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
| Draft as of 2025-09-10 |
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:ConceptMap ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "clinicalStage2FHIR"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap clinicalStage2FHIR</b></p><a name=\"clinicalStage2FHIR\"> </a><a name=\"hcclinicalStage2FHIR\"> </a><p>Mapping from (not specified) to (not specified)</p><br/><p><b>Group 1 </b>Mapping from <a href=\"StructureDefinition-ClinicalStage.html\">Clinical Stage</a> to <a href=\"StructureDefinition-Condition-secondaryCancer-eu-i4rc.html\">Condition: Metastatic Cancer</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>regionalNodalMetastases (Regional nodal metastases (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.bodysite</td><td>Where code=4241958 'Lymph node' and extension:qualifier.value=4260906 'Regional'</td></tr><tr><td>sites (sites (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.bodysite</td><td/></tr><tr><td>sites.softTissue (Soft tissue (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.bodysite</td><td>Where code=4338971 'soft tissue'</td></tr><tr><td>sites.distantLymphNode (distant lymph node (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.bodysite</td><td>Where code=4241958 'Lymph node' and extension:qualifier.value=4209878 'Remote'</td></tr><tr><td>sites.lung (lung (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.bodysite</td><td>Where code=4213162 'lung'</td></tr><tr><td>sites.metastasisatbone (metastasisAtBone (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.bodysite</td><td>Where code=4241958 'bone'</td></tr><tr><td>sites.liver (liver (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.bodysite</td><td>Where code=4009105 'liver'</td></tr><tr><td>sites.pleura (pleura (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.bodysite</td><td>Where code=4150673 'pleura'</td></tr><tr><td>sites.peritoneum (peritoneum (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.bodysite</td><td>Where code=4035784 'peritoneum'</td></tr><tr><td>sites.brain (brain (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.bodysite</td><td>Where code=4133034 'brain'</td></tr><tr><td>sites.otherViscera (other viscera (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.bodysite</td><td>Where code=4159589 'Abdominal viscera'</td></tr><tr><td>sites.unknown (unknown (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.bodysite</td><td>Where code=4129922 'unknown'</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <a href=\"StructureDefinition-ClinicalStage.html\">Clinical Stage</a> to <a href=\"StructureDefinition-Observation-diagnosis-eu-i4rc.html\">Observation: Diagnosis details</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>diagnosisReference (Diagnosis Reference (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.derivedFrom.observation</td></tr></table><hr/><p><b>Group 3 </b>Mapping from <a href=\"StructureDefinition-ClinicalStage.html\">Clinical Stage</a> to <a href=\"StructureDefinition-Procedure-immaging-clinical-stage-eu-i4rc.html\">Procedure: Immaging for Clinical Stage</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>imagingForPrimarySite (Imaging for primary site (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Procedure.code</td><td>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</td></tr><tr><td>imagingForPrimarySite.ct (CT for primary site (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Procedure.code</td><td>If 'true', code must been 4300757 'Computed tomography' and bodySite must be in ValueSet Cancer site: Athena</td></tr><tr><td>imagingForPrimarySite.mri (MRI for primary site (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Procedure.code</td><td>If 'true', code must been 4013636 'Magnetic resonance imaging' and bodySite must be in ValueSet Cancer site: Athena</td></tr><tr><td>imagingForPrimarySite.us (US for primary site (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Procedure.code</td><td>If 'true', code must been 4037672 'Ultrasonography' and bodySite must be in ValueSet Cancer site: Athena</td></tr><tr><td>imagingForPrimarySite.other (Other imaging for primary site (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Procedure.code</td><td>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</td></tr><tr><td>imagingForNeck (Imaging for neck (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Procedure.code</td><td>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'</td></tr><tr><td>imagingForNeck.ct (CT for neck (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Procedure.code</td><td>If 'true', code must been 3307719 'Computed tomography of neck' and bodySite must be 4048840 'Region of neck'</td></tr><tr><td>imagingForNeck.mri (MRI for neck (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Procedure.code</td><td>If 'true', code must been 4218948 'Magnetic resonance imaging of neck' and bodySite must be 4048840 'Region of neck'</td></tr><tr><td>imagingForNeck.us (US for neck (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Procedure.code</td><td>If 'true', code must been 2793113 'Ultrasonography of Neck' and bodySite must be 4048840 'Region of neck'</td></tr><tr><td>imagingForNeck.other (Other imaging for neck (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Procedure.code</td><td>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'</td></tr><tr><td>imagingForMetastasis (Imaging for metastasis (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Procedure.code</td><td>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</td></tr><tr><td>imagingForMetastasis.ct (CT for metastasis (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Procedure.code</td><td>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</td></tr><tr><td>imagingForMetastasis.mri (MRI for metastasis (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Procedure.code</td><td>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</td></tr><tr><td>imagingForMetastasis.us (US for metastasis (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Procedure.code</td><td>If 'true', code must been4261497 'Ultrasonography of abdomen' and bodySite must be in ValueSet: Site of metastasis</td></tr><tr><td>imagingForMetastasis.other (Other imaging for metastasis (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Procedure.code</td><td>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</td></tr></table><hr/><p><b>Group 4 </b>Mapping from <a href=\"StructureDefinition-ClinicalStage.html\">Clinical Stage</a> to <a href=\"StructureDefinition-hn-cancer-stage-group.html\">Observation: Head Neck Cancer Stage Group</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>stagingProceduresDoneBy (Staging procedures done by (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.performer:organization</td><td/></tr><tr><td>ct (cT (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.hasMember:tnmPrimaryTumorCategory</td><td>See group for Observation: TNM Primary Tumor Category</td></tr><tr><td>cn (cN (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.hasMember:tnmRegionalNodesCategory</td><td>See group for Observation: TNM Regional Nodes Category</td></tr><tr><td>cm (cM (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.hasMember:tnmDistantMetastasesCategory</td><td>See group for Observation: TNM Distant Metastases Category</td></tr><tr><td>extraNodalExtension (Extra-nodal extension (rEne) (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.hasMember:extraNodalExtension</td><td>See group for Observation: Radiological Extra-nodal extension (rENE)</td></tr><tr><td>clinicalStaging (Clinical Staging (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.value</td><td>Where code = 4221079 'Clinical TNM stage grouping'</td></tr></table><hr/><p><b>Group 5 </b>Mapping from <a href=\"StructureDefinition-ClinicalStage.html\">Clinical Stage</a> to <a href=\"StructureDefinition-locoRegional-category.html\">Observation: LocoRegional Category (Stage)</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>locoRegional (Loco-regional (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.value</td><td>If it is present an observation with value = 32943 'Invasive Disease', it is 'true', else 'false'</td></tr><tr><td>isTransitMetastasisWithClinicalConfirmation (Is Transit metastasis with clinical confirmation (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.value</td><td>If it is present an observation with value = 36769249 'Transit Metastasis with Clinical Confirmation', it is 'true', else 'false'</td></tr><tr><td>isMultifocalTumor (Is Multifocal tumor (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.value</td><td>If it is present an observation with value = 36769933 'Multifocal Tumor', it is 'true', else 'false'</td></tr></table><hr/><p><b>Group 6 </b>Mapping from <a href=\"StructureDefinition-ClinicalStage.html\">Clinical Stage</a> to <a href=\"StructureDefinition-mcode-tnm-distant-metastases-category.html\">Observation: TNM Distant Metastases Category</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>cm (cM (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.value</td><td>Where code = 21907-1 'Distant metastases.clinical [Class] Cancer'</td></tr></table><hr/><p><b>Group 7 </b>Mapping from <a href=\"StructureDefinition-ClinicalStage.html\">Clinical Stage</a> to <a href=\"StructureDefinition-mcode-tnm-primary-tumor-category.html\">Observation: TNM Primary Tumor Category</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ct (cT (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.value</td><td>Where code = 21905-5 'Primary tumor.clinical [Class] Cancer'</td></tr></table><hr/><p><b>Group 8 </b>Mapping from <a href=\"StructureDefinition-ClinicalStage.html\">Clinical Stage</a> to <a href=\"StructureDefinition-mcode-tnm-regional-nodes-category.html\">Observation: TNM Regional Nodes Category</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>cn (cN (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.value</td><td>Where code = 21906-3 'Regional lymph nodes.clinical [Class] Cancer'</td></tr></table><hr/><p><b>Group 9 </b>Mapping from <a href=\"StructureDefinition-ClinicalStage.html\">Clinical Stage</a> to <a href=\"StructureDefinition-observation-extraNodalExtension-eu-i4rc.html\">Observation: Radiological Extra-nodal extension (rENE)</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>extraNodalExtension (Extra-nodal extension (rEne) (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.value</td></tr></table><hr/><p><b>Group 10 </b>Mapping from <a href=\"StructureDefinition-ClinicalStage.html\">Clinical Stage</a> to <a href=\"StructureDefinition-observation-number-tumor-nodules.html\">Observation: Number of tumor nodules</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>numberOfTumorNodules (Number of tumor nodules (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.value</td></tr></table><hr/><p><b>Group 11 </b>Mapping from <a href=\"StructureDefinition-ClinicalStage.html\">Clinical Stage</a> to <a href=\"StructureDefinition-sarcoma-cancer-stage-group.html\">Observation: Sarcoma Cancer and Disease Extent Stage Group</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>localised (Localised (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.hasMember:localized</td><td>See group for Observation: Localized Category (Stage, Sarcoma)</td></tr><tr><td>numberOfTumorNodules (Number of tumor nodules (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.hasMember:localized</td><td>See group for Observation: Number of tumor nodules</td></tr></table><hr/><p><b>Group 12 </b>Mapping from <a href=\"StructureDefinition-ClinicalStage.html\">Clinical Stage</a> to <a href=\"StructureDefinition-sarcoma-extent-category.html\">Observation: Localized Category (Stage, Sarcoma)</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>localised (Localised (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.value</td><td>If 'true', code=32942 'Confined Disease' else code=32944 'Metastatic Disease'</td></tr></table></div>"^^rdf:XMLLiteral ] ; # fhir:url [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/ConceptMap/clinicalStage2FHIR"^^xsd:anyURI] ; # fhir:version [ fhir:v "0.1.0"] ; # fhir:name [ fhir:v "ClinicalStage2FHIR"] ; # fhir:title [ fhir:v "ClinicalStage Model to this guide Map"] ; # fhir:status [ fhir:v "draft"] ; # fhir:experimental [ fhir:v true] ; # fhir:date [ fhir:v "2025-09-10T15:18:34+00:00"^^xsd:dateTime] ; # fhir:publisher [ fhir:v "IDEA4RC Project"] ; # fhir:contact ( [ fhir:name [ fhir:v "IDEA4RC Project" ] ; ( fhir:telecom [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "https://www.idea4rc.eu/" ] ] ) ] [ fhir:name [ fhir:v "IDEA4RC Project" ] ; ( fhir:telecom [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "https://www.idea4rc.eu/" ] ] ) ] ) ; # fhir:description [ fhir:v "It shows how the ClinicalStage model is mapped into this guide"] ; # fhir:jurisdiction ( [ ( fhir:coding [ fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ] ; fhir:code [ fhir:v "150" ] ; fhir:display [ fhir:v "Europe" ] ] ) ] ) ; # fhir:group ( [ fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage"^^xsd:anyURI ] ; fhir:target [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Condition-secondaryCancer-eu-i4rc"^^xsd:anyURI ] ; ( fhir:element [ fhir:code [ fhir:v "regionalNodalMetastases" ] ; fhir:display [ fhir:v "Regional nodal metastases (M)" ] ; ( fhir:target [ fhir:code [ fhir:v "Condition.bodysite" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "Where code=4241958 'Lymph node' and extension:qualifier.value=4260906 'Regional'" ] ] ) ] [ fhir:code [ fhir:v "sites" ] ; fhir:display [ fhir:v "sites (R)" ] ; ( fhir:target [ fhir:code [ fhir:v "Condition.bodysite" ] ; fhir:equivalence [ fhir:v "relatedto" ] ] ) ] [ fhir:code [ fhir:v "sites.softTissue" ] ; fhir:display [ fhir:v "Soft tissue (R)" ] ; ( fhir:target [ fhir:code [ fhir:v "Condition.bodysite" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "Where code=4338971 'soft tissue'" ] ] ) ] [ fhir:code [ fhir:v "sites.distantLymphNode" ] ; fhir:display [ fhir:v "distant lymph node (R)" ] ; ( fhir:target [ fhir:code [ fhir:v "Condition.bodysite" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "Where code=4241958 'Lymph node' and extension:qualifier.value=4209878 'Remote'" ] ] ) ] [ fhir:code [ fhir:v "sites.lung" ] ; fhir:display [ fhir:v "lung (R)" ] ; ( fhir:target [ fhir:code [ fhir:v "Condition.bodysite" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "Where code=4213162 'lung'" ] ] ) ] [ fhir:code [ fhir:v "sites.metastasisatbone" ] ; fhir:display [ fhir:v "metastasisAtBone (R)" ] ; ( fhir:target [ fhir:code [ fhir:v "Condition.bodysite" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "Where code=4241958 'bone'" ] ] ) ] [ fhir:code [ fhir:v "sites.liver" ] ; fhir:display [ fhir:v "liver (R)" ] ; ( fhir:target [ fhir:code [ fhir:v "Condition.bodysite" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "Where code=4009105 'liver'" ] ] ) ] [ fhir:code [ fhir:v "sites.pleura" ] ; fhir:display [ fhir:v "pleura (R)" ] ; ( fhir:target [ fhir:code [ fhir:v "Condition.bodysite" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "Where code=4150673 'pleura'" ] ] ) ] [ fhir:code [ fhir:v "sites.peritoneum" ] ; fhir:display [ fhir:v "peritoneum (R)" ] ; ( fhir:target [ fhir:code [ fhir:v "Condition.bodysite" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "Where code=4035784 'peritoneum'" ] ] ) ] [ fhir:code [ fhir:v "sites.brain" ] ; fhir:display [ fhir:v "brain (R)" ] ; ( fhir:target [ fhir:code [ fhir:v "Condition.bodysite" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "Where code=4133034 'brain'" ] ] ) ] [ fhir:code [ fhir:v "sites.otherViscera" ] ; fhir:display [ fhir:v "other viscera (R)" ] ; ( fhir:target [ fhir:code [ fhir:v "Condition.bodysite" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "Where code=4159589 'Abdominal viscera'" ] ] ) ] [ fhir:code [ fhir:v "sites.unknown" ] ; fhir:display [ fhir:v "unknown (R)" ] ; ( fhir:target [ fhir:code [ fhir:v "Condition.bodysite" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "Where code=4129922 'unknown'" ] ] ) ] ) ] [ fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage"^^xsd:anyURI ] ; fhir:target [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Observation-diagnosis-eu-i4rc"^^xsd:anyURI ] ; ( fhir:element [ fhir:code [ fhir:v "diagnosisReference" ] ; fhir:display [ fhir:v "Diagnosis Reference (M)" ] ; ( fhir:target [ fhir:code [ fhir:v "Observation.derivedFrom.observation" ] ; fhir:equivalence [ fhir:v "relatedto" ] ] ) ] ) ] [ fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage"^^xsd:anyURI ] ; fhir:target [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Procedure-immaging-clinical-stage-eu-i4rc"^^xsd:anyURI ] ; ( fhir:element [ fhir:code [ fhir:v "imagingForPrimarySite" ] ; fhir:display [ fhir:v "Imaging for primary site (M)" ] ; ( fhir:target [ fhir:code [ fhir:v "Procedure.code" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "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" ] ] ) ] [ fhir:code [ fhir:v "imagingForPrimarySite.ct" ] ; fhir:display [ fhir:v "CT for primary site (R)" ] ; ( fhir:target [ fhir:code [ fhir:v "Procedure.code" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "If 'true', code must been 4300757 'Computed tomography' and bodySite must be in ValueSet Cancer site: Athena" ] ] ) ] [ fhir:code [ fhir:v "imagingForPrimarySite.mri" ] ; fhir:display [ fhir:v "MRI for primary site (R)" ] ; ( fhir:target [ fhir:code [ fhir:v "Procedure.code" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "If 'true', code must been 4013636 'Magnetic resonance imaging' and bodySite must be in ValueSet Cancer site: Athena" ] ] ) ] [ fhir:code [ fhir:v "imagingForPrimarySite.us" ] ; fhir:display [ fhir:v "US for primary site (R)" ] ; ( fhir:target [ fhir:code [ fhir:v "Procedure.code" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "If 'true', code must been 4037672 'Ultrasonography' and bodySite must be in ValueSet Cancer site: Athena" ] ] ) ] [ fhir:code [ fhir:v "imagingForPrimarySite.other" ] ; fhir:display [ fhir:v "Other imaging for primary site (R)" ] ; ( fhir:target [ fhir:code [ fhir:v "Procedure.code" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "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" ] ] ) ] [ fhir:code [ fhir:v "imagingForNeck" ] ; fhir:display [ fhir:v "Imaging for neck (M)" ] ; ( fhir:target [ fhir:code [ fhir:v "Procedure.code" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "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'" ] ] ) ] [ fhir:code [ fhir:v "imagingForNeck.ct" ] ; fhir:display [ fhir:v "CT for neck (R)" ] ; ( fhir:target [ fhir:code [ fhir:v "Procedure.code" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "If 'true', code must been 3307719 'Computed tomography of neck' and bodySite must be 4048840 'Region of neck'" ] ] ) ] [ fhir:code [ fhir:v "imagingForNeck.mri" ] ; fhir:display [ fhir:v "MRI for neck (R)" ] ; ( fhir:target [ fhir:code [ fhir:v "Procedure.code" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "If 'true', code must been 4218948 'Magnetic resonance imaging of neck' and bodySite must be 4048840 'Region of neck'" ] ] ) ] [ fhir:code [ fhir:v "imagingForNeck.us" ] ; fhir:display [ fhir:v "US for neck (R)" ] ; ( fhir:target [ fhir:code [ fhir:v "Procedure.code" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "If 'true', code must been 2793113 'Ultrasonography of Neck' and bodySite must be 4048840 'Region of neck'" ] ] ) ] [ fhir:code [ fhir:v "imagingForNeck.other" ] ; fhir:display [ fhir:v "Other imaging for neck (R)" ] ; ( fhir:target [ fhir:code [ fhir:v "Procedure.code" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "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'" ] ] ) ] [ fhir:code [ fhir:v "imagingForMetastasis" ] ; fhir:display [ fhir:v "Imaging for metastasis (M)" ] ; ( fhir:target [ fhir:code [ fhir:v "Procedure.code" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "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" ] ] ) ] [ fhir:code [ fhir:v "imagingForMetastasis.ct" ] ; fhir:display [ fhir:v "CT for metastasis (R)" ] ; ( fhir:target [ fhir:code [ fhir:v "Procedure.code" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "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" ] ] ) ] [ fhir:code [ fhir:v "imagingForMetastasis.mri" ] ; fhir:display [ fhir:v "MRI for metastasis (R)" ] ; ( fhir:target [ fhir:code [ fhir:v "Procedure.code" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "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" ] ] ) ] [ fhir:code [ fhir:v "imagingForMetastasis.us" ] ; fhir:display [ fhir:v "US for metastasis (R)" ] ; ( fhir:target [ fhir:code [ fhir:v "Procedure.code" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "If 'true', code must been4261497 'Ultrasonography of abdomen' and bodySite must be in ValueSet: Site of metastasis" ] ] ) ] [ fhir:code [ fhir:v "imagingForMetastasis.other" ] ; fhir:display [ fhir:v "Other imaging for metastasis (R)" ] ; ( fhir:target [ fhir:code [ fhir:v "Procedure.code" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "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" ] ] ) ] ) ] [ fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage"^^xsd:anyURI ] ; fhir:target [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/hn-cancer-stage-group"^^xsd:anyURI ] ; ( fhir:element [ fhir:code [ fhir:v "stagingProceduresDoneBy" ] ; fhir:display [ fhir:v "Staging procedures done by (M)" ] ; ( fhir:target [ fhir:code [ fhir:v "Observation.performer:organization" ] ; fhir:equivalence [ fhir:v "relatedto" ] ] ) ] [ fhir:code [ fhir:v "ct" ] ; fhir:display [ fhir:v "cT (M)" ] ; ( fhir:target [ fhir:code [ fhir:v "Observation.hasMember:tnmPrimaryTumorCategory" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "See group for Observation: TNM Primary Tumor Category" ] ] ) ] [ fhir:code [ fhir:v "cn" ] ; fhir:display [ fhir:v "cN (M)" ] ; ( fhir:target [ fhir:code [ fhir:v "Observation.hasMember:tnmRegionalNodesCategory" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "See group for Observation: TNM Regional Nodes Category" ] ] ) ] [ fhir:code [ fhir:v "cm" ] ; fhir:display [ fhir:v "cM (M)" ] ; ( fhir:target [ fhir:code [ fhir:v "Observation.hasMember:tnmDistantMetastasesCategory" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "See group for Observation: TNM Distant Metastases Category" ] ] ) ] [ fhir:code [ fhir:v "extraNodalExtension" ] ; fhir:display [ fhir:v "Extra-nodal extension (rEne) (M)" ] ; ( fhir:target [ fhir:code [ fhir:v "Observation.hasMember:extraNodalExtension" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "See group for Observation: Radiological Extra-nodal extension (rENE)" ] ] ) ] [ fhir:code [ fhir:v "clinicalStaging" ] ; fhir:display [ fhir:v "Clinical Staging (M)" ] ; ( fhir:target [ fhir:code [ fhir:v "Observation.value" ] ; fhir:equivalence [ fhir:v "equivalent" ] ; fhir:comment [ fhir:v "Where code = 4221079 'Clinical TNM stage grouping'" ] ] ) ] ) ] [ fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage"^^xsd:anyURI ] ; fhir:target [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/locoRegional-category"^^xsd:anyURI ] ; ( fhir:element [ fhir:code [ fhir:v "locoRegional" ] ; fhir:display [ fhir:v "Loco-regional (M)" ] ; ( fhir:target [ fhir:code [ fhir:v "Observation.value" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "If it is present an observation with value = 32943 'Invasive Disease', it is 'true', else 'false'" ] ] ) ] [ fhir:code [ fhir:v "isTransitMetastasisWithClinicalConfirmation" ] ; fhir:display [ fhir:v "Is Transit metastasis with clinical confirmation (M)" ] ; ( fhir:target [ fhir:code [ fhir:v "Observation.value" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "If it is present an observation with value = 36769249 'Transit Metastasis with Clinical Confirmation', it is 'true', else 'false'" ] ] ) ] [ fhir:code [ fhir:v "isMultifocalTumor" ] ; fhir:display [ fhir:v "Is Multifocal tumor (M)" ] ; ( fhir:target [ fhir:code [ fhir:v "Observation.value" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "If it is present an observation with value = 36769933 'Multifocal Tumor', it is 'true', else 'false'" ] ] ) ] ) ] [ fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage"^^xsd:anyURI ] ; fhir:target [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-tnm-distant-metastases-category"^^xsd:anyURI ] ; ( fhir:element [ fhir:code [ fhir:v "cm" ] ; fhir:display [ fhir:v "cM (M)" ] ; ( fhir:target [ fhir:code [ fhir:v "Observation.value" ] ; fhir:equivalence [ fhir:v "equivalent" ] ; fhir:comment [ fhir:v "Where code = 21907-1 'Distant metastases.clinical [Class] Cancer'" ] ] ) ] ) ] [ fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage"^^xsd:anyURI ] ; fhir:target [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-tnm-primary-tumor-category"^^xsd:anyURI ] ; ( fhir:element [ fhir:code [ fhir:v "ct" ] ; fhir:display [ fhir:v "cT (M)" ] ; ( fhir:target [ fhir:code [ fhir:v "Observation.value" ] ; fhir:equivalence [ fhir:v "equivalent" ] ; fhir:comment [ fhir:v "Where code = 21905-5 'Primary tumor.clinical [Class] Cancer'" ] ] ) ] ) ] [ fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage"^^xsd:anyURI ] ; fhir:target [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-tnm-regional-nodes-category"^^xsd:anyURI ] ; ( fhir:element [ fhir:code [ fhir:v "cn" ] ; fhir:display [ fhir:v "cN (M)" ] ; ( fhir:target [ fhir:code [ fhir:v "Observation.value" ] ; fhir:equivalence [ fhir:v "equivalent" ] ; fhir:comment [ fhir:v "Where code = 21906-3 'Regional lymph nodes.clinical [Class] Cancer'" ] ] ) ] ) ] [ fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage"^^xsd:anyURI ] ; fhir:target [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-extraNodalExtension-eu-i4rc"^^xsd:anyURI ] ; ( fhir:element [ fhir:code [ fhir:v "extraNodalExtension" ] ; fhir:display [ fhir:v "Extra-nodal extension (rEne) (M)" ] ; ( fhir:target [ fhir:code [ fhir:v "Observation.value" ] ; fhir:equivalence [ fhir:v "equivalent" ] ] ) ] ) ] [ fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage"^^xsd:anyURI ] ; fhir:target [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-number-tumor-nodules"^^xsd:anyURI ] ; ( fhir:element [ fhir:code [ fhir:v "numberOfTumorNodules" ] ; fhir:display [ fhir:v "Number of tumor nodules (R)" ] ; ( fhir:target [ fhir:code [ fhir:v "Observation.value" ] ; fhir:equivalence [ fhir:v "equivalent" ] ] ) ] ) ] [ fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage"^^xsd:anyURI ] ; fhir:target [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/sarcoma-cancer-stage-group"^^xsd:anyURI ] ; ( fhir:element [ fhir:code [ fhir:v "localised" ] ; fhir:display [ fhir:v "Localised (M)" ] ; ( fhir:target [ fhir:code [ fhir:v "Observation.hasMember:localized" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "See group for Observation: Localized Category (Stage, Sarcoma)" ] ] ) ] [ fhir:code [ fhir:v "numberOfTumorNodules" ] ; fhir:display [ fhir:v "Number of tumor nodules (R)" ] ; ( fhir:target [ fhir:code [ fhir:v "Observation.hasMember:localized" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "See group for Observation: Number of tumor nodules" ] ] ) ] ) ] [ fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage"^^xsd:anyURI ] ; fhir:target [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/sarcoma-extent-category"^^xsd:anyURI ] ; ( fhir:element [ fhir:code [ fhir:v "localised" ] ; fhir:display [ fhir:v "Localised (M)" ] ; ( fhir:target [ fhir:code [ fhir:v "Observation.value" ] ; fhir:equivalence [ fhir:v "relatedto" ] ; fhir:comment [ fhir:v "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 2025-09-10
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The IDEA4RC project has received funding from the European Union's Horizon 2020
research and innovation programme under grant agreement No. 101057048.
