HL7 Europe Common Cancer Model
1.0.0-ballot - ballot
150
HL7 Europe Common Cancer Model
1.0.0-ballot - ballot
150
HL7 Europe Common Cancer Model, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot 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
| Active as of 2026-10-20 |
TTL representation of the ClinicalCancerProgression logical model.
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- <http://hl7.org/fhir/StructureDefinition/ClinicalCancerProgression> a fhir:StructureDefinition ; fhir:nodeRole fhir:treeRoot ; fhir:Resource.id [ fhir:value "ClinicalCancerProgression"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "extensions" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition ClinicalCancerProgression</b></p><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" class=\"xhtTableBorder0\"><tr class=\"xhtRowBorder1\"><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th scope=\"col\" style=\"; width: 100px\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck1.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ClinicalCancerProgression-definitions.html#ClinicalCancerProgression\" title=\"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).\">ClinicalCancerProgression</a><a name=\"ClinicalCancerProgression\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( ccp-1, ccp-2 )\" class=\"xhtConstraintStyle\">C</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">*</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://build.fhir.org/types.html#Base\">Base</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">ClinicalCancerProgression<br/><span class=\"xhtPieceBold\">Instances of this type can be the target of a Reference</span><br class=\"constraint\"/><span class=\"constraint\">Constraints: </span><span title=\"LocoRegionalSites must be present if ExtentType is Loco-regional\" class=\"xhtPieceBold constraint\">ccp-1</span><span class=\"constraint\">, </span><span title=\"MetastaticSites must be present if ExtentType is Metastatic\" class=\"xhtPieceBold constraint\">ccp-2</span></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ClinicalCancerProgression.</span><a href=\"StructureDefinition-ClinicalCancerProgression-definitions.html#ClinicalCancerProgression.cancerConditionAtDiagnosisReference\" title=\"Reference to the original cancer condition at diagnosis to which this progression refers.\">cancerConditionAtDiagnosisReference</a><a name=\"ClinicalCancerProgression.cancerConditionAtDiagnosisReference\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-CancerConditionAtDiagnosis.html\">CancerConditionAtDiagnosis</a>)</td><td style=\"\" class=\"hierarchy xhtCellBorder0\">CancerConditionReference</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ClinicalCancerProgression.</span><a href=\"StructureDefinition-ClinicalCancerProgression-definitions.html#ClinicalCancerProgression.diseaseStatus\" title=\"Disease status at this time point (e.g. progression, stable disease, remission, recurrence).\">diseaseStatus</a><a name=\"ClinicalCancerProgression.diseaseStatus\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">DiseaseStatus</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ClinicalCancerProgression.</span><a href=\"StructureDefinition-ClinicalCancerProgression-definitions.html#ClinicalCancerProgression.tumourGradeSystem\" title=\"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.\">tumourGradeSystem</a><a name=\"ClinicalCancerProgression.tumourGradeSystem\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">TumourGradeSystem</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ClinicalCancerProgression.</span><a href=\"StructureDefinition-ClinicalCancerProgression-definitions.html#ClinicalCancerProgression.tumourGradeValue\" title=\"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.\">tumourGradeValue</a><a name=\"ClinicalCancerProgression.tumourGradeValue\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">TumourGradeValue</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ClinicalCancerProgression.</span><a href=\"StructureDefinition-ClinicalCancerProgression-definitions.html#ClinicalCancerProgression.assertedDate\" title=\"Date when this progression/status was asserted/recorded.\">assertedDate</a><a name=\"ClinicalCancerProgression.assertedDate\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">AssertedDate</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ClinicalCancerProgression.</span><a href=\"StructureDefinition-ClinicalCancerProgression-definitions.html#ClinicalCancerProgression.extentType\" title=\"Extent of disease at this time point (Local, Loco-regional, Metastatic).\">extentType</a><a name=\"ClinicalCancerProgression.extentType\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">ExtentType</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ClinicalCancerProgression.</span><a href=\"StructureDefinition-ClinicalCancerProgression-definitions.html#ClinicalCancerProgression.locoRegionalSites\" title=\"Sites involved when ExtentType is Loco-regional.\">locoRegionalSites</a><a name=\"ClinicalCancerProgression.locoRegionalSites\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">LocoRegionalSites<br/></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck00.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">ClinicalCancerProgression.</span><a href=\"StructureDefinition-ClinicalCancerProgression-definitions.html#ClinicalCancerProgression.metastaticSites\" title=\"Sites involved when ExtentType is Metastatic.\">metastaticSites</a><a name=\"ClinicalCancerProgression.metastaticSites\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">MetastaticSites<br/></td></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>" ] ; fhir:DomainResource.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics" ] ; fhir:Extension.valueCode [ fhir:value "can-be-target" ] ] ; fhir:StructureDefinition.url [ fhir:value "http://hl7.eu/fhir/cancer-common/StructureDefinition/ClinicalCancerProgression"] ; fhir:StructureDefinition.version [ fhir:value "1.0.0-ballot"] ; fhir:StructureDefinition.name [ fhir:value "ClinicalCancerProgression"] ; fhir:StructureDefinition.title [ fhir:value "ClinicalCancerProgression"] ; fhir:StructureDefinition.status [ fhir:value "active"] ; fhir:StructureDefinition.date [ fhir:value "2026-10-20T16:00:15+00:00"^^xsd:dateTime] ; fhir:StructureDefinition.publisher [ fhir:value "HL7 Europe"] ; fhir:StructureDefinition.contact [ fhir:index 0 ; fhir:ContactDetail.name [ fhir:value "HL7 Europe" ] ; fhir:ContactDetail.telecom [ fhir:index 0 ; fhir:ContactPoint.system [ fhir:value "url" ] ; fhir:ContactPoint.value [ fhir:value "http://hl7.eu" ] ] ] ; fhir:StructureDefinition.description [ fhir:value "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)."] ; fhir:StructureDefinition.jurisdiction [ fhir:index 0 ; fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ; fhir:Coding.code [ fhir:value "150" ] ; fhir:Coding.display [ fhir:value "Europe" ] ] ] ; fhir:StructureDefinition.copyright [ fhir:value "HL7 Europe Copyright. Licensed under Common Creative License (CC0 1.0). Details at [Copyright](copyright.html)."] ; fhir:StructureDefinition.fhirVersion [ fhir:value "4.0.1"] ; fhir:StructureDefinition.kind [ fhir:value "logical"] ; fhir:StructureDefinition.abstract [ fhir:value "false"^^xsd:boolean] ; fhir:StructureDefinition.type [ fhir:value "http://hl7.eu/fhir/cancer-common/StructureDefinition/ClinicalCancerProgression"] ; fhir:StructureDefinition.baseDefinition [ fhir:value "http://hl7.org/fhir/StructureDefinition/Base" ; fhir:link <http://hl7.org/fhir/StructureDefinition/Base> ] ; fhir:StructureDefinition.derivation [ fhir:value "specialization"] ; fhir:StructureDefinition.snapshot [ fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version" ] ; fhir:Extension.valueString [ fhir:value "4.0.1" ] ] ; fhir:StructureDefinition.snapshot.element [ fhir:index 0 ; fhir:Element.id [ fhir:value "ClinicalCancerProgression" ] ; fhir:ElementDefinition.path [ fhir:value "ClinicalCancerProgression" ] ; fhir:ElementDefinition.short [ fhir:value "ClinicalCancerProgression" ] ; fhir:ElementDefinition.definition [ fhir:value "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)." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Base" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ccp-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "LocoRegionalSites must be present if ExtentType is Loco-regional" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "extentType.coding.where(code = 'Loco-regional').exists() implies locoRegionalSites.exists()" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.eu/fhir/cancer-common/StructureDefinition/ClinicalCancerProgression" ; fhir:link <http://hl7.eu/fhir/cancer-common/StructureDefinition/ClinicalCancerProgression> ] ], [ fhir:index 1 ; fhir:ElementDefinition.constraint.key [ fhir:value "ccp-2" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "MetastaticSites must be present if ExtentType is Metastatic" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "extentType.coding.where(code = 'Metastatic').exists() implies metastaticSites.exists()" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.eu/fhir/cancer-common/StructureDefinition/ClinicalCancerProgression" ; fhir:link <http://hl7.eu/fhir/cancer-common/StructureDefinition/ClinicalCancerProgression> ] ] ; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 1 ; fhir:Element.id [ fhir:value "ClinicalCancerProgression.cancerConditionAtDiagnosisReference" ] ; fhir:ElementDefinition.path [ fhir:value "ClinicalCancerProgression.cancerConditionAtDiagnosisReference" ] ; fhir:ElementDefinition.short [ fhir:value "CancerConditionReference" ] ; fhir:ElementDefinition.definition [ fhir:value "Reference to the original cancer condition at diagnosis to which this progression refers." ] ; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "ClinicalCancerProgression.cancerConditionAtDiagnosisReference" ] ; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerConditionAtDiagnosis" ; fhir:index 0 ; fhir:link <http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerConditionAtDiagnosis> ] ] ], [ fhir:index 2 ; fhir:Element.id [ fhir:value "ClinicalCancerProgression.diseaseStatus" ] ; fhir:ElementDefinition.path [ fhir:value "ClinicalCancerProgression.diseaseStatus" ] ; fhir:ElementDefinition.short [ fhir:value "DiseaseStatus" ] ; fhir:ElementDefinition.definition [ fhir:value "Disease status at this time point (e.g. progression, stable disease, remission, recurrence)." ] ; fhir:ElementDefinition.comment [ fhir:value "Choice: Progression | Stable Disease | Partial Remission | Complete Remission | Recurrence" ] ; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "ClinicalCancerProgression.diseaseStatus" ] ; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ] ], [ fhir:index 3 ; fhir:Element.id [ fhir:value "ClinicalCancerProgression.tumourGradeSystem" ] ; fhir:ElementDefinition.path [ fhir:value "ClinicalCancerProgression.tumourGradeSystem" ] ; fhir:ElementDefinition.short [ fhir:value "TumourGradeSystem" ] ; fhir:ElementDefinition.definition [ fhir:value "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." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "ClinicalCancerProgression.tumourGradeSystem" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ] ], [ fhir:index 4 ; fhir:Element.id [ fhir:value "ClinicalCancerProgression.tumourGradeValue" ] ; fhir:ElementDefinition.path [ fhir:value "ClinicalCancerProgression.tumourGradeValue" ] ; fhir:ElementDefinition.short [ fhir:value "TumourGradeValue" ] ; fhir:ElementDefinition.definition [ fhir:value "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." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "ClinicalCancerProgression.tumourGradeValue" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "string" ] ] ], [ fhir:index 5 ; fhir:Element.id [ fhir:value "ClinicalCancerProgression.assertedDate" ] ; fhir:ElementDefinition.path [ fhir:value "ClinicalCancerProgression.assertedDate" ] ; fhir:ElementDefinition.short [ fhir:value "AssertedDate" ] ; fhir:ElementDefinition.definition [ fhir:value "Date when this progression/status was asserted/recorded." ] ; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "ClinicalCancerProgression.assertedDate" ] ; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "dateTime" ] ] ], [ fhir:index 6 ; fhir:Element.id [ fhir:value "ClinicalCancerProgression.extentType" ] ; fhir:ElementDefinition.path [ fhir:value "ClinicalCancerProgression.extentType" ] ; fhir:ElementDefinition.short [ fhir:value "ExtentType" ] ; fhir:ElementDefinition.definition [ fhir:value "Extent of disease at this time point (Local, Loco-regional, Metastatic)." ] ; fhir:ElementDefinition.comment [ fhir:value "Choice: Local | Loco-regional | Metastatic" ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "ClinicalCancerProgression.extentType" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "1" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ] ], [ fhir:index 7 ; fhir:Element.id [ fhir:value "ClinicalCancerProgression.locoRegionalSites" ] ; fhir:ElementDefinition.path [ fhir:value "ClinicalCancerProgression.locoRegionalSites" ] ; fhir:ElementDefinition.short [ fhir:value "LocoRegionalSites" ] ; fhir:ElementDefinition.definition [ fhir:value "Sites involved when ExtentType is Loco-regional." ] ; fhir:ElementDefinition.comment [ fhir:value "It must be present if the ExtentType is Loco-regional" ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "ClinicalCancerProgression.locoRegionalSites" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ] ], [ fhir:index 8 ; fhir:Element.id [ fhir:value "ClinicalCancerProgression.metastaticSites" ] ; fhir:ElementDefinition.path [ fhir:value "ClinicalCancerProgression.metastaticSites" ] ; fhir:ElementDefinition.short [ fhir:value "MetastaticSites" ] ; fhir:ElementDefinition.definition [ fhir:value "Sites involved when ExtentType is Metastatic." ] ; fhir:ElementDefinition.comment [ fhir:value "It must be present if the ExtentType is Metastatic" ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "ClinicalCancerProgression.metastaticSites" ] ; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.base.max [ fhir:value "*" ] ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ] ] ] ; fhir:StructureDefinition.differential [ fhir:StructureDefinition.differential.element [ fhir:index 0 ; fhir:Element.id [ fhir:value "ClinicalCancerProgression" ] ; fhir:ElementDefinition.path [ fhir:value "ClinicalCancerProgression" ] ; fhir:ElementDefinition.short [ fhir:value "ClinicalCancerProgression" ] ; fhir:ElementDefinition.definition [ fhir:value "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)." ] ; fhir:ElementDefinition.constraint [ fhir:index 0 ; fhir:ElementDefinition.constraint.key [ fhir:value "ccp-1" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "LocoRegionalSites must be present if ExtentType is Loco-regional" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "extentType.coding.where(code = 'Loco-regional').exists() implies locoRegionalSites.exists()" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.eu/fhir/cancer-common/StructureDefinition/ClinicalCancerProgression" ; fhir:link <http://hl7.eu/fhir/cancer-common/StructureDefinition/ClinicalCancerProgression> ] ], [ fhir:index 1 ; fhir:ElementDefinition.constraint.key [ fhir:value "ccp-2" ] ; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ; fhir:ElementDefinition.constraint.human [ fhir:value "MetastaticSites must be present if ExtentType is Metastatic" ] ; fhir:ElementDefinition.constraint.expression [ fhir:value "extentType.coding.where(code = 'Metastatic').exists() implies metastaticSites.exists()" ] ; fhir:ElementDefinition.constraint.source [ fhir:value "http://hl7.eu/fhir/cancer-common/StructureDefinition/ClinicalCancerProgression" ; fhir:link <http://hl7.eu/fhir/cancer-common/StructureDefinition/ClinicalCancerProgression> ] ] ], [ fhir:index 1 ; fhir:Element.id [ fhir:value "ClinicalCancerProgression.cancerConditionAtDiagnosisReference" ] ; fhir:ElementDefinition.path [ fhir:value "ClinicalCancerProgression.cancerConditionAtDiagnosisReference" ] ; fhir:ElementDefinition.short [ fhir:value "CancerConditionReference" ] ; fhir:ElementDefinition.definition [ fhir:value "Reference to the original cancer condition at diagnosis to which this progression refers." ] ; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerConditionAtDiagnosis" ; fhir:index 0 ; fhir:link <http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerConditionAtDiagnosis> ] ] ], [ fhir:index 2 ; fhir:Element.id [ fhir:value "ClinicalCancerProgression.diseaseStatus" ] ; fhir:ElementDefinition.path [ fhir:value "ClinicalCancerProgression.diseaseStatus" ] ; fhir:ElementDefinition.short [ fhir:value "DiseaseStatus" ] ; fhir:ElementDefinition.definition [ fhir:value "Disease status at this time point (e.g. progression, stable disease, remission, recurrence)." ] ; fhir:ElementDefinition.comment [ fhir:value "Choice: Progression | Stable Disease | Partial Remission | Complete Remission | Recurrence" ] ; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ] ], [ fhir:index 3 ; fhir:Element.id [ fhir:value "ClinicalCancerProgression.tumourGradeSystem" ] ; fhir:ElementDefinition.path [ fhir:value "ClinicalCancerProgression.tumourGradeSystem" ] ; fhir:ElementDefinition.short [ fhir:value "TumourGradeSystem" ] ; fhir:ElementDefinition.definition [ fhir:value "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." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ] ], [ fhir:index 4 ; fhir:Element.id [ fhir:value "ClinicalCancerProgression.tumourGradeValue" ] ; fhir:ElementDefinition.path [ fhir:value "ClinicalCancerProgression.tumourGradeValue" ] ; fhir:ElementDefinition.short [ fhir:value "TumourGradeValue" ] ; fhir:ElementDefinition.definition [ fhir:value "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." ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "string" ] ] ], [ fhir:index 5 ; fhir:Element.id [ fhir:value "ClinicalCancerProgression.assertedDate" ] ; fhir:ElementDefinition.path [ fhir:value "ClinicalCancerProgression.assertedDate" ] ; fhir:ElementDefinition.short [ fhir:value "AssertedDate" ] ; fhir:ElementDefinition.definition [ fhir:value "Date when this progression/status was asserted/recorded." ] ; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "dateTime" ] ] ], [ fhir:index 6 ; fhir:Element.id [ fhir:value "ClinicalCancerProgression.extentType" ] ; fhir:ElementDefinition.path [ fhir:value "ClinicalCancerProgression.extentType" ] ; fhir:ElementDefinition.short [ fhir:value "ExtentType" ] ; fhir:ElementDefinition.definition [ fhir:value "Extent of disease at this time point (Local, Loco-regional, Metastatic)." ] ; fhir:ElementDefinition.comment [ fhir:value "Choice: Local | Loco-regional | Metastatic" ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "1" ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ] ], [ fhir:index 7 ; fhir:Element.id [ fhir:value "ClinicalCancerProgression.locoRegionalSites" ] ; fhir:ElementDefinition.path [ fhir:value "ClinicalCancerProgression.locoRegionalSites" ] ; fhir:ElementDefinition.short [ fhir:value "LocoRegionalSites" ] ; fhir:ElementDefinition.definition [ fhir:value "Sites involved when ExtentType is Loco-regional." ] ; fhir:ElementDefinition.comment [ fhir:value "It must be present if the ExtentType is Loco-regional" ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ] ], [ fhir:index 8 ; fhir:Element.id [ fhir:value "ClinicalCancerProgression.metastaticSites" ] ; fhir:ElementDefinition.path [ fhir:value "ClinicalCancerProgression.metastaticSites" ] ; fhir:ElementDefinition.short [ fhir:value "MetastaticSites" ] ; fhir:ElementDefinition.definition [ fhir:value "Sites involved when ExtentType is Metastatic." ] ; fhir:ElementDefinition.comment [ fhir:value "It must be present if the ExtentType is Metastatic" ] ; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ; fhir:ElementDefinition.max [ fhir:value "*" ] ; fhir:ElementDefinition.type [ fhir:index 0 ; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ] ] ] . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/StructureDefinition/ClinicalCancerProgression.ttl> a owl:Ontology ; owl:imports fhir:fhir.ttl ; owl:versionIRI <http://build.fhir.org/StructureDefinition/ClinicalCancerProgression.ttl> .
IG © 2023+ HL7 Europe. Package hl7.fhir.eu.cancer-common#1.0.0-ballot based on FHIR 4.0.1. Generated 2026-10-20
