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FHIR IG Statistics: ConceptMap/clinicalStage2FHIR

Packagehl7.eu.fhir.idea4rc
TypeConceptMap
IdclinicalStage2FHIR
FHIR VersionR4
Sourcehttp://hl7.eu/fhir/ig/idea4rc/https://build.fhir.org/ig/hl7-eu/idea4rc/ConceptMap-clinicalStage2FHIR.html
URLhttp://hl7.eu/fhir/ig/idea4rc/ConceptMap/clinicalStage2FHIR
Version0.1.0
Statusdraft
Date2025-07-22T14:45:28+00:00
NameClinicalStage2FHIR
TitleClinicalStage Model to this guide Map
Realmeu
Authorityhl7
DescriptionIt shows how the ClinicalStage model is mapped into this guide

Resources that use this resource

No resources found


Resources that this resource uses

StructureDefinition
ClinicalStageClinical Stage
Condition-secondaryCancer-eu-i4rcCondition: Metastatic Cancer
Observation-diagnosis-eu-i4rcObservation: Diagnosis details
Procedure-immaging-clinical-stage-eu-i4rcProcedure: Immaging for Clinical Stage
hn-cancer-stage-groupObservation: Head Neck Cancer Stage Group
mcode-tnm-distant-metastases-categoryObservation: TNM Distant Metastases Category
mcode-tnm-primary-tumor-categoryObservation: TNM Primary Tumor Category
mcode-tnm-regional-nodes-categoryObservation: TNM Regional Nodes Category
observation-extraNodalExtension-eu-i4rcObservation: Radiological Extra-nodal extension (rENE)
observation-number-tumor-nodulesObservation: Number of tumor nodules
sarcoma-cancer-stage-groupObservation: Sarcoma Cancer and Disease Extent Stage Group
sarcoma-extent-categoryObservation: Localized Category (Stage, Sarcoma)

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ConceptMap clinicalStage2FHIR

Mapping from (not specified) to (not specified)


Group 1 Mapping from Clinical Stage to Condition: Metastatic Cancer

Source CodeRelationshipTarget CodeComment
regionalNodalMetastases (Regional nodal metastases (M))is related toCondition.bodysiteWhere code=4241958 'Lymph node' and extension:qualifier.value=4260906 'Regional'
sites (sites (R))is related toCondition.bodysite
sites.softTissue (Soft tissue (R))is related toCondition.bodysiteWhere code=4338971 'soft tissue'
sites.distantLymphNode (distant lymph node (R))is related toCondition.bodysiteWhere code=4241958 'Lymph node' and extension:qualifier.value=4209878 'Remote'
sites.lung (lung (R))is related toCondition.bodysiteWhere code=4213162 'lung'
sites.metastasisatbone (metastasisAtBone (R))is related toCondition.bodysiteWhere code=4241958 'bone'
sites.liver (liver (R))is related toCondition.bodysiteWhere code=4009105 'liver'
sites.pleura (pleura (R))is related toCondition.bodysiteWhere code=4150673 'pleura'
sites.peritoneum (peritoneum (R))is related toCondition.bodysiteWhere code=4035784 'peritoneum'
sites.brain (brain (R))is related toCondition.bodysiteWhere code=4133034 'brain'
sites.otherViscera (other viscera (R))is related toCondition.bodysiteWhere code=4159589 'Abdominal viscera'
sites.unknown (unknown (R))is related toCondition.bodysiteWhere code=4129922 'unknown'

Group 2 Mapping from Clinical Stage to Observation: Diagnosis details

Source CodeRelationshipTarget Code
diagnosisReference (Diagnosis Reference (M))is related toObservation.derivedFrom.observation

Group 3 Mapping from Clinical Stage to Procedure: Immaging for Clinical Stage

Source CodeRelationshipTarget CodeComment
imagingForPrimarySite (Imaging for primary site (M))is related toProcedure.codeIf 'true', code must been in ValueSet Immaging for Clinical Stage for primary or must be 2000100025 'Fluorodeoxyglucose positron emission tomography' or 2000100026 'Positron emission tomography using other tracers' and bodySite must be in ValueSet Cancer site: Athena
imagingForPrimarySite.ct (CT for primary site (R))is related toProcedure.codeIf 'true', code must been 4300757 'Computed tomography' and bodySite must be in ValueSet Cancer site: Athena
imagingForPrimarySite.mri (MRI for primary site (R))is related toProcedure.codeIf 'true', code must been 4013636 'Magnetic resonance imaging' and bodySite must be in ValueSet Cancer site: Athena
imagingForPrimarySite.us (US for primary site (R))is related toProcedure.codeIf 'true', code must been 4037672 'Ultrasonography' and bodySite must be in ValueSet Cancer site: Athena
imagingForPrimarySite.other (Other imaging for primary site (R))is related toProcedure.codeIf 'true', code must been 2000100025 'Fluorodeoxyglucose positron emission tomography' or 2000100026 'Positron emission tomography using other tracers' and bodySite must be in ValueSet Cancer site: Athena
imagingForNeck (Imaging for neck (M))is related toProcedure.codeIf 'true', code must been in ValueSet Immaging for Clinical Stage for neck or must be 2000100025 'Fluorodeoxyglucose positron emission tomography' or 2000100026 'Positron emission tomography using other tracers' and bodySite must be 4048840 'Region of neck'
imagingForNeck.ct (CT for neck (R))is related toProcedure.codeIf 'true', code must been 3307719 'Computed tomography of neck' and bodySite must be 4048840 'Region of neck'
imagingForNeck.mri (MRI for neck (R))is related toProcedure.codeIf 'true', code must been 4218948 'Magnetic resonance imaging of neck' and bodySite must be 4048840 'Region of neck'
imagingForNeck.us (US for neck (R))is related toProcedure.codeIf 'true', code must been 2793113 'Ultrasonography of Neck' and bodySite must be 4048840 'Region of neck'
imagingForNeck.other (Other imaging for neck (R))is related toProcedure.codeIf 'true', code must been 2000100025 'Fluorodeoxyglucose positron emission tomography' or 2000100026 'Positron emission tomography using other tracers' and bodySite must be 4048840 'Region of neck'
imagingForMetastasis (Imaging for metastasis (M))is related toProcedure.codeIf 'true', code must been in ValueSet Immaging for metastasis or must be 2000100025 'Fluorodeoxyglucose positron emission tomography' or 2000100026 'Positron emission tomography using other tracers' and bodySite must be in ValueSet: Site of metastasis
imagingForMetastasis.ct (CT for metastasis (R))is related toProcedure.codeIf 'true', code must been 4058335 'CT of chest' or 4061009 'CT of abdomen' or 4058336 'CT of pelvis' or 4145739 'CT of brain' and bodySite must be in ValueSet: Site of metastasis
imagingForMetastasis.mri (MRI for metastasis (R))is related toProcedure.codeIf 'true', code must been 4083230 'MRI of abdomen' or 4097527 'MRI of pelvis' or 37311324 'MRI of brain' and bodySite must be in ValueSet: Site of metastasis
imagingForMetastasis.us (US for metastasis (R))is related toProcedure.codeIf 'true', code must been4261497 'Ultrasonography of abdomen' and bodySite must be in ValueSet: Site of metastasis
imagingForMetastasis.other (Other imaging for metastasis (R))is related toProcedure.codeIf 'true', code must been 4056836 'Standard chest X-ray' or 4217238 'Radioisotope scan of bone' or 4305790 'Positron emission tomography' or 2000100025 'Fluorodeoxyglucose positron emission tomography' or 2000100026 'Positron emission tomography using other tracers' and bodySite must be in ValueSet: Site of metastasis

Group 4 Mapping from Clinical Stage to Observation: Head Neck Cancer Stage Group

Source CodeRelationshipTarget CodeComment
stagingProceduresDoneBy (Staging procedures done by (M))is related toObservation.performer:organization
ct (cT (M))is related toObservation.hasMember:tnmPrimaryTumorCategorySee group for Observation: TNM Primary Tumor Category
cn (cN (M))is related toObservation.hasMember:tnmRegionalNodesCategorySee group for Observation: TNM Regional Nodes Category
cm (cM (M))is related toObservation.hasMember:tnmDistantMetastasesCategorySee group for Observation: TNM Distant Metastases Category
extraNodalExtension (Extra-nodal extension (rEne) (M))is related toObservation.hasMember:extraNodalExtensionSee group for Observation: Radiological Extra-nodal extension (rENE)
clinicalStaging (Clinical Staging (M))is equivalent toObservation.valueWhere code = 4221079 'Clinical TNM stage grouping'

Group 5 Mapping from Clinical Stage to Observation: TNM Distant Metastases Category

Source CodeRelationshipTarget CodeComment
cm (cM (M))is equivalent toObservation.valueWhere code = 21907-1 'Distant metastases.clinical [Class] Cancer'

Group 6 Mapping from Clinical Stage to Observation: TNM Primary Tumor Category

Source CodeRelationshipTarget CodeComment
ct (cT (M))is equivalent toObservation.valueWhere code = 21905-5 'Primary tumor.clinical [Class] Cancer'

Group 7 Mapping from Clinical Stage to Observation: TNM Regional Nodes Category

Source CodeRelationshipTarget CodeComment
cn (cN (M))is equivalent toObservation.valueWhere code = 21906-3 'Regional lymph nodes.clinical [Class] Cancer'

Group 8 Mapping from Clinical Stage to Observation: Radiological Extra-nodal extension (rENE)

Source CodeRelationshipTarget Code
extraNodalExtension (Extra-nodal extension (rEne) (M))is equivalent toObservation.value

Group 9 Mapping from Clinical Stage to Observation: Number of tumor nodules

Source CodeRelationshipTarget Code
numberOfTumorNodules (Number of tumor nodules (R))is equivalent toObservation.value

Group 10 Mapping from Clinical Stage to Observation: Sarcoma Cancer and Disease Extent Stage Group

Source CodeRelationshipTarget CodeComment
localised (Localised (M))is related toObservation.hasMember:localizedSee group for Observation: Localized Category (Stage, Sarcoma)
numberOfTumorNodules (Number of tumor nodules (R))is related toObservation.hasMember:localizedSee group for Observation: Number of tumor nodules

Group 11 Mapping from Clinical Stage to Observation: Localized Category (Stage, Sarcoma)

Source CodeRelationshipTarget CodeComment
localised (Localised (M))is related toObservation.valueIf 'true', code=32942 'Confined Disease' else code=32944 'Metastatic Disease'

Group 12 Mapping from Clinical Stage to http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/sarcoma-locoRegional-category

Source CodeRelationshipTarget CodeComment
locoRegional (Loco-regional (M))is related toObservation.valueIf it is present an observation with value = 32943 'Invasive Disease', it is 'true', else 'false'
isTransitMetastasisWithClinicalConfirmation (Is Transit metastasis with clinical confirmation (M))is related toObservation.valueIf it is present an observation with value = 36769249 'Transit Metastasis with Clinical Confirmation', it is 'true', else 'false'
isMultifocalTumor (Is Multifocal tumor (M))is related toObservation.valueIf it is present an observation with value = 36769933 'Multifocal Tumor', it is 'true', else 'false'

Source

{
  "resourceType": "ConceptMap",
  "id": "clinicalStage2FHIR",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://hl7.eu/fhir/ig/idea4rc/ConceptMap/clinicalStage2FHIR",
  "version": "0.1.0",
  "name": "ClinicalStage2FHIR",
  "title": "ClinicalStage Model to this guide Map",
  "status": "draft",
  "experimental": true,
  "date": "2025-07-22T14:45:28+00:00",
  "publisher": "IDEA4RC Project",
  "contact": [
    {
      "name": "IDEA4RC Project",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.idea4rc.eu/"
        }
      ]
    },
    {
      "name": "IDEA4RC Project",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.idea4rc.eu/"
        }
      ]
    }
  ],
  "description": "It shows how the ClinicalStage model is mapped into this guide",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "150",
          "display": "Europe"
        }
      ]
    }
  ],
  "group": [
    {
      "source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage",
      "target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Condition-secondaryCancer-eu-i4rc",
      "element": [
        {
          "code": "regionalNodalMetastases",
          "display": "Regional nodal metastases (M)",
          "target": [
            {
              "code": "Condition.bodysite",
              "equivalence": "relatedto",
              "comment": "Where code=4241958 'Lymph node' and extension:qualifier.value=4260906 'Regional'"
            }
          ]
        },
        {
          "code": "sites",
          "display": "sites (R)",
          "target": [
            {
              "code": "Condition.bodysite",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "sites.softTissue",
          "display": "Soft tissue (R)",
          "target": [
            {
              "code": "Condition.bodysite",
              "equivalence": "relatedto",
              "comment": "Where code=4338971 'soft tissue'"
            }
          ]
        },
        {
          "code": "sites.distantLymphNode",
          "display": "distant lymph node (R)",
          "target": [
            {
              "code": "Condition.bodysite",
              "equivalence": "relatedto",
              "comment": "Where code=4241958 'Lymph node' and extension:qualifier.value=4209878 'Remote'"
            }
          ]
        },
        {
          "code": "sites.lung",
          "display": "lung (R)",
          "target": [
            {
              "code": "Condition.bodysite",
              "equivalence": "relatedto",
              "comment": "Where code=4213162 'lung'"
            }
          ]
        },
        {
          "code": "sites.metastasisatbone",
          "display": "metastasisAtBone (R)",
          "target": [
            {
              "code": "Condition.bodysite",
              "equivalence": "relatedto",
              "comment": "Where code=4241958 'bone'"
            }
          ]
        },
        {
          "code": "sites.liver",
          "display": "liver (R)",
          "target": [
            {
              "code": "Condition.bodysite",
              "equivalence": "relatedto",
              "comment": "Where code=4009105 'liver'"
            }
          ]
        },
        {
          "code": "sites.pleura",
          "display": "pleura (R)",
          "target": [
            {
              "code": "Condition.bodysite",
              "equivalence": "relatedto",
              "comment": "Where code=4150673 'pleura'"
            }
          ]
        },
        {
          "code": "sites.peritoneum",
          "display": "peritoneum (R)",
          "target": [
            {
              "code": "Condition.bodysite",
              "equivalence": "relatedto",
              "comment": "Where code=4035784 'peritoneum'"
            }
          ]
        },
        {
          "code": "sites.brain",
          "display": "brain (R)",
          "target": [
            {
              "code": "Condition.bodysite",
              "equivalence": "relatedto",
              "comment": "Where code=4133034 'brain'"
            }
          ]
        },
        {
          "code": "sites.otherViscera",
          "display": "other viscera (R)",
          "target": [
            {
              "code": "Condition.bodysite",
              "equivalence": "relatedto",
              "comment": "Where code=4159589 'Abdominal viscera'"
            }
          ]
        },
        {
          "code": "sites.unknown",
          "display": "unknown (R)",
          "target": [
            {
              "code": "Condition.bodysite",
              "equivalence": "relatedto",
              "comment": "Where code=4129922 'unknown'"
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage",
      "target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Observation-diagnosis-eu-i4rc",
      "element": [
        {
          "code": "diagnosisReference",
          "display": "Diagnosis Reference (M)",
          "target": [
            {
              "code": "Observation.derivedFrom.observation",
              "equivalence": "relatedto"
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage",
      "target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Procedure-immaging-clinical-stage-eu-i4rc",
      "element": [
        {
          "code": "imagingForPrimarySite",
          "display": "Imaging for primary site (M)",
          "target": [
            {
              "code": "Procedure.code",
              "equivalence": "relatedto",
              "comment": "If 'true', code must been in ValueSet Immaging for Clinical Stage for primary or must be 2000100025 'Fluorodeoxyglucose positron emission tomography' or 2000100026 'Positron emission tomography using other tracers' and bodySite must be in ValueSet Cancer site: Athena"
            }
          ]
        },
        {
          "code": "imagingForPrimarySite.ct",
          "display": "CT for primary site (R)",
          "target": [
            {
              "code": "Procedure.code",
              "equivalence": "relatedto",
              "comment": "If 'true', code must been 4300757 'Computed tomography' and bodySite must be in ValueSet Cancer site: Athena"
            }
          ]
        },
        {
          "code": "imagingForPrimarySite.mri",
          "display": "MRI for primary site (R)",
          "target": [
            {
              "code": "Procedure.code",
              "equivalence": "relatedto",
              "comment": "If 'true', code must been 4013636 'Magnetic resonance imaging' and bodySite must be in ValueSet Cancer site: Athena"
            }
          ]
        },
        {
          "code": "imagingForPrimarySite.us",
          "display": "US for primary site (R)",
          "target": [
            {
              "code": "Procedure.code",
              "equivalence": "relatedto",
              "comment": "If 'true', code must been 4037672 'Ultrasonography' and bodySite must be in ValueSet Cancer site: Athena"
            }
          ]
        },
        {
          "code": "imagingForPrimarySite.other",
          "display": "Other imaging for primary site (R)",
          "target": [
            {
              "code": "Procedure.code",
              "equivalence": "relatedto",
              "comment": "If 'true', code must been 2000100025 'Fluorodeoxyglucose positron emission tomography' or 2000100026 'Positron emission tomography using other tracers' and bodySite must be in ValueSet Cancer site: Athena"
            }
          ]
        },
        {
          "code": "imagingForNeck",
          "display": "Imaging for neck (M)",
          "target": [
            {
              "code": "Procedure.code",
              "equivalence": "relatedto",
              "comment": "If 'true', code must been in ValueSet Immaging for Clinical Stage for neck or must be 2000100025 'Fluorodeoxyglucose positron emission tomography' or 2000100026 'Positron emission tomography using other tracers' and bodySite must be 4048840 'Region of neck'"
            }
          ]
        },
        {
          "code": "imagingForNeck.ct",
          "display": "CT for neck (R)",
          "target": [
            {
              "code": "Procedure.code",
              "equivalence": "relatedto",
              "comment": "If 'true', code must been 3307719 'Computed tomography of neck' and bodySite must be 4048840 'Region of neck'"
            }
          ]
        },
        {
          "code": "imagingForNeck.mri",
          "display": "MRI for neck (R)",
          "target": [
            {
              "code": "Procedure.code",
              "equivalence": "relatedto",
              "comment": "If 'true', code must been 4218948 'Magnetic resonance imaging of neck' and bodySite must be 4048840 'Region of neck'"
            }
          ]
        },
        {
          "code": "imagingForNeck.us",
          "display": "US for neck (R)",
          "target": [
            {
              "code": "Procedure.code",
              "equivalence": "relatedto",
              "comment": "If 'true', code must been 2793113 'Ultrasonography of Neck' and bodySite must be 4048840 'Region of neck'"
            }
          ]
        },
        {
          "code": "imagingForNeck.other",
          "display": "Other imaging for neck (R)",
          "target": [
            {
              "code": "Procedure.code",
              "equivalence": "relatedto",
              "comment": "If 'true', code must been 2000100025 'Fluorodeoxyglucose positron emission tomography' or 2000100026 'Positron emission tomography using other tracers' and bodySite must be 4048840 'Region of neck'"
            }
          ]
        },
        {
          "code": "imagingForMetastasis",
          "display": "Imaging for metastasis (M)",
          "target": [
            {
              "code": "Procedure.code",
              "equivalence": "relatedto",
              "comment": "If 'true', code must been in ValueSet Immaging for metastasis or must be 2000100025 'Fluorodeoxyglucose positron emission tomography' or 2000100026 'Positron emission tomography using other tracers' and bodySite must be in ValueSet: Site of metastasis"
            }
          ]
        },
        {
          "code": "imagingForMetastasis.ct",
          "display": "CT for metastasis (R)",
          "target": [
            {
              "code": "Procedure.code",
              "equivalence": "relatedto",
              "comment": "If 'true', code must been 4058335 'CT of chest' or 4061009 'CT of abdomen' or  4058336 'CT of pelvis' or 4145739 'CT of brain' and bodySite must be in ValueSet: Site of metastasis"
            }
          ]
        },
        {
          "code": "imagingForMetastasis.mri",
          "display": "MRI for metastasis (R)",
          "target": [
            {
              "code": "Procedure.code",
              "equivalence": "relatedto",
              "comment": "If 'true', code must been 4083230 'MRI of abdomen' or 4097527 'MRI of pelvis' or 37311324 'MRI of brain' and bodySite must be in ValueSet: Site of metastasis"
            }
          ]
        },
        {
          "code": "imagingForMetastasis.us",
          "display": "US for metastasis (R)",
          "target": [
            {
              "code": "Procedure.code",
              "equivalence": "relatedto",
              "comment": "If 'true', code must been4261497 'Ultrasonography of abdomen' and bodySite must be in ValueSet: Site of metastasis"
            }
          ]
        },
        {
          "code": "imagingForMetastasis.other",
          "display": "Other imaging for metastasis (R)",
          "target": [
            {
              "code": "Procedure.code",
              "equivalence": "relatedto",
              "comment": "If 'true', code must been 4056836 'Standard chest X-ray' or 4217238 'Radioisotope scan of bone' or 4305790 'Positron emission tomography' or 2000100025 'Fluorodeoxyglucose positron emission tomography' or 2000100026 'Positron emission tomography using other tracers' and bodySite must be in ValueSet: Site of metastasis"
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage",
      "target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/hn-cancer-stage-group",
      "element": [
        {
          "code": "stagingProceduresDoneBy",
          "display": "Staging procedures done by (M)",
          "target": [
            {
              "code": "Observation.performer:organization",
              "equivalence": "relatedto"
            }
          ]
        },
        {
          "code": "ct",
          "display": "cT (M)",
          "target": [
            {
              "code": "Observation.hasMember:tnmPrimaryTumorCategory",
              "equivalence": "relatedto",
              "comment": "See group for Observation: TNM Primary Tumor Category"
            }
          ]
        },
        {
          "code": "cn",
          "display": "cN (M)",
          "target": [
            {
              "code": "Observation.hasMember:tnmRegionalNodesCategory",
              "equivalence": "relatedto",
              "comment": "See group for Observation: TNM Regional Nodes Category"
            }
          ]
        },
        {
          "code": "cm",
          "display": "cM (M)",
          "target": [
            {
              "code": "Observation.hasMember:tnmDistantMetastasesCategory",
              "equivalence": "relatedto",
              "comment": "See group for Observation: TNM Distant Metastases Category"
            }
          ]
        },
        {
          "code": "extraNodalExtension",
          "display": "Extra-nodal extension (rEne) (M)",
          "target": [
            {
              "code": "Observation.hasMember:extraNodalExtension",
              "equivalence": "relatedto",
              "comment": "See group for Observation: Radiological Extra-nodal extension (rENE)"
            }
          ]
        },
        {
          "code": "clinicalStaging",
          "display": "Clinical Staging (M)",
          "target": [
            {
              "code": "Observation.value",
              "equivalence": "equivalent",
              "comment": "Where code =  4221079 'Clinical TNM stage grouping'"
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage",
      "target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-tnm-distant-metastases-category",
      "element": [
        {
          "code": "cm",
          "display": "cM (M)",
          "target": [
            {
              "code": "Observation.value",
              "equivalence": "equivalent",
              "comment": "Where code =  21907-1 'Distant metastases.clinical [Class] Cancer'"
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage",
      "target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-tnm-primary-tumor-category",
      "element": [
        {
          "code": "ct",
          "display": "cT (M)",
          "target": [
            {
              "code": "Observation.value",
              "equivalence": "equivalent",
              "comment": "Where code = 21905-5 'Primary tumor.clinical [Class] Cancer'"
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage",
      "target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-tnm-regional-nodes-category",
      "element": [
        {
          "code": "cn",
          "display": "cN (M)",
          "target": [
            {
              "code": "Observation.value",
              "equivalence": "equivalent",
              "comment": "Where code =  21906-3 'Regional lymph nodes.clinical [Class] Cancer'"
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage",
      "target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-extraNodalExtension-eu-i4rc",
      "element": [
        {
          "code": "extraNodalExtension",
          "display": "Extra-nodal extension (rEne) (M)",
          "target": [
            {
              "code": "Observation.value",
              "equivalence": "equivalent"
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage",
      "target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-number-tumor-nodules",
      "element": [
        {
          "code": "numberOfTumorNodules",
          "display": "Number of tumor nodules (R)",
          "target": [
            {
              "code": "Observation.value",
              "equivalence": "equivalent"
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage",
      "target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/sarcoma-cancer-stage-group",
      "element": [
        {
          "code": "localised",
          "display": "Localised (M)",
          "target": [
            {
              "code": "Observation.hasMember:localized",
              "equivalence": "relatedto",
              "comment": "See group for Observation: Localized Category (Stage, Sarcoma)"
            }
          ]
        },
        {
          "code": "numberOfTumorNodules",
          "display": "Number of tumor nodules (R)",
          "target": [
            {
              "code": "Observation.hasMember:localized",
              "equivalence": "relatedto",
              "comment": "See group for Observation: Number of tumor nodules"
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage",
      "target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/sarcoma-extent-category",
      "element": [
        {
          "code": "localised",
          "display": "Localised (M)",
          "target": [
            {
              "code": "Observation.value",
              "equivalence": "relatedto",
              "comment": "If 'true', code=32942 'Confined Disease' else code=32944 'Metastatic Disease'"
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage",
      "target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/sarcoma-locoRegional-category",
      "element": [
        {
          "code": "locoRegional",
          "display": "Loco-regional (M)",
          "target": [
            {
              "code": "Observation.value",
              "equivalence": "relatedto",
              "comment": "If it is present an observation with value = 32943 'Invasive Disease', it is 'true', else 'false'"
            }
          ]
        },
        {
          "code": "isTransitMetastasisWithClinicalConfirmation",
          "display": "Is Transit metastasis with clinical confirmation (M)",
          "target": [
            {
              "code": "Observation.value",
              "equivalence": "relatedto",
              "comment": "If it is present an observation with value = 36769249 'Transit Metastasis with Clinical Confirmation', it is 'true', else 'false'"
            }
          ]
        },
        {
          "code": "isMultifocalTumor",
          "display": "Is Multifocal tumor (M)",
          "target": [
            {
              "code": "Observation.value",
              "equivalence": "relatedto",
              "comment": "If it is present an observation with value = 36769933 'Multifocal Tumor', it is 'true', else 'false'"
            }
          ]
        }
      ]
    }
  ]
}