HL7 Europe Common Cancer Model
1.0.0-ballot - ballot 150

This page is part of the HL7 Europe Common Cancer Model (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Structures: Logical Models

These define data models that represent the domain covered by this implementation guide in more business-friendly terms than the underlying FHIR resources.

Active Surveillance

Logical model representing an active surveillance strategy in which the patient is monitored over time without active treatment, prior to disease progression. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet ActiveSurveillance).

Cancer Patient

Logical model describing the patient affected by cancer, acting as the central subject for diagnosis, treatments, disease evolution and follow-up. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet CancerPatient).

CancerConditionAtDiagnosis

Logical model representing the cancer condition at first diagnosis, capturing initial tumour characteristics and the diagnostic context that initiates the cancer journey. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet CancerConditionAtDiagnosis).

CancerStage

Logical model representing the cancer stage at the time of first diagnosis. The stage may be clinical or pathological: the clinical stage is derived from imaging evidence, while the pathological stage, when available, is derived from surgical evidence. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet CancerStage).

ClinicalCancerProgression

Logical model representing the longitudinal evolution of the cancer disease, documenting disease status and extent at a specific point in time. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet ClinicalCancerProgression).

Imaging

Logical model representing a diagnostic imaging procedure performed to define the diagnosis and the clinical stage. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet Imaging).

LastFollowUp

Logical model representing the assessment of the patient’s status at a specific follow-up visit, including vital status and evidence of disease. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet LastFollowUp).

OverallCancerTreatmentResponse

Logical model representing the overall assessment of the cancer’s response to one or more treatment episodes at a specific time point. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet OverallCancerTreatmentResponse).

Radiotherapy

Logical model representing a radiotherapy treatment course administered to the patient, including intent, timing, and anatomical target. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet Radiotherapy).

Surgery

Logical model representing a surgical treatment episode delivered to the patient for cancer management. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet Surgery).

SystemicTreatment

Logical model representing a systemic anti-cancer treatment episode delivered to the patient, either at diagnosis or following disease progression. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet SystemicTreatment).

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

Observation: Comorbidities

This informative profile constrains the Observation resource to represent Comorbidities for the purpose of the ECCDM. It is provided as future implementation-oriented content in this publication and is expected to evolve in subsequent iterations of this guide. This profiles is adapted from the mCode FHIR Implementation Guide

Patient (CCM)

This informative profile defines how to represent Patient in FHIR for the purpose of the ECCDM. It is provided as future implementation-oriented content in this publication and is expected to evolve in subsequent iterations of this guide.

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

Cancer Condition at Diagnosis Example

Example cancer condition at diagnosis for a lung adenocarcinoma case.

Cancer Patient Example

Example patient record for the cancer common example scenario.

Clinical Cancer Progression 1 Example

Example clinical cancer progression showing complete remission on 2018-10-30.

Clinical Cancer Progression 2 Example

Example clinical cancer progression showing complete remission on 2019-02-28.

Clinical Cancer Progression 3 Example

Example clinical cancer progression showing complete remission on 2019-05-30.

Clinical Cancer Progression 4 Example

Example clinical cancer progression documenting loco-regional recurrence on 2019-08-31.

Clinical Cancer Progression 5 Example

Example clinical cancer progression documenting partial remission on 2020-01-02.

Clinical Cancer Progression 6 Example

Example clinical cancer progression documenting metastatic progression on 2020-04-15.

Clinical Cancer Stage Example

Example clinical TNM stage for the cancer condition at diagnosis.

ComorbidityObservation1-Example

Example comorbidity observation documenting the Charlson Comorbidity Index and associated comorbid conditions.

Imaging Example

Example magnetic resonance imaging record for the lower lobe of the lung.

Last Follow-Up 1 Example

Example follow-up with the patient alive and no evidence of disease on 2018-10-30.

Last Follow-Up 2 Example

Example follow-up with the patient alive and no evidence of disease on 2019-02-28.

Last Follow-Up 3 Example

Example follow-up with the patient alive and no evidence of disease on 2019-05-30.

Last Follow-Up 4 Example

Example follow-up with the patient alive and evidence of disease on 2019-08-31.

Last Follow-Up 5 Example

Example follow-up with the patient alive and evidence of disease on 2020-01-02.

Last Follow-Up 6 Example

Example follow-up with the patient alive and evidence of disease on 2020-04-15.

Last Follow-Up 7 Example

Example final follow-up documenting death from malignant neoplasm of bronchus and lung.

Overall Cancer Treatment Response 1 Example

Example overall treatment response documenting complete remission on 2018-10-30.

Overall Cancer Treatment Response 2 Example

Example overall treatment response documenting partial remission on 2020-01-02.

Pathological Cancer Stage Example

Example pathological TNM stage supported by the surgery example.

Patient1-Example

Example patient used in Cancer Common implementation guide examples.

Practitioner1-Example

Example practitioner acting as performer of clinical observations.

Radiotherapy Example

Example postoperative adjuvant radiotherapy treatment for the cancer condition.

Surgery Example

Example definitive surgery for the lower lobe lung cancer condition.

Systemic Treatment 1 Example

Example chemotherapy treatment following the loco-regional recurrence.

Other

These are resources that are used within this implementation guide that do not fit into one of the other categories.

Parameters for Terminology expansion using Snomed-CT international edition

This parameter resource is used to specify the system version of international SNOMED CT to be used in the terminology service.