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
| Official URL: http://hl7.eu/fhir/cancer-common/StructureDefinition/ClinicalCancerProgression | Version: 0.1.0 | |||
| Draft as of 2026-03-27 | Computable Name: ClinicalCancerProgression | |||
Copyright/Legal: HL7 Europe Copyright. Licensed under Common Creative License (CC0 1.0). Details at Copyright. |
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ClinicalCancerProgression logical model from Cancer_Common_Logical_Model_20260123_2.xlsx (sheet ClinicalCancerProgression).
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
C | 0..* | Base | ClinicalCancerProgression Instances of this logical model can be the target of a Reference Constraints: ccp-1, ccp-2 |
![]() ![]() |
1..1 | Reference(CancerCondition (AtDiagnosis)) | CancerConditionReference | |
![]() ![]() |
1..1 | CodeableConcept | DiseaseStatus | |
![]() ![]() |
0..1 | CodeableConcept | TumourGradeSystem | |
![]() ![]() |
0..1 | string | TumourGradeValue | |
![]() ![]() |
1..1 | dateTime | AssertedDate | |
![]() ![]() |
0..1 | CodeableConcept | ExtentType | |
![]() ![]() |
0..* | CodeableConcept | LocoRegionalSites | |
![]() ![]() |
0..* | CodeableConcept | MetastaticSites | |
Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| ccp-1 | error | ClinicalCancerProgression | LocoRegionalSites must be present if ExtentType is Loco-regional |
extentType.coding.where(code = 'Loco-regional').exists() implies locoRegionalSites.exists()
|
| ccp-2 | error | ClinicalCancerProgression | MetastaticSites must be present if ExtentType is Metastatic |
extentType.coding.where(code = 'Metastatic').exists() implies metastaticSites.exists()
|
This structure is derived from Base
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
C | 0..* | Base | ClinicalCancerProgression Instances of this logical model can be the target of a Reference Constraints: ccp-1, ccp-2 |
![]() ![]() |
1..1 | Reference(CancerCondition (AtDiagnosis)) | CancerConditionReference | |
![]() ![]() |
1..1 | CodeableConcept | DiseaseStatus | |
![]() ![]() |
0..1 | CodeableConcept | TumourGradeSystem | |
![]() ![]() |
0..1 | string | TumourGradeValue | |
![]() ![]() |
1..1 | dateTime | AssertedDate | |
![]() ![]() |
0..1 | CodeableConcept | ExtentType | |
![]() ![]() |
0..* | CodeableConcept | LocoRegionalSites | |
![]() ![]() |
0..* | CodeableConcept | MetastaticSites | |
Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| ccp-1 | error | ClinicalCancerProgression | LocoRegionalSites must be present if ExtentType is Loco-regional |
extentType.coding.where(code = 'Loco-regional').exists() implies locoRegionalSites.exists()
|
| ccp-2 | error | ClinicalCancerProgression | MetastaticSites must be present if ExtentType is Metastatic |
extentType.coding.where(code = 'Metastatic').exists() implies metastaticSites.exists()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
C | 0..* | Base | ClinicalCancerProgression Instances of this logical model can be the target of a Reference Constraints: ccp-1, ccp-2 |
![]() ![]() |
1..1 | Reference(CancerCondition (AtDiagnosis)) | CancerConditionReference | |
![]() ![]() |
1..1 | CodeableConcept | DiseaseStatus | |
![]() ![]() |
0..1 | CodeableConcept | TumourGradeSystem | |
![]() ![]() |
0..1 | string | TumourGradeValue | |
![]() ![]() |
1..1 | dateTime | AssertedDate | |
![]() ![]() |
0..1 | CodeableConcept | ExtentType | |
![]() ![]() |
0..* | CodeableConcept | LocoRegionalSites | |
![]() ![]() |
0..* | CodeableConcept | MetastaticSites | |
Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| ccp-1 | error | ClinicalCancerProgression | LocoRegionalSites must be present if ExtentType is Loco-regional |
extentType.coding.where(code = 'Loco-regional').exists() implies locoRegionalSites.exists()
|
| ccp-2 | error | ClinicalCancerProgression | MetastaticSites must be present if ExtentType is Metastatic |
extentType.coding.where(code = 'Metastatic').exists() implies metastaticSites.exists()
|
This structure is derived from Base
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
C | 0..* | Base | ClinicalCancerProgression Instances of this logical model can be the target of a Reference Constraints: ccp-1, ccp-2 |
![]() ![]() |
1..1 | Reference(CancerCondition (AtDiagnosis)) | CancerConditionReference | |
![]() ![]() |
1..1 | CodeableConcept | DiseaseStatus | |
![]() ![]() |
0..1 | CodeableConcept | TumourGradeSystem | |
![]() ![]() |
0..1 | string | TumourGradeValue | |
![]() ![]() |
1..1 | dateTime | AssertedDate | |
![]() ![]() |
0..1 | CodeableConcept | ExtentType | |
![]() ![]() |
0..* | CodeableConcept | LocoRegionalSites | |
![]() ![]() |
0..* | CodeableConcept | MetastaticSites | |
Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| ccp-1 | error | ClinicalCancerProgression | LocoRegionalSites must be present if ExtentType is Loco-regional |
extentType.coding.where(code = 'Loco-regional').exists() implies locoRegionalSites.exists()
|
| ccp-2 | error | ClinicalCancerProgression | MetastaticSites must be present if ExtentType is Metastatic |
extentType.coding.where(code = 'Metastatic').exists() implies metastaticSites.exists()
|
Differential View
This structure is derived from Base
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
C | 0..* | Base | ClinicalCancerProgression Instances of this logical model can be the target of a Reference Constraints: ccp-1, ccp-2 |
![]() ![]() |
1..1 | Reference(CancerCondition (AtDiagnosis)) | CancerConditionReference | |
![]() ![]() |
1..1 | CodeableConcept | DiseaseStatus | |
![]() ![]() |
0..1 | CodeableConcept | TumourGradeSystem | |
![]() ![]() |
0..1 | string | TumourGradeValue | |
![]() ![]() |
1..1 | dateTime | AssertedDate | |
![]() ![]() |
0..1 | CodeableConcept | ExtentType | |
![]() ![]() |
0..* | CodeableConcept | LocoRegionalSites | |
![]() ![]() |
0..* | CodeableConcept | MetastaticSites | |
Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| ccp-1 | error | ClinicalCancerProgression | LocoRegionalSites must be present if ExtentType is Loco-regional |
extentType.coding.where(code = 'Loco-regional').exists() implies locoRegionalSites.exists()
|
| ccp-2 | error | ClinicalCancerProgression | MetastaticSites must be present if ExtentType is Metastatic |
extentType.coding.where(code = 'Metastatic').exists() implies metastaticSites.exists()
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
C | 0..* | Base | ClinicalCancerProgression Instances of this logical model can be the target of a Reference Constraints: ccp-1, ccp-2 |
![]() ![]() |
1..1 | Reference(CancerCondition (AtDiagnosis)) | CancerConditionReference | |
![]() ![]() |
1..1 | CodeableConcept | DiseaseStatus | |
![]() ![]() |
0..1 | CodeableConcept | TumourGradeSystem | |
![]() ![]() |
0..1 | string | TumourGradeValue | |
![]() ![]() |
1..1 | dateTime | AssertedDate | |
![]() ![]() |
0..1 | CodeableConcept | ExtentType | |
![]() ![]() |
0..* | CodeableConcept | LocoRegionalSites | |
![]() ![]() |
0..* | CodeableConcept | MetastaticSites | |
Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| ccp-1 | error | ClinicalCancerProgression | LocoRegionalSites must be present if ExtentType is Loco-regional |
extentType.coding.where(code = 'Loco-regional').exists() implies locoRegionalSites.exists()
|
| ccp-2 | error | ClinicalCancerProgression | MetastaticSites must be present if ExtentType is Metastatic |
extentType.coding.where(code = 'Metastatic').exists() implies metastaticSites.exists()
|
This structure is derived from Base