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 2026-03-27 |
Definitions for the SystemicTreatment logical model.
Guidance on how to interpret the contents of this table can be foundhere
| 0. SystemicTreatment | |
| Definition | SystemicTreatment logical model from Cancer_Common_Logical_Model_20260123_2.xlsx (sheet SystemicTreatment). |
| Short | SystemicTreatment |
| Control | 0..* |
| Is Modifier | false |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| 2. SystemicTreatment.subject | |
| Definition | Subject |
| Short | Subject |
| Control | 1..1 |
| Type | http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerPatient |
| 4. SystemicTreatment.cancerConditionAtDiagnosisReference | |
| Definition | CancerConditionAtDiagnosisReference |
| Short | CancerConditionAtDiagnosisReference |
| Control | 1..1 |
| Type | Reference(CancerCondition (AtDiagnosis)) |
| 6. SystemicTreatment.clinicalCancerProgresionReference | |
| Definition | It is not only required at the time of diagnosis; it must be provided in the event of ClinicalCancerProgression. |
| Short | ClinicalCancerProgresionReference |
| Control | 0..1 |
| Type | Reference(ClinicalCancerProgression) |
| 8. SystemicTreatment.intent | |
| Definition | Choice: Definitive | Palliative |
| Short | Intent |
| Control | 1..1 |
| Type | CodeableConcept |
| 10. SystemicTreatment.type | |
| Definition | Type |
| Short | Type |
| Control | 1..1 |
| Type | CodeableConcept |
| 12. SystemicTreatment.startDate | |
| Definition | StartDate |
| Short | StartDate |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 14. SystemicTreatment.endDate | |
| Definition | It might not be available while the treatment is still ongoing; however, an end date must eventually be recorded, which in the most extreme case will coincide with the patient's date of death. |
| Short | EndDate |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 16. SystemicTreatment.ongoing | |
| Definition | Indicates that the treatment is ongoing when EndDate is not available (applicable to immunotherapy and hormone therapy). In case of immunotherapy and hormone therapy, if the EndDate is not provided because it is ongoing, it must be indicates as True |
| Short | Ongoing |
| Control | 0..1 |
| Type | boolean |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 18. SystemicTreatment.setting | |
| Definition | Choice: Alone | Preoperative/Neoadjuvant | Postoperative/Adjuvant | Concomitant |
| Short | Setting |
| Control | 0..1 |
| Type | CodeableConcept |
Guidance on how to interpret the contents of this table can be foundhere
| 0. SystemicTreatment | |
| Definition | SystemicTreatment logical model from Cancer_Common_Logical_Model_20260123_2.xlsx (sheet SystemicTreatment). |
| Short | SystemicTreatment |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| 2. SystemicTreatment.subject | |
| Definition | Subject |
| Short | Subject |
| Control | 1..1 |
| Type | http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerPatient |
| 4. SystemicTreatment.cancerConditionAtDiagnosisReference | |
| Definition | CancerConditionAtDiagnosisReference |
| Short | CancerConditionAtDiagnosisReference |
| Control | 1..1 |
| Type | Reference(CancerCondition (AtDiagnosis)) |
| 6. SystemicTreatment.clinicalCancerProgresionReference | |
| Definition | It is not only required at the time of diagnosis; it must be provided in the event of ClinicalCancerProgression. |
| Short | ClinicalCancerProgresionReference |
| Control | 0..1 |
| Type | Reference(ClinicalCancerProgression) |
| 8. SystemicTreatment.intent | |
| Definition | Choice: Definitive | Palliative |
| Short | Intent |
| Control | 1..1 |
| Type | CodeableConcept |
| 10. SystemicTreatment.type | |
| Definition | Type |
| Short | Type |
| Control | 1..1 |
| Type | CodeableConcept |
| 12. SystemicTreatment.startDate | |
| Definition | StartDate |
| Short | StartDate |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 14. SystemicTreatment.endDate | |
| Definition | It might not be available while the treatment is still ongoing; however, an end date must eventually be recorded, which in the most extreme case will coincide with the patient's date of death. |
| Short | EndDate |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 16. SystemicTreatment.ongoing | |
| Definition | Indicates that the treatment is ongoing when EndDate is not available (applicable to immunotherapy and hormone therapy). In case of immunotherapy and hormone therapy, if the EndDate is not provided because it is ongoing, it must be indicates as True |
| Short | Ongoing |
| Control | 0..1 |
| Type | boolean |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 18. SystemicTreatment.setting | |
| Definition | Choice: Alone | Preoperative/Neoadjuvant | Postoperative/Adjuvant | Concomitant |
| Short | Setting |
| Control | 0..1 |
| Type | CodeableConcept |
Guidance on how to interpret the contents of this table can be foundhere
| 0. SystemicTreatment | |
| Definition | SystemicTreatment logical model from Cancer_Common_Logical_Model_20260123_2.xlsx (sheet SystemicTreatment). |
| Short | SystemicTreatment |
| Control | 0..* |
| Is Modifier | false |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| 2. SystemicTreatment.subject | |
| Definition | Subject |
| Short | Subject |
| Control | 1..1 |
| Type | http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerPatient |
| 4. SystemicTreatment.cancerConditionAtDiagnosisReference | |
| Definition | CancerConditionAtDiagnosisReference |
| Short | CancerConditionAtDiagnosisReference |
| Control | 1..1 |
| Type | Reference(CancerCondition (AtDiagnosis)) |
| 6. SystemicTreatment.clinicalCancerProgresionReference | |
| Definition | It is not only required at the time of diagnosis; it must be provided in the event of ClinicalCancerProgression. |
| Short | ClinicalCancerProgresionReference |
| Control | 0..1 |
| Type | Reference(ClinicalCancerProgression) |
| 8. SystemicTreatment.intent | |
| Definition | Choice: Definitive | Palliative |
| Short | Intent |
| Control | 1..1 |
| Type | CodeableConcept |
| 10. SystemicTreatment.type | |
| Definition | Type |
| Short | Type |
| Control | 1..1 |
| Type | CodeableConcept |
| 12. SystemicTreatment.startDate | |
| Definition | StartDate |
| Short | StartDate |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 14. SystemicTreatment.endDate | |
| Definition | It might not be available while the treatment is still ongoing; however, an end date must eventually be recorded, which in the most extreme case will coincide with the patient's date of death. |
| Short | EndDate |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 16. SystemicTreatment.ongoing | |
| Definition | Indicates that the treatment is ongoing when EndDate is not available (applicable to immunotherapy and hormone therapy). In case of immunotherapy and hormone therapy, if the EndDate is not provided because it is ongoing, it must be indicates as True |
| Short | Ongoing |
| Control | 0..1 |
| Type | boolean |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 18. SystemicTreatment.setting | |
| Definition | Choice: Alone | Preoperative/Neoadjuvant | Postoperative/Adjuvant | Concomitant |
| Short | Setting |
| Control | 0..1 |
| Type | CodeableConcept |