IDEA4RC FHIR Implementation Guide
1.0.0 - release 150

This page is part of the IDEA4RC FHIR Implementation Guide (v1.0.0: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Clinical Stage Model to this guide Map

Group 1 Mapping from Clinical Stage to Condition: Metastatic Cancer

Source CodeCard.RelationshipTarget CodeCard.Comment
ClinicalStage.regionalNodalMetastases1..*is related toCondition.bodySite0..*Where code=4241958 'Lymph node' and extension:qualifier.value=4260906 'Regional'
ClinicalStage.sites0..*is related toCondition.bodySite0..*
ClinicalStage.sites.softTissue0..*is related toCondition.bodySite0..*Where code=4338971 'soft tissue'
ClinicalStage.sites.distantLymphNode0..*is related toCondition.bodySite0..*Where code=4241958 'Lymph node' and extension:qualifier.value=4209878 'Remote'
ClinicalStage.sites.lung0..*is related toCondition.bodySite0..*Where code=4213162 'lung'
ClinicalStage.sites.metastasisatbone0..*is related toCondition.bodySite0..*Where code=4241958 'bone'
ClinicalStage.sites.liver0..*is related toCondition.bodySite0..*Where code=4009105 'liver'
ClinicalStage.sites.pleura0..*is related toCondition.bodySite0..*Where code=4150673 'pleura'
ClinicalStage.sites.peritoneum0..*is related toCondition.bodySite0..*Where code=4035784 'peritoneum'
ClinicalStage.sites.brain0..*is related toCondition.bodySite0..*Where code=4133034 'brain'
ClinicalStage.sites.otherViscera0..*is related toCondition.bodySite0..*Where code=4159589 'Abdominal viscera'
ClinicalStage.sites.unknown0..*is related toCondition.bodySite0..*Where code=4129922 'unknown'

Group 2 Mapping from Clinical Stage to Observation: Diagnosis details

Source CodeCard.RelationshipTarget CodeCard.
ClinicalStage.diagnosisReference1..*is related toObservation.derivedFrom0..*

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

Source CodeCard.RelationshipTarget CodeCard.Comment
ClinicalStage.imagingForPrimarySite1..*is related toProcedure.code0..1If 'true', code must been in ValueSet Immaging for Clinical Stage for primary or must be 2000100025 'Fluorodeoxyglucose positron emission tomography' or 2000100026 'Positron emission tomography using other tracers' and bodySite must be in ValueSet Cancer site: Athena
ClinicalStage.imagingForPrimarySite.ct0..*is related toProcedure.code0..1If 'true', code must been 4300757 'Computed tomography' and bodySite must be in ValueSet Cancer site: Athena
ClinicalStage.imagingForPrimarySite.mri0..*is related toProcedure.code0..1If 'true', code must been 4013636 'Magnetic resonance imaging' and bodySite must be in ValueSet Cancer site: Athena
ClinicalStage.imagingForPrimarySite.us0..*is related toProcedure.code0..1If 'true', code must been 4037672 'Ultrasonography' and bodySite must be in ValueSet Cancer site: Athena
ClinicalStage.imagingForPrimarySite.other0..*is related toProcedure.code0..1If 'true', code must been 2000100025 'Fluorodeoxyglucose positron emission tomography' or 2000100026 'Positron emission tomography using other tracers' and bodySite must be in ValueSet Cancer site: Athena
ClinicalStage.imagingForNeck1..*is related toProcedure.code0..1If 'true', code must been in ValueSet Immaging for Clinical Stage for neck or must be 2000100025 'Fluorodeoxyglucose positron emission tomography' or 2000100026 'Positron emission tomography using other tracers' and bodySite must be 4048840 'Region of neck'
ClinicalStage.imagingForNeck.ct0..*is related toProcedure.code0..1If 'true', code must been 3307719 'Computed tomography of neck' and bodySite must be 4048840 'Region of neck'
ClinicalStage.imagingForNeck.mri0..*is related toProcedure.code0..1If 'true', code must been 4218948 'Magnetic resonance imaging of neck' and bodySite must be 4048840 'Region of neck'
ClinicalStage.imagingForNeck.us0..*is related toProcedure.code0..1If 'true', code must been 2793113 'Ultrasonography of Neck' and bodySite must be 4048840 'Region of neck'
ClinicalStage.imagingForNeck.other0..*is related toProcedure.code0..1If 'true', code must been 2000100025 'Fluorodeoxyglucose positron emission tomography' or 2000100026 'Positron emission tomography using other tracers' and bodySite must be 4048840 'Region of neck'
ClinicalStage.imagingForMetastasis1..*is related toProcedure.code0..1If 'true', code must been in ValueSet Immaging for metastasis or must be 2000100025 'Fluorodeoxyglucose positron emission tomography' or 2000100026 'Positron emission tomography using other tracers' and bodySite must be in ValueSet: Site of metastasis
ClinicalStage.imagingForMetastasis.ct0..*is related toProcedure.code0..1If 'true', code must been 4058335 'CT of chest' or 4061009 'CT of abdomen' or 4058336 'CT of pelvis' or 4145739 'CT of brain' and bodySite must be in ValueSet: Site of metastasis
ClinicalStage.imagingForMetastasis.mri0..*is related toProcedure.code0..1If 'true', code must been 4083230 'MRI of abdomen' or 4097527 'MRI of pelvis' or 37311324 'MRI of brain' and bodySite must be in ValueSet: Site of metastasis
ClinicalStage.imagingForMetastasis.us0..*is related toProcedure.code0..1If 'true', code must been4261497 'Ultrasonography of abdomen' and bodySite must be in ValueSet: Site of metastasis
ClinicalStage.imagingForMetastasis.other0..*is related toProcedure.code0..1If 'true', code must been 4056836 'Standard chest X-ray' or 4217238 'Radioisotope scan of bone' or 4305790 'Positron emission tomography' or 2000100025 'Fluorodeoxyglucose positron emission tomography' or 2000100026 'Positron emission tomography using other tracers' and bodySite must be in ValueSet: Site of metastasis

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

Source CodeCard.RelationshipTarget CodeCard.Comment
ClinicalStage.stagingProceduresDoneBy1..*is related toObservation.performer0..*
ClinicalStage.ct1..*is related toObservation.hasMember:tnmPrimaryTumorCategory0..1See group for Observation: TNM Primary Tumor Category
ClinicalStage.cn1..*is related toObservation.hasMember:tnmRegionalNodesCategory0..1See group for Observation: TNM Regional Nodes Category
ClinicalStage.cm1..*is related toObservation.hasMember:tnmDistantMetastasesCategory0..1See group for Observation: TNM Distant Metastases Category
ClinicalStage.extraNodalExtension1..*is related toObservation.hasMember:extraNodalExtension0..1See group for Observation: Radiological Extra-nodal extension (rENE)
ClinicalStage.clinicalStaging1..*is equivalent toObservation.value[x]0..1Where code = 4221079 'Clinical TNM stage grouping'

Group 5 Mapping from Clinical Stage to Observation: LocoRegional Category (Stage)

Source CodeCard.RelationshipTarget CodeCard.Comment
ClinicalStage.locoRegional1..*is related toObservation.value[x]0..1If it is present an observation with value = 32943 'Invasive Disease', it is 'true', else 'false'
ClinicalStage.isTransitMetastasisWithClinicalConfirmation1..*is related toObservation.value[x]0..1If it is present an observation with value = 36769249 'Transit Metastasis with Clinical Confirmation', it is 'true', else 'false'
ClinicalStage.isMultifocalTumor1..*is related toObservation.value[x]0..1If it is present an observation with value = 36769933 'Multifocal Tumor', it is 'true', else 'false'

Group 6 Mapping from Clinical Stage to Observation: TNM Distant Metastases Category

Source CodeCard.RelationshipTarget CodeCard.Comment
ClinicalStage.cm1..*is equivalent toObservation.value[x]0..1Where code = 21907-1 'Distant metastases.clinical [Class] Cancer'

Group 7 Mapping from Clinical Stage to Observation: TNM Primary Tumor Category

Source CodeCard.RelationshipTarget CodeCard.Comment
ClinicalStage.ct1..*is equivalent toObservation.value[x]0..1Where code = 21905-5 'Primary tumor.clinical [Class] Cancer'

Group 8 Mapping from Clinical Stage to Observation: TNM Regional Nodes Category

Source CodeCard.RelationshipTarget CodeCard.Comment
ClinicalStage.cn1..*is equivalent toObservation.value[x]0..1Where code = 21906-3 'Regional lymph nodes.clinical [Class] Cancer'

Group 9 Mapping from Clinical Stage to Observation: Radiological Extra-nodal extension (rENE)

Source CodeCard.RelationshipTarget CodeCard.
ClinicalStage.extraNodalExtension1..*is equivalent toObservation.value[x]1..1

Group 10 Mapping from Clinical Stage to Observation: Number of tumor nodules

Source CodeCard.RelationshipTarget CodeCard.
ClinicalStage.numberOfTumorNodules0..*is equivalent toObservation.value[x]1..1

Group 11 Mapping from Clinical Stage to Observation: Sarcoma Cancer and Disease Extent Stage Group

Source CodeCard.RelationshipTarget CodeCard.Comment
ClinicalStage.localised1..*is related toObservation.hasMember:localized0..1See group for Observation: Localized Category (Stage, Sarcoma)
ClinicalStage.numberOfTumorNodules0..*is related toObservation.hasMember:localized0..1See group for Observation: Number of tumor nodules

Group 12 Mapping from Clinical Stage to Observation: Localized Category (Stage, Sarcoma)

Source CodeCard.RelationshipTarget CodeCard.Comment
ClinicalStage.localised1..*is related toObservation.value[x]0..1If 'true', code=32942 'Confined Disease' else code=32944 'Metastatic Disease'