IDEA4RC FHIR Implementation Guide
0.1.0 - CI Build
150
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
| Draft as of 2025-07-25 |
XML representation of the PatientFollowUp logical model.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="PatientFollowUp"/>
<text>
<status value="extensions"/>
<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 & 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
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>
<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>
<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
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.
If lost to follow up register an observation.
All the other information can be derived from the other data.
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>
<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>
<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>
<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
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>
<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>
<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>
<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>
<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>
</text>
<url
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp"/>
<version value="0.1.0"/>
<name value="PatientFollowUpI4rc"/>
<title value="Patient Follow Up"/>
<status value="draft"/>
<date value="2025-07-25T13:48:09+00:00"/>
<publisher value="IDEA4RC Project"/>
<contact>
<name value="IDEA4RC Project"/>
<telecom>
<system value="url"/>
<value value="https://www.idea4rc.eu/"/>
</telecom>
</contact>
<contact>
<name value="IDEA4RC Project"/>
<telecom>
<system value="url"/>
<value value="https://www.idea4rc.eu/"/>
</telecom>
</contact>
<description value="Patient Follow Up
Maturity Level: 0 Draft"/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="150"/>
<display value="Europe"/>
</coding>
</jurisdiction>
<fhirVersion value="4.0.1"/>
<kind value="logical"/>
<abstract value="false"/>
<type
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp"/>
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
<derivation value="specialization"/>
<snapshot>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
<valueString value="4.0.1"/>
</extension>
<element id="PatientFollowUp">
<path value="PatientFollowUp"/>
<short value="Patient Follow Up"/>
<definition value="Patient Follow Up
Maturity Level: 0 Draft"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Base"/>
<min value="0"/>
<max value="*"/>
</base>
<isModifier value="false"/>
</element>
<element id="PatientFollowUp.patient">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"/>
</extension>
</extension>
<path value="PatientFollowUp.patient"/>
<short value="Patient (M)"/>
<definition value="Patient element"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="PatientFollowUp.patient"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject"/>
</type>
</element>
<element id="PatientFollowUp.statusOfPatientAtLastFollowUp">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"/>
</extension>
</extension>
<path value="PatientFollowUp.statusOfPatientAtLastFollowUp"/>
<short value="Status of patient at last follow-up (M)"/>
<definition
value="Describes the status at last follow-up
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.
If lost to follow up register an observation.
All the other information can be derived from the other data.
Maybe it should be moved to Patient entity"/>
<comment
value="Alive, No Evidence of Disease (NED) - 2000100071
Dead of Disease (DOD) - 2000100072
Dead of Other Cause (DOC) - 2000100073
Dead of Unknown Cause (DUC) - 2000100074
Alive With Disease (AWD) - 2000100075
Lost to follow-up - 4163894"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="PatientFollowUp.statusOfPatientAtLastFollowUp"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="PatientFollowUp.statusOfDiseaseAtLastFollowUp">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"/>
</extension>
</extension>
<path value="PatientFollowUp.statusOfDiseaseAtLastFollowUp"/>
<short
value="Status of disease at last follow-up (M) type EpisodeEvent"/>
<definition
value="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."/>
<comment
value="Complete Remission - 32946
Partial Remission - 32947
Stable Disease - 32948
Progression - 32949
Recurrence - 2000100002
recurrence is algorithmically derived from previous episode (if it was complete remission)"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="PatientFollowUp.statusOfDiseaseAtLastFollowUp"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent"/>
</type>
</element>
<element id="PatientFollowUp.patientFollowUpDate">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"/>
</extension>
</extension>
<path value="PatientFollowUp.patientFollowUpDate"/>
<short value="Patient Follow Up date (M)"/>
<definition value="Date of the clinical follow-up"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="PatientFollowUp.patientFollowUpDate"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="date"/>
</type>
</element>
<element id="PatientFollowUp.newCancerDiagnosis">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"/>
</extension>
</extension>
<path value="PatientFollowUp.newCancerDiagnosis"/>
<short value="New cancer diagnosis (M)"/>
<definition
value="identifies whether the patient has developed a subsequent primary cancer
Check"/>
<comment value="Yes - 4188539
No - 4188540"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="PatientFollowUp.newCancerDiagnosis"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="PatientFollowUp.dateOfNewCancerDiagnosis">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"/>
</extension>
</extension>
<path value="PatientFollowUp.dateOfNewCancerDiagnosis"/>
<short value="Date of new cancer diagnosis (M)"/>
<definition value="date of subsequent primary cancer diagnosis"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="PatientFollowUp.dateOfNewCancerDiagnosis"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="date"/>
</type>
</element>
<element id="PatientFollowUp.newCancerTopography">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"/>
</extension>
</extension>
<path value="PatientFollowUp.newCancerTopography"/>
<short value="New cancer topography (M)"/>
<definition
value="clarifies the site of the subsequent primary cancer (from a predefined list of sites)"/>
<comment value="Any value of Class ICDO Condition"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="PatientFollowUp.newCancerTopography"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="PatientFollowUp.lastContact">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"/>
</extension>
</extension>
<path value="PatientFollowUp.lastContact"/>
<short value="Last Contact (M)"/>
<definition
value="Date of the last contact with the patient, of any kind."/>
<min value="1"/>
<max value="*"/>
<base>
<path value="PatientFollowUp.lastContact"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="date"/>
</type>
</element>
</snapshot>
<differential>
<element id="PatientFollowUp">
<path value="PatientFollowUp"/>
<short value="Patient Follow Up"/>
<definition value="Patient Follow Up
Maturity Level: 0 Draft"/>
</element>
<element id="PatientFollowUp.patient">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="PatientFollowUp.patient"/>
<short value="Patient (M)"/>
<definition value="Patient element "/>
<min value="1"/>
<max value="*"/>
<type>
<code
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject"/>
</type>
</element>
<element id="PatientFollowUp.statusOfPatientAtLastFollowUp">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="PatientFollowUp.statusOfPatientAtLastFollowUp"/>
<short value="Status of patient at last follow-up (M)"/>
<definition
value="Describes the status at last follow-up
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.
If lost to follow up register an observation.
All the other information can be derived from the other data.
Maybe it should be moved to Patient entity"/>
<comment
value="Alive, No Evidence of Disease (NED) - 2000100071
Dead of Disease (DOD) - 2000100072
Dead of Other Cause (DOC) - 2000100073
Dead of Unknown Cause (DUC) - 2000100074
Alive With Disease (AWD) - 2000100075
Lost to follow-up - 4163894"/>
<min value="1"/>
<max value="*"/>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="PatientFollowUp.statusOfDiseaseAtLastFollowUp">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="PatientFollowUp.statusOfDiseaseAtLastFollowUp"/>
<short
value="Status of disease at last follow-up (M) type EpisodeEvent"/>
<definition
value="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. "/>
<comment
value="Complete Remission - 32946
Partial Remission - 32947
Stable Disease - 32948
Progression - 32949
Recurrence - 2000100002
recurrence is algorithmically derived from previous episode (if it was complete remission)"/>
<min value="1"/>
<max value="*"/>
<type>
<code
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent"/>
</type>
</element>
<element id="PatientFollowUp.patientFollowUpDate">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="PatientFollowUp.patientFollowUpDate"/>
<short value="Patient Follow Up date (M)"/>
<definition value="Date of the clinical follow-up "/>
<min value="1"/>
<max value="*"/>
<type>
<code value="date"/>
</type>
</element>
<element id="PatientFollowUp.newCancerDiagnosis">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="PatientFollowUp.newCancerDiagnosis"/>
<short value="New cancer diagnosis (M)"/>
<definition
value="identifies whether the patient has developed a subsequent primary cancer
Check"/>
<comment value="Yes - 4188539
No - 4188540"/>
<min value="1"/>
<max value="*"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="PatientFollowUp.dateOfNewCancerDiagnosis">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="PatientFollowUp.dateOfNewCancerDiagnosis"/>
<short value="Date of new cancer diagnosis (M)"/>
<definition value="date of subsequent primary cancer diagnosis "/>
<min value="1"/>
<max value="*"/>
<type>
<code value="date"/>
</type>
</element>
<element id="PatientFollowUp.newCancerTopography">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="PatientFollowUp.newCancerTopography"/>
<short value="New cancer topography (M)"/>
<definition
value="clarifies the site of the subsequent primary cancer (from a predefined list of sites) "/>
<comment value="Any value of Class ICDO Condition"/>
<min value="1"/>
<max value="*"/>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="PatientFollowUp.lastContact">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="PatientFollowUp.lastContact"/>
<short value="Last Contact (M)"/>
<definition
value="Date of the last contact with the patient, of any kind. "/>
<min value="1"/>
<max value="*"/>
<type>
<code value="date"/>
</type>
</element>
</differential>
</StructureDefinition>
IG © 2022+ IDEA4RC Project. Package hl7.eu.fhir.idea4rc#0.1.0 based on FHIR 4.0.1. Generated 2025-07-25
Links: Table of Contents |
QA Report
The IDEA4RC project has received funding from the European Union's Horizon 2020
research and innovation programme under grant agreement No. 101057048.
