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: Chemotherapy

Official URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Chemotherapy | Version: 1.0.0
Active as of 2025-10-16 | Computable Name: Chemotherapy

Chemotherapy

Usages:

- Use this Logical Model: Treatment Summary

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
--- | --- | --- | --- | ---
Chemotherapy |  | 0..* | Base | Chemotherapy
relatedDiagnosis |  | 1..1 | Identifier | Related Diagnosis
startDate |  | 1..1 | dateTime | Start date
endDate |  | 1..1 | dateTime | End date
istitutionOfTreatment |  | 0..1 | BackboneElement | Institution 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
description |  | 0..1 | string | Institution description
name |  | 0..1 | string | Institution name
address |  | 0..1 | BackboneElement | Institution address
@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
name |  | 0..1 | string | Institution city
country |  | 0..1 | string | Institution country
productAdministration |  | 1..20 | BackboneElement | Product(s) administartion data
@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
agent |  | 1..1 | CodeableConcept | Antineoplastic and immunostimulating agents
dose |  | 0..1 | Quantity | Dose (NOT in PCSP DB)
cumulativeDose |  | 0..1 | BackboneElement | Cumulative Dose
@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
notAvailable |  | 0..1 | CodeableConcept | Not calculated or not known dose
measureType |  | 0..1 | CodeableConcept | How the dose was determined (estimation or calculation)
completionStatus |  | 0..1 | CodeableConcept | The reported doses are incomplete (either under- or over-estimated)
statusReason |  | 0..1 | string | Specify reasons why
value |  | 0..1 | decimal | Total cumulative dose
unit |  | 0..1 | CodeableConcept | Measure unit
corticosteroids |  | 0..1 | CodeableConcept | Prolonged corticosteroids as anti-cancer treatment at least 4 weeks continuously
intrathecalInjections |  | 0..1 | BackboneElement | Intrathecal injections
@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
status |  | 0..1 | CodeableConcept | Did the survivor receive therapeutic intrathecal injections ?
number |  | 0..1 | integer | Total number
productName |  | 0..* | string | Drug(s) administered
otherTreatments |  | 0..1 | BackboneElement | Other chemothrapeutic treatments
@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
productName |  | 1..* | string | Drugs name
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()`

This structure is derived from Base

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Chemotherapy |  | 0..* | Base | Chemotherapy
relatedDiagnosis |  | 1..1 | Identifier | Related Diagnosis
startDate |  | 1..1 | dateTime | Start date
endDate |  | 1..1 | dateTime | End date
istitutionOfTreatment |  | 0..1 | BackboneElement | Institution of treatment
description |  | 0..1 | string | Institution description
name |  | 0..1 | string | Institution name
address |  | 0..1 | BackboneElement | Institution address
name |  | 0..1 | string | Institution city
country |  | 0..1 | string | Institution country
productAdministration |  | 1..20 | BackboneElement | Product(s) administartion data
agent |  | 1..1 | CodeableConcept | Antineoplastic and immunostimulating agents
dose |  | 0..1 | Quantity | Dose (NOT in PCSP DB)
cumulativeDose |  | 0..1 | BackboneElement | Cumulative Dose
notAvailable |  | 0..1 | CodeableConcept | Not calculated or not known dose
measureType |  | 0..1 | CodeableConcept | How the dose was determined (estimation or calculation)
completionStatus |  | 0..1 | CodeableConcept | The reported doses are incomplete (either under- or over-estimated)
statusReason |  | 0..1 | string | Specify reasons why
value |  | 0..1 | decimal | Total cumulative dose
unit |  | 0..1 | CodeableConcept | Measure unit
corticosteroids |  | 0..1 | CodeableConcept | Prolonged corticosteroids as anti-cancer treatment at least 4 weeks continuously
intrathecalInjections |  | 0..1 | BackboneElement | Intrathecal injections
status |  | 0..1 | CodeableConcept | Did the survivor receive therapeutic intrathecal injections ?
number |  | 0..1 | integer | Total number
productName |  | 0..* | string | Drug(s) administered
otherTreatments |  | 0..1 | BackboneElement | Other chemothrapeutic treatments
productName |  | 1..* | string | Drugs name
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Chemotherapy |  | 0..* | Base | Chemotherapy
relatedDiagnosis |  | 1..1 | Identifier | Related Diagnosis
startDate |  | 1..1 | dateTime | Start date
endDate |  | 1..1 | dateTime | End date
istitutionOfTreatment |  | 0..1 | BackboneElement | Institution 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
description |  | 0..1 | string | Institution description
name |  | 0..1 | string | Institution name
address |  | 0..1 | BackboneElement | Institution address
@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
name |  | 0..1 | string | Institution city
country |  | 0..1 | string | Institution country
productAdministration |  | 1..20 | BackboneElement | Product(s) administartion data
@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
agent |  | 1..1 | CodeableConcept | Antineoplastic and immunostimulating agents
dose |  | 0..1 | Quantity | Dose (NOT in PCSP DB)
cumulativeDose |  | 0..1 | BackboneElement | Cumulative Dose
@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
notAvailable |  | 0..1 | CodeableConcept | Not calculated or not known dose
measureType |  | 0..1 | CodeableConcept | How the dose was determined (estimation or calculation)
completionStatus |  | 0..1 | CodeableConcept | The reported doses are incomplete (either under- or over-estimated)
statusReason |  | 0..1 | string | Specify reasons why
value |  | 0..1 | decimal | Total cumulative dose
unit |  | 0..1 | CodeableConcept | Measure unit
corticosteroids |  | 0..1 | CodeableConcept | Prolonged corticosteroids as anti-cancer treatment at least 4 weeks continuously
intrathecalInjections |  | 0..1 | BackboneElement | Intrathecal injections
@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
status |  | 0..1 | CodeableConcept | Did the survivor receive therapeutic intrathecal injections ?
number |  | 0..1 | integer | Total number
productName |  | 0..* | string | Drug(s) administered
otherTreatments |  | 0..1 | BackboneElement | Other chemothrapeutic treatments
@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
productName |  | 1..* | string | Drugs name
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()`

This structure is derived from Base

Summary

Mandatory: 0 element(6 nested mandatory elements)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Chemotherapy |  | 0..* | Base | Chemotherapy
relatedDiagnosis |  | 1..1 | Identifier | Related Diagnosis
startDate |  | 1..1 | dateTime | Start date
endDate |  | 1..1 | dateTime | End date
istitutionOfTreatment |  | 0..1 | BackboneElement | Institution 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
description |  | 0..1 | string | Institution description
name |  | 0..1 | string | Institution name
address |  | 0..1 | BackboneElement | Institution address
@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
name |  | 0..1 | string | Institution city
country |  | 0..1 | string | Institution country
productAdministration |  | 1..20 | BackboneElement | Product(s) administartion data
@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
agent |  | 1..1 | CodeableConcept | Antineoplastic and immunostimulating agents
dose |  | 0..1 | Quantity | Dose (NOT in PCSP DB)
cumulativeDose |  | 0..1 | BackboneElement | Cumulative Dose
@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
notAvailable |  | 0..1 | CodeableConcept | Not calculated or not known dose
measureType |  | 0..1 | CodeableConcept | How the dose was determined (estimation or calculation)
completionStatus |  | 0..1 | CodeableConcept | The reported doses are incomplete (either under- or over-estimated)
statusReason |  | 0..1 | string | Specify reasons why
value |  | 0..1 | decimal | Total cumulative dose
unit |  | 0..1 | CodeableConcept | Measure unit
corticosteroids |  | 0..1 | CodeableConcept | Prolonged corticosteroids as anti-cancer treatment at least 4 weeks continuously
intrathecalInjections |  | 0..1 | BackboneElement | Intrathecal injections
@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
status |  | 0..1 | CodeableConcept | Did the survivor receive therapeutic intrathecal injections ?
number |  | 0..1 | integer | Total number
productName |  | 0..* | string | Drug(s) administered
otherTreatments |  | 0..1 | BackboneElement | Other chemothrapeutic treatments
@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
productName |  | 1..* | string | Drugs name
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()`

Differential View

This structure is derived from Base

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Chemotherapy |  | 0..* | Base | Chemotherapy
relatedDiagnosis |  | 1..1 | Identifier | Related Diagnosis
startDate |  | 1..1 | dateTime | Start date
endDate |  | 1..1 | dateTime | End date
istitutionOfTreatment |  | 0..1 | BackboneElement | Institution of treatment
description |  | 0..1 | string | Institution description
name |  | 0..1 | string | Institution name
address |  | 0..1 | BackboneElement | Institution address
name |  | 0..1 | string | Institution city
country |  | 0..1 | string | Institution country
productAdministration |  | 1..20 | BackboneElement | Product(s) administartion data
agent |  | 1..1 | CodeableConcept | Antineoplastic and immunostimulating agents
dose |  | 0..1 | Quantity | Dose (NOT in PCSP DB)
cumulativeDose |  | 0..1 | BackboneElement | Cumulative Dose
notAvailable |  | 0..1 | CodeableConcept | Not calculated or not known dose
measureType |  | 0..1 | CodeableConcept | How the dose was determined (estimation or calculation)
completionStatus |  | 0..1 | CodeableConcept | The reported doses are incomplete (either under- or over-estimated)
statusReason |  | 0..1 | string | Specify reasons why
value |  | 0..1 | decimal | Total cumulative dose
unit |  | 0..1 | CodeableConcept | Measure unit
corticosteroids |  | 0..1 | CodeableConcept | Prolonged corticosteroids as anti-cancer treatment at least 4 weeks continuously
intrathecalInjections |  | 0..1 | BackboneElement | Intrathecal injections
status |  | 0..1 | CodeableConcept | Did the survivor receive therapeutic intrathecal injections ?
number |  | 0..1 | integer | Total number
productName |  | 0..* | string | Drug(s) administered
otherTreatments |  | 0..1 | BackboneElement | Other chemothrapeutic treatments
productName |  | 1..* | string | Drugs name
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Chemotherapy |  | 0..* | Base | Chemotherapy
relatedDiagnosis |  | 1..1 | Identifier | Related Diagnosis
startDate |  | 1..1 | dateTime | Start date
endDate |  | 1..1 | dateTime | End date
istitutionOfTreatment |  | 0..1 | BackboneElement | Institution 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
description |  | 0..1 | string | Institution description
name |  | 0..1 | string | Institution name
address |  | 0..1 | BackboneElement | Institution address
@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
name |  | 0..1 | string | Institution city
country |  | 0..1 | string | Institution country
productAdministration |  | 1..20 | BackboneElement | Product(s) administartion data
@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
agent |  | 1..1 | CodeableConcept | Antineoplastic and immunostimulating agents
dose |  | 0..1 | Quantity | Dose (NOT in PCSP DB)
cumulativeDose |  | 0..1 | BackboneElement | Cumulative Dose
@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
notAvailable |  | 0..1 | CodeableConcept | Not calculated or not known dose
measureType |  | 0..1 | CodeableConcept | How the dose was determined (estimation or calculation)
completionStatus |  | 0..1 | CodeableConcept | The reported doses are incomplete (either under- or over-estimated)
statusReason |  | 0..1 | string | Specify reasons why
value |  | 0..1 | decimal | Total cumulative dose
unit |  | 0..1 | CodeableConcept | Measure unit
corticosteroids |  | 0..1 | CodeableConcept | Prolonged corticosteroids as anti-cancer treatment at least 4 weeks continuously
intrathecalInjections |  | 0..1 | BackboneElement | Intrathecal injections
@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
status |  | 0..1 | CodeableConcept | Did the survivor receive therapeutic intrathecal injections ?
number |  | 0..1 | integer | Total number
productName |  | 0..* | string | Drug(s) administered
otherTreatments |  | 0..1 | BackboneElement | Other chemothrapeutic treatments
@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
productName |  | 1..* | string | Drugs name
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()`

This structure is derived from Base

Summary

Mandatory: 0 element(6 nested mandatory elements)

Other representations of profile: CSV, Excel