Generated Narrative: StructureDefinition CancerRegimensLM version: 17; Last updated: 2020-10-27 01:40:48+0000 Name Flags Card. Type Description & Constraints CancerRegimens 1..1 Element Base for all elements Elements defined in Ancestors:@id, <a href="http://hl7.org/fhir/R4/datatypes.html#Element" title="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.">extension #xD; status S 0..1 code status #xD; version 0..1 string version #xD; title S 0..1 string title #xD; description S 0..1 string description #xD; instructions 0..1 string instructions #xD; publisher 0..1 string publisher #xD; date 0..1 dateTime date #xD; type 0..1 CodeableConcept type #xD; intent 0..1 CodeableConcept intent #xD; replacedBy S 0..1 string replacedBy #xD; cancerTypes S 0..1 BackboneElement CancerTypes #xD; primaryType 0..1 CodeableConcept primaryType #xD; subType 0..1 CodeableConcept subType #xD; subSubType 0..1 CodeableConcept subSubType #xD; supportFactor 0..* BackboneElement supportFactor #xD; type 0..1 CodeableConcept type #xD; value 0..1 CodeableConcept value #xD; disclaimer 0..1 string disclaimer #xD; references 0..* BackboneElement relatedArtifact #xD; type 0..1 code type #xD; display 0..1 string display #xD; url 0..1 uri url #xD; cycle 1..* BackboneElement cycle #xD; description 0..1 string description #xD; instructions 0..1 string instructions #xD; duration 0..1 Identifier duration #xD; medicationAdministration 1..* BackboneElement medication #xD; description 0..1 string description #xD; dailyAdmin 0..* BackboneElement dailyAdmin #xD; dayNumber 0..1 integer dayNumber #xD; instructions 0..1 string instructions #xD; medication S 1..1 string medication #xD; offLabel 0..1 boolean offLabel #xD; collection 0..1 CodeableConcept collection #xD; location S 0..1 CodeableConcept location #xD; code 0..1 CodeableConcept code #xD; dose S 0..1 BackboneElement dose #xD; quantity 0..1 Quantity quantity #xD; administrationRate 0..1 Range administratrionPeriod #xD; route 0..1 CodeableConcept route #xD; timesPerDay S 0..1 string timesPerDay #xD; Documentation for this format
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
Additional content defined by implementations
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.
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.
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
The overall status for the regimen. Includes that the regimen is approved for use (status=active) but is still under review so may change.
PlanDefinition.status There is an extension (regimen-under-review) on status that indicates that the regimen is under review. The actual status value will be 'active'.
A short title that describes the regimen, suitable for a display
Overall instructions for use. Distinct from the description of the regimen
The organisation responsible for publishing the regimen
When the regimen was first made available for use
The intent of the regimen - eg curative or palliative
populated if this regimen is no longer active, but has been replaced by another. Refers directly to the replacement regimen. Note that there is not a reference from the replacement regimen back to this one.
The types of cancer that this regimen is intended to treat. There can be up to 3 - type, subType, subSubType.
PlanDefinition.useContext.valueCodeableConcept PlanDefinition.useContext.code = "focus". Primary, subtype and subsubtype are in order.
Extensions that cannot be ignored even if unrecognized
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).
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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
The main cancer that the regimen is targeted to. This will be the first one in the list and will always be present.
The cancer sub-type. Will be second in the list, if present.
The cancer sub-sub-type. Will be third in the list, if present.
Factors - such as medications - that may be needed by the patient during a course of treatment - often to counter side-effects of treatment.
The actual factor - eg a specific anti-emetic
Important notes about the regimen to a potential user
Related artifacts such as additional documentation, justification, or bibliographic references.
The location where the artefact can be retrieved from
Represents a single cycle of treatment. Note that in the FHIR resource, the cycle is nested...
A human readable description of what the cycle is. eg "Cabergoline administration, 2mg over 20 minutes" repeated weekly for 4 weeks
Specific instructions for use during this cycle (as opposed to a description OF the cycle)
The details of medication administration within this cycle. Details of the administration are in the medication element.
Describes the days within the cycle that the medication is given.
The day number for the administration from the start of the cycle
Specific instructions that apply to this administration on this day. eg for day 1 watch for anaphylaxis
Details of the medication - including dosage and other details
unique id for the element within a resource (for internal references)
May be used to represent additional information that is not part of the basic definition of the resource. 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.
exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
Indicates that this usage of the medication is not one for which it has been specifically approved
Where the medication is collected from prior to administration - eg a clinic or pharmacy (not a specific one - just the type of collection place)
The physical location where the medication is to be administered - eg home, clinic
Dosage details for a single administration of the medication
Amount of medication to be administered at a time
The time in minutes over which the medication is to be administered (if an infusion). The first number is the minimum period that the infusion should be over.
How many times per day that the medication should be administered if more than one