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

: Pathological Stage Model to this guide Map - JSON Representation

Draft as of 2025-09-10

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{
  "resourceType" : "ConceptMap",
  "id" : "pathologicalStage2FHIR",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap pathologicalStage2FHIR</b></p><a name=\"pathologicalStage2FHIR\"> </a><a name=\"hcpathologicalStage2FHIR\"> </a><p>Mapping from (not specified) to (not specified)</p><br/><p><b>Group 1 </b>Mapping from <a href=\"StructureDefinition-PathologicalStage.html\">Pathological 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>regionalNodalMetastases (Regional nodal metastases (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.bodysite</td><td>Where code=4241958 'Lymph node' and extension:qualifier.value=4260906 'Regional'</td></tr><tr><td>sites (sites (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.bodysite</td><td/></tr><tr><td>sites.softTissue (Soft tissue (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.bodysite</td><td>Where code=4338971 'soft tissue'</td></tr><tr><td>sites.distantLymphNode (distant lymph node (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.bodysite</td><td>Where code=4241958 'Lymph node' and extension:qualifier.value=4209878 'Remote'</td></tr><tr><td>sites.lung (lung (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.bodysite</td><td>Where code=4213162 'lung'</td></tr><tr><td>sites.metastasisatbone (metastasisAtBone (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.bodysite</td><td>Where code=4241958 'bone'</td></tr><tr><td>sites.liver (liver (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.bodysite</td><td>Where code=4009105 'liver'</td></tr><tr><td>sites.pleura (pleura (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.bodysite</td><td>Where code=4150673 'pleura'</td></tr><tr><td>sites.peritoneum (peritoneum (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.bodysite</td><td>Where code=4035784 'peritoneum'</td></tr><tr><td>sites.brain (brain (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.bodysite</td><td>Where code=4133034 'brain'</td></tr><tr><td>sites.otherViscera (other viscera (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.bodysite</td><td>Where code=4159589 'Abdominal viscera'</td></tr><tr><td>sites.unknown (unknown (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.bodysite</td><td>Where code=4129922 'unknown'</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <a href=\"StructureDefinition-PathologicalStage.html\">Pathological Stage</a> to <a href=\"StructureDefinition-Observation-diagnosis-eu-i4rc.html\">Observation: Diagnosis details</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>diagnosisReference (Diagnosis Reference (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.derivedFrom.Observation</td></tr></table><hr/><p><b>Group 3 </b>Mapping from <a href=\"StructureDefinition-PathologicalStage.html\">Pathological Stage</a> to <a href=\"StructureDefinition-Procedure-otherTreatment-eu-i4rc.html\">Procedure: Other Treatment</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>sentinelNode (Sentinel node (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Procedure.partOf</td><td>If it is present a procedure with code 4263386 'Sentinel lymph node biopsy' related to the observation, it is 'true'</td></tr></table><hr/><p><b>Group 4 </b>Mapping from <a href=\"StructureDefinition-PathologicalStage.html\">Pathological 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>stagingProceduresDoneBy (Staging procedures done by (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.performer:organization</td><td/></tr><tr><td>pt (pT (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.hasMember:tnmPrimaryTumorCategory</td><td>See group for Observation: TNM Primary Tumor Category</td></tr><tr><td>pn (pN (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.hasMember:tnmRegionalNodesCategory</td><td>See group for Observation: TNM Regional Nodes Category</td></tr><tr><td>pm (pM (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.hasMember:tnmDistantMetastasesCategory</td><td>See group for Observation: TNM Distant Metastases Category</td></tr><tr><td>extraNodalExtension (Extra-nodal extension (rEne) (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.hasMember:extraNodalExtension</td><td>See group for Observation: Radiological Extra-nodal extension (rENE)</td></tr><tr><td>pathologicalStaging (Pathological staging (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.value</td><td>Where code =  4221515  'Pathologic TNM stage grouping'</td></tr></table><hr/><p><b>Group 5 </b>Mapping from <a href=\"StructureDefinition-PathologicalStage.html\">Pathological Stage</a> to <a href=\"StructureDefinition-locoRegional-category.html\">Observation: LocoRegional Category (Stage)</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>locoRegional (Loco-regional (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.value</td><td>If it is present an observation with value = 32943 'Invasive Disease', it is 'true', else 'false'</td></tr><tr><td>isTransitMetastasisWithClinicalConfirmation (Is Transit metastasis with clinical confirmation (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.value</td><td>If it is present an observation with value = 36769249 'Transit Metastasis with Clinical Confirmation', it is 'true', else 'false'</td></tr><tr><td>isMultifocalTumor (Is Multifocal tumor (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.value</td><td>If it is present an observation with value = 36769933 'Multifocal Tumor', it is 'true', else 'false'</td></tr></table><hr/><p><b>Group 6 </b>Mapping from <a href=\"StructureDefinition-PathologicalStage.html\">Pathological 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>pm (pM (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.value</td><td>Where code =  21901-4 'Distant metastases.pathology [Class] Cancer'</td></tr></table><hr/><p><b>Group 7 </b>Mapping from <a href=\"StructureDefinition-PathologicalStage.html\">Pathological 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>pt (pT (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.value</td><td>Where code = 21899-0 'Primary tumor.pathology Cancer'</td></tr></table><hr/><p><b>Group 8 </b>Mapping from <a href=\"StructureDefinition-PathologicalStage.html\">Pathological 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>pn (pN (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.value</td><td>Where code = 21900-6 'Regional lymph nodes.pathology [Class] Cancer'</td></tr></table><hr/><p><b>Group 9 </b>Mapping from <a href=\"StructureDefinition-PathologicalStage.html\">Pathological 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></tr><tr><td>extraNodalExtension (Extra-nodal extension (rEne) (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.value</td></tr></table><hr/><p><b>Group 10 </b>Mapping from <a href=\"StructureDefinition-PathologicalStage.html\">Pathological Stage</a> to <a href=\"StructureDefinition-observation-number-tumor-nodules.html\">Observation: Number of tumor nodules</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>numberOfTumorNodules (Number of tumor nodules (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.value</td></tr></table><hr/><p><b>Group 11 </b>Mapping from <a href=\"StructureDefinition-PathologicalStage.html\">Pathological Stage</a> to <a href=\"StructureDefinition-sarcoma-cancer-stage-group.html\">Observation: Sarcoma Cancer and Disease Extent 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>localised (Localised (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.hasMember:localized</td><td>See group for Observation: Localized Category (Stage, Sarcoma)</td></tr><tr><td>numberOfTumorNodules (Number of tumor nodules (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.hasMember:localized</td><td>See group for Observation: Number of tumor nodules</td></tr></table><hr/><p><b>Group 12 </b>Mapping from <a href=\"StructureDefinition-PathologicalStage.html\">Pathological Stage</a> to <a href=\"StructureDefinition-sarcoma-extent-category.html\">Observation: Localized Category (Stage, Sarcoma)</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>localised (Localised (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Observation.value</td><td>If 'true', code=32942 'Confined Disease' else code=32944 'Metastatic Disease'</td></tr></table></div>"
  },
  "url" : "http://hl7.eu/fhir/ig/idea4rc/ConceptMap/pathologicalStage2FHIR",
  "version" : "0.1.0",
  "name" : "PathologicalStage2FHIR",
  "title" : "PathologicalStage Model to this guide Map",
  "status" : "draft",
  "experimental" : true,
  "date" : "2025-09-10T15:18:34+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" : "It shows how the PathologicalStage model is mapped into this guide",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "150",
          "display" : "Europe"
        }
      ]
    }
  ],
  "group" : [
    {
      "source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage",
      "target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Condition-secondaryCancer-eu-i4rc",
      "element" : [
        {
          "code" : "regionalNodalMetastases",
          "display" : "Regional nodal metastases (M)",
          "target" : [
            {
              "code" : "Condition.bodysite",
              "equivalence" : "relatedto",
              "comment" : "Where code=4241958 'Lymph node' and extension:qualifier.value=4260906 'Regional'"
            }
          ]
        },
        {
          "code" : "sites",
          "display" : "sites (R)",
          "target" : [
            {
              "code" : "Condition.bodysite",
              "equivalence" : "relatedto"
            }
          ]
        },
        {
          "code" : "sites.softTissue",
          "display" : "Soft tissue (R)",
          "target" : [
            {
              "code" : "Condition.bodysite",
              "equivalence" : "relatedto",
              "comment" : "Where code=4338971 'soft tissue'"
            }
          ]
        },
        {
          "code" : "sites.distantLymphNode",
          "display" : "distant lymph node (R)",
          "target" : [
            {
              "code" : "Condition.bodysite",
              "equivalence" : "relatedto",
              "comment" : "Where code=4241958 'Lymph node' and extension:qualifier.value=4209878 'Remote'"
            }
          ]
        },
        {
          "code" : "sites.lung",
          "display" : "lung (R)",
          "target" : [
            {
              "code" : "Condition.bodysite",
              "equivalence" : "relatedto",
              "comment" : "Where code=4213162 'lung'"
            }
          ]
        },
        {
          "code" : "sites.metastasisatbone",
          "display" : "metastasisAtBone (R)",
          "target" : [
            {
              "code" : "Condition.bodysite",
              "equivalence" : "relatedto",
              "comment" : "Where code=4241958 'bone'"
            }
          ]
        },
        {
          "code" : "sites.liver",
          "display" : "liver (R)",
          "target" : [
            {
              "code" : "Condition.bodysite",
              "equivalence" : "relatedto",
              "comment" : "Where code=4009105 'liver'"
            }
          ]
        },
        {
          "code" : "sites.pleura",
          "display" : "pleura (R)",
          "target" : [
            {
              "code" : "Condition.bodysite",
              "equivalence" : "relatedto",
              "comment" : "Where code=4150673 'pleura'"
            }
          ]
        },
        {
          "code" : "sites.peritoneum",
          "display" : "peritoneum (R)",
          "target" : [
            {
              "code" : "Condition.bodysite",
              "equivalence" : "relatedto",
              "comment" : "Where code=4035784 'peritoneum'"
            }
          ]
        },
        {
          "code" : "sites.brain",
          "display" : "brain (R)",
          "target" : [
            {
              "code" : "Condition.bodysite",
              "equivalence" : "relatedto",
              "comment" : "Where code=4133034 'brain'"
            }
          ]
        },
        {
          "code" : "sites.otherViscera",
          "display" : "other viscera (R)",
          "target" : [
            {
              "code" : "Condition.bodysite",
              "equivalence" : "relatedto",
              "comment" : "Where code=4159589 'Abdominal viscera'"
            }
          ]
        },
        {
          "code" : "sites.unknown",
          "display" : "unknown (R)",
          "target" : [
            {
              "code" : "Condition.bodysite",
              "equivalence" : "relatedto",
              "comment" : "Where code=4129922 'unknown'"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage",
      "target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Observation-diagnosis-eu-i4rc",
      "element" : [
        {
          "code" : "diagnosisReference",
          "display" : "Diagnosis Reference (M)",
          "target" : [
            {
              "code" : "Observation.derivedFrom.Observation",
              "equivalence" : "relatedto"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage",
      "target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Procedure-otherTreatment-eu-i4rc",
      "element" : [
        {
          "code" : "sentinelNode",
          "display" : "Sentinel node (M)",
          "target" : [
            {
              "code" : "Procedure.partOf",
              "equivalence" : "relatedto",
              "comment" : "If it is present a procedure with code 4263386 'Sentinel lymph node biopsy' related to the observation, it is 'true'"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage",
      "target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/hn-cancer-stage-group",
      "element" : [
        {
          "code" : "stagingProceduresDoneBy",
          "display" : "Staging procedures done by (M)",
          "target" : [
            {
              "code" : "Observation.performer:organization",
              "equivalence" : "relatedto"
            }
          ]
        },
        {
          "code" : "pt",
          "display" : "pT (M)",
          "target" : [
            {
              "code" : "Observation.hasMember:tnmPrimaryTumorCategory",
              "equivalence" : "relatedto",
              "comment" : "See group for Observation: TNM Primary Tumor Category"
            }
          ]
        },
        {
          "code" : "pn",
          "display" : "pN (M)",
          "target" : [
            {
              "code" : "Observation.hasMember:tnmRegionalNodesCategory",
              "equivalence" : "relatedto",
              "comment" : "See group for Observation: TNM Regional Nodes Category"
            }
          ]
        },
        {
          "code" : "pm",
          "display" : "pM (M)",
          "target" : [
            {
              "code" : "Observation.hasMember:tnmDistantMetastasesCategory",
              "equivalence" : "relatedto",
              "comment" : "See group for Observation: TNM Distant Metastases Category"
            }
          ]
        },
        {
          "code" : "extraNodalExtension",
          "display" : "Extra-nodal extension (rEne) (M)",
          "target" : [
            {
              "code" : "Observation.hasMember:extraNodalExtension",
              "equivalence" : "relatedto",
              "comment" : "See group for Observation: Radiological Extra-nodal extension (rENE)"
            }
          ]
        },
        {
          "code" : "pathologicalStaging",
          "display" : "Pathological staging (M)",
          "target" : [
            {
              "code" : "Observation.value",
              "equivalence" : "equivalent",
              "comment" : "Where code =  4221515  'Pathologic TNM stage grouping'"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage",
      "target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/locoRegional-category",
      "element" : [
        {
          "code" : "locoRegional",
          "display" : "Loco-regional (M)",
          "target" : [
            {
              "code" : "Observation.value",
              "equivalence" : "relatedto",
              "comment" : "If it is present an observation with value = 32943 'Invasive Disease', it is 'true', else 'false'"
            }
          ]
        },
        {
          "code" : "isTransitMetastasisWithClinicalConfirmation",
          "display" : "Is Transit metastasis with clinical confirmation (M)",
          "target" : [
            {
              "code" : "Observation.value",
              "equivalence" : "relatedto",
              "comment" : "If it is present an observation with value = 36769249 'Transit Metastasis with Clinical Confirmation', it is 'true', else 'false'"
            }
          ]
        },
        {
          "code" : "isMultifocalTumor",
          "display" : "Is Multifocal tumor (M)",
          "target" : [
            {
              "code" : "Observation.value",
              "equivalence" : "relatedto",
              "comment" : "If it is present an observation with value = 36769933 'Multifocal Tumor', it is 'true', else 'false'"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage",
      "target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-tnm-distant-metastases-category",
      "element" : [
        {
          "code" : "pm",
          "display" : "pM (M)",
          "target" : [
            {
              "code" : "Observation.value",
              "equivalence" : "equivalent",
              "comment" : "Where code =  21901-4 'Distant metastases.pathology [Class] Cancer'"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage",
      "target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-tnm-primary-tumor-category",
      "element" : [
        {
          "code" : "pt",
          "display" : "pT (M)",
          "target" : [
            {
              "code" : "Observation.value",
              "equivalence" : "equivalent",
              "comment" : "Where code = 21899-0 'Primary tumor.pathology Cancer'"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage",
      "target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-tnm-regional-nodes-category",
      "element" : [
        {
          "code" : "pn",
          "display" : "pN (M)",
          "target" : [
            {
              "code" : "Observation.value",
              "equivalence" : "equivalent",
              "comment" : "Where code = 21900-6 'Regional lymph nodes.pathology [Class] Cancer'"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage",
      "target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-extraNodalExtension-eu-i4rc",
      "element" : [
        {
          "code" : "extraNodalExtension",
          "display" : "Extra-nodal extension (rEne) (M)",
          "target" : [
            {
              "code" : "Observation.value",
              "equivalence" : "equivalent"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage",
      "target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-number-tumor-nodules",
      "element" : [
        {
          "code" : "numberOfTumorNodules",
          "display" : "Number of tumor nodules (R)",
          "target" : [
            {
              "code" : "Observation.value",
              "equivalence" : "equivalent"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage",
      "target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/sarcoma-cancer-stage-group",
      "element" : [
        {
          "code" : "localised",
          "display" : "Localised (M)",
          "target" : [
            {
              "code" : "Observation.hasMember:localized",
              "equivalence" : "relatedto",
              "comment" : "See group for Observation: Localized Category (Stage, Sarcoma)"
            }
          ]
        },
        {
          "code" : "numberOfTumorNodules",
          "display" : "Number of tumor nodules (R)",
          "target" : [
            {
              "code" : "Observation.hasMember:localized",
              "equivalence" : "relatedto",
              "comment" : "See group for Observation: Number of tumor nodules"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage",
      "target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/sarcoma-extent-category",
      "element" : [
        {
          "code" : "localised",
          "display" : "Localised (M)",
          "target" : [
            {
              "code" : "Observation.value",
              "equivalence" : "relatedto",
              "comment" : "If 'true', code=32942 'Confined Disease' else code=32944 'Metastatic Disease'"
            }
          ]
        }
      ]
    }
  ]
}