PanCareSurPass Project HL7 FHIR Implementation Guide
1.0.0 - release 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 1.0.0 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: 1.0.0
Draft as of 2025-10-16 | 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

LinkID | Text | Cardinality | Type | Flags | Description & Constraints
--- | --- | --- | --- | --- | ---
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). |  | Questionnaire |  | http://hl7.eu/fhir/ig/pcsp/Questionnaire/FollowupSurPass#1.0.0
first-visit | First visit? | 1..1 | choice |  | Value Set: YesNoVS
consent | Informed consent to participate in the Followup-SurPass | 1..1 | choice |  | Enable When: first-visit = Value Set: YesNoVS
consent-date | Consent date | 0..1 | date |  | Enable When: first-visit =
visit-date | Visit date | 1..1 | date |  |
new-cancer-after-off-therapy | Predisposing genetic syndromes or clinical conditions associated with the tumor diagnosed after the first off-therapy | 0..1 | choice |  | Enable When: first-visit = Value Set: YesNoVS
sepcify-new-cancer-txt-1 | If yes, specify | 1..1 | text |  | Enable When: new-cancer-after-off-therapy =
other-clinical | Other clinical pictures, not associated with the tumor at the time of diagnosis | 0..1 | choice |  | Enable When: first-visit = Value Set: YesNoVS
sepcify-other-clinical-txt-1 | If yes, specify | 1..1 | text |  | Enable When: other-clinical =
new-condition-after-off-therapy | After the first off therapy the patient experienced one or more pathological conditions | 1..1 | choice |  | Enable When: first-visit = Value Set: YesNoVS
group-condition-1 | Pathological conditions | 1..* | group |  | Enable When: new-condition-after-off-therapy =
condition-1 | Condition | 1..1 | choice |  | Value Set: Conditions: follow up
condition-note-1 | null | 0..1 | text |  | Initial Value: string = This space will contain guidance for the selected condition. Content is not yet available.
condition-other-1 | If other, specify | 1..1 | text |  | Enable When: condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 = condition-1 =
appearance-date-1 | Onset date | 1..1 | date |  |
condition-grading-1 | Grading m-CTCAE at onset/last visit | 1..1 | choice |  | Value Set: Grade: follow up
condition-evolution-1 | Evolution | 1..1 | choice |  | Options: 2 options
resolution-date-1 | If yes, date | 1..1 | date |  | Enable When: condition-evolution-1 =
new-condition-grading-1 | If changed, new grading | 1..1 | choice |  | Enable When: condition-evolution-1 = Value Set: Grade: follow up
details-1 | Details | 0..1 | text |  |
next-check-1 | Next check-up planned on | 0..1 | text |  |
condition-changed | Have any pathological conditions that were still present (unresolved) at the previous visit resolved or changed in degree? | 1..1 | choice |  | Enable When: first-visit = Value Set: YesNoNAVS
group-condition-2 | Pathological conditions | 1..* | group |  | Enable When: condition-changed = condition-changed =
condition-2 | Condition | 1..1 | choice |  | Value Set: Conditions: follow up
condition-note-2 | null | 0..1 | text |  | Initial Value: string = This space will contain guidance for the selected condition. Content is not yet available.
condition-other-2 | If other, specify | 1..1 | text |  | Enable When: condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 = condition-2 =
appearance-date-2 | Onset date | 1..1 | date |  |
condition-grading-2 | Grading m-CTCAE at onset/last visit | 1..1 | choice |  | Value Set: Grade: follow up
condition-evolution-2 | Evolution | 1..1 | choice |  | Enable When: condition-changed = Options: 3 options
resolution-date-2 | If yes, date | 1..1 | date |  | Enable When: condition-evolution-2 =
new-condition-grading-2 | If changed, new grading | 1..1 | choice |  | Enable When: condition-evolution-2 = Value Set: Grade: follow up
details-2 | Details | 0..1 | text |  |
next-check-2 | Next check-up planned on | 0..1 | text |  |
new-cancer-after-last-visit | After the first off therapy the patient experienced one or more pathological conditions? | 0..1 | choice |  | Enable When: first-visit = Value Set: YesNoVS
group-condition-3 | Pathological conditions | 1..* | group |  | Enable When: new-cancer-after-last-visit =
condition-3 | Condition | 1..1 | choice |  | Value Set: Conditions: follow up
condition-note-3 | null | 0..1 | text |  | Initial Value: string = This space will contain guidance for the selected condition. Content is not yet available.
condition-other-3 | If other, specify | 1..1 | text |  | Enable When: condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 = condition-3 =
appearance-date-3 | Onset date | 1..1 | date |  |
condition-grading-3 | Grading m-CTCAE at onset/last visit | 1..1 | choice |  | Value Set: Grade: follow up
condition-evolution-3 | Evolution | 1..1 | choice |  | Options: 2 options
resolution-date-3 | If yes, date | 1..1 | date |  | Enable When: condition-evolution-3 =
new-condition-grading-3 | If changed, new grading | 1..1 | choice |  | Enable When: condition-evolution-3 = Value Set: Grade: follow up
details-3 | Details | 0..1 | text |  |
next-check-3 | Next check-up planned on | 0..1 | text |  |
notes | Notes | 0..1 | string |  |
notes-attachments | Reports relating to significant laboratory instrumental tests | 0..* | attachment |  |
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

- Include these codes as defined in `http://loinc.org` version Not Stated (use latest from terminology server)

  Code | Display
  LA32-8 | NO
  LA33-6 | YES

- Include these codes as defined in `http://loinc.org` version Not Stated (use latest from terminology server)

  Code | Display
  LA32-8 | NO
  LA33-6 | YES
  LA30226-7 | Not applicable (N/A)