| Package | hl7.eu.fhir.idea4rc |
| Type | ConceptMap |
| Id | hNstage2FHIR |
| FHIR Version | R4 |
| Source | http://hl7.eu/fhir/ig/idea4rc/https://build.fhir.org/ig/hl7-eu/idea4rc/ConceptMap-hNstage2FHIR.html |
| URL | http://hl7.eu/fhir/ig/idea4rc/ConceptMap/hNstage2FHIR |
| Version | 0.1.0 |
| Status | draft |
| Date | 2025-07-22T14:45:28+00:00 |
| Name | HnStage2FHIR |
| Title | HN Stage Model to this guide Map |
| Realm | eu |
| Authority | hl7 |
| Description | Hn Stage Model to this guide Map |
| Purpose | It shows how the HN Stage Model is mapped into this guide |
No resources found
| StructureDefinition | |
| Bundle-eu-i4rc | Bundle: IDEA4RC |
| Condition-secondaryCancer-eu-i4rc | Condition: Metastatic Cancer |
| hn-cancer-stage-group | Observation: Head Neck Cancer Stage Group |
| mcode-tnm-distant-metastases-category | Observation: TNM Distant Metastases Category |
| mcode-tnm-primary-tumor-category | Observation: TNM Primary Tumor Category |
| mcode-tnm-regional-nodes-category | Observation: TNM Regional Nodes Category |
| observation-extraNodalExtension-eu-i4rc | Observation: Radiological Extra-nodal extension (rENE) |
Note: links and images are rebased to the (stated) source
Generated Narrative: ConceptMap hNstage2FHIR
Mapping from http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage to Bundle: IDEA4RC
Group 1 Mapping from http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage to Observation: Head Neck Cancer Stage Group
| Source Code | Relationship | Target Code | Comment |
| HnStage.episodeEvent (Episode Event Reference) | is related to | Observation.focus | |
| HnStage.Ct (cT) | is equivalent to | Observation.hasMember:tnmPrimaryTumorCategory | see group 2 for details |
| HnStage.Cn (cN) | is equivalent to | Observation.hasMember:tnmRegionalNodesCategory | see group 3 for details |
| HnStage.Cm (cM) | is equivalent to | Observation.hasMember:tnmDistantMetastasesCategory | see group 4 for details |
| HnStage.Pt (pT) | is equivalent to | Observation.hasMember:tnmPrimaryTumorCategory | see group 2 for details |
| HnStage.Pn (pN) | is related to | Observation.hasMember:tnmRegionalNodesCategory | see group 3 for details |
| HnStage.Pm (pM) | is related to | Observation.hasMember:tnmDistantMetastasesCategory | see group 4 for details |
| HnStage.rEne (Radiological Extra-nodal extension (rEne)) | is related to | Observation.hasMember:extraNodalExtension | see group 5 for details |
| HnStage.StagingClassification (Staging classification) | is equivalent to | Observation.valueCodeableConcept |
Group 2 Mapping from http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage to Observation: TNM Primary Tumor Category
| Source Code | Relationship | Target Code | Comment |
| HnStage.Ct (cT) | is equivalent to | Observation.valueCodeableConcept | where code = $loinc21905-5 Primary tumor.clinical |
| HnStage.Cn (cN) | (not mapped) | ||
| HnStage.Cm (cM) | (not mapped) | ||
| HnStage.Pt (pT) | is equivalent to | Observation.valueCodeableConcept | where code = $loinc21905-5 Primary tumor.clinical |
| HnStage.Pn (pN) | (not mapped) | ||
| HnStage.Pm (pM) | (not mapped) | ||
Group 3 Mapping from http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage to Observation: TNM Regional Nodes Category
| Source Code | Relationship | Target Code | Comment |
| HnStage.Ct (cT) | (not mapped) | ||
| HnStage.Cn (cN) | is equivalent to | Observation.valueCodeableConcept | where code = $loinc21905-5 Primary tumor.clinical |
| HnStage.Cm (cM) | (not mapped) | ||
| HnStage.Pt (pT) | (not mapped) | ||
| HnStage.Pn (pN) | is equivalent to | Observation.valueCodeableConcept | where code = $loinc21905-5 Primary tumor.clinical |
| HnStage.Pm (pM) | (not mapped) | ||
Group 4 Mapping from http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage to Observation: TNM Distant Metastases Category
| Source Code | Relationship | Target Code | Comment |
| HnStage.Ct (cT) | (not mapped) | ||
| HnStage.Cn (cN) | (not mapped) | ||
| HnStage.Cm (cM) | is equivalent to | Observation.valueCodeableConcept | where code = $loinc21905-5 Primary tumor.clinical |
| HnStage.Pt (pT) | (not mapped) | ||
| HnStage.Pn (pN) | (not mapped) | ||
| HnStage.Pm (pM) | is equivalent to | Observation.valueCodeableConcept | where code = $loinc21905-5 Primary tumor.clinical |
Group 5 Mapping from http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage to Observation: Radiological Extra-nodal extension (rENE)
| Source Code | Relationship | Target Code | Comment |
| HnStage.rEne (Radiological Extra-nodal extension (rEne)) | is equivalent to | Observation.valueCodeableConcept | check if this should be a new has member observation with obs.code = 2960001000004100 Status of extranodal extension of nodal tumour |
Group 6 Mapping from http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage to Condition: Metastatic Cancer
| Source Code | Relationship | Target Code | Comment |
| HnStage.episodeEvent (Episode Event Reference) | is equivalent to | Condition.extension:relatedPrimaryCancerCondition | |
| HnStage.sites.softTissue (Soft tissue) | is related to | Condition. | If this exists with code = $athena#35225724 Metastasis to soft tissues |
| HnStage.sites.distantLymphNode (distant lymph node) | is related to | Condition. | If this exists with code =$athena#36769243 Distant spread to lymph node |
| HnStage.sites.lung (lung) | is related to | Condition. | If this exists with code =$athena#36770283 Metastasis to lung |
| HnStage.sites.bone (bone) | is related to | Condition. | If this exists with code =$athena#36769301 Metastasis to bone |
| HnStage.sites.liver (liver) | is related to | Condition. | If this exists with code =$athena#36770544 Metastasis to liver |
| HnStage.sites.pleura (pleura) | is related to | Condition. | If this exists with code =$athena#35226258 Metastasis to pleura |
| HnStage.sites.peritoneum (peritoneum) | is related to | Condition. | If this exists with code =$athena#35226253 Metastasis to peritoneum |
| HnStage.sites.brain (brain) | is related to | Condition. | If this exists with code =$athena#36768862 Metastasis to brain |
| HnStage.sites.otherViscera (other viscera) | is related to | Condition. | If this exists with code =$athena#36769180 Metastasis |
| HnStage.sites.unknown (unknown) | is related to | Condition. | If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4129922 'unknown' |
| HnStage.sites (sites) | is equivalent to | Condition.bodySite | |
| HnStage.sites.softTissue (Soft tissue) | is equivalent to | Condition.bodySite | ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4338971 'soft tissue' |
| HnStage.sites.distantLymphNode (distant lymph node) | is equivalent to | Condition.bodySite | ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4241958 'Lymph node' and bodysite.extension:qualifier = $sct#5686001 'Remote' |
| HnStage.sites.lung (lung) | is equivalent to | Condition.bodySite | ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4213162 'lung' |
| HnStage.sites.bone (bone) | is equivalent to | Condition.bodySite | ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4000496 'bone' |
| HnStage.sites.liver (liver) | is equivalent to | Condition.bodySite | ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4009105 'liver' |
| HnStage.sites.pleura (pleura) | is equivalent to | Condition.bodySite | ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4150673 'pleura' |
| HnStage.sites.peritoneum (peritoneum) | is equivalent to | Condition.bodySite | ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4035784 'peritoneum' |
| HnStage.sites.brain (brain) | is equivalent to | Condition.bodySite | ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4133034 'brain' |
| HnStage.sites.otherViscera (other viscera) | is equivalent to | Condition.bodySite | ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4159589 'Abdominal viscera' TO BE checked the original concept was OTHER VISCERA |
FHIR{
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"url": "http://hl7.eu/fhir/ig/idea4rc/ConceptMap/hNstage2FHIR",
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"sourceUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage",
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"element": [
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{
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{
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"display": "pN",
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"comment": "see group 3 for details"
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{
"code": "HnStage.Pm",
"display": "pM",
"target": [
{
"code": "Observation.hasMember:tnmDistantMetastasesCategory",
"equivalence": "relatedto",
"comment": "see group 4 for details"
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{
"code": "HnStage.rEne",
"display": "Radiological Extra-nodal extension (rEne)",
"target": [
{
"code": "Observation.hasMember:extraNodalExtension",
"equivalence": "relatedto",
"comment": "see group 5 for details"
}
]
},
{
"code": "HnStage.StagingClassification",
"display": "Staging classification",
"target": [
{
"code": "Observation.valueCodeableConcept",
"equivalence": "equivalent"
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}
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"target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-tnm-primary-tumor-category",
"element": [
{
"code": "HnStage.Ct",
"display": "cT",
"target": [
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{
"code": "HnStage.Cn",
"display": "cN",
"target": [
{
"equivalence": "unmatched"
}
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},
{
"code": "HnStage.Cm",
"display": "cM",
"target": [
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"equivalence": "unmatched"
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},
{
"code": "HnStage.Pt",
"display": "pT",
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"comment": "where code = $loinc21905-5 Primary tumor.clinical"
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"display": "pN",
"target": [
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"equivalence": "unmatched"
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"display": "pM",
"target": [
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"equivalence": "unmatched"
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"target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-tnm-regional-nodes-category",
"element": [
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"display": "pT",
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"display": "pN",
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"comment": "where code = $loinc21905-5 Primary tumor.clinical"
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{
"code": "HnStage.Pm",
"display": "pM",
"target": [
{
"equivalence": "unmatched"
}
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}
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},
{
"source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/HnStage",
"target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-tnm-distant-metastases-category",
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},
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"target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-extraNodalExtension-eu-i4rc",
"element": [
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"code": "HnStage.rEne",
"display": "Radiological Extra-nodal extension (rEne)",
"target": [
{
"code": "Observation.valueCodeableConcept",
"equivalence": "equivalent",
"comment": "check if this should be a new has member observation with obs.code = 2960001000004100 Status of extranodal extension of nodal tumour"
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"target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Condition-secondaryCancer-eu-i4rc",
"element": [
{
"code": "HnStage.episodeEvent",
"display": "Episode Event Reference",
"target": [
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"code": "Condition.extension:relatedPrimaryCancerCondition",
"equivalence": "equivalent"
}
]
},
{
"code": "HnStage.sites.softTissue",
"display": "Soft tissue",
"target": [
{
"code": "Condition.",
"equivalence": "relatedto",
"comment": "If this exists with code = $athena#35225724 Metastasis to soft tissues"
}
]
},
{
"code": "HnStage.sites.distantLymphNode",
"display": "distant lymph node",
"target": [
{
"code": "Condition.",
"equivalence": "relatedto",
"comment": "If this exists with code =$athena#36769243 Distant spread to lymph node"
}
]
},
{
"code": "HnStage.sites.lung",
"display": "lung",
"target": [
{
"code": "Condition.",
"equivalence": "relatedto",
"comment": "If this exists with code =$athena#36770283 Metastasis to lung"
}
]
},
{
"code": "HnStage.sites.bone",
"display": "bone",
"target": [
{
"code": "Condition.",
"equivalence": "relatedto",
"comment": "If this exists with code =$athena#36769301 Metastasis to bone"
}
]
},
{
"code": "HnStage.sites.liver",
"display": "liver",
"target": [
{
"code": "Condition.",
"equivalence": "relatedto",
"comment": "If this exists with code =$athena#36770544 Metastasis to liver"
}
]
},
{
"code": "HnStage.sites.pleura",
"display": "pleura",
"target": [
{
"code": "Condition.",
"equivalence": "relatedto",
"comment": "If this exists with code =$athena#35226258 Metastasis to pleura"
}
]
},
{
"code": "HnStage.sites.peritoneum",
"display": "peritoneum",
"target": [
{
"code": "Condition.",
"equivalence": "relatedto",
"comment": "If this exists with code =$athena#35226253 Metastasis to peritoneum"
}
]
},
{
"code": "HnStage.sites.brain",
"display": "brain",
"target": [
{
"code": "Condition.",
"equivalence": "relatedto",
"comment": "If this exists with code =$athena#36768862 Metastasis to brain"
}
]
},
{
"code": "HnStage.sites.otherViscera",
"display": "other viscera",
"target": [
{
"code": "Condition.",
"equivalence": "relatedto",
"comment": "If this exists with code =$athena#36769180 Metastasis"
}
]
},
{
"code": "HnStage.sites.unknown",
"display": "unknown",
"target": [
{
"code": "Condition.",
"equivalence": "relatedto",
"comment": "If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4129922 'unknown'"
}
]
},
{
"code": "HnStage.sites",
"display": "sites",
"target": [
{
"code": "Condition.bodySite",
"equivalence": "equivalent"
}
]
},
{
"code": "HnStage.sites.softTissue",
"display": "Soft tissue",
"target": [
{
"code": "Condition.bodySite",
"equivalence": "equivalent",
"comment": "ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4338971 'soft tissue'"
}
]
},
{
"code": "HnStage.sites.distantLymphNode",
"display": "distant lymph node",
"target": [
{
"code": "Condition.bodySite",
"equivalence": "equivalent",
"comment": "ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4241958 'Lymph node' and bodysite.extension:qualifier = $sct#5686001 'Remote'"
}
]
},
{
"code": "HnStage.sites.lung",
"display": "lung",
"target": [
{
"code": "Condition.bodySite",
"equivalence": "equivalent",
"comment": "ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4213162 'lung'"
}
]
},
{
"code": "HnStage.sites.bone",
"display": "bone",
"target": [
{
"code": "Condition.bodySite",
"equivalence": "equivalent",
"comment": "ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4000496 'bone'"
}
]
},
{
"code": "HnStage.sites.liver",
"display": "liver",
"target": [
{
"code": "Condition.bodySite",
"equivalence": "equivalent",
"comment": "ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4009105 'liver'"
}
]
},
{
"code": "HnStage.sites.pleura",
"display": "pleura",
"target": [
{
"code": "Condition.bodySite",
"equivalence": "equivalent",
"comment": "ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4150673 'pleura'"
}
]
},
{
"code": "HnStage.sites.peritoneum",
"display": "peritoneum",
"target": [
{
"code": "Condition.bodySite",
"equivalence": "equivalent",
"comment": "ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4035784 'peritoneum'"
}
]
},
{
"code": "HnStage.sites.brain",
"display": "brain",
"target": [
{
"code": "Condition.bodySite",
"equivalence": "equivalent",
"comment": "ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4133034 'brain'"
}
]
},
{
"code": "HnStage.sites.otherViscera",
"display": "other viscera",
"target": [
{
"code": "Condition.bodySite",
"equivalence": "equivalent",
"comment": "ALTERNATIVE : If this exists with code =$athena#36769180 Metastasis and bodySite =$athena#4159589 'Abdominal viscera' \n\nTO BE checked the original concept was OTHER VISCERA"
}
]
}
]
}
]
}