IDEA4RC FHIR Implementation Guide, published by IDEA4RC Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/idea4rc/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.eu/fhir/ig/idea4rc/ConceptMap/pathologicalStage2FHIR | Version: 0.1.0 | |||
| Draft as of 2026-08-07 | Computable Name: PathologicalStage2FHIR | |||
It shows how the PathologicalStage model is mapped into this guide
This mapping does not specify any particular context of use.
Group 1 Mapping from Pathological Stage to Condition: Metastatic Cancer
Group 2 Mapping from Pathological Stage to Observation: Diagnosis details
| Source Code | Card. | Type | Relationship | Target Code | Card. | Type |
| PathologicalStage.diagnosisReference | 1..* | todo | is related to | Observation.derivedFrom | 0..* | todo |
Group 3 Mapping from Pathological Stage to Procedure: Other Treatment
| Source Code | Card. | Type | Relationship | Target Code | Card. | Type | Comment |
| PathologicalStage.sentinelNode | 1..* | todo | is related to | Procedure.partOf | 0..* | todo | 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 | Card. | Type | Relationship | Target Code | Card. | Type | Comment |
| PathologicalStage.stagingProceduresDoneBy | 1..* | todo | is related to | Observation.performer | 0..* | todo | |
| PathologicalStage.pt | 1..* | todo | is related to | Observation.hasMember:tnmPrimaryTumorCategory | 0..1 | todo | See group for Observation: TNM Primary Tumor Category |
| PathologicalStage.pn | 1..* | todo | is related to | Observation.hasMember:tnmRegionalNodesCategory | 0..1 | todo | See group for Observation: TNM Regional Nodes Category |
| PathologicalStage.pm | 1..* | todo | is related to | Observation.hasMember:tnmDistantMetastasesCategory | 0..1 | todo | See group for Observation: TNM Distant Metastases Category |
| PathologicalStage.extraNodalExtension | 1..* | todo | is related to | Observation.hasMember:extraNodalExtension | 0..1 | todo | See group for Observation: Radiological Extra-nodal extension (rENE) |
| PathologicalStage.pathologicalStaging | 1..* | todo | is equivalent to | Observation.value[x] | 0..1 | todo | Where code = 4221515 'Pathologic TNM stage grouping' |
Group 5 Mapping from Pathological Stage to Observation: LocoRegional Category (Stage)
| Source Code | Card. | Type | Relationship | Target Code | Card. | Type | Comment |
| PathologicalStage.locoRegional | 1..* | todo | is related to | Observation.value[x] | 0..1 | todo | If it is present an observation with value = 32943 'Invasive Disease', it is 'true', else 'false' |
| PathologicalStage.isTransitMetastasisWithClinicalConfirmation | 1..* | todo | is related to | Observation.value[x] | 0..1 | todo | If it is present an observation with value = 36769249 'Transit Metastasis with Clinical Confirmation', it is 'true', else 'false' |
| PathologicalStage.isMultifocalTumor | 1..* | todo | is related to | Observation.value[x] | 0..1 | todo | 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 | Card. | Type | Relationship | Target Code | Card. | Type | Comment |
| PathologicalStage.pm | 1..* | todo | is equivalent to | Observation.value[x] | 0..1 | todo | Where code = 21901-4 'Distant metastases.pathology [Class] Cancer' |
Group 7 Mapping from Pathological Stage to Observation: TNM Primary Tumor Category
| Source Code | Card. | Type | Relationship | Target Code | Card. | Type | Comment |
| PathologicalStage.pt | 1..* | todo | is equivalent to | Observation.value[x] | 0..1 | todo | Where code = 21899-0 'Primary tumor.pathology Cancer' |
Group 8 Mapping from Pathological Stage to Observation: TNM Regional Nodes Category
| Source Code | Card. | Type | Relationship | Target Code | Card. | Type | Comment |
| PathologicalStage.pn | 1..* | todo | is equivalent to | Observation.value[x] | 0..1 | todo | 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 | Card. | Type | Relationship | Target Code | Card. | Type |
| PathologicalStage.extraNodalExtension | 1..* | todo | is equivalent to | Observation.value[x] | 1..1 | todo |
Group 10 Mapping from Pathological Stage to Observation: Number of tumor nodules
| Source Code | Card. | Type | Relationship | Target Code | Card. | Type |
| PathologicalStage.numberOfTumorNodules | 0..* | todo | is equivalent to | Observation.value[x] | 1..1 | todo |
Group 11 Mapping from Pathological Stage to Observation: Sarcoma Cancer and Disease Extent Stage Group
| Source Code | Card. | Type | Relationship | Target Code | Card. | Type | Comment |
| PathologicalStage.localised | 1..* | todo | is related to | Observation.hasMember:localized | 0..1 | todo | See group for Observation: Localized Category (Stage, Sarcoma) |
| PathologicalStage.numberOfTumorNodules | 0..* | todo | is related to | Observation.hasMember:localized | 0..1 | todo | See group for Observation: Number of tumor nodules |
Group 12 Mapping from Pathological Stage to Observation: Localized Category (Stage, Sarcoma)
| Source Code | Card. | Type | Relationship | Target Code | Card. | Type | Comment |
| PathologicalStage.localised | 1..* | todo | is related to | Observation.value[x] | 0..1 | todo | If 'true', code=32942 'Confined Disease' else code=32944 'Metastatic Disease' |