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

: Head and Neck Stage Model to this guide Map - JSON Representation

Draft as of 2024-11-12

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{
  "resourceType" : "ConceptMap",
  "id" : "hNstage2FHIR",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap hNstage2FHIR</b></p><a name=\"hNstage2FHIR\"> </a><a name=\"hchNstage2FHIR\"> </a><a name=\"hNstage2FHIR-en-US\"> </a><p>Mapping from <a href=\"StructureDefinition-HnStage.html\">Head Neck Stage</a> to <a href=\"StructureDefinition-Bundle-eu-i4rc.html\">Bundle: IDEA4RC</a></p><br/><p><b>Group 1 </b>Mapping from <a href=\"StructureDefinition-HnStage.html\">Head Neck 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>HnStage.episodeEvent (Episode Event Reference)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.focus</td><td/></tr><tr><td>HnStage.Ct (cT)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.hasMember:tnmPrimaryTumorCategory</td><td>see group 2 for details</td></tr><tr><td>HnStage.Cn (cN)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.hasMember:tnmRegionalNodesCategory</td><td>see group 3 for details</td></tr><tr><td>HnStage.Cm (cM)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.hasMember:tnmDistantMetastasesCategory</td><td>see group 4 for details</td></tr><tr><td>HnStage.Pt (pT)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.hasMember:tnmPrimaryTumorCategory</td><td>see group 2 for details</td></tr><tr><td>HnStage.Pn (pN)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.hasMember:tnmRegionalNodesCategory</td><td>see group 3 for details</td></tr><tr><td>HnStage.Pm (pM)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.hasMember:tnmDistantMetastasesCategory</td><td>see group 4 for details</td></tr><tr><td>HnStage.rEne (Radiological Extra-nodal extension (rEne))</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.hasMember:extraNodalExtension</td><td>see group 5 for details</td></tr><tr><td>HnStage.StagingClassification (Staging classification)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.valueCodeableConcept</td><td/></tr></table><hr/><p><b>Group 2 </b>Mapping from <a href=\"StructureDefinition-HnStage.html\">Head Neck 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>HnStage.Ct (cT)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.valueCodeableConcept</td><td>where code = $loinc21905-5 Primary tumor.clinical</td></tr><tr><td>HnStage.Cn (cN)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>HnStage.Cm (cM)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>HnStage.Pt (pT)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.valueCodeableConcept</td><td>where code = $loinc21905-5 Primary tumor.clinical</td></tr><tr><td>HnStage.Pn (pN)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>HnStage.Pm (pM)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr></table><hr/><p><b>Group 3 </b>Mapping from <a href=\"StructureDefinition-HnStage.html\">Head Neck 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>HnStage.Ct (cT)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>HnStage.Cn (cN)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.valueCodeableConcept</td><td>where code = $loinc21905-5 Primary tumor.clinical</td></tr><tr><td>HnStage.Cm (cM)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>HnStage.Pt (pT)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>HnStage.Pn (pN)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.valueCodeableConcept</td><td>where code = $loinc21905-5 Primary tumor.clinical</td></tr><tr><td>HnStage.Pm (pM)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr></table><hr/><p><b>Group 4 </b>Mapping from <a href=\"StructureDefinition-HnStage.html\">Head Neck 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>HnStage.Ct (cT)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>HnStage.Cn (cN)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>HnStage.Cm (cM)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.valueCodeableConcept</td><td>where code = $loinc21905-5 Primary tumor.clinical</td></tr><tr><td>HnStage.Pt (pT)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>HnStage.Pn (pN)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>HnStage.Pm (pM)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.valueCodeableConcept</td><td>where code = $loinc21905-5 Primary tumor.clinical</td></tr></table><hr/><p><b>Group 5 </b>Mapping from <a href=\"StructureDefinition-HnStage.html\">Head Neck 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><td><b>Comment</b></td></tr><tr><td>HnStage.rEne (Radiological Extra-nodal extension (rEne))</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.valueCodeableConcept</td><td>check if this should be a new has member observation with obs.code = 2960001000004100  Status of extranodal extension of nodal tumour</td></tr></table><hr/><p><b>Group 6 </b>Mapping from <a href=\"StructureDefinition-HnStage.html\">Head Neck 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>HnStage.episodeEvent (Episode Event Reference)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.extension:relatedPrimaryCancerCondition</td><td/></tr><tr><td>HnStage.sites.softTissue (Soft tissue)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.</td><td>If this exists with  code = $athena#35225724 Metastasis to soft tissues</td></tr><tr><td>HnStage.sites.distantLymphNode (distant lymph node)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.</td><td>If this exists with  code =$athena#36769243 Distant spread to lymph node</td></tr><tr><td>HnStage.sites.lung (lung)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.</td><td>If this exists with  code =$athena#36770283  Metastasis to lung</td></tr><tr><td>HnStage.sites.bone (bone)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.</td><td>If this exists with  code =$athena#36769301 Metastasis to bone</td></tr><tr><td>HnStage.sites.liver (liver)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.</td><td>If this exists with  code =$athena#36770544 Metastasis to liver</td></tr><tr><td>HnStage.sites.pleura (pleura)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.</td><td>If this exists with  code =$athena#35226258 Metastasis to pleura</td></tr><tr><td>HnStage.sites.peritoneum (peritoneum)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.</td><td>If this exists with  code =$athena#35226253 Metastasis to peritoneum</td></tr><tr><td>HnStage.sites.brain (brain)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.</td><td>If this exists with  code =$athena#36768862 Metastasis to brain</td></tr><tr><td>HnStage.sites.otherViscera (other viscera)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.</td><td>If this exists with  code =$athena#36769180 Metastasis</td></tr><tr><td>HnStage.sites.unknown (unknown)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.</td><td>If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4129922 'unknown'</td></tr><tr><td>HnStage.sites (sites)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.bodySite</td><td/></tr><tr><td>HnStage.sites.softTissue (Soft tissue)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.bodySite</td><td>ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4338971 'soft tissue'</td></tr><tr><td>HnStage.sites.distantLymphNode (distant lymph node)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.bodySite</td><td>ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4241958 'Lymph node' and bodysite.extension:qualifier = $sct#5686001 'Remote'</td></tr><tr><td>HnStage.sites.lung (lung)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.bodySite</td><td>ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4213162 'lung'</td></tr><tr><td>HnStage.sites.bone (bone)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.bodySite</td><td>ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4000496 'bone'</td></tr><tr><td>HnStage.sites.liver (liver)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.bodySite</td><td>ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4009105 'liver'</td></tr><tr><td>HnStage.sites.pleura (pleura)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.bodySite</td><td>ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4150673 'pleura'</td></tr><tr><td>HnStage.sites.peritoneum (peritoneum)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.bodySite</td><td>ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4035784 'peritoneum'</td></tr><tr><td>HnStage.sites.brain (brain)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.bodySite</td><td>ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4133034 'brain'</td></tr><tr><td>HnStage.sites.otherViscera (other viscera)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.bodySite</td><td>ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4159589 'Abdominal viscera'  \n\nTO BE checked the original concept was OTHER VISCERA</td></tr></table></div>"
  },
  "url" : "http://hl7.eu/fhir/ig/idea4rc/ConceptMap/hNstage2FHIR",
  "version" : "0.1.0",
  "name" : "HnStage2FHIR",
  "title" : "HN Stage Model to this guide Map",
  "status" : "draft",
  "experimental" : true,
  "date" : "2024-11-12T10:15:38+00:00",
  "publisher" : "IDEA4RC Project",
  "contact" : [
    {
      "name" : "IDEA4RC Project",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.idea4rc.eu/"
        }
      ]
    },
    {
      "name" : "IDEA4RC Project",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.idea4rc.eu/"
        }
      ]
    }
  ],
  "description" : "Hn Stage Model to this guide Map",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "150",
          "display" : "Europe"
        }
      ]
    }
  ],
  "purpose" : "It shows how the HN Stage Model is mapped into this guide",
  "sourceUri" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage",
  "targetUri" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Bundle-eu-i4rc",
  "group" : [
    {
      "source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage",
      "target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/hn-cancer-stage-group",
      "element" : [
        {
          "code" : "HnStage.episodeEvent",
          "display" : "Episode Event Reference",
          "target" : [
            {
              "code" : "Observation.focus",
              "equivalence" : "relatedto"
            }
          ]
        },
        {
          "code" : "HnStage.Ct",
          "display" : "cT",
          "target" : [
            {
              "code" : "Observation.hasMember:tnmPrimaryTumorCategory",
              "equivalence" : "equivalent",
              "comment" : "see group 2 for details"
            }
          ]
        },
        {
          "code" : "HnStage.Cn",
          "display" : "cN",
          "target" : [
            {
              "code" : "Observation.hasMember:tnmRegionalNodesCategory",
              "equivalence" : "equivalent",
              "comment" : "see group 3 for details"
            }
          ]
        },
        {
          "code" : "HnStage.Cm",
          "display" : "cM",
          "target" : [
            {
              "code" : "Observation.hasMember:tnmDistantMetastasesCategory",
              "equivalence" : "equivalent",
              "comment" : "see group 4 for details"
            }
          ]
        },
        {
          "code" : "HnStage.Pt",
          "display" : "pT",
          "target" : [
            {
              "code" : "Observation.hasMember:tnmPrimaryTumorCategory",
              "equivalence" : "equivalent",
              "comment" : "see group 2 for details"
            }
          ]
        },
        {
          "code" : "HnStage.Pn",
          "display" : "pN",
          "target" : [
            {
              "code" : "Observation.hasMember:tnmRegionalNodesCategory",
              "equivalence" : "relatedto",
              "comment" : "see group 3 for details"
            }
          ]
        },
        {
          "code" : "HnStage.Pm",
          "display" : "pM",
          "target" : [
            {
              "code" : "Observation.hasMember:tnmDistantMetastasesCategory",
              "equivalence" : "relatedto",
              "comment" : "see group 4 for details"
            }
          ]
        },
        {
          "code" : "HnStage.rEne",
          "display" : "Radiological Extra-nodal extension (rEne)",
          "target" : [
            {
              "code" : "Observation.hasMember:extraNodalExtension",
              "equivalence" : "relatedto",
              "comment" : "see group 5 for details"
            }
          ]
        },
        {
          "code" : "HnStage.StagingClassification",
          "display" : "Staging classification",
          "target" : [
            {
              "code" : "Observation.valueCodeableConcept",
              "equivalence" : "equivalent"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage",
      "target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-tnm-primary-tumor-category",
      "element" : [
        {
          "code" : "HnStage.Ct",
          "display" : "cT",
          "target" : [
            {
              "code" : "Observation.valueCodeableConcept",
              "equivalence" : "equivalent",
              "comment" : "where code = $loinc21905-5 Primary tumor.clinical"
            }
          ]
        },
        {
          "code" : "HnStage.Cn",
          "display" : "cN",
          "target" : [
            {
              "equivalence" : "unmatched"
            }
          ]
        },
        {
          "code" : "HnStage.Cm",
          "display" : "cM",
          "target" : [
            {
              "equivalence" : "unmatched"
            }
          ]
        },
        {
          "code" : "HnStage.Pt",
          "display" : "pT",
          "target" : [
            {
              "code" : "Observation.valueCodeableConcept",
              "equivalence" : "equivalent",
              "comment" : "where code = $loinc21905-5 Primary tumor.clinical"
            }
          ]
        },
        {
          "code" : "HnStage.Pn",
          "display" : "pN",
          "target" : [
            {
              "equivalence" : "unmatched"
            }
          ]
        },
        {
          "code" : "HnStage.Pm",
          "display" : "pM",
          "target" : [
            {
              "equivalence" : "unmatched"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage",
      "target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-tnm-regional-nodes-category",
      "element" : [
        {
          "code" : "HnStage.Ct",
          "display" : "cT",
          "target" : [
            {
              "equivalence" : "unmatched"
            }
          ]
        },
        {
          "code" : "HnStage.Cn",
          "display" : "cN",
          "target" : [
            {
              "code" : "Observation.valueCodeableConcept",
              "equivalence" : "equivalent",
              "comment" : "where code = $loinc21905-5 Primary tumor.clinical"
            }
          ]
        },
        {
          "code" : "HnStage.Cm",
          "display" : "cM",
          "target" : [
            {
              "equivalence" : "unmatched"
            }
          ]
        },
        {
          "code" : "HnStage.Pt",
          "display" : "pT",
          "target" : [
            {
              "equivalence" : "unmatched"
            }
          ]
        },
        {
          "code" : "HnStage.Pn",
          "display" : "pN",
          "target" : [
            {
              "code" : "Observation.valueCodeableConcept",
              "equivalence" : "equivalent",
              "comment" : "where code = $loinc21905-5 Primary tumor.clinical"
            }
          ]
        },
        {
          "code" : "HnStage.Pm",
          "display" : "pM",
          "target" : [
            {
              "equivalence" : "unmatched"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage",
      "target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-tnm-distant-metastases-category",
      "element" : [
        {
          "code" : "HnStage.Ct",
          "display" : "cT",
          "target" : [
            {
              "equivalence" : "unmatched"
            }
          ]
        },
        {
          "code" : "HnStage.Cn",
          "display" : "cN",
          "target" : [
            {
              "equivalence" : "unmatched"
            }
          ]
        },
        {
          "code" : "HnStage.Cm",
          "display" : "cM",
          "target" : [
            {
              "code" : "Observation.valueCodeableConcept",
              "equivalence" : "equivalent",
              "comment" : "where code = $loinc21905-5 Primary tumor.clinical"
            }
          ]
        },
        {
          "code" : "HnStage.Pt",
          "display" : "pT",
          "target" : [
            {
              "equivalence" : "unmatched"
            }
          ]
        },
        {
          "code" : "HnStage.Pn",
          "display" : "pN",
          "target" : [
            {
              "equivalence" : "unmatched"
            }
          ]
        },
        {
          "code" : "HnStage.Pm",
          "display" : "pM",
          "target" : [
            {
              "code" : "Observation.valueCodeableConcept",
              "equivalence" : "equivalent",
              "comment" : "where code = $loinc21905-5 Primary tumor.clinical"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage",
      "target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-extraNodalExtension-eu-i4rc",
      "element" : [
        {
          "code" : "HnStage.rEne",
          "display" : "Radiological Extra-nodal extension (rEne)",
          "target" : [
            {
              "code" : "Observation.valueCodeableConcept",
              "equivalence" : "equivalent",
              "comment" : "check if this should be a new has member observation with obs.code = 2960001000004100  Status of extranodal extension of nodal tumour"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage",
      "target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Condition-secondaryCancer-eu-i4rc",
      "element" : [
        {
          "code" : "HnStage.episodeEvent",
          "display" : "Episode Event Reference",
          "target" : [
            {
              "code" : "Condition.extension:relatedPrimaryCancerCondition",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "HnStage.sites.softTissue",
          "display" : "Soft tissue",
          "target" : [
            {
              "code" : "Condition.",
              "equivalence" : "relatedto",
              "comment" : "If this exists with  code = $athena#35225724 Metastasis to soft tissues"
            }
          ]
        },
        {
          "code" : "HnStage.sites.distantLymphNode",
          "display" : "distant lymph node",
          "target" : [
            {
              "code" : "Condition.",
              "equivalence" : "relatedto",
              "comment" : "If this exists with  code =$athena#36769243 Distant spread to lymph node"
            }
          ]
        },
        {
          "code" : "HnStage.sites.lung",
          "display" : "lung",
          "target" : [
            {
              "code" : "Condition.",
              "equivalence" : "relatedto",
              "comment" : "If this exists with  code =$athena#36770283  Metastasis to lung"
            }
          ]
        },
        {
          "code" : "HnStage.sites.bone",
          "display" : "bone",
          "target" : [
            {
              "code" : "Condition.",
              "equivalence" : "relatedto",
              "comment" : "If this exists with  code =$athena#36769301 Metastasis to bone"
            }
          ]
        },
        {
          "code" : "HnStage.sites.liver",
          "display" : "liver",
          "target" : [
            {
              "code" : "Condition.",
              "equivalence" : "relatedto",
              "comment" : "If this exists with  code =$athena#36770544 Metastasis to liver"
            }
          ]
        },
        {
          "code" : "HnStage.sites.pleura",
          "display" : "pleura",
          "target" : [
            {
              "code" : "Condition.",
              "equivalence" : "relatedto",
              "comment" : "If this exists with  code =$athena#35226258 Metastasis to pleura"
            }
          ]
        },
        {
          "code" : "HnStage.sites.peritoneum",
          "display" : "peritoneum",
          "target" : [
            {
              "code" : "Condition.",
              "equivalence" : "relatedto",
              "comment" : "If this exists with  code =$athena#35226253 Metastasis to peritoneum"
            }
          ]
        },
        {
          "code" : "HnStage.sites.brain",
          "display" : "brain",
          "target" : [
            {
              "code" : "Condition.",
              "equivalence" : "relatedto",
              "comment" : "If this exists with  code =$athena#36768862 Metastasis to brain"
            }
          ]
        },
        {
          "code" : "HnStage.sites.otherViscera",
          "display" : "other viscera",
          "target" : [
            {
              "code" : "Condition.",
              "equivalence" : "relatedto",
              "comment" : "If this exists with  code =$athena#36769180 Metastasis"
            }
          ]
        },
        {
          "code" : "HnStage.sites.unknown",
          "display" : "unknown",
          "target" : [
            {
              "code" : "Condition.",
              "equivalence" : "relatedto",
              "comment" : "If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4129922 'unknown'"
            }
          ]
        },
        {
          "code" : "HnStage.sites",
          "display" : "sites",
          "target" : [
            {
              "code" : "Condition.bodySite",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "HnStage.sites.softTissue",
          "display" : "Soft tissue",
          "target" : [
            {
              "code" : "Condition.bodySite",
              "equivalence" : "equivalent",
              "comment" : "ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4338971 'soft tissue'"
            }
          ]
        },
        {
          "code" : "HnStage.sites.distantLymphNode",
          "display" : "distant lymph node",
          "target" : [
            {
              "code" : "Condition.bodySite",
              "equivalence" : "equivalent",
              "comment" : "ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4241958 'Lymph node' and bodysite.extension:qualifier = $sct#5686001 'Remote'"
            }
          ]
        },
        {
          "code" : "HnStage.sites.lung",
          "display" : "lung",
          "target" : [
            {
              "code" : "Condition.bodySite",
              "equivalence" : "equivalent",
              "comment" : "ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4213162 'lung'"
            }
          ]
        },
        {
          "code" : "HnStage.sites.bone",
          "display" : "bone",
          "target" : [
            {
              "code" : "Condition.bodySite",
              "equivalence" : "equivalent",
              "comment" : "ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4000496 'bone'"
            }
          ]
        },
        {
          "code" : "HnStage.sites.liver",
          "display" : "liver",
          "target" : [
            {
              "code" : "Condition.bodySite",
              "equivalence" : "equivalent",
              "comment" : "ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4009105 'liver'"
            }
          ]
        },
        {
          "code" : "HnStage.sites.pleura",
          "display" : "pleura",
          "target" : [
            {
              "code" : "Condition.bodySite",
              "equivalence" : "equivalent",
              "comment" : "ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4150673 'pleura'"
            }
          ]
        },
        {
          "code" : "HnStage.sites.peritoneum",
          "display" : "peritoneum",
          "target" : [
            {
              "code" : "Condition.bodySite",
              "equivalence" : "equivalent",
              "comment" : "ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4035784 'peritoneum'"
            }
          ]
        },
        {
          "code" : "HnStage.sites.brain",
          "display" : "brain",
          "target" : [
            {
              "code" : "Condition.bodySite",
              "equivalence" : "equivalent",
              "comment" : "ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4133034 'brain'"
            }
          ]
        },
        {
          "code" : "HnStage.sites.otherViscera",
          "display" : "other viscera",
          "target" : [
            {
              "code" : "Condition.bodySite",
              "equivalence" : "equivalent",
              "comment" : "ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4159589 'Abdominal viscera'  \n\nTO BE checked the original concept was OTHER VISCERA"
            }
          ]
        }
      ]
    }
  ]
}