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: RelapseAfterFLT - XML Profile

Active as of 2023-01-26

XML representation of the RelapseAfterFLT logical model.

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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="RelapseAfterFLT"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" 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="http://hl7.org/fhir/R4/help16.png" 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 : 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
Maturity Level: 2 - Ready for Review">RelapseAfterFLT</a><a name="RelapseAfterFLT"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : 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 : 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Progression-Relapse after FLT</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-RelapseAfterFLT-definitions.html#RelapseAfterFLT.identifier" title="Progressive number of progression/relapse (1=first; 2= second; 3 = third; ?) after the end of treatment.
In this field must be reported the ordinal number of the progression/relapse after the end of treatment.">identifier</a><a name="RelapseAfterFLT.identifier"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : 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 : 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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Progression-relapse after FLT number</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-RelapseAfterFLT-definitions.html#RelapseAfterFLT.relatedDiagnosis" title="Progressive number of diagnosis (1=first; 2= second; 3 = third; ?).  
In this field must be reported the ordinal number of the tumor diagnosis in which progression/relapse ocuured during front line treatment.">relatedDiagnosis</a><a name="RelapseAfterFLT.relatedDiagnosis"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : 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 : 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Progressive number of diagnosis</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : 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 : 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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">date of relapse</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-RelapseAfterFLT-definitions.html#RelapseAfterFLT.relapseOrProgression" title="Report here if a relapse or progression occurred after the elective end of therapies.
Please note that 'progressions' may occurr since in some cases (e.g. stage 3 unoperable residual neuroblastoma or residual CNS tumor) that were considered as 'non active' may progress
1 =&gt; Relapse
2 =&gt; Progression
-9922= &gt; NK">relapseOrProgression</a><a name="RelapseAfterFLT.relapseOrProgression"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : 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 : 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">relapse | progression</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : 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 : 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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">local | distant | combined</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : 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 : 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">If distant, site of metastases</td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
  </text>
  <url
       value="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/RelapseAfterFLT"/>
  <version value="0.1.0"/>
  <name value="RelapseAfterFLT"/>
  <title value="Progression-Relapse after FLT"/>
  <status value="active"/>
  <date value="2023-01-26T09:50:21+01:00"/>
  <publisher value="PanCareSurPass Project"/>
  <contact>
    <name value="PanCareSurPass Project"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.pancaresurpass.eu/"/>
    </telecom>
  </contact>
  <contact>
    <name value="PanCareSurPass Project"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.pancaresurpass.eu/"/>
    </telecom>
  </contact>
  <description
               value="Progression-Relapse after FLT
Maturity Level: 2 - Ready for Review"/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="150"/>
      <display value="Europe"/>
    </coding>
  </jurisdiction>
  <fhirVersion value="4.0.1"/>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <mapping>
    <identity value="fhir"/>
    <uri value="hl7.org/fhir/r4"/>
    <name value="RelapseAfterFLT model to PCSP HL7 FHIR R4 Profiles"/>
  </mapping>
  <kind value="logical"/>
  <abstract value="false"/>
  <type
        value="http://hl7.eu/fhir/ig/pcsp/StructureDefinition/RelapseAfterFLT"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
  <derivation value="specialization"/>
  <snapshot>
    <element id="RelapseAfterFLT">
      <path value="RelapseAfterFLT"/>
      <short value="Progression-Relapse after FLT"/>
      <definition
                  value="Progression-Relapse after FLT
Maturity Level: 2 - Ready for Review"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Base"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <isModifier value="false"/>
      <mapping>
        <identity value="fhir"/>
        <map
             value="Condition.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-primaryCancer-eu-pcsp').where( (extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus').valueCode = #replaspe or #recurrence) and  ( onsetDateTime &gt;= Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-flt-eu-pcsp').performedPeriod.end) )"/>
      </mapping>
    </element>
    <element id="RelapseAfterFLT.identifier">
      <path value="RelapseAfterFLT.identifier"/>
      <short value="Progression-relapse after FLT number"/>
      <definition
                  value="Progressive number of progression/relapse (1=first; 2= second; 3 = third; ?) after the end of treatment.
In this field must be reported the ordinal number of the progression/relapse after the end of treatment."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="RelapseAfterFLT.identifier"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <mapping>
        <identity value="fhir"/>
        <map value=".identifier"/>
      </mapping>
    </element>
    <element id="RelapseAfterFLT.relatedDiagnosis">
      <path value="RelapseAfterFLT.relatedDiagnosis"/>
      <short value="Progressive number of diagnosis"/>
      <definition
                  value="Progressive number of diagnosis (1=first; 2= second; 3 = third; ?).  
In this field must be reported the ordinal number of the tumor diagnosis in which progression/relapse ocuured during front line treatment."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="RelapseAfterFLT.relatedDiagnosis"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <mapping>
        <identity value="fhir"/>
        <map
             value=".extension('http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing')"/>
      </mapping>
    </element>
    <element id="RelapseAfterFLT.date">
      <path value="RelapseAfterFLT.date"/>
      <short value="date of relapse"/>
      <definition
                  value="Report here the date (dd/mm/yyyy ) of the relapse/progression. If the date is unkown or partially missed insert the year at the best of your knowledge."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="RelapseAfterFLT.date"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="date"/>
      </type>
      <mapping>
        <identity value="fhir"/>
        <map
             value=".extension('http://hl7.org/fhir/StructureDefinition/condition-assertedDate')"/>
      </mapping>
    </element>
    <element id="RelapseAfterFLT.relapseOrProgression">
      <path value="RelapseAfterFLT.relapseOrProgression"/>
      <short value="relapse | progression"/>
      <definition
                  value="Report here if a relapse or progression occurred after the elective end of therapies.
Please note that 'progressions' may occurr since in some cases (e.g. stage 3 unoperable residual neuroblastoma or residual CNS tumor) that were considered as 'non active' may progress
1 =&gt; Relapse
2 =&gt; Progression
-9922= &gt; NK"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="RelapseAfterFLT.relapseOrProgression"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mapping>
        <identity value="fhir"/>
        <map
             value=".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus').valueCodeableConcept OR Condition.where( clinicalStatus = #relapse or clinicalStatus = #recurrence).clinicalStatus"/>
      </mapping>
    </element>
    <element id="RelapseAfterFLT.type">
      <path value="RelapseAfterFLT.type"/>
      <short value="local | distant | combined"/>
      <definition
                  value="Please define if the relapse/progression was local, distant or combined."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="RelapseAfterFLT.type"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mapping>
        <identity value="fhir"/>
        <map
             value=".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType').valueCodeableConcept"/>
      </mapping>
    </element>
    <element id="RelapseAfterFLT.site">
      <path value="RelapseAfterFLT.site"/>
      <short value="If distant, site of metastases"/>
      <definition
                  value="Please define if the relapse/progression was local, distant or combined."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="RelapseAfterFLT.site"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="fhir"/>
        <map value=".bodySite"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="RelapseAfterFLT">
      <path value="RelapseAfterFLT"/>
      <short value="Progression-Relapse after FLT"/>
      <definition
                  value="Progression-Relapse after FLT
Maturity Level: 2 - Ready for Review"/>
      <mapping>
        <identity value="fhir"/>
        <map
             value="Condition.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-primaryCancer-eu-pcsp').where( (extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus').valueCode = #replaspe or #recurrence) and  ( onsetDateTime &gt;= Procedure.conformsTo('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Procedure-flt-eu-pcsp').performedPeriod.end) )"/>
      </mapping>
    </element>
    <element id="RelapseAfterFLT.identifier">
      <path value="RelapseAfterFLT.identifier"/>
      <short value="Progression-relapse after FLT number"/>
      <definition
                  value="Progressive number of progression/relapse (1=first; 2= second; 3 = third; ?) after the end of treatment.
In this field must be reported the ordinal number of the progression/relapse after the end of treatment."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <mapping>
        <identity value="fhir"/>
        <map value=".identifier"/>
      </mapping>
    </element>
    <element id="RelapseAfterFLT.relatedDiagnosis">
      <path value="RelapseAfterFLT.relatedDiagnosis"/>
      <short value="Progressive number of diagnosis"/>
      <definition
                  value="Progressive number of diagnosis (1=first; 2= second; 3 = third; ?).  
In this field must be reported the ordinal number of the tumor diagnosis in which progression/relapse ocuured during front line treatment."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <mapping>
        <identity value="fhir"/>
        <map
             value=".extension('http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing')"/>
      </mapping>
    </element>
    <element id="RelapseAfterFLT.date">
      <path value="RelapseAfterFLT.date"/>
      <short value="date of relapse"/>
      <definition
                  value="Report here the date (dd/mm/yyyy ) of the relapse/progression. If the date is unkown or partially missed insert the year at the best of your knowledge."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="date"/>
      </type>
      <mapping>
        <identity value="fhir"/>
        <map
             value=".extension('http://hl7.org/fhir/StructureDefinition/condition-assertedDate')"/>
      </mapping>
    </element>
    <element id="RelapseAfterFLT.relapseOrProgression">
      <path value="RelapseAfterFLT.relapseOrProgression"/>
      <short value="relapse | progression"/>
      <definition
                  value="Report here if a relapse or progression occurred after the elective end of therapies.
Please note that 'progressions' may occurr since in some cases (e.g. stage 3 unoperable residual neuroblastoma or residual CNS tumor) that were considered as 'non active' may progress
1 =&gt; Relapse
2 =&gt; Progression
-9922= &gt; NK"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mapping>
        <identity value="fhir"/>
        <map
             value=".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-previousStatus').valueCodeableConcept OR Condition.where( clinicalStatus = #relapse or clinicalStatus = #recurrence).clinicalStatus"/>
      </mapping>
    </element>
    <element id="RelapseAfterFLT.type">
      <path value="RelapseAfterFLT.type"/>
      <short value="local | distant | combined"/>
      <definition
                  value="Please define if the relapse/progression was local, distant or combined."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mapping>
        <identity value="fhir"/>
        <map
             value=".extension('http://hl7.eu/fhir/ig/pcsp/StructureDefinition/condition-relapseType').valueCodeableConcept"/>
      </mapping>
    </element>
    <element id="RelapseAfterFLT.site">
      <path value="RelapseAfterFLT.site"/>
      <short value="If distant, site of metastases"/>
      <definition
                  value="Please define if the relapse/progression was local, distant or combined."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="fhir"/>
        <map value=".bodySite"/>
      </mapping>
    </element>
  </differential>
</StructureDefinition>