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 - XML Representation

Draft as of 2024-11-12

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<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="hNstage2FHIR"/>
  <text>
    <status value="generated"/>
    <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'  

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

TO BE checked the original concept was OTHER VISCERA"/>
      </target>
    </element>
  </group>
</ConceptMap>