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

Logical Model: LastFollowUp - TTL Profile

Active as of 2026-09-15

TTL representation of the LastFollowUp logical model.

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@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/LastFollowUp> a fhir:StructureDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "LastFollowUp"] ;
  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 LastFollowUp</b></p><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><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 style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><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 style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><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 style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px\" class=\"hierarchy\"><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 style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; 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 style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><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-LastFollowUp-definitions.html#LastFollowUp\" title=\"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).\">LastFollowUp</a><a name=\"LastFollowUp\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints ( lfu-1, lfu-2, lfu-3, lfu-4 )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://build.fhir.org/types.html#Base\">Base</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">LastFollowUp<br/><span style=\"font-weight:bold\">Instances of this type can be the target of a Reference</span><br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"EvidenceOfDisease must be present if VitalStatus is Alive; otherwise, it must not be present.\" class=\"constraint\">lfu-1</span><span title=\"null\" class=\"constraint\">, </span><span style=\"font-weight:bold\" title=\"CauseOfDeath must be present if VitalStatus is Dead; otherwise, it must not be present.\" class=\"constraint\">lfu-2</span><span title=\"null\" class=\"constraint\">, </span><span style=\"font-weight:bold\" title=\"DeathDate must be present if VitalStatus is Dead; otherwise, it must not be present.\" class=\"constraint\">lfu-3</span><span title=\"null\" class=\"constraint\">, </span><span style=\"font-weight:bold\" title=\"DeathDate must not be present if VitalStatus is Alive.\" class=\"constraint\">lfu-4</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><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\"/> <a href=\"StructureDefinition-LastFollowUp-definitions.html#LastFollowUp.subject\" title=\"Reference to the patient (subject) for whom follow-up information is recorded.\">subject</a><a name=\"LastFollowUp.subject\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-CancerPatient.html\">Cancer Patient</a>)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Patient Reference</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><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\"/> <a href=\"StructureDefinition-LastFollowUp-definitions.html#LastFollowUp.vitalStatus\" title=\"Patient vital status at the time of follow-up (Alive or Dead).\">vitalStatus</a><a name=\"LastFollowUp.vitalStatus\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">VitalStatus</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><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\"/> <a href=\"StructureDefinition-LastFollowUp-definitions.html#LastFollowUp.evidenceOfDisease\" title=\"If Alive, indicates whether there is evidence of disease at follow-up.\">evidenceOfDisease</a><a name=\"LastFollowUp.evidenceOfDisease\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">EvidenceOfDisease</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><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\"/> <a href=\"StructureDefinition-LastFollowUp-definitions.html#LastFollowUp.causeOfDeath\" title=\"If Dead, cause of death.\">causeOfDeath</a><a name=\"LastFollowUp.causeOfDeath\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">CauseOfDeath</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><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\"/> <a href=\"StructureDefinition-LastFollowUp-definitions.html#LastFollowUp.date\" title=\"Date of the follow-up assessment.\">date</a><a name=\"LastFollowUp.date\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Date</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><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_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LastFollowUp-definitions.html#LastFollowUp.deathDate\" title=\"If Dead, the date of death.\">deathDate</a><a name=\"LastFollowUp.deathDate\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">DeathDate</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/LastFollowUp"] ;
  fhir:StructureDefinition.version [ fhir:value "1.0.0-ballot"] ;
  fhir:StructureDefinition.name [ fhir:value "LastFollowUp"] ;
  fhir:StructureDefinition.title [ fhir:value "LastFollowUp"] ;
  fhir:StructureDefinition.status [ fhir:value "active"] ;
  fhir:StructureDefinition.date [ fhir:value "2026-09-15T07:39:02+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 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)."] ;
  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/LastFollowUp"] ;
  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 "LastFollowUp" ] ;
       fhir:ElementDefinition.path [ fhir:value "LastFollowUp" ] ;
       fhir:ElementDefinition.short [ fhir:value "LastFollowUp" ] ;
       fhir:ElementDefinition.definition [ fhir:value "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)." ] ;
       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 "lfu-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "EvidenceOfDisease must be present if VitalStatus is Alive; otherwise, it must not be present." ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "(vitalStatus.where(text = 'Alive').exists()) = evidenceOfDisease.exists()" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.eu/fhir/cancer-common/StructureDefinition/LastFollowUp" ;
           fhir:link <http://hl7.eu/fhir/cancer-common/StructureDefinition/LastFollowUp>
         ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "lfu-2" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "CauseOfDeath must be present if VitalStatus is Dead; otherwise, it must not be present." ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "(vitalStatus.where(text = 'Dead').exists()) = causeOfDeath.exists()" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.eu/fhir/cancer-common/StructureDefinition/LastFollowUp" ;
           fhir:link <http://hl7.eu/fhir/cancer-common/StructureDefinition/LastFollowUp>
         ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "lfu-3" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "DeathDate must be present if VitalStatus is Dead; otherwise, it must not be present." ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "(vitalStatus.where(text = 'Dead').exists()) = deathDate.exists()" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.eu/fhir/cancer-common/StructureDefinition/LastFollowUp" ;
           fhir:link <http://hl7.eu/fhir/cancer-common/StructureDefinition/LastFollowUp>
         ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "lfu-4" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "DeathDate must not be present if VitalStatus is Alive." ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "vitalStatus.where(text = 'Alive').exists() implies deathDate.empty()" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.eu/fhir/cancer-common/StructureDefinition/LastFollowUp" ;
           fhir:link <http://hl7.eu/fhir/cancer-common/StructureDefinition/LastFollowUp>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 1 ;
       fhir:Element.id [ fhir:value "LastFollowUp.subject" ] ;
       fhir:ElementDefinition.path [ fhir:value "LastFollowUp.subject" ] ;
       fhir:ElementDefinition.short [ fhir:value "Patient Reference" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Reference to the patient (subject) for whom follow-up information is recorded." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "LastFollowUp.subject" ] ;
         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/CancerPatient" ;
           fhir:index 0 ;
           fhir:link <http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerPatient>
         ]
       ]
     ], [
       fhir:index 2 ;
       fhir:Element.id [ fhir:value "LastFollowUp.vitalStatus" ] ;
       fhir:ElementDefinition.path [ fhir:value "LastFollowUp.vitalStatus" ] ;
       fhir:ElementDefinition.short [ fhir:value "VitalStatus" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Patient vital status at the time of follow-up (Alive or Dead)." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Choice: Alive | Dead" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "LastFollowUp.vitalStatus" ] ;
         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 "LastFollowUp.evidenceOfDisease" ] ;
       fhir:ElementDefinition.path [ fhir:value "LastFollowUp.evidenceOfDisease" ] ;
       fhir:ElementDefinition.short [ fhir:value "EvidenceOfDisease" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If Alive, indicates whether there is evidence of disease at follow-up." ] ;
       fhir:ElementDefinition.comment [ fhir:value "If VitalStatus is Alive, then this attribute must be present; otherwise, it must not be present." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "LastFollowUp.evidenceOfDisease" ] ;
         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 "boolean" ]
       ]
     ], [
       fhir:index 4 ;
       fhir:Element.id [ fhir:value "LastFollowUp.causeOfDeath" ] ;
       fhir:ElementDefinition.path [ fhir:value "LastFollowUp.causeOfDeath" ] ;
       fhir:ElementDefinition.short [ fhir:value "CauseOfDeath" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If Dead, cause of death." ] ;
       fhir:ElementDefinition.comment [ fhir:value "If VitalStatus is Dead, then this attribute must be present; otherwise, it must not be present." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "LastFollowUp.causeOfDeath" ] ;
         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 5 ;
       fhir:Element.id [ fhir:value "LastFollowUp.date" ] ;
       fhir:ElementDefinition.path [ fhir:value "LastFollowUp.date" ] ;
       fhir:ElementDefinition.short [ fhir:value "Date" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Date of the follow-up assessment." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "LastFollowUp.date" ] ;
         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 "LastFollowUp.deathDate" ] ;
       fhir:ElementDefinition.path [ fhir:value "LastFollowUp.deathDate" ] ;
       fhir:ElementDefinition.short [ fhir:value "DeathDate" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If Dead, the date of death." ] ;
       fhir:ElementDefinition.comment [ fhir:value "If VitalStatus is Dead, then this attribute must be present; otherwise, it must not be present." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "LastFollowUp.deathDate" ] ;
         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 "dateTime" ]
       ]
     ]
  ] ;
  fhir:StructureDefinition.differential [
     fhir:StructureDefinition.differential.element [
       fhir:index 0 ;
       fhir:Element.id [ fhir:value "LastFollowUp" ] ;
       fhir:ElementDefinition.path [ fhir:value "LastFollowUp" ] ;
       fhir:ElementDefinition.short [ fhir:value "LastFollowUp" ] ;
       fhir:ElementDefinition.definition [ fhir:value "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)." ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "lfu-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "EvidenceOfDisease must be present if VitalStatus is Alive; otherwise, it must not be present." ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "(vitalStatus.where(text = 'Alive').exists()) = evidenceOfDisease.exists()" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.eu/fhir/cancer-common/StructureDefinition/LastFollowUp" ;
           fhir:link <http://hl7.eu/fhir/cancer-common/StructureDefinition/LastFollowUp>
         ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "lfu-2" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "CauseOfDeath must be present if VitalStatus is Dead; otherwise, it must not be present." ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "(vitalStatus.where(text = 'Dead').exists()) = causeOfDeath.exists()" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.eu/fhir/cancer-common/StructureDefinition/LastFollowUp" ;
           fhir:link <http://hl7.eu/fhir/cancer-common/StructureDefinition/LastFollowUp>
         ]
       ], [
         fhir:index 2 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "lfu-3" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "DeathDate must be present if VitalStatus is Dead; otherwise, it must not be present." ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "(vitalStatus.where(text = 'Dead').exists()) = deathDate.exists()" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.eu/fhir/cancer-common/StructureDefinition/LastFollowUp" ;
           fhir:link <http://hl7.eu/fhir/cancer-common/StructureDefinition/LastFollowUp>
         ]
       ], [
         fhir:index 3 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "lfu-4" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "DeathDate must not be present if VitalStatus is Alive." ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "vitalStatus.where(text = 'Alive').exists() implies deathDate.empty()" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.eu/fhir/cancer-common/StructureDefinition/LastFollowUp" ;
           fhir:link <http://hl7.eu/fhir/cancer-common/StructureDefinition/LastFollowUp>
         ]
       ]
     ], [
       fhir:index 1 ;
       fhir:Element.id [ fhir:value "LastFollowUp.subject" ] ;
       fhir:ElementDefinition.path [ fhir:value "LastFollowUp.subject" ] ;
       fhir:ElementDefinition.short [ fhir:value "Patient Reference" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Reference to the patient (subject) for whom follow-up information is 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 "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerPatient" ;
           fhir:index 0 ;
           fhir:link <http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerPatient>
         ]
       ]
     ], [
       fhir:index 2 ;
       fhir:Element.id [ fhir:value "LastFollowUp.vitalStatus" ] ;
       fhir:ElementDefinition.path [ fhir:value "LastFollowUp.vitalStatus" ] ;
       fhir:ElementDefinition.short [ fhir:value "VitalStatus" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Patient vital status at the time of follow-up (Alive or Dead)." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Choice: Alive | Dead" ] ;
       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 "LastFollowUp.evidenceOfDisease" ] ;
       fhir:ElementDefinition.path [ fhir:value "LastFollowUp.evidenceOfDisease" ] ;
       fhir:ElementDefinition.short [ fhir:value "EvidenceOfDisease" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If Alive, indicates whether there is evidence of disease at follow-up." ] ;
       fhir:ElementDefinition.comment [ fhir:value "If VitalStatus is Alive, then this attribute must be present; otherwise, it must not be present." ] ;
       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 "boolean" ]
       ]
     ], [
       fhir:index 4 ;
       fhir:Element.id [ fhir:value "LastFollowUp.causeOfDeath" ] ;
       fhir:ElementDefinition.path [ fhir:value "LastFollowUp.causeOfDeath" ] ;
       fhir:ElementDefinition.short [ fhir:value "CauseOfDeath" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If Dead, cause of death." ] ;
       fhir:ElementDefinition.comment [ fhir:value "If VitalStatus is Dead, then this attribute must be present; otherwise, it must not be present." ] ;
       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 5 ;
       fhir:Element.id [ fhir:value "LastFollowUp.date" ] ;
       fhir:ElementDefinition.path [ fhir:value "LastFollowUp.date" ] ;
       fhir:ElementDefinition.short [ fhir:value "Date" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Date of the follow-up assessment." ] ;
       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 "LastFollowUp.deathDate" ] ;
       fhir:ElementDefinition.path [ fhir:value "LastFollowUp.deathDate" ] ;
       fhir:ElementDefinition.short [ fhir:value "DeathDate" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If Dead, the date of death." ] ;
       fhir:ElementDefinition.comment [ fhir:value "If VitalStatus is Dead, then this attribute must be present; otherwise, it must not be present." ] ;
       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 "dateTime" ]
       ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/StructureDefinition/LastFollowUp.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/StructureDefinition/LastFollowUp.ttl> .