FHIR IG analytics| Package | hl7.fhir.eu.cancer-common |
| Resource Type | StructureDefinition |
| Id | StructureDefinition-CancerConditionAtDiagnosis.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/hl7-eu/cancer-common/StructureDefinition-CancerConditionAtDiagnosis.html |
| URL | http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerConditionAtDiagnosis |
| Version | 0.1.0 |
| Status | draft |
| Date | 2026-03-27T11:13:52+00:00 |
| Name | CancerConditionAtDiagnosis |
| Title | CancerCondition (AtDiagnosis) |
| Realm | eu |
| Authority | hl7 |
| Description | CancerCondition (AtDiagnosis) logical model from Cancer_Common_Logical_Model_20260123_2.xlsx (sheet CancerCondition(AtDiagnosis)). |
| Copyright | HL7 Europe Copyright. Licensed under Common Creative License (CC0 1.0). Details at [Copyright](copyright.html). |
| Type | http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerConditionAtDiagnosis |
| Kind | logical |
| StructureDefinition | ||
| hl7.fhir.eu.cancer-common#current | ActiveSurveillance | Active Surveillance |
| hl7.fhir.eu.cancer-common#current | CancerStage | CancerStage |
| hl7.fhir.eu.cancer-common#current | ClinicalCancerProgression | ClinicalCancerProgression |
| hl7.fhir.eu.cancer-common#current | OverallCancerTreatmentResponse | OverallCancerTreatmentResponse |
| hl7.fhir.eu.cancer-common#current | Radiotherapy | Radiotherapy |
| hl7.fhir.eu.cancer-common#current | Surgery | Surgery |
| hl7.fhir.eu.cancer-common#current | SystemicTreatment | SystemicTreatment |
| StructureDefinition | ||
| hl7.fhir.eu.cancer-common#current | CancerPatient | Cancer Patient |
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition CancerConditionAtDiagnosis
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  CancerConditionAtDiagnosis | C | 0..* | Base | CancerCondition (AtDiagnosis) Instances of this logical model can be the target of a Reference Constraints: ccad-1 |
  subject | 1..1 | CancerPatient | Subject | |
 histologyBehaviour | 0..1 | CodeableConcept | HistologyBehaviour | |
| bodySite | 1..1 | CodeableConcept | BodySite | |
| tumourGradeSystem | 1..1 | CodeableConcept | TumourGradeSystem | |
 tumourGradeValue | 1..1 | string | TumourGradeValue | |
| visitDate | 0..1 | dateTime | VisitDate | |
| biopsyDate | 0..1 | dateTime | BiopsyDate | |
| imagingDate | 0..1 | dateTime | ImagingDate | |
 labReportDate | 0..1 | dateTime | LabReportDate | |
| Documentation for this format | ||||
FHIR
FHIRsmith{
"resourceType": "StructureDefinition",
"id": "CancerConditionAtDiagnosis",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics",
"valueCode": "can-be-target"
}
],
"url": "http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerConditionAtDiagnosis",
"version": "0.1.0",
"name": "CancerConditionAtDiagnosis",
"title": "CancerCondition (AtDiagnosis)",
"status": "draft",
"date": "2026-03-27T11:13:52+00:00",
"publisher": "HL7 Europe",
"contact": [
{
"name": "HL7 Europe",
"telecom": [
{
"system": "url",
"value": "http://hl7.eu"
}
]
}
],
"description": "CancerCondition (AtDiagnosis) logical model from Cancer_Common_Logical_Model_20260123_2.xlsx (sheet CancerCondition(AtDiagnosis)).",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "150",
"display": "Europe"
}
]
}
],
"copyright": "HL7 Europe Copyright. Licensed under Common Creative License (CC0 1.0). Details at [Copyright](copyright.html).",
"fhirVersion": "4.0.1",
"kind": "logical",
"abstract": false,
"type": "http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerConditionAtDiagnosis",
"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": "CancerConditionAtDiagnosis",
"path": "CancerConditionAtDiagnosis",
"short": "CancerCondition (AtDiagnosis)",
"definition": "CancerCondition (AtDiagnosis) logical model from Cancer_Common_Logical_Model_20260123_2.xlsx (sheet CancerCondition(AtDiagnosis)).",
"min": 0,
"max": "*",
"base": {
"path": "Base",
"min": 0,
"max": "*"
},
"constraint": [
{
"key": "ccad-1",
"severity": "error",
"human": "At least one of visitDate, biopsyDate, imagingDate, labReportDate must be present, since the model requires a diagnosis date for the Cancer Condition.",
"expression": "(visitDate | biopsyDate | imagingDate | labReportDate).exists()",
"source": "http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerConditionAtDiagnosis"
}
],
"isModifier": false
},
{
"id": "CancerConditionAtDiagnosis.subject",
"path": "CancerConditionAtDiagnosis.subject",
"short": "Subject",
"definition": "Subject",
"min": 1,
"max": "1",
"base": {
"path": "CancerConditionAtDiagnosis.subject",
"min": 1,
"max": "1"
},
"type": [
{
"code": "http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerPatient"
}
]
},
{
"id": "CancerConditionAtDiagnosis.histologyBehaviour",
"path": "CancerConditionAtDiagnosis.histologyBehaviour",
"short": "HistologyBehaviour",
"definition": "WG reccomends ICD03, the WG will monitor possible next versions. This attribute becomes mandatory once the cancer has been diagnosed; however, during the diagnostic workup it may still be absent, as the biopsy resulting from the surgery may not yet be available.",
"min": 0,
"max": "1",
"base": {
"path": "CancerConditionAtDiagnosis.histologyBehaviour",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "CancerConditionAtDiagnosis.bodySite",
"path": "CancerConditionAtDiagnosis.bodySite",
"short": "BodySite",
"definition": "WG reccomends ICD03, the WG will monitor possible next versions. It is required to choose the most specific code available, meaning the most detailed code in the hierarchical terminology that precisely identifies the body site.",
"min": 1,
"max": "1",
"base": {
"path": "CancerConditionAtDiagnosis.bodySite",
"min": 1,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "CancerConditionAtDiagnosis.tumourGradeSystem",
"path": "CancerConditionAtDiagnosis.tumourGradeSystem",
"short": "TumourGradeSystem",
"definition": "It represents the classification system used to define the tumor grade, such as Gleason (a grading system for prostate cancer) or FNCLCC (a grading system for soft tissue sarcomas). We need to determine the appropriate cardinality.",
"min": 1,
"max": "1",
"base": {
"path": "CancerConditionAtDiagnosis.tumourGradeSystem",
"min": 1,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "CancerConditionAtDiagnosis.tumourGradeValue",
"path": "CancerConditionAtDiagnosis.tumourGradeValue",
"short": "TumourGradeValue",
"definition": "It represents the measured grade value based on the specific classification defined in the TumorGradingSystem. We need to determine the appropriate cardinality.",
"min": 1,
"max": "1",
"base": {
"path": "CancerConditionAtDiagnosis.tumourGradeValue",
"min": 1,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "CancerConditionAtDiagnosis.visitDate",
"path": "CancerConditionAtDiagnosis.visitDate",
"short": "VisitDate",
"definition": "At least one of visitDate, biopsyDate, imagingDate, labReportDate must be present, since the model requires a diagnosis date for the Cancer Condition.",
"min": 0,
"max": "1",
"base": {
"path": "CancerConditionAtDiagnosis.visitDate",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "CancerConditionAtDiagnosis.biopsyDate",
"path": "CancerConditionAtDiagnosis.biopsyDate",
"short": "BiopsyDate",
"definition": "At least one of visitDate, biopsyDate, imagingDate, labReportDate must be present, since the model requires a diagnosis date for the Cancer Condition.",
"min": 0,
"max": "1",
"base": {
"path": "CancerConditionAtDiagnosis.biopsyDate",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "CancerConditionAtDiagnosis.imagingDate",
"path": "CancerConditionAtDiagnosis.imagingDate",
"short": "ImagingDate",
"definition": "At least one of visitDate, biopsyDate, imagingDate, labReportDate must be present, since the model requires a diagnosis date for the Cancer Condition.",
"min": 0,
"max": "1",
"base": {
"path": "CancerConditionAtDiagnosis.imagingDate",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "CancerConditionAtDiagnosis.labReportDate",
"path": "CancerConditionAtDiagnosis.labReportDate",
"short": "LabReportDate",
"definition": "At least one of visitDate, biopsyDate, imagingDate, labReportDate must be present, since the model requires a diagnosis date for the Cancer Condition.",
"min": 0,
"max": "1",
"base": {
"path": "CancerConditionAtDiagnosis.labReportDate",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
]
}
]
},
"differential": {
"element": [
{
"id": "CancerConditionAtDiagnosis",
"path": "CancerConditionAtDiagnosis",
"short": "CancerCondition (AtDiagnosis)",
"definition": "CancerCondition (AtDiagnosis) logical model from Cancer_Common_Logical_Model_20260123_2.xlsx (sheet CancerCondition(AtDiagnosis)).",
"constraint": [
{
"key": "ccad-1",
"severity": "error",
"human": "At least one of visitDate, biopsyDate, imagingDate, labReportDate must be present, since the model requires a diagnosis date for the Cancer Condition.",
"expression": "(visitDate | biopsyDate | imagingDate | labReportDate).exists()",
"source": "http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerConditionAtDiagnosis"
}
]
},
{
"id": "CancerConditionAtDiagnosis.subject",
"path": "CancerConditionAtDiagnosis.subject",
"short": "Subject",
"definition": "Subject",
"min": 1,
"max": "1",
"type": [
{
"code": "http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerPatient"
}
]
},
{
"id": "CancerConditionAtDiagnosis.histologyBehaviour",
"path": "CancerConditionAtDiagnosis.histologyBehaviour",
"short": "HistologyBehaviour",
"definition": "WG reccomends ICD03, the WG will monitor possible next versions. This attribute becomes mandatory once the cancer has been diagnosed; however, during the diagnostic workup it may still be absent, as the biopsy resulting from the surgery may not yet be available.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "CancerConditionAtDiagnosis.bodySite",
"path": "CancerConditionAtDiagnosis.bodySite",
"short": "BodySite",
"definition": "WG reccomends ICD03, the WG will monitor possible next versions. It is required to choose the most specific code available, meaning the most detailed code in the hierarchical terminology that precisely identifies the body site.",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "CancerConditionAtDiagnosis.tumourGradeSystem",
"path": "CancerConditionAtDiagnosis.tumourGradeSystem",
"short": "TumourGradeSystem",
"definition": "It represents the classification system used to define the tumor grade, such as Gleason (a grading system for prostate cancer) or FNCLCC (a grading system for soft tissue sarcomas). We need to determine the appropriate cardinality.",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "CancerConditionAtDiagnosis.tumourGradeValue",
"path": "CancerConditionAtDiagnosis.tumourGradeValue",
"short": "TumourGradeValue",
"definition": "It represents the measured grade value based on the specific classification defined in the TumorGradingSystem. We need to determine the appropriate cardinality.",
"min": 1,
"max": "1",
"type": [
{
"code": "string"
}
]
},
{
"id": "CancerConditionAtDiagnosis.visitDate",
"path": "CancerConditionAtDiagnosis.visitDate",
"short": "VisitDate",
"definition": "At least one of visitDate, biopsyDate, imagingDate, labReportDate must be present, since the model requires a diagnosis date for the Cancer Condition.",
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "CancerConditionAtDiagnosis.biopsyDate",
"path": "CancerConditionAtDiagnosis.biopsyDate",
"short": "BiopsyDate",
"definition": "At least one of visitDate, biopsyDate, imagingDate, labReportDate must be present, since the model requires a diagnosis date for the Cancer Condition.",
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "CancerConditionAtDiagnosis.imagingDate",
"path": "CancerConditionAtDiagnosis.imagingDate",
"short": "ImagingDate",
"definition": "At least one of visitDate, biopsyDate, imagingDate, labReportDate must be present, since the model requires a diagnosis date for the Cancer Condition.",
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "CancerConditionAtDiagnosis.labReportDate",
"path": "CancerConditionAtDiagnosis.labReportDate",
"short": "LabReportDate",
"definition": "At least one of visitDate, biopsyDate, imagingDate, labReportDate must be present, since the model requires a diagnosis date for the Cancer Condition.",
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
}
]
}
]
}
}