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 LastFollowUp logical model.
Guidance on how to interpret the contents of this table can be foundhere
| 0. LastFollowUp | |
| Definition | Logical model representing the assessment of the patient’s status at a specific follow-up visit, including vital status and evidence of disease. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet LastFollowUp). |
| Short | LastFollowUp |
| Control | 0..* |
| Is Modifier | false |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| Invariants | lfu-1: EvidenceOfDisease must be present if VitalStatus is Alive; otherwise, it must not be present. ((vitalStatus.where(text = 'Alive').exists()) = evidenceOfDisease.exists())lfu-2: CauseOfDeath must be present if VitalStatus is Dead; otherwise, it must not be present. ( (vitalStatus.where(text = 'Dead').exists()) = causeOfDeath.exists())lfu-3: DeathDate must be present if VitalStatus is Dead; otherwise, it must not be present. ( (vitalStatus.where(text = 'Dead').exists()) = deathDate.exists())lfu-4: DeathDate must not be present if VitalStatus is Alive. ( vitalStatus.where(text = 'Alive').exists() implies deathDate.empty()) |
| 2. LastFollowUp.subject | |
| Definition | Reference to the patient (subject) for whom follow-up information is recorded. |
| Short | Patient Reference |
| Control | 1..1 |
| Type | http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerPatient |
| 4. LastFollowUp.vitalStatus | |
| Definition | Patient vital status at the time of follow-up (Alive or Dead). |
| Short | VitalStatus |
| Comments | Choice: Alive | Dead |
| Control | 1..1 |
| Type | CodeableConcept |
| 6. LastFollowUp.evidenceOfDisease | |
| Definition | If Alive, indicates whether there is evidence of disease at follow-up. |
| Short | EvidenceOfDisease |
| Comments | If VitalStatus is Alive, then this attribute must be present; otherwise, it must not be present. |
| Control | 0..1 |
| Type | boolean |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 8. LastFollowUp.causeOfDeath | |
| Definition | If Dead, cause of death. |
| Short | CauseOfDeath |
| Comments | If VitalStatus is Dead, then this attribute must be present; otherwise, it must not be present. |
| Control | 0..1 |
| Type | CodeableConcept |
| 10. LastFollowUp.date | |
| Definition | Date of the follow-up assessment. |
| Short | Date |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 12. LastFollowUp.deathDate | |
| Definition | If Dead, the date of death. |
| Short | DeathDate |
| Comments | If VitalStatus is Dead, then this attribute must be present; otherwise, it must not be present. |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This 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. LastFollowUp | |
| Definition | Logical model representing the assessment of the patient’s status at a specific follow-up visit, including vital status and evidence of disease. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet LastFollowUp). |
| Short | LastFollowUp |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| Invariants | lfu-1: EvidenceOfDisease must be present if VitalStatus is Alive; otherwise, it must not be present. ((vitalStatus.where(text = 'Alive').exists()) = evidenceOfDisease.exists())lfu-2: CauseOfDeath must be present if VitalStatus is Dead; otherwise, it must not be present. ( (vitalStatus.where(text = 'Dead').exists()) = causeOfDeath.exists())lfu-3: DeathDate must be present if VitalStatus is Dead; otherwise, it must not be present. ( (vitalStatus.where(text = 'Dead').exists()) = deathDate.exists())lfu-4: DeathDate must not be present if VitalStatus is Alive. ( vitalStatus.where(text = 'Alive').exists() implies deathDate.empty()) |
| 2. LastFollowUp.subject | |
| Definition | Reference to the patient (subject) for whom follow-up information is recorded. |
| Short | Patient Reference |
| Control | 1..1 |
| Type | http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerPatient |
| 4. LastFollowUp.vitalStatus | |
| Definition | Patient vital status at the time of follow-up (Alive or Dead). |
| Short | VitalStatus |
| Comments | Choice: Alive | Dead |
| Control | 1..1 |
| Type | CodeableConcept |
| 6. LastFollowUp.evidenceOfDisease | |
| Definition | If Alive, indicates whether there is evidence of disease at follow-up. |
| Short | EvidenceOfDisease |
| Comments | If VitalStatus is Alive, then this attribute must be present; otherwise, it must not be present. |
| Control | 0..1 |
| Type | boolean |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 8. LastFollowUp.causeOfDeath | |
| Definition | If Dead, cause of death. |
| Short | CauseOfDeath |
| Comments | If VitalStatus is Dead, then this attribute must be present; otherwise, it must not be present. |
| Control | 0..1 |
| Type | CodeableConcept |
| 10. LastFollowUp.date | |
| Definition | Date of the follow-up assessment. |
| Short | Date |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 12. LastFollowUp.deathDate | |
| Definition | If Dead, the date of death. |
| Short | DeathDate |
| Comments | If VitalStatus is Dead, then this attribute must be present; otherwise, it must not be present. |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This 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. LastFollowUp | |
| Definition | Logical model representing the assessment of the patient’s status at a specific follow-up visit, including vital status and evidence of disease. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet LastFollowUp). |
| Short | LastFollowUp |
| Control | 0..* |
| Is Modifier | false |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| Invariants | lfu-1: EvidenceOfDisease must be present if VitalStatus is Alive; otherwise, it must not be present. ((vitalStatus.where(text = 'Alive').exists()) = evidenceOfDisease.exists())lfu-2: CauseOfDeath must be present if VitalStatus is Dead; otherwise, it must not be present. ( (vitalStatus.where(text = 'Dead').exists()) = causeOfDeath.exists())lfu-3: DeathDate must be present if VitalStatus is Dead; otherwise, it must not be present. ( (vitalStatus.where(text = 'Dead').exists()) = deathDate.exists())lfu-4: DeathDate must not be present if VitalStatus is Alive. ( vitalStatus.where(text = 'Alive').exists() implies deathDate.empty()) |
| 2. LastFollowUp.subject | |
| Definition | Reference to the patient (subject) for whom follow-up information is recorded. |
| Short | Patient Reference |
| Control | 1..1 |
| Type | http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerPatient |
| 4. LastFollowUp.vitalStatus | |
| Definition | Patient vital status at the time of follow-up (Alive or Dead). |
| Short | VitalStatus |
| Comments | Choice: Alive | Dead |
| Control | 1..1 |
| Type | CodeableConcept |
| 6. LastFollowUp.evidenceOfDisease | |
| Definition | If Alive, indicates whether there is evidence of disease at follow-up. |
| Short | EvidenceOfDisease |
| Comments | If VitalStatus is Alive, then this attribute must be present; otherwise, it must not be present. |
| Control | 0..1 |
| Type | boolean |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 8. LastFollowUp.causeOfDeath | |
| Definition | If Dead, cause of death. |
| Short | CauseOfDeath |
| Comments | If VitalStatus is Dead, then this attribute must be present; otherwise, it must not be present. |
| Control | 0..1 |
| Type | CodeableConcept |
| 10. LastFollowUp.date | |
| Definition | Date of the follow-up assessment. |
| Short | Date |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 12. LastFollowUp.deathDate | |
| Definition | If Dead, the date of death. |
| Short | DeathDate |
| Comments | If VitalStatus is Dead, then this attribute must be present; otherwise, it must not be present. |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |