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 - TTL Representation

Draft as of 2024-11-12

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@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 "hNstage2FHIR"] ; # 
  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 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>"
  ] ; # 
  fhir:url [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/ConceptMap/hNstage2FHIR"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "HnStage2FHIR"] ; # 
  fhir:title [ fhir:v "HN Stage Model to this guide Map"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:experimental [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:date [ fhir:v "2024-11-12T10:15:38+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 "Hn Stage Model to this guide Map"] ; # 
  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:purpose [ fhir:v "It shows how the HN Stage Model is mapped into this guide"] ; # 
  fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage"^^xsd:anyURI] ; # 
  fhir:target [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Bundle-eu-i4rc"^^xsd:anyURI] ; # 
  fhir:group ( [
fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage"^^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 "HnStage.episodeEvent" ] ;
fhir:display [ fhir:v "Episode Event Reference" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.focus" ] ;
fhir:equivalence [ fhir:v "relatedto" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.Ct" ] ;
fhir:display [ fhir:v "cT" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.hasMember:tnmPrimaryTumorCategory" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "see group 2 for details" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.Cn" ] ;
fhir:display [ fhir:v "cN" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.hasMember:tnmRegionalNodesCategory" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "see group 3 for details" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.Cm" ] ;
fhir:display [ fhir:v "cM" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.hasMember:tnmDistantMetastasesCategory" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "see group 4 for details" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.Pt" ] ;
fhir:display [ fhir:v "pT" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.hasMember:tnmPrimaryTumorCategory" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "see group 2 for details" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.Pn" ] ;
fhir:display [ fhir:v "pN" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.hasMember:tnmRegionalNodesCategory" ] ;
fhir:equivalence [ fhir:v "relatedto" ] ;
fhir:comment [ fhir:v "see group 3 for details" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.Pm" ] ;
fhir:display [ fhir:v "pM" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.hasMember:tnmDistantMetastasesCategory" ] ;
fhir:equivalence [ fhir:v "relatedto" ] ;
fhir:comment [ fhir:v "see group 4 for details" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.rEne" ] ;
fhir:display [ fhir:v "Radiological Extra-nodal extension (rEne)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.hasMember:extraNodalExtension" ] ;
fhir:equivalence [ fhir:v "relatedto" ] ;
fhir:comment [ fhir:v "see group 5 for details" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.StagingClassification" ] ;
fhir:display [ fhir:v "Staging classification" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.valueCodeableConcept" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] )
  ] [
fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage"^^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 "HnStage.Ct" ] ;
fhir:display [ fhir:v "cT" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.valueCodeableConcept" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "where code = $loinc21905-5 Primary tumor.clinical" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.Cn" ] ;
fhir:display [ fhir:v "cN" ] ;
      ( fhir:target [
fhir:equivalence [ fhir:v "unmatched" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.Cm" ] ;
fhir:display [ fhir:v "cM" ] ;
      ( fhir:target [
fhir:equivalence [ fhir:v "unmatched" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.Pt" ] ;
fhir:display [ fhir:v "pT" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.valueCodeableConcept" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "where code = $loinc21905-5 Primary tumor.clinical" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.Pn" ] ;
fhir:display [ fhir:v "pN" ] ;
      ( fhir:target [
fhir:equivalence [ fhir:v "unmatched" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.Pm" ] ;
fhir:display [ fhir:v "pM" ] ;
      ( fhir:target [
fhir:equivalence [ fhir:v "unmatched" ]       ] )     ] )
  ] [
fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage"^^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 "HnStage.Ct" ] ;
fhir:display [ fhir:v "cT" ] ;
      ( fhir:target [
fhir:equivalence [ fhir:v "unmatched" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.Cn" ] ;
fhir:display [ fhir:v "cN" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.valueCodeableConcept" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "where code = $loinc21905-5 Primary tumor.clinical" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.Cm" ] ;
fhir:display [ fhir:v "cM" ] ;
      ( fhir:target [
fhir:equivalence [ fhir:v "unmatched" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.Pt" ] ;
fhir:display [ fhir:v "pT" ] ;
      ( fhir:target [
fhir:equivalence [ fhir:v "unmatched" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.Pn" ] ;
fhir:display [ fhir:v "pN" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.valueCodeableConcept" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "where code = $loinc21905-5 Primary tumor.clinical" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.Pm" ] ;
fhir:display [ fhir:v "pM" ] ;
      ( fhir:target [
fhir:equivalence [ fhir:v "unmatched" ]       ] )     ] )
  ] [
fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage"^^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 "HnStage.Ct" ] ;
fhir:display [ fhir:v "cT" ] ;
      ( fhir:target [
fhir:equivalence [ fhir:v "unmatched" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.Cn" ] ;
fhir:display [ fhir:v "cN" ] ;
      ( fhir:target [
fhir:equivalence [ fhir:v "unmatched" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.Cm" ] ;
fhir:display [ fhir:v "cM" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.valueCodeableConcept" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "where code = $loinc21905-5 Primary tumor.clinical" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.Pt" ] ;
fhir:display [ fhir:v "pT" ] ;
      ( fhir:target [
fhir:equivalence [ fhir:v "unmatched" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.Pn" ] ;
fhir:display [ fhir:v "pN" ] ;
      ( fhir:target [
fhir:equivalence [ fhir:v "unmatched" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.Pm" ] ;
fhir:display [ fhir:v "pM" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.valueCodeableConcept" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "where code = $loinc21905-5 Primary tumor.clinical" ]       ] )     ] )
  ] [
fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage"^^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 "HnStage.rEne" ] ;
fhir:display [ fhir:v "Radiological Extra-nodal extension (rEne)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.valueCodeableConcept" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "check if this should be a new has member observation with obs.code = 2960001000004100  Status of extranodal extension of nodal tumour" ]       ] )     ] )
  ] [
fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage"^^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 "HnStage.episodeEvent" ] ;
fhir:display [ fhir:v "Episode Event Reference" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Condition.extension:relatedPrimaryCancerCondition" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.sites.softTissue" ] ;
fhir:display [ fhir:v "Soft tissue" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Condition." ] ;
fhir:equivalence [ fhir:v "relatedto" ] ;
fhir:comment [ fhir:v "If this exists with  code = $athena#35225724 Metastasis to soft tissues" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.sites.distantLymphNode" ] ;
fhir:display [ fhir:v "distant lymph node" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Condition." ] ;
fhir:equivalence [ fhir:v "relatedto" ] ;
fhir:comment [ fhir:v "If this exists with  code =$athena#36769243 Distant spread to lymph node" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.sites.lung" ] ;
fhir:display [ fhir:v "lung" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Condition." ] ;
fhir:equivalence [ fhir:v "relatedto" ] ;
fhir:comment [ fhir:v "If this exists with  code =$athena#36770283  Metastasis to lung" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.sites.bone" ] ;
fhir:display [ fhir:v "bone" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Condition." ] ;
fhir:equivalence [ fhir:v "relatedto" ] ;
fhir:comment [ fhir:v "If this exists with  code =$athena#36769301 Metastasis to bone" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.sites.liver" ] ;
fhir:display [ fhir:v "liver" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Condition." ] ;
fhir:equivalence [ fhir:v "relatedto" ] ;
fhir:comment [ fhir:v "If this exists with  code =$athena#36770544 Metastasis to liver" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.sites.pleura" ] ;
fhir:display [ fhir:v "pleura" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Condition." ] ;
fhir:equivalence [ fhir:v "relatedto" ] ;
fhir:comment [ fhir:v "If this exists with  code =$athena#35226258 Metastasis to pleura" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.sites.peritoneum" ] ;
fhir:display [ fhir:v "peritoneum" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Condition." ] ;
fhir:equivalence [ fhir:v "relatedto" ] ;
fhir:comment [ fhir:v "If this exists with  code =$athena#35226253 Metastasis to peritoneum" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.sites.brain" ] ;
fhir:display [ fhir:v "brain" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Condition." ] ;
fhir:equivalence [ fhir:v "relatedto" ] ;
fhir:comment [ fhir:v "If this exists with  code =$athena#36768862 Metastasis to brain" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.sites.otherViscera" ] ;
fhir:display [ fhir:v "other viscera" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Condition." ] ;
fhir:equivalence [ fhir:v "relatedto" ] ;
fhir:comment [ fhir:v "If this exists with  code =$athena#36769180 Metastasis" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.sites.unknown" ] ;
fhir:display [ fhir:v "unknown" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Condition." ] ;
fhir:equivalence [ fhir:v "relatedto" ] ;
fhir:comment [ fhir:v "If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4129922 'unknown'" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.sites" ] ;
fhir:display [ fhir:v "sites" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Condition.bodySite" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.sites.softTissue" ] ;
fhir:display [ fhir:v "Soft tissue" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Condition.bodySite" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4338971 'soft tissue'" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.sites.distantLymphNode" ] ;
fhir:display [ fhir:v "distant lymph node" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Condition.bodySite" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4241958 'Lymph node' and bodysite.extension:qualifier = $sct#5686001 'Remote'" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.sites.lung" ] ;
fhir:display [ fhir:v "lung" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Condition.bodySite" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4213162 'lung'" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.sites.bone" ] ;
fhir:display [ fhir:v "bone" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Condition.bodySite" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4000496 'bone'" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.sites.liver" ] ;
fhir:display [ fhir:v "liver" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Condition.bodySite" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4009105 'liver'" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.sites.pleura" ] ;
fhir:display [ fhir:v "pleura" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Condition.bodySite" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4150673 'pleura'" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.sites.peritoneum" ] ;
fhir:display [ fhir:v "peritoneum" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Condition.bodySite" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4035784 'peritoneum'" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.sites.brain" ] ;
fhir:display [ fhir:v "brain" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Condition.bodySite" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4133034 'brain'" ]       ] )     ] [
fhir:code [ fhir:v "HnStage.sites.otherViscera" ] ;
fhir:display [ fhir:v "other viscera" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Condition.bodySite" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "ALTERNATIVE : If this exists with  code =$athena#36769180 Metastasis and bodySite =$athena#4159589 'Abdominal viscera'  \n\nTO BE checked the original concept was OTHER VISCERA" ]       ] )     ] )
  ] ) . #