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: CancerPatient - XML Profile

Active as of 2026-06-14

XML representation of the CancerPatient logical model.

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    <StructureDefinition xmlns="http://hl7.org/fhir">
      <id value="CancerPatient"/>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition CancerPatient</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 &amp; 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, " 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-CancerPatient-definitions.html#CancerPatient" title="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).">CancerPatient</a><a name="CancerPatient"> </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">Cancer Patient<br/><span style="font-weight:bold">Instances of this logical model can be the target of a Reference</span></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-CancerPatient-definitions.html#CancerPatient.birthDate" title="Patient date of birth (at least the year should be available).">birthDate</a><a name="CancerPatient.birthDate"> </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"/><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..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#dateTime">dateTime</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">BirthDate</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-CancerPatient-definitions.html#CancerPatient.sexAtBirth" title="Biological sex assigned at birth, determined by sex characteristics observed at birth or infancy (e.g., genital characteristics and/or chromosome composition). This represents sex as a biological variable and should not be used to represent gender identity or administrative gender.">sexAtBirth</a><a name="CancerPatient.sexAtBirth"> </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">1..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">SexAtBirth</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-CancerPatient-definitions.html#CancerPatient.observedSexGender" title="Recorded sex at the time of cancer diagnosis, if different from SexAtBirth. This captures what is documented at diagnosis and should be interpreted in line with the clinical record context.">observedSexGender</a><a name="CancerPatient.observedSexGender"> </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"/><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">0..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">ObservedSex Gender</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_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-CancerPatient-definitions.html#CancerPatient.comorbiditiesAtCancerDiagnosis" title="Active chronic conditions present at the time of cancer diagnosis.">comorbiditiesAtCancerDiagnosis</a><a name="CancerPatient.comorbiditiesAtCancerDiagnosis"> </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">0..*</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">ComorbiditiesAtCancerDiagnosis<br/></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, " alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
      </text>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics">
        <valueCode value="can-be-target"/>
      </extension>
      <url
           value="http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerPatient"/>
      <version value="1.0.0-ballot"/>
      <name value="CancerPatient"/>
      <title value="Cancer Patient"/>
      <status value="active"/>
      <date value="2026-06-14T12:51:40+02:00"/>
      <publisher value="HL7 Europe"/>
      <contact>
        <name value="HL7 Europe"/>
        <telecom>
          <system value="url"/>
          <value value="http://hl7.eu"/>
        </telecom>
      </contact>
      <description
                   value="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)."/>
      <jurisdiction>
        <coding>
          <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
          <code value="150"/>
          <display value="Europe"/>
        </coding>
      </jurisdiction>
      <copyright
                 value="HL7 Europe Copyright. Licensed under Common Creative License (CC0 1.0). Details at [Copyright](copyright.html)."/>
      <fhirVersion value="4.0.1"/>
      <kind value="logical"/>
      <abstract value="false"/>
      <type
            value="http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerPatient"/>
      <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="CancerPatient">
          <path value="CancerPatient"/>
          <short value="Cancer Patient"/>
          <definition
                      value="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)."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Base"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <isModifier value="false"/>
        </element>
        <element id="CancerPatient.birthDate">
          <path value="CancerPatient.birthDate"/>
          <short value="BirthDate"/>
          <definition
                      value="Patient date of birth (at least the year should be available)."/>
          <comment value="At least the year must be present."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="CancerPatient.birthDate"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="dateTime"/>
          </type>
        </element>
        <element id="CancerPatient.sexAtBirth">
          <path value="CancerPatient.sexAtBirth"/>
          <short value="SexAtBirth"/>
          <definition
                      value="Biological sex assigned at birth, determined by sex characteristics observed at birth or infancy (e.g., genital characteristics and/or chromosome composition). This represents sex as a biological variable and should not be used to represent gender identity or administrative gender."/>
          <comment
                   value="This element refers to biological sex assigned at birth (not gender identity). It is typically captured once and is not expected to change. Choice: Male | Female | Unknown | Other"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="CancerPatient.sexAtBirth"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
        </element>
        <element id="CancerPatient.observedSexGender">
          <path value="CancerPatient.observedSexGender"/>
          <short value="ObservedSex Gender"/>
          <definition
                      value="Recorded sex at the time of cancer diagnosis, if different from SexAtBirth. This captures what is documented at diagnosis and should be interpreted in line with the clinical record context."/>
          <comment
                   value="It shall be present if changed respect the SexAtBirth. See https://confluence.hl7.org/spaces/VOC/pages/40743893/The+Gender+Harmony+Project"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CancerPatient.observedSexGender"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
        </element>
        <element id="CancerPatient.comorbiditiesAtCancerDiagnosis">
          <path value="CancerPatient.comorbiditiesAtCancerDiagnosis"/>
          <short value="ComorbiditiesAtCancerDiagnosis"/>
          <definition
                      value="Active chronic conditions present at the time of cancer diagnosis."/>
          <comment
                   value="Active chronic conditions present at the time of cancer diagnosis."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="CancerPatient.comorbiditiesAtCancerDiagnosis"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
        </element>
      </snapshot>
      <differential>
        <element id="CancerPatient">
          <path value="CancerPatient"/>
          <short value="Cancer Patient"/>
          <definition
                      value="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)."/>
        </element>
        <element id="CancerPatient.birthDate">
          <path value="CancerPatient.birthDate"/>
          <short value="BirthDate"/>
          <definition
                      value="Patient date of birth (at least the year should be available)."/>
          <comment value="At least the year must be present."/>
          <min value="1"/>
          <max value="1"/>
          <type>
            <code value="dateTime"/>
          </type>
        </element>
        <element id="CancerPatient.sexAtBirth">
          <path value="CancerPatient.sexAtBirth"/>
          <short value="SexAtBirth"/>
          <definition
                      value="Biological sex assigned at birth, determined by sex characteristics observed at birth or infancy (e.g., genital characteristics and/or chromosome composition). This represents sex as a biological variable and should not be used to represent gender identity or administrative gender."/>
          <comment
                   value="This element refers to biological sex assigned at birth (not gender identity). It is typically captured once and is not expected to change. Choice: Male | Female | Unknown | Other"/>
          <min value="1"/>
          <max value="1"/>
          <type>
            <code value="CodeableConcept"/>
          </type>
        </element>
        <element id="CancerPatient.observedSexGender">
          <path value="CancerPatient.observedSexGender"/>
          <short value="ObservedSex Gender"/>
          <definition
                      value="Recorded sex at the time of cancer diagnosis, if different from SexAtBirth. This captures what is documented at diagnosis and should be interpreted in line with the clinical record context."/>
          <comment
                   value="It shall be present if changed respect the SexAtBirth. See https://confluence.hl7.org/spaces/VOC/pages/40743893/The+Gender+Harmony+Project"/>
          <min value="0"/>
          <max value="1"/>
          <type>
            <code value="CodeableConcept"/>
          </type>
        </element>
        <element id="CancerPatient.comorbiditiesAtCancerDiagnosis">
          <path value="CancerPatient.comorbiditiesAtCancerDiagnosis"/>
          <short value="ComorbiditiesAtCancerDiagnosis"/>
          <definition
                      value="Active chronic conditions present at the time of cancer diagnosis."/>
          <comment
                   value="Active chronic conditions present at the time of cancer diagnosis."/>
          <min value="0"/>
          <max value="*"/>
          <type>
            <code value="CodeableConcept"/>
          </type>
        </element>
      </differential>
    </StructureDefinition>