Medical suggestion

          ShortMedical suggestion
          Control0..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          54. TreatmentSummary.diagnosis.otherConditions
          Definition

          Please list here if the patient has or had other medical conditions not reported to be cancer-associated (e.g. diabetes, congenital cardiopathy, amputations, kidney transplant)

          ShortOther medical conditions, not cancer associated
          Control0..*
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension