HL7 Europe Common Cancer Model
1.0.0-ballot - ballot 150

HL7 Europe Common Cancer Model - Local Development build (v1.0.0-ballot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Logical Model: LastFollowUp

Official URL: http://hl7.eu/fhir/cancer-common/StructureDefinition/LastFollowUp | Version: 1.0.0-ballot
Active as of 2026-06-14 | Computable Name: LastFollowUp
Copyright/Legal: HL7 Europe Copyright. Licensed under Common Creative License (CC0 1.0). Details at Copyright.

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).

Usages:

- This Logical Model is not used by any profiles in this Specification

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
LastFollowUp | C | 0..* | Base | LastFollowUp Instances of this logical model can be the target of a Reference Constraints: lfu-1, lfu-2, lfu-3, lfu-4
subject |  | 1..1 | Reference(Cancer Patient) | Patient Reference
vitalStatus |  | 1..1 | CodeableConcept | VitalStatus
evidenceOfDisease |  | 0..1 | boolean | EvidenceOfDisease
causeOfDeath |  | 0..1 | CodeableConcept | CauseOfDeath
date |  | 1..1 | dateTime | Date
deathDate |  | 0..1 | dateTime | DeathDate
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
lfu-1 | error | LastFollowUp | EvidenceOfDisease must be present if VitalStatus is Alive; otherwise, it must not be present. | `(vitalStatus.where(text = 'Alive').exists()) = evidenceOfDisease.exists()`
lfu-2 | error | LastFollowUp | CauseOfDeath must be present if VitalStatus is Dead; otherwise, it must not be present. | `(vitalStatus.where(text = 'Dead').exists()) = causeOfDeath.exists()`
lfu-3 | error | LastFollowUp | DeathDate must be present if VitalStatus is Dead; otherwise, it must not be present. | `(vitalStatus.where(text = 'Dead').exists()) = deathDate.exists()`
lfu-4 | error | LastFollowUp | DeathDate must not be present if VitalStatus is Alive. | `vitalStatus.where(text = 'Alive').exists() implies deathDate.empty()`

This structure is derived from Base

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
LastFollowUp | C | 0..* | Base | LastFollowUp Instances of this logical model can be the target of a Reference Constraints: lfu-1, lfu-2, lfu-3, lfu-4
subject |  | 1..1 | Reference(Cancer Patient) | Patient Reference
vitalStatus |  | 1..1 | CodeableConcept | VitalStatus
evidenceOfDisease |  | 0..1 | boolean | EvidenceOfDisease
causeOfDeath |  | 0..1 | CodeableConcept | CauseOfDeath
date |  | 1..1 | dateTime | Date
deathDate |  | 0..1 | dateTime | DeathDate
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
lfu-1 | error | LastFollowUp | EvidenceOfDisease must be present if VitalStatus is Alive; otherwise, it must not be present. | `(vitalStatus.where(text = 'Alive').exists()) = evidenceOfDisease.exists()`
lfu-2 | error | LastFollowUp | CauseOfDeath must be present if VitalStatus is Dead; otherwise, it must not be present. | `(vitalStatus.where(text = 'Dead').exists()) = causeOfDeath.exists()`
lfu-3 | error | LastFollowUp | DeathDate must be present if VitalStatus is Dead; otherwise, it must not be present. | `(vitalStatus.where(text = 'Dead').exists()) = deathDate.exists()`
lfu-4 | error | LastFollowUp | DeathDate must not be present if VitalStatus is Alive. | `vitalStatus.where(text = 'Alive').exists() implies deathDate.empty()`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
LastFollowUp | C | 0..* | Base | LastFollowUp Instances of this logical model can be the target of a Reference Constraints: lfu-1, lfu-2, lfu-3, lfu-4
subject |  | 1..1 | Reference(Cancer Patient) | Patient Reference
vitalStatus |  | 1..1 | CodeableConcept | VitalStatus
evidenceOfDisease |  | 0..1 | boolean | EvidenceOfDisease
causeOfDeath |  | 0..1 | CodeableConcept | CauseOfDeath
date |  | 1..1 | dateTime | Date
deathDate |  | 0..1 | dateTime | DeathDate
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
lfu-1 | error | LastFollowUp | EvidenceOfDisease must be present if VitalStatus is Alive; otherwise, it must not be present. | `(vitalStatus.where(text = 'Alive').exists()) = evidenceOfDisease.exists()`
lfu-2 | error | LastFollowUp | CauseOfDeath must be present if VitalStatus is Dead; otherwise, it must not be present. | `(vitalStatus.where(text = 'Dead').exists()) = causeOfDeath.exists()`
lfu-3 | error | LastFollowUp | DeathDate must be present if VitalStatus is Dead; otherwise, it must not be present. | `(vitalStatus.where(text = 'Dead').exists()) = deathDate.exists()`
lfu-4 | error | LastFollowUp | DeathDate must not be present if VitalStatus is Alive. | `vitalStatus.where(text = 'Alive').exists() implies deathDate.empty()`

This structure is derived from Base

Summary

Mandatory: 0 element(3 nested mandatory elements)

Structures

This structure refers to these other structures:

- Cancer Patient (http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerPatient)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
LastFollowUp | C | 0..* | Base | LastFollowUp Instances of this logical model can be the target of a Reference Constraints: lfu-1, lfu-2, lfu-3, lfu-4
subject |  | 1..1 | Reference(Cancer Patient) | Patient Reference
vitalStatus |  | 1..1 | CodeableConcept | VitalStatus
evidenceOfDisease |  | 0..1 | boolean | EvidenceOfDisease
causeOfDeath |  | 0..1 | CodeableConcept | CauseOfDeath
date |  | 1..1 | dateTime | Date
deathDate |  | 0..1 | dateTime | DeathDate
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
lfu-1 | error | LastFollowUp | EvidenceOfDisease must be present if VitalStatus is Alive; otherwise, it must not be present. | `(vitalStatus.where(text = 'Alive').exists()) = evidenceOfDisease.exists()`
lfu-2 | error | LastFollowUp | CauseOfDeath must be present if VitalStatus is Dead; otherwise, it must not be present. | `(vitalStatus.where(text = 'Dead').exists()) = causeOfDeath.exists()`
lfu-3 | error | LastFollowUp | DeathDate must be present if VitalStatus is Dead; otherwise, it must not be present. | `(vitalStatus.where(text = 'Dead').exists()) = deathDate.exists()`
lfu-4 | error | LastFollowUp | DeathDate must not be present if VitalStatus is Alive. | `vitalStatus.where(text = 'Alive').exists() implies deathDate.empty()`

Differential View

This structure is derived from Base

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
LastFollowUp | C | 0..* | Base | LastFollowUp Instances of this logical model can be the target of a Reference Constraints: lfu-1, lfu-2, lfu-3, lfu-4
subject |  | 1..1 | Reference(Cancer Patient) | Patient Reference
vitalStatus |  | 1..1 | CodeableConcept | VitalStatus
evidenceOfDisease |  | 0..1 | boolean | EvidenceOfDisease
causeOfDeath |  | 0..1 | CodeableConcept | CauseOfDeath
date |  | 1..1 | dateTime | Date
deathDate |  | 0..1 | dateTime | DeathDate
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
lfu-1 | error | LastFollowUp | EvidenceOfDisease must be present if VitalStatus is Alive; otherwise, it must not be present. | `(vitalStatus.where(text = 'Alive').exists()) = evidenceOfDisease.exists()`
lfu-2 | error | LastFollowUp | CauseOfDeath must be present if VitalStatus is Dead; otherwise, it must not be present. | `(vitalStatus.where(text = 'Dead').exists()) = causeOfDeath.exists()`
lfu-3 | error | LastFollowUp | DeathDate must be present if VitalStatus is Dead; otherwise, it must not be present. | `(vitalStatus.where(text = 'Dead').exists()) = deathDate.exists()`
lfu-4 | error | LastFollowUp | DeathDate must not be present if VitalStatus is Alive. | `vitalStatus.where(text = 'Alive').exists() implies deathDate.empty()`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
LastFollowUp | C | 0..* | Base | LastFollowUp Instances of this logical model can be the target of a Reference Constraints: lfu-1, lfu-2, lfu-3, lfu-4
subject |  | 1..1 | Reference(Cancer Patient) | Patient Reference
vitalStatus |  | 1..1 | CodeableConcept | VitalStatus
evidenceOfDisease |  | 0..1 | boolean | EvidenceOfDisease
causeOfDeath |  | 0..1 | CodeableConcept | CauseOfDeath
date |  | 1..1 | dateTime | Date
deathDate |  | 0..1 | dateTime | DeathDate
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
lfu-1 | error | LastFollowUp | EvidenceOfDisease must be present if VitalStatus is Alive; otherwise, it must not be present. | `(vitalStatus.where(text = 'Alive').exists()) = evidenceOfDisease.exists()`
lfu-2 | error | LastFollowUp | CauseOfDeath must be present if VitalStatus is Dead; otherwise, it must not be present. | `(vitalStatus.where(text = 'Dead').exists()) = causeOfDeath.exists()`
lfu-3 | error | LastFollowUp | DeathDate must be present if VitalStatus is Dead; otherwise, it must not be present. | `(vitalStatus.where(text = 'Dead').exists()) = deathDate.exists()`
lfu-4 | error | LastFollowUp | DeathDate must not be present if VitalStatus is Alive. | `vitalStatus.where(text = 'Alive').exists() implies deathDate.empty()`

This structure is derived from Base

Summary

Mandatory: 0 element(3 nested mandatory elements)

Structures

This structure refers to these other structures:

- Cancer Patient (http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerPatient)

Other representations of profile: CSV, Excel