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: CancerConditionAtDiagnosis - Detailed Descriptions

Draft as of 2026-02-05

Definitions for the CancerConditionAtDiagnosis logical model.

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

0. CancerConditionAtDiagnosis
Definition

CancerCondition (AtDiagnosis) logical model from Cancer_Common_Logical_Model_20260123_2.xlsx (sheet CancerCondition(AtDiagnosis)).

ShortCancerCondition (AtDiagnosis)
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. CancerConditionAtDiagnosis.subject
Definition

Subject

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

WG reccomends ICD03, the WG will monitor possible next versions. This attribute becomes mandatory once the cancer has been diagnosed; however, during the diagnostic workup it may still be absent, as the biopsy resulting from the surgery may not yet be available. nan

ShortHistologyBehaviour
Control0..1
TypeCodeableConcept
6. CancerConditionAtDiagnosis.bodySite
Definition

WG reccomends ICD03, the WG will monitor possible next versions. It is required to choose the most specific code available, meaning the most detailed code in the hierarchical terminology that precisely identifies the body site. nan

ShortBodySite
Control1..1
TypeCodeableConcept
8. CancerConditionAtDiagnosis.tumourGradingSystem
Definition

It represents the classification system used to define the tumor grade, such as Gleason (a grading system for prostate cancer) or FNCLCC (a grading system for soft tissue sarcomas). We need to determine the appropriate cardinality. nan

ShortTumourGradingSystem
Control0..1
TypeCodeableConcept
10. CancerConditionAtDiagnosis.tumourGradingValue
Definition

It represents the measured grade value based on the specific classification defined in the TumorGradingSystem. We need to determine the appropriate cardinality. nan

ShortTumourGradingValue
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. CancerConditionAtDiagnosis.visitDate
Definition

At least one of these dates must be present, since the model requires a diagnosis date for the Cancer Condition. nan

ShortVisitDate
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
14. CancerConditionAtDiagnosis.biopsyDate
Definition

BiopsyDate

ShortBiopsyDate
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
16. CancerConditionAtDiagnosis.imagingDate
Definition

ImagingDate

ShortImagingDate
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
18. CancerConditionAtDiagnosis.labReportDate
Definition

LabReportDate

ShortLabReportDate
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. CancerConditionAtDiagnosis
Definition

CancerCondition (AtDiagnosis) logical model from Cancer_Common_Logical_Model_20260123_2.xlsx (sheet CancerCondition(AtDiagnosis)).

ShortCancerCondition (AtDiagnosis)
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. CancerConditionAtDiagnosis.subject
Definition

Subject

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

WG reccomends ICD03, the WG will monitor possible next versions. This attribute becomes mandatory once the cancer has been diagnosed; however, during the diagnostic workup it may still be absent, as the biopsy resulting from the surgery may not yet be available. nan

ShortHistologyBehaviour
Control0..1
TypeCodeableConcept
6. CancerConditionAtDiagnosis.bodySite
Definition

WG reccomends ICD03, the WG will monitor possible next versions. It is required to choose the most specific code available, meaning the most detailed code in the hierarchical terminology that precisely identifies the body site. nan

ShortBodySite
Control1..1
TypeCodeableConcept
8. CancerConditionAtDiagnosis.tumourGradingSystem
Definition

It represents the classification system used to define the tumor grade, such as Gleason (a grading system for prostate cancer) or FNCLCC (a grading system for soft tissue sarcomas). We need to determine the appropriate cardinality. nan

ShortTumourGradingSystem
Control0..1
TypeCodeableConcept
10. CancerConditionAtDiagnosis.tumourGradingValue
Definition

It represents the measured grade value based on the specific classification defined in the TumorGradingSystem. We need to determine the appropriate cardinality. nan

ShortTumourGradingValue
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. CancerConditionAtDiagnosis.visitDate
Definition

At least one of these dates must be present, since the model requires a diagnosis date for the Cancer Condition. nan

ShortVisitDate
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
14. CancerConditionAtDiagnosis.biopsyDate
Definition

BiopsyDate

ShortBiopsyDate
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
16. CancerConditionAtDiagnosis.imagingDate
Definition

ImagingDate

ShortImagingDate
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
18. CancerConditionAtDiagnosis.labReportDate
Definition

LabReportDate

ShortLabReportDate
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. CancerConditionAtDiagnosis
Definition

CancerCondition (AtDiagnosis) logical model from Cancer_Common_Logical_Model_20260123_2.xlsx (sheet CancerCondition(AtDiagnosis)).

ShortCancerCondition (AtDiagnosis)
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. CancerConditionAtDiagnosis.subject
Definition

Subject

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

WG reccomends ICD03, the WG will monitor possible next versions. This attribute becomes mandatory once the cancer has been diagnosed; however, during the diagnostic workup it may still be absent, as the biopsy resulting from the surgery may not yet be available. nan

ShortHistologyBehaviour
Control0..1
TypeCodeableConcept
6. CancerConditionAtDiagnosis.bodySite
Definition

WG reccomends ICD03, the WG will monitor possible next versions. It is required to choose the most specific code available, meaning the most detailed code in the hierarchical terminology that precisely identifies the body site. nan

ShortBodySite
Control1..1
TypeCodeableConcept
8. CancerConditionAtDiagnosis.tumourGradingSystem
Definition

It represents the classification system used to define the tumor grade, such as Gleason (a grading system for prostate cancer) or FNCLCC (a grading system for soft tissue sarcomas). We need to determine the appropriate cardinality. nan

ShortTumourGradingSystem
Control0..1
TypeCodeableConcept
10. CancerConditionAtDiagnosis.tumourGradingValue
Definition

It represents the measured grade value based on the specific classification defined in the TumorGradingSystem. We need to determine the appropriate cardinality. nan

ShortTumourGradingValue
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. CancerConditionAtDiagnosis.visitDate
Definition

At least one of these dates must be present, since the model requires a diagnosis date for the Cancer Condition. nan

ShortVisitDate
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
14. CancerConditionAtDiagnosis.biopsyDate
Definition

BiopsyDate

ShortBiopsyDate
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
16. CancerConditionAtDiagnosis.imagingDate
Definition

ImagingDate

ShortImagingDate
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
18. CancerConditionAtDiagnosis.labReportDate
Definition

LabReportDate

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