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
Data Evolution in the Cancer Journey
From diagnosis to radiotherapy
Figure 1 Data evolution: from diagnosis to radiotherapy
Treatment Response
Cancer data evolution - Overall Treatment Response Cancer data evolution - Overall Treatment Response Date 1 (2018-06-12) Surgical Procedure Radiotherapy Date 3 (2018-10-12) Radiotherapy end Date 2 (2018-09-10) Radiotherapy start Date 4 (2018-10-30) Overall Treatment Response Surgery intent = definitive target_site = ... date = 2018-06-12 Radiotherapy intent = definitive target_site = ... start_date = 2018-09-10 ' Date 2 end_date = 2018-10-12 ' Date 3 Radiotherapy intent = definitive target_site = ... start_date = 2018-09-10 ' Date 2 end_date = 2018-10-12 ' Date 3 Treatment Response 1 treatment_response_type = Complete Remission based_on = surgery + radiotherapy date = 2018-10-30 CancerCondition tumour_grade disease_status = Complete Remission last_check = 2018-10-30 histology_behaviour (fixed) body_site (fixed) asserted_date = procedure date (fixed) base_of_diagnosis (fixed) imaging_type (fixed) biomarker_type (fixed) «fixed» Patient demographics comorbidities last_check = 2018-10-30 life_status = Alive, No Evidence of Disease (NED) related to related to Figure 2 Data evolution: Treatment Response
Evidence + Follow-up Visits (Dates 5 & 6)
Cancer data evolution - Evidence + Follow-up Visits (Dates 5 & 6) Cancer data evolution - Evidence + Follow-up Visits (Dates 5 & 6) Date 5 (2019-02-28) Evidence + Follow-up Visit Date 6 (2019-05-30) Evidence + Follow-up Visit Cancer Condition tumour_grade disease_status = Complete Remission last_check = 2019-02-28 histology_behaviour (fixed) body_site (fixed) asserted_date = procedure date (fixed) base_of_diagnosis (fixed) imaging_type (fixed) biomarker_type (fixed) «fixed» Patient demographics comorbidities last_check = 2019-02-28 life_status = Alive, No Evidence of Disease (NED) Cancer Condition tumour_grade disease_status = Complete Remission last_check = 2019-05-30 histology_behaviour (fixed) body_site (fixed) asserted_date = procedure date (fixed) base_of_diagnosis (fixed) imaging_type (fixed) biomarker_type (fixed) «fixed» Patient demographics comorbidities last_check = 2019-05-30 life_status = Alive, No Evidence of Disease (NED) Figure 3 Data evolution: Evidence and Follow-up
Disease Recurrence and Drug Treatment (Dates 7-9)
Cancer data evolution - Disease Recurrence and Drug Treatment (Dates 7-9) Cancer data evolution - Disease Recurrence and Drug Treatment (Dates 7-9) Date 7 (2019-08-31) Evidence + Follow-up (Disease Evolution) Drug Treatment Date 8 (2019-09-10) Drug Treatment Start Date 9 (2019-12-16) Drug Treatment End Cancer Condition tumour_grade disease_status = Recurrence last_check = 2019-08-31 histology_behaviour (fixed) body_site (fixed) asserted_date = procedure date (fixed) base_of_diagnosis (fixed) imaging_type (fixed) biomarker_type (fixed) Disease Evolution (over time & space) 1 extent_type = Recurrence histology_behaviour tumour_grade genomics asserted_date = 2019-08-31 disease_extent (sites) base_of_diagnosis (fixed) imaging_type (fixed) biomarker_type (fixed) «fixed» Patient demographics comorbidities last_check = 2019-08-31 life_status = Alive With Disease (AWD) Drug Administration intent = definitive start_date = 2019-09-10 Drug Administration (end) intent = definitive end_date = 2019-12-16 related to Figure 4 Data evolution: Disease Recurrence and Drug Treatment
Evidence + Follow-up Visit (Date 10)
Cancer data evolution - Evidence + Follow-up Visit (Date 10) Cancer data evolution - Evidence + Follow-up Visit (Date 10) Date 10 (2020-01-02) Evidence + Follow-up Visit Drug Treatment Date 8 (2019-09-10) Drug Treatment Start Date 9 (2019-12-16) Drug Treatment End Treatment Response 2 treatment_response_type = Partial Remission based_on = latest evidence date = 2020-01-02 Cancer Condition tumour_grade disease_status = Partial Remission last_check = Date 10 histology_behaviour (fixed) body_site (fixed) asserted_date = procedure date (fixed) base_of_diagnosis (fixed) imaging_type (fixed) biomarker_type (fixed) Disease Evolution (over time & space) 1 extent_type = Recurrence histology_behaviour tumour_grade base_of_diagnosis imaging_type biomarker_type genomics disease_extent (sites) asserted_date = Date 7 (fixed) «fixed» Patient demographics comorbidities last_check = Date 10 life_status = Alive With Disease (AWD) Drug Administration intent = definitive start_date = 2019-09-10 Drug Administration (end) intent = definitive end_date = 2019-12-16 related to Figure 5 Data evolution: Evidence + Follow-up Visit
Progression and Patient Death (Dates 11 & 12)
Cancer data evolution - Progression and Patient Death (Dates 11 & 12) Cancer data evolution - Progression and Patient Death (Dates 11 & 12) Date 11 (2020-04-15) Evidence + Follow-up (Disease Progression) Date 12 (2020-06-28) Patient's Death Cancer Condition tumour_grade disease_status = Progression last_check = Date 11 histology_behaviour (fixed) body_site (fixed) asserted_date = procedure date (fixed) base_of_diagnosis (fixed) imaging_type (fixed) biomarker_type (fixed) Disease Evolution (over time & space) extent_type = Recurrence histology_behaviour tumour_grade base_of_diagnosis imaging_type biomarker_type genomics last_check = Date 11 disease_extent (sites) asserted_date = Date 7 (fixed) «fixed» Patient demographics comorbidities last_check = Date 11 life_status = Alive With Disease (AWD) Cancer Condition tumour_grade disease_status = Progression last_check = Date 12 histology_behaviour (fixed) body_site (fixed) asserted_date = procedure date (fixed) base_of_diagnosis (fixed) imaging_type (fixed) biomarker_type (fixed) Disease Evolution (over time & space) extent_type = Recurrence histology_behaviour tumour_grade base_of_diagnosis imaging_type biomarker_type genomics last_check = Date 12 disease_extent (sites) asserted_date = Date 7 (fixed) «fixed» Patient demographics comorbidities last_check = Date 12 life_status = Dead of Disease (DOD) Figure 6 Data evolution: Progression and Patient Death
