{
  "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"
    }
  ],
  "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": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "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": [
          {
            "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": "254701007",
            "display": "Basal cell carcinoma of skin (disorder)"
          }
        ]
      },
      "exclude": true,
      "description": "(except basal cell skin cancer)"
    },
    {
      "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": "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",
      "relativeTime": [
        {
          "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"
        }
      ]
    }
  ]
}