# Artifacts Summary - HL7 Europe Common Cancer Model v1.0.0-ballot

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

## Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

### Structures: Logical Models 

These define data models that represent the domain covered by this implementation guide in more business-friendly terms than the underlying FHIR resources.

| | |
| :--- | :--- |
| [Active Surveillance](StructureDefinition-ActiveSurveillance.md) | 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). |
| [Cancer Patient](StructureDefinition-CancerPatient.md) | 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). |
| [CancerConditionAtDiagnosis](StructureDefinition-CancerConditionAtDiagnosis.md) | 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). |
| [CancerStage](StructureDefinition-CancerStage.md) | 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). |
| [ClinicalCancerProgression](StructureDefinition-ClinicalCancerProgression.md) | 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). |
| [Imaging](StructureDefinition-Imaging.md) | 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). |
| [LastFollowUp](StructureDefinition-LastFollowUp.md) | 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). |
| [OverallCancerTreatmentResponse](StructureDefinition-OverallCancerTreatmentResponse.md) | 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). |
| [Radiotherapy](StructureDefinition-Radiotherapy.md) | 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). |
| [Surgery](StructureDefinition-Surgery.md) | Logical model representing a surgical treatment episode delivered to the patient for cancer management. Derived from Cancer_Common_Logical_Model_20260521.xlsx (sheet Surgery). |
| [SystemicTreatment](StructureDefinition-SystemicTreatment.md) | 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). |

### Structures: Resource Profiles 

These define constraints on FHIR resources for systems conforming to this implementation guide.

| | |
| :--- | :--- |
| [Observation: Comorbidities](StructureDefinition-observation-comorbidity-eu-ccm.md) | 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. This profiles is adapted from the mCode FHIR Implementation Guide |
| [Patient (CCM)](StructureDefinition-patient-eu-ccm.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. |

### Example: Example Instances 

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

| | |
| :--- | :--- |
| [Cancer Condition at Diagnosis Example](Binary-CancerConditionAtDiagnosis1-Example.md) | Example cancer condition at diagnosis for a lung adenocarcinoma case. |
| [Cancer Patient Example](Binary-CancerPatient1-Example.md) | Example patient record for the cancer common example scenario. |
| [Clinical Cancer Progression 1 Example](Binary-ClinicalCancerProgression1-Example.md) | Example clinical cancer progression showing complete remission on 2018-10-30. |
| [Clinical Cancer Progression 2 Example](Binary-ClinicalCancerProgression2-Example.md) | Example clinical cancer progression showing complete remission on 2019-02-28. |
| [Clinical Cancer Progression 3 Example](Binary-ClinicalCancerProgression3-Example.md) | Example clinical cancer progression showing complete remission on 2019-05-30. |
| [Clinical Cancer Progression 4 Example](Binary-ClinicalCancerProgression4-Example.md) | Example clinical cancer progression documenting loco-regional recurrence on 2019-08-31. |
| [Clinical Cancer Progression 5 Example](Binary-ClinicalCancerProgression5-Example.md) | Example clinical cancer progression documenting partial remission on 2020-01-02. |
| [Clinical Cancer Progression 6 Example](Binary-ClinicalCancerProgression6-Example.md) | Example clinical cancer progression documenting metastatic progression on 2020-04-15. |
| [Clinical Cancer Stage Example](Binary-CancerStageClinical1-Example.md) | Example clinical TNM stage for the cancer condition at diagnosis. |
| [ComorbidityObservation1-Example](Observation-ComorbidityObservation1-Example.md) | Example comorbidity observation documenting the Charlson Comorbidity Index and associated comorbid conditions. |
| [Imaging Example](Binary-Imaging1-Example.md) | Example magnetic resonance imaging record for the lower lobe of the lung. |
| [Last Follow-Up 1 Example](Binary-LastFollowUp1-Example.md) | Example follow-up with the patient alive and no evidence of disease on 2018-10-30. |
| [Last Follow-Up 2 Example](Binary-LastFollowUp2-Example.md) | Example follow-up with the patient alive and no evidence of disease on 2019-02-28. |
| [Last Follow-Up 3 Example](Binary-LastFollowUp3-Example.md) | Example follow-up with the patient alive and no evidence of disease on 2019-05-30. |
| [Last Follow-Up 4 Example](Binary-LastFollowUp4-Example.md) | Example follow-up with the patient alive and evidence of disease on 2019-08-31. |
| [Last Follow-Up 5 Example](Binary-LastFollowUp5-Example.md) | Example follow-up with the patient alive and evidence of disease on 2020-01-02. |
| [Last Follow-Up 6 Example](Binary-LastFollowUp6-Example.md) | Example follow-up with the patient alive and evidence of disease on 2020-04-15. |
| [Last Follow-Up 7 Example](Binary-LastFollowUp7-Example.md) | Example final follow-up documenting death from malignant neoplasm of bronchus and lung. |
| [Overall Cancer Treatment Response 1 Example](Binary-OverallCancerTreatmentResponse1-Example.md) | Example overall treatment response documenting complete remission on 2018-10-30. |
| [Overall Cancer Treatment Response 2 Example](Binary-OverallCancerTreatmentResponse2-Example.md) | Example overall treatment response documenting partial remission on 2020-01-02. |
| [Pathological Cancer Stage Example](Binary-CancerStagePathological1-Example.md) | Example pathological TNM stage supported by the surgery example. |
| [Patient1-Example](Patient-Patient1-Example.md) | Example patient used in Cancer Common implementation guide examples. |
| [Practitioner1-Example](Practitioner-Practitioner1-Example.md) | Example practitioner acting as performer of clinical observations. |
| [Radiotherapy Example](Binary-Radiotherapy1-Example.md) | Example postoperative adjuvant radiotherapy treatment for the cancer condition. |
| [Surgery Example](Binary-Surgery1-Example.md) | Example definitive surgery for the lower lobe lung cancer condition. |
| [Systemic Treatment 1 Example](Binary-SystemicTreatment1-Example.md) | Example chemotherapy treatment following the loco-regional recurrence. |

### Other 

These are resources that are used within this implementation guide that do not fit into one of the other categories.

| | |
| :--- | :--- |
| [Parameters for Terminology expansion using Snomed-CT international edition](Parameters-exp-params.md) | This parameter resource is used to specify the system version of international SNOMED CT to be used in the terminology service. |

