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FHIR IG Statistics: StructureDefinition/PatientFollowUp

Packagehl7.eu.fhir.idea4rc
TypeStructureDefinition
IdPatientFollowUp
FHIR VersionR4
Sourcehttp://hl7.eu/fhir/ig/idea4rc/https://build.fhir.org/ig/hl7-eu/idea4rc/StructureDefinition-PatientFollowUp.html
URLhttp://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp
Version0.1.0
Statusdraft
Date2025-07-21T15:34:12+00:00
NamePatientFollowUpI4rc
TitlePatient Follow Up
Realmeu
Authorityhl7
DescriptionPatient Follow Up Maturity Level: 0 Draft
Typehttp://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp
Kindlogical

Resources that use this resource

ConceptMap
followup2FHIRPatient Follow up Model to this guide Map

Resources that this resource uses

StructureDefinition
SubjectPatient

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: StructureDefinition PatientFollowUp

NameFlagsCard.TypeDescription & Constraintsdoco
.. PatientFollowUp 0..*BasePatient Follow Up
... patient O1..*SubjectPatient (M)
ObligationsActor
SHALL:handleHead and Neck
SHALL:handleSarcoma
... statusOfPatientAtLastFollowUp O1..*CodeableConceptStatus of patient at last follow-up (M)
ObligationsActor
SHALL:handleHead and Neck
SHALL:handleSarcoma
... statusOfDiseaseAtLastFollowUp O1..*BackboneElementStatus of disease at last follow-up (M) type EpisodeEvent
ObligationsActor
SHALL:handleHead and Neck
SHALL:handleSarcoma
... patientFollowUpDate O1..*datePatient Follow Up date (M)
ObligationsActor
SHALL:handleHead and Neck
SHALL:handleSarcoma
... newCancerDiagnosis O1..*booleanNew cancer diagnosis (M)
ObligationsActor
SHALL:handleHead and Neck
... dateOfNewCancerDiagnosis O1..*dateDate of new cancer diagnosis (M)
ObligationsActor
SHALL:handleHead and Neck
... newCancerTopography O1..*CodeableConceptNew cancer topography (M)
ObligationsActor
SHALL:handleHead and Neck
... lastContact O1..*dateLast Contact (M)
ObligationsActor
SHALL:handleSarcoma

doco Documentation for this format

Source

{
  "resourceType": "StructureDefinition",
  "id": "PatientFollowUp",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp",
  "version": "0.1.0",
  "name": "PatientFollowUpI4rc",
  "title": "Patient Follow Up",
  "status": "draft",
  "date": "2025-07-21T15:34:12+00:00",
  "publisher": "IDEA4RC Project",
  "contact": [
    {
      "name": "IDEA4RC Project",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.idea4rc.eu/"
        }
      ]
    },
    {
      "name": "IDEA4RC Project",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.idea4rc.eu/"
        }
      ]
    }
  ],
  "description": "Patient Follow Up\nMaturity Level: 0 Draft",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "150",
          "display": "Europe"
        }
      ]
    }
  ],
  "fhirVersion": "4.0.1",
  "kind": "logical",
  "abstract": false,
  "type": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Base",
  "derivation": "specialization",
  "snapshot": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
        "valueString": "4.0.1"
      }
    ],
    "element": [
      {
        "id": "PatientFollowUp",
        "path": "PatientFollowUp",
        "short": "Patient Follow Up",
        "definition": "Patient Follow Up\nMaturity Level: 0 Draft",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Base",
          "min": 0,
          "max": "*"
        },
        "isModifier": false
      },
      {
        "id": "PatientFollowUp.patient",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
              },
              {
                "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
              },
              {
                "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "PatientFollowUp.patient",
        "short": "Patient (M)",
        "definition": "Patient element",
        "min": 1,
        "max": "*",
        "base": {
          "path": "PatientFollowUp.patient",
          "min": 1,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject"
          }
        ]
      },
      {
        "id": "PatientFollowUp.statusOfPatientAtLastFollowUp",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
              },
              {
                "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
              },
              {
                "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "PatientFollowUp.statusOfPatientAtLastFollowUp",
        "short": "Status of patient at last follow-up (M)",
        "definition": "Describes the status at last follow-up \nIf DOD, DOC or DUC register the death in the DEATH table (with date of last contact as death date). If the death cause is specified use the cause_concept_id.\nIf lost to follow up register an observation.\nAll the other information can be derived from the other data.\n\nMaybe it should be moved to Patient entity",
        "comment": "Alive, No Evidence of Disease (NED) - 2000100071\n Dead of Disease (DOD) - 2000100072\nDead of Other Cause (DOC) - 2000100073\nDead of Unknown Cause (DUC) - 2000100074\nAlive With Disease (AWD) - 2000100075\nLost to follow-up - 4163894",
        "min": 1,
        "max": "*",
        "base": {
          "path": "PatientFollowUp.statusOfPatientAtLastFollowUp",
          "min": 1,
          "max": "*"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "PatientFollowUp.statusOfDiseaseAtLastFollowUp",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
              },
              {
                "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
              },
              {
                "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "PatientFollowUp.statusOfDiseaseAtLastFollowUp",
        "short": "Status of disease at last follow-up (M) type EpisodeEvent",
        "definition": "Describes the disease status at the last follow-up. This value is redundant as it could be derived from the disease status in EpisodeEvent. If a Patient has 3 follow-ups, but the disease status (e.g., stable disease) did not change during those, the follow-ups will be grouped into a single one with the last date of the three of them.",
        "comment": "Complete Remission - 32946\nPartial Remission - 32947\nStable Disease - 32948\nProgression - 32949\nRecurrence - 2000100002\nrecurrence is algorithmically derived from previous episode (if it was complete remission)",
        "min": 1,
        "max": "*",
        "base": {
          "path": "PatientFollowUp.statusOfDiseaseAtLastFollowUp",
          "min": 1,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ]
      },
      {
        "id": "PatientFollowUp.patientFollowUpDate",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
              },
              {
                "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
              },
              {
                "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "PatientFollowUp.patientFollowUpDate",
        "short": "Patient Follow Up date (M)",
        "definition": "Date of the clinical follow-up",
        "min": 1,
        "max": "*",
        "base": {
          "path": "PatientFollowUp.patientFollowUpDate",
          "min": 1,
          "max": "*"
        },
        "type": [
          {
            "code": "date"
          }
        ]
      },
      {
        "id": "PatientFollowUp.newCancerDiagnosis",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
              },
              {
                "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "PatientFollowUp.newCancerDiagnosis",
        "short": "New cancer diagnosis (M)",
        "definition": "identifies whether the patient has developed a subsequent primary cancer \nCheck",
        "comment": "Yes - 4188539\nNo -  4188540",
        "min": 1,
        "max": "*",
        "base": {
          "path": "PatientFollowUp.newCancerDiagnosis",
          "min": 1,
          "max": "*"
        },
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "PatientFollowUp.dateOfNewCancerDiagnosis",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
              },
              {
                "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "PatientFollowUp.dateOfNewCancerDiagnosis",
        "short": "Date of new cancer diagnosis (M)",
        "definition": "date of subsequent primary cancer diagnosis",
        "min": 1,
        "max": "*",
        "base": {
          "path": "PatientFollowUp.dateOfNewCancerDiagnosis",
          "min": 1,
          "max": "*"
        },
        "type": [
          {
            "code": "date"
          }
        ]
      },
      {
        "id": "PatientFollowUp.newCancerTopography",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
              },
              {
                "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "PatientFollowUp.newCancerTopography",
        "short": "New cancer topography (M)",
        "definition": "clarifies the site of the subsequent primary cancer (from a predefined list of sites)",
        "comment": "Any value of Class ICDO Condition",
        "min": 1,
        "max": "*",
        "base": {
          "path": "PatientFollowUp.newCancerTopography",
          "min": 1,
          "max": "*"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "PatientFollowUp.lastContact",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
              },
              {
                "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
                "valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PatientFollowUp|0.1.0"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "PatientFollowUp.lastContact",
        "short": "Last Contact (M)",
        "definition": "Date of the last contact with the patient, of any kind.",
        "min": 1,
        "max": "*",
        "base": {
          "path": "PatientFollowUp.lastContact",
          "min": 1,
          "max": "*"
        },
        "type": [
          {
            "code": "date"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "PatientFollowUp",
        "path": "PatientFollowUp",
        "short": "Patient Follow Up",
        "definition": "Patient Follow Up\nMaturity Level: 0 Draft"
      },
      {
        "id": "PatientFollowUp.patient",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "PatientFollowUp.patient",
        "short": "Patient (M)",
        "definition": "Patient element ",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject"
          }
        ]
      },
      {
        "id": "PatientFollowUp.statusOfPatientAtLastFollowUp",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "PatientFollowUp.statusOfPatientAtLastFollowUp",
        "short": "Status of patient at last follow-up (M)",
        "definition": "Describes the status at last follow-up \nIf DOD, DOC or DUC register the death in the DEATH table (with date of last contact as death date). If the death cause is specified use the cause_concept_id.\nIf lost to follow up register an observation.\nAll the other information can be derived from the other data.\n\nMaybe it should be moved to Patient entity",
        "comment": "Alive, No Evidence of Disease (NED) - 2000100071\n Dead of Disease (DOD) - 2000100072\nDead of Other Cause (DOC) - 2000100073\nDead of Unknown Cause (DUC) - 2000100074\nAlive With Disease (AWD) - 2000100075\nLost to follow-up - 4163894",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "PatientFollowUp.statusOfDiseaseAtLastFollowUp",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "PatientFollowUp.statusOfDiseaseAtLastFollowUp",
        "short": "Status of disease at last follow-up (M) type EpisodeEvent",
        "definition": "Describes the disease status at the last follow-up. This value is redundant as it could be derived from the disease status in EpisodeEvent. If a Patient has 3 follow-ups, but the disease status (e.g., stable disease) did not change during those, the follow-ups will be grouped into a single one with the last date of the three of them. ",
        "comment": "Complete Remission - 32946\nPartial Remission - 32947\nStable Disease - 32948\nProgression - 32949\nRecurrence - 2000100002\nrecurrence is algorithmically derived from previous episode (if it was complete remission)",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ]
      },
      {
        "id": "PatientFollowUp.patientFollowUpDate",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "PatientFollowUp.patientFollowUpDate",
        "short": "Patient Follow Up date (M)",
        "definition": "Date of the clinical follow-up ",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "date"
          }
        ]
      },
      {
        "id": "PatientFollowUp.newCancerDiagnosis",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "PatientFollowUp.newCancerDiagnosis",
        "short": "New cancer diagnosis (M)",
        "definition": "identifies whether the patient has developed a subsequent primary cancer \nCheck",
        "comment": "Yes - 4188539\nNo -  4188540",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "PatientFollowUp.dateOfNewCancerDiagnosis",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "PatientFollowUp.dateOfNewCancerDiagnosis",
        "short": "Date of new cancer diagnosis (M)",
        "definition": "date of subsequent primary cancer diagnosis ",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "date"
          }
        ]
      },
      {
        "id": "PatientFollowUp.newCancerTopography",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "PatientFollowUp.newCancerTopography",
        "short": "New cancer topography (M)",
        "definition": "clarifies the site of the subsequent primary cancer (from a predefined list of sites) ",
        "comment": "Any value of Class ICDO Condition",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "PatientFollowUp.lastContact",
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "PatientFollowUp.lastContact",
        "short": "Last Contact (M)",
        "definition": "Date of the last contact with the patient, of any kind. ",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "date"
          }
        ]
      }
    ]
  }
}