# Patient (CCM) - HL7 Europe Common Cancer Model v1.0.0-ballot

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Patient (CCM)**

## Resource Profile: Patient (CCM) 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.eu/fhir/cancer-common/StructureDefinition/patient-eu-ccm | *Version*:1.0.0-ballot | |
| * Standards status: *[Informative](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 0 | *Computable Name*:PatientEuCcm |
| **Copyright/Legal**: HL7 Europe Copyright. Licensed under Common Creative License (CC0 1.0). Details at [Copyright](copyright.md). | | |

 
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. 

**Future implementation content**This generated FHIR profile is provided as informative implementation-oriented content in this publication and is expected to evolve in subsequent iterations of this guide.

**Usages:**

* Refer to this Profile: [Observation: Comorbidities](StructureDefinition-observation-comorbidity-eu-ccm.md)
* Examples for this Profile: [Patient/Patient1-Example](Patient-Patient1-Example.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/resource/hl7.fhir.eu.cancer-common|current/StructureDefinition/StructureDefinition-patient-eu-ccm.json)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-patient-eu-ccm.csv), [Excel](StructureDefinition-patient-eu-ccm.xlsx), [Schematron](StructureDefinition-patient-eu-ccm.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "patient-eu-ccm",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 0
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "informative"
  }],
  "url" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/patient-eu-ccm",
  "version" : "1.0.0-ballot",
  "name" : "PatientEuCcm",
  "title" : "Patient (CCM)",
  "status" : "active",
  "date" : "2026-06-14T12:51:40+02:00",
  "publisher" : "HL7 Europe",
  "contact" : [{
    "name" : "HL7 Europe",
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.eu"
    }]
  }],
  "description" : "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.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "150",
      "display" : "Europe"
    }]
  }],
  "copyright" : "HL7 Europe Copyright. Licensed under Common Creative License (CC0 1.0). Details at [Copyright](copyright.html).",
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "cda",
    "uri" : "http://hl7.org/v3/cda",
    "name" : "CDA (R2)"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "loinc",
    "uri" : "http://loinc.org",
    "name" : "LOINC code for the element"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Patient",
  "baseDefinition" : "http://hl7.eu/fhir/base/StructureDefinition/patient-eu",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Patient",
      "path" : "Patient",
      "short" : "Information about an individual receiving health care services",
      "definition" : "Information about an individual receiving health care services",
      "constraint" : [{
        "key" : "recordedSexOrGender-or-gender",
        "severity" : "error",
        "human" : "If recordedSexOrGender extension is not present, gender shall be valued.",
        "expression" : "extension.where(url = 'http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').exists() or gender.exists()",
        "source" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/patient-eu-ccm"
      }]
    },
    {
      "id" : "Patient.extension:recordedSexOrGender",
      "path" : "Patient.extension",
      "sliceName" : "recordedSexOrGender",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender"]
      }]
    },
    {
      "id" : "Patient.extension:recordedSexOrGender.extension",
      "path" : "Patient.extension.extension",
      "min" : 2
    },
    {
      "id" : "Patient.extension:recordedSexOrGender.extension:value",
      "path" : "Patient.extension.extension",
      "sliceName" : "value",
      "example" : [{
        "label" : "sex-assigned-at-birth",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/administrative-gender",
            "code" : "female"
          }]
        }
      }]
    },
    {
      "id" : "Patient.extension:recordedSexOrGender.extension:type",
      "path" : "Patient.extension.extension",
      "sliceName" : "type",
      "min" : 1,
      "example" : [{
        "label" : "sex-assigned-at-birth",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "76689-9",
            "display" : "Sex assigned at birth"
          }]
        }
      }]
    },
    {
      "id" : "Patient.gender",
      "path" : "Patient.gender",
      "short" : "Administrative gender",
      "comment" : "The gender element is intended to be administrative gender. Usually, requested for administrative purposes in primary use. \n  It can be used when no other information is available. For clinical purposes, use as possible the extensions"
    },
    {
      "id" : "Patient.birthDate",
      "path" : "Patient.birthDate",
      "min" : 1
    }]
  }
}

```
