PanCareSurPass Project HL7 FHIR Implementation Guide
1.0.0 - release 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 1.0.0 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: Treatment Summary

Official URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/TreatmentSummary | Version: 1.0.0
Active as of 2026-01-16 | Computable Name: TreatmentSummary

Treatment Summary data model

Usages:

- Use this Logical Model: SurPass V2.0

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
TreatmentSummary |  | 0..* | Base | Treatment Summary
subject |  | 1..1 | Subject | Subject
diagnosis |  | 0..5 | BackboneElement | Diagnosis
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
details |  | 0..1 | Diagnosis | Details about this diagnosis
frontLineTreatment |  | 0..1 | FrontLineTreatment | Front line treatment
chemotherapy |  | 0..1 | Chemotherapy | Chemotherapy
stemCellTransplantation |  | 0..* | StemCellTransplantation | Stem Cell transplantation
radiotherapy |  | 0..* | Radiotherapy | Radiotherapy
majorSurgery |  | 0..* | MajorSurgery | Major Surgery
otherInfos |  | 0..* | OtherInfos | Other info and relevant events
medicalSuggestion |  | 0..1 | string | Medical suggestion
relapseDuringFLT |  | 0..* | RelapseDuringFLT | Progression-Relapse during FLT
relapseAfterEOT |  | 0..* | BackboneElement | Progression-relapse after the End of Treatment
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
details |  | 0..1 | RelapseAfterFLT | Details about this relapse-progression
frontLineTreatment | C | 0..1 | FrontLineTreatment | Salvage treatment Constraints: no-frontLineTreatment
chemotherapy |  | 0..1 | Chemotherapy | Chemotherapy
stemCellTransplantation |  | 0..* | StemCellTransplantation | Stem Cell transplantation
radiotherapy |  | 0..* | Radiotherapy | Radiotherapy
majorSurgery |  | 0..* | MajorSurgery | Major Surgery
otherInfos |  | 0..* | OtherInfos | Other info and relevant events
medicalSuggestion |  | 0..1 | string | Medical suggestion
otherConditions |  | 0..* | string | Other medical conditions, not cancer associated
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
no-frontLineTreatment | error | TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment | notForRelapse details are not provided for relapses after EOT | `notForRelapse.exists()`

This structure is derived from Base

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
TreatmentSummary |  | 0..* | Base | Treatment Summary
subject |  | 1..1 | Subject | Subject
diagnosis |  | 0..5 | BackboneElement | Diagnosis
details |  | 0..1 | Diagnosis | Details about this diagnosis
frontLineTreatment |  | 0..1 | FrontLineTreatment | Front line treatment
chemotherapy |  | 0..1 | Chemotherapy | Chemotherapy
stemCellTransplantation |  | 0..* | StemCellTransplantation | Stem Cell transplantation
radiotherapy |  | 0..* | Radiotherapy | Radiotherapy
majorSurgery |  | 0..* | MajorSurgery | Major Surgery
otherInfos |  | 0..* | OtherInfos | Other info and relevant events
medicalSuggestion |  | 0..1 | string | Medical suggestion
relapseDuringFLT |  | 0..* | RelapseDuringFLT | Progression-Relapse during FLT
relapseAfterEOT |  | 0..* | BackboneElement | Progression-relapse after the End of Treatment
details |  | 0..1 | RelapseAfterFLT | Details about this relapse-progression
frontLineTreatment | C | 0..1 | FrontLineTreatment | Salvage treatment Constraints: no-frontLineTreatment
chemotherapy |  | 0..1 | Chemotherapy | Chemotherapy
stemCellTransplantation |  | 0..* | StemCellTransplantation | Stem Cell transplantation
radiotherapy |  | 0..* | Radiotherapy | Radiotherapy
majorSurgery |  | 0..* | MajorSurgery | Major Surgery
otherInfos |  | 0..* | OtherInfos | Other info and relevant events
medicalSuggestion |  | 0..1 | string | Medical suggestion
otherConditions |  | 0..* | string | Other medical conditions, not cancer associated
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
no-frontLineTreatment | error | TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment | notForRelapse details are not provided for relapses after EOT | `notForRelapse.exists()`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
TreatmentSummary |  | 0..* | Base | Treatment Summary
subject |  | 1..1 | Subject | Subject
diagnosis |  | 0..5 | BackboneElement | Diagnosis
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
details |  | 0..1 | Diagnosis | Details about this diagnosis
frontLineTreatment |  | 0..1 | FrontLineTreatment | Front line treatment
chemotherapy |  | 0..1 | Chemotherapy | Chemotherapy
stemCellTransplantation |  | 0..* | StemCellTransplantation | Stem Cell transplantation
radiotherapy |  | 0..* | Radiotherapy | Radiotherapy
majorSurgery |  | 0..* | MajorSurgery | Major Surgery
otherInfos |  | 0..* | OtherInfos | Other info and relevant events
medicalSuggestion |  | 0..1 | string | Medical suggestion
relapseDuringFLT |  | 0..* | RelapseDuringFLT | Progression-Relapse during FLT
relapseAfterEOT |  | 0..* | BackboneElement | Progression-relapse after the End of Treatment
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
details |  | 0..1 | RelapseAfterFLT | Details about this relapse-progression
frontLineTreatment | C | 0..1 | FrontLineTreatment | Salvage treatment Constraints: no-frontLineTreatment
chemotherapy |  | 0..1 | Chemotherapy | Chemotherapy
stemCellTransplantation |  | 0..* | StemCellTransplantation | Stem Cell transplantation
radiotherapy |  | 0..* | Radiotherapy | Radiotherapy
majorSurgery |  | 0..* | MajorSurgery | Major Surgery
otherInfos |  | 0..* | OtherInfos | Other info and relevant events
medicalSuggestion |  | 0..1 | string | Medical suggestion
otherConditions |  | 0..* | string | Other medical conditions, not cancer associated
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
no-frontLineTreatment | error | TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment | notForRelapse details are not provided for relapses after EOT | `notForRelapse.exists()`

This structure is derived from Base

Summary

Mandatory: 0 element(1 nested mandatory element)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
TreatmentSummary |  | 0..* | Base | Treatment Summary
subject |  | 1..1 | Subject | Subject
diagnosis |  | 0..5 | BackboneElement | Diagnosis
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
details |  | 0..1 | Diagnosis | Details about this diagnosis
frontLineTreatment |  | 0..1 | FrontLineTreatment | Front line treatment
chemotherapy |  | 0..1 | Chemotherapy | Chemotherapy
stemCellTransplantation |  | 0..* | StemCellTransplantation | Stem Cell transplantation
radiotherapy |  | 0..* | Radiotherapy | Radiotherapy
majorSurgery |  | 0..* | MajorSurgery | Major Surgery
otherInfos |  | 0..* | OtherInfos | Other info and relevant events
medicalSuggestion |  | 0..1 | string | Medical suggestion
relapseDuringFLT |  | 0..* | RelapseDuringFLT | Progression-Relapse during FLT
relapseAfterEOT |  | 0..* | BackboneElement | Progression-relapse after the End of Treatment
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
details |  | 0..1 | RelapseAfterFLT | Details about this relapse-progression
frontLineTreatment | C | 0..1 | FrontLineTreatment | Salvage treatment Constraints: no-frontLineTreatment
chemotherapy |  | 0..1 | Chemotherapy | Chemotherapy
stemCellTransplantation |  | 0..* | StemCellTransplantation | Stem Cell transplantation
radiotherapy |  | 0..* | Radiotherapy | Radiotherapy
majorSurgery |  | 0..* | MajorSurgery | Major Surgery
otherInfos |  | 0..* | OtherInfos | Other info and relevant events
medicalSuggestion |  | 0..1 | string | Medical suggestion
otherConditions |  | 0..* | string | Other medical conditions, not cancer associated
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
no-frontLineTreatment | error | TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment | notForRelapse details are not provided for relapses after EOT | `notForRelapse.exists()`

Differential View

This structure is derived from Base

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
TreatmentSummary |  | 0..* | Base | Treatment Summary
subject |  | 1..1 | Subject | Subject
diagnosis |  | 0..5 | BackboneElement | Diagnosis
details |  | 0..1 | Diagnosis | Details about this diagnosis
frontLineTreatment |  | 0..1 | FrontLineTreatment | Front line treatment
chemotherapy |  | 0..1 | Chemotherapy | Chemotherapy
stemCellTransplantation |  | 0..* | StemCellTransplantation | Stem Cell transplantation
radiotherapy |  | 0..* | Radiotherapy | Radiotherapy
majorSurgery |  | 0..* | MajorSurgery | Major Surgery
otherInfos |  | 0..* | OtherInfos | Other info and relevant events
medicalSuggestion |  | 0..1 | string | Medical suggestion
relapseDuringFLT |  | 0..* | RelapseDuringFLT | Progression-Relapse during FLT
relapseAfterEOT |  | 0..* | BackboneElement | Progression-relapse after the End of Treatment
details |  | 0..1 | RelapseAfterFLT | Details about this relapse-progression
frontLineTreatment | C | 0..1 | FrontLineTreatment | Salvage treatment Constraints: no-frontLineTreatment
chemotherapy |  | 0..1 | Chemotherapy | Chemotherapy
stemCellTransplantation |  | 0..* | StemCellTransplantation | Stem Cell transplantation
radiotherapy |  | 0..* | Radiotherapy | Radiotherapy
majorSurgery |  | 0..* | MajorSurgery | Major Surgery
otherInfos |  | 0..* | OtherInfos | Other info and relevant events
medicalSuggestion |  | 0..1 | string | Medical suggestion
otherConditions |  | 0..* | string | Other medical conditions, not cancer associated
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
no-frontLineTreatment | error | TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment | notForRelapse details are not provided for relapses after EOT | `notForRelapse.exists()`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
TreatmentSummary |  | 0..* | Base | Treatment Summary
subject |  | 1..1 | Subject | Subject
diagnosis |  | 0..5 | BackboneElement | Diagnosis
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
details |  | 0..1 | Diagnosis | Details about this diagnosis
frontLineTreatment |  | 0..1 | FrontLineTreatment | Front line treatment
chemotherapy |  | 0..1 | Chemotherapy | Chemotherapy
stemCellTransplantation |  | 0..* | StemCellTransplantation | Stem Cell transplantation
radiotherapy |  | 0..* | Radiotherapy | Radiotherapy
majorSurgery |  | 0..* | MajorSurgery | Major Surgery
otherInfos |  | 0..* | OtherInfos | Other info and relevant events
medicalSuggestion |  | 0..1 | string | Medical suggestion
relapseDuringFLT |  | 0..* | RelapseDuringFLT | Progression-Relapse during FLT
relapseAfterEOT |  | 0..* | BackboneElement | Progression-relapse after the End of Treatment
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
details |  | 0..1 | RelapseAfterFLT | Details about this relapse-progression
frontLineTreatment | C | 0..1 | FrontLineTreatment | Salvage treatment Constraints: no-frontLineTreatment
chemotherapy |  | 0..1 | Chemotherapy | Chemotherapy
stemCellTransplantation |  | 0..* | StemCellTransplantation | Stem Cell transplantation
radiotherapy |  | 0..* | Radiotherapy | Radiotherapy
majorSurgery |  | 0..* | MajorSurgery | Major Surgery
otherInfos |  | 0..* | OtherInfos | Other info and relevant events
medicalSuggestion |  | 0..1 | string | Medical suggestion
otherConditions |  | 0..* | string | Other medical conditions, not cancer associated
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
no-frontLineTreatment | error | TreatmentSummary.diagnosis.relapseAfterEOT.frontLineTreatment | notForRelapse details are not provided for relapses after EOT | `notForRelapse.exists()`

This structure is derived from Base

Summary

Mandatory: 0 element(1 nested mandatory element)

Other representations of profile: CSV, Excel