HL7 Europe Common Cancer Model
0.1.0 - ci-build 150

HL7 Europe Common Cancer Model, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/cancer-common/ and changes regularly. See the Directory of published versions

Logical Model: ActiveSurveillance - Detailed Descriptions

Draft as of 2026-05-13

Definitions for the ActiveSurveillance logical model.

Guidance on how to interpret the contents of this table can be foundhere

0. ActiveSurveillance
Definition

Logical model representing an active surveillance strategy in which the patient is monitored over time without active treatment, prior to disease progression. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet ActiveSurveillance).

ShortActive Surveillance
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
Invariantsas-1: If endDate is present, it must be greater than or equal to startDate. (endDate.empty() or endDate >= startDate)
2. ActiveSurveillance.subject
Definition

Reference to the patient (subject) under active surveillance.

ShortSubject
Control1..1
Typehttp://hl7.eu/fhir/cancer-common/StructureDefinition/CancerPatient
4. ActiveSurveillance.cancerConditionAtDiagnosisReference
Definition

Reference to the cancer condition at diagnosis for which surveillance is applied.

ShortCancerCondition AtDiagnosis Reference
Comments

The reference to CancerCondition is limited to the CancerConditionAtDiagnosis because ActiveSurveillance is discontinued if a ClinicalCancerProgression occurs, at which point a different treatment strategy is initiated.

Control1..1
TypeReference(CancerConditionAtDiagnosis)
6. ActiveSurveillance.startDate
Definition

Start date of the active surveillance period.

ShortStartDate
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. ActiveSurveillance.endDate
Definition

End date of the active surveillance period (if concluded).

ShortEndDate
Comments

It might not be available while the active surveillanceis still ongoing; however, an end date must eventually be recorded.

Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

Guidance on how to interpret the contents of this table can be foundhere

0. ActiveSurveillance
Definition

Logical model representing an active surveillance strategy in which the patient is monitored over time without active treatment, prior to disease progression. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet ActiveSurveillance).

ShortActive Surveillance
Logical ModelInstances of this logical model are not marked to be the target of a Reference
Invariantsas-1: If endDate is present, it must be greater than or equal to startDate. (endDate.empty() or endDate >= startDate)
2. ActiveSurveillance.subject
Definition

Reference to the patient (subject) under active surveillance.

ShortSubject
Control1..1
Typehttp://hl7.eu/fhir/cancer-common/StructureDefinition/CancerPatient
4. ActiveSurveillance.cancerConditionAtDiagnosisReference
Definition

Reference to the cancer condition at diagnosis for which surveillance is applied.

ShortCancerCondition AtDiagnosis Reference
Comments

The reference to CancerCondition is limited to the CancerConditionAtDiagnosis because ActiveSurveillance is discontinued if a ClinicalCancerProgression occurs, at which point a different treatment strategy is initiated.

Control1..1
TypeReference(CancerConditionAtDiagnosis)
6. ActiveSurveillance.startDate
Definition

Start date of the active surveillance period.

ShortStartDate
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. ActiveSurveillance.endDate
Definition

End date of the active surveillance period (if concluded).

ShortEndDate
Comments

It might not be available while the active surveillanceis still ongoing; however, an end date must eventually be recorded.

Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

Guidance on how to interpret the contents of this table can be foundhere

0. ActiveSurveillance
Definition

Logical model representing an active surveillance strategy in which the patient is monitored over time without active treatment, prior to disease progression. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet ActiveSurveillance).

ShortActive Surveillance
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
Invariantsas-1: If endDate is present, it must be greater than or equal to startDate. (endDate.empty() or endDate >= startDate)
2. ActiveSurveillance.subject
Definition

Reference to the patient (subject) under active surveillance.

ShortSubject
Control1..1
Typehttp://hl7.eu/fhir/cancer-common/StructureDefinition/CancerPatient
4. ActiveSurveillance.cancerConditionAtDiagnosisReference
Definition

Reference to the cancer condition at diagnosis for which surveillance is applied.

ShortCancerCondition AtDiagnosis Reference
Comments

The reference to CancerCondition is limited to the CancerConditionAtDiagnosis because ActiveSurveillance is discontinued if a ClinicalCancerProgression occurs, at which point a different treatment strategy is initiated.

Control1..1
TypeReference(CancerConditionAtDiagnosis)
6. ActiveSurveillance.startDate
Definition

Start date of the active surveillance period.

ShortStartDate
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. ActiveSurveillance.endDate
Definition

End date of the active surveillance period (if concluded).

ShortEndDate
Comments

It might not be available while the active surveillanceis still ongoing; however, an end date must eventually be recorded.

Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension