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 PathologicalStage logical model.
Guidance on how to interpret the contents of this table can be foundhere
| 0. PathologicalStage | |||||||
| Definition | Pathological Stage Maturity Level: 0 Draft | ||||||
| Short | Pathological Stage | ||||||
| Control | 0..* | ||||||
| Is Modifier | false | ||||||
| Logical Model | Instances of this logical model are not marked to be the target of a Reference | ||||||
| 2. PathologicalStage.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. PathologicalStage.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. PathologicalStage.pt | |||||||
| Definition | Specifies the pathological T | ||||||
| Short | pT (M) | ||||||
| Comments | AJCC/UICC 6th pathological TX Category - 1634270 AJCC/UICC 7th pathological TX Category - 1635402 AJCC/UICC 8th pathological TX Category - 1634986 AJCC/UICC 6th Tis Category - 1635660 AJCC/UICC 7th Tis Category - 1633798 AJCC/UICC 8th Tis Category - 1634720 AJCC/UICC 6th pathological T0 Category - 1633279 AJCC/UICC 7th pathological T0 Category - 1634675 AJCC/UICC 8th pathological T0 Category - 1634635 AJCC/UICC 6th pathological T1 Category - 1633445 AJCC/UICC 7th pathological T1 Category - 1635422 AJCC/UICC 8th pathological T1 Category - 1635070 AJCC/UICC 6th pathological T2 Category - 1634792 AJCC/UICC 7th pathological T2 Category - 1634491 AJCC/UICC 8th pathological T2 Category - 1633307 AJCC/UICC 6th pathological T3 Category - 1635670 AJCC/UICC 7th pathological T3 Category - 1634658 AJCC/UICC 8th pathological T3 Category - 1634386 AJCC/UICC 6th pathological T4 Category - 1635311 AJCC/UICC 7th pathological T4 Category - 1635341 AJCC/UICC 8th pathological T4 Category - 1635396 AJCC/UICC 6th pathological T4a Category - 1634101 AJCC/UICC 7th pathological T4a Category - 1633723 AJCC/UICC 8th pathological T4a Category - 1634894 AJCC/UICC 6th pathological T4b Category - 1633900 AJCC/UICC 7th pathological T4b Category - 1633699 AJCC/UICC 8th pathological T4b Category - 1633658 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 8. PathologicalStage.pn | |||||||
| Definition | Specifies the pathological N | ||||||
| Short | pN (M) | ||||||
| Comments | AJCC/UICC 6th pathological NX Category - 1635823 AJCC/UICC 7th pathological NX Category - 1634505 AJCC/UICC 8th pathological NX Category - 1634117 AJCC/UICC 6th pathological N0 Category - 1634212 AJCC/UICC 7th pathological N0 Category - 1633726 AJCC/UICC 8th pathological N0 Category - 1635560 AJCC/UICC 6th pathological N1 Category - 1634562 AJCC/UICC 7th pathological N1 Category - 1634245 AJCC/UICC 8th pathological N1 Category - 1633659 AJCC/UICC 6th pathological N2 Category - 1634541 AJCC/UICC 7th pathological N2 Category - 1633569 AJCC/UICC 8th pathological N2 Category - 1633336 AJCC/UICC 6th pathological N2a Category - 1633273 AJCC/UICC 7th pathological N2a Category - 1635717 AJCC/UICC 8th pathological N2a Category - 1635871 AJCC/UICC 6th pathological N2b Category - 1634773 AJCC/UICC 7th pathological N2b Category - 1633607 AJCC/UICC 8th pathological N2b Category - 1634645 AJCC/UICC 6th pathological N2c Category - 1635113 AJCC/UICC 7th pathological N2c Category - 1634601 AJCC/UICC 8th pathological N2c Category - 1634383 AJCC/UICC 6th pathological N3 Category - 1634504 AJCC/UICC 7th pathological N3 Category - 1633668 AJCC/UICC 8th pathological N3 Category - 1635307 AJCC/UICC 6th pathological N3a Category - 1634271 AJCC/UICC 7th pathological N3a Category - 1634397 AJCC/UICC 8th pathological N3a Category - 1635545 AJCC/UICC 6th pathological N3b Category - 1633500 AJCC/UICC 7th pathological N3b Category - 1634847 AJCC/UICC 8th pathological N3b Category - 1634770 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 10. PathologicalStage.pm | |||||||
| Definition | Specifies the pathological M | ||||||
| Short | pM (M) | ||||||
| Comments | AJCC/UICC 6th pathological M0 Category - 1635345 AJCC/UICC 7th pathological M0 Category - 1635536 AJCC/UICC 8th pathological M0 Category - 1634606 AJCC/UICC 6th pathological M1 Category - 1633469 AJCC/UICC 7th pathological M1 Category - 1635336 AJCC/UICC 8th pathological M1 Category - 1634891 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 12. PathologicalStage.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 |
| ||||||
| 14. PathologicalStage.sentinelNode | |||||||
| Definition | Describes whether a sentinel node procedure was performed or not. Sentinel lymph node biopsy is considered a diagnostic procedure, therefore, per se, the neck is not considered to have been treated if it does not lead to a neck dissection. | ||||||
| Short | Sentinel node (M) | ||||||
| Comments | Sentinel lymph node biopsy - 4263386 | ||||||
| Control | 1..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 16. PathologicalStage.pathologicalStaging | |||||||
| Definition | Specifies the clinical TNM | ||||||
| Short | Pathological staging (M) | ||||||
| Comments | AJCC/UICC 6th pathological Stage 0 - 1634741 AJCC/UICC 7th pathological Stage 0 - 1635511 AJCC/UICC 8th pathological Stage 0 - 1634787 AJCC/UICC 6th pathological Stage 1 - 1635797 AJCC/UICC 7th pathological Stage 1 - 1635800 AJCC/UICC 8th pathological Stage 1 - 1634799 AJCC/UICC 6th pathological Stage 2 - 1633751 AJCC/UICC 7th pathological Stage 2 - 1634619 AJCC/UICC 8th pathological Stage 2 - 1635386 AJCC/UICC 6th pathological Stage 3 - 1633499 AJCC/UICC 7th pathological Stage 3 - 1634947 AJCC/UICC 8th pathological Stage 3 - 1634705 AJCC/UICC 6th pathological Stage 4 - 1634208 AJCC/UICC 7th pathological Stage 4 - 1635230 AJCC/UICC 8th pathological Stage 4 - 1633697 AJCC/UICC 6th pathological Stage 4A - 1634731 AJCC/UICC 7th pathological Stage 4A - 1635745 AJCC/UICC 8th pathological Stage 4A - 1634005 AJCC/UICC 6th pathological Stage 4B - 1635370 AJCC/UICC 7th pathological Stage 4B - 1634472 AJCC/UICC 8th pathological Stage 4B - 1634487 AJCC/UICC 6th pathological Stage 4C - 1635893 AJCC/UICC 7th pathological Stage 4C - 1634492 AJCC/UICC 8th pathological Stage 4C - 1634551 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 18. PathologicalStage.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 |
| ||||||
| 20. PathologicalStage.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 |
| ||||||
| 22. PathologicalStage.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 |
| ||||||
| 24. PathologicalStage.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 |
| ||||||
| 26. PathologicalStage.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 |
| ||||||
| 28. PathologicalStage.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 |
| ||||||
| 30. PathologicalStage.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())) | ||||||
| 32. PathologicalStage.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 | ||||||
| 34. PathologicalStage.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 PathologicalStage.sites.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||||
| 36. PathologicalStage.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()) | ||||||
| 38. PathologicalStage.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 |
| ||||||
| 40. PathologicalStage.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 |
| ||||||
| 42. PathologicalStage.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 |
| ||||||
| 44. PathologicalStage.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 |
| ||||||
| 46. PathologicalStage.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 |
| ||||||
| 48. PathologicalStage.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 |
| ||||||
| 50. PathologicalStage.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 |
| ||||||
| 52. PathologicalStage.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 |
| ||||||
| 54. PathologicalStage.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 |
| ||||||
| 56. PathologicalStage.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. PathologicalStage | |||||||
| Definition | Pathological Stage Maturity Level: 0 Draft | ||||||
| Short | Pathological Stage | ||||||
| Logical Model | Instances of this logical model are not marked to be the target of a Reference | ||||||
| 2. PathologicalStage.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. PathologicalStage.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. PathologicalStage.pt | |||||||
| Definition | Specifies the pathological T | ||||||
| Short | pT (M) | ||||||
| Comments | AJCC/UICC 6th pathological TX Category - 1634270 AJCC/UICC 7th pathological TX Category - 1635402 AJCC/UICC 8th pathological TX Category - 1634986 AJCC/UICC 6th Tis Category - 1635660 AJCC/UICC 7th Tis Category - 1633798 AJCC/UICC 8th Tis Category - 1634720 AJCC/UICC 6th pathological T0 Category - 1633279 AJCC/UICC 7th pathological T0 Category - 1634675 AJCC/UICC 8th pathological T0 Category - 1634635 AJCC/UICC 6th pathological T1 Category - 1633445 AJCC/UICC 7th pathological T1 Category - 1635422 AJCC/UICC 8th pathological T1 Category - 1635070 AJCC/UICC 6th pathological T2 Category - 1634792 AJCC/UICC 7th pathological T2 Category - 1634491 AJCC/UICC 8th pathological T2 Category - 1633307 AJCC/UICC 6th pathological T3 Category - 1635670 AJCC/UICC 7th pathological T3 Category - 1634658 AJCC/UICC 8th pathological T3 Category - 1634386 AJCC/UICC 6th pathological T4 Category - 1635311 AJCC/UICC 7th pathological T4 Category - 1635341 AJCC/UICC 8th pathological T4 Category - 1635396 AJCC/UICC 6th pathological T4a Category - 1634101 AJCC/UICC 7th pathological T4a Category - 1633723 AJCC/UICC 8th pathological T4a Category - 1634894 AJCC/UICC 6th pathological T4b Category - 1633900 AJCC/UICC 7th pathological T4b Category - 1633699 AJCC/UICC 8th pathological T4b Category - 1633658 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 8. PathologicalStage.pn | |||||||
| Definition | Specifies the pathological N | ||||||
| Short | pN (M) | ||||||
| Comments | AJCC/UICC 6th pathological NX Category - 1635823 AJCC/UICC 7th pathological NX Category - 1634505 AJCC/UICC 8th pathological NX Category - 1634117 AJCC/UICC 6th pathological N0 Category - 1634212 AJCC/UICC 7th pathological N0 Category - 1633726 AJCC/UICC 8th pathological N0 Category - 1635560 AJCC/UICC 6th pathological N1 Category - 1634562 AJCC/UICC 7th pathological N1 Category - 1634245 AJCC/UICC 8th pathological N1 Category - 1633659 AJCC/UICC 6th pathological N2 Category - 1634541 AJCC/UICC 7th pathological N2 Category - 1633569 AJCC/UICC 8th pathological N2 Category - 1633336 AJCC/UICC 6th pathological N2a Category - 1633273 AJCC/UICC 7th pathological N2a Category - 1635717 AJCC/UICC 8th pathological N2a Category - 1635871 AJCC/UICC 6th pathological N2b Category - 1634773 AJCC/UICC 7th pathological N2b Category - 1633607 AJCC/UICC 8th pathological N2b Category - 1634645 AJCC/UICC 6th pathological N2c Category - 1635113 AJCC/UICC 7th pathological N2c Category - 1634601 AJCC/UICC 8th pathological N2c Category - 1634383 AJCC/UICC 6th pathological N3 Category - 1634504 AJCC/UICC 7th pathological N3 Category - 1633668 AJCC/UICC 8th pathological N3 Category - 1635307 AJCC/UICC 6th pathological N3a Category - 1634271 AJCC/UICC 7th pathological N3a Category - 1634397 AJCC/UICC 8th pathological N3a Category - 1635545 AJCC/UICC 6th pathological N3b Category - 1633500 AJCC/UICC 7th pathological N3b Category - 1634847 AJCC/UICC 8th pathological N3b Category - 1634770 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 10. PathologicalStage.pm | |||||||
| Definition | Specifies the pathological M | ||||||
| Short | pM (M) | ||||||
| Comments | AJCC/UICC 6th pathological M0 Category - 1635345 AJCC/UICC 7th pathological M0 Category - 1635536 AJCC/UICC 8th pathological M0 Category - 1634606 AJCC/UICC 6th pathological M1 Category - 1633469 AJCC/UICC 7th pathological M1 Category - 1635336 AJCC/UICC 8th pathological M1 Category - 1634891 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 12. PathologicalStage.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 |
| ||||||
| 14. PathologicalStage.sentinelNode | |||||||
| Definition | Describes whether a sentinel node procedure was performed or not. Sentinel lymph node biopsy is considered a diagnostic procedure, therefore, per se, the neck is not considered to have been treated if it does not lead to a neck dissection. | ||||||
| Short | Sentinel node (M) | ||||||
| Comments | Sentinel lymph node biopsy - 4263386 | ||||||
| Control | 1..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 16. PathologicalStage.pathologicalStaging | |||||||
| Definition | Specifies the clinical TNM | ||||||
| Short | Pathological staging (M) | ||||||
| Comments | AJCC/UICC 6th pathological Stage 0 - 1634741 AJCC/UICC 7th pathological Stage 0 - 1635511 AJCC/UICC 8th pathological Stage 0 - 1634787 AJCC/UICC 6th pathological Stage 1 - 1635797 AJCC/UICC 7th pathological Stage 1 - 1635800 AJCC/UICC 8th pathological Stage 1 - 1634799 AJCC/UICC 6th pathological Stage 2 - 1633751 AJCC/UICC 7th pathological Stage 2 - 1634619 AJCC/UICC 8th pathological Stage 2 - 1635386 AJCC/UICC 6th pathological Stage 3 - 1633499 AJCC/UICC 7th pathological Stage 3 - 1634947 AJCC/UICC 8th pathological Stage 3 - 1634705 AJCC/UICC 6th pathological Stage 4 - 1634208 AJCC/UICC 7th pathological Stage 4 - 1635230 AJCC/UICC 8th pathological Stage 4 - 1633697 AJCC/UICC 6th pathological Stage 4A - 1634731 AJCC/UICC 7th pathological Stage 4A - 1635745 AJCC/UICC 8th pathological Stage 4A - 1634005 AJCC/UICC 6th pathological Stage 4B - 1635370 AJCC/UICC 7th pathological Stage 4B - 1634472 AJCC/UICC 8th pathological Stage 4B - 1634487 AJCC/UICC 6th pathological Stage 4C - 1635893 AJCC/UICC 7th pathological Stage 4C - 1634492 AJCC/UICC 8th pathological Stage 4C - 1634551 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 18. PathologicalStage.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 |
| ||||||
| 20. PathologicalStage.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 |
| ||||||
| 22. PathologicalStage.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 |
| ||||||
| 24. PathologicalStage.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 |
| ||||||
| 26. PathologicalStage.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 |
| ||||||
| 28. PathologicalStage.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 |
| ||||||
| 30. PathologicalStage.sites | |||||||
| Definition | Describes if site of metastasic disease is soft tissue | ||||||
| Short | sites (R) | ||||||
| Control | 0..* | ||||||
| Type | BackboneElement | ||||||
| Obligations |
| ||||||
| 32. PathologicalStage.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 |
| ||||||
| 34. PathologicalStage.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 |
| ||||||
| 36. PathologicalStage.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 |
| ||||||
| 38. PathologicalStage.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 |
| ||||||
| 40. PathologicalStage.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 |
| ||||||
| 42. PathologicalStage.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 |
| ||||||
| 44. PathologicalStage.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 |
| ||||||
| 46. PathologicalStage.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 |
| ||||||
| 48. PathologicalStage.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 |
| ||||||
| 50. PathologicalStage.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. PathologicalStage | |||||||
| Definition | Pathological Stage Maturity Level: 0 Draft | ||||||
| Short | Pathological Stage | ||||||
| Control | 0..* | ||||||
| Is Modifier | false | ||||||
| Logical Model | Instances of this logical model are not marked to be the target of a Reference | ||||||
| 2. PathologicalStage.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. PathologicalStage.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. PathologicalStage.pt | |||||||
| Definition | Specifies the pathological T | ||||||
| Short | pT (M) | ||||||
| Comments | AJCC/UICC 6th pathological TX Category - 1634270 AJCC/UICC 7th pathological TX Category - 1635402 AJCC/UICC 8th pathological TX Category - 1634986 AJCC/UICC 6th Tis Category - 1635660 AJCC/UICC 7th Tis Category - 1633798 AJCC/UICC 8th Tis Category - 1634720 AJCC/UICC 6th pathological T0 Category - 1633279 AJCC/UICC 7th pathological T0 Category - 1634675 AJCC/UICC 8th pathological T0 Category - 1634635 AJCC/UICC 6th pathological T1 Category - 1633445 AJCC/UICC 7th pathological T1 Category - 1635422 AJCC/UICC 8th pathological T1 Category - 1635070 AJCC/UICC 6th pathological T2 Category - 1634792 AJCC/UICC 7th pathological T2 Category - 1634491 AJCC/UICC 8th pathological T2 Category - 1633307 AJCC/UICC 6th pathological T3 Category - 1635670 AJCC/UICC 7th pathological T3 Category - 1634658 AJCC/UICC 8th pathological T3 Category - 1634386 AJCC/UICC 6th pathological T4 Category - 1635311 AJCC/UICC 7th pathological T4 Category - 1635341 AJCC/UICC 8th pathological T4 Category - 1635396 AJCC/UICC 6th pathological T4a Category - 1634101 AJCC/UICC 7th pathological T4a Category - 1633723 AJCC/UICC 8th pathological T4a Category - 1634894 AJCC/UICC 6th pathological T4b Category - 1633900 AJCC/UICC 7th pathological T4b Category - 1633699 AJCC/UICC 8th pathological T4b Category - 1633658 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 8. PathologicalStage.pn | |||||||
| Definition | Specifies the pathological N | ||||||
| Short | pN (M) | ||||||
| Comments | AJCC/UICC 6th pathological NX Category - 1635823 AJCC/UICC 7th pathological NX Category - 1634505 AJCC/UICC 8th pathological NX Category - 1634117 AJCC/UICC 6th pathological N0 Category - 1634212 AJCC/UICC 7th pathological N0 Category - 1633726 AJCC/UICC 8th pathological N0 Category - 1635560 AJCC/UICC 6th pathological N1 Category - 1634562 AJCC/UICC 7th pathological N1 Category - 1634245 AJCC/UICC 8th pathological N1 Category - 1633659 AJCC/UICC 6th pathological N2 Category - 1634541 AJCC/UICC 7th pathological N2 Category - 1633569 AJCC/UICC 8th pathological N2 Category - 1633336 AJCC/UICC 6th pathological N2a Category - 1633273 AJCC/UICC 7th pathological N2a Category - 1635717 AJCC/UICC 8th pathological N2a Category - 1635871 AJCC/UICC 6th pathological N2b Category - 1634773 AJCC/UICC 7th pathological N2b Category - 1633607 AJCC/UICC 8th pathological N2b Category - 1634645 AJCC/UICC 6th pathological N2c Category - 1635113 AJCC/UICC 7th pathological N2c Category - 1634601 AJCC/UICC 8th pathological N2c Category - 1634383 AJCC/UICC 6th pathological N3 Category - 1634504 AJCC/UICC 7th pathological N3 Category - 1633668 AJCC/UICC 8th pathological N3 Category - 1635307 AJCC/UICC 6th pathological N3a Category - 1634271 AJCC/UICC 7th pathological N3a Category - 1634397 AJCC/UICC 8th pathological N3a Category - 1635545 AJCC/UICC 6th pathological N3b Category - 1633500 AJCC/UICC 7th pathological N3b Category - 1634847 AJCC/UICC 8th pathological N3b Category - 1634770 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 10. PathologicalStage.pm | |||||||
| Definition | Specifies the pathological M | ||||||
| Short | pM (M) | ||||||
| Comments | AJCC/UICC 6th pathological M0 Category - 1635345 AJCC/UICC 7th pathological M0 Category - 1635536 AJCC/UICC 8th pathological M0 Category - 1634606 AJCC/UICC 6th pathological M1 Category - 1633469 AJCC/UICC 7th pathological M1 Category - 1635336 AJCC/UICC 8th pathological M1 Category - 1634891 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 12. PathologicalStage.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 |
| ||||||
| 14. PathologicalStage.sentinelNode | |||||||
| Definition | Describes whether a sentinel node procedure was performed or not. Sentinel lymph node biopsy is considered a diagnostic procedure, therefore, per se, the neck is not considered to have been treated if it does not lead to a neck dissection. | ||||||
| Short | Sentinel node (M) | ||||||
| Comments | Sentinel lymph node biopsy - 4263386 | ||||||
| Control | 1..* | ||||||
| Type | boolean | ||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
| Obligations |
| ||||||
| 16. PathologicalStage.pathologicalStaging | |||||||
| Definition | Specifies the clinical TNM | ||||||
| Short | Pathological staging (M) | ||||||
| Comments | AJCC/UICC 6th pathological Stage 0 - 1634741 AJCC/UICC 7th pathological Stage 0 - 1635511 AJCC/UICC 8th pathological Stage 0 - 1634787 AJCC/UICC 6th pathological Stage 1 - 1635797 AJCC/UICC 7th pathological Stage 1 - 1635800 AJCC/UICC 8th pathological Stage 1 - 1634799 AJCC/UICC 6th pathological Stage 2 - 1633751 AJCC/UICC 7th pathological Stage 2 - 1634619 AJCC/UICC 8th pathological Stage 2 - 1635386 AJCC/UICC 6th pathological Stage 3 - 1633499 AJCC/UICC 7th pathological Stage 3 - 1634947 AJCC/UICC 8th pathological Stage 3 - 1634705 AJCC/UICC 6th pathological Stage 4 - 1634208 AJCC/UICC 7th pathological Stage 4 - 1635230 AJCC/UICC 8th pathological Stage 4 - 1633697 AJCC/UICC 6th pathological Stage 4A - 1634731 AJCC/UICC 7th pathological Stage 4A - 1635745 AJCC/UICC 8th pathological Stage 4A - 1634005 AJCC/UICC 6th pathological Stage 4B - 1635370 AJCC/UICC 7th pathological Stage 4B - 1634472 AJCC/UICC 8th pathological Stage 4B - 1634487 AJCC/UICC 6th pathological Stage 4C - 1635893 AJCC/UICC 7th pathological Stage 4C - 1634492 AJCC/UICC 8th pathological Stage 4C - 1634551 | ||||||
| Control | 1..* | ||||||
| Type | CodeableConcept | ||||||
| Obligations |
| ||||||
| 18. PathologicalStage.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 |
| ||||||
| 20. PathologicalStage.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 |
| ||||||
| 22. PathologicalStage.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 |
| ||||||
| 24. PathologicalStage.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 |
| ||||||
| 26. PathologicalStage.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 |
| ||||||
| 28. PathologicalStage.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 |
| ||||||
| 30. PathologicalStage.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())) | ||||||
| 32. PathologicalStage.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 | ||||||
| 34. PathologicalStage.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 PathologicalStage.sites.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||||
| 36. PathologicalStage.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()) | ||||||
| 38. PathologicalStage.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 |
| ||||||
| 40. PathologicalStage.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 |
| ||||||
| 42. PathologicalStage.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 |
| ||||||
| 44. PathologicalStage.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 |
| ||||||
| 46. PathologicalStage.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 |
| ||||||
| 48. PathologicalStage.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 |
| ||||||
| 50. PathologicalStage.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 |
| ||||||
| 52. PathologicalStage.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 |
| ||||||
| 54. PathologicalStage.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 |
| ||||||
| 56. PathologicalStage.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.
