IDEA4RC FHIR Implementation Guide
0.1.0 - CI Build
150
IDEA4RC FHIR Implementation Guide
0.1.0 - CI Build
150
IDEA4RC FHIR Implementation Guide, published by IDEA4RC Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/idea4rc/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.eu/fhir/ig/idea4rc/ConceptMap/clinicalStage2FHIR | Version: 0.1.0 | |||
| Draft as of 2026-08-07 | Computable Name: ClinicalStage2FHIR | |||
It shows how the ClinicalStage model is mapped into this guide
This mapping does not specify any particular context of use.
Group 1 Mapping from Clinical Stage to Condition: Metastatic Cancer
Group 2 Mapping from Clinical Stage to Observation: Diagnosis details
| Source Code | Card. | Type | Relationship | Target Code | Card. | Type |
| ClinicalStage.diagnosisReference | 1..* | todo | is related to | Observation.derivedFrom | 0..* | todo |
Group 3 Mapping from Clinical Stage to Procedure: Immaging for Clinical Stage
| Source Code | Card. | Type | Relationship | Target Code | Card. | Type | Comment |
| ClinicalStage.imagingForPrimarySite | 1..* | todo | is related to | Procedure.code | 0..1 | todo | If 'true', code must been in ValueSet Immaging for Clinical Stage for primary or must be 2000100025 'Fluorodeoxyglucose positron emission tomography' or 2000100026 'Positron emission tomography using other tracers' and bodySite must be in ValueSet Cancer site: Athena |
| ClinicalStage.imagingForPrimarySite.ct | 0..* | todo | is related to | Procedure.code | 0..1 | todo | If 'true', code must been 4300757 'Computed tomography' and bodySite must be in ValueSet Cancer site: Athena |
| ClinicalStage.imagingForPrimarySite.mri | 0..* | todo | is related to | Procedure.code | 0..1 | todo | If 'true', code must been 4013636 'Magnetic resonance imaging' and bodySite must be in ValueSet Cancer site: Athena |
| ClinicalStage.imagingForPrimarySite.us | 0..* | todo | is related to | Procedure.code | 0..1 | todo | If 'true', code must been 4037672 'Ultrasonography' and bodySite must be in ValueSet Cancer site: Athena |
| ClinicalStage.imagingForPrimarySite.other | 0..* | todo | is related to | Procedure.code | 0..1 | todo | If 'true', code must been 2000100025 'Fluorodeoxyglucose positron emission tomography' or 2000100026 'Positron emission tomography using other tracers' and bodySite must be in ValueSet Cancer site: Athena |
| ClinicalStage.imagingForNeck | 1..* | todo | is related to | Procedure.code | 0..1 | todo | If 'true', code must been in ValueSet Immaging for Clinical Stage for neck or must be 2000100025 'Fluorodeoxyglucose positron emission tomography' or 2000100026 'Positron emission tomography using other tracers' and bodySite must be 4048840 'Region of neck' |
| ClinicalStage.imagingForNeck.ct | 0..* | todo | is related to | Procedure.code | 0..1 | todo | If 'true', code must been 3307719 'Computed tomography of neck' and bodySite must be 4048840 'Region of neck' |
| ClinicalStage.imagingForNeck.mri | 0..* | todo | is related to | Procedure.code | 0..1 | todo | If 'true', code must been 4218948 'Magnetic resonance imaging of neck' and bodySite must be 4048840 'Region of neck' |
| ClinicalStage.imagingForNeck.us | 0..* | todo | is related to | Procedure.code | 0..1 | todo | If 'true', code must been 2793113 'Ultrasonography of Neck' and bodySite must be 4048840 'Region of neck' |
| ClinicalStage.imagingForNeck.other | 0..* | todo | is related to | Procedure.code | 0..1 | todo | If 'true', code must been 2000100025 'Fluorodeoxyglucose positron emission tomography' or 2000100026 'Positron emission tomography using other tracers' and bodySite must be 4048840 'Region of neck' |
| ClinicalStage.imagingForMetastasis | 1..* | todo | is related to | Procedure.code | 0..1 | todo | If 'true', code must been in ValueSet Immaging for metastasis or must be 2000100025 'Fluorodeoxyglucose positron emission tomography' or 2000100026 'Positron emission tomography using other tracers' and bodySite must be in ValueSet: Site of metastasis |
| ClinicalStage.imagingForMetastasis.ct | 0..* | todo | is related to | Procedure.code | 0..1 | todo | If 'true', code must been 4058335 'CT of chest' or 4061009 'CT of abdomen' or 4058336 'CT of pelvis' or 4145739 'CT of brain' and bodySite must be in ValueSet: Site of metastasis |
| ClinicalStage.imagingForMetastasis.mri | 0..* | todo | is related to | Procedure.code | 0..1 | todo | If 'true', code must been 4083230 'MRI of abdomen' or 4097527 'MRI of pelvis' or 37311324 'MRI of brain' and bodySite must be in ValueSet: Site of metastasis |
| ClinicalStage.imagingForMetastasis.us | 0..* | todo | is related to | Procedure.code | 0..1 | todo | If 'true', code must been4261497 'Ultrasonography of abdomen' and bodySite must be in ValueSet: Site of metastasis |
| ClinicalStage.imagingForMetastasis.other | 0..* | todo | is related to | Procedure.code | 0..1 | todo | If 'true', code must been 4056836 'Standard chest X-ray' or 4217238 'Radioisotope scan of bone' or 4305790 'Positron emission tomography' or 2000100025 'Fluorodeoxyglucose positron emission tomography' or 2000100026 'Positron emission tomography using other tracers' and bodySite must be in ValueSet: Site of metastasis |
Group 4 Mapping from Clinical Stage to Observation: Head Neck Cancer Stage Group
| Source Code | Card. | Type | Relationship | Target Code | Card. | Type | Comment |
| ClinicalStage.stagingProceduresDoneBy | 1..* | todo | is related to | Observation.performer | 0..* | todo | |
| ClinicalStage.ct | 1..* | todo | is related to | Observation.hasMember:tnmPrimaryTumorCategory | 0..1 | todo | See group for Observation: TNM Primary Tumor Category |
| ClinicalStage.cn | 1..* | todo | is related to | Observation.hasMember:tnmRegionalNodesCategory | 0..1 | todo | See group for Observation: TNM Regional Nodes Category |
| ClinicalStage.cm | 1..* | todo | is related to | Observation.hasMember:tnmDistantMetastasesCategory | 0..1 | todo | See group for Observation: TNM Distant Metastases Category |
| ClinicalStage.extraNodalExtension | 1..* | todo | is related to | Observation.hasMember:extraNodalExtension | 0..1 | todo | See group for Observation: Radiological Extra-nodal extension (rENE) |
| ClinicalStage.clinicalStaging | 1..* | todo | is equivalent to | Observation.value[x] | 0..1 | todo | Where code = 4221079 'Clinical TNM stage grouping' |
Group 5 Mapping from Clinical Stage to Observation: LocoRegional Category (Stage)
| Source Code | Card. | Type | Relationship | Target Code | Card. | Type | Comment |
| ClinicalStage.locoRegional | 1..* | todo | is related to | Observation.value[x] | 0..1 | todo | If it is present an observation with value = 32943 'Invasive Disease', it is 'true', else 'false' |
| ClinicalStage.isTransitMetastasisWithClinicalConfirmation | 1..* | todo | is related to | Observation.value[x] | 0..1 | todo | If it is present an observation with value = 36769249 'Transit Metastasis with Clinical Confirmation', it is 'true', else 'false' |
| ClinicalStage.isMultifocalTumor | 1..* | todo | is related to | Observation.value[x] | 0..1 | todo | If it is present an observation with value = 36769933 'Multifocal Tumor', it is 'true', else 'false' |
Group 6 Mapping from Clinical Stage to Observation: TNM Distant Metastases Category
| Source Code | Card. | Type | Relationship | Target Code | Card. | Type | Comment |
| ClinicalStage.cm | 1..* | todo | is equivalent to | Observation.value[x] | 0..1 | todo | Where code = 21907-1 'Distant metastases.clinical [Class] Cancer' |
Group 7 Mapping from Clinical Stage to Observation: TNM Primary Tumor Category
| Source Code | Card. | Type | Relationship | Target Code | Card. | Type | Comment |
| ClinicalStage.ct | 1..* | todo | is equivalent to | Observation.value[x] | 0..1 | todo | Where code = 21905-5 'Primary tumor.clinical [Class] Cancer' |
Group 8 Mapping from Clinical Stage to Observation: TNM Regional Nodes Category
| Source Code | Card. | Type | Relationship | Target Code | Card. | Type | Comment |
| ClinicalStage.cn | 1..* | todo | is equivalent to | Observation.value[x] | 0..1 | todo | Where code = 21906-3 'Regional lymph nodes.clinical [Class] Cancer' |
Group 9 Mapping from Clinical Stage to Observation: Radiological Extra-nodal extension (rENE)
| Source Code | Card. | Type | Relationship | Target Code | Card. | Type |
| ClinicalStage.extraNodalExtension | 1..* | todo | is equivalent to | Observation.value[x] | 1..1 | todo |
Group 10 Mapping from Clinical Stage to Observation: Number of tumor nodules
| Source Code | Card. | Type | Relationship | Target Code | Card. | Type |
| ClinicalStage.numberOfTumorNodules | 0..* | todo | is equivalent to | Observation.value[x] | 1..1 | todo |
Group 11 Mapping from Clinical Stage to Observation: Sarcoma Cancer and Disease Extent Stage Group
| Source Code | Card. | Type | Relationship | Target Code | Card. | Type | Comment |
| ClinicalStage.localised | 1..* | todo | is related to | Observation.hasMember:localized | 0..1 | todo | See group for Observation: Localized Category (Stage, Sarcoma) |
| ClinicalStage.numberOfTumorNodules | 0..* | todo | is related to | Observation.hasMember:localized | 0..1 | todo | See group for Observation: Number of tumor nodules |
Group 12 Mapping from Clinical Stage to Observation: Localized Category (Stage, Sarcoma)
| Source Code | Card. | Type | Relationship | Target Code | Card. | Type | Comment |
| ClinicalStage.localised | 1..* | todo | is related to | Observation.value[x] | 0..1 | todo | If 'true', code=32942 'Confined Disease' else code=32944 'Metastatic Disease' |
IG © 2022+ IDEA4RC Project. Package hl7.eu.fhir.idea4rc#0.1.0 based on FHIR 4.0.1. Generated 2026-08-07
Links: Table of Contents |
QA Report
The IDEA4RC project has received funding from the European Union's Horizon 2020
research and innovation programme under grant agreement No. 101057048.
