HL7 Europe Common Cancer Model
1.0.0-ballot - ballot 150

HL7 Europe Common Cancer Model - Local Development build (v1.0.0-ballot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Logical Model: SystemicTreatment - TTL Profile

Active as of 2026-06-14

TTL representation of the SystemicTreatment 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 "SystemicTreatment"] ; #
      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 SystemicTreatment</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-SystemicTreatment-definitions.html#SystemicTreatment\" title=\"Logical model representing a systemic anti-cancer treatment episode delivered to the patient, either at diagnosis or following disease progression. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet SystemicTreatment).\">SystemicTreatment</a><a name=\"SystemicTreatment\"> </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\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( st-1, st-2 )\">C</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\"><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\">SystemicTreatment<br/><span style=\"font-weight:bold\">Instances of this logical model can be the target of a Reference</span><br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"If ongoing is true, endDate must not be present; if endDate is not present, ongoing must be true.\" class=\"constraint\">st-1</span><span title=\"null\" class=\"constraint\">, </span><span style=\"font-weight:bold\" title=\"If endDate is present, it should be greater than or equal to startDate.\" class=\"constraint\">st-2</span></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_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-SystemicTreatment-definitions.html#SystemicTreatment.subject\" title=\"Reference to the patient (subject) receiving systemic treatment.\">subject</a><a name=\"SystemicTreatment.subject\"> </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\">1..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/references.html\">Reference</a>(<a href=\"StructureDefinition-CancerPatient.html\">Cancer Patient</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\">Subject</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_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-SystemicTreatment-definitions.html#SystemicTreatment.cancerConditionAtDiagnosisReference\" title=\"Reference to the cancer condition at diagnosis targeted by systemic treatment.\">cancerConditionAtDiagnosisReference</a><a name=\"SystemicTreatment.cancerConditionAtDiagnosisReference\"> </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\">1..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/references.html\">Reference</a>(<a href=\"StructureDefinition-CancerConditionAtDiagnosis.html\">CancerConditionAtDiagnosis</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\">CancerConditionAtDiagnosisReference</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_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-SystemicTreatment-definitions.html#SystemicTreatment.clinicalCancerProgressionReference\" title=\"Reference to the clinical progression event, if treatment is delivered in response to progression.\">clinicalCancerProgressionReference</a><a name=\"SystemicTreatment.clinicalCancerProgressionReference\"> </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/references.html\">Reference</a>(<a href=\"StructureDefinition-ClinicalCancerProgression.html\">ClinicalCancerProgression</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\">ClinicalCancerProgresionReference</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-SystemicTreatment-definitions.html#SystemicTreatment.intent\" title=\"Treatment intent (Definitive/curative vs Palliative).\">intent</a><a name=\"SystemicTreatment.intent\"> </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\">1..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\">Intent</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-SystemicTreatment-definitions.html#SystemicTreatment.type\" title=\"Category of systemic treatment (e.g. chemotherapy, immunotherapy, targeted therapy, hormonal therapy).\">type</a><a name=\"SystemicTreatment.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\">1..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\">Type</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_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-SystemicTreatment-definitions.html#SystemicTreatment.startDate\" title=\"Start date of the systemic treatment course.\">startDate</a><a name=\"SystemicTreatment.startDate\"> </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\">1..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#dateTime\">dateTime</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\">StartDate</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-SystemicTreatment-definitions.html#SystemicTreatment.endDate\" title=\"End date of the systemic treatment course (may be missing while ongoing).\">endDate</a><a name=\"SystemicTreatment.endDate\"> </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#dateTime\">dateTime</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\">EndDate</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_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-SystemicTreatment-definitions.html#SystemicTreatment.ongoing\" title=\"Indicates that the treatment is ongoing when EndDate is not available.\">ongoing</a><a name=\"SystemicTreatment.ongoing\"> </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#boolean\">boolean</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\">Ongoing</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_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_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-SystemicTreatment-definitions.html#SystemicTreatment.setting\" title=\"Strategic timing/setting of systemic treatment (e.g. neoadjuvant, adjuvant, concomitant, alone).\">setting</a><a name=\"SystemicTreatment.setting\"> </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\">Setting</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:extension ( [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:code ;
    fhir:v "can-be-target"     ]
      ] ) ; #
      fhir:url [ fhir:v "http://hl7.eu/fhir/cancer-common/StructureDefinition/SystemicTreatment"^^xsd:anyURI] ; #
      fhir:version [ fhir:v "1.0.0-ballot"] ; #
      fhir:name [ fhir:v "SystemicTreatment"] ; #
      fhir:title [ fhir:v "SystemicTreatment"] ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:date [ fhir:v "2026-06-14T12:51:40+02:00"^^xsd:dateTime] ; #
      fhir:publisher [ fhir:v "HL7 Europe"] ; #
      fhir:contact ( [
    fhir:name [ fhir:v "HL7 Europe" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "http://hl7.eu" ]     ] )
      ] ) ; #
      fhir:description [ fhir:v "Logical model representing a systemic anti-cancer treatment episode delivered to the patient, either at diagnosis or following disease progression. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet SystemicTreatment)."] ; #
      fhir:jurisdiction ( [
        ( fhir:coding [
    fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "150" ] ;
    fhir:display [ fhir:v "Europe" ]     ] )
      ] ) ; #
      fhir:copyright [ fhir:v "HL7 Europe Copyright. Licensed under Common Creative License (CC0 1.0). Details at [Copyright](copyright.html)."] ; #
      fhir:fhirVersion [ fhir:v "4.0.1"] ; #
      fhir:kind [ fhir:v "logical"] ; #
      fhir:abstract [ fhir:v false] ; #
      fhir:type [ fhir:v "http://hl7.eu/fhir/cancer-common/StructureDefinition/SystemicTreatment"^^xsd:anyURI] ; #
      fhir:baseDefinition [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Base"^^xsd:anyURI ;
    fhir:link <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:value [
    a fhir:string ;
    fhir:v "4.0.1"       ]     ] ) ;
        ( fhir:element [
    fhir:id [ fhir:v "SystemicTreatment" ] ;
    fhir:path [ fhir:v "SystemicTreatment" ] ;
    fhir:short [ fhir:v "SystemicTreatment" ] ;
    fhir:definition [ fhir:v "Logical model representing a systemic anti-cancer treatment episode delivered to the patient, either at diagnosis or following disease progression. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet SystemicTreatment)." ] ;
    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:constraint [
    fhir:key [ fhir:v "st-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "If ongoing is true, endDate must not be present; if endDate is not present, ongoing must be true." ] ;
    fhir:expression [ fhir:v "((ongoing = true) implies endDate.empty()) and (endDate.exists() implies (ongoing.exists().not() or ongoing = false))" ] ;
    fhir:source [
    fhir:v "http://hl7.eu/fhir/cancer-common/StructureDefinition/SystemicTreatment"^^xsd:anyURI ;
    fhir:link <http://hl7.eu/fhir/cancer-common/StructureDefinition/SystemicTreatment>         ]       ] [
    fhir:key [ fhir:v "st-2" ] ;
    fhir:severity [ fhir:v "warning" ] ;
    fhir:human [ fhir:v "If endDate is present, it should be greater than or equal to startDate." ] ;
    fhir:expression [ fhir:v "endDate.empty() or endDate > startDate" ] ;
    fhir:source [
    fhir:v "http://hl7.eu/fhir/cancer-common/StructureDefinition/SystemicTreatment"^^xsd:anyURI ;
    fhir:link <http://hl7.eu/fhir/cancer-common/StructureDefinition/SystemicTreatment>         ]       ] ) ;
    fhir:isModifier [ fhir:v false ]     ] [
    fhir:id [ fhir:v "SystemicTreatment.subject" ] ;
    fhir:path [ fhir:v "SystemicTreatment.subject" ] ;
    fhir:short [ fhir:v "Subject" ] ;
    fhir:definition [ fhir:v "Reference to the patient (subject) receiving systemic treatment." ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "SystemicTreatment.subject" ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ;
            ( fhir:targetProfile [
    fhir:v "http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerPatient"^^xsd:anyURI ;
    fhir:link <http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerPatient>         ] )       ] )     ] [
    fhir:id [ fhir:v "SystemicTreatment.cancerConditionAtDiagnosisReference" ] ;
    fhir:path [ fhir:v "SystemicTreatment.cancerConditionAtDiagnosisReference" ] ;
    fhir:short [ fhir:v "CancerConditionAtDiagnosisReference" ] ;
    fhir:definition [ fhir:v "Reference to the cancer condition at diagnosis targeted by systemic treatment." ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "SystemicTreatment.cancerConditionAtDiagnosisReference" ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ;
            ( fhir:targetProfile [
    fhir:v "http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerConditionAtDiagnosis"^^xsd:anyURI ;
    fhir:link <http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerConditionAtDiagnosis>         ] )       ] )     ] [
    fhir:id [ fhir:v "SystemicTreatment.clinicalCancerProgressionReference" ] ;
    fhir:path [ fhir:v "SystemicTreatment.clinicalCancerProgressionReference" ] ;
    fhir:short [ fhir:v "ClinicalCancerProgresionReference" ] ;
    fhir:definition [ fhir:v "Reference to the clinical progression event, if treatment is delivered in response to progression." ] ;
    fhir:comment [ fhir:v "It is not only required at the time of diagnosis; it must be provided in the event of ClinicalCancerProgression." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "SystemicTreatment.clinicalCancerProgressionReference" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ;
            ( fhir:targetProfile [
    fhir:v "http://hl7.eu/fhir/cancer-common/StructureDefinition/ClinicalCancerProgression"^^xsd:anyURI ;
    fhir:link <http://hl7.eu/fhir/cancer-common/StructureDefinition/ClinicalCancerProgression>         ] )       ] )     ] [
    fhir:id [ fhir:v "SystemicTreatment.intent" ] ;
    fhir:path [ fhir:v "SystemicTreatment.intent" ] ;
    fhir:short [ fhir:v "Intent" ] ;
    fhir:definition [ fhir:v "Treatment intent (Definitive/curative vs Palliative)." ] ;
    fhir:comment [ fhir:v "Choice: Definitive | Palliative" ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "SystemicTreatment.intent" ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ]       ] )     ] [
    fhir:id [ fhir:v "SystemicTreatment.type" ] ;
    fhir:path [ fhir:v "SystemicTreatment.type" ] ;
    fhir:short [ fhir:v "Type" ] ;
    fhir:definition [ fhir:v "Category of systemic treatment (e.g. chemotherapy, immunotherapy, targeted therapy, hormonal therapy)." ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "SystemicTreatment.type" ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ]       ] )     ] [
    fhir:id [ fhir:v "SystemicTreatment.startDate" ] ;
    fhir:path [ fhir:v "SystemicTreatment.startDate" ] ;
    fhir:short [ fhir:v "StartDate" ] ;
    fhir:definition [ fhir:v "Start date of the systemic treatment course." ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "SystemicTreatment.startDate" ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "dateTime"^^xsd:anyURI ]       ] )     ] [
    fhir:id [ fhir:v "SystemicTreatment.endDate" ] ;
    fhir:path [ fhir:v "SystemicTreatment.endDate" ] ;
    fhir:short [ fhir:v "EndDate" ] ;
    fhir:definition [ fhir:v "End date of the systemic treatment course (may be missing while ongoing)." ] ;
    fhir:comment [ fhir:v "It might not be available while the treatment is still ongoing; however, an end date must eventually be recorded, which in the most extreme case will coincide with the patient's date of death." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "SystemicTreatment.endDate" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "dateTime"^^xsd:anyURI ]       ] )     ] [
    fhir:id [ fhir:v "SystemicTreatment.ongoing" ] ;
    fhir:path [ fhir:v "SystemicTreatment.ongoing" ] ;
    fhir:short [ fhir:v "Ongoing" ] ;
    fhir:definition [ fhir:v "Indicates that the treatment is ongoing when EndDate is not available." ] ;
    fhir:comment [ fhir:v "If the EndDate is not provided because it is ongoing, it must be indicates as True." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "SystemicTreatment.ongoing" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "boolean"^^xsd:anyURI ]       ] )     ] [
    fhir:id [ fhir:v "SystemicTreatment.setting" ] ;
    fhir:path [ fhir:v "SystemicTreatment.setting" ] ;
    fhir:short [ fhir:v "Setting" ] ;
    fhir:definition [ fhir:v "Strategic timing/setting of systemic treatment (e.g. neoadjuvant, adjuvant, concomitant, alone)." ] ;
    fhir:comment [ fhir:v "Choice: Alone |  Preoperative/Neoadjuvant | Postoperative/Adjuvant | Concomitant" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:base [
    fhir:path [ fhir:v "SystemicTreatment.setting" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ]       ] ;
          ( fhir:type [
    fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ]       ] )     ] )
      ] ; #
      fhir:differential [
        ( fhir:element [
    fhir:id [ fhir:v "SystemicTreatment" ] ;
    fhir:path [ fhir:v "SystemicTreatment" ] ;
    fhir:short [ fhir:v "SystemicTreatment" ] ;
    fhir:definition [ fhir:v "Logical model representing a systemic anti-cancer treatment episode delivered to the patient, either at diagnosis or following disease progression. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet SystemicTreatment)." ] ;
          ( fhir:constraint [
    fhir:key [ fhir:v "st-1" ] ;
    fhir:severity [ fhir:v "error" ] ;
    fhir:human [ fhir:v "If ongoing is true, endDate must not be present; if endDate is not present, ongoing must be true." ] ;
    fhir:expression [ fhir:v "((ongoing = true) implies endDate.empty()) and (endDate.exists() implies (ongoing.exists().not() or ongoing = false))" ] ;
    fhir:source [
    fhir:v "http://hl7.eu/fhir/cancer-common/StructureDefinition/SystemicTreatment"^^xsd:anyURI ;
    fhir:link <http://hl7.eu/fhir/cancer-common/StructureDefinition/SystemicTreatment>         ]       ] [
    fhir:key [ fhir:v "st-2" ] ;
    fhir:severity [ fhir:v "warning" ] ;
    fhir:human [ fhir:v "If endDate is present, it should be greater than or equal to startDate." ] ;
    fhir:expression [ fhir:v "endDate.empty() or endDate > startDate" ] ;
    fhir:source [
    fhir:v "http://hl7.eu/fhir/cancer-common/StructureDefinition/SystemicTreatment"^^xsd:anyURI ;
    fhir:link <http://hl7.eu/fhir/cancer-common/StructureDefinition/SystemicTreatment>         ]       ] )     ] [
    fhir:id [ fhir:v "SystemicTreatment.subject" ] ;
    fhir:path [ fhir:v "SystemicTreatment.subject" ] ;
    fhir:short [ fhir:v "Subject" ] ;
    fhir:definition [ fhir:v "Reference to the patient (subject) receiving systemic treatment." ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ;
            ( fhir:targetProfile [
    fhir:v "http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerPatient"^^xsd:anyURI ;
    fhir:link <http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerPatient>         ] )       ] )     ] [
    fhir:id [ fhir:v "SystemicTreatment.cancerConditionAtDiagnosisReference" ] ;
    fhir:path [ fhir:v "SystemicTreatment.cancerConditionAtDiagnosisReference" ] ;
    fhir:short [ fhir:v "CancerConditionAtDiagnosisReference" ] ;
    fhir:definition [ fhir:v "Reference to the cancer condition at diagnosis targeted by systemic treatment." ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ;
            ( fhir:targetProfile [
    fhir:v "http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerConditionAtDiagnosis"^^xsd:anyURI ;
    fhir:link <http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerConditionAtDiagnosis>         ] )       ] )     ] [
    fhir:id [ fhir:v "SystemicTreatment.clinicalCancerProgressionReference" ] ;
    fhir:path [ fhir:v "SystemicTreatment.clinicalCancerProgressionReference" ] ;
    fhir:short [ fhir:v "ClinicalCancerProgresionReference" ] ;
    fhir:definition [ fhir:v "Reference to the clinical progression event, if treatment is delivered in response to progression." ] ;
    fhir:comment [ fhir:v "It is not only required at the time of diagnosis; it must be provided in the event of ClinicalCancerProgression." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ;
            ( fhir:targetProfile [
    fhir:v "http://hl7.eu/fhir/cancer-common/StructureDefinition/ClinicalCancerProgression"^^xsd:anyURI ;
    fhir:link <http://hl7.eu/fhir/cancer-common/StructureDefinition/ClinicalCancerProgression>         ] )       ] )     ] [
    fhir:id [ fhir:v "SystemicTreatment.intent" ] ;
    fhir:path [ fhir:v "SystemicTreatment.intent" ] ;
    fhir:short [ fhir:v "Intent" ] ;
    fhir:definition [ fhir:v "Treatment intent (Definitive/curative vs Palliative)." ] ;
    fhir:comment [ fhir:v "Choice: Definitive | Palliative" ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ]       ] )     ] [
    fhir:id [ fhir:v "SystemicTreatment.type" ] ;
    fhir:path [ fhir:v "SystemicTreatment.type" ] ;
    fhir:short [ fhir:v "Type" ] ;
    fhir:definition [ fhir:v "Category of systemic treatment (e.g. chemotherapy, immunotherapy, targeted therapy, hormonal therapy)." ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ]       ] )     ] [
    fhir:id [ fhir:v "SystemicTreatment.startDate" ] ;
    fhir:path [ fhir:v "SystemicTreatment.startDate" ] ;
    fhir:short [ fhir:v "StartDate" ] ;
    fhir:definition [ fhir:v "Start date of the systemic treatment course." ] ;
    fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [ fhir:v "dateTime"^^xsd:anyURI ]       ] )     ] [
    fhir:id [ fhir:v "SystemicTreatment.endDate" ] ;
    fhir:path [ fhir:v "SystemicTreatment.endDate" ] ;
    fhir:short [ fhir:v "EndDate" ] ;
    fhir:definition [ fhir:v "End date of the systemic treatment course (may be missing while ongoing)." ] ;
    fhir:comment [ fhir:v "It might not be available while the treatment is still ongoing; however, an end date must eventually be recorded, which in the most extreme case will coincide with the patient's date of death." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [ fhir:v "dateTime"^^xsd:anyURI ]       ] )     ] [
    fhir:id [ fhir:v "SystemicTreatment.ongoing" ] ;
    fhir:path [ fhir:v "SystemicTreatment.ongoing" ] ;
    fhir:short [ fhir:v "Ongoing" ] ;
    fhir:definition [ fhir:v "Indicates that the treatment is ongoing when EndDate is not available." ] ;
    fhir:comment [ fhir:v "If the EndDate is not provided because it is ongoing, it must be indicates as True." ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [ fhir:v "boolean"^^xsd:anyURI ]       ] )     ] [
    fhir:id [ fhir:v "SystemicTreatment.setting" ] ;
    fhir:path [ fhir:v "SystemicTreatment.setting" ] ;
    fhir:short [ fhir:v "Setting" ] ;
    fhir:definition [ fhir:v "Strategic timing/setting of systemic treatment (e.g. neoadjuvant, adjuvant, concomitant, alone)." ] ;
    fhir:comment [ fhir:v "Choice: Alone |  Preoperative/Neoadjuvant | Postoperative/Adjuvant | Concomitant" ] ;
    fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
    fhir:max [ fhir:v "1" ] ;
          ( fhir:type [
    fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ]       ] )     ] )
      ] . #