PanCareSurPass Project HL7 FHIR Implementation Guide
0.2.0 - CI Build 150

PanCareSurPass Project HL7 FHIR Implementation Guide, published by PanCareSurPass Project. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/pcsp/ and changes regularly. See the Directory of published versions

Questionnaire: FollowupSurPass

Official URL: http://hl7.eu/fhir/ig/pcsp/Questionnaire/FollowupSurPass Version: 0.2.0
Draft as of 2025-09-03 Computable Name: FollowupSurPass

Follow up form. The first Followup-Surpass form must be completed at the same time as the SurPass is delivered or in any case at the first visit after the end of the treatment (OT).

Structure
LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. FollowupSurPassFollow up form. The first Followup-Surpass form must be completed at the same time as the SurPass is delivered or in any case at the first visit after the end of the treatment (OT).Questionnairehttp://hl7.eu/fhir/ig/pcsp/Questionnaire/FollowupSurPass#0.2.0
... first-visitFirst visit?1..1choiceValue Set: YesNoVS
... consentInformed consent to participate in the Followup-SurPass1..1choiceEnable When: first-visit =
Value Set: YesNoVS
... consent-dateConsent date0..1dateiconiconEnable When: first-visit =
... visit-dateVisit date1..1date
... new-cancer-after-off-therapyPredisposing genetic syndromes or clinical conditions associated with the tumor diagnosed after the first off-therapy0..1choiceEnable When: first-visit =
Value Set: YesNoVS
.... sepcify-new-cancer-txt-1If yes, specify1..1textEnable When: new-cancer-after-off-therapy =
... other-clinicalOther clinical pictures, not associated with the tumor at the time of diagnosis0..1choiceEnable When: first-visit =
Value Set: YesNoVS
.... sepcify-other-clinical-txt-1If yes, specify1..1textEnable When: other-clinical =
... new-condition-after-off-therapyAfter the first off therapy the patient experienced one or more pathological conditions1..1choiceEnable When: first-visit =
Value Set: YesNoVS
.... group-condition-1Pathological conditions1..*groupEnable When: new-condition-after-off-therapy =
..... condition-1Condition1..1choiceValue Set: Conditions: follow up
..... condition-note-1null0..1texticoniconInitial Value: string = This space will contain guidance for the selected condition. Content is not yet available.
..... condition-other-1If other, specify1..1textEnable When:
..... appearance-date-1Onset date1..1date
..... condition-grading-1Grading m-CTCAE at onset/last visit1..1choiceValue Set: Grade: follow up
..... condition-evolution-1Evolution1..1choiceOptions: 2 options
..... resolution-date-1If yes, date1..1dateEnable When: condition-evolution-1 =
..... new-condition-grading-1If changed, new grading1..1choiceEnable When: condition-evolution-1 =
Value Set: Grade: follow up
..... details-1Details0..1text
..... next-check-1Next check-up planned on0..1text
... condition-changedHave any pathological conditions that were still present (unresolved) at the previous visit resolved or changed in degree?1..1choiceEnable When: first-visit =
Value Set: YesNoNAVS
.... group-condition-2Pathological conditions1..*groupEnable When:
..... condition-2Condition1..1choiceValue Set: Conditions: follow up
..... condition-note-2null0..1texticoniconInitial Value: string = This space will contain guidance for the selected condition. Content is not yet available.
..... condition-other-2If other, specify1..1textEnable When:
..... appearance-date-2Onset date1..1date
..... condition-grading-2Grading m-CTCAE at onset/last visit1..1choiceValue Set: Grade: follow up
..... condition-evolution-2Evolution1..1choiceEnable When: condition-changed =
Options: 3 options
..... resolution-date-2If yes, date1..1dateEnable When: condition-evolution-2 =
..... new-condition-grading-2If changed, new grading1..1choiceEnable When: condition-evolution-2 =
Value Set: Grade: follow up
..... details-2Details0..1text
..... next-check-2Next check-up planned on0..1text
... new-cancer-after-last-visitAfter the first off therapy the patient experienced one or more pathological conditions?0..1choiceEnable When: first-visit =
Value Set: YesNoVS
.... group-condition-3Pathological conditions1..*groupEnable When: new-cancer-after-last-visit =
..... condition-3Condition1..1choiceValue Set: Conditions: follow up
..... condition-note-3null0..1texticoniconInitial Value: string = This space will contain guidance for the selected condition. Content is not yet available.
..... condition-other-3If other, specify1..1textEnable When:
..... appearance-date-3Onset date1..1date
..... condition-grading-3Grading m-CTCAE at onset/last visit1..1choiceValue Set: Grade: follow up
..... condition-evolution-3Evolution1..1choiceOptions: 2 options
..... resolution-date-3If yes, date1..1dateEnable When: condition-evolution-3 =
..... new-condition-grading-3If changed, new grading1..1choiceEnable When: condition-evolution-3 =
Value Set: Grade: follow up
..... details-3Details0..1text
..... next-check-3Next check-up planned on0..1text
... notesNotes0..1string
... notes-attachmentsReports relating to significant laboratory instrumental tests0..*attachment

doco Documentation for this format

Options Sets

Answer options for condition-evolution-1

  • Yes, resolved
  • No, not resolved

Answer options for condition-evolution-2

  • No, unchanged
  • Yes, changed
  • Yes, solved

Answer options for condition-evolution-3

  • Yes, resolved
  • No, not resolved

Contained Resources