IDEA4RC FHIR Implementation Guide
0.1.0 - CI Build 150

IDEA4RC FHIR Implementation Guide, published by IDEA4RC Project. 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/idea4rc/ and changes regularly. See the Directory of published versions

Logical Model: PatientFollowUpI4rc - TTL Profile

Draft as of 2025-07-25

TTL representation of the PatientFollowUp logical model.

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:StructureDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "PatientFollowUp"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition PatientFollowUp</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-PatientFollowUp-definitions.html#PatientFollowUp\" title=\"Patient Follow Up#xA;Maturity Level: 0 Draft\">PatientFollowUp</a><a name=\"PatientFollowUp\"> </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\"><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\">Patient Follow Up</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_resource.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-PatientFollowUp-definitions.html#PatientFollowUp.patient\" title=\"Patient element \">patient</a><a name=\"PatientFollowUp.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\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></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\">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=\"StructureDefinition-Subject.html\">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\">Patient (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></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-PatientFollowUp-definitions.html#PatientFollowUp.statusOfPatientAtLastFollowUp\" title=\"Describes the status at last follow-up #xA;If DOD, DOC or DUC register the death in the DEATH table (with date of last contact as death date). If the death cause is specified use the cause_concept_id.#xA;If lost to follow up register an observation.#xA;All the other information can be derived from the other data.#xA;#xA;Maybe it should be moved to Patient entity\">statusOfPatientAtLastFollowUp</a><a name=\"PatientFollowUp.statusOfPatientAtLastFollowUp\"> </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=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</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\">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\">Status of patient at last follow-up (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></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_resource.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-PatientFollowUp-definitions.html#PatientFollowUp.statusOfDiseaseAtLastFollowUp\" title=\"Describes the disease status at the last follow-up. This value is redundant as it could be derived from the disease status in EpisodeEvent. If a Patient has 3 follow-ups, but the disease status (e.g., stable disease) did not change during those, the follow-ups will be grouped into a single one with the last date of the three of them. \">statusOfDiseaseAtLastFollowUp</a><a name=\"PatientFollowUp.statusOfDiseaseAtLastFollowUp\"> </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\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></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\">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=\"StructureDefinition-EpisodeEvent.html\">EpisodeEvent</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\">Status of disease at last follow-up (M) type EpisodeEvent<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></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_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-PatientFollowUp-definitions.html#PatientFollowUp.patientFollowUpDate\" title=\"Date of the clinical follow-up \">patientFollowUpDate</a><a name=\"PatientFollowUp.patientFollowUpDate\"> </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=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</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\">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#date\">date</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\">Patient Follow Up date (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></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-PatientFollowUp-definitions.html#PatientFollowUp.newCancerDiagnosis\" title=\"identifies whether the patient has developed a subsequent primary cancer #xA;Check\">newCancerDiagnosis</a><a name=\"PatientFollowUp.newCancerDiagnosis\"> </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\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></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\">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\">New cancer diagnosis (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></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_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-PatientFollowUp-definitions.html#PatientFollowUp.dateOfNewCancerDiagnosis\" title=\"date of subsequent primary cancer diagnosis \">dateOfNewCancerDiagnosis</a><a name=\"PatientFollowUp.dateOfNewCancerDiagnosis\"> </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=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</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\">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#date\">date</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\">Date of new cancer diagnosis (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></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_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-PatientFollowUp-definitions.html#PatientFollowUp.newCancerTopography\" title=\"clarifies the site of the subsequent primary cancer (from a predefined list of sites) \">newCancerTopography</a><a name=\"PatientFollowUp.newCancerTopography\"> </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\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></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\">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#CodeableConcept\">CodeableConcept</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\">New cancer topography (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></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-PatientFollowUp-definitions.html#PatientFollowUp.lastContact\" title=\"Date of the last contact with the patient, of any kind. \">lastContact</a><a name=\"PatientFollowUp.lastContact\"> </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=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</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\">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#date\">date</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\">Last Contact (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></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>"^^rdf:XMLLiteral
  ] ; # 
  fhir:url [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "PatientFollowUpI4rc"] ; # 
  fhir:title [ fhir:v "Patient Follow Up"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:date [ fhir:v "2025-07-25T13:48:09+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "IDEA4RC Project"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "IDEA4RC Project" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://www.idea4rc.eu/" ]     ] )
  ] [
fhir:name [ fhir:v "IDEA4RC Project" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://www.idea4rc.eu/" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Patient Follow Up\nMaturity Level: 0 Draft"] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "150" ] ;
fhir:display [ fhir:v "Europe" ]     ] )
  ] ) ; # 
  fhir:fhirVersion [ fhir:v "4.0.1"] ; # 
  fhir:kind [ fhir:v "logical"] ; # 
  fhir:abstract [ fhir:v false] ; # 
  fhir:type [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp"^^xsd:anyURI] ; # 
  fhir:baseDefinition [
fhir:v "http://hl7.org/fhir/StructureDefinition/Base"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/StructureDefinition/Base>
  ] ; # 
  fhir:derivation [ fhir:v "specialization"] ; # 
  fhir:snapshot [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "4.0.1"       ]     ] ) ;
    ( fhir:element [
fhir:id [ fhir:v "PatientFollowUp" ] ;
fhir:path [ fhir:v "PatientFollowUp" ] ;
fhir:short [ fhir:v "Patient Follow Up" ] ;
fhir:definition [ fhir:v "Patient Follow Up\nMaturity Level: 0 Draft" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "Base" ] ;
fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
fhir:isModifier [ fhir:v false ]     ] [
fhir:id [ fhir:v "PatientFollowUp.patient" ] ;
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "SHALL:handle"           ]         ] [
fhir:url [ fhir:v "actor"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"^^xsd:anyURI ;
fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>           ]         ] [
fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"^^xsd:anyURI ] ;
fhir:value [
a fhir:uri ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"^^xsd:anyURI           ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/obligation"^^xsd:anyURI ]       ] [
        ( fhir:extension [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "SHALL:handle"           ]         ] [
fhir:url [ fhir:v "actor"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"^^xsd:anyURI ;
fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>           ]         ] [
fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"^^xsd:anyURI ] ;
fhir:value [
a fhir:uri ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"^^xsd:anyURI           ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/obligation"^^xsd:anyURI ]       ] ) ;
fhir:path [ fhir:v "PatientFollowUp.patient" ] ;
fhir:short [ fhir:v "Patient (M)" ] ;
fhir:definition [ fhir:v "Patient element" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "PatientFollowUp.patient" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject"^^xsd:anyURI ]       ] )     ] [
fhir:id [ fhir:v "PatientFollowUp.statusOfPatientAtLastFollowUp" ] ;
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "SHALL:handle"           ]         ] [
fhir:url [ fhir:v "actor"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"^^xsd:anyURI ;
fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>           ]         ] [
fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"^^xsd:anyURI ] ;
fhir:value [
a fhir:uri ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"^^xsd:anyURI           ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/obligation"^^xsd:anyURI ]       ] [
        ( fhir:extension [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "SHALL:handle"           ]         ] [
fhir:url [ fhir:v "actor"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"^^xsd:anyURI ;
fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>           ]         ] [
fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"^^xsd:anyURI ] ;
fhir:value [
a fhir:uri ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"^^xsd:anyURI           ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/obligation"^^xsd:anyURI ]       ] ) ;
fhir:path [ fhir:v "PatientFollowUp.statusOfPatientAtLastFollowUp" ] ;
fhir:short [ fhir:v "Status of patient at last follow-up (M)" ] ;
fhir:definition [ fhir:v "Describes the status at last follow-up \nIf DOD, DOC or DUC register the death in the DEATH table (with date of last contact as death date). If the death cause is specified use the cause_concept_id.\nIf lost to follow up register an observation.\nAll the other information can be derived from the other data.\n\nMaybe it should be moved to Patient entity" ] ;
fhir:comment [ fhir:v "Alive, No Evidence of Disease (NED) - 2000100071\n Dead of Disease (DOD) - 2000100072\nDead of Other Cause (DOC) - 2000100073\nDead of Unknown Cause (DUC) - 2000100074\nAlive With Disease (AWD) - 2000100075\nLost to follow-up - 4163894" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "PatientFollowUp.statusOfPatientAtLastFollowUp" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ]       ] )     ] [
fhir:id [ fhir:v "PatientFollowUp.statusOfDiseaseAtLastFollowUp" ] ;
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "SHALL:handle"           ]         ] [
fhir:url [ fhir:v "actor"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"^^xsd:anyURI ;
fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>           ]         ] [
fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"^^xsd:anyURI ] ;
fhir:value [
a fhir:uri ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"^^xsd:anyURI           ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/obligation"^^xsd:anyURI ]       ] [
        ( fhir:extension [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "SHALL:handle"           ]         ] [
fhir:url [ fhir:v "actor"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"^^xsd:anyURI ;
fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>           ]         ] [
fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"^^xsd:anyURI ] ;
fhir:value [
a fhir:uri ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"^^xsd:anyURI           ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/obligation"^^xsd:anyURI ]       ] ) ;
fhir:path [ fhir:v "PatientFollowUp.statusOfDiseaseAtLastFollowUp" ] ;
fhir:short [ fhir:v "Status of disease at last follow-up (M) type EpisodeEvent" ] ;
fhir:definition [ fhir:v "Describes the disease status at the last follow-up. This value is redundant as it could be derived from the disease status in EpisodeEvent. If a Patient has 3 follow-ups, but the disease status (e.g., stable disease) did not change during those, the follow-ups will be grouped into a single one with the last date of the three of them." ] ;
fhir:comment [ fhir:v "Complete Remission - 32946\nPartial Remission - 32947\nStable Disease - 32948\nProgression - 32949\nRecurrence - 2000100002\nrecurrence is algorithmically derived from previous episode (if it was complete remission)" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "PatientFollowUp.statusOfDiseaseAtLastFollowUp" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent"^^xsd:anyURI ]       ] )     ] [
fhir:id [ fhir:v "PatientFollowUp.patientFollowUpDate" ] ;
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "SHALL:handle"           ]         ] [
fhir:url [ fhir:v "actor"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"^^xsd:anyURI ;
fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>           ]         ] [
fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"^^xsd:anyURI ] ;
fhir:value [
a fhir:uri ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"^^xsd:anyURI           ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/obligation"^^xsd:anyURI ]       ] [
        ( fhir:extension [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "SHALL:handle"           ]         ] [
fhir:url [ fhir:v "actor"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"^^xsd:anyURI ;
fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>           ]         ] [
fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"^^xsd:anyURI ] ;
fhir:value [
a fhir:uri ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"^^xsd:anyURI           ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/obligation"^^xsd:anyURI ]       ] ) ;
fhir:path [ fhir:v "PatientFollowUp.patientFollowUpDate" ] ;
fhir:short [ fhir:v "Patient Follow Up date (M)" ] ;
fhir:definition [ fhir:v "Date of the clinical follow-up" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "PatientFollowUp.patientFollowUpDate" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [ fhir:v "date"^^xsd:anyURI ]       ] )     ] [
fhir:id [ fhir:v "PatientFollowUp.newCancerDiagnosis" ] ;
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "SHALL:handle"           ]         ] [
fhir:url [ fhir:v "actor"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"^^xsd:anyURI ;
fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>           ]         ] [
fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"^^xsd:anyURI ] ;
fhir:value [
a fhir:uri ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"^^xsd:anyURI           ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/obligation"^^xsd:anyURI ]       ] ) ;
fhir:path [ fhir:v "PatientFollowUp.newCancerDiagnosis" ] ;
fhir:short [ fhir:v "New cancer diagnosis (M)" ] ;
fhir:definition [ fhir:v "identifies whether the patient has developed a subsequent primary cancer \nCheck" ] ;
fhir:comment [ fhir:v "Yes - 4188539\nNo -  4188540" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "PatientFollowUp.newCancerDiagnosis" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [ fhir:v "boolean"^^xsd:anyURI ]       ] )     ] [
fhir:id [ fhir:v "PatientFollowUp.dateOfNewCancerDiagnosis" ] ;
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "SHALL:handle"           ]         ] [
fhir:url [ fhir:v "actor"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"^^xsd:anyURI ;
fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>           ]         ] [
fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"^^xsd:anyURI ] ;
fhir:value [
a fhir:uri ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"^^xsd:anyURI           ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/obligation"^^xsd:anyURI ]       ] ) ;
fhir:path [ fhir:v "PatientFollowUp.dateOfNewCancerDiagnosis" ] ;
fhir:short [ fhir:v "Date of new cancer diagnosis (M)" ] ;
fhir:definition [ fhir:v "date of subsequent primary cancer diagnosis" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "PatientFollowUp.dateOfNewCancerDiagnosis" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [ fhir:v "date"^^xsd:anyURI ]       ] )     ] [
fhir:id [ fhir:v "PatientFollowUp.newCancerTopography" ] ;
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "SHALL:handle"           ]         ] [
fhir:url [ fhir:v "actor"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"^^xsd:anyURI ;
fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>           ]         ] [
fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"^^xsd:anyURI ] ;
fhir:value [
a fhir:uri ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"^^xsd:anyURI           ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/obligation"^^xsd:anyURI ]       ] ) ;
fhir:path [ fhir:v "PatientFollowUp.newCancerTopography" ] ;
fhir:short [ fhir:v "New cancer topography (M)" ] ;
fhir:definition [ fhir:v "clarifies the site of the subsequent primary cancer (from a predefined list of sites)" ] ;
fhir:comment [ fhir:v "Any value of Class ICDO Condition" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "PatientFollowUp.newCancerTopography" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ]       ] )     ] [
fhir:id [ fhir:v "PatientFollowUp.lastContact" ] ;
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "SHALL:handle"           ]         ] [
fhir:url [ fhir:v "actor"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"^^xsd:anyURI ;
fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>           ]         ] [
fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"^^xsd:anyURI ] ;
fhir:value [
a fhir:uri ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"^^xsd:anyURI           ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/obligation"^^xsd:anyURI ]       ] ) ;
fhir:path [ fhir:v "PatientFollowUp.lastContact" ] ;
fhir:short [ fhir:v "Last Contact (M)" ] ;
fhir:definition [ fhir:v "Date of the last contact with the patient, of any kind." ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
fhir:base [
fhir:path [ fhir:v "PatientFollowUp.lastContact" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ]       ] ;
      ( fhir:type [
fhir:code [ fhir:v "date"^^xsd:anyURI ]       ] )     ] )
  ] ; # 
  fhir:differential [
    ( fhir:element [
fhir:id [ fhir:v "PatientFollowUp" ] ;
fhir:path [ fhir:v "PatientFollowUp" ] ;
fhir:short [ fhir:v "Patient Follow Up" ] ;
fhir:definition [ fhir:v "Patient Follow Up\nMaturity Level: 0 Draft" ]     ] [
fhir:id [ fhir:v "PatientFollowUp.patient" ] ;
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "SHALL:handle"           ]         ] [
fhir:url [ fhir:v "actor"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"^^xsd:anyURI ;
fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>           ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/obligation"^^xsd:anyURI ]       ] [
        ( fhir:extension [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "SHALL:handle"           ]         ] [
fhir:url [ fhir:v "actor"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"^^xsd:anyURI ;
fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>           ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/obligation"^^xsd:anyURI ]       ] ) ;
fhir:path [ fhir:v "PatientFollowUp.patient" ] ;
fhir:short [ fhir:v "Patient (M)" ] ;
fhir:definition [ fhir:v "Patient element " ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
      ( fhir:type [
fhir:code [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject"^^xsd:anyURI ]       ] )     ] [
fhir:id [ fhir:v "PatientFollowUp.statusOfPatientAtLastFollowUp" ] ;
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "SHALL:handle"           ]         ] [
fhir:url [ fhir:v "actor"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"^^xsd:anyURI ;
fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>           ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/obligation"^^xsd:anyURI ]       ] [
        ( fhir:extension [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "SHALL:handle"           ]         ] [
fhir:url [ fhir:v "actor"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"^^xsd:anyURI ;
fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>           ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/obligation"^^xsd:anyURI ]       ] ) ;
fhir:path [ fhir:v "PatientFollowUp.statusOfPatientAtLastFollowUp" ] ;
fhir:short [ fhir:v "Status of patient at last follow-up (M)" ] ;
fhir:definition [ fhir:v "Describes the status at last follow-up \nIf DOD, DOC or DUC register the death in the DEATH table (with date of last contact as death date). If the death cause is specified use the cause_concept_id.\nIf lost to follow up register an observation.\nAll the other information can be derived from the other data.\n\nMaybe it should be moved to Patient entity" ] ;
fhir:comment [ fhir:v "Alive, No Evidence of Disease (NED) - 2000100071\n Dead of Disease (DOD) - 2000100072\nDead of Other Cause (DOC) - 2000100073\nDead of Unknown Cause (DUC) - 2000100074\nAlive With Disease (AWD) - 2000100075\nLost to follow-up - 4163894" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
      ( fhir:type [
fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ]       ] )     ] [
fhir:id [ fhir:v "PatientFollowUp.statusOfDiseaseAtLastFollowUp" ] ;
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "SHALL:handle"           ]         ] [
fhir:url [ fhir:v "actor"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"^^xsd:anyURI ;
fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>           ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/obligation"^^xsd:anyURI ]       ] [
        ( fhir:extension [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "SHALL:handle"           ]         ] [
fhir:url [ fhir:v "actor"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"^^xsd:anyURI ;
fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>           ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/obligation"^^xsd:anyURI ]       ] ) ;
fhir:path [ fhir:v "PatientFollowUp.statusOfDiseaseAtLastFollowUp" ] ;
fhir:short [ fhir:v "Status of disease at last follow-up (M) type EpisodeEvent" ] ;
fhir:definition [ fhir:v "Describes the disease status at the last follow-up. This value is redundant as it could be derived from the disease status in EpisodeEvent. If a Patient has 3 follow-ups, but the disease status (e.g., stable disease) did not change during those, the follow-ups will be grouped into a single one with the last date of the three of them. " ] ;
fhir:comment [ fhir:v "Complete Remission - 32946\nPartial Remission - 32947\nStable Disease - 32948\nProgression - 32949\nRecurrence - 2000100002\nrecurrence is algorithmically derived from previous episode (if it was complete remission)" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
      ( fhir:type [
fhir:code [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent"^^xsd:anyURI ]       ] )     ] [
fhir:id [ fhir:v "PatientFollowUp.patientFollowUpDate" ] ;
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "SHALL:handle"           ]         ] [
fhir:url [ fhir:v "actor"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"^^xsd:anyURI ;
fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>           ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/obligation"^^xsd:anyURI ]       ] [
        ( fhir:extension [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "SHALL:handle"           ]         ] [
fhir:url [ fhir:v "actor"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"^^xsd:anyURI ;
fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>           ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/obligation"^^xsd:anyURI ]       ] ) ;
fhir:path [ fhir:v "PatientFollowUp.patientFollowUpDate" ] ;
fhir:short [ fhir:v "Patient Follow Up date (M)" ] ;
fhir:definition [ fhir:v "Date of the clinical follow-up " ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
      ( fhir:type [
fhir:code [ fhir:v "date"^^xsd:anyURI ]       ] )     ] [
fhir:id [ fhir:v "PatientFollowUp.newCancerDiagnosis" ] ;
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "SHALL:handle"           ]         ] [
fhir:url [ fhir:v "actor"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"^^xsd:anyURI ;
fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>           ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/obligation"^^xsd:anyURI ]       ] ) ;
fhir:path [ fhir:v "PatientFollowUp.newCancerDiagnosis" ] ;
fhir:short [ fhir:v "New cancer diagnosis (M)" ] ;
fhir:definition [ fhir:v "identifies whether the patient has developed a subsequent primary cancer \nCheck" ] ;
fhir:comment [ fhir:v "Yes - 4188539\nNo -  4188540" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
      ( fhir:type [
fhir:code [ fhir:v "boolean"^^xsd:anyURI ]       ] )     ] [
fhir:id [ fhir:v "PatientFollowUp.dateOfNewCancerDiagnosis" ] ;
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "SHALL:handle"           ]         ] [
fhir:url [ fhir:v "actor"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"^^xsd:anyURI ;
fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>           ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/obligation"^^xsd:anyURI ]       ] ) ;
fhir:path [ fhir:v "PatientFollowUp.dateOfNewCancerDiagnosis" ] ;
fhir:short [ fhir:v "Date of new cancer diagnosis (M)" ] ;
fhir:definition [ fhir:v "date of subsequent primary cancer diagnosis " ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
      ( fhir:type [
fhir:code [ fhir:v "date"^^xsd:anyURI ]       ] )     ] [
fhir:id [ fhir:v "PatientFollowUp.newCancerTopography" ] ;
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "SHALL:handle"           ]         ] [
fhir:url [ fhir:v "actor"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"^^xsd:anyURI ;
fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>           ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/obligation"^^xsd:anyURI ]       ] ) ;
fhir:path [ fhir:v "PatientFollowUp.newCancerTopography" ] ;
fhir:short [ fhir:v "New cancer topography (M)" ] ;
fhir:definition [ fhir:v "clarifies the site of the subsequent primary cancer (from a predefined list of sites) " ] ;
fhir:comment [ fhir:v "Any value of Class ICDO Condition" ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
      ( fhir:type [
fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ]       ] )     ] [
fhir:id [ fhir:v "PatientFollowUp.lastContact" ] ;
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "SHALL:handle"           ]         ] [
fhir:url [ fhir:v "actor"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"^^xsd:anyURI ;
fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>           ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/obligation"^^xsd:anyURI ]       ] ) ;
fhir:path [ fhir:v "PatientFollowUp.lastContact" ] ;
fhir:short [ fhir:v "Last Contact (M)" ] ;
fhir:definition [ fhir:v "Date of the last contact with the patient, of any kind. " ] ;
fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
fhir:max [ fhir:v "*" ] ;
      ( fhir:type [
fhir:code [ fhir:v "date"^^xsd:anyURI ]       ] )     ] )
  ] . #