# Home - HL7 Europe Common Cancer Model v1.0.0-ballot

* [**Table of Contents**](toc.md)
* **Home**

## Home

| | |
| :--- | :--- |
| *Official URL*:http://hl7.eu/fhir/cancer-common/ImplementationGuide/hl7.fhir.eu.cancer-common | *Version*:1.0.0-ballot |
| Active as of 2026-06-14 | *Computable Name*:Hl7EucancerCommonIg |
| **Copyright/Legal**: HL7 Europe Copyright. Licensed under Common Creative License (CC0 1.0). Details at [Copyright](copyright.md). | |

### Scope

**Contextual information**This page provides background and orientation for the guide. It supports understanding of the proposed model, but it is not itself a model artefact or an implementation specification submitted for evaluation.

The **HL7 Europe Cancer Common Data Model (ECCDM)** initiative aims to define a European common data model for cancer: a **minimal**, **shared**, and **extensible set of concepts** and **relationships** capable of representing cancer-related information across different contexts and use cases.

The scope of the initiative is to define a model that is **agnostic to cancer type** and **independent from specific technical standards**, providing a **common conceptual and logical backbone** that can be progressively extended over time.

The scope of this Implementation Guide is to document this common model and to support its implementation by providing mappings of the model to **HL7 FHIR** and to **OMOP**, enabling interoperability between primary data exchange and secondary data use in research contexts.

By defining consistent concepts, relationships, and longitudinal structures, the model enables, among other outcomes, the reconstruction of a typical cancer journey.

### How to Read This Guide

This guide is organised progressively, from the general rationale of the model to its logical representation and implementation-oriented artefacts.

Readers are encouraged to start from the **Introduction** section, which describes the scope, background, challenges, and reference materials for the European Cancer Common Data Model.

The **Functional** section presents the model from a conceptual and clinical perspective. It describes the main concepts, their relationships, the cancer patient journey, and the evolution of data over time. This section is intended to help readers understand what the model represents and why the selected concepts are included.

The **Logical** section provides the formal logical representation of the model. It defines the entities, attributes, relationships, cardinalities, and constraints that structure the European Cancer Common Logical Model. It also includes a worked example of how the logical model can be instantiated along a cancer patient journey.

The **Implementation** section provides implementation-oriented material, including mappings from the logical model to HL7 FHIR and OMOP. This part of the guide is informative and included to show the expected direction of future work. The FHIR profiling work, detailed FHIR artefacts, and implementation mappings are expected to evolve in subsequent iterations.

The **Artifacts** section contains the generated FHIR artefacts associated with this guide. At this stage, these artefacts should be interpreted in the context of the ongoing implementation work and not as a final normative specification.

The **Functional** and **Logical** sections contain the proposed model content for review and evaluation in this publication. The **Home** and **Introduction** pages provide contextual information supporting that review. The **Implementation** section is highlighted in grey to indicate future implementation-oriented content that is informative only at this stage.

### Purpose

This project aims to define a **minimal**, **extensible**, and **non-exhaustive** European cancer data model that is:

* Agnostic to the type of cancer;
* Usable across different use cases;
* Leveraging experiences of European projects working with both primary and secondary use of data;
* Taking into account the availability and usability of reliable information in EHR systems.

The model is intended to be:

* Inclusive and cross-cutting, transversal to different cancer domains and purposes of use;
* Community-driven, considering the needs of different communities;
* Incremental, starting from a minimal core set and extending the model through subsequent iterations.

At the same time, ECCDM explicitly addresses the relationship between **primary and secondary use of cancer data**. Secondary use (e.g. research, analytics, AI) depends on the quality and structure of data captured during primary care. Understanding secondary-use requirements is therefore essential to identify which information should be collected during primary care in a consistent and reusable way.

ECCDM treats primary and secondary use as a single continuum: secondary-use needs inform the definition of minimum requirements for primary data capture, enabling reliable reuse without redefining data semantics at later stages.

### Relationships and References

ECCDM builds on experience gained across multiple European and national initiatives addressing cancer data.

Inputs include several European projects (e.g. IDEA4RC, PanCareSurPass, FLUTE ect), as well as shared datasets and initiatives such as MEDOC (Minimal Essential Description of Cancer). Complementary national initiatives, such as OSIRIS, have also contributed relevant experience and requirements.

ECCDM is informed by existing international specifications, including the HL7 US mCODE Implementation Guide, which provides valuable implementation experience in oncology. ECCDM, however, addresses European interoperability needs through a model-driven approach based on conceptual and logical foundations.

In the European context, OMOP is widely adopted for research and secondary use, while HL7 FHIR is increasingly used for data exchange and interoperability. ECCDM is intended to provide a shared foundation that supports both representations and enables systematic mapping between OMOP and FHIR.

The development of the European Cancer Common Data Model has been documented through the HL7 Europe project workspace on Confluence. The Confluence space collects working materials, discussions, intermediate decisions, and supporting documentation produced during the collaborative development of the model.

This Implementation Guide represents the formal publication view of the work, while the Confluence space provides additional project context and traceability of the modelling process.

Project workspace: [Cancer Common Model Project - Edition 1](https://confluence.hl7.org/spaces/HEU/pages/281282385/Cancer+Common+Model+Project+Edition+1)

### Example Scenarios

Example scenarios supported by ECCDM include:

* A multidisciplinary cancer team retrieves cancer-related data to assess the current diagnosis;
* Cancer data is stored in a research warehouse for use in various research projects;
* Representing cancer-related information consistently across projects and care settings;
* Enabling structured primary data capture that supports downstream research and secondary reuse;
* Supporting alignment and mapping between HL7 FHIR-based data exchange and OMOP-based research infrastructures.



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      "name" : "Active Surveillance",
      "description" : "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).",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-resource-format",
        "valueCode" : "application/fhir+json"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Binary"
      }],
      "reference" : {
        "reference" : "Binary/CancerConditionAtDiagnosis1-Example"
      },
      "name" : "Cancer Condition at Diagnosis Example",
      "description" : "Example cancer condition at diagnosis for a lung adenocarcinoma case.",
      "exampleCanonical" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerConditionAtDiagnosis"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:logical"
      }],
      "reference" : {
        "reference" : "StructureDefinition/CancerPatient"
      },
      "name" : "Cancer Patient",
      "description" : "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).",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-resource-format",
        "valueCode" : "application/fhir+json"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Binary"
      }],
      "reference" : {
        "reference" : "Binary/CancerPatient1-Example"
      },
      "name" : "Cancer Patient Example",
      "description" : "Example patient record for the cancer common example scenario.",
      "exampleCanonical" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerPatient"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:logical"
      }],
      "reference" : {
        "reference" : "StructureDefinition/CancerConditionAtDiagnosis"
      },
      "name" : "CancerConditionAtDiagnosis",
      "description" : "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).",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:logical"
      }],
      "reference" : {
        "reference" : "StructureDefinition/CancerStage"
      },
      "name" : "CancerStage",
      "description" : "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).",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-resource-format",
        "valueCode" : "application/fhir+json"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Binary"
      }],
      "reference" : {
        "reference" : "Binary/ClinicalCancerProgression1-Example"
      },
      "name" : "Clinical Cancer Progression 1 Example",
      "description" : "Example clinical cancer progression showing complete remission on 2018-10-30.",
      "exampleCanonical" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/ClinicalCancerProgression"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-resource-format",
        "valueCode" : "application/fhir+json"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Binary"
      }],
      "reference" : {
        "reference" : "Binary/ClinicalCancerProgression2-Example"
      },
      "name" : "Clinical Cancer Progression 2 Example",
      "description" : "Example clinical cancer progression showing complete remission on 2019-02-28.",
      "exampleCanonical" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/ClinicalCancerProgression"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-resource-format",
        "valueCode" : "application/fhir+json"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Binary"
      }],
      "reference" : {
        "reference" : "Binary/ClinicalCancerProgression3-Example"
      },
      "name" : "Clinical Cancer Progression 3 Example",
      "description" : "Example clinical cancer progression showing complete remission on 2019-05-30.",
      "exampleCanonical" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/ClinicalCancerProgression"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-resource-format",
        "valueCode" : "application/fhir+json"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Binary"
      }],
      "reference" : {
        "reference" : "Binary/ClinicalCancerProgression4-Example"
      },
      "name" : "Clinical Cancer Progression 4 Example",
      "description" : "Example clinical cancer progression documenting loco-regional recurrence on 2019-08-31.",
      "exampleCanonical" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/ClinicalCancerProgression"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-resource-format",
        "valueCode" : "application/fhir+json"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Binary"
      }],
      "reference" : {
        "reference" : "Binary/ClinicalCancerProgression5-Example"
      },
      "name" : "Clinical Cancer Progression 5 Example",
      "description" : "Example clinical cancer progression documenting partial remission on 2020-01-02.",
      "exampleCanonical" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/ClinicalCancerProgression"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-resource-format",
        "valueCode" : "application/fhir+json"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Binary"
      }],
      "reference" : {
        "reference" : "Binary/ClinicalCancerProgression6-Example"
      },
      "name" : "Clinical Cancer Progression 6 Example",
      "description" : "Example clinical cancer progression documenting metastatic progression on 2020-04-15.",
      "exampleCanonical" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/ClinicalCancerProgression"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-resource-format",
        "valueCode" : "application/fhir+json"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Binary"
      }],
      "reference" : {
        "reference" : "Binary/CancerStageClinical1-Example"
      },
      "name" : "Clinical Cancer Stage Example",
      "description" : "Example clinical TNM stage for the cancer condition at diagnosis.",
      "exampleCanonical" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerStage"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:logical"
      }],
      "reference" : {
        "reference" : "StructureDefinition/ClinicalCancerProgression"
      },
      "name" : "ClinicalCancerProgression",
      "description" : "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).",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/ComorbidityObservation1-Example"
      },
      "name" : "ComorbidityObservation1-Example",
      "description" : "Example comorbidity observation documenting the Charlson Comorbidity Index and associated comorbid conditions.",
      "exampleCanonical" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/observation-comorbidity-eu-ccm"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:logical"
      }],
      "reference" : {
        "reference" : "StructureDefinition/Imaging"
      },
      "name" : "Imaging",
      "description" : "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).",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-resource-format",
        "valueCode" : "application/fhir+json"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Binary"
      }],
      "reference" : {
        "reference" : "Binary/Imaging1-Example"
      },
      "name" : "Imaging Example",
      "description" : "Example magnetic resonance imaging record for the lower lobe of the lung.",
      "exampleCanonical" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/Imaging"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-resource-format",
        "valueCode" : "application/fhir+json"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Binary"
      }],
      "reference" : {
        "reference" : "Binary/LastFollowUp1-Example"
      },
      "name" : "Last Follow-Up 1 Example",
      "description" : "Example follow-up with the patient alive and no evidence of disease on 2018-10-30.",
      "exampleCanonical" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/LastFollowUp"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-resource-format",
        "valueCode" : "application/fhir+json"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Binary"
      }],
      "reference" : {
        "reference" : "Binary/LastFollowUp2-Example"
      },
      "name" : "Last Follow-Up 2 Example",
      "description" : "Example follow-up with the patient alive and no evidence of disease on 2019-02-28.",
      "exampleCanonical" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/LastFollowUp"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-resource-format",
        "valueCode" : "application/fhir+json"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Binary"
      }],
      "reference" : {
        "reference" : "Binary/LastFollowUp3-Example"
      },
      "name" : "Last Follow-Up 3 Example",
      "description" : "Example follow-up with the patient alive and no evidence of disease on 2019-05-30.",
      "exampleCanonical" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/LastFollowUp"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-resource-format",
        "valueCode" : "application/fhir+json"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Binary"
      }],
      "reference" : {
        "reference" : "Binary/LastFollowUp4-Example"
      },
      "name" : "Last Follow-Up 4 Example",
      "description" : "Example follow-up with the patient alive and evidence of disease on 2019-08-31.",
      "exampleCanonical" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/LastFollowUp"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-resource-format",
        "valueCode" : "application/fhir+json"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Binary"
      }],
      "reference" : {
        "reference" : "Binary/LastFollowUp5-Example"
      },
      "name" : "Last Follow-Up 5 Example",
      "description" : "Example follow-up with the patient alive and evidence of disease on 2020-01-02.",
      "exampleCanonical" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/LastFollowUp"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-resource-format",
        "valueCode" : "application/fhir+json"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Binary"
      }],
      "reference" : {
        "reference" : "Binary/LastFollowUp6-Example"
      },
      "name" : "Last Follow-Up 6 Example",
      "description" : "Example follow-up with the patient alive and evidence of disease on 2020-04-15.",
      "exampleCanonical" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/LastFollowUp"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-resource-format",
        "valueCode" : "application/fhir+json"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Binary"
      }],
      "reference" : {
        "reference" : "Binary/LastFollowUp7-Example"
      },
      "name" : "Last Follow-Up 7 Example",
      "description" : "Example final follow-up documenting death from malignant neoplasm of bronchus and lung.",
      "exampleCanonical" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/LastFollowUp"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:logical"
      }],
      "reference" : {
        "reference" : "StructureDefinition/LastFollowUp"
      },
      "name" : "LastFollowUp",
      "description" : "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).",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/observation-comorbidity-eu-ccm"
      },
      "name" : "Observation: Comorbidities",
      "description" : "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.\nThis profiles is adapted from the mCode FHIR Implementation Guide",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-resource-format",
        "valueCode" : "application/fhir+json"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Binary"
      }],
      "reference" : {
        "reference" : "Binary/OverallCancerTreatmentResponse1-Example"
      },
      "name" : "Overall Cancer Treatment Response 1 Example",
      "description" : "Example overall treatment response documenting complete remission on 2018-10-30.",
      "exampleCanonical" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/OverallCancerTreatmentResponse"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-resource-format",
        "valueCode" : "application/fhir+json"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Binary"
      }],
      "reference" : {
        "reference" : "Binary/OverallCancerTreatmentResponse2-Example"
      },
      "name" : "Overall Cancer Treatment Response 2 Example",
      "description" : "Example overall treatment response documenting partial remission on 2020-01-02.",
      "exampleCanonical" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/OverallCancerTreatmentResponse"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:logical"
      }],
      "reference" : {
        "reference" : "StructureDefinition/OverallCancerTreatmentResponse"
      },
      "name" : "OverallCancerTreatmentResponse",
      "description" : "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).",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Parameters"
      }],
      "reference" : {
        "reference" : "Parameters/exp-params"
      },
      "name" : "Parameters for Terminology expansion using Snomed-CT international edition",
      "description" : "This parameter resource is used to specify the system version of international SNOMED CT to be used in the terminology service.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-resource-format",
        "valueCode" : "application/fhir+json"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Binary"
      }],
      "reference" : {
        "reference" : "Binary/CancerStagePathological1-Example"
      },
      "name" : "Pathological Cancer Stage Example",
      "description" : "Example pathological TNM stage supported by the surgery example.",
      "exampleCanonical" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerStage"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/patient-eu-ccm"
      },
      "name" : "Patient (CCM)",
      "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.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Patient"
      }],
      "reference" : {
        "reference" : "Patient/Patient1-Example"
      },
      "name" : "Patient1-Example",
      "description" : "Example patient used in Cancer Common implementation guide examples.",
      "exampleCanonical" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/patient-eu-ccm"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Practitioner"
      }],
      "reference" : {
        "reference" : "Practitioner/Practitioner1-Example"
      },
      "name" : "Practitioner1-Example",
      "description" : "Example practitioner acting as performer of clinical observations.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:logical"
      }],
      "reference" : {
        "reference" : "StructureDefinition/Radiotherapy"
      },
      "name" : "Radiotherapy",
      "description" : "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).",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-resource-format",
        "valueCode" : "application/fhir+json"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Binary"
      }],
      "reference" : {
        "reference" : "Binary/Radiotherapy1-Example"
      },
      "name" : "Radiotherapy Example",
      "description" : "Example postoperative adjuvant radiotherapy treatment for the cancer condition.",
      "exampleCanonical" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/Radiotherapy"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:logical"
      }],
      "reference" : {
        "reference" : "StructureDefinition/Surgery"
      },
      "name" : "Surgery",
      "description" : "Logical model representing a surgical treatment episode delivered to the patient for cancer management. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet Surgery).",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-resource-format",
        "valueCode" : "application/fhir+json"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Binary"
      }],
      "reference" : {
        "reference" : "Binary/Surgery1-Example"
      },
      "name" : "Surgery Example",
      "description" : "Example definitive surgery for the lower lobe lung cancer condition.",
      "exampleCanonical" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/Surgery"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-resource-format",
        "valueCode" : "application/fhir+json"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Binary"
      }],
      "reference" : {
        "reference" : "Binary/SystemicTreatment1-Example"
      },
      "name" : "Systemic Treatment 1 Example",
      "description" : "Example chemotherapy treatment following the loco-regional recurrence.",
      "exampleCanonical" : "http://hl7.eu/fhir/cancer-common/StructureDefinition/SystemicTreatment"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:logical"
      }],
      "reference" : {
        "reference" : "StructureDefinition/SystemicTreatment"
      },
      "name" : "SystemicTreatment",
      "description" : "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).",
      "exampleBoolean" : false
    }],
    "page" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
        "valueUrl" : "toc.html"
      }],
      "nameUrl" : "toc.html",
      "title" : "Table of Contents",
      "generation" : "html",
      "page" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "index.html"
        }],
        "nameUrl" : "index.html",
        "title" : "Home",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "authors.html"
        }],
        "nameUrl" : "authors.html",
        "title" : "Authors and Contributors",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "background.html"
        }],
        "nameUrl" : "background.html",
        "title" : "Background",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "challenges.html"
        }],
        "nameUrl" : "challenges.html",
        "title" : "Challenges",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "copyright.html"
        }],
        "nameUrl" : "copyright.html",
        "title" : "Copyright",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "crossversionanalysis.html"
        }],
        "nameUrl" : "crossversionanalysis.html",
        "title" : "Cross-version Analysis",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "downloads.html"
        }],
        "nameUrl" : "downloads.html",
        "title" : "Downloads",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "dependencies.html"
        }],
        "nameUrl" : "dependencies.html",
        "title" : "Dependencies",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "designchoices.html"
        }],
        "nameUrl" : "designchoices.html",
        "title" : "Design Choices",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "knownissues.html"
        }],
        "nameUrl" : "knownissues.html",
        "title" : "Known Issues",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "logicalmodels.html"
        }],
        "nameUrl" : "logicalmodels.html",
        "title" : "Logical Models",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "conceptualmodel.html"
        }],
        "nameUrl" : "conceptualmodel.html",
        "title" : "Conceptual Model",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "fhirmodelmap.html"
        }],
        "nameUrl" : "fhirmodelmap.html",
        "title" : "Model Map - FHIR",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "fhirmap-cancerpatient.html"
        }],
        "nameUrl" : "fhirmap-cancerpatient.html",
        "title" : "CancerPatient Mapping - FHIR",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "fhirmap-cancerconditionatdiagnosis.html"
        }],
        "nameUrl" : "fhirmap-cancerconditionatdiagnosis.html",
        "title" : "CancerConditionAtDiagnosis Mapping - FHIR",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "fhirmap-cancerstage.html"
        }],
        "nameUrl" : "fhirmap-cancerstage.html",
        "title" : "CancerStage Mapping - FHIR",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "fhirmap-imaging.html"
        }],
        "nameUrl" : "fhirmap-imaging.html",
        "title" : "Imaging Mapping - FHIR",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "fhirmap-lastfollowup.html"
        }],
        "nameUrl" : "fhirmap-lastfollowup.html",
        "title" : "LastFollowUp Mapping - FHIR",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "fhirmap-clinicalcancerprogression.html"
        }],
        "nameUrl" : "fhirmap-clinicalcancerprogression.html",
        "title" : "ClinicalCancerProgression Mapping - FHIR",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "fhirmap-surgery.html"
        }],
        "nameUrl" : "fhirmap-surgery.html",
        "title" : "Surgery Mapping - FHIR",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "fhirmap-activesurveillance.html"
        }],
        "nameUrl" : "fhirmap-activesurveillance.html",
        "title" : "ActiveSurveillance Mapping - FHIR",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "fhirmap-radiotherapy.html"
        }],
        "nameUrl" : "fhirmap-radiotherapy.html",
        "title" : "Radiotherapy Mapping - FHIR",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "fhirmap-systemictreatment.html"
        }],
        "nameUrl" : "fhirmap-systemictreatment.html",
        "title" : "SystemicTreatment Mapping - FHIR",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "fhirmap-overallcancertreatmentresponse.html"
        }],
        "nameUrl" : "fhirmap-overallcancertreatmentresponse.html",
        "title" : "OverallCancerTreatmentResponse Mapping - FHIR",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "omopmodelmap.html"
        }],
        "nameUrl" : "omopmodelmap.html",
        "title" : "Model Map - OMOP",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "omopmap-cancerpatient.html"
        }],
        "nameUrl" : "omopmap-cancerpatient.html",
        "title" : "CancerPatient Mapping - OMOP",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "omopmap-cancerconditionatdiagnosis.html"
        }],
        "nameUrl" : "omopmap-cancerconditionatdiagnosis.html",
        "title" : "CancerConditionAtDiagnosis Mapping - OMOP",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "omopmap-cancerstage.html"
        }],
        "nameUrl" : "omopmap-cancerstage.html",
        "title" : "CancerStage Mapping - OMOP",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "omopmap-imaging.html"
        }],
        "nameUrl" : "omopmap-imaging.html",
        "title" : "Imaging Mapping - OMOP",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "omopmap-lastfollowup.html"
        }],
        "nameUrl" : "omopmap-lastfollowup.html",
        "title" : "LastFollowUp Mapping - OMOP",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "omopmap-clinicalcancerprogression.html"
        }],
        "nameUrl" : "omopmap-clinicalcancerprogression.html",
        "title" : "ClinicalCancerProgression Mapping - OMOP",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "omopmap-surgery.html"
        }],
        "nameUrl" : "omopmap-surgery.html",
        "title" : "Surgery Mapping - OMOP",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "omopmap-activesurveillance.html"
        }],
        "nameUrl" : "omopmap-activesurveillance.html",
        "title" : "ActiveSurveillance Mapping - OMOP",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "omopmap-radiotherapy.html"
        }],
        "nameUrl" : "omopmap-radiotherapy.html",
        "title" : "Radiotherapy Mapping - OMOP",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "omopmap-systemictreatment.html"
        }],
        "nameUrl" : "omopmap-systemictreatment.html",
        "title" : "SystemicTreatment Mapping - OMOP",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "omopmap-overallcancertreatmentresponse.html"
        }],
        "nameUrl" : "omopmap-overallcancertreatmentresponse.html",
        "title" : "OverallCancerTreatmentResponse Mapping - OMOP",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "references.html"
        }],
        "nameUrl" : "references.html",
        "title" : "Source and Additional Information",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "scope.html"
        }],
        "nameUrl" : "scope.html",
        "title" : "Scope and Content",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "journey.html"
        }],
        "nameUrl" : "journey.html",
        "title" : "The Cancer Patient Journey",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "journey-data-evolution.html"
        }],
        "nameUrl" : "journey-data-evolution.html",
        "title" : "Data Evolution in the Cancer Journey",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "journey-example.html"
        }],
        "nameUrl" : "journey-example.html",
        "title" : "Cancer Patient Journey Example",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "glossary.html"
        }],
        "nameUrl" : "glossary.html",
        "title" : "Glossary",
        "generation" : "html"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "expansion-params.html"
        }],
        "nameUrl" : "expansion-params.html",
        "title" : "Parameters for Expansion",
        "generation" : "markdown"
      }]
    },
    "parameter" : [{
      "code" : "path-resource",
      "value" : "input/capabilities"
    },
    {
      "code" : "path-resource",
      "value" : "input/examples"
    },
    {
      "code" : "path-resource",
      "value" : "input/extensions"
    },
    {
      "code" : "path-resource",
      "value" : "input/models"
    },
    {
      "code" : "path-resource",
      "value" : "input/operations"
    },
    {
      "code" : "path-resource",
      "value" : "input/profiles"
    },
    {
      "code" : "path-resource",
      "value" : "input/resources"
    },
    {
      "code" : "path-resource",
      "value" : "input/vocabulary"
    },
    {
      "code" : "path-resource",
      "value" : "input/maps"
    },
    {
      "code" : "path-resource",
      "value" : "input/testing"
    },
    {
      "code" : "path-resource",
      "value" : "input/history"
    },
    {
      "code" : "path-resource",
      "value" : "fsh-generated/resources"
    },
    {
      "code" : "path-pages",
      "value" : "template/config"
    },
    {
      "code" : "path-pages",
      "value" : "input/images"
    },
    {
      "code" : "path-tx-cache",
      "value" : "input-cache/txcache"
    }]
  }
}

```
