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

Logical Model: SarcomaStageI4rc - Detailed Descriptions

Draft as of 2024-11-12

Definitions for the SarcomaStage logical model.

Guidance on how to interpret the contents of this table can be found here

0. SarcomaStage
Definition

Sarcoma Stage

ShortSarcoma Stage
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. SarcomaStage.episodeEvent
Definition

EpisodeEvent element containing the data regarding the patient's cancer

ShortEpisode Event Reference
Control1..1
Typehttp://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent
Obligations
    ObligationsActor
    SHALL:handle
    4. SarcomaStage.localised
    Definition

    Is localised

    ShortLocalised
    Comments

    Stage at diagnosis (before any treatments) ""? Localised ? Yes/No; if yes specify No of lesions""

    Control1..1
    TypeCodeableConcept
    Obligations
      ObligationsActor
      SHALL:handle
      6. SarcomaStage.locoRegional
      Definition

      Loco-regional information

      ShortLoco-regional
      Comments

      ? Loco-regional ? In transit metastasis ? Multifocal (more than one lesion in the same organ or/anatomical compartment) ""

      Control1..1
      TypeCodeableConcept
      Obligations
        ObligationsActor
        SHALL:handle
        8. SarcomaStage.regionalNodalMetastases
        Definition

        Describes if regional nodal mestastases happened

        ShortRegional nodal metastases
        Control1..1
        Typeboolean
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Obligations
          ObligationsActor
          SHALL:handle
          10. SarcomaStage.sites
          Definition

          Describes if site of metastasic disease is soft tissue

          Shortsites
          Control0..1
          TypeBackboneElement
          Obligations
            ObligationsActor
            SHALL:handle
            12. SarcomaStage.sites.softTissue
            Definition

            Describes if site of metastasic disease is soft tissue

            ShortSoft tissue
            Control0..1
            Typeboolean
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Obligations
              ObligationsActor
              SHALL:handle
              14. SarcomaStage.sites.distantLymphNode
              Definition

              Describes if site of metastasic disease is dystan lymph node

              Shortdistant lymph node
              Control0..1
              Typeboolean
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Obligations
                ObligationsActor
                SHALL:handle
                16. SarcomaStage.sites.lung
                Definition

                Describes if site of metastasic disease is lung

                Shortlung
                Control0..1
                Typeboolean
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Obligations
                  ObligationsActor
                  SHALL:handle
                  18. SarcomaStage.sites.bone
                  Definition

                  Describes if site of metastasic disease is bone

                  Shortbone
                  Control0..1
                  Typeboolean
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Obligations
                    ObligationsActor
                    SHALL:handle
                    20. SarcomaStage.sites.liver
                    Definition

                    Describes if site of metastasic disease is liver

                    Shortliver
                    Control0..1
                    Typeboolean
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Obligations
                      ObligationsActor
                      SHALL:handle
                      22. SarcomaStage.sites.pleura
                      Definition

                      Describes if site of metastasic disease is pleura

                      Shortpleura
                      Control0..1
                      Typeboolean
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Obligations
                        ObligationsActor
                        SHALL:handle
                        24. SarcomaStage.sites.peritoneum
                        Definition

                        Describes if site of metastasic disease is peritoneum

                        Shortperitoneum
                        Control0..1
                        Typeboolean
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Obligations
                          ObligationsActor
                          SHALL:handle
                          26. SarcomaStage.sites.brain
                          Definition

                          Describes if site of metastasic disease is brain

                          Shortbrain
                          Control0..1
                          Typeboolean
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Obligations
                            ObligationsActor
                            SHALL:handle
                            28. SarcomaStage.sites.otherViscera
                            Definition

                            Describes if site of metastasic disease is other viscera

                            Shortother viscera
                            Control0..1
                            Typeboolean
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Obligations
                              ObligationsActor
                              SHALL:handle
                              30. SarcomaStage.sites.unknown
                              Definition

                              Describes if site of metastasic disease is unknown

                              Shortunknown
                              Control0..1
                              Typeboolean
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Obligations
                                ObligationsActor
                                SHALL:handle

                                Guidance on how to interpret the contents of this table can be found here

                                0. SarcomaStage
                                Definition

                                Sarcoma Stage

                                ShortSarcoma Stage
                                Control0..*
                                Is Modifierfalse
                                Logical ModelInstances of this logical model are not marked to be the target of a Reference
                                2. SarcomaStage.episodeEvent
                                Definition

                                EpisodeEvent element containing the data regarding the patient's cancer

                                ShortEpisode Event Reference
                                Control1..1
                                Typehttp://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent
                                Obligations
                                  ObligationsActor
                                  SHALL:handle
                                  4. SarcomaStage.localised
                                  Definition

                                  Is localised

                                  ShortLocalised
                                  Comments

                                  Stage at diagnosis (before any treatments) ""? Localised ? Yes/No; if yes specify No of lesions""

                                  Control1..1
                                  TypeCodeableConcept
                                  Obligations
                                    ObligationsActor
                                    SHALL:handle
                                    6. SarcomaStage.locoRegional
                                    Definition

                                    Loco-regional information

                                    ShortLoco-regional
                                    Comments

                                    ? Loco-regional ? In transit metastasis ? Multifocal (more than one lesion in the same organ or/anatomical compartment) ""

                                    Control1..1
                                    TypeCodeableConcept
                                    Obligations
                                      ObligationsActor
                                      SHALL:handle
                                      8. SarcomaStage.regionalNodalMetastases
                                      Definition

                                      Describes if regional nodal mestastases happened

                                      ShortRegional nodal metastases
                                      Control1..1
                                      Typeboolean
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Obligations
                                        ObligationsActor
                                        SHALL:handle
                                        10. SarcomaStage.sites
                                        Definition

                                        Describes if site of metastasic disease is soft tissue

                                        Shortsites
                                        Control0..1
                                        TypeBackboneElement
                                        Obligations
                                          ObligationsActor
                                          SHALL:handle
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          12. SarcomaStage.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).

                                          ShortExtensions 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.

                                          Control0..*
                                          TypeExtension
                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                          Summarytrue
                                          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 Namesextensions, user content, modifiers
                                          Invariantsele-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. SarcomaStage.sites.softTissue
                                          Definition

                                          Describes if site of metastasic disease is soft tissue

                                          ShortSoft tissue
                                          Control0..1
                                          Typeboolean
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Obligations
                                            ObligationsActor
                                            SHALL:handle
                                            16. SarcomaStage.sites.distantLymphNode
                                            Definition

                                            Describes if site of metastasic disease is dystan lymph node

                                            Shortdistant lymph node
                                            Control0..1
                                            Typeboolean
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Obligations
                                              ObligationsActor
                                              SHALL:handle
                                              18. SarcomaStage.sites.lung
                                              Definition

                                              Describes if site of metastasic disease is lung

                                              Shortlung
                                              Control0..1
                                              Typeboolean
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Obligations
                                                ObligationsActor
                                                SHALL:handle
                                                20. SarcomaStage.sites.bone
                                                Definition

                                                Describes if site of metastasic disease is bone

                                                Shortbone
                                                Control0..1
                                                Typeboolean
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Obligations
                                                  ObligationsActor
                                                  SHALL:handle
                                                  22. SarcomaStage.sites.liver
                                                  Definition

                                                  Describes if site of metastasic disease is liver

                                                  Shortliver
                                                  Control0..1
                                                  Typeboolean
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Obligations
                                                    ObligationsActor
                                                    SHALL:handle
                                                    24. SarcomaStage.sites.pleura
                                                    Definition

                                                    Describes if site of metastasic disease is pleura

                                                    Shortpleura
                                                    Control0..1
                                                    Typeboolean
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Obligations
                                                      ObligationsActor
                                                      SHALL:handle
                                                      26. SarcomaStage.sites.peritoneum
                                                      Definition

                                                      Describes if site of metastasic disease is peritoneum

                                                      Shortperitoneum
                                                      Control0..1
                                                      Typeboolean
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Obligations
                                                        ObligationsActor
                                                        SHALL:handle
                                                        28. SarcomaStage.sites.brain
                                                        Definition

                                                        Describes if site of metastasic disease is brain

                                                        Shortbrain
                                                        Control0..1
                                                        Typeboolean
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Obligations
                                                          ObligationsActor
                                                          SHALL:handle
                                                          30. SarcomaStage.sites.otherViscera
                                                          Definition

                                                          Describes if site of metastasic disease is other viscera

                                                          Shortother viscera
                                                          Control0..1
                                                          Typeboolean
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Obligations
                                                            ObligationsActor
                                                            SHALL:handle
                                                            32. SarcomaStage.sites.unknown
                                                            Definition

                                                            Describes if site of metastasic disease is unknown

                                                            Shortunknown
                                                            Control0..1
                                                            Typeboolean
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Obligations
                                                              ObligationsActor
                                                              SHALL:handle

                                                              Guidance on how to interpret the contents of this table can be found here

                                                              0. SarcomaStage
                                                              Definition

                                                              Sarcoma Stage

                                                              ShortSarcoma Stage
                                                              Control0..*
                                                              Is Modifierfalse
                                                              Logical ModelInstances of this logical model are not marked to be the target of a Reference
                                                              2. SarcomaStage.episodeEvent
                                                              Definition

                                                              EpisodeEvent element containing the data regarding the patient's cancer

                                                              ShortEpisode Event Reference
                                                              Control1..1
                                                              Typehttp://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent
                                                              Obligations
                                                                ObligationsActor
                                                                SHALL:handle
                                                                4. SarcomaStage.localised
                                                                Definition

                                                                Is localised

                                                                ShortLocalised
                                                                Comments

                                                                Stage at diagnosis (before any treatments) ""? Localised ? Yes/No; if yes specify No of lesions""

                                                                Control1..1
                                                                TypeCodeableConcept
                                                                Obligations
                                                                  ObligationsActor
                                                                  SHALL:handle
                                                                  6. SarcomaStage.locoRegional
                                                                  Definition

                                                                  Loco-regional information

                                                                  ShortLoco-regional
                                                                  Comments

                                                                  ? Loco-regional ? In transit metastasis ? Multifocal (more than one lesion in the same organ or/anatomical compartment) ""

                                                                  Control1..1
                                                                  TypeCodeableConcept
                                                                  Obligations
                                                                    ObligationsActor
                                                                    SHALL:handle
                                                                    8. SarcomaStage.regionalNodalMetastases
                                                                    Definition

                                                                    Describes if regional nodal mestastases happened

                                                                    ShortRegional nodal metastases
                                                                    Control1..1
                                                                    Typeboolean
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Obligations
                                                                      ObligationsActor
                                                                      SHALL:handle
                                                                      10. SarcomaStage.sites
                                                                      Definition

                                                                      Describes if site of metastasic disease is soft tissue

                                                                      Shortsites
                                                                      Control0..1
                                                                      TypeBackboneElement
                                                                      Obligations
                                                                        ObligationsActor
                                                                        SHALL:handle
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        12. SarcomaStage.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.

                                                                        ShortUnique id for inter-element referencing
                                                                        Control0..1
                                                                        Typestring
                                                                        Is Modifierfalse
                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                        Summaryfalse
                                                                        14. SarcomaStage.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.

                                                                        ShortAdditional 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.

                                                                        Control0..*
                                                                        TypeExtension
                                                                        Is Modifierfalse
                                                                        Summaryfalse
                                                                        Alternate Namesextensions, user content
                                                                        Invariantsele-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())
                                                                        SlicingThis element introduces a set of slices on SarcomaStage.sites.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                        • value @ url
                                                                        • 16. SarcomaStage.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).

                                                                          ShortExtensions 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.

                                                                          Control0..*
                                                                          TypeExtension
                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                          Summarytrue
                                                                          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 Namesextensions, user content, modifiers
                                                                          Invariantsele-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())
                                                                          18. SarcomaStage.sites.softTissue
                                                                          Definition

                                                                          Describes if site of metastasic disease is soft tissue

                                                                          ShortSoft tissue
                                                                          Control0..1
                                                                          Typeboolean
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Obligations
                                                                            ObligationsActor
                                                                            SHALL:handle
                                                                            20. SarcomaStage.sites.distantLymphNode
                                                                            Definition

                                                                            Describes if site of metastasic disease is dystan lymph node

                                                                            Shortdistant lymph node
                                                                            Control0..1
                                                                            Typeboolean
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Obligations
                                                                              ObligationsActor
                                                                              SHALL:handle
                                                                              22. SarcomaStage.sites.lung
                                                                              Definition

                                                                              Describes if site of metastasic disease is lung

                                                                              Shortlung
                                                                              Control0..1
                                                                              Typeboolean
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Obligations
                                                                                ObligationsActor
                                                                                SHALL:handle
                                                                                24. SarcomaStage.sites.bone
                                                                                Definition

                                                                                Describes if site of metastasic disease is bone

                                                                                Shortbone
                                                                                Control0..1
                                                                                Typeboolean
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Obligations
                                                                                  ObligationsActor
                                                                                  SHALL:handle
                                                                                  26. SarcomaStage.sites.liver
                                                                                  Definition

                                                                                  Describes if site of metastasic disease is liver

                                                                                  Shortliver
                                                                                  Control0..1
                                                                                  Typeboolean
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  Obligations
                                                                                    ObligationsActor
                                                                                    SHALL:handle
                                                                                    28. SarcomaStage.sites.pleura
                                                                                    Definition

                                                                                    Describes if site of metastasic disease is pleura

                                                                                    Shortpleura
                                                                                    Control0..1
                                                                                    Typeboolean
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Obligations
                                                                                      ObligationsActor
                                                                                      SHALL:handle
                                                                                      30. SarcomaStage.sites.peritoneum
                                                                                      Definition

                                                                                      Describes if site of metastasic disease is peritoneum

                                                                                      Shortperitoneum
                                                                                      Control0..1
                                                                                      Typeboolean
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Obligations
                                                                                        ObligationsActor
                                                                                        SHALL:handle
                                                                                        32. SarcomaStage.sites.brain
                                                                                        Definition

                                                                                        Describes if site of metastasic disease is brain

                                                                                        Shortbrain
                                                                                        Control0..1
                                                                                        Typeboolean
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Obligations
                                                                                          ObligationsActor
                                                                                          SHALL:handle
                                                                                          34. SarcomaStage.sites.otherViscera
                                                                                          Definition

                                                                                          Describes if site of metastasic disease is other viscera

                                                                                          Shortother viscera
                                                                                          Control0..1
                                                                                          Typeboolean
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Obligations
                                                                                            ObligationsActor
                                                                                            SHALL:handle
                                                                                            36. SarcomaStage.sites.unknown
                                                                                            Definition

                                                                                            Describes if site of metastasic disease is unknown

                                                                                            Shortunknown
                                                                                            Control0..1
                                                                                            Typeboolean
                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                            Obligations
                                                                                              ObligationsActor
                                                                                              SHALL:handle