| Package | hl7.eu.fhir.idea4rc |
| Resource Type | ConceptMap |
| Id | pathologicalStage2FHIR |
| FHIR Version | R4 |
| Source | http://hl7.eu/fhir/ig/idea4rc/https://build.fhir.org/ig/hl7-eu/idea4rc/ConceptMap-pathologicalStage2FHIR.html |
| URL | http://hl7.eu/fhir/ig/idea4rc/ConceptMap/pathologicalStage2FHIR |
| Version | 0.1.0 |
| Status | draft |
| Date | 2025-07-25T13:48:09+00:00 |
| Name | PathologicalStage2FHIR |
| Title | PathologicalStage Model to this guide Map |
| Realm | eu |
| Authority | hl7 |
| Description | It shows how the PathologicalStage model is mapped into this guide |
No resources found
| StructureDefinition | |
| Condition-secondaryCancer-eu-i4rc | Condition: Metastatic Cancer |
| Observation-diagnosis-eu-i4rc | Observation: Diagnosis details |
| PathologicalStage | Pathological Stage |
| Procedure-otherTreatment-eu-i4rc | Procedure: Other Treatment |
| hn-cancer-stage-group | Observation: Head Neck Cancer Stage Group |
| locoRegional-category | Observation: LocoRegional Category (Stage) |
| 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) |
| observation-number-tumor-nodules | Observation: Number of tumor nodules |
| sarcoma-cancer-stage-group | Observation: Sarcoma Cancer and Disease Extent Stage Group |
| sarcoma-extent-category | Observation: Localized Category (Stage, Sarcoma) |
Note: links and images are rebased to the (stated) source
Generated Narrative: ConceptMap pathologicalStage2FHIR
Mapping from (not specified) to (not specified)
Group 1 Mapping from Pathological Stage to Condition: Metastatic Cancer
| Source Code | Relationship | Target Code | Comment |
| regionalNodalMetastases (Regional nodal metastases (M)) | is related to | Condition.bodysite | Where code=4241958 'Lymph node' and extension:qualifier.value=4260906 'Regional' |
| sites (sites (R)) | is related to | Condition.bodysite | |
| sites.softTissue (Soft tissue (R)) | is related to | Condition.bodysite | Where code=4338971 'soft tissue' |
| sites.distantLymphNode (distant lymph node (R)) | is related to | Condition.bodysite | Where code=4241958 'Lymph node' and extension:qualifier.value=4209878 'Remote' |
| sites.lung (lung (R)) | is related to | Condition.bodysite | Where code=4213162 'lung' |
| sites.metastasisatbone (metastasisAtBone (R)) | is related to | Condition.bodysite | Where code=4241958 'bone' |
| sites.liver (liver (R)) | is related to | Condition.bodysite | Where code=4009105 'liver' |
| sites.pleura (pleura (R)) | is related to | Condition.bodysite | Where code=4150673 'pleura' |
| sites.peritoneum (peritoneum (R)) | is related to | Condition.bodysite | Where code=4035784 'peritoneum' |
| sites.brain (brain (R)) | is related to | Condition.bodysite | Where code=4133034 'brain' |
| sites.otherViscera (other viscera (R)) | is related to | Condition.bodysite | Where code=4159589 'Abdominal viscera' |
| sites.unknown (unknown (R)) | is related to | Condition.bodysite | Where code=4129922 'unknown' |
Group 2 Mapping from Pathological Stage to Observation: Diagnosis details
| Source Code | Relationship | Target Code |
| diagnosisReference (Diagnosis Reference (M)) | is related to | Observation.derivedFrom.Observation |
Group 3 Mapping from Pathological Stage to Procedure: Other Treatment
| Source Code | Relationship | Target Code | Comment |
| sentinelNode (Sentinel node (M)) | is related to | Procedure.partOf | If it is present a procedure with code 4263386 'Sentinel lymph node biopsy' related to the observation, it is 'true' |
Group 4 Mapping from Pathological Stage to Observation: Head Neck Cancer Stage Group
| Source Code | Relationship | Target Code | Comment |
| stagingProceduresDoneBy (Staging procedures done by (M)) | is related to | Observation.performer:organization | |
| pt (pT (M)) | is related to | Observation.hasMember:tnmPrimaryTumorCategory | See group for Observation: TNM Primary Tumor Category |
| pn (pN (M)) | is related to | Observation.hasMember:tnmRegionalNodesCategory | See group for Observation: TNM Regional Nodes Category |
| pm (pM (M)) | is related to | Observation.hasMember:tnmDistantMetastasesCategory | See group for Observation: TNM Distant Metastases Category |
| extraNodalExtension (Extra-nodal extension (rEne) (M)) | is related to | Observation.hasMember:extraNodalExtension | See group for Observation: Radiological Extra-nodal extension (rENE) |
| pathologicalStaging (Pathological staging (M)) | is equivalent to | Observation.value | Where code = 4221515 'Pathologic TNM stage grouping' |
Group 5 Mapping from Pathological Stage to Observation: LocoRegional Category (Stage)
| Source Code | Relationship | Target Code | Comment |
| locoRegional (Loco-regional (M)) | is related to | Observation.value | If 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 to | Observation.value | If 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 to | Observation.value | If it is present an observation with value = 36769933 'Multifocal Tumor', it is 'true', else 'false' |
Group 6 Mapping from Pathological Stage to Observation: TNM Distant Metastases Category
| Source Code | Relationship | Target Code | Comment |
| pm (pM (M)) | is equivalent to | Observation.value | Where code = 21901-4 'Distant metastases.pathology [Class] Cancer' |
Group 7 Mapping from Pathological Stage to Observation: TNM Primary Tumor Category
| Source Code | Relationship | Target Code | Comment |
| pt (pT (M)) | is equivalent to | Observation.value | Where code = 21899-0 'Primary tumor.pathology Cancer' |
Group 8 Mapping from Pathological Stage to Observation: TNM Regional Nodes Category
| Source Code | Relationship | Target Code | Comment |
| pn (pN (M)) | is equivalent to | Observation.value | Where code = 21900-6 'Regional lymph nodes.pathology [Class] Cancer' |
Group 9 Mapping from Pathological Stage to Observation: Radiological Extra-nodal extension (rENE)
| Source Code | Relationship | Target Code |
| extraNodalExtension (Extra-nodal extension (rEne) (M)) | is equivalent to | Observation.value |
Group 10 Mapping from Pathological Stage to Observation: Number of tumor nodules
| Source Code | Relationship | Target Code |
| numberOfTumorNodules (Number of tumor nodules (R)) | is equivalent to | Observation.value |
Group 11 Mapping from Pathological Stage to Observation: Sarcoma Cancer and Disease Extent Stage Group
| Source Code | Relationship | Target Code | Comment |
| localised (Localised (M)) | is related to | Observation.hasMember:localized | See group for Observation: Localized Category (Stage, Sarcoma) |
| numberOfTumorNodules (Number of tumor nodules (R)) | is related to | Observation.hasMember:localized | See group for Observation: Number of tumor nodules |
Group 12 Mapping from Pathological Stage to Observation: Localized Category (Stage, Sarcoma)
| Source Code | Relationship | Target Code | Comment |
| localised (Localised (M)) | is related to | Observation.value | If 'true', code=32942 'Confined Disease' else code=32944 'Metastatic Disease' |
FHIR{
"resourceType": "ConceptMap",
"id": "pathologicalStage2FHIR",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"url": "http://hl7.eu/fhir/ig/idea4rc/ConceptMap/pathologicalStage2FHIR",
"version": "0.1.0",
"name": "PathologicalStage2FHIR",
"title": "PathologicalStage Model to this guide Map",
"status": "draft",
"experimental": true,
"date": "2025-07-25T13:48:09+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 PathologicalStage 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/PathologicalStage",
"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/PathologicalStage",
"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/PathologicalStage",
"target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Procedure-otherTreatment-eu-i4rc",
"element": [
{
"code": "sentinelNode",
"display": "Sentinel node (M)",
"target": [
{
"code": "Procedure.partOf",
"equivalence": "relatedto",
"comment": "If it is present a procedure with code 4263386 'Sentinel lymph node biopsy' related to the observation, it is 'true'"
}
]
}
]
},
{
"source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage",
"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": "pt",
"display": "pT (M)",
"target": [
{
"code": "Observation.hasMember:tnmPrimaryTumorCategory",
"equivalence": "relatedto",
"comment": "See group for Observation: TNM Primary Tumor Category"
}
]
},
{
"code": "pn",
"display": "pN (M)",
"target": [
{
"code": "Observation.hasMember:tnmRegionalNodesCategory",
"equivalence": "relatedto",
"comment": "See group for Observation: TNM Regional Nodes Category"
}
]
},
{
"code": "pm",
"display": "pM (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": "pathologicalStaging",
"display": "Pathological staging (M)",
"target": [
{
"code": "Observation.value",
"equivalence": "equivalent",
"comment": "Where code = 4221515 'Pathologic TNM stage grouping'"
}
]
}
]
},
{
"source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage",
"target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/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'"
}
]
}
]
},
{
"source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage",
"target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-tnm-distant-metastases-category",
"element": [
{
"code": "pm",
"display": "pM (M)",
"target": [
{
"code": "Observation.value",
"equivalence": "equivalent",
"comment": "Where code = 21901-4 'Distant metastases.pathology [Class] Cancer'"
}
]
}
]
},
{
"source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage",
"target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-tnm-primary-tumor-category",
"element": [
{
"code": "pt",
"display": "pT (M)",
"target": [
{
"code": "Observation.value",
"equivalence": "equivalent",
"comment": "Where code = 21899-0 'Primary tumor.pathology Cancer'"
}
]
}
]
},
{
"source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage",
"target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/mcode-tnm-regional-nodes-category",
"element": [
{
"code": "pn",
"display": "pN (M)",
"target": [
{
"code": "Observation.value",
"equivalence": "equivalent",
"comment": "Where code = 21900-6 'Regional lymph nodes.pathology [Class] Cancer'"
}
]
}
]
},
{
"source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage",
"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/PathologicalStage",
"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/PathologicalStage",
"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/PathologicalStage",
"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'"
}
]
}
]
}
]
}