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 - TTL Profile

Active as of 2026-01-16

TTL representation of the RelapseAfterFLT logical model.

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:StructureDefinition ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "RelapseAfterFLT"] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<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>#xD;\n<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.#xA;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>#xD;\n<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; ?).  #xA;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>#xD;\n<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>#xD;\n<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.#xA;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#xA;1 => Relapse#xA;2 => Progression#xA;-9922= > 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>#xD;\n<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>#xD;\n<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>#xD;\n<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>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:url [
    fhir:v "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/RelapseAfterFLT"^^xsd:anyURI ;
    fhir:l <http://hl7.eu/fhir/ig/pcsp/StructureDefinition/RelapseAfterFLT>
      ] ; #
      fhir:version [ fhir:v "1.0.0"] ; #
      fhir:name [ fhir:v "RelapseAfterFLT"] ; #
      fhir:title [ fhir:v "Progression-Relapse after FLT"] ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:date [ fhir:v "2026-01-16T12:01:48+00:00"^^xsd:dateTime] ; #
      fhir:publisher [ fhir:v "PanCareSurPass Project"] ; #
      fhir:contact ( [
    fhir:name [ fhir:v "PanCareSurPass Project" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "https://www.pancaresurpass.eu/" ]     ] )
      ] [
    fhir:name [ fhir:v "PanCareSurPass Project" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "https://www.pancaresurpass.eu/" ]     ] )
      ] ) ; #
      fhir:description [ fhir:v "Progression-Relapse after FLT"] ; #
      fhir:jurisdiction ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ;
    fhir:l <http://unstats.un.org/unsd/methods/m49/m49.htm>       ] ;
    fhir:code [ fhir:v "150" ] ;
    fhir:display [ fhir:v "Europe" ]     ] )
      ] ) ; #
      fhir:fhirVersion [ fhir:v "4.0.1"] ; #
      fhir:mapping ( [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:uri [
    fhir:v "hl7.org/fhir/r4"^^xsd:anyURI ;
    fhir:l fhir:hl7.org/fhir/r4     ] ;
    fhir:name [ fhir:v "RelapseAfterFLT model to PCSP HL7 FHIR R4 Profiles" ]
      ] ) ; #
      fhir:kind [ fhir:v "logical"] ; #
      fhir:abstract [ fhir:v false] ; #
      fhir:type [
    fhir:v "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/RelapseAfterFLT"^^xsd:anyURI ;
    fhir:l <http://hl7.eu/fhir/ig/pcsp/StructureDefinition/RelapseAfterFLT>
      ] ; #
      fhir:baseDefinition [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Base"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Base>
      ] ; #
      fhir:derivation [ fhir:v "specialization"] ; #
      fhir:snapshot [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version>       ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "4.0.1"       ]     ] ) ;
        ( fhir:element [
    fhir:id [ fhir:v "RelapseAfterFLT" ] ;
    fhir:path [ fhir:v "RelapseAfterFLT" ] ;
    fhir:short [ fhir:v "Progression-Relapse after FLT" ] ;
    fhir:definition [ fhir:v "Progression-Relapse after FLT" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:base [
    fhir:path [ fhir:v "Base" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "*" ]       ] ;
    fhir:isModifier [ fhir:v false ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "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 >= Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-flt-eu-pcsp').performedPeriod.end) )" ]       ] )     ] [
    fhir:id [ fhir:v "RelapseAfterFLT.identifier" ] ;
    fhir:path [ fhir:v "RelapseAfterFLT.identifier" ] ;
    fhir:short [ fhir:v "Progression-relapse after FLT number" ] ;
    fhir:definition [ fhir:v "Progressive number of progression/relapse (1=first; 2= second; 3 = third; ?) after the end of treatment.\nIn this field must be reported the ordinal number of the progression/relapse after the end of treatment." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "RelapseAfterFLT.identifier" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "Identifier"^^xsd:anyURI ;
    fhir:l fhir:Identifier         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".identifier" ]       ] )     ] [
    fhir:id [ fhir:v "RelapseAfterFLT.relatedDiagnosis" ] ;
    fhir:path [ fhir:v "RelapseAfterFLT.relatedDiagnosis" ] ;
    fhir:short [ fhir:v "Progressive number of diagnosis" ] ;
    fhir:definition [ fhir:v "Progressive number of diagnosis (1=first; 2= second; 3 = third; ?).  \nIn this field must be reported the ordinal number of the tumor diagnosis in which progression/relapse ocuured during front line treatment." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "RelapseAfterFLT.relatedDiagnosis" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "Identifier"^^xsd:anyURI ;
    fhir:l fhir:Identifier         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".extension('http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing')" ]       ] )     ] [
    fhir:id [ fhir:v "RelapseAfterFLT.date" ] ;
    fhir:path [ fhir:v "RelapseAfterFLT.date" ] ;
    fhir:short [ fhir:v "date of relapse" ] ;
    fhir:definition [ fhir:v "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." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "RelapseAfterFLT.date" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "date"^^xsd:anyURI ;
    fhir:l fhir:date         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".extension('http://hl7.org/fhir/StructureDefinition/condition-assertedDate')" ]       ] )     ] [
    fhir:id [ fhir:v "RelapseAfterFLT.relapseOrProgression" ] ;
    fhir:path [ fhir:v "RelapseAfterFLT.relapseOrProgression" ] ;
    fhir:short [ fhir:v "relapse | progression" ] ;
    fhir:definition [ fhir:v "Report here if a relapse or progression occurred after the elective end of therapies.\nPlease 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\n1 => Relapse\n2 => Progression\n-9922= > NK" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "RelapseAfterFLT.relapseOrProgression" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus').valueCodeableConcept OR Condition.where( clinicalStatus = #relapse or clinicalStatus = #recurrence).clinicalStatus" ]       ] )     ] [
    fhir:id [ fhir:v "RelapseAfterFLT.type" ] ;
    fhir:path [ fhir:v "RelapseAfterFLT.type" ] ;
    fhir:short [ fhir:v "local | distant | combined" ] ;
    fhir:definition [ fhir:v "Please define if the relapse/progression was local, distant or combined." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "RelapseAfterFLT.type" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType').valueCodeableConcept" ]       ] )     ] [
    fhir:id [ fhir:v "RelapseAfterFLT.site" ] ;
    fhir:path [ fhir:v "RelapseAfterFLT.site" ] ;
    fhir:short [ fhir:v "If distant, site of metastases" ] ;
    fhir:definition [ fhir:v "Please define if the relapse/progression was local, distant or combined." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "RelapseAfterFLT.site" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "string"^^xsd:anyURI ;
    fhir:l fhir:string         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".bodySite" ]       ] )     ] )
      ] ; #
      fhir:differential [
        ( fhir:element [
    fhir:id [ fhir:v "RelapseAfterFLT" ] ;
    fhir:path [ fhir:v "RelapseAfterFLT" ] ;
    fhir:short [ fhir:v "Progression-Relapse after FLT" ] ;
    fhir:definition [ fhir:v "Progression-Relapse after FLT" ] ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v "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 >= Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-flt-eu-pcsp').performedPeriod.end) )" ]       ] )     ] [
    fhir:id [ fhir:v "RelapseAfterFLT.identifier" ] ;
    fhir:path [ fhir:v "RelapseAfterFLT.identifier" ] ;
    fhir:short [ fhir:v "Progression-relapse after FLT number" ] ;
    fhir:definition [ fhir:v "Progressive number of progression/relapse (1=first; 2= second; 3 = third; ?) after the end of treatment.\nIn this field must be reported the ordinal number of the progression/relapse after the end of treatment." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "Identifier"^^xsd:anyURI ;
    fhir:l fhir:Identifier         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".identifier" ]       ] )     ] [
    fhir:id [ fhir:v "RelapseAfterFLT.relatedDiagnosis" ] ;
    fhir:path [ fhir:v "RelapseAfterFLT.relatedDiagnosis" ] ;
    fhir:short [ fhir:v "Progressive number of diagnosis" ] ;
    fhir:definition [ fhir:v "Progressive number of diagnosis (1=first; 2= second; 3 = third; ?).  \nIn this field must be reported the ordinal number of the tumor diagnosis in which progression/relapse ocuured during front line treatment." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "Identifier"^^xsd:anyURI ;
    fhir:l fhir:Identifier         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".extension('http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing')" ]       ] )     ] [
    fhir:id [ fhir:v "RelapseAfterFLT.date" ] ;
    fhir:path [ fhir:v "RelapseAfterFLT.date" ] ;
    fhir:short [ fhir:v "date of relapse" ] ;
    fhir:definition [ fhir:v "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." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "date"^^xsd:anyURI ;
    fhir:l fhir:date         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".extension('http://hl7.org/fhir/StructureDefinition/condition-assertedDate')" ]       ] )     ] [
    fhir:id [ fhir:v "RelapseAfterFLT.relapseOrProgression" ] ;
    fhir:path [ fhir:v "RelapseAfterFLT.relapseOrProgression" ] ;
    fhir:short [ fhir:v "relapse | progression" ] ;
    fhir:definition [ fhir:v "Report here if a relapse or progression occurred after the elective end of therapies.\nPlease 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\n1 => Relapse\n2 => Progression\n-9922= > NK" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus').valueCodeableConcept OR Condition.where( clinicalStatus = #relapse or clinicalStatus = #recurrence).clinicalStatus" ]       ] )     ] [
    fhir:id [ fhir:v "RelapseAfterFLT.type" ] ;
    fhir:path [ fhir:v "RelapseAfterFLT.type" ] ;
    fhir:short [ fhir:v "local | distant | combined" ] ;
    fhir:definition [ fhir:v "Please define if the relapse/progression was local, distant or combined." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "CodeableConcept"^^xsd:anyURI ;
    fhir:l fhir:CodeableConcept         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType').valueCodeableConcept" ]       ] )     ] [
    fhir:id [ fhir:v "RelapseAfterFLT.site" ] ;
    fhir:path [ fhir:v "RelapseAfterFLT.site" ] ;
    fhir:short [ fhir:v "If distant, site of metastases" ] ;
    fhir:definition [ fhir:v "Please define if the relapse/progression was local, distant or combined." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [
    fhir:v "string"^^xsd:anyURI ;
    fhir:l fhir:string         ]       ] ) ;
          ( fhir:mapping [
    fhir:identity [ fhir:v "fhir" ] ;
    fhir:map [ fhir:v ".bodySite" ]       ] )     ] )
      ] . #