FHIR IG analytics| Package | hl7.fhir.eu.cancer-common |
| Resource Type | StructureDefinition |
| Id | StructureDefinition-ClinicalCancerProgression.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/hl7-eu/cancer-common/StructureDefinition-ClinicalCancerProgression.html |
| URL | http://hl7.eu/fhir/cancer-common/StructureDefinition/ClinicalCancerProgression |
| Version | 0.1.0 |
| Status | draft |
| Date | 2026-03-27T11:13:52+00:00 |
| Name | ClinicalCancerProgression |
| Title | ClinicalCancerProgression |
| Realm | eu |
| Authority | hl7 |
| Description | ClinicalCancerProgression logical model from Cancer_Common_Logical_Model_20260123_2.xlsx (sheet ClinicalCancerProgression). |
| 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/ClinicalCancerProgression |
| Kind | logical |
| StructureDefinition | ||
| 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 | CancerConditionAtDiagnosis | CancerCondition (AtDiagnosis) |
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition ClinicalCancerProgression
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  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(CancerCondition (AtDiagnosis)) | 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 | ||||
FHIR
FHIRsmith{
"resourceType": "StructureDefinition",
"id": "ClinicalCancerProgression",
"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/ClinicalCancerProgression",
"version": "0.1.0",
"name": "ClinicalCancerProgression",
"title": "ClinicalCancerProgression",
"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": "ClinicalCancerProgression logical model from Cancer_Common_Logical_Model_20260123_2.xlsx (sheet ClinicalCancerProgression).",
"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/ClinicalCancerProgression",
"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": "ClinicalCancerProgression",
"path": "ClinicalCancerProgression",
"short": "ClinicalCancerProgression",
"definition": "ClinicalCancerProgression logical model from Cancer_Common_Logical_Model_20260123_2.xlsx (sheet ClinicalCancerProgression).",
"min": 0,
"max": "*",
"base": {
"path": "Base",
"min": 0,
"max": "*"
},
"constraint": [
{
"key": "ccp-1",
"severity": "error",
"human": "LocoRegionalSites must be present if ExtentType is Loco-regional",
"expression": "extentType.coding.where(code = 'Loco-regional').exists() implies locoRegionalSites.exists()",
"source": "http://hl7.eu/fhir/cancer-common/StructureDefinition/ClinicalCancerProgression"
},
{
"key": "ccp-2",
"severity": "error",
"human": "MetastaticSites must be present if ExtentType is Metastatic",
"expression": "extentType.coding.where(code = 'Metastatic').exists() implies metastaticSites.exists()",
"source": "http://hl7.eu/fhir/cancer-common/StructureDefinition/ClinicalCancerProgression"
}
],
"isModifier": false
},
{
"id": "ClinicalCancerProgression.cancerConditionAtDiagnosisReference",
"path": "ClinicalCancerProgression.cancerConditionAtDiagnosisReference",
"short": "CancerConditionReference",
"definition": "CancerConditionReference",
"min": 1,
"max": "1",
"base": {
"path": "ClinicalCancerProgression.cancerConditionAtDiagnosisReference",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerConditionAtDiagnosis"
]
}
]
},
{
"id": "ClinicalCancerProgression.diseaseStatus",
"path": "ClinicalCancerProgression.diseaseStatus",
"short": "DiseaseStatus",
"definition": "Choice: Progression | Stable Disease | Partial Remission | Complete Remission | Recurrence",
"min": 1,
"max": "1",
"base": {
"path": "ClinicalCancerProgression.diseaseStatus",
"min": 1,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "ClinicalCancerProgression.tumourGradeSystem",
"path": "ClinicalCancerProgression.tumourGradeSystem",
"short": "TumourGradeSystem",
"definition": "TumourGradeSystem",
"min": 0,
"max": "1",
"base": {
"path": "ClinicalCancerProgression.tumourGradeSystem",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "ClinicalCancerProgression.tumourGradeValue",
"path": "ClinicalCancerProgression.tumourGradeValue",
"short": "TumourGradeValue",
"definition": "TumourGradeValue",
"min": 0,
"max": "1",
"base": {
"path": "ClinicalCancerProgression.tumourGradeValue",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "ClinicalCancerProgression.assertedDate",
"path": "ClinicalCancerProgression.assertedDate",
"short": "AssertedDate",
"definition": "AssertedDate",
"min": 1,
"max": "1",
"base": {
"path": "ClinicalCancerProgression.assertedDate",
"min": 1,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "ClinicalCancerProgression.extentType",
"path": "ClinicalCancerProgression.extentType",
"short": "ExtentType",
"definition": "Choice: Local | Loco-regional | Metastatic",
"min": 0,
"max": "1",
"base": {
"path": "ClinicalCancerProgression.extentType",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "ClinicalCancerProgression.locoRegionalSites",
"path": "ClinicalCancerProgression.locoRegionalSites",
"short": "LocoRegionalSites",
"definition": "It must be present if the ExtentType is Loco-regional",
"min": 0,
"max": "*",
"base": {
"path": "ClinicalCancerProgression.locoRegionalSites",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "ClinicalCancerProgression.metastaticSites",
"path": "ClinicalCancerProgression.metastaticSites",
"short": "MetastaticSites",
"definition": "It must be present if the ExtentType is Metastatic",
"min": 0,
"max": "*",
"base": {
"path": "ClinicalCancerProgression.metastaticSites",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
]
}
]
},
"differential": {
"element": [
{
"id": "ClinicalCancerProgression",
"path": "ClinicalCancerProgression",
"short": "ClinicalCancerProgression",
"definition": "ClinicalCancerProgression logical model from Cancer_Common_Logical_Model_20260123_2.xlsx (sheet ClinicalCancerProgression).",
"constraint": [
{
"key": "ccp-1",
"severity": "error",
"human": "LocoRegionalSites must be present if ExtentType is Loco-regional",
"expression": "extentType.coding.where(code = 'Loco-regional').exists() implies locoRegionalSites.exists()",
"source": "http://hl7.eu/fhir/cancer-common/StructureDefinition/ClinicalCancerProgression"
},
{
"key": "ccp-2",
"severity": "error",
"human": "MetastaticSites must be present if ExtentType is Metastatic",
"expression": "extentType.coding.where(code = 'Metastatic').exists() implies metastaticSites.exists()",
"source": "http://hl7.eu/fhir/cancer-common/StructureDefinition/ClinicalCancerProgression"
}
]
},
{
"id": "ClinicalCancerProgression.cancerConditionAtDiagnosisReference",
"path": "ClinicalCancerProgression.cancerConditionAtDiagnosisReference",
"short": "CancerConditionReference",
"definition": "CancerConditionReference",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.eu/fhir/cancer-common/StructureDefinition/CancerConditionAtDiagnosis"
]
}
]
},
{
"id": "ClinicalCancerProgression.diseaseStatus",
"path": "ClinicalCancerProgression.diseaseStatus",
"short": "DiseaseStatus",
"definition": "Choice: Progression | Stable Disease | Partial Remission | Complete Remission | Recurrence",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "ClinicalCancerProgression.tumourGradeSystem",
"path": "ClinicalCancerProgression.tumourGradeSystem",
"short": "TumourGradeSystem",
"definition": "TumourGradeSystem",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "ClinicalCancerProgression.tumourGradeValue",
"path": "ClinicalCancerProgression.tumourGradeValue",
"short": "TumourGradeValue",
"definition": "TumourGradeValue",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
]
},
{
"id": "ClinicalCancerProgression.assertedDate",
"path": "ClinicalCancerProgression.assertedDate",
"short": "AssertedDate",
"definition": "AssertedDate",
"min": 1,
"max": "1",
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "ClinicalCancerProgression.extentType",
"path": "ClinicalCancerProgression.extentType",
"short": "ExtentType",
"definition": "Choice: Local | Loco-regional | Metastatic",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "ClinicalCancerProgression.locoRegionalSites",
"path": "ClinicalCancerProgression.locoRegionalSites",
"short": "LocoRegionalSites",
"definition": "It must be present if the ExtentType is Loco-regional",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "ClinicalCancerProgression.metastaticSites",
"path": "ClinicalCancerProgression.metastaticSites",
"short": "MetastaticSites",
"definition": "It must be present if the ExtentType is Metastatic",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
]
}
]
}
}