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: ClinicalCancerProgression

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

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).

Usages:

- Refer to this Logical Model: OverallCancerTreatmentResponse, Radiotherapy, Surgery and SystemicTreatment

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
--- | --- | --- | --- | ---
ClinicalCancerProgression | C | 0..* | Base | ClinicalCancerProgression Instances of this logical model can be the target of a Reference Constraints: ccp-1, ccp-2
cancerConditionAtDiagnosisReference |  | 1..1 | Reference(CancerConditionAtDiagnosis) | CancerConditionReference
diseaseStatus |  | 1..1 | CodeableConcept | DiseaseStatus
tumourGradeSystem |  | 0..1 | CodeableConcept | TumourGradeSystem
tumourGradeValue |  | 0..1 | string | TumourGradeValue
assertedDate |  | 1..1 | dateTime | AssertedDate
extentType |  | 0..1 | CodeableConcept | ExtentType
locoRegionalSites |  | 0..* | CodeableConcept | LocoRegionalSites
metastaticSites |  | 0..* | CodeableConcept | MetastaticSites
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
ccp-1 | error | ClinicalCancerProgression | LocoRegionalSites must be present if ExtentType is Loco-regional | `extentType.coding.where(code = 'Loco-regional').exists() implies locoRegionalSites.exists()`
ccp-2 | error | ClinicalCancerProgression | MetastaticSites must be present if ExtentType is Metastatic | `extentType.coding.where(code = 'Metastatic').exists() implies metastaticSites.exists()`

This structure is derived from Base

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ClinicalCancerProgression | C | 0..* | Base | ClinicalCancerProgression Instances of this logical model can be the target of a Reference Constraints: ccp-1, ccp-2
cancerConditionAtDiagnosisReference |  | 1..1 | Reference(CancerConditionAtDiagnosis) | CancerConditionReference
diseaseStatus |  | 1..1 | CodeableConcept | DiseaseStatus
tumourGradeSystem |  | 0..1 | CodeableConcept | TumourGradeSystem
tumourGradeValue |  | 0..1 | string | TumourGradeValue
assertedDate |  | 1..1 | dateTime | AssertedDate
extentType |  | 0..1 | CodeableConcept | ExtentType
locoRegionalSites |  | 0..* | CodeableConcept | LocoRegionalSites
metastaticSites |  | 0..* | CodeableConcept | MetastaticSites
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
ccp-1 | error | ClinicalCancerProgression | LocoRegionalSites must be present if ExtentType is Loco-regional | `extentType.coding.where(code = 'Loco-regional').exists() implies locoRegionalSites.exists()`
ccp-2 | error | ClinicalCancerProgression | MetastaticSites must be present if ExtentType is Metastatic | `extentType.coding.where(code = 'Metastatic').exists() implies metastaticSites.exists()`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ClinicalCancerProgression | C | 0..* | Base | ClinicalCancerProgression Instances of this logical model can be the target of a Reference Constraints: ccp-1, ccp-2
cancerConditionAtDiagnosisReference |  | 1..1 | Reference(CancerConditionAtDiagnosis) | CancerConditionReference
diseaseStatus |  | 1..1 | CodeableConcept | DiseaseStatus
tumourGradeSystem |  | 0..1 | CodeableConcept | TumourGradeSystem
tumourGradeValue |  | 0..1 | string | TumourGradeValue
assertedDate |  | 1..1 | dateTime | AssertedDate
extentType |  | 0..1 | CodeableConcept | ExtentType
locoRegionalSites |  | 0..* | CodeableConcept | LocoRegionalSites
metastaticSites |  | 0..* | CodeableConcept | MetastaticSites
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
ccp-1 | error | ClinicalCancerProgression | LocoRegionalSites must be present if ExtentType is Loco-regional | `extentType.coding.where(code = 'Loco-regional').exists() implies locoRegionalSites.exists()`
ccp-2 | error | ClinicalCancerProgression | MetastaticSites must be present if ExtentType is Metastatic | `extentType.coding.where(code = 'Metastatic').exists() implies metastaticSites.exists()`

This structure is derived from Base

Summary

Mandatory: 0 element(3 nested mandatory elements)

Structures

This structure refers to these other structures:

- CancerConditionAtDiagnosis (http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerConditionAtDiagnosis)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ClinicalCancerProgression | C | 0..* | Base | ClinicalCancerProgression Instances of this logical model can be the target of a Reference Constraints: ccp-1, ccp-2
cancerConditionAtDiagnosisReference |  | 1..1 | Reference(CancerConditionAtDiagnosis) | CancerConditionReference
diseaseStatus |  | 1..1 | CodeableConcept | DiseaseStatus
tumourGradeSystem |  | 0..1 | CodeableConcept | TumourGradeSystem
tumourGradeValue |  | 0..1 | string | TumourGradeValue
assertedDate |  | 1..1 | dateTime | AssertedDate
extentType |  | 0..1 | CodeableConcept | ExtentType
locoRegionalSites |  | 0..* | CodeableConcept | LocoRegionalSites
metastaticSites |  | 0..* | CodeableConcept | MetastaticSites
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
ccp-1 | error | ClinicalCancerProgression | LocoRegionalSites must be present if ExtentType is Loco-regional | `extentType.coding.where(code = 'Loco-regional').exists() implies locoRegionalSites.exists()`
ccp-2 | error | ClinicalCancerProgression | MetastaticSites must be present if ExtentType is Metastatic | `extentType.coding.where(code = 'Metastatic').exists() implies metastaticSites.exists()`

Differential View

This structure is derived from Base

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ClinicalCancerProgression | C | 0..* | Base | ClinicalCancerProgression Instances of this logical model can be the target of a Reference Constraints: ccp-1, ccp-2
cancerConditionAtDiagnosisReference |  | 1..1 | Reference(CancerConditionAtDiagnosis) | CancerConditionReference
diseaseStatus |  | 1..1 | CodeableConcept | DiseaseStatus
tumourGradeSystem |  | 0..1 | CodeableConcept | TumourGradeSystem
tumourGradeValue |  | 0..1 | string | TumourGradeValue
assertedDate |  | 1..1 | dateTime | AssertedDate
extentType |  | 0..1 | CodeableConcept | ExtentType
locoRegionalSites |  | 0..* | CodeableConcept | LocoRegionalSites
metastaticSites |  | 0..* | CodeableConcept | MetastaticSites
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
ccp-1 | error | ClinicalCancerProgression | LocoRegionalSites must be present if ExtentType is Loco-regional | `extentType.coding.where(code = 'Loco-regional').exists() implies locoRegionalSites.exists()`
ccp-2 | error | ClinicalCancerProgression | MetastaticSites must be present if ExtentType is Metastatic | `extentType.coding.where(code = 'Metastatic').exists() implies metastaticSites.exists()`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ClinicalCancerProgression | C | 0..* | Base | ClinicalCancerProgression Instances of this logical model can be the target of a Reference Constraints: ccp-1, ccp-2
cancerConditionAtDiagnosisReference |  | 1..1 | Reference(CancerConditionAtDiagnosis) | CancerConditionReference
diseaseStatus |  | 1..1 | CodeableConcept | DiseaseStatus
tumourGradeSystem |  | 0..1 | CodeableConcept | TumourGradeSystem
tumourGradeValue |  | 0..1 | string | TumourGradeValue
assertedDate |  | 1..1 | dateTime | AssertedDate
extentType |  | 0..1 | CodeableConcept | ExtentType
locoRegionalSites |  | 0..* | CodeableConcept | LocoRegionalSites
metastaticSites |  | 0..* | CodeableConcept | MetastaticSites
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
ccp-1 | error | ClinicalCancerProgression | LocoRegionalSites must be present if ExtentType is Loco-regional | `extentType.coding.where(code = 'Loco-regional').exists() implies locoRegionalSites.exists()`
ccp-2 | error | ClinicalCancerProgression | MetastaticSites must be present if ExtentType is Metastatic | `extentType.coding.where(code = 'Metastatic').exists() implies metastaticSites.exists()`

This structure is derived from Base

Summary

Mandatory: 0 element(3 nested mandatory elements)

Structures

This structure refers to these other structures:

- CancerConditionAtDiagnosis (http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerConditionAtDiagnosis)

Other representations of profile: CSV, Excel