PanCareSurPass Project HL7 FHIR Implementation Guide
0.1.0 - trial-use 150

This page is part of the PanCareSurPass Project HL7 FHIR Implementation Guide (v0.1.0: QA Preview) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Logical Model: FrontLineTreatment - Detailed Descriptions

Active as of 2023-01-26

Definitions for the FrontLineTreatment logical model.

Guidance on how to interpret the contents of this table can be found here.

1. FrontLineTreatment
Definition

Front Line Treatment. The first treatment given for a disease. It is often part of a standard set of treatments, such as surgery followed by chemotherapy and radiation. When used by itself, first-line therapy is the one accepted as the best treatment. If it does not cure the disease or it causes severe side effects, other treatment may be added or used instead. Also called induction therapy, primary therapy, and primary treatment. Maturity Level: 2 - Ready for Review

Control0..?
2. FrontLineTreatment.followedProtocol
Definition

Followed Protocol

Control0..*
TypeBackboneElement
3. FrontLineTreatment.followedProtocol.type
Definition

2 => Trial/protocol 2 => Personalized 3 => Guidelines -9922 => NK

Control0..1
TypeCodeableConcept
4. FrontLineTreatment.followedProtocol.name
Definition

Protocole name

Control0..1
Typestring
5. FrontLineTreatment.followedProtocol.description
Definition

If a specific trial/protocol was used, please specify.
In case of relapse/progression during front line treatment,please report both the name of the front line as well of the salvage treatment If personalized, please specify.

Control0..1
Typestring
6. FrontLineTreatment.followedProtocol.arm
Definition

If the trial was randomized, please define randomization arm

Control0..1
Typestring
7. FrontLineTreatment.dateEOT
Definition

It might be the date of first elective end of treatment, or that of the second (or further) end of treatment after the first one. If the date is unkown or partially missed insert the year at the best of your knowledge.

Control0..1
TypedateTime
8. FrontLineTreatment.isChemotherapy
Definition

Chemotherapy ?

Control0..1
TypeCodeableConcept
9. FrontLineTreatment.isStemCellTransplantation
Definition

Stem Cell transplantation ?

Control0..1
TypeCodeableConcept
10. FrontLineTreatment.isRadiotherapy
Definition

Radiotherapy ?

Control0..1
TypeCodeableConcept
11. FrontLineTreatment.isMajorSurgery
Definition

Major Surgery ?

Control0..1
TypeCodeableConcept
12. FrontLineTreatment.notForRelapse
Definition

Details not provided for relapses after EOT

Control0..1
TypeBackboneElement
13. FrontLineTreatment.notForRelapse.completeRemission
Definition

Complete remission

Control0..1
TypeBackboneElement
14. FrontLineTreatment.notForRelapse.completeRemission.status
Definition

Complete remission (Yes/No)

Control1..1
TypedateTime
15. FrontLineTreatment.notForRelapse.completeRemission.description
Definition

Textual description in case of no remission

Control1..1
TypeCodeableConcept
16. FrontLineTreatment.notForRelapse.isProgressionRelapseDuringFLT
Definition

Progression/relapse during frontline treatment ?

Control0..1
TypeCodeableConcept
17. FrontLineTreatment.notForRelapse.isProgressionRelapseAfterFLT
Definition

Progression/relapse after first elective end of treatment ?

Control0..1
TypeCodeableConcept

Guidance on how to interpret the contents of this table can be found here.

1. FrontLineTreatment
Definition

Front Line Treatment. The first treatment given for a disease. It is often part of a standard set of treatments, such as surgery followed by chemotherapy and radiation. When used by itself, first-line therapy is the one accepted as the best treatment. If it does not cure the disease or it causes severe side effects, other treatment may be added or used instead. Also called induction therapy, primary therapy, and primary treatment. Maturity Level: 2 - Ready for Review

Control0..*
2. FrontLineTreatment.followedProtocol
Definition

Followed Protocol

Control0..*
TypeBackboneElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
3. FrontLineTreatment.followedProtocol.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
4. FrontLineTreatment.followedProtocol.type
Definition

2 => Trial/protocol 2 => Personalized 3 => Guidelines -9922 => NK

Control0..1
TypeCodeableConcept
5. FrontLineTreatment.followedProtocol.name
Definition

Protocole name

Control0..1
Typestring
6. FrontLineTreatment.followedProtocol.description
Definition

If a specific trial/protocol was used, please specify.
In case of relapse/progression during front line treatment,please report both the name of the front line as well of the salvage treatment If personalized, please specify.

Control0..1
Typestring
7. FrontLineTreatment.followedProtocol.arm
Definition

If the trial was randomized, please define randomization arm

Control0..1
Typestring
8. FrontLineTreatment.dateEOT
Definition

It might be the date of first elective end of treatment, or that of the second (or further) end of treatment after the first one. If the date is unkown or partially missed insert the year at the best of your knowledge.

Control0..1
TypedateTime
9. FrontLineTreatment.isChemotherapy
Definition

Chemotherapy ?

Control0..1
TypeCodeableConcept
10. FrontLineTreatment.isStemCellTransplantation
Definition

Stem Cell transplantation ?

Control0..1
TypeCodeableConcept
11. FrontLineTreatment.isRadiotherapy
Definition

Radiotherapy ?

Control0..1
TypeCodeableConcept
12. FrontLineTreatment.isMajorSurgery
Definition

Major Surgery ?

Control0..1
TypeCodeableConcept
13. FrontLineTreatment.notForRelapse
Definition

Details not provided for relapses after EOT

Control0..1
TypeBackboneElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
14. FrontLineTreatment.notForRelapse.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
15. FrontLineTreatment.notForRelapse.completeRemission
Definition

Complete remission

Control0..1
TypeBackboneElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
16. FrontLineTreatment.notForRelapse.completeRemission.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
17. FrontLineTreatment.notForRelapse.completeRemission.status
Definition

Complete remission (Yes/No)

Control1..1
TypedateTime
18. FrontLineTreatment.notForRelapse.completeRemission.description
Definition

Textual description in case of no remission

Control1..1
TypeCodeableConcept
19. FrontLineTreatment.notForRelapse.isProgressionRelapseDuringFLT
Definition

Progression/relapse during frontline treatment ?

Control0..1
TypeCodeableConcept
20. FrontLineTreatment.notForRelapse.isProgressionRelapseAfterFLT
Definition

Progression/relapse after first elective end of treatment ?

Control0..1
TypeCodeableConcept

Guidance on how to interpret the contents of this table can be found here.

1. FrontLineTreatment
Definition

Front Line Treatment. The first treatment given for a disease. It is often part of a standard set of treatments, such as surgery followed by chemotherapy and radiation. When used by itself, first-line therapy is the one accepted as the best treatment. If it does not cure the disease or it causes severe side effects, other treatment may be added or used instead. Also called induction therapy, primary therapy, and primary treatment. Maturity Level: 2 - Ready for Review

Control0..*
2. FrontLineTreatment.followedProtocol
Definition

Followed Protocol

Control0..*
TypeBackboneElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
3. FrontLineTreatment.followedProtocol.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
4. FrontLineTreatment.followedProtocol.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on FrontLineTreatment.followedProtocol.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
5. FrontLineTreatment.followedProtocol.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
6. FrontLineTreatment.followedProtocol.type
Definition

2 => Trial/protocol 2 => Personalized 3 => Guidelines -9922 => NK

Control0..1
TypeCodeableConcept
7. FrontLineTreatment.followedProtocol.name
Definition

Protocole name

Control0..1
Typestring
8. FrontLineTreatment.followedProtocol.description
Definition

If a specific trial/protocol was used, please specify.
In case of relapse/progression during front line treatment,please report both the name of the front line as well of the salvage treatment If personalized, please specify.

Control0..1
Typestring
9. FrontLineTreatment.followedProtocol.arm
Definition

If the trial was randomized, please define randomization arm

Control0..1
Typestring
10. FrontLineTreatment.dateEOT
Definition

It might be the date of first elective end of treatment, or that of the second (or further) end of treatment after the first one. If the date is unkown or partially missed insert the year at the best of your knowledge.

Control0..1
TypedateTime
11. FrontLineTreatment.isChemotherapy
Definition

Chemotherapy ?

Control0..1
TypeCodeableConcept
12. FrontLineTreatment.isStemCellTransplantation
Definition

Stem Cell transplantation ?

Control0..1
TypeCodeableConcept
13. FrontLineTreatment.isRadiotherapy
Definition

Radiotherapy ?

Control0..1
TypeCodeableConcept
14. FrontLineTreatment.isMajorSurgery
Definition

Major Surgery ?

Control0..1
TypeCodeableConcept
15. FrontLineTreatment.notForRelapse
Definition

Details not provided for relapses after EOT

Control0..1
TypeBackboneElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
16. FrontLineTreatment.notForRelapse.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
17. FrontLineTreatment.notForRelapse.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on FrontLineTreatment.notForRelapse.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
18. FrontLineTreatment.notForRelapse.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
19. FrontLineTreatment.notForRelapse.completeRemission
Definition

Complete remission

Control0..1
TypeBackboneElement
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
20. FrontLineTreatment.notForRelapse.completeRemission.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
XML RepresentationIn the XML format, this property is represented as an attribute.
Summaryfalse
21. FrontLineTreatment.notForRelapse.completeRemission.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Summaryfalse
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on FrontLineTreatment.notForRelapse.completeRemission.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
22. FrontLineTreatment.notForRelapse.completeRemission.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Control0..*
TypeExtension
Is Modifiertrue
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
23. FrontLineTreatment.notForRelapse.completeRemission.status
Definition

Complete remission (Yes/No)

Control1..1
TypedateTime
24. FrontLineTreatment.notForRelapse.completeRemission.description
Definition

Textual description in case of no remission

Control1..1
TypeCodeableConcept
25. FrontLineTreatment.notForRelapse.isProgressionRelapseDuringFLT
Definition

Progression/relapse during frontline treatment ?

Control0..1
TypeCodeableConcept
26. FrontLineTreatment.notForRelapse.isProgressionRelapseAfterFLT
Definition

Progression/relapse after first elective end of treatment ?

Control0..1
TypeCodeableConcept