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 2025-07-25 |
Definitions for the ClinicalStage logical model.
Guidance on how to interpret the contents of this table can be foundhere
| 0. ClinicalStage | |||||||
| Definition | Clinical Stage Maturity Level: 0 Draft | ||||||
| Short | Clinical Stage | ||||||
| Control | 0..* | ||||||
| Is Modifier | false | ||||||
| Logical Model | Instances of this logical model are not marked to be the target of a Reference | ||||||
| 2. ClinicalStage.diagnosisReference | |||||||
| Definition | Diagnosis element containing the data regarding the patient's cancer | ||||||
| Short | Diagnosis Reference (M) | ||||||
| Control | 1..* | ||||||
| Type | http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Diagnosis | ||||||
| Obligations |
| ||||||
| 4. ClinicalStage.stagingProceduresDoneBy | |||||||
| Definition | Describes the ID of the institution where staging procedure for primary tumour was performed | ||||||
| Short | Staging procedures done by (M) | ||||||
| Control | 1..* | ||||||
| Type | string | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 6. ClinicalStage.imagingForPrimarySite | |||||||
| Definition | Defines whether any imaging study for primary site was performed or not | ||||||
| Short | Imaging for primary site (M) | ||||||
| Control | 1..* | ||||||
| Type | BackboneElement | ||||||
| Obligations |
| ||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||
| 8. ClinicalStage.imagingForPrimarySite.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 | ||||||
| 10. ClinicalStage.imagingForPrimarySite.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 ClinicalStage.imagingForPrimarySite.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||||
| 12. ClinicalStage.imagingForPrimarySite.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()) | ||||||
| 14. ClinicalStage.imagingForPrimarySite.ct | |||||||
| Definition | Defines whether any CT scan for primary site was performed or not | ||||||
| Short | CT for primary site (R) | ||||||
| Comments | Computed tomography - 4300757 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 16. ClinicalStage.imagingForPrimarySite.mri | |||||||
| Definition | Defines whether any MRI for primary site was performed or not | ||||||
| Short | MRI for primary site (R) | ||||||
| Comments | Magnetic resonance imaging - 4013636 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 18. ClinicalStage.imagingForPrimarySite.us | |||||||
| Definition | Defines whether any US for primary site was performed or not | ||||||
| Short | US for primary site (R) | ||||||
| Comments | Ultrasonography - 4037672 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 20. ClinicalStage.imagingForPrimarySite.other | |||||||
| Definition | Provides any other value for imaging options for primary site | ||||||
| Short | Other imaging for primary site (R) | ||||||
| Comments | Code from Procedure domain Fluorodeoxyglucose positron emission tomography - 2000100025 Positron emission tomography using other tracers - 2000100026 | ||||||
| Control | 0..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 22. ClinicalStage.imagingForNeck | |||||||
| Definition | Whether any imaging study for the neck was performed or not | ||||||
| Short | Imaging for neck (M) | ||||||
| Control | 1..* | ||||||
| Type | BackboneElement | ||||||
| Obligations |
| ||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||
| 24. ClinicalStage.imagingForNeck.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 | ||||||
| 26. ClinicalStage.imagingForNeck.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 ClinicalStage.imagingForNeck.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||||
| 28. ClinicalStage.imagingForNeck.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()) | ||||||
| 30. ClinicalStage.imagingForNeck.ct | |||||||
| Definition | Defines whether any CT scan for neck was performed or not | ||||||
| Short | CT for neck (R) | ||||||
| Comments | Computed tomography of neck - 3307719 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 32. ClinicalStage.imagingForNeck.mri | |||||||
| Definition | Defines whether any MRI for neck was performed or not | ||||||
| Short | MRI for neck (R) | ||||||
| Comments | Magnetic resonance imaging of neck - 4218948 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 34. ClinicalStage.imagingForNeck.us | |||||||
| Definition | Defines whether any US for neck was performed or not | ||||||
| Short | US for neck (R) | ||||||
| Comments | Ultrasonography of Neck - 2793113 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 36. ClinicalStage.imagingForNeck.other | |||||||
| Definition | Provides any other value for imaging options for neck | ||||||
| Short | Other imaging for neck (R) | ||||||
| Comments | Code from Procedure domain Fluorodeoxyglucose positron emission tomography -2000100025 Positron emission tomography using other tracers - 2000100026 | ||||||
| Control | 0..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 38. ClinicalStage.imagingForMetastasis | |||||||
| Definition | Wherther any imaging study for metastasis was performed or not | ||||||
| Short | Imaging for metastasis (M) | ||||||
| Control | 1..* | ||||||
| Type | BackboneElement | ||||||
| Obligations |
| ||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||
| 40. ClinicalStage.imagingForMetastasis.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 | ||||||
| 42. ClinicalStage.imagingForMetastasis.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 ClinicalStage.imagingForMetastasis.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||||
| 44. ClinicalStage.imagingForMetastasis.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()) | ||||||
| 46. ClinicalStage.imagingForMetastasis.ct | |||||||
| Definition | Defines whether any CT scan for metastasis was performed or not | ||||||
| Short | CT for metastasis (R) | ||||||
| Comments | CT of chest - 4058335 CT of abdomen - 4061009 CT of pelvis - 4058336 CT of brain - 4145739 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 48. ClinicalStage.imagingForMetastasis.mri | |||||||
| Definition | Defines whether any MRI for metastasis was performed or not | ||||||
| Short | MRI for metastasis (R) | ||||||
| Comments | MRI of abdomen - 4083230 MRI of pelvis - 4097527 MRI of brain - 37311324 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 50. ClinicalStage.imagingForMetastasis.us | |||||||
| Definition | Defines whether any US for metastasis was performed or not | ||||||
| Short | US for metastasis (R) | ||||||
| Comments | Ultrasonography of abdomen - 4261497 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 52. ClinicalStage.imagingForMetastasis.other | |||||||
| Definition | Provides any other value for imaging options for metastasis | ||||||
| Short | Other imaging for metastasis (R) | ||||||
| Comments | Code from Procedure domain Standard chest X-ray - 4056836 Radioisotope scan of bone - 4217238 Positron emission tomography - 4305790 Fluorodeoxyglucose positron emission tomography - 2000100025 Positron emission tomography using other tracers - 2000100026 | ||||||
| Control | 0..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 54. ClinicalStage.ct | |||||||
| Definition | Specifies the clinical T | ||||||
| Short | cT (M) | ||||||
| Comments | AJCC/UICC 6th clinical TX Category - 1635299 AJCC/UICC 7th clinical TX Category - 1634269 AJCC/UICC 8th clinical TX Category - 1633589 AJCC/UICC 6th clinical Tis Category - 1635857 AJCC/UICC 7th clinical Tis Category - 1635227 AJCC/UICC 8th clinical Tis Category - 1633737 AJCC/UICC 6th clinical T0 Category - 1635656 AJCC/UICC 7th clinical T0 Category - 1633815 AJCC/UICC 8th clinical T0 Category - 1635794 AJCC/UICC 6th clinical T1 Category - 1634381 AJCC/UICC 7th clinical T1 Category - 1635664 AJCC/UICC 8th clinical T1 Category - 1633883 AJCC/UICC 6th clinical T2 Category - 1633747 AJCC/UICC 7th clinical T2 Category - 1634029 AJCC/UICC 8th clinical T2 Category - 1634651 AJCC/UICC 6th clinical T3 Category - 1633877 AJCC/UICC 7th clinical T3 Category - 1633324 AJCC/UICC 8th clinical T3 Category - 1635556 AJCC/UICC 6th clinical T4 Category - 1635522 AJCC/UICC 7th clinical T4 Category - 1635530 AJCC/UICC 8th clinical T4 Category - 1634973 AJCC/UICC 6th clinical T4a Category - 1634247 AJCC/UICC 7th clinical T4a Category - 1634522 AJCC/UICC 8th clinical T4a Category - 1634963 AJCC/UICC 6th clinical T4b Category - 1634624 AJCC/UICC 7th clinical T4b Category - 1634120 AJCC/UICC 8th clinical T4b Category - 1634854 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 56. ClinicalStage.cn | |||||||
| Definition | Specifies the clinical N | ||||||
| Short | cN (M) | ||||||
| Comments | AJCC/UICC 6th clinical NX Category - 1635104 AJCC/UICC 7th clinical NX Category - 1633679 AJCC/UICC 8th clinical NX Category - 1634797 AJCC/UICC 6th clinical N0 Category - 1633315 AJCC/UICC 7th clinical N0 Category - 1633942 AJCC/UICC 8th clinical N0 Category - 1634070 AJCC/UICC 6th clinical N1 Category - 1635697 AJCC/UICC 7th clinical N1 Category - 1634139 AJCC/UICC 8th clinical N1 Category - 1633651 AJCC/UICC 6th clinical N2 Category - 1635470 AJCC/UICC 7th clinical N2 Category - 1635634 AJCC/UICC 8th clinical N2 Category - 1633763 AJCC/UICC 6th clinical N2a Category - 1634143 AJCC/UICC 7th clinical N2a Category - 1635739 AJCC/UICC 8th clinical N2a Category - 1633788 AJCC/UICC 6th clinical N2b Category - 1633433 AJCC/UICC 7th clinical N2b Category - 1635677 AJCC/UICC 8th clinical N2b Category - 1633323 AJCC/UICC 6th clinical N2c Category - 1634678 AJCC/UICC 7th clinical N2c Category - 1634727 AJCC/UICC 8th clinical N2c Category - 1633271 AJCC/UICC 6th clinical N3 Category - 1635605 AJCC/UICC 7th clinical N3 Category - 1634037 AJCC/UICC 8th clinical N3 Category - 1633854 AJCC/UICC 6th clinical N3a Category - 1633434 AJCC/UICC 7th clinical N3a Category - 1635004 AJCC/UICC 8th clinical N3a Category - 1635496 AJCC/UICC 6th clinical N3b Category - 1635283 AJCC/UICC 7th clinical N3b Category - 1635084 AJCC/UICC 8th clinical N3b Category - 1635828 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 58. ClinicalStage.cm | |||||||
| Definition | Specifies the clinical M | ||||||
| Short | cM (M) | ||||||
| Comments | AJCC/UICC 6th clinical M0 Category - 1634194 AJCC/UICC 7th clinical M0 Category - 1633468 AJCC/UICC 8th clinical M0 Category - 1634757 AJCC/UICC 6th clinical M1 Category - 1634829 AJCC/UICC 7th clinical M1 Category - 1633276 AJCC/UICC 8th clinical M1 Category - 1633974 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 60. ClinicalStage.extraNodalExtension | |||||||
| Definition | Describes the presence or absence of radiological signs of extracapsular extension, as defined in the AJCC 8th Ed check CODEs | ||||||
| Short | Extra-nodal extension (rEne) (M) | ||||||
| Comments | ENE- - 36769946 ENE+ - 36770618 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 62. ClinicalStage.clinicalStaging | |||||||
| Definition | Specifies the clinical TNM | ||||||
| Short | Clinical Staging (M) | ||||||
| Comments | AJCC/UICC 6th clinical Stage 0 - 1635842 AJCC/UICC 7th clinical Stage 0 - 1633828 AJCC/UICC 8th clinical Stage 0 - 1635824 AJCC/UICC 6th clinical Stage 1 - 1633905 AJCC/UICC 7th clinical Stage 1 - 1634457 AJCC/UICC 8th clinical Stage 1 - 1635758 AJCC/UICC 6th clinical Stage 2 - 1634718 AJCC/UICC 7th clinical Stage 2 - 1635182 AJCC/UICC 8th clinical Stage 2 - 1635217 AJCC/UICC 6th clinical Stage 3 - 1635848 AJCC/UICC 7th clinical Stage 3 - 1635125 AJCC/UICC 8th clinical Stage 3 - 1634596 AJCC/UICC 6th clinical Stage 4 - 1634307 AJCC/UICC 7th clinical Stage 4 - 1634766 AJCC/UICC 8th clinical Stage 4 - 1635029 AJCC/UICC 6th clinical Stage 4A - 1635535 AJCC/UICC 7th clinical Stage 4A - 1634451 AJCC/UICC 8th clinical Stage 4A - 1634810 AJCC/UICC 6th clinical Stage 4B - 1633922 AJCC/UICC 7th clinical Stage 4B - 1635757 AJCC/UICC 8th clinical Stage 4B - 1635708 AJCC/UICC 6th clinical Stage 4C - 1633270 AJCC/UICC 7th clinical Stage 4C - 1634614 AJCC/UICC 8th clinical Stage 4C - 1635006 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 64. ClinicalStage.localised | |||||||
| Definition | Describes if there disease is local Localised and Number of tumor modules are variables that work together | ||||||
| Short | Localised (M) | ||||||
| Comments | Confined disease - 32942 | ||||||
| Control | 1..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 66. ClinicalStage.numberOfTumorNodules | |||||||
| Definition | Indicates the number of tumor nodules in the case the disease is localised Localised and Number of tumor modules are variables that work together | ||||||
| Short | Number of tumor nodules (R) | ||||||
| Comments | Number of tumor nodules - 4228659 | ||||||
| Control | 0..* | ||||||
| Type | integer | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 68. ClinicalStage.locoRegional | |||||||
| Definition | Indicates if the disease is in a loco-regional extent | ||||||
| Short | Loco-regional (M) | ||||||
| Comments | Invasive Disease - 32943 | ||||||
| Control | 1..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 70. ClinicalStage.isTransitMetastasisWithClinicalConfirmation | |||||||
| Definition | Indicates spread of cancer cells through lymphatic vessels, where they lodge and grow in tissues located between the primary tumor and the nearest regional lymph nodes. | ||||||
| Short | Is Transit metastasis with clinical confirmation (M) | ||||||
| Comments | Transit Metastasis with Clinical Confirmation - 36769249 | ||||||
| Control | 1..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 72. ClinicalStage.isMultifocalTumor | |||||||
| Definition | Presence of multiple distinct tumor foci (or nodules) within the same organ or tissue, originating from the same primary tumor type. These foci may arise through independent tumorigenesis (multiple primary lesions) or local spread of the same cancer. | ||||||
| Short | Is Multifocal tumor (M) | ||||||
| Comments | Multifocal Tumor - 36769933 | ||||||
| Control | 1..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 74. ClinicalStage.regionalNodalMetastases | |||||||
| Definition | Describes if regional nodal mestastases happened | ||||||
| Short | Regional nodal metastases (M) | ||||||
| Comments | Regional spread to lymph node - 36769269 | ||||||
| Control | 1..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 76. ClinicalStage.sites | |||||||
| Definition | Describes if site of metastasic disease is soft tissue | ||||||
| Short | sites (R) | ||||||
| Control | 0..* | ||||||
| Type | BackboneElement | ||||||
| Obligations |
| ||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||
| 78. ClinicalStage.sites.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 | ||||||
| 80. ClinicalStage.sites.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 ClinicalStage.sites.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||||
| 82. ClinicalStage.sites.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()) | ||||||
| 84. ClinicalStage.sites.softTissue | |||||||
| Definition | Describes if site of metastasic disease is soft tissue | ||||||
| Short | Soft tissue (R) | ||||||
| Comments | Metastasis to soft tissues - 35225724 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 86. ClinicalStage.sites.distantLymphNode | |||||||
| Definition | Describes if site of metastasic disease is dystan lymph node | ||||||
| Short | distant lymph node (R) | ||||||
| Comments | Distant spread to lymph node - 36769243 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 88. ClinicalStage.sites.lung | |||||||
| Definition | Describes if site of metastasic disease is lung | ||||||
| Short | lung (R) | ||||||
| Comments | Metastasis to lung - 36770283 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 90. ClinicalStage.sites.metastasisatbone | |||||||
| Definition | Describes if site of metastasic disease is bone | ||||||
| Short | metastasisAtBone (R) | ||||||
| Comments | Metastasis to bone - 36769301 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 92. ClinicalStage.sites.liver | |||||||
| Definition | Describes if site of metastasic disease is liver | ||||||
| Short | liver (R) | ||||||
| Comments | Metastasis to liver - 36770544 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 94. ClinicalStage.sites.pleura | |||||||
| Definition | Describes if site of metastasic disease is pleura | ||||||
| Short | pleura (R) | ||||||
| Comments | Metastasis to pleura - 35226258 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 96. ClinicalStage.sites.peritoneum | |||||||
| Definition | Describes if site of metastasic disease is peritoneum | ||||||
| Short | peritoneum (R) | ||||||
| Comments | Metastasis to peritoneum - 35226253 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 98. ClinicalStage.sites.brain | |||||||
| Definition | Describes if site of metastasic disease is brain | ||||||
| Short | brain (R) | ||||||
| Comments | Metastasis to brain - 36768862 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 100. ClinicalStage.sites.otherViscera | |||||||
| Definition | Describes if site of metastasic disease is other viscera Use the generic metastasis code or a metastasis subsumed in it, 36769180 | ||||||
| Short | other viscera (R) | ||||||
| Comments | Metastasis - 36769180 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 102. ClinicalStage.sites.unknown | |||||||
| Definition | Describes if site of metastasic disease is unknown | ||||||
| Short | unknown (R) | ||||||
| Comments | Unknown - 4129922 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
Guidance on how to interpret the contents of this table can be foundhere
| 0. ClinicalStage | |||||||
| Definition | Clinical Stage Maturity Level: 0 Draft | ||||||
| Short | Clinical Stage | ||||||
| Logical Model | Instances of this logical model are not marked to be the target of a Reference | ||||||
| 2. ClinicalStage.diagnosisReference | |||||||
| Definition | Diagnosis element containing the data regarding the patient's cancer | ||||||
| Short | Diagnosis Reference (M) | ||||||
| Control | 1..* | ||||||
| Type | http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Diagnosis | ||||||
| Obligations |
| ||||||
| 4. ClinicalStage.stagingProceduresDoneBy | |||||||
| Definition | Describes the ID of the institution where staging procedure for primary tumour was performed | ||||||
| Short | Staging procedures done by (M) | ||||||
| Control | 1..* | ||||||
| Type | string | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 6. ClinicalStage.imagingForPrimarySite | |||||||
| Definition | Defines whether any imaging study for primary site was performed or not | ||||||
| Short | Imaging for primary site (M) | ||||||
| Control | 1..* | ||||||
| Type | BackboneElement | ||||||
| Obligations |
| ||||||
| 8. ClinicalStage.imagingForPrimarySite.ct | |||||||
| Definition | Defines whether any CT scan for primary site was performed or not | ||||||
| Short | CT for primary site (R) | ||||||
| Comments | Computed tomography - 4300757 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 10. ClinicalStage.imagingForPrimarySite.mri | |||||||
| Definition | Defines whether any MRI for primary site was performed or not | ||||||
| Short | MRI for primary site (R) | ||||||
| Comments | Magnetic resonance imaging - 4013636 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 12. ClinicalStage.imagingForPrimarySite.us | |||||||
| Definition | Defines whether any US for primary site was performed or not | ||||||
| Short | US for primary site (R) | ||||||
| Comments | Ultrasonography - 4037672 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 14. ClinicalStage.imagingForPrimarySite.other | |||||||
| Definition | Provides any other value for imaging options for primary site | ||||||
| Short | Other imaging for primary site (R) | ||||||
| Comments | Code from Procedure domain Fluorodeoxyglucose positron emission tomography - 2000100025 Positron emission tomography using other tracers - 2000100026 | ||||||
| Control | 0..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 16. ClinicalStage.imagingForNeck | |||||||
| Definition | Whether any imaging study for the neck was performed or not | ||||||
| Short | Imaging for neck (M) | ||||||
| Control | 1..* | ||||||
| Type | BackboneElement | ||||||
| Obligations |
| ||||||
| 18. ClinicalStage.imagingForNeck.ct | |||||||
| Definition | Defines whether any CT scan for neck was performed or not | ||||||
| Short | CT for neck (R) | ||||||
| Comments | Computed tomography of neck - 3307719 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 20. ClinicalStage.imagingForNeck.mri | |||||||
| Definition | Defines whether any MRI for neck was performed or not | ||||||
| Short | MRI for neck (R) | ||||||
| Comments | Magnetic resonance imaging of neck - 4218948 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 22. ClinicalStage.imagingForNeck.us | |||||||
| Definition | Defines whether any US for neck was performed or not | ||||||
| Short | US for neck (R) | ||||||
| Comments | Ultrasonography of Neck - 2793113 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 24. ClinicalStage.imagingForNeck.other | |||||||
| Definition | Provides any other value for imaging options for neck | ||||||
| Short | Other imaging for neck (R) | ||||||
| Comments | Code from Procedure domain Fluorodeoxyglucose positron emission tomography -2000100025 Positron emission tomography using other tracers - 2000100026 | ||||||
| Control | 0..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 26. ClinicalStage.imagingForMetastasis | |||||||
| Definition | Wherther any imaging study for metastasis was performed or not | ||||||
| Short | Imaging for metastasis (M) | ||||||
| Control | 1..* | ||||||
| Type | BackboneElement | ||||||
| Obligations |
| ||||||
| 28. ClinicalStage.imagingForMetastasis.ct | |||||||
| Definition | Defines whether any CT scan for metastasis was performed or not | ||||||
| Short | CT for metastasis (R) | ||||||
| Comments | CT of chest - 4058335 CT of abdomen - 4061009 CT of pelvis - 4058336 CT of brain - 4145739 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 30. ClinicalStage.imagingForMetastasis.mri | |||||||
| Definition | Defines whether any MRI for metastasis was performed or not | ||||||
| Short | MRI for metastasis (R) | ||||||
| Comments | MRI of abdomen - 4083230 MRI of pelvis - 4097527 MRI of brain - 37311324 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 32. ClinicalStage.imagingForMetastasis.us | |||||||
| Definition | Defines whether any US for metastasis was performed or not | ||||||
| Short | US for metastasis (R) | ||||||
| Comments | Ultrasonography of abdomen - 4261497 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 34. ClinicalStage.imagingForMetastasis.other | |||||||
| Definition | Provides any other value for imaging options for metastasis | ||||||
| Short | Other imaging for metastasis (R) | ||||||
| Comments | Code from Procedure domain Standard chest X-ray - 4056836 Radioisotope scan of bone - 4217238 Positron emission tomography - 4305790 Fluorodeoxyglucose positron emission tomography - 2000100025 Positron emission tomography using other tracers - 2000100026 | ||||||
| Control | 0..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 36. ClinicalStage.ct | |||||||
| Definition | Specifies the clinical T | ||||||
| Short | cT (M) | ||||||
| Comments | AJCC/UICC 6th clinical TX Category - 1635299 AJCC/UICC 7th clinical TX Category - 1634269 AJCC/UICC 8th clinical TX Category - 1633589 AJCC/UICC 6th clinical Tis Category - 1635857 AJCC/UICC 7th clinical Tis Category - 1635227 AJCC/UICC 8th clinical Tis Category - 1633737 AJCC/UICC 6th clinical T0 Category - 1635656 AJCC/UICC 7th clinical T0 Category - 1633815 AJCC/UICC 8th clinical T0 Category - 1635794 AJCC/UICC 6th clinical T1 Category - 1634381 AJCC/UICC 7th clinical T1 Category - 1635664 AJCC/UICC 8th clinical T1 Category - 1633883 AJCC/UICC 6th clinical T2 Category - 1633747 AJCC/UICC 7th clinical T2 Category - 1634029 AJCC/UICC 8th clinical T2 Category - 1634651 AJCC/UICC 6th clinical T3 Category - 1633877 AJCC/UICC 7th clinical T3 Category - 1633324 AJCC/UICC 8th clinical T3 Category - 1635556 AJCC/UICC 6th clinical T4 Category - 1635522 AJCC/UICC 7th clinical T4 Category - 1635530 AJCC/UICC 8th clinical T4 Category - 1634973 AJCC/UICC 6th clinical T4a Category - 1634247 AJCC/UICC 7th clinical T4a Category - 1634522 AJCC/UICC 8th clinical T4a Category - 1634963 AJCC/UICC 6th clinical T4b Category - 1634624 AJCC/UICC 7th clinical T4b Category - 1634120 AJCC/UICC 8th clinical T4b Category - 1634854 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 38. ClinicalStage.cn | |||||||
| Definition | Specifies the clinical N | ||||||
| Short | cN (M) | ||||||
| Comments | AJCC/UICC 6th clinical NX Category - 1635104 AJCC/UICC 7th clinical NX Category - 1633679 AJCC/UICC 8th clinical NX Category - 1634797 AJCC/UICC 6th clinical N0 Category - 1633315 AJCC/UICC 7th clinical N0 Category - 1633942 AJCC/UICC 8th clinical N0 Category - 1634070 AJCC/UICC 6th clinical N1 Category - 1635697 AJCC/UICC 7th clinical N1 Category - 1634139 AJCC/UICC 8th clinical N1 Category - 1633651 AJCC/UICC 6th clinical N2 Category - 1635470 AJCC/UICC 7th clinical N2 Category - 1635634 AJCC/UICC 8th clinical N2 Category - 1633763 AJCC/UICC 6th clinical N2a Category - 1634143 AJCC/UICC 7th clinical N2a Category - 1635739 AJCC/UICC 8th clinical N2a Category - 1633788 AJCC/UICC 6th clinical N2b Category - 1633433 AJCC/UICC 7th clinical N2b Category - 1635677 AJCC/UICC 8th clinical N2b Category - 1633323 AJCC/UICC 6th clinical N2c Category - 1634678 AJCC/UICC 7th clinical N2c Category - 1634727 AJCC/UICC 8th clinical N2c Category - 1633271 AJCC/UICC 6th clinical N3 Category - 1635605 AJCC/UICC 7th clinical N3 Category - 1634037 AJCC/UICC 8th clinical N3 Category - 1633854 AJCC/UICC 6th clinical N3a Category - 1633434 AJCC/UICC 7th clinical N3a Category - 1635004 AJCC/UICC 8th clinical N3a Category - 1635496 AJCC/UICC 6th clinical N3b Category - 1635283 AJCC/UICC 7th clinical N3b Category - 1635084 AJCC/UICC 8th clinical N3b Category - 1635828 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 40. ClinicalStage.cm | |||||||
| Definition | Specifies the clinical M | ||||||
| Short | cM (M) | ||||||
| Comments | AJCC/UICC 6th clinical M0 Category - 1634194 AJCC/UICC 7th clinical M0 Category - 1633468 AJCC/UICC 8th clinical M0 Category - 1634757 AJCC/UICC 6th clinical M1 Category - 1634829 AJCC/UICC 7th clinical M1 Category - 1633276 AJCC/UICC 8th clinical M1 Category - 1633974 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 42. ClinicalStage.extraNodalExtension | |||||||
| Definition | Describes the presence or absence of radiological signs of extracapsular extension, as defined in the AJCC 8th Ed check CODEs | ||||||
| Short | Extra-nodal extension (rEne) (M) | ||||||
| Comments | ENE- - 36769946 ENE+ - 36770618 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 44. ClinicalStage.clinicalStaging | |||||||
| Definition | Specifies the clinical TNM | ||||||
| Short | Clinical Staging (M) | ||||||
| Comments | AJCC/UICC 6th clinical Stage 0 - 1635842 AJCC/UICC 7th clinical Stage 0 - 1633828 AJCC/UICC 8th clinical Stage 0 - 1635824 AJCC/UICC 6th clinical Stage 1 - 1633905 AJCC/UICC 7th clinical Stage 1 - 1634457 AJCC/UICC 8th clinical Stage 1 - 1635758 AJCC/UICC 6th clinical Stage 2 - 1634718 AJCC/UICC 7th clinical Stage 2 - 1635182 AJCC/UICC 8th clinical Stage 2 - 1635217 AJCC/UICC 6th clinical Stage 3 - 1635848 AJCC/UICC 7th clinical Stage 3 - 1635125 AJCC/UICC 8th clinical Stage 3 - 1634596 AJCC/UICC 6th clinical Stage 4 - 1634307 AJCC/UICC 7th clinical Stage 4 - 1634766 AJCC/UICC 8th clinical Stage 4 - 1635029 AJCC/UICC 6th clinical Stage 4A - 1635535 AJCC/UICC 7th clinical Stage 4A - 1634451 AJCC/UICC 8th clinical Stage 4A - 1634810 AJCC/UICC 6th clinical Stage 4B - 1633922 AJCC/UICC 7th clinical Stage 4B - 1635757 AJCC/UICC 8th clinical Stage 4B - 1635708 AJCC/UICC 6th clinical Stage 4C - 1633270 AJCC/UICC 7th clinical Stage 4C - 1634614 AJCC/UICC 8th clinical Stage 4C - 1635006 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 46. ClinicalStage.localised | |||||||
| Definition | Describes if there disease is local Localised and Number of tumor modules are variables that work together | ||||||
| Short | Localised (M) | ||||||
| Comments | Confined disease - 32942 | ||||||
| Control | 1..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 48. ClinicalStage.numberOfTumorNodules | |||||||
| Definition | Indicates the number of tumor nodules in the case the disease is localised Localised and Number of tumor modules are variables that work together | ||||||
| Short | Number of tumor nodules (R) | ||||||
| Comments | Number of tumor nodules - 4228659 | ||||||
| Control | 0..* | ||||||
| Type | integer | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 50. ClinicalStage.locoRegional | |||||||
| Definition | Indicates if the disease is in a loco-regional extent | ||||||
| Short | Loco-regional (M) | ||||||
| Comments | Invasive Disease - 32943 | ||||||
| Control | 1..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 52. ClinicalStage.isTransitMetastasisWithClinicalConfirmation | |||||||
| Definition | Indicates spread of cancer cells through lymphatic vessels, where they lodge and grow in tissues located between the primary tumor and the nearest regional lymph nodes. | ||||||
| Short | Is Transit metastasis with clinical confirmation (M) | ||||||
| Comments | Transit Metastasis with Clinical Confirmation - 36769249 | ||||||
| Control | 1..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 54. ClinicalStage.isMultifocalTumor | |||||||
| Definition | Presence of multiple distinct tumor foci (or nodules) within the same organ or tissue, originating from the same primary tumor type. These foci may arise through independent tumorigenesis (multiple primary lesions) or local spread of the same cancer. | ||||||
| Short | Is Multifocal tumor (M) | ||||||
| Comments | Multifocal Tumor - 36769933 | ||||||
| Control | 1..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 56. ClinicalStage.regionalNodalMetastases | |||||||
| Definition | Describes if regional nodal mestastases happened | ||||||
| Short | Regional nodal metastases (M) | ||||||
| Comments | Regional spread to lymph node - 36769269 | ||||||
| Control | 1..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 58. ClinicalStage.sites | |||||||
| Definition | Describes if site of metastasic disease is soft tissue | ||||||
| Short | sites (R) | ||||||
| Control | 0..* | ||||||
| Type | BackboneElement | ||||||
| Obligations |
| ||||||
| 60. ClinicalStage.sites.softTissue | |||||||
| Definition | Describes if site of metastasic disease is soft tissue | ||||||
| Short | Soft tissue (R) | ||||||
| Comments | Metastasis to soft tissues - 35225724 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 62. ClinicalStage.sites.distantLymphNode | |||||||
| Definition | Describes if site of metastasic disease is dystan lymph node | ||||||
| Short | distant lymph node (R) | ||||||
| Comments | Distant spread to lymph node - 36769243 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 64. ClinicalStage.sites.lung | |||||||
| Definition | Describes if site of metastasic disease is lung | ||||||
| Short | lung (R) | ||||||
| Comments | Metastasis to lung - 36770283 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 66. ClinicalStage.sites.metastasisatbone | |||||||
| Definition | Describes if site of metastasic disease is bone | ||||||
| Short | metastasisAtBone (R) | ||||||
| Comments | Metastasis to bone - 36769301 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 68. ClinicalStage.sites.liver | |||||||
| Definition | Describes if site of metastasic disease is liver | ||||||
| Short | liver (R) | ||||||
| Comments | Metastasis to liver - 36770544 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 70. ClinicalStage.sites.pleura | |||||||
| Definition | Describes if site of metastasic disease is pleura | ||||||
| Short | pleura (R) | ||||||
| Comments | Metastasis to pleura - 35226258 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 72. ClinicalStage.sites.peritoneum | |||||||
| Definition | Describes if site of metastasic disease is peritoneum | ||||||
| Short | peritoneum (R) | ||||||
| Comments | Metastasis to peritoneum - 35226253 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 74. ClinicalStage.sites.brain | |||||||
| Definition | Describes if site of metastasic disease is brain | ||||||
| Short | brain (R) | ||||||
| Comments | Metastasis to brain - 36768862 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 76. ClinicalStage.sites.otherViscera | |||||||
| Definition | Describes if site of metastasic disease is other viscera Use the generic metastasis code or a metastasis subsumed in it, 36769180 | ||||||
| Short | other viscera (R) | ||||||
| Comments | Metastasis - 36769180 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 78. ClinicalStage.sites.unknown | |||||||
| Definition | Describes if site of metastasic disease is unknown | ||||||
| Short | unknown (R) | ||||||
| Comments | Unknown - 4129922 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
Guidance on how to interpret the contents of this table can be foundhere
| 0. ClinicalStage | |||||||
| Definition | Clinical Stage Maturity Level: 0 Draft | ||||||
| Short | Clinical Stage | ||||||
| Control | 0..* | ||||||
| Is Modifier | false | ||||||
| Logical Model | Instances of this logical model are not marked to be the target of a Reference | ||||||
| 2. ClinicalStage.diagnosisReference | |||||||
| Definition | Diagnosis element containing the data regarding the patient's cancer | ||||||
| Short | Diagnosis Reference (M) | ||||||
| Control | 1..* | ||||||
| Type | http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Diagnosis | ||||||
| Obligations |
| ||||||
| 4. ClinicalStage.stagingProceduresDoneBy | |||||||
| Definition | Describes the ID of the institution where staging procedure for primary tumour was performed | ||||||
| Short | Staging procedures done by (M) | ||||||
| Control | 1..* | ||||||
| Type | string | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 6. ClinicalStage.imagingForPrimarySite | |||||||
| Definition | Defines whether any imaging study for primary site was performed or not | ||||||
| Short | Imaging for primary site (M) | ||||||
| Control | 1..* | ||||||
| Type | BackboneElement | ||||||
| Obligations |
| ||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||
| 8. ClinicalStage.imagingForPrimarySite.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 | ||||||
| 10. ClinicalStage.imagingForPrimarySite.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 ClinicalStage.imagingForPrimarySite.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||||
| 12. ClinicalStage.imagingForPrimarySite.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()) | ||||||
| 14. ClinicalStage.imagingForPrimarySite.ct | |||||||
| Definition | Defines whether any CT scan for primary site was performed or not | ||||||
| Short | CT for primary site (R) | ||||||
| Comments | Computed tomography - 4300757 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 16. ClinicalStage.imagingForPrimarySite.mri | |||||||
| Definition | Defines whether any MRI for primary site was performed or not | ||||||
| Short | MRI for primary site (R) | ||||||
| Comments | Magnetic resonance imaging - 4013636 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 18. ClinicalStage.imagingForPrimarySite.us | |||||||
| Definition | Defines whether any US for primary site was performed or not | ||||||
| Short | US for primary site (R) | ||||||
| Comments | Ultrasonography - 4037672 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 20. ClinicalStage.imagingForPrimarySite.other | |||||||
| Definition | Provides any other value for imaging options for primary site | ||||||
| Short | Other imaging for primary site (R) | ||||||
| Comments | Code from Procedure domain Fluorodeoxyglucose positron emission tomography - 2000100025 Positron emission tomography using other tracers - 2000100026 | ||||||
| Control | 0..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 22. ClinicalStage.imagingForNeck | |||||||
| Definition | Whether any imaging study for the neck was performed or not | ||||||
| Short | Imaging for neck (M) | ||||||
| Control | 1..* | ||||||
| Type | BackboneElement | ||||||
| Obligations |
| ||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||
| 24. ClinicalStage.imagingForNeck.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 | ||||||
| 26. ClinicalStage.imagingForNeck.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 ClinicalStage.imagingForNeck.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||||
| 28. ClinicalStage.imagingForNeck.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()) | ||||||
| 30. ClinicalStage.imagingForNeck.ct | |||||||
| Definition | Defines whether any CT scan for neck was performed or not | ||||||
| Short | CT for neck (R) | ||||||
| Comments | Computed tomography of neck - 3307719 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 32. ClinicalStage.imagingForNeck.mri | |||||||
| Definition | Defines whether any MRI for neck was performed or not | ||||||
| Short | MRI for neck (R) | ||||||
| Comments | Magnetic resonance imaging of neck - 4218948 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 34. ClinicalStage.imagingForNeck.us | |||||||
| Definition | Defines whether any US for neck was performed or not | ||||||
| Short | US for neck (R) | ||||||
| Comments | Ultrasonography of Neck - 2793113 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 36. ClinicalStage.imagingForNeck.other | |||||||
| Definition | Provides any other value for imaging options for neck | ||||||
| Short | Other imaging for neck (R) | ||||||
| Comments | Code from Procedure domain Fluorodeoxyglucose positron emission tomography -2000100025 Positron emission tomography using other tracers - 2000100026 | ||||||
| Control | 0..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 38. ClinicalStage.imagingForMetastasis | |||||||
| Definition | Wherther any imaging study for metastasis was performed or not | ||||||
| Short | Imaging for metastasis (M) | ||||||
| Control | 1..* | ||||||
| Type | BackboneElement | ||||||
| Obligations |
| ||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||
| 40. ClinicalStage.imagingForMetastasis.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 | ||||||
| 42. ClinicalStage.imagingForMetastasis.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 ClinicalStage.imagingForMetastasis.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||||
| 44. ClinicalStage.imagingForMetastasis.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()) | ||||||
| 46. ClinicalStage.imagingForMetastasis.ct | |||||||
| Definition | Defines whether any CT scan for metastasis was performed or not | ||||||
| Short | CT for metastasis (R) | ||||||
| Comments | CT of chest - 4058335 CT of abdomen - 4061009 CT of pelvis - 4058336 CT of brain - 4145739 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 48. ClinicalStage.imagingForMetastasis.mri | |||||||
| Definition | Defines whether any MRI for metastasis was performed or not | ||||||
| Short | MRI for metastasis (R) | ||||||
| Comments | MRI of abdomen - 4083230 MRI of pelvis - 4097527 MRI of brain - 37311324 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 50. ClinicalStage.imagingForMetastasis.us | |||||||
| Definition | Defines whether any US for metastasis was performed or not | ||||||
| Short | US for metastasis (R) | ||||||
| Comments | Ultrasonography of abdomen - 4261497 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 52. ClinicalStage.imagingForMetastasis.other | |||||||
| Definition | Provides any other value for imaging options for metastasis | ||||||
| Short | Other imaging for metastasis (R) | ||||||
| Comments | Code from Procedure domain Standard chest X-ray - 4056836 Radioisotope scan of bone - 4217238 Positron emission tomography - 4305790 Fluorodeoxyglucose positron emission tomography - 2000100025 Positron emission tomography using other tracers - 2000100026 | ||||||
| Control | 0..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 54. ClinicalStage.ct | |||||||
| Definition | Specifies the clinical T | ||||||
| Short | cT (M) | ||||||
| Comments | AJCC/UICC 6th clinical TX Category - 1635299 AJCC/UICC 7th clinical TX Category - 1634269 AJCC/UICC 8th clinical TX Category - 1633589 AJCC/UICC 6th clinical Tis Category - 1635857 AJCC/UICC 7th clinical Tis Category - 1635227 AJCC/UICC 8th clinical Tis Category - 1633737 AJCC/UICC 6th clinical T0 Category - 1635656 AJCC/UICC 7th clinical T0 Category - 1633815 AJCC/UICC 8th clinical T0 Category - 1635794 AJCC/UICC 6th clinical T1 Category - 1634381 AJCC/UICC 7th clinical T1 Category - 1635664 AJCC/UICC 8th clinical T1 Category - 1633883 AJCC/UICC 6th clinical T2 Category - 1633747 AJCC/UICC 7th clinical T2 Category - 1634029 AJCC/UICC 8th clinical T2 Category - 1634651 AJCC/UICC 6th clinical T3 Category - 1633877 AJCC/UICC 7th clinical T3 Category - 1633324 AJCC/UICC 8th clinical T3 Category - 1635556 AJCC/UICC 6th clinical T4 Category - 1635522 AJCC/UICC 7th clinical T4 Category - 1635530 AJCC/UICC 8th clinical T4 Category - 1634973 AJCC/UICC 6th clinical T4a Category - 1634247 AJCC/UICC 7th clinical T4a Category - 1634522 AJCC/UICC 8th clinical T4a Category - 1634963 AJCC/UICC 6th clinical T4b Category - 1634624 AJCC/UICC 7th clinical T4b Category - 1634120 AJCC/UICC 8th clinical T4b Category - 1634854 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 56. ClinicalStage.cn | |||||||
| Definition | Specifies the clinical N | ||||||
| Short | cN (M) | ||||||
| Comments | AJCC/UICC 6th clinical NX Category - 1635104 AJCC/UICC 7th clinical NX Category - 1633679 AJCC/UICC 8th clinical NX Category - 1634797 AJCC/UICC 6th clinical N0 Category - 1633315 AJCC/UICC 7th clinical N0 Category - 1633942 AJCC/UICC 8th clinical N0 Category - 1634070 AJCC/UICC 6th clinical N1 Category - 1635697 AJCC/UICC 7th clinical N1 Category - 1634139 AJCC/UICC 8th clinical N1 Category - 1633651 AJCC/UICC 6th clinical N2 Category - 1635470 AJCC/UICC 7th clinical N2 Category - 1635634 AJCC/UICC 8th clinical N2 Category - 1633763 AJCC/UICC 6th clinical N2a Category - 1634143 AJCC/UICC 7th clinical N2a Category - 1635739 AJCC/UICC 8th clinical N2a Category - 1633788 AJCC/UICC 6th clinical N2b Category - 1633433 AJCC/UICC 7th clinical N2b Category - 1635677 AJCC/UICC 8th clinical N2b Category - 1633323 AJCC/UICC 6th clinical N2c Category - 1634678 AJCC/UICC 7th clinical N2c Category - 1634727 AJCC/UICC 8th clinical N2c Category - 1633271 AJCC/UICC 6th clinical N3 Category - 1635605 AJCC/UICC 7th clinical N3 Category - 1634037 AJCC/UICC 8th clinical N3 Category - 1633854 AJCC/UICC 6th clinical N3a Category - 1633434 AJCC/UICC 7th clinical N3a Category - 1635004 AJCC/UICC 8th clinical N3a Category - 1635496 AJCC/UICC 6th clinical N3b Category - 1635283 AJCC/UICC 7th clinical N3b Category - 1635084 AJCC/UICC 8th clinical N3b Category - 1635828 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 58. ClinicalStage.cm | |||||||
| Definition | Specifies the clinical M | ||||||
| Short | cM (M) | ||||||
| Comments | AJCC/UICC 6th clinical M0 Category - 1634194 AJCC/UICC 7th clinical M0 Category - 1633468 AJCC/UICC 8th clinical M0 Category - 1634757 AJCC/UICC 6th clinical M1 Category - 1634829 AJCC/UICC 7th clinical M1 Category - 1633276 AJCC/UICC 8th clinical M1 Category - 1633974 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 60. ClinicalStage.extraNodalExtension | |||||||
| Definition | Describes the presence or absence of radiological signs of extracapsular extension, as defined in the AJCC 8th Ed check CODEs | ||||||
| Short | Extra-nodal extension (rEne) (M) | ||||||
| Comments | ENE- - 36769946 ENE+ - 36770618 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 62. ClinicalStage.clinicalStaging | |||||||
| Definition | Specifies the clinical TNM | ||||||
| Short | Clinical Staging (M) | ||||||
| Comments | AJCC/UICC 6th clinical Stage 0 - 1635842 AJCC/UICC 7th clinical Stage 0 - 1633828 AJCC/UICC 8th clinical Stage 0 - 1635824 AJCC/UICC 6th clinical Stage 1 - 1633905 AJCC/UICC 7th clinical Stage 1 - 1634457 AJCC/UICC 8th clinical Stage 1 - 1635758 AJCC/UICC 6th clinical Stage 2 - 1634718 AJCC/UICC 7th clinical Stage 2 - 1635182 AJCC/UICC 8th clinical Stage 2 - 1635217 AJCC/UICC 6th clinical Stage 3 - 1635848 AJCC/UICC 7th clinical Stage 3 - 1635125 AJCC/UICC 8th clinical Stage 3 - 1634596 AJCC/UICC 6th clinical Stage 4 - 1634307 AJCC/UICC 7th clinical Stage 4 - 1634766 AJCC/UICC 8th clinical Stage 4 - 1635029 AJCC/UICC 6th clinical Stage 4A - 1635535 AJCC/UICC 7th clinical Stage 4A - 1634451 AJCC/UICC 8th clinical Stage 4A - 1634810 AJCC/UICC 6th clinical Stage 4B - 1633922 AJCC/UICC 7th clinical Stage 4B - 1635757 AJCC/UICC 8th clinical Stage 4B - 1635708 AJCC/UICC 6th clinical Stage 4C - 1633270 AJCC/UICC 7th clinical Stage 4C - 1634614 AJCC/UICC 8th clinical Stage 4C - 1635006 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 64. ClinicalStage.localised | |||||||
| Definition | Describes if there disease is local Localised and Number of tumor modules are variables that work together | ||||||
| Short | Localised (M) | ||||||
| Comments | Confined disease - 32942 | ||||||
| Control | 1..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 66. ClinicalStage.numberOfTumorNodules | |||||||
| Definition | Indicates the number of tumor nodules in the case the disease is localised Localised and Number of tumor modules are variables that work together | ||||||
| Short | Number of tumor nodules (R) | ||||||
| Comments | Number of tumor nodules - 4228659 | ||||||
| Control | 0..* | ||||||
| Type | integer | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 68. ClinicalStage.locoRegional | |||||||
| Definition | Indicates if the disease is in a loco-regional extent | ||||||
| Short | Loco-regional (M) | ||||||
| Comments | Invasive Disease - 32943 | ||||||
| Control | 1..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 70. ClinicalStage.isTransitMetastasisWithClinicalConfirmation | |||||||
| Definition | Indicates spread of cancer cells through lymphatic vessels, where they lodge and grow in tissues located between the primary tumor and the nearest regional lymph nodes. | ||||||
| Short | Is Transit metastasis with clinical confirmation (M) | ||||||
| Comments | Transit Metastasis with Clinical Confirmation - 36769249 | ||||||
| Control | 1..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 72. ClinicalStage.isMultifocalTumor | |||||||
| Definition | Presence of multiple distinct tumor foci (or nodules) within the same organ or tissue, originating from the same primary tumor type. These foci may arise through independent tumorigenesis (multiple primary lesions) or local spread of the same cancer. | ||||||
| Short | Is Multifocal tumor (M) | ||||||
| Comments | Multifocal Tumor - 36769933 | ||||||
| Control | 1..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 74. ClinicalStage.regionalNodalMetastases | |||||||
| Definition | Describes if regional nodal mestastases happened | ||||||
| Short | Regional nodal metastases (M) | ||||||
| Comments | Regional spread to lymph node - 36769269 | ||||||
| Control | 1..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 76. ClinicalStage.sites | |||||||
| Definition | Describes if site of metastasic disease is soft tissue | ||||||
| Short | sites (R) | ||||||
| Control | 0..* | ||||||
| Type | BackboneElement | ||||||
| Obligations |
| ||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||||
| 78. ClinicalStage.sites.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 | ||||||
| 80. ClinicalStage.sites.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 ClinicalStage.sites.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||||
| 82. ClinicalStage.sites.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()) | ||||||
| 84. ClinicalStage.sites.softTissue | |||||||
| Definition | Describes if site of metastasic disease is soft tissue | ||||||
| Short | Soft tissue (R) | ||||||
| Comments | Metastasis to soft tissues - 35225724 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 86. ClinicalStage.sites.distantLymphNode | |||||||
| Definition | Describes if site of metastasic disease is dystan lymph node | ||||||
| Short | distant lymph node (R) | ||||||
| Comments | Distant spread to lymph node - 36769243 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 88. ClinicalStage.sites.lung | |||||||
| Definition | Describes if site of metastasic disease is lung | ||||||
| Short | lung (R) | ||||||
| Comments | Metastasis to lung - 36770283 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 90. ClinicalStage.sites.metastasisatbone | |||||||
| Definition | Describes if site of metastasic disease is bone | ||||||
| Short | metastasisAtBone (R) | ||||||
| Comments | Metastasis to bone - 36769301 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 92. ClinicalStage.sites.liver | |||||||
| Definition | Describes if site of metastasic disease is liver | ||||||
| Short | liver (R) | ||||||
| Comments | Metastasis to liver - 36770544 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 94. ClinicalStage.sites.pleura | |||||||
| Definition | Describes if site of metastasic disease is pleura | ||||||
| Short | pleura (R) | ||||||
| Comments | Metastasis to pleura - 35226258 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 96. ClinicalStage.sites.peritoneum | |||||||
| Definition | Describes if site of metastasic disease is peritoneum | ||||||
| Short | peritoneum (R) | ||||||
| Comments | Metastasis to peritoneum - 35226253 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 98. ClinicalStage.sites.brain | |||||||
| Definition | Describes if site of metastasic disease is brain | ||||||
| Short | brain (R) | ||||||
| Comments | Metastasis to brain - 36768862 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 100. ClinicalStage.sites.otherViscera | |||||||
| Definition | Describes if site of metastasic disease is other viscera Use the generic metastasis code or a metastasis subsumed in it, 36769180 | ||||||
| Short | other viscera (R) | ||||||
| Comments | Metastasis - 36769180 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 102. ClinicalStage.sites.unknown | |||||||
| Definition | Describes if site of metastasic disease is unknown | ||||||
| Short | unknown (R) | ||||||
| Comments | Unknown - 4129922 | ||||||
| Control | 0..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
IG © 2022+ IDEA4RC Project. Package hl7.eu.fhir.idea4rc#0.1.0 based on FHIR 4.0.1. Generated 2025-07-25
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.
