FHIR IG Statistics: StructureDefinition/PathologicalStage
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Resources that this resource uses
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Source
{
"resourceType": "StructureDefinition",
"id": "PathologicalStage",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage",
"version": "0.1.0",
"name": "PathologicalStageI4RC",
"title": "Pathological Stage",
"status": "draft",
"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": "Pathological Stage\nMaturity Level: 0 Draft",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "150",
"display": "Europe"
}
]
}
],
"fhirVersion": "4.0.1",
"kind": "logical",
"abstract": false,
"type": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Base",
"derivation": "specialization",
"snapshot": {
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "4.0.1"
}
],
"element": [
{
"id": "PathologicalStage",
"path": "PathologicalStage",
"short": "Pathological Stage",
"definition": "Pathological Stage\nMaturity Level: 0 Draft",
"min": 0,
"max": "*",
"base": {
"path": "Base",
"min": 0,
"max": "*"
},
"isModifier": false
},
{
"id": "PathologicalStage.diagnosisReference",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.diagnosisReference",
"short": "Diagnosis Reference (M)",
"definition": "Diagnosis element containing the data regarding the patient's cancer",
"min": 1,
"max": "*",
"base": {
"path": "PathologicalStage.diagnosisReference",
"min": 1,
"max": "*"
},
"type": [
{
"code": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Diagnosis"
}
]
},
{
"id": "PathologicalStage.stagingProceduresDoneBy",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.stagingProceduresDoneBy",
"short": "Staging procedures done by (M)",
"definition": "Describes the ID of the institution where staging procedure for primary tumour was performed",
"min": 1,
"max": "*",
"base": {
"path": "PathologicalStage.stagingProceduresDoneBy",
"min": 1,
"max": "*"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "PathologicalStage.pt",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.pt",
"short": "pT (M)",
"definition": "Specifies the pathological T",
"comment": "AJCC/UICC 6th pathological TX Category - 1634270\nAJCC/UICC 7th pathological TX Category - 1635402\nAJCC/UICC 8th pathological TX Category - 1634986\n\nAJCC/UICC 6th Tis Category - 1635660\nAJCC/UICC 7th Tis Category - 1633798\nAJCC/UICC 8th Tis Category - 1634720\n\nAJCC/UICC 6th pathological T0 Category - 1633279\nAJCC/UICC 7th pathological T0 Category - 1634675\nAJCC/UICC 8th pathological T0 Category - 1634635\n\nAJCC/UICC 6th pathological T1 Category - 1633445\nAJCC/UICC 7th pathological T1 Category - 1635422\nAJCC/UICC 8th pathological T1 Category - 1635070\n\nAJCC/UICC 6th pathological T2 Category - 1634792\nAJCC/UICC 7th pathological T2 Category - 1634491\nAJCC/UICC 8th pathological T2 Category - 1633307\n\nAJCC/UICC 6th pathological T3 Category - 1635670\nAJCC/UICC 7th pathological T3 Category - 1634658\nAJCC/UICC 8th pathological T3 Category - 1634386\n\nAJCC/UICC 6th pathological T4 Category - 1635311\nAJCC/UICC 7th pathological T4 Category - 1635341\nAJCC/UICC 8th pathological T4 Category - 1635396\n\nAJCC/UICC 6th pathological T4a Category - 1634101\nAJCC/UICC 7th pathological T4a Category - 1633723\nAJCC/UICC 8th pathological T4a Category - 1634894\n\nAJCC/UICC 6th pathological T4b Category - 1633900\nAJCC/UICC 7th pathological T4b Category - 1633699\nAJCC/UICC 8th pathological T4b Category - 1633658",
"min": 1,
"max": "*",
"base": {
"path": "PathologicalStage.pt",
"min": 1,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "PathologicalStage.pn",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.pn",
"short": "pN (M)",
"definition": "Specifies the pathological N",
"comment": "AJCC/UICC 6th pathological NX Category - 1635823\nAJCC/UICC 7th pathological NX Category - 1634505\nAJCC/UICC 8th pathological NX Category - 1634117\n\nAJCC/UICC 6th pathological N0 Category - 1634212\nAJCC/UICC 7th pathological N0 Category - 1633726\nAJCC/UICC 8th pathological N0 Category - 1635560\n\nAJCC/UICC 6th pathological N1 Category - 1634562\nAJCC/UICC 7th pathological N1 Category - 1634245\nAJCC/UICC 8th pathological N1 Category - 1633659\n\nAJCC/UICC 6th pathological N2 Category - 1634541\nAJCC/UICC 7th pathological N2 Category - 1633569\nAJCC/UICC 8th pathological N2 Category - 1633336\n\nAJCC/UICC 6th pathological N2a Category - 1633273\nAJCC/UICC 7th pathological N2a Category - 1635717\nAJCC/UICC 8th pathological N2a Category - 1635871\n\nAJCC/UICC 6th pathological N2b Category - 1634773\nAJCC/UICC 7th pathological N2b Category - 1633607\nAJCC/UICC 8th pathological N2b Category - 1634645\n\nAJCC/UICC 6th pathological N2c Category - 1635113\nAJCC/UICC 7th pathological N2c Category - 1634601\nAJCC/UICC 8th pathological N2c Category - 1634383\n\nAJCC/UICC 6th pathological N3 Category - 1634504\nAJCC/UICC 7th pathological N3 Category - 1633668\nAJCC/UICC 8th pathological N3 Category - 1635307\n\nAJCC/UICC 6th pathological N3a Category - 1634271\nAJCC/UICC 7th pathological N3a Category - 1634397\nAJCC/UICC 8th pathological N3a Category - 1635545\n\nAJCC/UICC 6th pathological N3b Category - 1633500\nAJCC/UICC 7th pathological N3b Category - 1634847\nAJCC/UICC 8th pathological N3b Category - 1634770",
"min": 1,
"max": "*",
"base": {
"path": "PathologicalStage.pn",
"min": 1,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "PathologicalStage.pm",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.pm",
"short": "pM (M)",
"definition": "Specifies the pathological M",
"comment": "AJCC/UICC 6th pathological M0 Category - 1635345\nAJCC/UICC 7th pathological M0 Category - 1635536\nAJCC/UICC 8th pathological M0 Category - 1634606\n\nAJCC/UICC 6th pathological M1 Category - 1633469\nAJCC/UICC 7th pathological M1 Category - 1635336\nAJCC/UICC 8th pathological M1 Category - 1634891",
"min": 1,
"max": "*",
"base": {
"path": "PathologicalStage.pm",
"min": 1,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "PathologicalStage.extraNodalExtension",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.extraNodalExtension",
"short": "Extra-nodal extension (rEne) (M)",
"definition": "Describes the presence or absence of radiological signs of extracapsular extension, as defined in the AJCC 8th Ed \ncheck CODEs",
"comment": "ENE- - 36769946\nENE+ - 36770618",
"min": 1,
"max": "*",
"base": {
"path": "PathologicalStage.extraNodalExtension",
"min": 1,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "PathologicalStage.sentinelNode",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.sentinelNode",
"short": "Sentinel node (M)",
"definition": "Describes whether a sentinel node procedure was performed or not. Sentinel lymph node biopsy is considered a diagnostic procedure, therefore, per se, the neck is not considered to have been treated if it does not lead to a neck dissection.",
"comment": "Sentinel lymph node biopsy - 4263386",
"min": 1,
"max": "*",
"base": {
"path": "PathologicalStage.sentinelNode",
"min": 1,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.pathologicalStaging",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.pathologicalStaging",
"short": "Pathological staging (M)",
"definition": "Specifies the clinical TNM",
"comment": "AJCC/UICC 6th pathological Stage 0 - 1634741\nAJCC/UICC 7th pathological Stage 0 - 1635511\nAJCC/UICC 8th pathological Stage 0 - 1634787\n\nAJCC/UICC 6th pathological Stage 1 - 1635797\nAJCC/UICC 7th pathological Stage 1 - 1635800\nAJCC/UICC 8th pathological Stage 1 - 1634799\n\nAJCC/UICC 6th pathological Stage 2 - 1633751\nAJCC/UICC 7th pathological Stage 2 - 1634619\nAJCC/UICC 8th pathological Stage 2 - 1635386\n\n\nAJCC/UICC 6th pathological Stage 3 - 1633499\nAJCC/UICC 7th pathological Stage 3 - 1634947\nAJCC/UICC 8th pathological Stage 3 - 1634705\n\nAJCC/UICC 6th pathological Stage 4 - 1634208\nAJCC/UICC 7th pathological Stage 4 - 1635230\nAJCC/UICC 8th pathological Stage 4 - 1633697\n\nAJCC/UICC 6th pathological Stage 4A - 1634731\nAJCC/UICC 7th pathological Stage 4A - 1635745\nAJCC/UICC 8th pathological Stage 4A - 1634005\n\nAJCC/UICC 6th pathological Stage 4B - 1635370\nAJCC/UICC 7th pathological Stage 4B - 1634472\nAJCC/UICC 8th pathological Stage 4B - 1634487\n\nAJCC/UICC 6th pathological Stage 4C - 1635893\nAJCC/UICC 7th pathological Stage 4C - 1634492\nAJCC/UICC 8th pathological Stage 4C - 1634551",
"min": 1,
"max": "*",
"base": {
"path": "PathologicalStage.pathologicalStaging",
"min": 1,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "PathologicalStage.localised",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.localised",
"short": "Localised (M)",
"definition": "Describes if there disease is local \nLocalised and Number of tumor modules are variables that work together",
"comment": "Confined disease - 32942",
"min": 1,
"max": "*",
"base": {
"path": "PathologicalStage.localised",
"min": 1,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.numberOfTumorNodules",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.numberOfTumorNodules",
"short": "Number of tumor nodules (R)",
"definition": "Indicates the number of tumor nodules in the case the disease is localised \nLocalised and Number of tumor modules are variables that work together",
"comment": "Number of tumor nodules - 4228659",
"min": 0,
"max": "*",
"base": {
"path": "PathologicalStage.numberOfTumorNodules",
"min": 0,
"max": "*"
},
"type": [
{
"code": "integer"
}
]
},
{
"id": "PathologicalStage.locoRegional",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.locoRegional",
"short": "Loco-regional (M)",
"definition": "Indicates if the disease is in a loco-regional extent",
"comment": "\nInvasive Disease - 32943",
"min": 1,
"max": "*",
"base": {
"path": "PathologicalStage.locoRegional",
"min": 1,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.isTransitMetastasisWithClinicalConfirmation",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.isTransitMetastasisWithClinicalConfirmation",
"short": "Is Transit metastasis with clinical confirmation (M)",
"definition": "Indicates spread of cancer cells through lymphatic vessels, where they lodge and grow in tissues located between the primary tumor and the nearest regional lymph nodes.",
"comment": "Transit Metastasis with Clinical Confirmation - 36769249",
"min": 1,
"max": "*",
"base": {
"path": "PathologicalStage.isTransitMetastasisWithClinicalConfirmation",
"min": 1,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.isMultifocalTumor",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.isMultifocalTumor",
"short": "Is Multifocal tumor (M)",
"definition": "Presence of multiple distinct tumor foci (or nodules) within the same organ or tissue, originating from the same primary tumor type. These foci may arise through independent tumorigenesis (multiple primary lesions) or local spread of the same cancer.",
"comment": "Multifocal Tumor - 36769933",
"min": 1,
"max": "*",
"base": {
"path": "PathologicalStage.isMultifocalTumor",
"min": 1,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.regionalNodalMetastases",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.regionalNodalMetastases",
"short": "Regional nodal metastases (M)",
"definition": "Describes if regional nodal mestastases happened",
"comment": "Regional spread to lymph node - 36769269",
"min": 1,
"max": "*",
"base": {
"path": "PathologicalStage.regionalNodalMetastases",
"min": 1,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.sites",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.sites",
"short": "sites (R)",
"definition": "Describes if site of metastasic disease is soft tissue",
"min": 0,
"max": "*",
"base": {
"path": "PathologicalStage.sites",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
]
},
{
"id": "PathologicalStage.sites.id",
"path": "PathologicalStage.sites.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "PathologicalStage.sites.extension",
"path": "PathologicalStage.sites.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"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.",
"comment": "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.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "PathologicalStage.sites.modifierExtension",
"path": "PathologicalStage.sites.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "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.",
"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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "PathologicalStage.sites.softTissue",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.sites.softTissue",
"short": "Soft tissue (R)",
"definition": "Describes if site of metastasic disease is soft tissue",
"comment": "Metastasis to soft tissues - 35225724",
"min": 0,
"max": "*",
"base": {
"path": "PathologicalStage.sites.softTissue",
"min": 0,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.sites.distantLymphNode",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.sites.distantLymphNode",
"short": "distant lymph node (R)",
"definition": "Describes if site of metastasic disease is dystan lymph node",
"comment": "Distant spread to lymph node - 36769243",
"min": 0,
"max": "*",
"base": {
"path": "PathologicalStage.sites.distantLymphNode",
"min": 0,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.sites.lung",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.sites.lung",
"short": "lung (R)",
"definition": "Describes if site of metastasic disease is lung",
"comment": "Metastasis to lung - 36770283",
"min": 0,
"max": "*",
"base": {
"path": "PathologicalStage.sites.lung",
"min": 0,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.sites.metastasisatbone",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.sites.metastasisatbone",
"short": "metastasisAtBone (R)",
"definition": "Describes if site of metastasic disease is bone",
"comment": "Metastasis to bone - 36769301",
"min": 0,
"max": "*",
"base": {
"path": "PathologicalStage.sites.metastasisatbone",
"min": 0,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.sites.liver",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.sites.liver",
"short": "liver (R)",
"definition": "Describes if site of metastasic disease is liver",
"comment": "Metastasis to liver - 36770544",
"min": 0,
"max": "*",
"base": {
"path": "PathologicalStage.sites.liver",
"min": 0,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.sites.pleura",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.sites.pleura",
"short": "pleura (R)",
"definition": "Describes if site of metastasic disease is pleura",
"comment": "Metastasis to pleura - 35226258",
"min": 0,
"max": "*",
"base": {
"path": "PathologicalStage.sites.pleura",
"min": 0,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.sites.peritoneum",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.sites.peritoneum",
"short": "peritoneum (R)",
"definition": "Describes if site of metastasic disease is peritoneum",
"comment": "Metastasis to peritoneum - 35226253",
"min": 0,
"max": "*",
"base": {
"path": "PathologicalStage.sites.peritoneum",
"min": 0,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.sites.brain",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.sites.brain",
"short": "brain (R)",
"definition": "Describes if site of metastasic disease is brain",
"comment": "Metastasis to brain - 36768862",
"min": 0,
"max": "*",
"base": {
"path": "PathologicalStage.sites.brain",
"min": 0,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.sites.otherViscera",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.sites.otherViscera",
"short": "other viscera (R)",
"definition": "Describes if site of metastasic disease is other viscera \nUse the generic metastasis code or a metastasis subsumed in it, 36769180",
"comment": "Metastasis - 36769180",
"min": 0,
"max": "*",
"base": {
"path": "PathologicalStage.sites.otherViscera",
"min": 0,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.sites.unknown",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueUri": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.sites.unknown",
"short": "unknown (R)",
"definition": "Describes if site of metastasic disease is unknown",
"comment": "Unknown - 4129922",
"min": 0,
"max": "*",
"base": {
"path": "PathologicalStage.sites.unknown",
"min": 0,
"max": "*"
},
"type": [
{
"code": "boolean"
}
]
}
]
},
"differential": {
"element": [
{
"id": "PathologicalStage",
"path": "PathologicalStage",
"short": "Pathological Stage",
"definition": "Pathological Stage\nMaturity Level: 0 Draft"
},
{
"id": "PathologicalStage.diagnosisReference",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.diagnosisReference",
"short": "Diagnosis Reference (M)",
"definition": "Diagnosis element containing the data regarding the patient's cancer ",
"min": 1,
"max": "*",
"type": [
{
"code": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Diagnosis"
}
]
},
{
"id": "PathologicalStage.stagingProceduresDoneBy",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.stagingProceduresDoneBy",
"short": "Staging procedures done by (M)",
"definition": "Describes the ID of the institution where staging procedure for primary tumour was performed ",
"min": 1,
"max": "*",
"type": [
{
"code": "string"
}
]
},
{
"id": "PathologicalStage.pt",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.pt",
"short": "pT (M)",
"definition": "Specifies the pathological T ",
"comment": "AJCC/UICC 6th pathological TX Category - 1634270\nAJCC/UICC 7th pathological TX Category - 1635402\nAJCC/UICC 8th pathological TX Category - 1634986\n\nAJCC/UICC 6th Tis Category - 1635660\nAJCC/UICC 7th Tis Category - 1633798\nAJCC/UICC 8th Tis Category - 1634720\n\nAJCC/UICC 6th pathological T0 Category - 1633279\nAJCC/UICC 7th pathological T0 Category - 1634675\nAJCC/UICC 8th pathological T0 Category - 1634635\n\nAJCC/UICC 6th pathological T1 Category - 1633445\nAJCC/UICC 7th pathological T1 Category - 1635422\nAJCC/UICC 8th pathological T1 Category - 1635070\n\nAJCC/UICC 6th pathological T2 Category - 1634792\nAJCC/UICC 7th pathological T2 Category - 1634491\nAJCC/UICC 8th pathological T2 Category - 1633307\n\nAJCC/UICC 6th pathological T3 Category - 1635670\nAJCC/UICC 7th pathological T3 Category - 1634658\nAJCC/UICC 8th pathological T3 Category - 1634386\n\nAJCC/UICC 6th pathological T4 Category - 1635311\nAJCC/UICC 7th pathological T4 Category - 1635341\nAJCC/UICC 8th pathological T4 Category - 1635396\n\nAJCC/UICC 6th pathological T4a Category - 1634101\nAJCC/UICC 7th pathological T4a Category - 1633723\nAJCC/UICC 8th pathological T4a Category - 1634894\n\nAJCC/UICC 6th pathological T4b Category - 1633900\nAJCC/UICC 7th pathological T4b Category - 1633699\nAJCC/UICC 8th pathological T4b Category - 1633658",
"min": 1,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "PathologicalStage.pn",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.pn",
"short": "pN (M)",
"definition": "Specifies the pathological N ",
"comment": "AJCC/UICC 6th pathological NX Category - 1635823\nAJCC/UICC 7th pathological NX Category - 1634505\nAJCC/UICC 8th pathological NX Category - 1634117\n\nAJCC/UICC 6th pathological N0 Category - 1634212\nAJCC/UICC 7th pathological N0 Category - 1633726\nAJCC/UICC 8th pathological N0 Category - 1635560\n\nAJCC/UICC 6th pathological N1 Category - 1634562\nAJCC/UICC 7th pathological N1 Category - 1634245\nAJCC/UICC 8th pathological N1 Category - 1633659\n\nAJCC/UICC 6th pathological N2 Category - 1634541\nAJCC/UICC 7th pathological N2 Category - 1633569\nAJCC/UICC 8th pathological N2 Category - 1633336\n\nAJCC/UICC 6th pathological N2a Category - 1633273\nAJCC/UICC 7th pathological N2a Category - 1635717\nAJCC/UICC 8th pathological N2a Category - 1635871\n\nAJCC/UICC 6th pathological N2b Category - 1634773\nAJCC/UICC 7th pathological N2b Category - 1633607\nAJCC/UICC 8th pathological N2b Category - 1634645\n\nAJCC/UICC 6th pathological N2c Category - 1635113\nAJCC/UICC 7th pathological N2c Category - 1634601\nAJCC/UICC 8th pathological N2c Category - 1634383\n\nAJCC/UICC 6th pathological N3 Category - 1634504\nAJCC/UICC 7th pathological N3 Category - 1633668\nAJCC/UICC 8th pathological N3 Category - 1635307\n\nAJCC/UICC 6th pathological N3a Category - 1634271\nAJCC/UICC 7th pathological N3a Category - 1634397\nAJCC/UICC 8th pathological N3a Category - 1635545\n\nAJCC/UICC 6th pathological N3b Category - 1633500\nAJCC/UICC 7th pathological N3b Category - 1634847\nAJCC/UICC 8th pathological N3b Category - 1634770",
"min": 1,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "PathologicalStage.pm",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.pm",
"short": "pM (M)",
"definition": "Specifies the pathological M ",
"comment": "AJCC/UICC 6th pathological M0 Category - 1635345\nAJCC/UICC 7th pathological M0 Category - 1635536\nAJCC/UICC 8th pathological M0 Category - 1634606\n\nAJCC/UICC 6th pathological M1 Category - 1633469\nAJCC/UICC 7th pathological M1 Category - 1635336\nAJCC/UICC 8th pathological M1 Category - 1634891",
"min": 1,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "PathologicalStage.extraNodalExtension",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.extraNodalExtension",
"short": "Extra-nodal extension (rEne) (M)",
"definition": "Describes the presence or absence of radiological signs of extracapsular extension, as defined in the AJCC 8th Ed \ncheck CODEs",
"comment": "ENE- - 36769946\nENE+ - 36770618",
"min": 1,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "PathologicalStage.sentinelNode",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.sentinelNode",
"short": "Sentinel node (M)",
"definition": "Describes whether a sentinel node procedure was performed or not. Sentinel lymph node biopsy is considered a diagnostic procedure, therefore, per se, the neck is not considered to have been treated if it does not lead to a neck dissection. ",
"comment": "Sentinel lymph node biopsy - 4263386",
"min": 1,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.pathologicalStaging",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.pathologicalStaging",
"short": "Pathological staging (M)",
"definition": "Specifies the clinical TNM ",
"comment": "AJCC/UICC 6th pathological Stage 0 - 1634741\nAJCC/UICC 7th pathological Stage 0 - 1635511\nAJCC/UICC 8th pathological Stage 0 - 1634787\n\nAJCC/UICC 6th pathological Stage 1 - 1635797\nAJCC/UICC 7th pathological Stage 1 - 1635800\nAJCC/UICC 8th pathological Stage 1 - 1634799\n\nAJCC/UICC 6th pathological Stage 2 - 1633751\nAJCC/UICC 7th pathological Stage 2 - 1634619\nAJCC/UICC 8th pathological Stage 2 - 1635386\n\n\nAJCC/UICC 6th pathological Stage 3 - 1633499\nAJCC/UICC 7th pathological Stage 3 - 1634947\nAJCC/UICC 8th pathological Stage 3 - 1634705\n\nAJCC/UICC 6th pathological Stage 4 - 1634208\nAJCC/UICC 7th pathological Stage 4 - 1635230\nAJCC/UICC 8th pathological Stage 4 - 1633697\n\nAJCC/UICC 6th pathological Stage 4A - 1634731\nAJCC/UICC 7th pathological Stage 4A - 1635745\nAJCC/UICC 8th pathological Stage 4A - 1634005\n\nAJCC/UICC 6th pathological Stage 4B - 1635370\nAJCC/UICC 7th pathological Stage 4B - 1634472\nAJCC/UICC 8th pathological Stage 4B - 1634487\n\nAJCC/UICC 6th pathological Stage 4C - 1635893\nAJCC/UICC 7th pathological Stage 4C - 1634492\nAJCC/UICC 8th pathological Stage 4C - 1634551",
"min": 1,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "PathologicalStage.localised",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.localised",
"short": "Localised (M)",
"definition": "Describes if there disease is local \nLocalised and Number of tumor modules are variables that work together",
"comment": "Confined disease - 32942",
"min": 1,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.numberOfTumorNodules",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.numberOfTumorNodules",
"short": "Number of tumor nodules (R)",
"definition": "Indicates the number of tumor nodules in the case the disease is localised \nLocalised and Number of tumor modules are variables that work together",
"comment": "Number of tumor nodules - 4228659",
"min": 0,
"max": "*",
"type": [
{
"code": "integer"
}
]
},
{
"id": "PathologicalStage.locoRegional",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.locoRegional",
"short": "Loco-regional (M)",
"definition": "Indicates if the disease is in a loco-regional extent ",
"comment": "\nInvasive Disease - 32943\n\n",
"min": 1,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.isTransitMetastasisWithClinicalConfirmation",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.isTransitMetastasisWithClinicalConfirmation",
"short": "Is Transit metastasis with clinical confirmation (M)",
"definition": "Indicates spread of cancer cells through lymphatic vessels, where they lodge and grow in tissues located between the primary tumor and the nearest regional lymph nodes. ",
"comment": "Transit Metastasis with Clinical Confirmation - 36769249\n",
"min": 1,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.isMultifocalTumor",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.isMultifocalTumor",
"short": "Is Multifocal tumor (M)",
"definition": "Presence of multiple distinct tumor foci (or nodules) within the same organ or tissue, originating from the same primary tumor type. These foci may arise through independent tumorigenesis (multiple primary lesions) or local spread of the same cancer. ",
"comment": "Multifocal Tumor - 36769933\n",
"min": 1,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.regionalNodalMetastases",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.regionalNodalMetastases",
"short": "Regional nodal metastases (M)",
"definition": "Describes if regional nodal mestastases happened ",
"comment": "Regional spread to lymph node - 36769269",
"min": 1,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.sites",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.sites",
"short": "sites (R)",
"definition": "Describes if site of metastasic disease is soft tissue",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
]
},
{
"id": "PathologicalStage.sites.softTissue",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.sites.softTissue",
"short": "Soft tissue (R)",
"definition": "Describes if site of metastasic disease is soft tissue ",
"comment": "Metastasis to soft tissues - 35225724",
"min": 0,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.sites.distantLymphNode",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.sites.distantLymphNode",
"short": "distant lymph node (R)",
"definition": "Describes if site of metastasic disease is dystan lymph node ",
"comment": "Distant spread to lymph node - 36769243",
"min": 0,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.sites.lung",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.sites.lung",
"short": "lung (R)",
"definition": "Describes if site of metastasic disease is lung ",
"comment": "Metastasis to lung - 36770283",
"min": 0,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.sites.metastasisatbone",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.sites.metastasisatbone",
"short": "metastasisAtBone (R)",
"definition": "Describes if site of metastasic disease is bone ",
"comment": "Metastasis to bone - 36769301",
"min": 0,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.sites.liver",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.sites.liver",
"short": "liver (R)",
"definition": "Describes if site of metastasic disease is liver ",
"comment": "Metastasis to liver - 36770544",
"min": 0,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.sites.pleura",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.sites.pleura",
"short": "pleura (R)",
"definition": "Describes if site of metastasic disease is pleura ",
"comment": "Metastasis to pleura - 35226258",
"min": 0,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.sites.peritoneum",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.sites.peritoneum",
"short": "peritoneum (R)",
"definition": "Describes if site of metastasic disease is peritoneum ",
"comment": "Metastasis to peritoneum - 35226253",
"min": 0,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.sites.brain",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.sites.brain",
"short": "brain (R)",
"definition": "Describes if site of metastasic disease is brain ",
"comment": "Metastasis to brain - 36768862",
"min": 0,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.sites.otherViscera",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.sites.otherViscera",
"short": "other viscera (R)",
"definition": "Describes if site of metastasic disease is other viscera \nUse the generic metastasis code or a metastasis subsumed in it, 36769180",
"comment": "Metastasis - 36769180",
"min": 0,
"max": "*",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "PathologicalStage.sites.unknown",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:handle"
},
{
"url": "actor",
"valueCanonical": "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "PathologicalStage.sites.unknown",
"short": "unknown (R)",
"definition": "Describes if site of metastasic disease is unknown ",
"comment": "Unknown - 4129922",
"min": 0,
"max": "*",
"type": [
{
"code": "boolean"
}
]
}
]
}
}
PathologicalStage 
diagnosisReference 
stagingProceduresDoneBy 
pt 
FHIR