Onconova Implementation Guide - Local Development build (v0.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Therapy Line Profile

A profile representing a line of therapy in a cancer treatment regimen, including details about the therapy line number, associated treatments, and relevant dates. It is based on a FHIR EpisodeOfCare to capture the specific resources involved in the therapy line. Therapy lines in Onconova are assigned automatically based on existing Procedure and MedicationAdministration resources and are not usually created manually.

Conformance:

EpisodeOfCare resources representing a therapy line in the scope of Onconova SHALL conform to this profile. Any resource intended to conform to this profile SHOULD populate meta.profile accordingly.

Usages:

• Refer to this Profile: Therapy Line Reference
• CapabilityStatements using this Profile: Onconova FHIR REST Server Capability Statement

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare	C	0..*	EpisodeOfCare	An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility Constraints: o-lin-req-1, o-lin-req-2, o-lin-req-3, o-lin-req-4
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:therapyLineNumber	O	0..1	positiveInt	The number representing the sequence of the therapy line in the overall treatment regimen URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-number Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:therapyLineIntent	O	0..1	CodeableConcept	The intent of the therapy line, such as curative or palliative URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-intent Binding: Treatment Intents Value Set (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:therapyLineProgressionFreeSurvival	O	0..1	Duration	The progression-free survival duration for the therapy line URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-progression-free-survival Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:therapyLineProgressionDate	O	0..1	date	The date when disease progression was observed during or after the therapy line URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-progression-date Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	Not used in this profile Binding: EpisodeOfCareStatus (required): The status of the episode of care.
statusHistory		0..*	BackboneElement	Not used in this profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
period		1..1	Period	Duration the EpisodeOfCare was in the specified status
type	Σ	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Binding: EpisodeOfCareType (example): The type of the episode of care. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C133518
display		1..1	string	Representation defined by the system Fixed Value: Line of Therapy
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
diagnosis	Σ	0..*	BackboneElement	Not used in this profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Condition)	Conditions/problems/diagnoses this episode of care is for
patient	SOΣ	1..1	Reference(Cancer Patient Profile)	The patient receiving the therapy Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
managingOrganization	Σ	0..1	Reference(Organization)	Not used in this profile
period	SOΣ	0..1	Period	The period during which the therapy line was performed Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
referralRequest		0..*	Reference(ServiceRequest)	Not used in this profile
careManager		0..1	Reference(Practitioner | PractitionerRole)	Not used in this profile
team		0..*	Reference(CareTeam)	Not used in this profile
account		0..*	Reference(Account)	Not used in this profile
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
EpisodeOfCare.status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.statusHistory.​status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.type	Base	example	Episode of care type	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	EpisodeOfCare	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
o-lin-req-1	error	EpisodeOfCare	The patient element is required and must be provided.	patient.exists()
o-lin-req-2	error	EpisodeOfCare	The period element is required and must be provided.	period.exists()
o-lin-req-3	error	EpisodeOfCare	The therapyLineNumber extension is required and must be provided.	extension('http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-number').exists()
o-lin-req-4	error	EpisodeOfCare	The therapyLineIntent extension is required and must be provided.	extension('http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-intent').exists()

This structure is derived from EpisodeOfCare

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare	C	0..*	EpisodeOfCare	An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility Constraints: o-lin-req-1, o-lin-req-2, o-lin-req-3, o-lin-req-4
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:therapyLineNumber	O	0..1	positiveInt	The number representing the sequence of the therapy line in the overall treatment regimen URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-number Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:therapyLineIntent	O	0..1	CodeableConcept	The intent of the therapy line, such as curative or palliative URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-intent Binding: Treatment Intents Value Set (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:therapyLineProgressionFreeSurvival	O	0..1	Duration	The progression-free survival duration for the therapy line URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-progression-free-survival Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:therapyLineProgressionDate	O	0..1	date	The date when disease progression was observed during or after the therapy line URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-progression-date Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
status		1..1	code	Not used in this profile
statusHistory		0..*	BackboneElement	Not used in this profile
type		0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C133518
display		1..1	string	Representation defined by the system Fixed Value: Line of Therapy
diagnosis		0..*	BackboneElement	Not used in this profile
patient	SO	1..1	Reference(Cancer Patient Profile)	The patient receiving the therapy Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
managingOrganization		0..1	Reference(Organization)	Not used in this profile
period	SO	0..1	Period	The period during which the therapy line was performed Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
referralRequest		0..*	Reference(ServiceRequest)	Not used in this profile
careManager		0..1	Reference(Practitioner | PractitionerRole)	Not used in this profile
team		0..*	Reference(CareTeam)	Not used in this profile
account		0..*	Reference(Account)	Not used in this profile
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
o-lin-req-1	error	EpisodeOfCare	The patient element is required and must be provided.	patient.exists()
o-lin-req-2	error	EpisodeOfCare	The period element is required and must be provided.	period.exists()
o-lin-req-3	error	EpisodeOfCare	The therapyLineNumber extension is required and must be provided.	extension('http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-number').exists()
o-lin-req-4	error	EpisodeOfCare	The therapyLineIntent extension is required and must be provided.	extension('http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-intent').exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare	C	0..*	EpisodeOfCare	An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility Constraints: o-lin-req-1, o-lin-req-2, o-lin-req-3, o-lin-req-4
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:therapyLineNumber	O	0..1	positiveInt	The number representing the sequence of the therapy line in the overall treatment regimen URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-number Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:therapyLineIntent	O	0..1	CodeableConcept	The intent of the therapy line, such as curative or palliative URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-intent Binding: Treatment Intents Value Set (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:therapyLineProgressionFreeSurvival	O	0..1	Duration	The progression-free survival duration for the therapy line URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-progression-free-survival Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:therapyLineProgressionDate	O	0..1	date	The date when disease progression was observed during or after the therapy line URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-progression-date Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business Identifier(s) relevant for this EpisodeOfCare
status	?!Σ	1..1	code	Not used in this profile Binding: EpisodeOfCareStatus (required): The status of the episode of care.
statusHistory		0..*	BackboneElement	Not used in this profile
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
period		1..1	Period	Duration the EpisodeOfCare was in the specified status
type	Σ	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Binding: EpisodeOfCareType (example): The type of the episode of care. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C133518
display		1..1	string	Representation defined by the system Fixed Value: Line of Therapy
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
diagnosis	Σ	0..*	BackboneElement	Not used in this profile
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Condition)	Conditions/problems/diagnoses this episode of care is for
role	Σ	0..1	CodeableConcept	Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank	Σ	0..1	positiveInt	Ranking of the diagnosis (for each role type)
patient	SOΣ	1..1	Reference(Cancer Patient Profile)	The patient receiving the therapy Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
managingOrganization	Σ	0..1	Reference(Organization)	Not used in this profile
period	SOΣ	0..1	Period	The period during which the therapy line was performed Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
referralRequest		0..*	Reference(ServiceRequest)	Not used in this profile
careManager		0..1	Reference(Practitioner | PractitionerRole)	Not used in this profile
team		0..*	Reference(CareTeam)	Not used in this profile
account		0..*	Reference(Account)	Not used in this profile
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
EpisodeOfCare.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
EpisodeOfCare.status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.statusHistory.​status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.type	Base	example	Episode of care type	📍4.0.1	FHIR Std.
EpisodeOfCare.diagnosis.​role	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	EpisodeOfCare	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
o-lin-req-1	error	EpisodeOfCare	The patient element is required and must be provided.	patient.exists()
o-lin-req-2	error	EpisodeOfCare	The period element is required and must be provided.	period.exists()
o-lin-req-3	error	EpisodeOfCare	The therapyLineNumber extension is required and must be provided.	extension('http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-number').exists()
o-lin-req-4	error	EpisodeOfCare	The therapyLineIntent extension is required and must be provided.	extension('http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-intent').exists()

This structure is derived from EpisodeOfCare

Summary

Must-Support: 2 elements

Structures

This structure refers to these other structures:

• Cancer Patient Profile (http://onconova.github.io/fhir/StructureDefinition/onconova-cancer-patient)

Extensions

This structure refers to these extensions:

• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-number
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-intent
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-progression-free-survival
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-progression-date

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare	C	0..*	EpisodeOfCare	An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility Constraints: o-lin-req-1, o-lin-req-2, o-lin-req-3, o-lin-req-4
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:therapyLineNumber	O	0..1	positiveInt	The number representing the sequence of the therapy line in the overall treatment regimen URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-number Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:therapyLineIntent	O	0..1	CodeableConcept	The intent of the therapy line, such as curative or palliative URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-intent Binding: Treatment Intents Value Set (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:therapyLineProgressionFreeSurvival	O	0..1	Duration	The progression-free survival duration for the therapy line URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-progression-free-survival Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:therapyLineProgressionDate	O	0..1	date	The date when disease progression was observed during or after the therapy line URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-progression-date Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	Not used in this profile Binding: EpisodeOfCareStatus (required): The status of the episode of care.
statusHistory		0..*	BackboneElement	Not used in this profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
period		1..1	Period	Duration the EpisodeOfCare was in the specified status
type	Σ	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Binding: EpisodeOfCareType (example): The type of the episode of care. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C133518
display		1..1	string	Representation defined by the system Fixed Value: Line of Therapy
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
diagnosis	Σ	0..*	BackboneElement	Not used in this profile
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Condition)	Conditions/problems/diagnoses this episode of care is for
patient	SOΣ	1..1	Reference(Cancer Patient Profile)	The patient receiving the therapy Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
managingOrganization	Σ	0..1	Reference(Organization)	Not used in this profile
period	SOΣ	0..1	Period	The period during which the therapy line was performed Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
referralRequest		0..*	Reference(ServiceRequest)	Not used in this profile
careManager		0..1	Reference(Practitioner | PractitionerRole)	Not used in this profile
team		0..*	Reference(CareTeam)	Not used in this profile
account		0..*	Reference(Account)	Not used in this profile
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
EpisodeOfCare.status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.statusHistory.​status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.type	Base	example	Episode of care type	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	EpisodeOfCare	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
o-lin-req-1	error	EpisodeOfCare	The patient element is required and must be provided.	patient.exists()
o-lin-req-2	error	EpisodeOfCare	The period element is required and must be provided.	period.exists()
o-lin-req-3	error	EpisodeOfCare	The therapyLineNumber extension is required and must be provided.	extension('http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-number').exists()
o-lin-req-4	error	EpisodeOfCare	The therapyLineIntent extension is required and must be provided.	extension('http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-intent').exists()

Differential View

This structure is derived from EpisodeOfCare

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare	C	0..*	EpisodeOfCare	An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility Constraints: o-lin-req-1, o-lin-req-2, o-lin-req-3, o-lin-req-4
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:therapyLineNumber	O	0..1	positiveInt	The number representing the sequence of the therapy line in the overall treatment regimen URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-number Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:therapyLineIntent	O	0..1	CodeableConcept	The intent of the therapy line, such as curative or palliative URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-intent Binding: Treatment Intents Value Set (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:therapyLineProgressionFreeSurvival	O	0..1	Duration	The progression-free survival duration for the therapy line URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-progression-free-survival Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:therapyLineProgressionDate	O	0..1	date	The date when disease progression was observed during or after the therapy line URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-progression-date Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
status		1..1	code	Not used in this profile
statusHistory		0..*	BackboneElement	Not used in this profile
type		0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C133518
display		1..1	string	Representation defined by the system Fixed Value: Line of Therapy
diagnosis		0..*	BackboneElement	Not used in this profile
patient	SO	1..1	Reference(Cancer Patient Profile)	The patient receiving the therapy Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
managingOrganization		0..1	Reference(Organization)	Not used in this profile
period	SO	0..1	Period	The period during which the therapy line was performed Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
referralRequest		0..*	Reference(ServiceRequest)	Not used in this profile
careManager		0..1	Reference(Practitioner | PractitionerRole)	Not used in this profile
team		0..*	Reference(CareTeam)	Not used in this profile
account		0..*	Reference(Account)	Not used in this profile
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
o-lin-req-1	error	EpisodeOfCare	The patient element is required and must be provided.	patient.exists()
o-lin-req-2	error	EpisodeOfCare	The period element is required and must be provided.	period.exists()
o-lin-req-3	error	EpisodeOfCare	The therapyLineNumber extension is required and must be provided.	extension('http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-number').exists()
o-lin-req-4	error	EpisodeOfCare	The therapyLineIntent extension is required and must be provided.	extension('http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-intent').exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare	C	0..*	EpisodeOfCare	An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility Constraints: o-lin-req-1, o-lin-req-2, o-lin-req-3, o-lin-req-4
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:therapyLineNumber	O	0..1	positiveInt	The number representing the sequence of the therapy line in the overall treatment regimen URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-number Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:therapyLineIntent	O	0..1	CodeableConcept	The intent of the therapy line, such as curative or palliative URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-intent Binding: Treatment Intents Value Set (required) Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
extension:therapyLineProgressionFreeSurvival	O	0..1	Duration	The progression-free survival duration for the therapy line URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-progression-free-survival Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
extension:therapyLineProgressionDate	O	0..1	date	The date when disease progression was observed during or after the therapy line URL: http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-progression-date Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business Identifier(s) relevant for this EpisodeOfCare
status	?!Σ	1..1	code	Not used in this profile Binding: EpisodeOfCareStatus (required): The status of the episode of care.
statusHistory		0..*	BackboneElement	Not used in this profile
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
period		1..1	Period	Duration the EpisodeOfCare was in the specified status
type	Σ	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Binding: EpisodeOfCareType (example): The type of the episode of care. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: C133518
display		1..1	string	Representation defined by the system Fixed Value: Line of Therapy
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
diagnosis	Σ	0..*	BackboneElement	Not used in this profile
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Condition)	Conditions/problems/diagnoses this episode of care is for
role	Σ	0..1	CodeableConcept	Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank	Σ	0..1	positiveInt	Ranking of the diagnosis (for each role type)
patient	SOΣ	1..1	Reference(Cancer Patient Profile)	The patient receiving the therapy Obligations Actor SHALL:populate Creator (Onconova) SHOULD:persist Consumer (Onconova)
managingOrganization	Σ	0..1	Reference(Organization)	Not used in this profile
period	SOΣ	0..1	Period	The period during which the therapy line was performed Obligations Actor MAY:ignore Creator (Onconova) MAY:persist Consumer (Onconova)
referralRequest		0..*	Reference(ServiceRequest)	Not used in this profile
careManager		0..1	Reference(Practitioner | PractitionerRole)	Not used in this profile
team		0..*	Reference(CareTeam)	Not used in this profile
account		0..*	Reference(Account)	Not used in this profile
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
EpisodeOfCare.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
EpisodeOfCare.status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.statusHistory.​status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.type	Base	example	Episode of care type	📍4.0.1	FHIR Std.
EpisodeOfCare.diagnosis.​role	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	EpisodeOfCare	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
o-lin-req-1	error	EpisodeOfCare	The patient element is required and must be provided.	patient.exists()
o-lin-req-2	error	EpisodeOfCare	The period element is required and must be provided.	period.exists()
o-lin-req-3	error	EpisodeOfCare	The therapyLineNumber extension is required and must be provided.	extension('http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-number').exists()
o-lin-req-4	error	EpisodeOfCare	The therapyLineIntent extension is required and must be provided.	extension('http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-intent').exists()

This structure is derived from EpisodeOfCare

Summary

Must-Support: 2 elements

Structures

This structure refers to these other structures:

• Cancer Patient Profile (http://onconova.github.io/fhir/StructureDefinition/onconova-cancer-patient)

Extensions

This structure refers to these extensions:

• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-number
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-intent
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-progression-free-survival
• http://onconova.github.io/fhir/StructureDefinition/onconova-ext-therapy-line-progression-date

Other representations of profile: CSV, Excel, Schematron