Pathological Stage Model to this guide Map - IDEA4RC FHIR Implementation Guide v0.1.0

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

ConceptMap: Pathological Stage Model to this guide Map (Experimental)

Official URL: http://hl7.eu/fhir/ig/idea4rc/ConceptMap/pathologicalStage2FHIR				Version: 0.1.0
Draft as of 2025-09-10				Computable Name: PathologicalStage2FHIR

It shows how the PathologicalStage model is mapped into this guide

Mapping from (not specified) to (not specified)

Group 1 Mapping from Pathological Stage to Condition: Metastatic Cancer

Source Code

Relationship

Target Code

Comment

regionalNodalMetastases (Regional nodal metastases (M))

Condition.bodysite

Where code=4241958 'Lymph node' and extension:qualifier.value=4260906 'Regional'

sites (sites (R))

Condition.bodysite

sites.softTissue (Soft tissue (R))

Condition.bodysite

Where code=4338971 'soft tissue'

sites.distantLymphNode (distant lymph node (R))

Condition.bodysite

Where code=4241958 'Lymph node' and extension:qualifier.value=4209878 'Remote'

sites.lung (lung (R))

Condition.bodysite

Where code=4213162 'lung'

sites.metastasisatbone (metastasisAtBone (R))

Condition.bodysite

Where code=4241958 'bone'

sites.liver (liver (R))

Condition.bodysite

Where code=4009105 'liver'

sites.pleura (pleura (R))

Condition.bodysite

Where code=4150673 'pleura'

sites.peritoneum (peritoneum (R))

Condition.bodysite

Where code=4035784 'peritoneum'

sites.brain (brain (R))

Condition.bodysite

Where code=4133034 'brain'

sites.otherViscera (other viscera (R))

Condition.bodysite

Where code=4159589 'Abdominal viscera'

sites.unknown (unknown (R))

Condition.bodysite

Where code=4129922 'unknown'

Group 2 Mapping from Pathological Stage to Observation: Diagnosis details

Source Code

Relationship

Target Code

diagnosisReference (Diagnosis Reference (M))

Observation.derivedFrom.Observation

Group 3 Mapping from Pathological Stage to Procedure: Other Treatment

Source Code

Relationship

Target Code

Comment

sentinelNode (Sentinel node (M))

Procedure.partOf

If it is present a procedure with code 4263386 'Sentinel lymph node biopsy' related to the observation, it is 'true'

Group 4 Mapping from Pathological Stage to Observation: Head Neck Cancer Stage Group

Source Code

Relationship

Target Code

Comment

stagingProceduresDoneBy (Staging procedures done by (M))

Observation.performer:organization

pt (pT (M))

Observation.hasMember:tnmPrimaryTumorCategory

See group for Observation: TNM Primary Tumor Category

pn (pN (M))

Observation.hasMember:tnmRegionalNodesCategory

See group for Observation: TNM Regional Nodes Category

pm (pM (M))

Observation.hasMember:tnmDistantMetastasesCategory

See group for Observation: TNM Distant Metastases Category

extraNodalExtension (Extra-nodal extension (rEne) (M))

Observation.hasMember:extraNodalExtension

See group for Observation: Radiological Extra-nodal extension (rENE)

pathologicalStaging (Pathological staging (M))

is equivalent to

Observation.value

Where code = 4221515 'Pathologic TNM stage grouping'

Group 5 Mapping from Pathological Stage to Observation: LocoRegional Category (Stage)

Source Code

Relationship

Target Code

Comment

locoRegional (Loco-regional (M))

Observation.value

If it is present an observation with value = 32943 'Invasive Disease', it is 'true', else 'false'

isTransitMetastasisWithClinicalConfirmation (Is Transit metastasis with clinical confirmation (M))

Observation.value

If it is present an observation with value = 36769249 'Transit Metastasis with Clinical Confirmation', it is 'true', else 'false'

isMultifocalTumor (Is Multifocal tumor (M))

Observation.value

If it is present an observation with value = 36769933 'Multifocal Tumor', it is 'true', else 'false'

Group 6 Mapping from Pathological Stage to Observation: TNM Distant Metastases Category

Source Code

Relationship

Target Code

Comment

pm (pM (M))

is equivalent to

Observation.value

Where code = 21901-4 'Distant metastases.pathology [Class] Cancer'

Group 7 Mapping from Pathological Stage to Observation: TNM Primary Tumor Category

Source Code

Relationship

Target Code

Comment

pt (pT (M))

is equivalent to

Observation.value

Where code = 21899-0 'Primary tumor.pathology Cancer'

Group 8 Mapping from Pathological Stage to Observation: TNM Regional Nodes Category

Source Code

Relationship

Target Code

Comment

pn (pN (M))

is equivalent to

Observation.value

Where code = 21900-6 'Regional lymph nodes.pathology [Class] Cancer'

Group 9 Mapping from Pathological Stage to Observation: Radiological Extra-nodal extension (rENE)

Source Code

Relationship

Target Code

extraNodalExtension (Extra-nodal extension (rEne) (M))

is equivalent to

Observation.value

Group 10 Mapping from Pathological Stage to Observation: Number of tumor nodules

Source Code

Relationship

Target Code

numberOfTumorNodules (Number of tumor nodules (R))

is equivalent to

Observation.value

Group 11 Mapping from Pathological Stage to Observation: Sarcoma Cancer and Disease Extent Stage Group

Source Code

Relationship

Target Code

Comment

localised (Localised (M))

Observation.hasMember:localized

See group for Observation: Localized Category (Stage, Sarcoma)

numberOfTumorNodules (Number of tumor nodules (R))

Observation.hasMember:localized

See group for Observation: Number of tumor nodules

Group 12 Mapping from Pathological Stage to Observation: Localized Category (Stage, Sarcoma)

Source Code

Relationship

Target Code

Comment

localised (Localised (M))

Observation.value

If 'true', code=32942 'Confined Disease' else code=32944 'Metastatic Disease'