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

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 - XML Representation

Draft as of 2026-08-07
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<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="pathologicalStage2FHIR"/>
  <text>
    <status value="generated"/>
    <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>This mapping does not specify any particular context of use.</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>Card.</b></td><td><b>Type</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Card.</b></td><td><b>Type</b></td><td><b>Comment</b></td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.regionalNodalMetastases">PathologicalStage.regionalNodalMetastases</a></td><td>1..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td><a href="StructureDefinition-Condition-secondaryCancer-eu-i4rc.html#s-Condition.bodySite">Condition.bodySite</a></td><td>0..*</td><td>todo</td><td>Where code=4241958 'Lymph node' and extension:qualifier.value=4260906 'Regional'</td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.sites">PathologicalStage.sites</a></td><td>0..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td><a href="StructureDefinition-Condition-secondaryCancer-eu-i4rc.html#s-Condition.bodySite">Condition.bodySite</a></td><td>0..*</td><td>todo</td><td/></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.sites.softTissue">PathologicalStage.sites.softTissue</a></td><td>0..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td><a href="StructureDefinition-Condition-secondaryCancer-eu-i4rc.html#s-Condition.bodySite">Condition.bodySite</a></td><td>0..*</td><td>todo</td><td>Where code=4338971 'soft tissue'</td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.sites.distantLymphNode">PathologicalStage.sites.distantLymphNode</a></td><td>0..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td><a href="StructureDefinition-Condition-secondaryCancer-eu-i4rc.html#s-Condition.bodySite">Condition.bodySite</a></td><td>0..*</td><td>todo</td><td>Where code=4241958 'Lymph node' and extension:qualifier.value=4209878 'Remote'</td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.sites.lung">PathologicalStage.sites.lung</a></td><td>0..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td><a href="StructureDefinition-Condition-secondaryCancer-eu-i4rc.html#s-Condition.bodySite">Condition.bodySite</a></td><td>0..*</td><td>todo</td><td>Where code=4213162 'lung'</td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.sites.metastasisatbone">PathologicalStage.sites.metastasisatbone</a></td><td>0..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td><a href="StructureDefinition-Condition-secondaryCancer-eu-i4rc.html#s-Condition.bodySite">Condition.bodySite</a></td><td>0..*</td><td>todo</td><td>Where code=4241958 'bone'</td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.sites.liver">PathologicalStage.sites.liver</a></td><td>0..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td><a href="StructureDefinition-Condition-secondaryCancer-eu-i4rc.html#s-Condition.bodySite">Condition.bodySite</a></td><td>0..*</td><td>todo</td><td>Where code=4009105 'liver'</td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.sites.pleura">PathologicalStage.sites.pleura</a></td><td>0..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td><a href="StructureDefinition-Condition-secondaryCancer-eu-i4rc.html#s-Condition.bodySite">Condition.bodySite</a></td><td>0..*</td><td>todo</td><td>Where code=4150673 'pleura'</td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.sites.peritoneum">PathologicalStage.sites.peritoneum</a></td><td>0..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td><a href="StructureDefinition-Condition-secondaryCancer-eu-i4rc.html#s-Condition.bodySite">Condition.bodySite</a></td><td>0..*</td><td>todo</td><td>Where code=4035784 'peritoneum'</td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.sites.brain">PathologicalStage.sites.brain</a></td><td>0..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td><a href="StructureDefinition-Condition-secondaryCancer-eu-i4rc.html#s-Condition.bodySite">Condition.bodySite</a></td><td>0..*</td><td>todo</td><td>Where code=4133034 'brain'</td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.sites.otherViscera">PathologicalStage.sites.otherViscera</a></td><td>0..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td><a href="StructureDefinition-Condition-secondaryCancer-eu-i4rc.html#s-Condition.bodySite">Condition.bodySite</a></td><td>0..*</td><td>todo</td><td>Where code=4159589 'Abdominal viscera'</td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.sites.unknown">PathologicalStage.sites.unknown</a></td><td>0..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td><a href="StructureDefinition-Condition-secondaryCancer-eu-i4rc.html#s-Condition.bodySite">Condition.bodySite</a></td><td>0..*</td><td>todo</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>Card.</b></td><td><b>Type</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Card.</b></td><td><b>Type</b></td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.diagnosisReference">PathologicalStage.diagnosisReference</a></td><td>1..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td><a href="StructureDefinition-Observation-diagnosis-eu-i4rc.html#s-Observation.derivedFrom">Observation.derivedFrom</a></td><td>0..*</td><td>todo</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>Card.</b></td><td><b>Type</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Card.</b></td><td><b>Type</b></td><td><b>Comment</b></td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.sentinelNode">PathologicalStage.sentinelNode</a></td><td>1..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td><a href="StructureDefinition-Procedure-otherTreatment-eu-i4rc.html#s-Procedure.partOf">Procedure.partOf</a></td><td>0..*</td><td>todo</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>Card.</b></td><td><b>Type</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Card.</b></td><td><b>Type</b></td><td><b>Comment</b></td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.stagingProceduresDoneBy">PathologicalStage.stagingProceduresDoneBy</a></td><td>1..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td><a href="StructureDefinition-hn-cancer-stage-group.html#s-Observation.performer">Observation.performer</a></td><td>0..*</td><td>todo</td><td/></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.pt">PathologicalStage.pt</a></td><td>1..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td><a href="StructureDefinition-hn-cancer-stage-group.html#s-Observation.hasMember:tnmPrimaryTumorCategory">Observation.hasMember:tnmPrimaryTumorCategory</a></td><td>0..1</td><td>todo</td><td>See group for Observation: TNM Primary Tumor Category</td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.pn">PathologicalStage.pn</a></td><td>1..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td><a href="StructureDefinition-hn-cancer-stage-group.html#s-Observation.hasMember:tnmRegionalNodesCategory">Observation.hasMember:tnmRegionalNodesCategory</a></td><td>0..1</td><td>todo</td><td>See group for Observation: TNM Regional Nodes Category</td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.pm">PathologicalStage.pm</a></td><td>1..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td><a href="StructureDefinition-hn-cancer-stage-group.html#s-Observation.hasMember:tnmDistantMetastasesCategory">Observation.hasMember:tnmDistantMetastasesCategory</a></td><td>0..1</td><td>todo</td><td>See group for Observation: TNM Distant Metastases Category</td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.extraNodalExtension">PathologicalStage.extraNodalExtension</a></td><td>1..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td><a href="StructureDefinition-hn-cancer-stage-group.html#s-Observation.hasMember:extraNodalExtension">Observation.hasMember:extraNodalExtension</a></td><td>0..1</td><td>todo</td><td>See group for Observation: Radiological Extra-nodal extension (rENE)</td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.pathologicalStaging">PathologicalStage.pathologicalStaging</a></td><td>1..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td><a href="StructureDefinition-hn-cancer-stage-group.html#s-Observation.value[x]">Observation.value[x]</a></td><td>0..1</td><td>todo</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>Card.</b></td><td><b>Type</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Card.</b></td><td><b>Type</b></td><td><b>Comment</b></td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.locoRegional">PathologicalStage.locoRegional</a></td><td>1..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td><a href="StructureDefinition-locoRegional-category.html#s-Observation.value[x]">Observation.value[x]</a></td><td>0..1</td><td>todo</td><td>If it is present an observation with value = 32943 'Invasive Disease', it is 'true', else 'false'</td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.isTransitMetastasisWithClinicalConfirmation">PathologicalStage.isTransitMetastasisWithClinicalConfirmation</a></td><td>1..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td><a href="StructureDefinition-locoRegional-category.html#s-Observation.value[x]">Observation.value[x]</a></td><td>0..1</td><td>todo</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><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.isMultifocalTumor">PathologicalStage.isMultifocalTumor</a></td><td>1..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td><a href="StructureDefinition-locoRegional-category.html#s-Observation.value[x]">Observation.value[x]</a></td><td>0..1</td><td>todo</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>Card.</b></td><td><b>Type</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Card.</b></td><td><b>Type</b></td><td><b>Comment</b></td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.pm">PathologicalStage.pm</a></td><td>1..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td><a href="StructureDefinition-mcode-tnm-distant-metastases-category.html#s-Observation.value[x]">Observation.value[x]</a></td><td>0..1</td><td>todo</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>Card.</b></td><td><b>Type</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Card.</b></td><td><b>Type</b></td><td><b>Comment</b></td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.pt">PathologicalStage.pt</a></td><td>1..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td><a href="StructureDefinition-mcode-tnm-primary-tumor-category.html#s-Observation.value[x]">Observation.value[x]</a></td><td>0..1</td><td>todo</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>Card.</b></td><td><b>Type</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Card.</b></td><td><b>Type</b></td><td><b>Comment</b></td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.pn">PathologicalStage.pn</a></td><td>1..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td><a href="StructureDefinition-mcode-tnm-regional-nodes-category.html#s-Observation.value[x]">Observation.value[x]</a></td><td>0..1</td><td>todo</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>Card.</b></td><td><b>Type</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Card.</b></td><td><b>Type</b></td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.extraNodalExtension">PathologicalStage.extraNodalExtension</a></td><td>1..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td><a href="StructureDefinition-observation-extraNodalExtension-eu-i4rc.html#s-Observation.value[x]">Observation.value[x]</a></td><td>1..1</td><td>todo</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>Card.</b></td><td><b>Type</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Card.</b></td><td><b>Type</b></td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.numberOfTumorNodules">PathologicalStage.numberOfTumorNodules</a></td><td>0..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td><a href="StructureDefinition-observation-number-tumor-nodules.html#s-Observation.value[x]">Observation.value[x]</a></td><td>1..1</td><td>todo</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>Card.</b></td><td><b>Type</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Card.</b></td><td><b>Type</b></td><td><b>Comment</b></td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.localised">PathologicalStage.localised</a></td><td>1..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td><a href="StructureDefinition-sarcoma-cancer-stage-group.html#s-Observation.hasMember:localized">Observation.hasMember:localized</a></td><td>0..1</td><td>todo</td><td>See group for Observation: Localized Category (Stage, Sarcoma)</td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.numberOfTumorNodules">PathologicalStage.numberOfTumorNodules</a></td><td>0..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td><a href="StructureDefinition-sarcoma-cancer-stage-group.html#s-Observation.hasMember:localized">Observation.hasMember:localized</a></td><td>0..1</td><td>todo</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>Card.</b></td><td><b>Type</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Card.</b></td><td><b>Type</b></td><td><b>Comment</b></td></tr><tr><td><a href="StructureDefinition-PathologicalStage.html#s-PathologicalStage.localised">PathologicalStage.localised</a></td><td>1..*</td><td>todo</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td><a href="StructureDefinition-sarcoma-extent-category.html#s-Observation.value[x]">Observation.value[x]</a></td><td>0..1</td><td>todo</td><td>If 'true', code=32942 'Confined Disease' else code=32944 'Metastatic Disease'</td></tr></table></div>
  </text>
  <url
       value="http://hl7.eu/fhir/ig/idea4rc/ConceptMap/pathologicalStage2FHIR"/>
  <version value="0.1.0"/>
  <name value="PathologicalStage2FHIR"/>
  <title value="PathologicalStage Model to this guide Map"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2026-08-07T10:05:28+00:00"/>
  <publisher value="IDEA4RC Project"/>
  <contact>
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    <telecom>
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      <value value="https://www.idea4rc.eu/"/>
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  </contact>
  <contact>
    <name value="IDEA4RC Project"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.idea4rc.eu/"/>
    </telecom>
  </contact>
  <description
               value="It shows how the PathologicalStage model is mapped into this guide"/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="150"/>
      <display value="Europe"/>
    </coding>
  </jurisdiction>
  <group>
    <source
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage"/>
    <target
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Condition-secondaryCancer-eu-i4rc"/>
    <element>
      <code value="PathologicalStage.regionalNodalMetastases"/>
      <display value="Regional nodal metastases (M)"/>
      <target>
        <code value="Condition.bodySite"/>
        <equivalence value="relatedto"/>
        <comment
                 value="Where code=4241958 'Lymph node' and extension:qualifier.value=4260906 'Regional'"/>
      </target>
    </element>
    <element>
      <code value="PathologicalStage.sites"/>
      <display value="sites (R)"/>
      <target>
        <code value="Condition.bodySite"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
    <element>
      <code value="PathologicalStage.sites.softTissue"/>
      <display value="Soft tissue (R)"/>
      <target>
        <code value="Condition.bodySite"/>
        <equivalence value="relatedto"/>
        <comment value="Where code=4338971 'soft tissue'"/>
      </target>
    </element>
    <element>
      <code value="PathologicalStage.sites.distantLymphNode"/>
      <display value="distant lymph node (R)"/>
      <target>
        <code value="Condition.bodySite"/>
        <equivalence value="relatedto"/>
        <comment
                 value="Where code=4241958 'Lymph node' and extension:qualifier.value=4209878 'Remote'"/>
      </target>
    </element>
    <element>
      <code value="PathologicalStage.sites.lung"/>
      <display value="lung (R)"/>
      <target>
        <code value="Condition.bodySite"/>
        <equivalence value="relatedto"/>
        <comment value="Where code=4213162 'lung'"/>
      </target>
    </element>
    <element>
      <code value="PathologicalStage.sites.metastasisatbone"/>
      <display value="metastasisAtBone (R)"/>
      <target>
        <code value="Condition.bodySite"/>
        <equivalence value="relatedto"/>
        <comment value="Where code=4241958 'bone'"/>
      </target>
    </element>
    <element>
      <code value="PathologicalStage.sites.liver"/>
      <display value="liver (R)"/>
      <target>
        <code value="Condition.bodySite"/>
        <equivalence value="relatedto"/>
        <comment value="Where code=4009105 'liver'"/>
      </target>
    </element>
    <element>
      <code value="PathologicalStage.sites.pleura"/>
      <display value="pleura (R)"/>
      <target>
        <code value="Condition.bodySite"/>
        <equivalence value="relatedto"/>
        <comment value="Where code=4150673 'pleura'"/>
      </target>
    </element>
    <element>
      <code value="PathologicalStage.sites.peritoneum"/>
      <display value="peritoneum (R)"/>
      <target>
        <code value="Condition.bodySite"/>
        <equivalence value="relatedto"/>
        <comment value="Where code=4035784 'peritoneum'"/>
      </target>
    </element>
    <element>
      <code value="PathologicalStage.sites.brain"/>
      <display value="brain (R)"/>
      <target>
        <code value="Condition.bodySite"/>
        <equivalence value="relatedto"/>
        <comment value="Where code=4133034 'brain'"/>
      </target>
    </element>
    <element>
      <code value="PathologicalStage.sites.otherViscera"/>
      <display value="other viscera (R)"/>
      <target>
        <code value="Condition.bodySite"/>
        <equivalence value="relatedto"/>
        <comment value="Where code=4159589 'Abdominal viscera'"/>
      </target>
    </element>
    <element>
      <code value="PathologicalStage.sites.unknown"/>
      <display value="unknown (R)"/>
      <target>
        <code value="Condition.bodySite"/>
        <equivalence value="relatedto"/>
        <comment value="Where code=4129922 'unknown'"/>
      </target>
    </element>
  </group>
  <group>
    <source
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage"/>
    <target
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Observation-diagnosis-eu-i4rc"/>
    <element>
      <code value="PathologicalStage.diagnosisReference"/>
      <display value="Diagnosis Reference (M)"/>
      <target>
        <code value="Observation.derivedFrom"/>
        <equivalence value="relatedto"/>
        <dependsOn>
          <property value="datatype"/>
          <value value="Reference(Observation)"/>
        </dependsOn>
      </target>
    </element>
  </group>
  <group>
    <source
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage"/>
    <target
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Procedure-otherTreatment-eu-i4rc"/>
    <element>
      <code value="PathologicalStage.sentinelNode"/>
      <display value="Sentinel node (M)"/>
      <target>
        <code value="Procedure.partOf"/>
        <equivalence value="relatedto"/>
        <comment
                 value="If it is present a procedure with code 4263386 'Sentinel lymph node biopsy' related to the observation, it is 'true'"/>
      </target>
    </element>
  </group>
  <group>
    <source
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage"/>
    <target
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/hn-cancer-stage-group"/>
    <element>
      <code value="PathologicalStage.stagingProceduresDoneBy"/>
      <display value="Staging procedures done by (M)"/>
      <target>
        <code value="Observation.performer"/>
        <equivalence value="relatedto"/>
        <dependsOn>
          <property value="datatype"/>
          <value value="Reference(Organization)"/>
        </dependsOn>
      </target>
    </element>
    <element>
      <code value="PathologicalStage.pt"/>
      <display value="pT (M)"/>
      <target>
        <code value="Observation.hasMember:tnmPrimaryTumorCategory"/>
        <equivalence value="relatedto"/>
        <comment
                 value="See group for Observation: TNM Primary Tumor Category"/>
      </target>
    </element>
    <element>
      <code value="PathologicalStage.pn"/>
      <display value="pN (M)"/>
      <target>
        <code value="Observation.hasMember:tnmRegionalNodesCategory"/>
        <equivalence value="relatedto"/>
        <comment
                 value="See group for Observation: TNM Regional Nodes Category"/>
      </target>
    </element>
    <element>
      <code value="PathologicalStage.pm"/>
      <display value="pM (M)"/>
      <target>
        <code value="Observation.hasMember:tnmDistantMetastasesCategory"/>
        <equivalence value="relatedto"/>
        <comment
                 value="See group for Observation: TNM Distant Metastases Category"/>
      </target>
    </element>
    <element>
      <code value="PathologicalStage.extraNodalExtension"/>
      <display value="Extra-nodal extension (rEne) (M)"/>
      <target>
        <code value="Observation.hasMember:extraNodalExtension"/>
        <equivalence value="relatedto"/>
        <comment
                 value="See group for Observation: Radiological Extra-nodal extension (rENE)"/>
      </target>
    </element>
    <element>
      <code value="PathologicalStage.pathologicalStaging"/>
      <display value="Pathological staging (M)"/>
      <target>
        <code value="Observation.value[x]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Where code =  4221515  'Pathologic TNM stage grouping'"/>
      </target>
    </element>
  </group>
  <group>
    <source
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage"/>
    <target
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/locoRegional-category"/>
    <element>
      <code value="PathologicalStage.locoRegional"/>
      <display value="Loco-regional (M)"/>
      <target>
        <code value="Observation.value[x]"/>
        <equivalence value="relatedto"/>
        <comment
                 value="If it is present an observation with value = 32943 'Invasive Disease', it is 'true', else 'false'"/>
      </target>
    </element>
    <element>
      <code
            value="PathologicalStage.isTransitMetastasisWithClinicalConfirmation"/>
      <display value="Is Transit metastasis with clinical confirmation (M)"/>
      <target>
        <code value="Observation.value[x]"/>
        <equivalence value="relatedto"/>
        <comment
                 value="If it is present an observation with value = 36769249 'Transit Metastasis with Clinical Confirmation', it is 'true', else 'false'"/>
      </target>
    </element>
    <element>
      <code value="PathologicalStage.isMultifocalTumor"/>
      <display value="Is Multifocal tumor (M)"/>
      <target>
        <code value="Observation.value[x]"/>
        <equivalence value="relatedto"/>
        <comment
                 value="If it is present an observation with value = 36769933 'Multifocal Tumor', it is 'true', else 'false'"/>
      </target>
    </element>
  </group>
  <group>
    <source
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage"/>
    <target
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-tnm-distant-metastases-category"/>
    <element>
      <code value="PathologicalStage.pm"/>
      <display value="pM (M)"/>
      <target>
        <code value="Observation.value[x]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Where code =  21901-4 'Distant metastases.pathology [Class] Cancer'"/>
      </target>
    </element>
  </group>
  <group>
    <source
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage"/>
    <target
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-tnm-primary-tumor-category"/>
    <element>
      <code value="PathologicalStage.pt"/>
      <display value="pT (M)"/>
      <target>
        <code value="Observation.value[x]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Where code = 21899-0 'Primary tumor.pathology Cancer'"/>
      </target>
    </element>
  </group>
  <group>
    <source
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage"/>
    <target
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-tnm-regional-nodes-category"/>
    <element>
      <code value="PathologicalStage.pn"/>
      <display value="pN (M)"/>
      <target>
        <code value="Observation.value[x]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Where code = 21900-6 'Regional lymph nodes.pathology [Class] Cancer'"/>
      </target>
    </element>
  </group>
  <group>
    <source
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage"/>
    <target
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-extraNodalExtension-eu-i4rc"/>
    <element>
      <code value="PathologicalStage.extraNodalExtension"/>
      <display value="Extra-nodal extension (rEne) (M)"/>
      <target>
        <code value="Observation.value[x]"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
  </group>
  <group>
    <source
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage"/>
    <target
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-number-tumor-nodules"/>
    <element>
      <code value="PathologicalStage.numberOfTumorNodules"/>
      <display value="Number of tumor nodules (R)"/>
      <target>
        <code value="Observation.value[x]"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
  </group>
  <group>
    <source
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage"/>
    <target
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/sarcoma-cancer-stage-group"/>
    <element>
      <code value="PathologicalStage.localised"/>
      <display value="Localised (M)"/>
      <target>
        <code value="Observation.hasMember:localized"/>
        <equivalence value="relatedto"/>
        <comment
                 value="See group for Observation: Localized Category (Stage, Sarcoma)"/>
      </target>
    </element>
    <element>
      <code value="PathologicalStage.numberOfTumorNodules"/>
      <display value="Number of tumor nodules (R)"/>
      <target>
        <code value="Observation.hasMember:localized"/>
        <equivalence value="relatedto"/>
        <comment value="See group for Observation: Number of tumor nodules"/>
      </target>
    </element>
  </group>
  <group>
    <source
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage"/>
    <target
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/sarcoma-extent-category"/>
    <element>
      <code value="PathologicalStage.localised"/>
      <display value="Localised (M)"/>
      <target>
        <code value="Observation.value[x]"/>
        <equivalence value="relatedto"/>
        <comment
                 value="If 'true', code=32942 'Confined Disease' else code=32944 'Metastatic Disease'"/>
      </target>
    </element>
  </group>
</ConceptMap>