IDEA4RC FHIR Implementation Guide
0.1.0 - CI Build
150
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
| Draft as of 2024-11-12 |
Definitions for the CancerEpisode logical model.
Guidance on how to interpret the contents of this table can be found here
| 0. CancerEpisode | |||||||
| Definition | Cancer Episode Maturity Level: 0 Draft | ||||||
| Short | Cancer Episode | ||||||
| Logical Model | Instances of this logical model are not marked to be the target of a Reference | ||||||
| 2. CancerEpisode.patient | |||||||
| Definition | Patient element containing the data regarding the patient followed by the hospital | ||||||
| Short | Patient | ||||||
| Control | 1..1 | ||||||
| Type | http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject | ||||||
| Obligations |
| ||||||
| 4. CancerEpisode.dateOfDiagnosis | |||||||
| Definition | Date of the procedure from which the specimen was obtained that allowed the histological diagnosis. | ||||||
| Short | Date of diagnosis (biopsy or surgical piece) | ||||||
| Control | 1..1 | ||||||
| Type | date | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 6. CancerEpisode.typeOfBiopsy | |||||||
| Definition | Type of biopsy performed | ||||||
| Short | Type of biopsy | ||||||
| Comments | FNA core-trcut incisional excisional unplanned excision Fine needle biopsy - 4171863 Core needle biopsy - 4321878 Incisional biopsy - 4321986 Excisional biopsy - 4228202 Excision - 4279903 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 8. CancerEpisode.biopsyDoneBy | |||||||
| Definition | Describes the institution where diagnostic procedure was performed | ||||||
| Short | Biopsy done by | ||||||
| Control | 1..1 | ||||||
| Type | string | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 10. CancerEpisode.ageAtDiagnosis | |||||||
| Definition | Age of the patient at the time of the diagnosis. | ||||||
| Short | Age at diagnosis | ||||||
| Control | 1..1 | ||||||
| Type | integer | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 12. CancerEpisode.radiotherapyInducedSarcoma | |||||||
| Definition | radiotherapy induced if the new tumour is in the field or marginal the anatomical area that received high radiation dose; please specify the interval time from the radiotherapy treatment | ||||||
| Short | Radiotherapy induced sarcoma | ||||||
| Comments | Radiation therapy induced change Radiation therapy induced change - 37117814 | ||||||
| Control | 1..1 | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 14. CancerEpisode.grading | |||||||
| Definition | Grading of the cancer | ||||||
| Short | Grading | ||||||
| Comments | 1 2 3 high low Grade-1 - 1634371 Grade-2 - 1634752 Grade-3 - 1633749 Grade-H - 1635587 Grade-L - 1634085 | ||||||
| Control | 0..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 16. CancerEpisode.hnClassification | |||||||
| Definition | Classification for Head and Neck tumors | ||||||
| Short | Classification for Head and Neck tumors | ||||||
| Comments | Added to the model for grouping elements | ||||||
| Control | 1..1 | ||||||
| Type | BackboneElement | ||||||
| Obligations |
| ||||||
| 18. CancerEpisode.hnClassification.histologySquamous | |||||||
| Definition | Specifies the histological subgroup for squamous cancers | ||||||
| Short | Histology Squamous | ||||||
| Comments | Keratinizing squamous cell carcinoma, epidermoid carcinoma; Non-keratinizing squamous cell carcinoma; Non-keratinizing squamous cell carcinoma: SMARCB1 (INI-1)-deficient Sinonasal Carcinoma ;Non-keratinizing squamous cell carcinoma: Transitional (cylindrical cell, Schneiderian) carcinoma ;Spindle cell (sarcomatoid) squamous cell carcinoma;Spindle cell (sarcomatoid) squamous cell carcinoma: SMARCB1 (INI-1)-deficient Sinonasal Carcinoma ;Lymphoepithelial carcinoma, lymphoepithelioma like carcinoma;Basaloid squamous cell carcinoma;Squamous cell carcinoma: conventional, NOS, clear cell, microinvasive, adenoid, acantholytic, pseudoglandular, giant cell ;Verrucous squamous cell carcinoma: NOS, cuniculatum carcinoma/Ackerman tumor; Papillary squamous cell carcinoma; Squamous cell carcinoma; Squamous cell carcinoma: HPV-positive; Squamous cell carcinoma: HPV-negative | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 20. CancerEpisode.hnClassification.histologyAdenocarcinoma | |||||||
| Definition | Specifies the histological subgroup for adenocarcinomas | ||||||
| Short | Histology Adenocarcinoma | ||||||
| Comments | Intestinal-type (sinonasal) adenocarcinoma; NOS, non?intestinal-type (sinonasal), Endolymphatic sac low grade, Intestinal-type (salivary gland), cystoadenocarcinoma, mucinous, Ceruminous (only in ear); Nasopharyngeal papillary adenocarcinoma, thyroid like low grade nasopharingeal papillary adenocarcinoma; Adenoid cystic carcinoma; Adenoid cystic carcinoma: solid type (> 30% solid); Mucoepidermoid carcinoma; Polymorphous, Cribriform of minor salivary glands, Polymorphous (low grade), terminal duct carcinoma, lobular carcinoma; Acinic cell carcinoma;Clear cell carcinoma, hyalinising clear cell carcinoma; Basal cell adenocarcinoma, malignant dermal analog tumor;Salivary duct carcinoma, high grade ductal carcinoma;Salivary secretory adenocarcinoma (mammary analog, MASC); Secretory carcinoma; Myoepithelial carcinoma, malignant myoepithelioma; Carcinoma ex pleomorphic adenoma: NOS, Intracapsular, minimally invasive, largely invasive; Sebaceous adenocarcinoma, Sebaceous lymphadenocarcinoma; Carcinosarcoma; Oncocytic carcinoma, oxyphilic carcinoma, oncocytic adenocarcinoma, oncocytic malignant oncocytoma; Salivary gland intraductal carcinoma (cribriform low grade adenocarcinoma) | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 22. CancerEpisode.hnClassification.histologyNeuroendocrine | |||||||
| Definition | Specifies the histological subgroup for neuroendocrine cancers | ||||||
| Short | Histology Neuroendocrine | ||||||
| Comments | Small cell neuroendocrine�carcinoma (SmCC)?,Poorly differentiated neuroendocrine carcinoma, small cell (grade 3);Large cell neuroendocrine carcinoma (LCNEC)?, Poorly differentiated neuroendocrine carcinoma, large cell (grade 3);Well-differentiated neuroendocrine carcinoma, Middle ear carcinoid tumor;Moderately differentiated neuroendocrine carcinoma Small cell neuroendocrine�carcinoma (SmCC)? - 36714029 Poorly differentiated neuroendocrine carcinoma - 37018672 small cell (grade 3) Large cell neuroendocrine carcinoma (LCNEC)? - 4029971 Poorly differentiated neuroendocrine carcinoma, large cell (grade 3) Well-differentiated neuroendocrine carcinoma, Middle ear carcinoid tumor Moderately differentiated neuroendocrine carcinoma | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 24. CancerEpisode.hnClassification.histologyOdontogenicCarcinoma | |||||||
| Definition | Specifies the histological subgroup for odontogenic carcinomas | ||||||
| Short | Histology Odontogenic Carcinoma | ||||||
| Comments | Odontogenic carcinoma, NOS, Ameloblastic carcinoma (primary, secondary intraosseous, secondary peripheral), Primary intraosseous carcinoma, Intraosseous carcinoma developed on odontogenic cyst, sclerosing odontogenic carcinoma; Clear cell odontogenic carcinoma; Gosht cell odontogenic carcinoma Odontogenic carcinoma, NOS - 4098585 Ameloblastic carcinoma (primary, secondary intraosseous, secondary peripheral) - 37116638 Secondary dedifferentiated intraosseous ameloblastic carcinoma
| ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 26. CancerEpisode.hnClassification.histologySNUC | |||||||
| Definition | Specifies the histological subgroup for sinonasl undifferentiated carcinomas | ||||||
| Short | Histology Sinonasal undifferentiated carcinoma | ||||||
| Comments | SMARCB1 (INI-1)-deficient Sinonasal undifferentiated Carcinoma;Sinonasal SMARCA4 deficient carcinoma;IDH2-mutated sinonasal undifferentiated neoplasm SMARCB1 (INI-1)-deficient Sinonasal undifferentiated Carcinoma Sinonasal SMARCA4 deficient carcinoma IDH2-mutated sinonasal undifferentiated neoplasm | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 28. CancerEpisode.sarcomaClassification | |||||||
| Definition | Sarcoma classification | ||||||
| Short | Sarcoma classification | ||||||
| Control | 1..1 | ||||||
| Type | BackboneElement | ||||||
| Obligations |
| ||||||
| 30. CancerEpisode.sarcomaClassification.adipocyticTumours | |||||||
| Definition | Specifies the histological subgroup for adipocytic tumours | ||||||
| Short | Histology subgroup Adipocytic tumours | ||||||
| Comments | Atypical lipomatous tumour/ Liposarcoma, well-differentiated, NOS Dedifferentiated liposarcoma Myxoid liposarcoma Pleomorphic liposarcoma Myxoid pleomorphic liposarcoma Liposarcoma, well differentiated - 4102790 Dedifferentiated liposarcoma - 4284833 Myxoid liposarcoma - 4101123 Pleomorphic liposarcoma - 4010104 Myxoid pleomorphic liposarcoma - 4300687 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 32. CancerEpisode.sarcomaClassification.fmtTumours | |||||||
| Definition | Histology subgroup Fibroblastic and myofibroblastic tumours | ||||||
| Short | Histology subgroup Fibroblastic and myofibroblastic tumours | ||||||
| Comments | Palmar/plantar-type fibromatosis Desmoid-type fibromatosis Lipofibromatosis Giant cell fibroblastoma Dermatofibrosarcoma protuberans NOS Solitary fibrous tumour, benign; NOS; malignant Inflammatory myofibroblastic tumour Low-grade myofibroblastic sarcoma Superficial CD34-positive fibroblastic tumour Myxoinflammatory fibroblastic sarcoma Infantile fibrosarcoma Adult fibrosarcoma Myxofibrosarcoma Low-grade fibromyxoid sarcoma Sclerosing epithelioid fibrosarcoma Palmar/plantar-type fibromatosis - 45766452 Desmoid-type fibromatosis - 4264204 Lipofibromatosis - 45766468 Giant cell fibroblastoma - 4030132 Dermatofibrosarcoma protuberans - 4295283 Solitary fibrous tumor - 4030130 Solitary fibrous tumor, malignant - 4028562 Myofibroblastic tumour - 4021373 Low-grade myofibroblastic sarcoma - 45766454 Cellular fibroma - 4029679 Myxoinflammatory fibroblastic sarcoma - 45766450 Infantile fibrosarcoma - 4178132 Fibrosarcoma - 4202374 Myxofibrosarcoma - 45771359 Low-grade fibromyxoid sarcoma - 45771361 Sclerosing epithelioid fibrosarcoma - 45766456 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 34. CancerEpisode.sarcomaClassification.socalledFibrohistiocyticTumours | |||||||
| Definition | Histology subgroup So-called fibrohistiocytic tumours | ||||||
| Short | Histology subgroup So-called fibrohistiocytic tumours | ||||||
| Comments | Plexiform fibrohistiocytic tumour Giant cell tumour of soft parts NOS Tenosynovial giant cell tumor Plexiform fibrohistiocytic tumour - 4029525 Giant cell tumour of soft parts - 4218898 Tenosynovial giant cell tumor - 4030140 Tenosynovial giant cell tumor, diffuse - 45766525 Malignant tenosynovial giant cell tumor - 4029655 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 36. CancerEpisode.sarcomaClassification.vascularTumours | |||||||
| Definition | Vascular tumours | ||||||
| Short | Vascular tumours | ||||||
| Comments | Epithelioid haemangioendothelioma NOS Angiosarcoma Kaposiform haemangioendothelioma ha anche la forma benigna 9161/0 Acquired tufted haemangioma. teniamo anche la fomra benigna? Retiform haemangioendothelioma Papillary intralymphatic angioendothelioma Composite haemangioendothelioma Pseudomyogenic (epithelioid sarcoma?like) haemangioendothelioma Epithelioid haemangioendothelioma - 4207381 Angiosarcoma - 3661612 Hemangioendothelioma - 4281384 Retiform haemangioendothelioma - 45766493 Endovascular papillary angioendothelioma - 4030138 Composite haemangioendothelioma - 45766494 Pseudomyogenic (epithelioid sarcoma-like) hemangioendothelioma - 45766492 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 38. CancerEpisode.sarcomaClassification.pericyticPerivascularTumours | |||||||
| Definition | Pericytic (perivascular) tumours | ||||||
| Short | Pericytic (perivascular) tumours | ||||||
| Comments | Glomus tumour NOS Glomus tumour - 40571984 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 40. CancerEpisode.sarcomaClassification.smoothMuscleTumours | |||||||
| Definition | Smooth muscle tumours | ||||||
| Short | Smooth muscle tumours | ||||||
| Comments | Smooth muscle tumour of uncertain malignant potential Epithelioid smooth muscle tumor of uncertain malignant potential Myxoid smooth muscle tumour of uncertain mailgnant potential-Spindle smooth muscle tumor of uncertain malignant potential Metastasizing leiomyoma Leiomyosarcoma NOS Epithelioid leiomyosarcoma Myxoid leiomyosarcoma Metastasizing leiomyoma Smooth muscle tumour - 4327493 Epithelioid smooth muscle tumor of uncertain malignant potential - 607803 Myxoid smooth muscle tumour of uncertain mailgnant potential - 600675 Spindle smooth muscle tumor of uncertain malignant potential Metastasizing leiomyoma - 4029023 Leiomyosarcoma - 4201415 Epithelioid leiomyosarcoma - 4173148 Myxoid leiomyosarcoma - 4059632 Metastasizing leiomyoma - 4029023 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 42. CancerEpisode.sarcomaClassification.skeletalMuscleTumours | |||||||
| Definition | Skeletal muscle tumours | ||||||
| Short | Skeletal muscle tumours | ||||||
| Comments | Embryonal rhabdomyosarcoma NOS Alveolar rhabdomyosarcoma Pleomorphic rhabdomyosarcoma NOS Spindle cell / sclerosing rhabdomyosarcoma Ectomesenchymoma Embryonal rhabdomyosarcoma - 4031038 Alveolar rhabdomyosarcoma - 4272931 Pleomorphic rhabdomyosarcoma - 4298312 Spindle cell rhabdomyosarcoma - 4029528 Rhabdomyosarcoma with ganglionic differentiation - 4029024 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 44. CancerEpisode.sarcomaClassification.chondroOsseousTumours | |||||||
| Definition | Chondro-osseous tumours | ||||||
| Short | Chondro-osseous tumours | ||||||
| Comments | Extraskeletal osteosarcoma Extraskeletal osteosarcoma - 4298240 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 46. CancerEpisode.sarcomaClassification.peripheralNerveSheathTumours | |||||||
| Definition | Peripheral nerve sheath tumours | ||||||
| Short | Peripheral nerve sheath tumours | ||||||
| Comments | Malignant peripheral nerve sheath tumour NOS Malignant melanotic nerve sheath tumour Granular cell tumour NOS Granular cell tumour, malignant Malignant peripheral nerve sheath tumour - 4062426 Melanotic malignant peripheral nerve sheath tumor - 4102399 Granular cell tumour - 4005360 Granular cell tumour, malignant - 4027842 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 48. CancerEpisode.sarcomaClassification.tumoursOfUncertainDifferentiation | |||||||
| Definition | Tumours of uncertain differentiation | ||||||
| Short | Tumours of uncertain differentiation | ||||||
| Comments | Atypical fibroxanthoma Angiomatoid fibrous histiocytoma Pleomorphic hyalinizing angiectatic tumour Haemosiderotic fibrolipomatous tumour NTRK-rearranged spindle cell neoplasms Synovial sarcoma NOS Epithelioid sarcoma Alveolar soft part sarcoma Clear cell sarcoma NOS Extra-skeletal myxoid chondrosarcoma Desmoplastic small round cell tumour Extra-renal rhabdoid tumour NOS PEComas Intimal sarcoma Undifferentiated sarcoma Myoepithelioma Ossifying fibromyxoid tumour Phosphaturic mesenchymal tumour, malignant Aggressive angiomyxoma Angiomatoid fibrous histiocytoma NTRK-rearranged spindle cell neoplasm (emerging) Angiomatoid fibrous histiocytoma - 4029526 Pleomorphic hyalinizing angiectatic tumour - 45766448 Haemosiderotic fibrolipomatous tumour NTRK-rearranged spindle cell neoplasms - CUSTOM CODE Synovial sarcoma - 4268491 Epithelioid sarcoma - 4244886 Alveolar soft part sarcoma - 4339208 Clear cell sarcoma - 4155072 Myxoid chondrosarcoma - 4328092 Desmoplastic small round cell tumor - 4029522 Malignant rhabdoid tumor - 4307938 Perivascular epithelioid tumor, benign - 45771358 Perivascular epithelioid tumor, malignant - 45766447 Perivascular epithelioid cell tumor - 4304780 Intimal sarcoma - 45766495 Undifferentiated sarcoma - 4029021 Myoepithelioma - 4239519 Ossifying fibromyxoid tumour - 4028565 Phosphaturic mesenchymal tumour, malignant - 45766485 Aggressive angiomyxoma - 4239956 Angiomatoid fibrous histiocytoma - 4029526 NTRK-rearranged spindle cell neoplasm (emerging) | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 50. CancerEpisode.sarcomaClassification.undifSmallRCelSarcBonAndSofTis | |||||||
| Definition | Undifferentiated small round cell sarcomas of bone and soft tissue | ||||||
| Short | Undifferentiated small round cell sarcomas of bone and soft tissue | ||||||
| Comments | Ewing sarcoma Round cell sarcoma with�EWSR1?non-ETS fusions CIC-rearranged sarcoma Sarcoma with�BCOR�genetic alterations Ewing sarcoma - 45766528 Round cell sarcoma with�EWSR1?non-ETS fusions CIC-rearranged sarcoma Sarcoma with�BCOR�genetic alterations | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 52. CancerEpisode.sarcomaClassification.estAndRelatedTumours | |||||||
| Definition | Endometrial stromal and related tumours | ||||||
| Short | Endometrial stromal and related tumours | ||||||
| Comments | Endometrial stromal sarcoma, high grade Endometrial stromal sarcoma, low grade Endometrial stromal sarcoma, high grade - 4290926 Endometrial stromal sarcoma, low grade - 4028557 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 54. CancerEpisode.sarcomaClassification.miscellaniousMesenchimalTumors | |||||||
| Definition | Miscellanious mesenchimal tumors | ||||||
| Short | Miscellanious mesenchimal tumors | ||||||
| Comments | Uterine tumour resembling ovarian sex cord tumour Phyllodes tumour, benign Phyllodes tumour NOS Phyllodes tumour, borderline Phyllodes tumour, malignant Follicular dendritic cell sarcoma Histiocytic sarcoma Interdigitating dendritic cell sarcoma Langherans cell sarcoma Fibroblastic reticular cell tumour Biphenotypic sinonasal sarcoma Uterine tumour resembling ovarian sex cord tumour - 45771357 Benign phyllodes tumor - 4040991 Borderline phyllodes tumor - 4323562 Phyllodes tumour, malignant - 4337106 Follicular dendritic cell sarcoma - 4028710 Histiocytic sarcoma - 4029172 Interdigitating dendritic cell sarcoma - 4028709 Langherans cell sarcoma - 4029173 Fibroblastic reticular cell tumour - 42872917 Biphenotypic sinonasal sarcoma - 37311513 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 56. CancerEpisode.sarcomaClassification.mixedEpithelialAndMesenchymalTumours | |||||||
| Definition | Mixed epithelial and mesenchymal tumours | ||||||
| Short | Mixed epithelial and mesenchymal tumours | ||||||
| Comments | Adenosarcoma; please clarify if adenosarcoma with sarcomatous overgrowth Adenosarcoma - 4135215 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 58. CancerEpisode.subsites | |||||||
| Definition | subsites | ||||||
| Short | subsites | ||||||
| Control | 1..1 | ||||||
| Type | BackboneElement | ||||||
| Obligations |
| ||||||
| 60. CancerEpisode.subsites.nasalCavityAndParanasalSinuses | |||||||
| Definition | Specifies the subsite for cancers occurred in nasal cavity and paranasal sinusess | ||||||
| Short | Nasal cavity and paranasal sinuses subsite | ||||||
| Comments | AJCC 8th Edition Cancer Staging Manual Nasal cavity;Maxillary sinus;Ethmoid sinus;Frontal sinus;Sphenoid sinus Nasal cavity - 4088327 Maxillary sinus - 4050631 Ethmoid sinus - 4182234 Frontal sinus - 4204534 Sphenoid sinus - 4097172 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 62. CancerEpisode.subsites.nasopharynx | |||||||
| Definition | Specifies the subsite for cancers occurred in nasopharynx | ||||||
| Short | Nasopharynx subsite | ||||||
| Comments | AJCC 8th Edition Cancer Staging Manual Superior wall of nasopharynx;Posterior wall of nasopharynx;Lateral wall of nasopharynx;Anterior wall of nasopharynx Superior wall of nasopharynx - 4068978 Posterior wall of nasopharynx - 4146741 Lateral wall of nasopharynx - 4323979 Anterior wall of nasopharynx - 4220236 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 64. CancerEpisode.subsites.hypopharynx | |||||||
| Definition | Specifies the subsite for cancers occurred in hypopharynx | ||||||
| Short | Hypopharynx subsite | ||||||
| Comments | AJCC 8th Edition Cancer Staging Manual Postcricoid region; Hypopharyngeal aspect of aryepiglottic fold; Posterior wall of hypopharynx;Pyriform sinus Postcricoid region - 4147741 Hypopharyngeal aspect of aryepiglottic fold - 4262980 Posterior wall of hypopharynx - 4102600 Pyriform sinus - 4268741 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 66. CancerEpisode.subsites.oropharynx | |||||||
| Definition | Specifies the subsite for cancers occurred in oropharynx | ||||||
| Short | Oropharynx subsite | ||||||
| Comments | https://link.springer.com/book/9783319406176 Base of tongue, NOS; Soft palate NOS (excludes Nasopharyngcal surface C11.3); Uvula; Tonsillar fossa; Lingual tonsil; Tonsillar pillar; Vallecula; Anterior surface of epiglottis; Lateral wall oropharynx; Posterior wall oropharynx; Branchial cleft (site of neoplosm); Base of tongue, NOS - 4169910 Soft palate NOS (excludes Nasopharyngcal surface C11.3) - 4177005 Uvula - 4095284 Tonsillar fossa - 4138234 Lingual tonsil - 4068841 Tonsillar pillar - 4065073 Vallecula - 4173123 Anterior surface of epiglottis - 4283238 Lateral wall oropharynx - 4078066 Posterior wall oropharynx - 4045435 Branchial cleft (site of neoplosm) - 4235649 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 68. CancerEpisode.subsites.larynx | |||||||
| Definition | Specifies the subsite for cancers occurred in larynx | ||||||
| Short | Larynx subsite | ||||||
| Comments | AJCC 8th Edition Cancer Staging Manual Glottis;Supraglottis;Subglottis;Laryngeal cartilage Glottis - 4047227 Supraglottis - 4001049 Subglottis - 4002724 Laryngeal cartilage - 4279711 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 70. CancerEpisode.subsites.oralCavity | |||||||
| Definition | Specifies the subsite for cancers occurred in oral cavity | ||||||
| Short | Oral cavity subsite | ||||||
| Comments | AJCC 8th Edition Cancer Staging Manual Dorsal surface tongue, NOS; Border of tongue; Ventral surface of tongue NOS; Anterior 2/3 of tongue NOS; Upper gum; Lower gum; Anterior floor of mouth; Lateral floor of mouth; Overlapping lesion of floor of mouth; Hard palate; Cheek mucosa; Vestibule of mouth; Retromolar area; Overlapping lesion of other and unspecified parts of mouth; Dorsal surface tongue, NOS - 36769609 Border of tongue - 4077986 Ventral surface of tongue - 4172794 Anterior 2/3 of tongue NOS Upper gum - 4047029 Lower gum - 4210919 Anterior floor of mouth - 4181419 Lateral floor of mouth - 4103066 Overlapping lesion of floor of mouth - 44498040 Hard palate - 4234542 Cheek mucosa - 4057160 Vestibule of mouth - 4144069 Retromolar area - 36769865 Overlapping lesion of other and unspecified parts of mouth - | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 72. CancerEpisode.subsites.lip | |||||||
| Definition | Specifies the subsite for cancers occurred in lip | ||||||
| Short | Lip subsite | ||||||
| Comments | AJCC 8th Edition Cancer Staging Manual External lower lip;External upper lip;External lip, NOS;Mucosa of upper lip;Mucosa of lower lip;Mucosa of lip, NOS;Commissure of lip External lower lip - 4027546 External upper lip - 4134589 External lip, NOS - 4027545 Mucosa of upper lip - 36769700 Mucosa of lower lip - 36768548 Mucosa of lip, NOS - 4245168 Commissure of lip - 4307358 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 74. CancerEpisode.subsites.upperAndLowerLimbs | |||||||
| Definition | Specifies the subsite for cancers occurred in | ||||||
| Short | Upper and Lower limbs subsite | ||||||
| Comments | Hand Wrist Forearm Elbow/Antecubital fossa Upper arm Foot Ankle Leg Knee/popliteal fossa Upper leg Deltoid Supraclavicular Periscapular Trapezius Groin Buttock Pectoral Axilla Hand structure - 4310976 Wrist region structure - 4220073 Forearm structure - 4032953 Elbow region structure - 4027910 Antecubital fossa (surface region) - 4348994 Upper arm structure - 4165266 Foot structure- 4211098 Ankle region structure - 4142359 Lower leg structure - 4107527 Knee region structure - 4217806 popliteal fossa structure - 4138531 Upper leg - 4090445 Deltoid - 4291935 Supraclavicular - 4088464 Periscapular region - 42605854 Trapezius - 4136969 Groin - 4109459 Buttock - 4263335 Pectoral - 4096078 Axilla - 4157836 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 76. CancerEpisode.subsites.trunkWallSubsite | |||||||
| Definition | Specifies the subsite for cancers occurred in | ||||||
| Short | Trunk wall subsite | ||||||
| Comments | Thoracic Wall Abdominal Wall Paravertebral ? thoracolumbar Paravertebral ? cervical Joint structure of thoracic wall - 4088614 Anterior abdominal wall structure - 4244412 Posterior abdominal wall structure - 4330865 Paravertebral ? thoracolumbar - Paravertebral ? cervical | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 78. CancerEpisode.subsites.intraAbdominalSubsite | |||||||
| Definition | Specifies the subsite for cancers occurred in | ||||||
| Short | Intra abdominal subsite | ||||||
| Comments | Retroperitoneum Vessels (please select: inferior vena cava, aorta, iliac vessels, renal vessels, gonadal vessels, mesenteric vessels, others) Pelvis Esophagus Stomach Duodenum Jejunum/Ileus Colon Rectum Mesentery Retroperitoneal compartment structure - 4220536 Vessels (please select: inferior vena cava, aorta, iliac vessels, renal vessels, gonadal vessels, mesenteric vessels, others) Inferior vena cava structure - 4271699 Iliac vessel - 4193451 Structure of renal artery - 4154880 Gonadal artery - 4157844 Structure of mesenteric artery - 4314264 Other vessels - WILDCARD* Renal pelvis structure - 4094242 Major pelvis structure - 4229753 Region of esophagus - 4075991 Stomach - 4288283 Duodenal structure - 4302112 Jejunal structure - 4065077 Stricture of ileum - 4316356 Colon structure - 4215634 Rectum structure - 4144541 Mesentery - 4233095 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 80. CancerEpisode.subsites.intraThoracicSubsite | |||||||
| Definition | Specifies the subsite for cancers occurred in | ||||||
| Short | Intra thoracic subsite | ||||||
| Comments | Lung Heart Pleura Mediastinum Great vessels (please select: superior vena cava, aorta, pulmonary vessels, subclavian vessels, others) Lung structure - 4213162 Heart structure - 4217142 Pleura structure - 4150673 Region of mediastinum - 4088610 Great vessels (please select: superior vena cava, aorta, pulmonary vessels, subclavian vessels, others) Superior vena cava structure - 4167648 Aorta part - 4001033 Stricture of pulmonary vessel - 4035327 Structure of subclavian artery - 4272388 Other - WILDCARD | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 82. CancerEpisode.subsites.genitoUrinarySubsite | |||||||
| Definition | Specifies the subsite for cancers occurred in | ||||||
| Short | Genito urinary subsite | ||||||
| Comments | Adrenal glands Kidney Urether Bladder Prostate Seminal Vescicle Spermatic Cord Testis Penis Utero Ovary Fallopian tube Vagina Vulva Bilateral adrenal glands - 4047078 Kidney structure - 4271678 Region of ureter - 4078617 Urinary bladder structure - 4232481 Structure of lobe of prostate - 4034365 Seminal Vescicle structure - 4277442 Spermatic Cord structure - 4172591 Testis structure - 4238088 Penile structure - 4077311 Uterine structure - 4149192 Ovarian structure - 4049448 Fallopian tube structure - 4151444 Vaginal structure - 4296022 Vulval structure - 4166066 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 84. CancerEpisode.subsites.headAndNeckSubsite | |||||||
| Definition | Specifies the subsite for cancers occurred in | ||||||
| Short | Head and Neck subsite | ||||||
| Comments | Head and neck Face and/or neck structure - 4122633 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 86. CancerEpisode.subsites.breast | |||||||
| Definition | Specifies the subsite for cancers occurred in | ||||||
| Short | Breast subsite | ||||||
| Comments | Breast Breast structure - 4298444 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 88. CancerEpisode.subsites.others | |||||||
| Definition | Specifies the subsite for cancers occurred in | ||||||
| Short | Other subsite | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 90. CancerEpisode.tumorSize | |||||||
| Definition | (the longest diameter; longest dimension between pre operatory imaging and pathological specimen) cm | ||||||
| Short | Tumor Size | ||||||
| Control | 1..1 | ||||||
| Type | Quantity | ||||||
| Obligations |
| ||||||
| 92. CancerEpisode.depth | |||||||
| Definition | (for upper and lower limbs and superficial trunk) superficial (superficial tumour is located exclusively above the investing fascia without invasion of the fascia), deep (deep tumour is located beneath or invade the investing fascia). All the others are deep by definition | ||||||
| Short | Depth | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 94. CancerEpisode.biopsyMitoticCount | |||||||
| Definition | (Number/10HPF/1mm2, 50HPF/5mm2) | ||||||
| Short | Biopsy Mitotic count | ||||||
| Control | 1..1 | ||||||
| Type | Quantity | ||||||
| Obligations |
| ||||||
| 96. CancerEpisode.plasmaticEbvDnaAtBaseline | |||||||
| Definition | Describes the result of EBV DNA plasma testing before treatment in NPC type II and III (WHO) | ||||||
| Short | Plasmatic EBV DNA at baseline | ||||||
| Comments | Positive; Negative; not tested; Positive - 9191 Negative - 9189 not tested - 45878602 | ||||||
| Control | 0..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 98. CancerEpisode.hpvStatus | |||||||
| Definition | Describes the result of HPV tumor testing in oral carcinoma | ||||||
| Short | HPV status | ||||||
| Comments | Positive; Negative; Not tested; Positive - 9191 Negative - 9189 not tested - 45878602 | ||||||
| Control | 0..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 100. CancerEpisode.crpCReactiveProteinTested | |||||||
| Definition | Describes the result of C reactive protein testing | ||||||
| Short | CRP - C reactive protein tested | ||||||
| Comments | Positive; Negative; Not tested; Positive - 9191 Negative - 9189 not tested - 45878602 | ||||||
| Control | 0..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
Guidance on how to interpret the contents of this table can be found here
| 0. CancerEpisode | |||||||
| Definition | Cancer Episode Maturity Level: 0 Draft | ||||||
| Short | Cancer Episode | ||||||
| Control | 0..* | ||||||
| Is Modifier | false | ||||||
| Logical Model | Instances of this logical model are not marked to be the target of a Reference | ||||||
| 2. CancerEpisode.patient | |||||||
| Definition | Patient element containing the data regarding the patient followed by the hospital | ||||||
| Short | Patient | ||||||
| Control | 1..1 | ||||||
| Type | http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject | ||||||
| Obligations |
| ||||||
| 4. CancerEpisode.dateOfDiagnosis | |||||||
| Definition | Date of the procedure from which the specimen was obtained that allowed the histological diagnosis. | ||||||
| Short | Date of diagnosis (biopsy or surgical piece) | ||||||
| Control | 1..1 | ||||||
| Type | date | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 6. CancerEpisode.typeOfBiopsy | |||||||
| Definition | Type of biopsy performed | ||||||
| Short | Type of biopsy | ||||||
| Comments | FNA core-trcut incisional excisional unplanned excision Fine needle biopsy - 4171863 Core needle biopsy - 4321878 Incisional biopsy - 4321986 Excisional biopsy - 4228202 Excision - 4279903 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 8. CancerEpisode.biopsyDoneBy | |||||||
| Definition | Describes the institution where diagnostic procedure was performed | ||||||
| Short | Biopsy done by | ||||||
| Control | 1..1 | ||||||
| Type | string | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 10. CancerEpisode.ageAtDiagnosis | |||||||
| Definition | Age of the patient at the time of the diagnosis. | ||||||
| Short | Age at diagnosis | ||||||
| Control | 1..1 | ||||||
| Type | integer | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 12. CancerEpisode.radiotherapyInducedSarcoma | |||||||
| Definition | radiotherapy induced if the new tumour is in the field or marginal the anatomical area that received high radiation dose; please specify the interval time from the radiotherapy treatment | ||||||
| Short | Radiotherapy induced sarcoma | ||||||
| Comments | Radiation therapy induced change Radiation therapy induced change - 37117814 | ||||||
| Control | 1..1 | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 14. CancerEpisode.grading | |||||||
| Definition | Grading of the cancer | ||||||
| Short | Grading | ||||||
| Comments | 1 2 3 high low Grade-1 - 1634371 Grade-2 - 1634752 Grade-3 - 1633749 Grade-H - 1635587 Grade-L - 1634085 | ||||||
| Control | 0..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 16. CancerEpisode.hnClassification | |||||||
| Definition | Classification for Head and Neck tumors | ||||||
| Short | Classification for Head and Neck tumors | ||||||
| Comments | Added to the model for grouping elements | ||||||
| Control | 1..1 | ||||||
| Type | BackboneElement | ||||||
| Obligations |
| ||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||
| 18. CancerEpisode.hnClassification.modifierExtension | |||||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||||
| Control | 0..* | ||||||
| Type | Extension | ||||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||||
| Summary | true | ||||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||||
| Alternate Names | extensions, user content, modifiers | ||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||||
| 20. CancerEpisode.hnClassification.histologySquamous | |||||||
| Definition | Specifies the histological subgroup for squamous cancers | ||||||
| Short | Histology Squamous | ||||||
| Comments | Keratinizing squamous cell carcinoma, epidermoid carcinoma; Non-keratinizing squamous cell carcinoma; Non-keratinizing squamous cell carcinoma: SMARCB1 (INI-1)-deficient Sinonasal Carcinoma ;Non-keratinizing squamous cell carcinoma: Transitional (cylindrical cell, Schneiderian) carcinoma ;Spindle cell (sarcomatoid) squamous cell carcinoma;Spindle cell (sarcomatoid) squamous cell carcinoma: SMARCB1 (INI-1)-deficient Sinonasal Carcinoma ;Lymphoepithelial carcinoma, lymphoepithelioma like carcinoma;Basaloid squamous cell carcinoma;Squamous cell carcinoma: conventional, NOS, clear cell, microinvasive, adenoid, acantholytic, pseudoglandular, giant cell ;Verrucous squamous cell carcinoma: NOS, cuniculatum carcinoma/Ackerman tumor; Papillary squamous cell carcinoma; Squamous cell carcinoma; Squamous cell carcinoma: HPV-positive; Squamous cell carcinoma: HPV-negative | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 22. CancerEpisode.hnClassification.histologyAdenocarcinoma | |||||||
| Definition | Specifies the histological subgroup for adenocarcinomas | ||||||
| Short | Histology Adenocarcinoma | ||||||
| Comments | Intestinal-type (sinonasal) adenocarcinoma; NOS, non?intestinal-type (sinonasal), Endolymphatic sac low grade, Intestinal-type (salivary gland), cystoadenocarcinoma, mucinous, Ceruminous (only in ear); Nasopharyngeal papillary adenocarcinoma, thyroid like low grade nasopharingeal papillary adenocarcinoma; Adenoid cystic carcinoma; Adenoid cystic carcinoma: solid type (> 30% solid); Mucoepidermoid carcinoma; Polymorphous, Cribriform of minor salivary glands, Polymorphous (low grade), terminal duct carcinoma, lobular carcinoma; Acinic cell carcinoma;Clear cell carcinoma, hyalinising clear cell carcinoma; Basal cell adenocarcinoma, malignant dermal analog tumor;Salivary duct carcinoma, high grade ductal carcinoma;Salivary secretory adenocarcinoma (mammary analog, MASC); Secretory carcinoma; Myoepithelial carcinoma, malignant myoepithelioma; Carcinoma ex pleomorphic adenoma: NOS, Intracapsular, minimally invasive, largely invasive; Sebaceous adenocarcinoma, Sebaceous lymphadenocarcinoma; Carcinosarcoma; Oncocytic carcinoma, oxyphilic carcinoma, oncocytic adenocarcinoma, oncocytic malignant oncocytoma; Salivary gland intraductal carcinoma (cribriform low grade adenocarcinoma) | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 24. CancerEpisode.hnClassification.histologyNeuroendocrine | |||||||
| Definition | Specifies the histological subgroup for neuroendocrine cancers | ||||||
| Short | Histology Neuroendocrine | ||||||
| Comments | Small cell neuroendocrine�carcinoma (SmCC)?,Poorly differentiated neuroendocrine carcinoma, small cell (grade 3);Large cell neuroendocrine carcinoma (LCNEC)?, Poorly differentiated neuroendocrine carcinoma, large cell (grade 3);Well-differentiated neuroendocrine carcinoma, Middle ear carcinoid tumor;Moderately differentiated neuroendocrine carcinoma Small cell neuroendocrine�carcinoma (SmCC)? - 36714029 Poorly differentiated neuroendocrine carcinoma - 37018672 small cell (grade 3) Large cell neuroendocrine carcinoma (LCNEC)? - 4029971 Poorly differentiated neuroendocrine carcinoma, large cell (grade 3) Well-differentiated neuroendocrine carcinoma, Middle ear carcinoid tumor Moderately differentiated neuroendocrine carcinoma | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 26. CancerEpisode.hnClassification.histologyOdontogenicCarcinoma | |||||||
| Definition | Specifies the histological subgroup for odontogenic carcinomas | ||||||
| Short | Histology Odontogenic Carcinoma | ||||||
| Comments | Odontogenic carcinoma, NOS, Ameloblastic carcinoma (primary, secondary intraosseous, secondary peripheral), Primary intraosseous carcinoma, Intraosseous carcinoma developed on odontogenic cyst, sclerosing odontogenic carcinoma; Clear cell odontogenic carcinoma; Gosht cell odontogenic carcinoma Odontogenic carcinoma, NOS - 4098585 Ameloblastic carcinoma (primary, secondary intraosseous, secondary peripheral) - 37116638 Secondary dedifferentiated intraosseous ameloblastic carcinoma
| ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 28. CancerEpisode.hnClassification.histologySNUC | |||||||
| Definition | Specifies the histological subgroup for sinonasl undifferentiated carcinomas | ||||||
| Short | Histology Sinonasal undifferentiated carcinoma | ||||||
| Comments | SMARCB1 (INI-1)-deficient Sinonasal undifferentiated Carcinoma;Sinonasal SMARCA4 deficient carcinoma;IDH2-mutated sinonasal undifferentiated neoplasm SMARCB1 (INI-1)-deficient Sinonasal undifferentiated Carcinoma Sinonasal SMARCA4 deficient carcinoma IDH2-mutated sinonasal undifferentiated neoplasm | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 30. CancerEpisode.sarcomaClassification | |||||||
| Definition | Sarcoma classification | ||||||
| Short | Sarcoma classification | ||||||
| Control | 1..1 | ||||||
| Type | BackboneElement | ||||||
| Obligations |
| ||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||
| 32. CancerEpisode.sarcomaClassification.modifierExtension | |||||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||||
| Control | 0..* | ||||||
| Type | Extension | ||||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||||
| Summary | true | ||||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||||
| Alternate Names | extensions, user content, modifiers | ||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||||
| 34. CancerEpisode.sarcomaClassification.adipocyticTumours | |||||||
| Definition | Specifies the histological subgroup for adipocytic tumours | ||||||
| Short | Histology subgroup Adipocytic tumours | ||||||
| Comments | Atypical lipomatous tumour/ Liposarcoma, well-differentiated, NOS Dedifferentiated liposarcoma Myxoid liposarcoma Pleomorphic liposarcoma Myxoid pleomorphic liposarcoma Liposarcoma, well differentiated - 4102790 Dedifferentiated liposarcoma - 4284833 Myxoid liposarcoma - 4101123 Pleomorphic liposarcoma - 4010104 Myxoid pleomorphic liposarcoma - 4300687 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 36. CancerEpisode.sarcomaClassification.fmtTumours | |||||||
| Definition | Histology subgroup Fibroblastic and myofibroblastic tumours | ||||||
| Short | Histology subgroup Fibroblastic and myofibroblastic tumours | ||||||
| Comments | Palmar/plantar-type fibromatosis Desmoid-type fibromatosis Lipofibromatosis Giant cell fibroblastoma Dermatofibrosarcoma protuberans NOS Solitary fibrous tumour, benign; NOS; malignant Inflammatory myofibroblastic tumour Low-grade myofibroblastic sarcoma Superficial CD34-positive fibroblastic tumour Myxoinflammatory fibroblastic sarcoma Infantile fibrosarcoma Adult fibrosarcoma Myxofibrosarcoma Low-grade fibromyxoid sarcoma Sclerosing epithelioid fibrosarcoma Palmar/plantar-type fibromatosis - 45766452 Desmoid-type fibromatosis - 4264204 Lipofibromatosis - 45766468 Giant cell fibroblastoma - 4030132 Dermatofibrosarcoma protuberans - 4295283 Solitary fibrous tumor - 4030130 Solitary fibrous tumor, malignant - 4028562 Myofibroblastic tumour - 4021373 Low-grade myofibroblastic sarcoma - 45766454 Cellular fibroma - 4029679 Myxoinflammatory fibroblastic sarcoma - 45766450 Infantile fibrosarcoma - 4178132 Fibrosarcoma - 4202374 Myxofibrosarcoma - 45771359 Low-grade fibromyxoid sarcoma - 45771361 Sclerosing epithelioid fibrosarcoma - 45766456 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 38. CancerEpisode.sarcomaClassification.socalledFibrohistiocyticTumours | |||||||
| Definition | Histology subgroup So-called fibrohistiocytic tumours | ||||||
| Short | Histology subgroup So-called fibrohistiocytic tumours | ||||||
| Comments | Plexiform fibrohistiocytic tumour Giant cell tumour of soft parts NOS Tenosynovial giant cell tumor Plexiform fibrohistiocytic tumour - 4029525 Giant cell tumour of soft parts - 4218898 Tenosynovial giant cell tumor - 4030140 Tenosynovial giant cell tumor, diffuse - 45766525 Malignant tenosynovial giant cell tumor - 4029655 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 40. CancerEpisode.sarcomaClassification.vascularTumours | |||||||
| Definition | Vascular tumours | ||||||
| Short | Vascular tumours | ||||||
| Comments | Epithelioid haemangioendothelioma NOS Angiosarcoma Kaposiform haemangioendothelioma ha anche la forma benigna 9161/0 Acquired tufted haemangioma. teniamo anche la fomra benigna? Retiform haemangioendothelioma Papillary intralymphatic angioendothelioma Composite haemangioendothelioma Pseudomyogenic (epithelioid sarcoma?like) haemangioendothelioma Epithelioid haemangioendothelioma - 4207381 Angiosarcoma - 3661612 Hemangioendothelioma - 4281384 Retiform haemangioendothelioma - 45766493 Endovascular papillary angioendothelioma - 4030138 Composite haemangioendothelioma - 45766494 Pseudomyogenic (epithelioid sarcoma-like) hemangioendothelioma - 45766492 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 42. CancerEpisode.sarcomaClassification.pericyticPerivascularTumours | |||||||
| Definition | Pericytic (perivascular) tumours | ||||||
| Short | Pericytic (perivascular) tumours | ||||||
| Comments | Glomus tumour NOS Glomus tumour - 40571984 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 44. CancerEpisode.sarcomaClassification.smoothMuscleTumours | |||||||
| Definition | Smooth muscle tumours | ||||||
| Short | Smooth muscle tumours | ||||||
| Comments | Smooth muscle tumour of uncertain malignant potential Epithelioid smooth muscle tumor of uncertain malignant potential Myxoid smooth muscle tumour of uncertain mailgnant potential-Spindle smooth muscle tumor of uncertain malignant potential Metastasizing leiomyoma Leiomyosarcoma NOS Epithelioid leiomyosarcoma Myxoid leiomyosarcoma Metastasizing leiomyoma Smooth muscle tumour - 4327493 Epithelioid smooth muscle tumor of uncertain malignant potential - 607803 Myxoid smooth muscle tumour of uncertain mailgnant potential - 600675 Spindle smooth muscle tumor of uncertain malignant potential Metastasizing leiomyoma - 4029023 Leiomyosarcoma - 4201415 Epithelioid leiomyosarcoma - 4173148 Myxoid leiomyosarcoma - 4059632 Metastasizing leiomyoma - 4029023 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 46. CancerEpisode.sarcomaClassification.skeletalMuscleTumours | |||||||
| Definition | Skeletal muscle tumours | ||||||
| Short | Skeletal muscle tumours | ||||||
| Comments | Embryonal rhabdomyosarcoma NOS Alveolar rhabdomyosarcoma Pleomorphic rhabdomyosarcoma NOS Spindle cell / sclerosing rhabdomyosarcoma Ectomesenchymoma Embryonal rhabdomyosarcoma - 4031038 Alveolar rhabdomyosarcoma - 4272931 Pleomorphic rhabdomyosarcoma - 4298312 Spindle cell rhabdomyosarcoma - 4029528 Rhabdomyosarcoma with ganglionic differentiation - 4029024 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 48. CancerEpisode.sarcomaClassification.chondroOsseousTumours | |||||||
| Definition | Chondro-osseous tumours | ||||||
| Short | Chondro-osseous tumours | ||||||
| Comments | Extraskeletal osteosarcoma Extraskeletal osteosarcoma - 4298240 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 50. CancerEpisode.sarcomaClassification.peripheralNerveSheathTumours | |||||||
| Definition | Peripheral nerve sheath tumours | ||||||
| Short | Peripheral nerve sheath tumours | ||||||
| Comments | Malignant peripheral nerve sheath tumour NOS Malignant melanotic nerve sheath tumour Granular cell tumour NOS Granular cell tumour, malignant Malignant peripheral nerve sheath tumour - 4062426 Melanotic malignant peripheral nerve sheath tumor - 4102399 Granular cell tumour - 4005360 Granular cell tumour, malignant - 4027842 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 52. CancerEpisode.sarcomaClassification.tumoursOfUncertainDifferentiation | |||||||
| Definition | Tumours of uncertain differentiation | ||||||
| Short | Tumours of uncertain differentiation | ||||||
| Comments | Atypical fibroxanthoma Angiomatoid fibrous histiocytoma Pleomorphic hyalinizing angiectatic tumour Haemosiderotic fibrolipomatous tumour NTRK-rearranged spindle cell neoplasms Synovial sarcoma NOS Epithelioid sarcoma Alveolar soft part sarcoma Clear cell sarcoma NOS Extra-skeletal myxoid chondrosarcoma Desmoplastic small round cell tumour Extra-renal rhabdoid tumour NOS PEComas Intimal sarcoma Undifferentiated sarcoma Myoepithelioma Ossifying fibromyxoid tumour Phosphaturic mesenchymal tumour, malignant Aggressive angiomyxoma Angiomatoid fibrous histiocytoma NTRK-rearranged spindle cell neoplasm (emerging) Angiomatoid fibrous histiocytoma - 4029526 Pleomorphic hyalinizing angiectatic tumour - 45766448 Haemosiderotic fibrolipomatous tumour NTRK-rearranged spindle cell neoplasms - CUSTOM CODE Synovial sarcoma - 4268491 Epithelioid sarcoma - 4244886 Alveolar soft part sarcoma - 4339208 Clear cell sarcoma - 4155072 Myxoid chondrosarcoma - 4328092 Desmoplastic small round cell tumor - 4029522 Malignant rhabdoid tumor - 4307938 Perivascular epithelioid tumor, benign - 45771358 Perivascular epithelioid tumor, malignant - 45766447 Perivascular epithelioid cell tumor - 4304780 Intimal sarcoma - 45766495 Undifferentiated sarcoma - 4029021 Myoepithelioma - 4239519 Ossifying fibromyxoid tumour - 4028565 Phosphaturic mesenchymal tumour, malignant - 45766485 Aggressive angiomyxoma - 4239956 Angiomatoid fibrous histiocytoma - 4029526 NTRK-rearranged spindle cell neoplasm (emerging) | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 54. CancerEpisode.sarcomaClassification.undifSmallRCelSarcBonAndSofTis | |||||||
| Definition | Undifferentiated small round cell sarcomas of bone and soft tissue | ||||||
| Short | Undifferentiated small round cell sarcomas of bone and soft tissue | ||||||
| Comments | Ewing sarcoma Round cell sarcoma with�EWSR1?non-ETS fusions CIC-rearranged sarcoma Sarcoma with�BCOR�genetic alterations Ewing sarcoma - 45766528 Round cell sarcoma with�EWSR1?non-ETS fusions CIC-rearranged sarcoma Sarcoma with�BCOR�genetic alterations | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 56. CancerEpisode.sarcomaClassification.estAndRelatedTumours | |||||||
| Definition | Endometrial stromal and related tumours | ||||||
| Short | Endometrial stromal and related tumours | ||||||
| Comments | Endometrial stromal sarcoma, high grade Endometrial stromal sarcoma, low grade Endometrial stromal sarcoma, high grade - 4290926 Endometrial stromal sarcoma, low grade - 4028557 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 58. CancerEpisode.sarcomaClassification.miscellaniousMesenchimalTumors | |||||||
| Definition | Miscellanious mesenchimal tumors | ||||||
| Short | Miscellanious mesenchimal tumors | ||||||
| Comments | Uterine tumour resembling ovarian sex cord tumour Phyllodes tumour, benign Phyllodes tumour NOS Phyllodes tumour, borderline Phyllodes tumour, malignant Follicular dendritic cell sarcoma Histiocytic sarcoma Interdigitating dendritic cell sarcoma Langherans cell sarcoma Fibroblastic reticular cell tumour Biphenotypic sinonasal sarcoma Uterine tumour resembling ovarian sex cord tumour - 45771357 Benign phyllodes tumor - 4040991 Borderline phyllodes tumor - 4323562 Phyllodes tumour, malignant - 4337106 Follicular dendritic cell sarcoma - 4028710 Histiocytic sarcoma - 4029172 Interdigitating dendritic cell sarcoma - 4028709 Langherans cell sarcoma - 4029173 Fibroblastic reticular cell tumour - 42872917 Biphenotypic sinonasal sarcoma - 37311513 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 60. CancerEpisode.sarcomaClassification.mixedEpithelialAndMesenchymalTumours | |||||||
| Definition | Mixed epithelial and mesenchymal tumours | ||||||
| Short | Mixed epithelial and mesenchymal tumours | ||||||
| Comments | Adenosarcoma; please clarify if adenosarcoma with sarcomatous overgrowth Adenosarcoma - 4135215 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 62. CancerEpisode.subsites | |||||||
| Definition | subsites | ||||||
| Short | subsites | ||||||
| Control | 1..1 | ||||||
| Type | BackboneElement | ||||||
| Obligations |
| ||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||
| 64. CancerEpisode.subsites.modifierExtension | |||||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||||
| Control | 0..* | ||||||
| Type | Extension | ||||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||||
| Summary | true | ||||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||||
| Alternate Names | extensions, user content, modifiers | ||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||||
| 66. CancerEpisode.subsites.nasalCavityAndParanasalSinuses | |||||||
| Definition | Specifies the subsite for cancers occurred in nasal cavity and paranasal sinusess | ||||||
| Short | Nasal cavity and paranasal sinuses subsite | ||||||
| Comments | AJCC 8th Edition Cancer Staging Manual Nasal cavity;Maxillary sinus;Ethmoid sinus;Frontal sinus;Sphenoid sinus Nasal cavity - 4088327 Maxillary sinus - 4050631 Ethmoid sinus - 4182234 Frontal sinus - 4204534 Sphenoid sinus - 4097172 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 68. CancerEpisode.subsites.nasopharynx | |||||||
| Definition | Specifies the subsite for cancers occurred in nasopharynx | ||||||
| Short | Nasopharynx subsite | ||||||
| Comments | AJCC 8th Edition Cancer Staging Manual Superior wall of nasopharynx;Posterior wall of nasopharynx;Lateral wall of nasopharynx;Anterior wall of nasopharynx Superior wall of nasopharynx - 4068978 Posterior wall of nasopharynx - 4146741 Lateral wall of nasopharynx - 4323979 Anterior wall of nasopharynx - 4220236 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 70. CancerEpisode.subsites.hypopharynx | |||||||
| Definition | Specifies the subsite for cancers occurred in hypopharynx | ||||||
| Short | Hypopharynx subsite | ||||||
| Comments | AJCC 8th Edition Cancer Staging Manual Postcricoid region; Hypopharyngeal aspect of aryepiglottic fold; Posterior wall of hypopharynx;Pyriform sinus Postcricoid region - 4147741 Hypopharyngeal aspect of aryepiglottic fold - 4262980 Posterior wall of hypopharynx - 4102600 Pyriform sinus - 4268741 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 72. CancerEpisode.subsites.oropharynx | |||||||
| Definition | Specifies the subsite for cancers occurred in oropharynx | ||||||
| Short | Oropharynx subsite | ||||||
| Comments | https://link.springer.com/book/9783319406176 Base of tongue, NOS; Soft palate NOS (excludes Nasopharyngcal surface C11.3); Uvula; Tonsillar fossa; Lingual tonsil; Tonsillar pillar; Vallecula; Anterior surface of epiglottis; Lateral wall oropharynx; Posterior wall oropharynx; Branchial cleft (site of neoplosm); Base of tongue, NOS - 4169910 Soft palate NOS (excludes Nasopharyngcal surface C11.3) - 4177005 Uvula - 4095284 Tonsillar fossa - 4138234 Lingual tonsil - 4068841 Tonsillar pillar - 4065073 Vallecula - 4173123 Anterior surface of epiglottis - 4283238 Lateral wall oropharynx - 4078066 Posterior wall oropharynx - 4045435 Branchial cleft (site of neoplosm) - 4235649 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 74. CancerEpisode.subsites.larynx | |||||||
| Definition | Specifies the subsite for cancers occurred in larynx | ||||||
| Short | Larynx subsite | ||||||
| Comments | AJCC 8th Edition Cancer Staging Manual Glottis;Supraglottis;Subglottis;Laryngeal cartilage Glottis - 4047227 Supraglottis - 4001049 Subglottis - 4002724 Laryngeal cartilage - 4279711 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 76. CancerEpisode.subsites.oralCavity | |||||||
| Definition | Specifies the subsite for cancers occurred in oral cavity | ||||||
| Short | Oral cavity subsite | ||||||
| Comments | AJCC 8th Edition Cancer Staging Manual Dorsal surface tongue, NOS; Border of tongue; Ventral surface of tongue NOS; Anterior 2/3 of tongue NOS; Upper gum; Lower gum; Anterior floor of mouth; Lateral floor of mouth; Overlapping lesion of floor of mouth; Hard palate; Cheek mucosa; Vestibule of mouth; Retromolar area; Overlapping lesion of other and unspecified parts of mouth; Dorsal surface tongue, NOS - 36769609 Border of tongue - 4077986 Ventral surface of tongue - 4172794 Anterior 2/3 of tongue NOS Upper gum - 4047029 Lower gum - 4210919 Anterior floor of mouth - 4181419 Lateral floor of mouth - 4103066 Overlapping lesion of floor of mouth - 44498040 Hard palate - 4234542 Cheek mucosa - 4057160 Vestibule of mouth - 4144069 Retromolar area - 36769865 Overlapping lesion of other and unspecified parts of mouth - | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 78. CancerEpisode.subsites.lip | |||||||
| Definition | Specifies the subsite for cancers occurred in lip | ||||||
| Short | Lip subsite | ||||||
| Comments | AJCC 8th Edition Cancer Staging Manual External lower lip;External upper lip;External lip, NOS;Mucosa of upper lip;Mucosa of lower lip;Mucosa of lip, NOS;Commissure of lip External lower lip - 4027546 External upper lip - 4134589 External lip, NOS - 4027545 Mucosa of upper lip - 36769700 Mucosa of lower lip - 36768548 Mucosa of lip, NOS - 4245168 Commissure of lip - 4307358 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 80. CancerEpisode.subsites.upperAndLowerLimbs | |||||||
| Definition | Specifies the subsite for cancers occurred in | ||||||
| Short | Upper and Lower limbs subsite | ||||||
| Comments | Hand Wrist Forearm Elbow/Antecubital fossa Upper arm Foot Ankle Leg Knee/popliteal fossa Upper leg Deltoid Supraclavicular Periscapular Trapezius Groin Buttock Pectoral Axilla Hand structure - 4310976 Wrist region structure - 4220073 Forearm structure - 4032953 Elbow region structure - 4027910 Antecubital fossa (surface region) - 4348994 Upper arm structure - 4165266 Foot structure- 4211098 Ankle region structure - 4142359 Lower leg structure - 4107527 Knee region structure - 4217806 popliteal fossa structure - 4138531 Upper leg - 4090445 Deltoid - 4291935 Supraclavicular - 4088464 Periscapular region - 42605854 Trapezius - 4136969 Groin - 4109459 Buttock - 4263335 Pectoral - 4096078 Axilla - 4157836 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 82. CancerEpisode.subsites.trunkWallSubsite | |||||||
| Definition | Specifies the subsite for cancers occurred in | ||||||
| Short | Trunk wall subsite | ||||||
| Comments | Thoracic Wall Abdominal Wall Paravertebral ? thoracolumbar Paravertebral ? cervical Joint structure of thoracic wall - 4088614 Anterior abdominal wall structure - 4244412 Posterior abdominal wall structure - 4330865 Paravertebral ? thoracolumbar - Paravertebral ? cervical | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 84. CancerEpisode.subsites.intraAbdominalSubsite | |||||||
| Definition | Specifies the subsite for cancers occurred in | ||||||
| Short | Intra abdominal subsite | ||||||
| Comments | Retroperitoneum Vessels (please select: inferior vena cava, aorta, iliac vessels, renal vessels, gonadal vessels, mesenteric vessels, others) Pelvis Esophagus Stomach Duodenum Jejunum/Ileus Colon Rectum Mesentery Retroperitoneal compartment structure - 4220536 Vessels (please select: inferior vena cava, aorta, iliac vessels, renal vessels, gonadal vessels, mesenteric vessels, others) Inferior vena cava structure - 4271699 Iliac vessel - 4193451 Structure of renal artery - 4154880 Gonadal artery - 4157844 Structure of mesenteric artery - 4314264 Other vessels - WILDCARD* Renal pelvis structure - 4094242 Major pelvis structure - 4229753 Region of esophagus - 4075991 Stomach - 4288283 Duodenal structure - 4302112 Jejunal structure - 4065077 Stricture of ileum - 4316356 Colon structure - 4215634 Rectum structure - 4144541 Mesentery - 4233095 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 86. CancerEpisode.subsites.intraThoracicSubsite | |||||||
| Definition | Specifies the subsite for cancers occurred in | ||||||
| Short | Intra thoracic subsite | ||||||
| Comments | Lung Heart Pleura Mediastinum Great vessels (please select: superior vena cava, aorta, pulmonary vessels, subclavian vessels, others) Lung structure - 4213162 Heart structure - 4217142 Pleura structure - 4150673 Region of mediastinum - 4088610 Great vessels (please select: superior vena cava, aorta, pulmonary vessels, subclavian vessels, others) Superior vena cava structure - 4167648 Aorta part - 4001033 Stricture of pulmonary vessel - 4035327 Structure of subclavian artery - 4272388 Other - WILDCARD | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 88. CancerEpisode.subsites.genitoUrinarySubsite | |||||||
| Definition | Specifies the subsite for cancers occurred in | ||||||
| Short | Genito urinary subsite | ||||||
| Comments | Adrenal glands Kidney Urether Bladder Prostate Seminal Vescicle Spermatic Cord Testis Penis Utero Ovary Fallopian tube Vagina Vulva Bilateral adrenal glands - 4047078 Kidney structure - 4271678 Region of ureter - 4078617 Urinary bladder structure - 4232481 Structure of lobe of prostate - 4034365 Seminal Vescicle structure - 4277442 Spermatic Cord structure - 4172591 Testis structure - 4238088 Penile structure - 4077311 Uterine structure - 4149192 Ovarian structure - 4049448 Fallopian tube structure - 4151444 Vaginal structure - 4296022 Vulval structure - 4166066 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 90. CancerEpisode.subsites.headAndNeckSubsite | |||||||
| Definition | Specifies the subsite for cancers occurred in | ||||||
| Short | Head and Neck subsite | ||||||
| Comments | Head and neck Face and/or neck structure - 4122633 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 92. CancerEpisode.subsites.breast | |||||||
| Definition | Specifies the subsite for cancers occurred in | ||||||
| Short | Breast subsite | ||||||
| Comments | Breast Breast structure - 4298444 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 94. CancerEpisode.subsites.others | |||||||
| Definition | Specifies the subsite for cancers occurred in | ||||||
| Short | Other subsite | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 96. CancerEpisode.tumorSize | |||||||
| Definition | (the longest diameter; longest dimension between pre operatory imaging and pathological specimen) cm | ||||||
| Short | Tumor Size | ||||||
| Control | 1..1 | ||||||
| Type | Quantity | ||||||
| Obligations |
| ||||||
| 98. CancerEpisode.depth | |||||||
| Definition | (for upper and lower limbs and superficial trunk) superficial (superficial tumour is located exclusively above the investing fascia without invasion of the fascia), deep (deep tumour is located beneath or invade the investing fascia). All the others are deep by definition | ||||||
| Short | Depth | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 100. CancerEpisode.biopsyMitoticCount | |||||||
| Definition | (Number/10HPF/1mm2, 50HPF/5mm2) | ||||||
| Short | Biopsy Mitotic count | ||||||
| Control | 1..1 | ||||||
| Type | Quantity | ||||||
| Obligations |
| ||||||
| 102. CancerEpisode.plasmaticEbvDnaAtBaseline | |||||||
| Definition | Describes the result of EBV DNA plasma testing before treatment in NPC type II and III (WHO) | ||||||
| Short | Plasmatic EBV DNA at baseline | ||||||
| Comments | Positive; Negative; not tested; Positive - 9191 Negative - 9189 not tested - 45878602 | ||||||
| Control | 0..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 104. CancerEpisode.hpvStatus | |||||||
| Definition | Describes the result of HPV tumor testing in oral carcinoma | ||||||
| Short | HPV status | ||||||
| Comments | Positive; Negative; Not tested; Positive - 9191 Negative - 9189 not tested - 45878602 | ||||||
| Control | 0..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 106. CancerEpisode.crpCReactiveProteinTested | |||||||
| Definition | Describes the result of C reactive protein testing | ||||||
| Short | CRP - C reactive protein tested | ||||||
| Comments | Positive; Negative; Not tested; Positive - 9191 Negative - 9189 not tested - 45878602 | ||||||
| Control | 0..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
Guidance on how to interpret the contents of this table can be found here
| 0. CancerEpisode | |||||||
| Definition | Cancer Episode Maturity Level: 0 Draft | ||||||
| Short | Cancer Episode | ||||||
| Control | 0..* | ||||||
| Is Modifier | false | ||||||
| Logical Model | Instances of this logical model are not marked to be the target of a Reference | ||||||
| 2. CancerEpisode.patient | |||||||
| Definition | Patient element containing the data regarding the patient followed by the hospital | ||||||
| Short | Patient | ||||||
| Control | 1..1 | ||||||
| Type | http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject | ||||||
| Obligations |
| ||||||
| 4. CancerEpisode.dateOfDiagnosis | |||||||
| Definition | Date of the procedure from which the specimen was obtained that allowed the histological diagnosis. | ||||||
| Short | Date of diagnosis (biopsy or surgical piece) | ||||||
| Control | 1..1 | ||||||
| Type | date | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 6. CancerEpisode.typeOfBiopsy | |||||||
| Definition | Type of biopsy performed | ||||||
| Short | Type of biopsy | ||||||
| Comments | FNA core-trcut incisional excisional unplanned excision Fine needle biopsy - 4171863 Core needle biopsy - 4321878 Incisional biopsy - 4321986 Excisional biopsy - 4228202 Excision - 4279903 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 8. CancerEpisode.biopsyDoneBy | |||||||
| Definition | Describes the institution where diagnostic procedure was performed | ||||||
| Short | Biopsy done by | ||||||
| Control | 1..1 | ||||||
| Type | string | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 10. CancerEpisode.ageAtDiagnosis | |||||||
| Definition | Age of the patient at the time of the diagnosis. | ||||||
| Short | Age at diagnosis | ||||||
| Control | 1..1 | ||||||
| Type | integer | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 12. CancerEpisode.radiotherapyInducedSarcoma | |||||||
| Definition | radiotherapy induced if the new tumour is in the field or marginal the anatomical area that received high radiation dose; please specify the interval time from the radiotherapy treatment | ||||||
| Short | Radiotherapy induced sarcoma | ||||||
| Comments | Radiation therapy induced change Radiation therapy induced change - 37117814 | ||||||
| Control | 1..1 | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 14. CancerEpisode.grading | |||||||
| Definition | Grading of the cancer | ||||||
| Short | Grading | ||||||
| Comments | 1 2 3 high low Grade-1 - 1634371 Grade-2 - 1634752 Grade-3 - 1633749 Grade-H - 1635587 Grade-L - 1634085 | ||||||
| Control | 0..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 16. CancerEpisode.hnClassification | |||||||
| Definition | Classification for Head and Neck tumors | ||||||
| Short | Classification for Head and Neck tumors | ||||||
| Comments | Added to the model for grouping elements | ||||||
| Control | 1..1 | ||||||
| Type | BackboneElement | ||||||
| Obligations |
| ||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||
| 18. CancerEpisode.hnClassification.id | |||||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||||
| Short | Unique id for inter-element referencing | ||||||
| Control | 0..1 | ||||||
| Type | string | ||||||
| Is Modifier | false | ||||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||||
| Summary | false | ||||||
| 20. CancerEpisode.hnClassification.extension | |||||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||||
| Short | Additional content defined by implementations | ||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||||
| Control | 0..* | ||||||
| Type | Extension | ||||||
| Is Modifier | false | ||||||
| Summary | false | ||||||
| Alternate Names | extensions, user content | ||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||||
| Slicing | This element introduces a set of slices on CancerEpisode.hnClassification.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||||
| 22. CancerEpisode.hnClassification.modifierExtension | |||||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||||
| Control | 0..* | ||||||
| Type | Extension | ||||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||||
| Summary | true | ||||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||||
| Alternate Names | extensions, user content, modifiers | ||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||||
| 24. CancerEpisode.hnClassification.histologySquamous | |||||||
| Definition | Specifies the histological subgroup for squamous cancers | ||||||
| Short | Histology Squamous | ||||||
| Comments | Keratinizing squamous cell carcinoma, epidermoid carcinoma; Non-keratinizing squamous cell carcinoma; Non-keratinizing squamous cell carcinoma: SMARCB1 (INI-1)-deficient Sinonasal Carcinoma ;Non-keratinizing squamous cell carcinoma: Transitional (cylindrical cell, Schneiderian) carcinoma ;Spindle cell (sarcomatoid) squamous cell carcinoma;Spindle cell (sarcomatoid) squamous cell carcinoma: SMARCB1 (INI-1)-deficient Sinonasal Carcinoma ;Lymphoepithelial carcinoma, lymphoepithelioma like carcinoma;Basaloid squamous cell carcinoma;Squamous cell carcinoma: conventional, NOS, clear cell, microinvasive, adenoid, acantholytic, pseudoglandular, giant cell ;Verrucous squamous cell carcinoma: NOS, cuniculatum carcinoma/Ackerman tumor; Papillary squamous cell carcinoma; Squamous cell carcinoma; Squamous cell carcinoma: HPV-positive; Squamous cell carcinoma: HPV-negative | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 26. CancerEpisode.hnClassification.histologyAdenocarcinoma | |||||||
| Definition | Specifies the histological subgroup for adenocarcinomas | ||||||
| Short | Histology Adenocarcinoma | ||||||
| Comments | Intestinal-type (sinonasal) adenocarcinoma; NOS, non?intestinal-type (sinonasal), Endolymphatic sac low grade, Intestinal-type (salivary gland), cystoadenocarcinoma, mucinous, Ceruminous (only in ear); Nasopharyngeal papillary adenocarcinoma, thyroid like low grade nasopharingeal papillary adenocarcinoma; Adenoid cystic carcinoma; Adenoid cystic carcinoma: solid type (> 30% solid); Mucoepidermoid carcinoma; Polymorphous, Cribriform of minor salivary glands, Polymorphous (low grade), terminal duct carcinoma, lobular carcinoma; Acinic cell carcinoma;Clear cell carcinoma, hyalinising clear cell carcinoma; Basal cell adenocarcinoma, malignant dermal analog tumor;Salivary duct carcinoma, high grade ductal carcinoma;Salivary secretory adenocarcinoma (mammary analog, MASC); Secretory carcinoma; Myoepithelial carcinoma, malignant myoepithelioma; Carcinoma ex pleomorphic adenoma: NOS, Intracapsular, minimally invasive, largely invasive; Sebaceous adenocarcinoma, Sebaceous lymphadenocarcinoma; Carcinosarcoma; Oncocytic carcinoma, oxyphilic carcinoma, oncocytic adenocarcinoma, oncocytic malignant oncocytoma; Salivary gland intraductal carcinoma (cribriform low grade adenocarcinoma) | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 28. CancerEpisode.hnClassification.histologyNeuroendocrine | |||||||
| Definition | Specifies the histological subgroup for neuroendocrine cancers | ||||||
| Short | Histology Neuroendocrine | ||||||
| Comments | Small cell neuroendocrine�carcinoma (SmCC)?,Poorly differentiated neuroendocrine carcinoma, small cell (grade 3);Large cell neuroendocrine carcinoma (LCNEC)?, Poorly differentiated neuroendocrine carcinoma, large cell (grade 3);Well-differentiated neuroendocrine carcinoma, Middle ear carcinoid tumor;Moderately differentiated neuroendocrine carcinoma Small cell neuroendocrine�carcinoma (SmCC)? - 36714029 Poorly differentiated neuroendocrine carcinoma - 37018672 small cell (grade 3) Large cell neuroendocrine carcinoma (LCNEC)? - 4029971 Poorly differentiated neuroendocrine carcinoma, large cell (grade 3) Well-differentiated neuroendocrine carcinoma, Middle ear carcinoid tumor Moderately differentiated neuroendocrine carcinoma | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 30. CancerEpisode.hnClassification.histologyOdontogenicCarcinoma | |||||||
| Definition | Specifies the histological subgroup for odontogenic carcinomas | ||||||
| Short | Histology Odontogenic Carcinoma | ||||||
| Comments | Odontogenic carcinoma, NOS, Ameloblastic carcinoma (primary, secondary intraosseous, secondary peripheral), Primary intraosseous carcinoma, Intraosseous carcinoma developed on odontogenic cyst, sclerosing odontogenic carcinoma; Clear cell odontogenic carcinoma; Gosht cell odontogenic carcinoma Odontogenic carcinoma, NOS - 4098585 Ameloblastic carcinoma (primary, secondary intraosseous, secondary peripheral) - 37116638 Secondary dedifferentiated intraosseous ameloblastic carcinoma
| ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 32. CancerEpisode.hnClassification.histologySNUC | |||||||
| Definition | Specifies the histological subgroup for sinonasl undifferentiated carcinomas | ||||||
| Short | Histology Sinonasal undifferentiated carcinoma | ||||||
| Comments | SMARCB1 (INI-1)-deficient Sinonasal undifferentiated Carcinoma;Sinonasal SMARCA4 deficient carcinoma;IDH2-mutated sinonasal undifferentiated neoplasm SMARCB1 (INI-1)-deficient Sinonasal undifferentiated Carcinoma Sinonasal SMARCA4 deficient carcinoma IDH2-mutated sinonasal undifferentiated neoplasm | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 34. CancerEpisode.sarcomaClassification | |||||||
| Definition | Sarcoma classification | ||||||
| Short | Sarcoma classification | ||||||
| Control | 1..1 | ||||||
| Type | BackboneElement | ||||||
| Obligations |
| ||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||
| 36. CancerEpisode.sarcomaClassification.id | |||||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||||
| Short | Unique id for inter-element referencing | ||||||
| Control | 0..1 | ||||||
| Type | string | ||||||
| Is Modifier | false | ||||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||||
| Summary | false | ||||||
| 38. CancerEpisode.sarcomaClassification.extension | |||||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||||
| Short | Additional content defined by implementations | ||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||||
| Control | 0..* | ||||||
| Type | Extension | ||||||
| Is Modifier | false | ||||||
| Summary | false | ||||||
| Alternate Names | extensions, user content | ||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||||
| Slicing | This element introduces a set of slices on CancerEpisode.sarcomaClassification.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||||
| 40. CancerEpisode.sarcomaClassification.modifierExtension | |||||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||||
| Control | 0..* | ||||||
| Type | Extension | ||||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||||
| Summary | true | ||||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||||
| Alternate Names | extensions, user content, modifiers | ||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||||
| 42. CancerEpisode.sarcomaClassification.adipocyticTumours | |||||||
| Definition | Specifies the histological subgroup for adipocytic tumours | ||||||
| Short | Histology subgroup Adipocytic tumours | ||||||
| Comments | Atypical lipomatous tumour/ Liposarcoma, well-differentiated, NOS Dedifferentiated liposarcoma Myxoid liposarcoma Pleomorphic liposarcoma Myxoid pleomorphic liposarcoma Liposarcoma, well differentiated - 4102790 Dedifferentiated liposarcoma - 4284833 Myxoid liposarcoma - 4101123 Pleomorphic liposarcoma - 4010104 Myxoid pleomorphic liposarcoma - 4300687 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 44. CancerEpisode.sarcomaClassification.fmtTumours | |||||||
| Definition | Histology subgroup Fibroblastic and myofibroblastic tumours | ||||||
| Short | Histology subgroup Fibroblastic and myofibroblastic tumours | ||||||
| Comments | Palmar/plantar-type fibromatosis Desmoid-type fibromatosis Lipofibromatosis Giant cell fibroblastoma Dermatofibrosarcoma protuberans NOS Solitary fibrous tumour, benign; NOS; malignant Inflammatory myofibroblastic tumour Low-grade myofibroblastic sarcoma Superficial CD34-positive fibroblastic tumour Myxoinflammatory fibroblastic sarcoma Infantile fibrosarcoma Adult fibrosarcoma Myxofibrosarcoma Low-grade fibromyxoid sarcoma Sclerosing epithelioid fibrosarcoma Palmar/plantar-type fibromatosis - 45766452 Desmoid-type fibromatosis - 4264204 Lipofibromatosis - 45766468 Giant cell fibroblastoma - 4030132 Dermatofibrosarcoma protuberans - 4295283 Solitary fibrous tumor - 4030130 Solitary fibrous tumor, malignant - 4028562 Myofibroblastic tumour - 4021373 Low-grade myofibroblastic sarcoma - 45766454 Cellular fibroma - 4029679 Myxoinflammatory fibroblastic sarcoma - 45766450 Infantile fibrosarcoma - 4178132 Fibrosarcoma - 4202374 Myxofibrosarcoma - 45771359 Low-grade fibromyxoid sarcoma - 45771361 Sclerosing epithelioid fibrosarcoma - 45766456 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 46. CancerEpisode.sarcomaClassification.socalledFibrohistiocyticTumours | |||||||
| Definition | Histology subgroup So-called fibrohistiocytic tumours | ||||||
| Short | Histology subgroup So-called fibrohistiocytic tumours | ||||||
| Comments | Plexiform fibrohistiocytic tumour Giant cell tumour of soft parts NOS Tenosynovial giant cell tumor Plexiform fibrohistiocytic tumour - 4029525 Giant cell tumour of soft parts - 4218898 Tenosynovial giant cell tumor - 4030140 Tenosynovial giant cell tumor, diffuse - 45766525 Malignant tenosynovial giant cell tumor - 4029655 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 48. CancerEpisode.sarcomaClassification.vascularTumours | |||||||
| Definition | Vascular tumours | ||||||
| Short | Vascular tumours | ||||||
| Comments | Epithelioid haemangioendothelioma NOS Angiosarcoma Kaposiform haemangioendothelioma ha anche la forma benigna 9161/0 Acquired tufted haemangioma. teniamo anche la fomra benigna? Retiform haemangioendothelioma Papillary intralymphatic angioendothelioma Composite haemangioendothelioma Pseudomyogenic (epithelioid sarcoma?like) haemangioendothelioma Epithelioid haemangioendothelioma - 4207381 Angiosarcoma - 3661612 Hemangioendothelioma - 4281384 Retiform haemangioendothelioma - 45766493 Endovascular papillary angioendothelioma - 4030138 Composite haemangioendothelioma - 45766494 Pseudomyogenic (epithelioid sarcoma-like) hemangioendothelioma - 45766492 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 50. CancerEpisode.sarcomaClassification.pericyticPerivascularTumours | |||||||
| Definition | Pericytic (perivascular) tumours | ||||||
| Short | Pericytic (perivascular) tumours | ||||||
| Comments | Glomus tumour NOS Glomus tumour - 40571984 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 52. CancerEpisode.sarcomaClassification.smoothMuscleTumours | |||||||
| Definition | Smooth muscle tumours | ||||||
| Short | Smooth muscle tumours | ||||||
| Comments | Smooth muscle tumour of uncertain malignant potential Epithelioid smooth muscle tumor of uncertain malignant potential Myxoid smooth muscle tumour of uncertain mailgnant potential-Spindle smooth muscle tumor of uncertain malignant potential Metastasizing leiomyoma Leiomyosarcoma NOS Epithelioid leiomyosarcoma Myxoid leiomyosarcoma Metastasizing leiomyoma Smooth muscle tumour - 4327493 Epithelioid smooth muscle tumor of uncertain malignant potential - 607803 Myxoid smooth muscle tumour of uncertain mailgnant potential - 600675 Spindle smooth muscle tumor of uncertain malignant potential Metastasizing leiomyoma - 4029023 Leiomyosarcoma - 4201415 Epithelioid leiomyosarcoma - 4173148 Myxoid leiomyosarcoma - 4059632 Metastasizing leiomyoma - 4029023 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 54. CancerEpisode.sarcomaClassification.skeletalMuscleTumours | |||||||
| Definition | Skeletal muscle tumours | ||||||
| Short | Skeletal muscle tumours | ||||||
| Comments | Embryonal rhabdomyosarcoma NOS Alveolar rhabdomyosarcoma Pleomorphic rhabdomyosarcoma NOS Spindle cell / sclerosing rhabdomyosarcoma Ectomesenchymoma Embryonal rhabdomyosarcoma - 4031038 Alveolar rhabdomyosarcoma - 4272931 Pleomorphic rhabdomyosarcoma - 4298312 Spindle cell rhabdomyosarcoma - 4029528 Rhabdomyosarcoma with ganglionic differentiation - 4029024 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 56. CancerEpisode.sarcomaClassification.chondroOsseousTumours | |||||||
| Definition | Chondro-osseous tumours | ||||||
| Short | Chondro-osseous tumours | ||||||
| Comments | Extraskeletal osteosarcoma Extraskeletal osteosarcoma - 4298240 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 58. CancerEpisode.sarcomaClassification.peripheralNerveSheathTumours | |||||||
| Definition | Peripheral nerve sheath tumours | ||||||
| Short | Peripheral nerve sheath tumours | ||||||
| Comments | Malignant peripheral nerve sheath tumour NOS Malignant melanotic nerve sheath tumour Granular cell tumour NOS Granular cell tumour, malignant Malignant peripheral nerve sheath tumour - 4062426 Melanotic malignant peripheral nerve sheath tumor - 4102399 Granular cell tumour - 4005360 Granular cell tumour, malignant - 4027842 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 60. CancerEpisode.sarcomaClassification.tumoursOfUncertainDifferentiation | |||||||
| Definition | Tumours of uncertain differentiation | ||||||
| Short | Tumours of uncertain differentiation | ||||||
| Comments | Atypical fibroxanthoma Angiomatoid fibrous histiocytoma Pleomorphic hyalinizing angiectatic tumour Haemosiderotic fibrolipomatous tumour NTRK-rearranged spindle cell neoplasms Synovial sarcoma NOS Epithelioid sarcoma Alveolar soft part sarcoma Clear cell sarcoma NOS Extra-skeletal myxoid chondrosarcoma Desmoplastic small round cell tumour Extra-renal rhabdoid tumour NOS PEComas Intimal sarcoma Undifferentiated sarcoma Myoepithelioma Ossifying fibromyxoid tumour Phosphaturic mesenchymal tumour, malignant Aggressive angiomyxoma Angiomatoid fibrous histiocytoma NTRK-rearranged spindle cell neoplasm (emerging) Angiomatoid fibrous histiocytoma - 4029526 Pleomorphic hyalinizing angiectatic tumour - 45766448 Haemosiderotic fibrolipomatous tumour NTRK-rearranged spindle cell neoplasms - CUSTOM CODE Synovial sarcoma - 4268491 Epithelioid sarcoma - 4244886 Alveolar soft part sarcoma - 4339208 Clear cell sarcoma - 4155072 Myxoid chondrosarcoma - 4328092 Desmoplastic small round cell tumor - 4029522 Malignant rhabdoid tumor - 4307938 Perivascular epithelioid tumor, benign - 45771358 Perivascular epithelioid tumor, malignant - 45766447 Perivascular epithelioid cell tumor - 4304780 Intimal sarcoma - 45766495 Undifferentiated sarcoma - 4029021 Myoepithelioma - 4239519 Ossifying fibromyxoid tumour - 4028565 Phosphaturic mesenchymal tumour, malignant - 45766485 Aggressive angiomyxoma - 4239956 Angiomatoid fibrous histiocytoma - 4029526 NTRK-rearranged spindle cell neoplasm (emerging) | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 62. CancerEpisode.sarcomaClassification.undifSmallRCelSarcBonAndSofTis | |||||||
| Definition | Undifferentiated small round cell sarcomas of bone and soft tissue | ||||||
| Short | Undifferentiated small round cell sarcomas of bone and soft tissue | ||||||
| Comments | Ewing sarcoma Round cell sarcoma with�EWSR1?non-ETS fusions CIC-rearranged sarcoma Sarcoma with�BCOR�genetic alterations Ewing sarcoma - 45766528 Round cell sarcoma with�EWSR1?non-ETS fusions CIC-rearranged sarcoma Sarcoma with�BCOR�genetic alterations | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 64. CancerEpisode.sarcomaClassification.estAndRelatedTumours | |||||||
| Definition | Endometrial stromal and related tumours | ||||||
| Short | Endometrial stromal and related tumours | ||||||
| Comments | Endometrial stromal sarcoma, high grade Endometrial stromal sarcoma, low grade Endometrial stromal sarcoma, high grade - 4290926 Endometrial stromal sarcoma, low grade - 4028557 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 66. CancerEpisode.sarcomaClassification.miscellaniousMesenchimalTumors | |||||||
| Definition | Miscellanious mesenchimal tumors | ||||||
| Short | Miscellanious mesenchimal tumors | ||||||
| Comments | Uterine tumour resembling ovarian sex cord tumour Phyllodes tumour, benign Phyllodes tumour NOS Phyllodes tumour, borderline Phyllodes tumour, malignant Follicular dendritic cell sarcoma Histiocytic sarcoma Interdigitating dendritic cell sarcoma Langherans cell sarcoma Fibroblastic reticular cell tumour Biphenotypic sinonasal sarcoma Uterine tumour resembling ovarian sex cord tumour - 45771357 Benign phyllodes tumor - 4040991 Borderline phyllodes tumor - 4323562 Phyllodes tumour, malignant - 4337106 Follicular dendritic cell sarcoma - 4028710 Histiocytic sarcoma - 4029172 Interdigitating dendritic cell sarcoma - 4028709 Langherans cell sarcoma - 4029173 Fibroblastic reticular cell tumour - 42872917 Biphenotypic sinonasal sarcoma - 37311513 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 68. CancerEpisode.sarcomaClassification.mixedEpithelialAndMesenchymalTumours | |||||||
| Definition | Mixed epithelial and mesenchymal tumours | ||||||
| Short | Mixed epithelial and mesenchymal tumours | ||||||
| Comments | Adenosarcoma; please clarify if adenosarcoma with sarcomatous overgrowth Adenosarcoma - 4135215 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 70. CancerEpisode.subsites | |||||||
| Definition | subsites | ||||||
| Short | subsites | ||||||
| Control | 1..1 | ||||||
| Type | BackboneElement | ||||||
| Obligations |
| ||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||
| 72. CancerEpisode.subsites.id | |||||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||||
| Short | Unique id for inter-element referencing | ||||||
| Control | 0..1 | ||||||
| Type | string | ||||||
| Is Modifier | false | ||||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||||
| Summary | false | ||||||
| 74. CancerEpisode.subsites.extension | |||||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||||
| Short | Additional content defined by implementations | ||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||||
| Control | 0..* | ||||||
| Type | Extension | ||||||
| Is Modifier | false | ||||||
| Summary | false | ||||||
| Alternate Names | extensions, user content | ||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||||
| Slicing | This element introduces a set of slices on CancerEpisode.subsites.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||||
| 76. CancerEpisode.subsites.modifierExtension | |||||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||||
| Control | 0..* | ||||||
| Type | Extension | ||||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||||
| Summary | true | ||||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||||
| Alternate Names | extensions, user content, modifiers | ||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||||
| 78. CancerEpisode.subsites.nasalCavityAndParanasalSinuses | |||||||
| Definition | Specifies the subsite for cancers occurred in nasal cavity and paranasal sinusess | ||||||
| Short | Nasal cavity and paranasal sinuses subsite | ||||||
| Comments | AJCC 8th Edition Cancer Staging Manual Nasal cavity;Maxillary sinus;Ethmoid sinus;Frontal sinus;Sphenoid sinus Nasal cavity - 4088327 Maxillary sinus - 4050631 Ethmoid sinus - 4182234 Frontal sinus - 4204534 Sphenoid sinus - 4097172 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 80. CancerEpisode.subsites.nasopharynx | |||||||
| Definition | Specifies the subsite for cancers occurred in nasopharynx | ||||||
| Short | Nasopharynx subsite | ||||||
| Comments | AJCC 8th Edition Cancer Staging Manual Superior wall of nasopharynx;Posterior wall of nasopharynx;Lateral wall of nasopharynx;Anterior wall of nasopharynx Superior wall of nasopharynx - 4068978 Posterior wall of nasopharynx - 4146741 Lateral wall of nasopharynx - 4323979 Anterior wall of nasopharynx - 4220236 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 82. CancerEpisode.subsites.hypopharynx | |||||||
| Definition | Specifies the subsite for cancers occurred in hypopharynx | ||||||
| Short | Hypopharynx subsite | ||||||
| Comments | AJCC 8th Edition Cancer Staging Manual Postcricoid region; Hypopharyngeal aspect of aryepiglottic fold; Posterior wall of hypopharynx;Pyriform sinus Postcricoid region - 4147741 Hypopharyngeal aspect of aryepiglottic fold - 4262980 Posterior wall of hypopharynx - 4102600 Pyriform sinus - 4268741 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 84. CancerEpisode.subsites.oropharynx | |||||||
| Definition | Specifies the subsite for cancers occurred in oropharynx | ||||||
| Short | Oropharynx subsite | ||||||
| Comments | https://link.springer.com/book/9783319406176 Base of tongue, NOS; Soft palate NOS (excludes Nasopharyngcal surface C11.3); Uvula; Tonsillar fossa; Lingual tonsil; Tonsillar pillar; Vallecula; Anterior surface of epiglottis; Lateral wall oropharynx; Posterior wall oropharynx; Branchial cleft (site of neoplosm); Base of tongue, NOS - 4169910 Soft palate NOS (excludes Nasopharyngcal surface C11.3) - 4177005 Uvula - 4095284 Tonsillar fossa - 4138234 Lingual tonsil - 4068841 Tonsillar pillar - 4065073 Vallecula - 4173123 Anterior surface of epiglottis - 4283238 Lateral wall oropharynx - 4078066 Posterior wall oropharynx - 4045435 Branchial cleft (site of neoplosm) - 4235649 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 86. CancerEpisode.subsites.larynx | |||||||
| Definition | Specifies the subsite for cancers occurred in larynx | ||||||
| Short | Larynx subsite | ||||||
| Comments | AJCC 8th Edition Cancer Staging Manual Glottis;Supraglottis;Subglottis;Laryngeal cartilage Glottis - 4047227 Supraglottis - 4001049 Subglottis - 4002724 Laryngeal cartilage - 4279711 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 88. CancerEpisode.subsites.oralCavity | |||||||
| Definition | Specifies the subsite for cancers occurred in oral cavity | ||||||
| Short | Oral cavity subsite | ||||||
| Comments | AJCC 8th Edition Cancer Staging Manual Dorsal surface tongue, NOS; Border of tongue; Ventral surface of tongue NOS; Anterior 2/3 of tongue NOS; Upper gum; Lower gum; Anterior floor of mouth; Lateral floor of mouth; Overlapping lesion of floor of mouth; Hard palate; Cheek mucosa; Vestibule of mouth; Retromolar area; Overlapping lesion of other and unspecified parts of mouth; Dorsal surface tongue, NOS - 36769609 Border of tongue - 4077986 Ventral surface of tongue - 4172794 Anterior 2/3 of tongue NOS Upper gum - 4047029 Lower gum - 4210919 Anterior floor of mouth - 4181419 Lateral floor of mouth - 4103066 Overlapping lesion of floor of mouth - 44498040 Hard palate - 4234542 Cheek mucosa - 4057160 Vestibule of mouth - 4144069 Retromolar area - 36769865 Overlapping lesion of other and unspecified parts of mouth - | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 90. CancerEpisode.subsites.lip | |||||||
| Definition | Specifies the subsite for cancers occurred in lip | ||||||
| Short | Lip subsite | ||||||
| Comments | AJCC 8th Edition Cancer Staging Manual External lower lip;External upper lip;External lip, NOS;Mucosa of upper lip;Mucosa of lower lip;Mucosa of lip, NOS;Commissure of lip External lower lip - 4027546 External upper lip - 4134589 External lip, NOS - 4027545 Mucosa of upper lip - 36769700 Mucosa of lower lip - 36768548 Mucosa of lip, NOS - 4245168 Commissure of lip - 4307358 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 92. CancerEpisode.subsites.upperAndLowerLimbs | |||||||
| Definition | Specifies the subsite for cancers occurred in | ||||||
| Short | Upper and Lower limbs subsite | ||||||
| Comments | Hand Wrist Forearm Elbow/Antecubital fossa Upper arm Foot Ankle Leg Knee/popliteal fossa Upper leg Deltoid Supraclavicular Periscapular Trapezius Groin Buttock Pectoral Axilla Hand structure - 4310976 Wrist region structure - 4220073 Forearm structure - 4032953 Elbow region structure - 4027910 Antecubital fossa (surface region) - 4348994 Upper arm structure - 4165266 Foot structure- 4211098 Ankle region structure - 4142359 Lower leg structure - 4107527 Knee region structure - 4217806 popliteal fossa structure - 4138531 Upper leg - 4090445 Deltoid - 4291935 Supraclavicular - 4088464 Periscapular region - 42605854 Trapezius - 4136969 Groin - 4109459 Buttock - 4263335 Pectoral - 4096078 Axilla - 4157836 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 94. CancerEpisode.subsites.trunkWallSubsite | |||||||
| Definition | Specifies the subsite for cancers occurred in | ||||||
| Short | Trunk wall subsite | ||||||
| Comments | Thoracic Wall Abdominal Wall Paravertebral ? thoracolumbar Paravertebral ? cervical Joint structure of thoracic wall - 4088614 Anterior abdominal wall structure - 4244412 Posterior abdominal wall structure - 4330865 Paravertebral ? thoracolumbar - Paravertebral ? cervical | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 96. CancerEpisode.subsites.intraAbdominalSubsite | |||||||
| Definition | Specifies the subsite for cancers occurred in | ||||||
| Short | Intra abdominal subsite | ||||||
| Comments | Retroperitoneum Vessels (please select: inferior vena cava, aorta, iliac vessels, renal vessels, gonadal vessels, mesenteric vessels, others) Pelvis Esophagus Stomach Duodenum Jejunum/Ileus Colon Rectum Mesentery Retroperitoneal compartment structure - 4220536 Vessels (please select: inferior vena cava, aorta, iliac vessels, renal vessels, gonadal vessels, mesenteric vessels, others) Inferior vena cava structure - 4271699 Iliac vessel - 4193451 Structure of renal artery - 4154880 Gonadal artery - 4157844 Structure of mesenteric artery - 4314264 Other vessels - WILDCARD* Renal pelvis structure - 4094242 Major pelvis structure - 4229753 Region of esophagus - 4075991 Stomach - 4288283 Duodenal structure - 4302112 Jejunal structure - 4065077 Stricture of ileum - 4316356 Colon structure - 4215634 Rectum structure - 4144541 Mesentery - 4233095 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 98. CancerEpisode.subsites.intraThoracicSubsite | |||||||
| Definition | Specifies the subsite for cancers occurred in | ||||||
| Short | Intra thoracic subsite | ||||||
| Comments | Lung Heart Pleura Mediastinum Great vessels (please select: superior vena cava, aorta, pulmonary vessels, subclavian vessels, others) Lung structure - 4213162 Heart structure - 4217142 Pleura structure - 4150673 Region of mediastinum - 4088610 Great vessels (please select: superior vena cava, aorta, pulmonary vessels, subclavian vessels, others) Superior vena cava structure - 4167648 Aorta part - 4001033 Stricture of pulmonary vessel - 4035327 Structure of subclavian artery - 4272388 Other - WILDCARD | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 100. CancerEpisode.subsites.genitoUrinarySubsite | |||||||
| Definition | Specifies the subsite for cancers occurred in | ||||||
| Short | Genito urinary subsite | ||||||
| Comments | Adrenal glands Kidney Urether Bladder Prostate Seminal Vescicle Spermatic Cord Testis Penis Utero Ovary Fallopian tube Vagina Vulva Bilateral adrenal glands - 4047078 Kidney structure - 4271678 Region of ureter - 4078617 Urinary bladder structure - 4232481 Structure of lobe of prostate - 4034365 Seminal Vescicle structure - 4277442 Spermatic Cord structure - 4172591 Testis structure - 4238088 Penile structure - 4077311 Uterine structure - 4149192 Ovarian structure - 4049448 Fallopian tube structure - 4151444 Vaginal structure - 4296022 Vulval structure - 4166066 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 102. CancerEpisode.subsites.headAndNeckSubsite | |||||||
| Definition | Specifies the subsite for cancers occurred in | ||||||
| Short | Head and Neck subsite | ||||||
| Comments | Head and neck Face and/or neck structure - 4122633 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 104. CancerEpisode.subsites.breast | |||||||
| Definition | Specifies the subsite for cancers occurred in | ||||||
| Short | Breast subsite | ||||||
| Comments | Breast Breast structure - 4298444 | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 106. CancerEpisode.subsites.others | |||||||
| Definition | Specifies the subsite for cancers occurred in | ||||||
| Short | Other subsite | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 108. CancerEpisode.tumorSize | |||||||
| Definition | (the longest diameter; longest dimension between pre operatory imaging and pathological specimen) cm | ||||||
| Short | Tumor Size | ||||||
| Control | 1..1 | ||||||
| Type | Quantity | ||||||
| Obligations |
| ||||||
| 110. CancerEpisode.depth | |||||||
| Definition | (for upper and lower limbs and superficial trunk) superficial (superficial tumour is located exclusively above the investing fascia without invasion of the fascia), deep (deep tumour is located beneath or invade the investing fascia). All the others are deep by definition | ||||||
| Short | Depth | ||||||
| Control | 1..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 112. CancerEpisode.biopsyMitoticCount | |||||||
| Definition | (Number/10HPF/1mm2, 50HPF/5mm2) | ||||||
| Short | Biopsy Mitotic count | ||||||
| Control | 1..1 | ||||||
| Type | Quantity | ||||||
| Obligations |
| ||||||
| 114. CancerEpisode.plasmaticEbvDnaAtBaseline | |||||||
| Definition | Describes the result of EBV DNA plasma testing before treatment in NPC type II and III (WHO) | ||||||
| Short | Plasmatic EBV DNA at baseline | ||||||
| Comments | Positive; Negative; not tested; Positive - 9191 Negative - 9189 not tested - 45878602 | ||||||
| Control | 0..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 116. CancerEpisode.hpvStatus | |||||||
| Definition | Describes the result of HPV tumor testing in oral carcinoma | ||||||
| Short | HPV status | ||||||
| Comments | Positive; Negative; Not tested; Positive - 9191 Negative - 9189 not tested - 45878602 | ||||||
| Control | 0..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 118. CancerEpisode.crpCReactiveProteinTested | |||||||
| Definition | Describes the result of C reactive protein testing | ||||||
| Short | CRP - C reactive protein tested | ||||||
| Comments | Positive; Negative; Not tested; Positive - 9191 Negative - 9189 not tested - 45878602 | ||||||
| Control | 0..1 | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
IG © 2022+ IDEA4RC Project. Package hl7.eu.fhir.idea4rc#0.1.0 based on FHIR 4.0.1. Generated 2024-11-12
Links: Table of Contents |
QA Report
The IDEA4RC project has received funding from the European Union's Horizon 2020
research and innovation programme under grant agreement No. 101057048.
