HL7 Europe Common Cancer Model
0.1.0 - ci-build 150

HL7 Europe Common Cancer Model, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/cancer-common/ and changes regularly. See the Directory of published versions

Logical Model: Surgery - Detailed Descriptions

Draft as of 2026-05-13

Definitions for the Surgery logical model.

Guidance on how to interpret the contents of this table can be foundhere

0. Surgery
Definition

Logical model representing a surgical treatment episode delivered to the patient for cancer management. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet Surgery).

ShortSurgery
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. Surgery.subject
Definition

Reference to the patient (subject) undergoing the surgery.

ShortSubject
Control1..1
Typehttp://hl7.eu/fhir/cancer-common/StructureDefinition/CancerPatient
4. Surgery.cancerConditionAtDiagnosisReference
Definition

Reference to the cancer condition at diagnosis targeted by the surgery.

ShortCancerCondition AtDiagnosis Reference
Control1..1
TypeReference(CancerConditionAtDiagnosis)
6. Surgery.clinicalCancerProgressionReference
Definition

Reference to the clinical progression event, if surgery is performed in response to progression.

ShortClinicalCancerProgressionReference
Comments

It shall not be provided at the time of diagnosis, but shall always be provided in the event of ClinicalCancerProgression.

Control0..1
TypeReference(ClinicalCancerProgression)
8. Surgery.intent
Definition

Surgical intent (Definitive/curative vs Palliative).

ShortIntent
Comments

Choice: Definitive | Palliative

Control1..1
TypeCodeableConcept
10. Surgery.date
Definition

Date when the surgical procedure was performed.

ShortDate
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. Surgery.bodySite
Definition

Anatomical site(s) where the surgery was performed.

ShortBodySite
Control1..*
TypeCodeableConcept

Guidance on how to interpret the contents of this table can be foundhere

0. Surgery
Definition

Logical model representing a surgical treatment episode delivered to the patient for cancer management. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet Surgery).

ShortSurgery
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. Surgery.subject
Definition

Reference to the patient (subject) undergoing the surgery.

ShortSubject
Control1..1
Typehttp://hl7.eu/fhir/cancer-common/StructureDefinition/CancerPatient
4. Surgery.cancerConditionAtDiagnosisReference
Definition

Reference to the cancer condition at diagnosis targeted by the surgery.

ShortCancerCondition AtDiagnosis Reference
Control1..1
TypeReference(CancerConditionAtDiagnosis)
6. Surgery.clinicalCancerProgressionReference
Definition

Reference to the clinical progression event, if surgery is performed in response to progression.

ShortClinicalCancerProgressionReference
Comments

It shall not be provided at the time of diagnosis, but shall always be provided in the event of ClinicalCancerProgression.

Control0..1
TypeReference(ClinicalCancerProgression)
8. Surgery.intent
Definition

Surgical intent (Definitive/curative vs Palliative).

ShortIntent
Comments

Choice: Definitive | Palliative

Control1..1
TypeCodeableConcept
10. Surgery.date
Definition

Date when the surgical procedure was performed.

ShortDate
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. Surgery.bodySite
Definition

Anatomical site(s) where the surgery was performed.

ShortBodySite
Control1..*
TypeCodeableConcept

Guidance on how to interpret the contents of this table can be foundhere

0. Surgery
Definition

Logical model representing a surgical treatment episode delivered to the patient for cancer management. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet Surgery).

ShortSurgery
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. Surgery.subject
Definition

Reference to the patient (subject) undergoing the surgery.

ShortSubject
Control1..1
Typehttp://hl7.eu/fhir/cancer-common/StructureDefinition/CancerPatient
4. Surgery.cancerConditionAtDiagnosisReference
Definition

Reference to the cancer condition at diagnosis targeted by the surgery.

ShortCancerCondition AtDiagnosis Reference
Control1..1
TypeReference(CancerConditionAtDiagnosis)
6. Surgery.clinicalCancerProgressionReference
Definition

Reference to the clinical progression event, if surgery is performed in response to progression.

ShortClinicalCancerProgressionReference
Comments

It shall not be provided at the time of diagnosis, but shall always be provided in the event of ClinicalCancerProgression.

Control0..1
TypeReference(ClinicalCancerProgression)
8. Surgery.intent
Definition

Surgical intent (Definitive/curative vs Palliative).

ShortIntent
Comments

Choice: Definitive | Palliative

Control1..1
TypeCodeableConcept
10. Surgery.date
Definition

Date when the surgical procedure was performed.

ShortDate
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. Surgery.bodySite
Definition

Anatomical site(s) where the surgery was performed.

ShortBodySite
Control1..*
TypeCodeableConcept