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: RelapseAfterFLT - XML Profile

Active as of 2026-01-16

XML representation of the RelapseAfterFLT logical model.

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    <StructureDefinition xmlns="http://hl7.org/fhir">
      <id value="RelapseAfterFLT"/>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition RelapseAfterFLT</b></p><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64, " alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-RelapseAfterFLT-definitions.html#RelapseAfterFLT" title="Progression-Relapse after FLT">RelapseAfterFLT</a><a name="RelapseAfterFLT"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/types.html#Base">Base</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Progression-Relapse after FLT</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-RelapseAfterFLT-definitions.html#RelapseAfterFLT.identifier" title="Progressive number of progression/relapse (1=first; 2= second; 3 = third; ?) after the end of treatment.
    In this field must be reported the ordinal number of the progression/relapse after the end of treatment.">identifier</a><a name="RelapseAfterFLT.identifier"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Progression-relapse after FLT number</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-RelapseAfterFLT-definitions.html#RelapseAfterFLT.relatedDiagnosis" title="Progressive number of diagnosis (1=first; 2= second; 3 = third; ?).
    In this field must be reported the ordinal number of the tumor diagnosis in which progression/relapse ocuured during front line treatment.">relatedDiagnosis</a><a name="RelapseAfterFLT.relatedDiagnosis"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Progressive number of diagnosis</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-RelapseAfterFLT-definitions.html#RelapseAfterFLT.date" title="Report here the date (dd/mm/yyyy ) of the relapse/progression. If the date is unkown or partially missed insert the year at the best of your knowledge.">date</a><a name="RelapseAfterFLT.date"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#date">date</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">date of relapse</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-RelapseAfterFLT-definitions.html#RelapseAfterFLT.relapseOrProgression" title="Report here if a relapse or progression occurred after the elective end of therapies.
    Please note that 'progressions' may occurr since in some cases (e.g. stage 3 unoperable residual neuroblastoma or residual CNS tumor) that were considered as 'non active' may progress
    1 =&gt; Relapse
    2 =&gt; Progression
    -9922= &gt; NK">relapseOrProgression</a><a name="RelapseAfterFLT.relapseOrProgression"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">relapse | progression</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-RelapseAfterFLT-definitions.html#RelapseAfterFLT.type" title="Please define if the relapse/progression was local, distant or combined.">type</a><a name="RelapseAfterFLT.type"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">local | distant | combined</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-RelapseAfterFLT-definitions.html#RelapseAfterFLT.site" title="Please define if the relapse/progression was local, distant or combined.">site</a><a name="RelapseAfterFLT.site"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">If distant, site of metastases</td></tr>
    <tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64, " alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
      </text>
      <url
           value="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/RelapseAfterFLT"/>
      <version value="1.0.0"/>
      <name value="RelapseAfterFLT"/>
      <title value="Progression-Relapse after FLT"/>
      <status value="active"/>
      <date value="2026-01-16T12:01:48+00:00"/>
      <publisher value="PanCareSurPass Project"/>
      <contact>
        <name value="PanCareSurPass Project"/>
        <telecom>
          <system value="url"/>
          <value value="https://www.pancaresurpass.eu/"/>
        </telecom>
      </contact>
      <contact>
        <name value="PanCareSurPass Project"/>
        <telecom>
          <system value="url"/>
          <value value="https://www.pancaresurpass.eu/"/>
        </telecom>
      </contact>
      <description value="Progression-Relapse after FLT"/>
      <jurisdiction>
        <coding>
          <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
          <code value="150"/>
          <display value="Europe"/>
        </coding>
      </jurisdiction>
      <fhirVersion value="4.0.1"/>
      <mapping>
        <identity value="fhir"/>
        <uri value="hl7.org/fhir/r4"/>
        <name value="RelapseAfterFLT model to PCSP HL7 FHIR R4 Profiles"/>
      </mapping>
      <kind value="logical"/>
      <abstract value="false"/>
      <type
            value="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/RelapseAfterFLT"/>
      <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
      <derivation value="specialization"/>
      <snapshot>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
          <valueString value="4.0.1"/>
        </extension>
        <element id="RelapseAfterFLT">
          <path value="RelapseAfterFLT"/>
          <short value="Progression-Relapse after FLT"/>
          <definition value="Progression-Relapse after FLT"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Base"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <isModifier value="false"/>
          <mapping>
            <identity value="fhir"/>
            <map
                 value="Condition.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-primaryCancer-eu-pcsp').where( (extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus').valueCode = #replaspe or #recurrence) and  ( onsetDateTime &gt;= Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-flt-eu-pcsp').performedPeriod.end) )"/>
          </mapping>
        </element>
        <element id="RelapseAfterFLT.identifier">
          <path value="RelapseAfterFLT.identifier"/>
          <short value="Progression-relapse after FLT number"/>
          <definition
                      value="Progressive number of progression/relapse (1=first; 2= second; 3 = third; ?) after the end of treatment.
    In this field must be reported the ordinal number of the progression/relapse after the end of treatment."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="RelapseAfterFLT.identifier"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Identifier"/>
          </type>
          <mapping>
            <identity value="fhir"/>
            <map value=".identifier"/>
          </mapping>
        </element>
        <element id="RelapseAfterFLT.relatedDiagnosis">
          <path value="RelapseAfterFLT.relatedDiagnosis"/>
          <short value="Progressive number of diagnosis"/>
          <definition
                      value="Progressive number of diagnosis (1=first; 2= second; 3 = third; ?).
    In this field must be reported the ordinal number of the tumor diagnosis in which progression/relapse ocuured during front line treatment."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="RelapseAfterFLT.relatedDiagnosis"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Identifier"/>
          </type>
          <mapping>
            <identity value="fhir"/>
            <map
                 value=".extension('http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing')"/>
          </mapping>
        </element>
        <element id="RelapseAfterFLT.date">
          <path value="RelapseAfterFLT.date"/>
          <short value="date of relapse"/>
          <definition
                      value="Report here the date (dd/mm/yyyy ) of the relapse/progression. If the date is unkown or partially missed insert the year at the best of your knowledge."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="RelapseAfterFLT.date"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="date"/>
          </type>
          <mapping>
            <identity value="fhir"/>
            <map
                 value=".extension('http://hl7.org/fhir/StructureDefinition/condition-assertedDate')"/>
          </mapping>
        </element>
        <element id="RelapseAfterFLT.relapseOrProgression">
          <path value="RelapseAfterFLT.relapseOrProgression"/>
          <short value="relapse | progression"/>
          <definition
                      value="Report here if a relapse or progression occurred after the elective end of therapies.
    Please note that 'progressions' may occurr since in some cases (e.g. stage 3 unoperable residual neuroblastoma or residual CNS tumor) that were considered as 'non active' may progress
    1 =&gt; Relapse
    2 =&gt; Progression
    -9922= &gt; NK"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="RelapseAfterFLT.relapseOrProgression"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <mapping>
            <identity value="fhir"/>
            <map
                 value=".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus').valueCodeableConcept OR Condition.where( clinicalStatus = #relapse or clinicalStatus = #recurrence).clinicalStatus"/>
          </mapping>
        </element>
        <element id="RelapseAfterFLT.type">
          <path value="RelapseAfterFLT.type"/>
          <short value="local | distant | combined"/>
          <definition
                      value="Please define if the relapse/progression was local, distant or combined."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="RelapseAfterFLT.type"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <mapping>
            <identity value="fhir"/>
            <map
                 value=".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType').valueCodeableConcept"/>
          </mapping>
        </element>
        <element id="RelapseAfterFLT.site">
          <path value="RelapseAfterFLT.site"/>
          <short value="If distant, site of metastases"/>
          <definition
                      value="Please define if the relapse/progression was local, distant or combined."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="RelapseAfterFLT.site"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <mapping>
            <identity value="fhir"/>
            <map value=".bodySite"/>
          </mapping>
        </element>
      </snapshot>
      <differential>
        <element id="RelapseAfterFLT">
          <path value="RelapseAfterFLT"/>
          <short value="Progression-Relapse after FLT"/>
          <definition value="Progression-Relapse after FLT"/>
          <mapping>
            <identity value="fhir"/>
            <map
                 value="Condition.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-primaryCancer-eu-pcsp').where( (extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus').valueCode = #replaspe or #recurrence) and  ( onsetDateTime &gt;= Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-flt-eu-pcsp').performedPeriod.end) )"/>
          </mapping>
        </element>
        <element id="RelapseAfterFLT.identifier">
          <path value="RelapseAfterFLT.identifier"/>
          <short value="Progression-relapse after FLT number"/>
          <definition
                      value="Progressive number of progression/relapse (1=first; 2= second; 3 = third; ?) after the end of treatment.
    In this field must be reported the ordinal number of the progression/relapse after the end of treatment."/>
          <min value="0"/>
          <max value="1"/>
          <type>
            <code value="Identifier"/>
          </type>
          <mapping>
            <identity value="fhir"/>
            <map value=".identifier"/>
          </mapping>
        </element>
        <element id="RelapseAfterFLT.relatedDiagnosis">
          <path value="RelapseAfterFLT.relatedDiagnosis"/>
          <short value="Progressive number of diagnosis"/>
          <definition
                      value="Progressive number of diagnosis (1=first; 2= second; 3 = third; ?).
    In this field must be reported the ordinal number of the tumor diagnosis in which progression/relapse ocuured during front line treatment."/>
          <min value="0"/>
          <max value="1"/>
          <type>
            <code value="Identifier"/>
          </type>
          <mapping>
            <identity value="fhir"/>
            <map
                 value=".extension('http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing')"/>
          </mapping>
        </element>
        <element id="RelapseAfterFLT.date">
          <path value="RelapseAfterFLT.date"/>
          <short value="date of relapse"/>
          <definition
                      value="Report here the date (dd/mm/yyyy ) of the relapse/progression. If the date is unkown or partially missed insert the year at the best of your knowledge."/>
          <min value="0"/>
          <max value="1"/>
          <type>
            <code value="date"/>
          </type>
          <mapping>
            <identity value="fhir"/>
            <map
                 value=".extension('http://hl7.org/fhir/StructureDefinition/condition-assertedDate')"/>
          </mapping>
        </element>
        <element id="RelapseAfterFLT.relapseOrProgression">
          <path value="RelapseAfterFLT.relapseOrProgression"/>
          <short value="relapse | progression"/>
          <definition
                      value="Report here if a relapse or progression occurred after the elective end of therapies.
    Please note that 'progressions' may occurr since in some cases (e.g. stage 3 unoperable residual neuroblastoma or residual CNS tumor) that were considered as 'non active' may progress
    1 =&gt; Relapse
    2 =&gt; Progression
    -9922= &gt; NK"/>
          <min value="0"/>
          <max value="1"/>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <mapping>
            <identity value="fhir"/>
            <map
                 value=".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus').valueCodeableConcept OR Condition.where( clinicalStatus = #relapse or clinicalStatus = #recurrence).clinicalStatus"/>
          </mapping>
        </element>
        <element id="RelapseAfterFLT.type">
          <path value="RelapseAfterFLT.type"/>
          <short value="local | distant | combined"/>
          <definition
                      value="Please define if the relapse/progression was local, distant or combined."/>
          <min value="0"/>
          <max value="1"/>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <mapping>
            <identity value="fhir"/>
            <map
                 value=".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType').valueCodeableConcept"/>
          </mapping>
        </element>
        <element id="RelapseAfterFLT.site">
          <path value="RelapseAfterFLT.site"/>
          <short value="If distant, site of metastases"/>
          <definition
                      value="Please define if the relapse/progression was local, distant or combined."/>
          <min value="0"/>
          <max value="1"/>
          <type>
            <code value="string"/>
          </type>
          <mapping>
            <identity value="fhir"/>
            <map value=".bodySite"/>
          </mapping>
        </element>
      </differential>
    </StructureDefinition>