Generated Narrative: StructureDefinition StemCellTransplantation Name Flags Card. Type Description & Constraints StemCellTransplantation 0..* Base Stem Cell Transplantation #xD; identifier 1..* Identifier SCT Identifier #xD; relatedDiagnosis 1..* Identifier Progressive number of diagnosis #xD; relatedRelapse 1..* Identifier Progressive number of relapse/progression (after FLT) #xD; istitutionOfTreatment 0..1 BackboneElement Institution of treatment #xD; description 0..1 string Institution description #xD; name 0..1 string Institution name #xD; address 0..1 BackboneElement Institution address #xD; name 0..1 string Institution city #xD; country 0..1 string Institution country #xD; date 0..* dateTime Date of transplant #xD; transplantType 0..1 CodeableConcept Type of transplant #xD; <a href="StructureDefinition-StemCellTransplantation-definitions.html#StemCellTransplantation.donorType" title="Define the type of donor #xA;in case of allogenic transplant,#xA;1 = matched related#xA;2 = matched unrelated#xA;3 = mismatch related#xA;4 = mismatch unrelated#xA;5 = haplo-identical#xA;-9922 = NK#xA;#xA;1 = matched related ? sibling#xA;2 = matched related ? parent#xA;3 = matched related ? other (e.g. cousin)#xA;-9922 = NK">donorType 0..1 CodeableConcept Type of donor #xD; cellSource 0..1 CodeableConcept Source of cells #xD; <a href="StructureDefinition-StemCellTransplantation-definitions.html#StemCellTransplantation.conditioningRegimen" title="Please list the drugs (name) and radiotherapy used or the conditioning regimen. These drugs contribute to the calculation of cumulative doses received by the patient reported in the chemotherapy section. Here it is requested only the names of the drugs and if possible the dosage used (only for possible information in the future).#xA;No calculations are made on these data.">conditioningRegimen 0..1 string Conditioning regimen: drugs used #xD; gvhd 0..1 BackboneElement Graft Versus Host Disease #xD; Yes#xA;2 => No#xA;-9922 => NK ">prophylaxis 0..1 CodeableConcept GVHD prophylaxis #xD; acute 0..1 BackboneElement GVHD Acute #xD; Yes#xA;2 => No#xA;-9922 => NK ">status 1..1 CodeableConcept GVHD Acutestatus #xD; 1#xA;2 => 2#xA;3 => 3#xA;4 => 4#xA;-9922 => NK ">grade 1..1 CodeableConcept Grade #xD; startDate 0..1 date Start date #xD; endDate 0..1 date End date #xD; chronic 0..1 BackboneElement GVHD Chronic #xD; Yes#xA;2 => No#xA;-9922 => NK ">status 1..1 CodeableConcept GVHD Chronicstatus #xD; Limited#xA;2 => Extensive#xA;-9922 => NK">grade 1..1 CodeableConcept Grade #xD; startDate 0..1 date Start date #xD; endDate 0..1 date End date #xD; organAffected 0..* string Organs affected #xD; bloodBeforeTransplant 0..1 BackboneElement Blood before transplant #xD; A#xA;2 => B#xA;3 => AB#xA;4 => O #xA;-9922 => NK">type 1..1 CodeableConcept Blood type #xD; +#xA;2 => -#xA;-9922 => NK ">rh 1..1 CodeableConcept Rh #xD; bloodAfterTransplant 0..1 BackboneElement Blood after transplant #xD; A#xA;2 => B#xA;3 => AB#xA;4 => O #xA;-9922 => NK">type 1..1 CodeableConcept Blood type #xD; +#xA;2 => -#xA;-9922 => NK ">rh 1..1 CodeableConcept Rh #xD; endOfTreatment 0..1 date Date of end of immunosuppressive treatmentafter HSCT #xD; Documentation for this format
StemCellTransplantation model to PCSP HL7 FHIR R4 Profiles
Progressive number of relapse/progression (after FLT)
Please Identify the institution were the procedure was performed
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
Additional content defined by implementations
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.
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.
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
Extensions that cannot be ignored even if unrecognized
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).
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Date of the reinfusion of hematopoietic stem cells. If the date is unkown or partially missed insert the year at the best of your knowledge.
Indicate if the transplant was autologous or allogeneic. 1 = Autologous 2 = Allogeneic -9922 = NK
Define the type of donor in case of allogenic transplant, 1 = matched related 2 = matched unrelated 3 = mismatch related 4 = mismatch unrelated 5 = haplo-identical -9922 = NK 1 = matched related ? sibling 2 = matched related ? parent 3 = matched related ? other (e.g. cousin) -9922 = NK
BiologicallyDerivedProduct .conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/BiologicallyDerivedProduct-sct-eu-pcsp').extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/sct-donor-type').valueCodeableConcept
Indicate the source of cells 1 = PBSC 2 = Bone marrow 3 = Cord -9922 = NK
BiologicallyDerivedProduct .conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/BiologicallyDerivedProduct-sct-eu-pcsp').extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/sct-source-type').valueCodeableConcept
Please list the drugs (name) and radiotherapy used or the conditioning regimen. These drugs contribute to the calculation of cumulative doses received by the patient reported in the chemotherapy section. Here it is requested only the names of the drugs and if possible the dosage used (only for possible information in the future). No calculations are made on these data.
Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-sct-prophylaxis-eu-pcsp').where(reasonReference.resolve().conformTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-sct-eu-pcsp') ).text
State if any GVHD prophylaxis was given. Details on the drug names used for GVHD prophylaxis should be listed in the chemotherapy section under 'immunotherapy'). 1 => Yes 2 => No -9922 => NK
Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-sct-prophylaxis-eu-pcsp').where(code = $sct#868254008 'GVHD (graft versus host disease) prophylaxis').exists()
.where(code = http://snomed.info/sct#402355000 'Acute graft-versus-host disease')
Please State if acute GVHD occurred 1 => Yes 2 => No -9922 => NK
.where(code = http://snomed.info/sct#402355000 'Acute graft-versus-host disease').exists()
If yes, state the maximum grade of acute GVHD. 1 => 1 2 => 2 3 => 3 4 => 4 -9922 => NK
Define the starting date of GVHD. If the date is unkown or partially missed insert the year at the best of your knowledge.
Define the ending date of GVHD. If the date is unkown or partially missed insert the year at the best of your knowledge.
.where(code = http://snomed.info/sct#402356004 'Chronic graft-versus-host disease')
Please State if chronic GVHD occurred 1 => Yes 2 => No -9922 => NK
.where(code = http://snomed.info/sct#402356004 'Chronic graft-versus-host disease').exists()
If yes, state the maximum grade of chronic GVHD 1 => Limited 2 => Extensive -9922 => NK
Please Define the starting date of GVHD. If the date is unkown or partially missed insert the year at the best of your knowledge.
Please Define the ending date of GVHD. If the date is unkown or partially missed insert the year at the best of your knowledge.
Observation.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Observation-bld-abo-rh-eu-pcsp').where(effectiveTiming.code = #before-procedure)
Blood type before transplant 1 => A 2 => B 3 => AB 4 => O -9922 => NK
component.where(code = $loinc#883-9 'ABO group [Type] in Blood').value
Rh factor before transplant 1 => + 2 => - -9922 => NK
component.where(code = $loinc#10331-7 'Rh [Type] in Blood').value
Observation.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Observation-bld-abo-rh-eu-pcsp').where(effectiveTiming.code = #after-procedure)
Blood type after transplant 1 => A 2 => B 3 => AB 4 => O -9922 => NK
Rh factor after transplant 1 => + 2 => - -9922 => NK
Date of end of immunosuppressive treatmentafter HSCT
Date of end of immunosuppressive treatment. If the date is unkown or partially missed insert the year at the best of your knowledge.
Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-sct-prophylaxis-eu-pcsp').where(category = $sct#416608005 'Drug therapy' ).performedPeriod.end