ConceptualCohortDefinition: Cancer of any kind (except basal cell skin cancer or cancer in situ) unless documented to be disease-free for five years

{
  "resourceType" : "Group",
  "id" : "example-conceptualcohortdefinition-cancer-except-subset",
  "meta" : {
    "versionId" : "8",
    "lastUpdated" : "2025-03-15T20:57:46.493Z",
    "profile" : ["https://hl7.org/fhir/uv/ebm/StructureDefinition/conceptual-cohort-definition"]
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/artifact-author",
    "valueContactDetail" : {
      "name" : "Brian S. Alper"
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fhir"
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  "url" : "http://hl7.org/fhir/Group/example-conceptualcohortdefinition-cancer-except-subset",
  "name" : "ConceptualCohortDefinition: Cancer except subsets",
  "status" : "active",
  "date" : "2022-09-09T10:30:50.570Z",
  "publisher" : "HL7 International / FHIR Infrastructure",
  "contact" : [{
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  "description" : "Cancer of any kind (except basal cell skin cancer or cancer in situ) unless documented to be disease-free for five years",
  "copyright" : "https://creativecommons.org/licenses/by-nc-sa/4.0/",
  "membership" : "conceptual",
  "combinationMethod" : "except-subset",
  "characteristic" : [{
    "code" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "64572001",
        "display" : "Disease (disorder)"
      },
      {
        "system" : "http://hl7.org/fhir/fhir-types",
        "code" : "Condition",
        "display" : "Condition"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "363346000",
        "display" : "Malignant neoplastic disease (disorder)"
      }]
    },
    "exclude" : false,
    "description" : "Cancer of any kind"
  },
  {
    "code" : {
      "coding" : [{
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      },
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        "system" : "http://hl7.org/fhir/fhir-types",
        "code" : "Condition",
        "display" : "Condition"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "254701007",
        "display" : "Basal cell carcinoma of skin (disorder)"
      }]
    },
    "exclude" : true,
    "description" : "(except basal cell skin cancer)"
  },
  {
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        "code" : "Condition",
        "display" : "Condition"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "109355002",
        "display" : "Carcinoma in situ (disorder)"
      }]
    },
    "exclude" : true,
    "description" : "(except cancer in situ)"
  },
  {
    "code" : {
      "text" : "Defined by CodeableConcept"
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "395100000",
        "display" : "No evidence of cancer found (situation)"
      }]
    },
    "exclude" : true,
    "description" : "unless documented to be disease-free for five years",
    "timing" : [{
      "contextCode" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "450332002",
          "display" : "Assessment of eligibility for clinical trial (procedure)"
        }]
      },
      "offsetRange" : {
        "low" : {
          "value" : -5,
          "unit" : "years",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        },
        "high" : {
          "value" : 0,
          "unit" : "years",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        }
      },
      "text" : "for five years up until study enrollment"
    }]
  }]
}