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/hNstage2FHIR | Version: 0.1.0 | |||
| Draft as of 2025-09-10 | Computable Name: HnStage2FHIR | |||
Hn Stage Model to this guide Map
It shows how the HN Stage Model is mapped into this guide
Mapping from http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage to Bundle: IDEA4RC
Group 1 Mapping from http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage to Observation: Head Neck Cancer Stage Group
| Source Code | Relationship | Target Code | Comment |
| HnStage.episodeEvent (Episode Event Reference) | is related to | Observation.focus | |
| HnStage.Ct (cT) | is equivalent to | Observation.hasMember:tnmPrimaryTumorCategory | see group 2 for details |
| HnStage.Cn (cN) | is equivalent to | Observation.hasMember:tnmRegionalNodesCategory | see group 3 for details |
| HnStage.Cm (cM) | is equivalent to | Observation.hasMember:tnmDistantMetastasesCategory | see group 4 for details |
| HnStage.Pt (pT) | is equivalent to | Observation.hasMember:tnmPrimaryTumorCategory | see group 2 for details |
| HnStage.Pn (pN) | is related to | Observation.hasMember:tnmRegionalNodesCategory | see group 3 for details |
| HnStage.Pm (pM) | is related to | Observation.hasMember:tnmDistantMetastasesCategory | see group 4 for details |
| HnStage.rEne (Radiological Extra-nodal extension (rEne)) | is related to | Observation.hasMember:extraNodalExtension | see group 5 for details |
| HnStage.StagingClassification (Staging classification) | is equivalent to | Observation.valueCodeableConcept |
Group 2 Mapping from http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage to Observation: TNM Primary Tumor Category
| Source Code | Relationship | Target Code | Comment |
| HnStage.Ct (cT) | is equivalent to | Observation.valueCodeableConcept | where code = $loinc21905-5 Primary tumor.clinical |
| HnStage.Cn (cN) | (not mapped) | ||
| HnStage.Cm (cM) | (not mapped) | ||
| HnStage.Pt (pT) | is equivalent to | Observation.valueCodeableConcept | where code = $loinc21905-5 Primary tumor.clinical |
| HnStage.Pn (pN) | (not mapped) | ||
| HnStage.Pm (pM) | (not mapped) | ||
Group 3 Mapping from http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage to Observation: TNM Regional Nodes Category
| Source Code | Relationship | Target Code | Comment |
| HnStage.Ct (cT) | (not mapped) | ||
| HnStage.Cn (cN) | is equivalent to | Observation.valueCodeableConcept | where code = $loinc21905-5 Primary tumor.clinical |
| HnStage.Cm (cM) | (not mapped) | ||
| HnStage.Pt (pT) | (not mapped) | ||
| HnStage.Pn (pN) | is equivalent to | Observation.valueCodeableConcept | where code = $loinc21905-5 Primary tumor.clinical |
| HnStage.Pm (pM) | (not mapped) | ||
Group 4 Mapping from http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage to Observation: TNM Distant Metastases Category
| Source Code | Relationship | Target Code | Comment |
| HnStage.Ct (cT) | (not mapped) | ||
| HnStage.Cn (cN) | (not mapped) | ||
| HnStage.Cm (cM) | is equivalent to | Observation.valueCodeableConcept | where code = $loinc21905-5 Primary tumor.clinical |
| HnStage.Pt (pT) | (not mapped) | ||
| HnStage.Pn (pN) | (not mapped) | ||
| HnStage.Pm (pM) | is equivalent to | Observation.valueCodeableConcept | where code = $loinc21905-5 Primary tumor.clinical |
Group 5 Mapping from http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage to Observation: Radiological Extra-nodal extension (rENE)
| Source Code | Relationship | Target Code | Comment |
| HnStage.rEne (Radiological Extra-nodal extension (rEne)) | is equivalent to | Observation.valueCodeableConcept | check if this should be a new has member observation with obs.code = 2960001000004100 Status of extranodal extension of nodal tumour |
Group 6 Mapping from http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage to Condition: Metastatic Cancer
| Source Code | Relationship | Target Code | Comment |
| HnStage.episodeEvent (Episode Event Reference) | is equivalent to | Condition.extension:relatedPrimaryCancerCondition | |
| HnStage.sites.softTissue (Soft tissue) | is related to | Condition. | If this exists with code = $athena#35225724 Metastasis to soft tissues |
| HnStage.sites.distantLymphNode (distant lymph node) | is related to | Condition. | If this exists with code =$athena#36769243 Distant spread to lymph node |
| HnStage.sites.lung (lung) | is related to | Condition. | If this exists with code =$athena#36770283 Metastasis to lung |
| HnStage.sites.bone (bone) | is related to | Condition. | If this exists with code =$athena#36769301 Metastasis to bone |
| HnStage.sites.liver (liver) | is related to | Condition. | If this exists with code =$athena#36770544 Metastasis to liver |
| HnStage.sites.pleura (pleura) | is related to | Condition. | If this exists with code =$athena#35226258 Metastasis to pleura |
| HnStage.sites.peritoneum (peritoneum) | is related to | Condition. | If this exists with code =$athena#35226253 Metastasis to peritoneum |
| HnStage.sites.brain (brain) | is related to | Condition. | If this exists with code =$athena#36768862 Metastasis to brain |
| HnStage.sites.otherViscera (other viscera) | is related to | Condition. | If this exists with code =$athena#36769180 Metastasis |
| HnStage.sites.unknown (unknown) | is related to | Condition. | If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4129922 'unknown' |
| HnStage.sites (sites) | is equivalent to | Condition.bodySite | |
| HnStage.sites.softTissue (Soft tissue) | is equivalent to | Condition.bodySite | ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4338971 'soft tissue' |
| HnStage.sites.distantLymphNode (distant lymph node) | is equivalent to | Condition.bodySite | ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4241958 'Lymph node' and bodysite.extension:qualifier = $sct#5686001 'Remote' |
| HnStage.sites.lung (lung) | is equivalent to | Condition.bodySite | ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4213162 'lung' |
| HnStage.sites.bone (bone) | is equivalent to | Condition.bodySite | ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4000496 'bone' |
| HnStage.sites.liver (liver) | is equivalent to | Condition.bodySite | ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4009105 'liver' |
| HnStage.sites.pleura (pleura) | is equivalent to | Condition.bodySite | ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4150673 'pleura' |
| HnStage.sites.peritoneum (peritoneum) | is equivalent to | Condition.bodySite | ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4035784 'peritoneum' |
| HnStage.sites.brain (brain) | is equivalent to | Condition.bodySite | ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4133034 'brain' |
| HnStage.sites.otherViscera (other viscera) | is equivalent to | Condition.bodySite | ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4159589 'Abdominal viscera' TO BE checked the original concept was OTHER VISCERA |
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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QA Report
The IDEA4RC project has received funding from the European Union's Horizon 2020
research and innovation programme under grant agreement No. 101057048.
