HL7 Europe Common Cancer Model
0.1.0 - ci-build
150
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
| Draft as of 2026-05-13 |
Definitions for the ClinicalCancerProgression logical model.
Guidance on how to interpret the contents of this table can be foundhere
| 0. ClinicalCancerProgression | |
| Definition | Logical model representing the longitudinal evolution of the cancer disease, documenting disease status and extent at a specific point in time. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet ClinicalCancerProgression). |
| Short | ClinicalCancerProgression |
| Control | 0..* |
| Is Modifier | false |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| Invariants | ccp-1: LocoRegionalSites must be present if ExtentType is Loco-regional (extentType.coding.where(code = 'Loco-regional').exists() implies locoRegionalSites.exists())ccp-2: MetastaticSites must be present if ExtentType is Metastatic ( extentType.coding.where(code = 'Metastatic').exists() implies metastaticSites.exists()) |
| 2. ClinicalCancerProgression.cancerConditionAtDiagnosisReference | |
| Definition | Reference to the original cancer condition at diagnosis to which this progression refers. |
| Short | CancerConditionReference |
| Control | 1..1 |
| Type | Reference(CancerConditionAtDiagnosis) |
| 4. ClinicalCancerProgression.diseaseStatus | |
| Definition | Disease status at this time point (e.g. progression, stable disease, remission, recurrence). |
| Short | DiseaseStatus |
| Comments | Choice: Progression | Stable Disease | Partial Remission | Complete Remission | Recurrence |
| Control | 1..1 |
| Type | CodeableConcept |
| 6. ClinicalCancerProgression.tumourGradeSystem | |
| Definition | Classification system used to define tumour grade, describing how abnormal tumour cells and tissue appear under microscopic examination (e.g. Gleason for prostate cancer, FNCLCC for soft tissue sarcomas). The grading system provides an indication of the biological aggressiveness of the tumour. |
| Short | TumourGradeSystem |
| Control | 0..1 |
| Type | CodeableConcept |
| 8. ClinicalCancerProgression.tumourGradeValue | |
| Definition | Grade value assigned according to the selected TumourGradeSystem. The grade reflects the degree of cellular differentiation and biological aggressiveness of the tumour and may evolve over time. |
| Short | TumourGradeValue |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 10. ClinicalCancerProgression.assertedDate | |
| Definition | Date when this progression/status was asserted/recorded. |
| Short | AssertedDate |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 12. ClinicalCancerProgression.extentType | |
| Definition | Extent of disease at this time point (Local, Loco-regional, Metastatic). |
| Short | ExtentType |
| Comments | Choice: Local | Loco-regional | Metastatic |
| Control | 0..1 |
| Type | CodeableConcept |
| 14. ClinicalCancerProgression.locoRegionalSites | |
| Definition | Sites involved when ExtentType is Loco-regional. |
| Short | LocoRegionalSites |
| Comments | It must be present if the ExtentType is Loco-regional |
| Control | 0..* |
| Type | CodeableConcept |
| 16. ClinicalCancerProgression.metastaticSites | |
| Definition | Sites involved when ExtentType is Metastatic. |
| Short | MetastaticSites |
| Comments | It must be present if the ExtentType is Metastatic |
| Control | 0..* |
| Type | CodeableConcept |
Guidance on how to interpret the contents of this table can be foundhere
| 0. ClinicalCancerProgression | |
| Definition | Logical model representing the longitudinal evolution of the cancer disease, documenting disease status and extent at a specific point in time. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet ClinicalCancerProgression). |
| Short | ClinicalCancerProgression |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| Invariants | ccp-1: LocoRegionalSites must be present if ExtentType is Loco-regional (extentType.coding.where(code = 'Loco-regional').exists() implies locoRegionalSites.exists())ccp-2: MetastaticSites must be present if ExtentType is Metastatic ( extentType.coding.where(code = 'Metastatic').exists() implies metastaticSites.exists()) |
| 2. ClinicalCancerProgression.cancerConditionAtDiagnosisReference | |
| Definition | Reference to the original cancer condition at diagnosis to which this progression refers. |
| Short | CancerConditionReference |
| Control | 1..1 |
| Type | Reference(CancerConditionAtDiagnosis) |
| 4. ClinicalCancerProgression.diseaseStatus | |
| Definition | Disease status at this time point (e.g. progression, stable disease, remission, recurrence). |
| Short | DiseaseStatus |
| Comments | Choice: Progression | Stable Disease | Partial Remission | Complete Remission | Recurrence |
| Control | 1..1 |
| Type | CodeableConcept |
| 6. ClinicalCancerProgression.tumourGradeSystem | |
| Definition | Classification system used to define tumour grade, describing how abnormal tumour cells and tissue appear under microscopic examination (e.g. Gleason for prostate cancer, FNCLCC for soft tissue sarcomas). The grading system provides an indication of the biological aggressiveness of the tumour. |
| Short | TumourGradeSystem |
| Control | 0..1 |
| Type | CodeableConcept |
| 8. ClinicalCancerProgression.tumourGradeValue | |
| Definition | Grade value assigned according to the selected TumourGradeSystem. The grade reflects the degree of cellular differentiation and biological aggressiveness of the tumour and may evolve over time. |
| Short | TumourGradeValue |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 10. ClinicalCancerProgression.assertedDate | |
| Definition | Date when this progression/status was asserted/recorded. |
| Short | AssertedDate |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 12. ClinicalCancerProgression.extentType | |
| Definition | Extent of disease at this time point (Local, Loco-regional, Metastatic). |
| Short | ExtentType |
| Comments | Choice: Local | Loco-regional | Metastatic |
| Control | 0..1 |
| Type | CodeableConcept |
| 14. ClinicalCancerProgression.locoRegionalSites | |
| Definition | Sites involved when ExtentType is Loco-regional. |
| Short | LocoRegionalSites |
| Comments | It must be present if the ExtentType is Loco-regional |
| Control | 0..* |
| Type | CodeableConcept |
| 16. ClinicalCancerProgression.metastaticSites | |
| Definition | Sites involved when ExtentType is Metastatic. |
| Short | MetastaticSites |
| Comments | It must be present if the ExtentType is Metastatic |
| Control | 0..* |
| Type | CodeableConcept |
Guidance on how to interpret the contents of this table can be foundhere
| 0. ClinicalCancerProgression | |
| Definition | Logical model representing the longitudinal evolution of the cancer disease, documenting disease status and extent at a specific point in time. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet ClinicalCancerProgression). |
| Short | ClinicalCancerProgression |
| Control | 0..* |
| Is Modifier | false |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| Invariants | ccp-1: LocoRegionalSites must be present if ExtentType is Loco-regional (extentType.coding.where(code = 'Loco-regional').exists() implies locoRegionalSites.exists())ccp-2: MetastaticSites must be present if ExtentType is Metastatic ( extentType.coding.where(code = 'Metastatic').exists() implies metastaticSites.exists()) |
| 2. ClinicalCancerProgression.cancerConditionAtDiagnosisReference | |
| Definition | Reference to the original cancer condition at diagnosis to which this progression refers. |
| Short | CancerConditionReference |
| Control | 1..1 |
| Type | Reference(CancerConditionAtDiagnosis) |
| 4. ClinicalCancerProgression.diseaseStatus | |
| Definition | Disease status at this time point (e.g. progression, stable disease, remission, recurrence). |
| Short | DiseaseStatus |
| Comments | Choice: Progression | Stable Disease | Partial Remission | Complete Remission | Recurrence |
| Control | 1..1 |
| Type | CodeableConcept |
| 6. ClinicalCancerProgression.tumourGradeSystem | |
| Definition | Classification system used to define tumour grade, describing how abnormal tumour cells and tissue appear under microscopic examination (e.g. Gleason for prostate cancer, FNCLCC for soft tissue sarcomas). The grading system provides an indication of the biological aggressiveness of the tumour. |
| Short | TumourGradeSystem |
| Control | 0..1 |
| Type | CodeableConcept |
| 8. ClinicalCancerProgression.tumourGradeValue | |
| Definition | Grade value assigned according to the selected TumourGradeSystem. The grade reflects the degree of cellular differentiation and biological aggressiveness of the tumour and may evolve over time. |
| Short | TumourGradeValue |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 10. ClinicalCancerProgression.assertedDate | |
| Definition | Date when this progression/status was asserted/recorded. |
| Short | AssertedDate |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 12. ClinicalCancerProgression.extentType | |
| Definition | Extent of disease at this time point (Local, Loco-regional, Metastatic). |
| Short | ExtentType |
| Comments | Choice: Local | Loco-regional | Metastatic |
| Control | 0..1 |
| Type | CodeableConcept |
| 14. ClinicalCancerProgression.locoRegionalSites | |
| Definition | Sites involved when ExtentType is Loco-regional. |
| Short | LocoRegionalSites |
| Comments | It must be present if the ExtentType is Loco-regional |
| Control | 0..* |
| Type | CodeableConcept |
| 16. ClinicalCancerProgression.metastaticSites | |
| Definition | Sites involved when ExtentType is Metastatic. |
| Short | MetastaticSites |
| Comments | It must be present if the ExtentType is Metastatic |
| Control | 0..* |
| Type | CodeableConcept |
IG © 2023+ HL7 Europe. Package hl7.fhir.eu.cancer-common#0.1.0 based on FHIR 4.0.1. Generated 2026-05-13
