IDEA4RC FHIR Implementation Guide
1.0.0 - release
150
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
| Official URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Diagnosis | Version: 1.0.0 | |||
| Active as of 2026-09-17 | Computable Name: DiagnosisI4RC | |||
Diagnosis Maturity Level: 0 Draft
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
  Diagnosis |
0..* | Base | Diagnosis | |||||||
  cancerepisode |
O | 1..* | CancerEpisode | CancerEpisode (M)
| ||||||
 dateOfDiagnosis |
O | 1..* | date | Date of diagnosis (biopsy or surgical piece) (M)
| ||||||
 typeOfBiopsy |
O | 1..* | CodeableConcept | Type of biopsy (M)
| ||||||
| biopsyDoneBy |
O | 1..* | string | Biopsy done by (M)
| ||||||
| ageAtDiagnosis |
O | 1..* | Quantity | Age at diagnosis (M)
| ||||||
| radiotherapyInducedSarcoma |
O | 1..* | boolean | Radiotherapy induced sarcoma (M)
| ||||||
| biopsyGrading |
O | 0..* | CodeableConcept | Biopsy grading (O)
| ||||||
| histologyGroup |
O | 0..* | CodeableConcept | Histology group (O)
| ||||||
| site |
O | 0..* | CodeableConcept | Site (O)
| ||||||
| histologySubgroup |
O | 0..* | CodeableConcept | Histology subgroup (O)
| ||||||
| subsite |
O | 0..* | CodeableConcept | Subsite (O)
| ||||||
| diagnosisCode |
O | 1..* | CodeableConcept | Diagnosis code (M)
| ||||||
| tumorSize |
O | 1..* | Quantity | Tumor Size (M)
| ||||||
| superficialDepth |
O | 1..* | Quantity | Superficial depth (M)
| ||||||
| deepDepth |
O | 1..* | Quantity | Deep depth (M)
| ||||||
| biopsyMitoticCount |
O | 1..* | Quantity | Biopsy Mitotic count (M)
| ||||||
| mitoticIndex |
O | 1..* | CodeableConcept | Mitotic Index (M)
| ||||||
| plasmaticEbvDnaAtBaseline |
O | 0..* | CodeableConcept | Plasmatic EBV DNA at baseline (R)
| ||||||
| hpvStatus |
O | 0..* | CodeableConcept | HPV status (M for OROPHARYNGEAL (not oral cavity) carcinomas)
| ||||||
 crpTested |
O | 0..* | CodeableConcept | CRP – C reactive protein tested (O)
| ||||||
| Documentation for this format | ||||||||||
This structure is derived from Base
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Diagnosis |
0..* | Base | Diagnosis | |||||||
| cancerepisode |
O | 1..* | CancerEpisode | CancerEpisode (M)
| ||||||
| dateOfDiagnosis |
O | 1..* | date | Date of diagnosis (biopsy or surgical piece) (M)
| ||||||
| typeOfBiopsy |
O | 1..* | CodeableConcept | Type of biopsy (M)
| ||||||
| biopsyDoneBy |
O | 1..* | string | Biopsy done by (M)
| ||||||
| ageAtDiagnosis |
O | 1..* | Quantity | Age at diagnosis (M)
| ||||||
| radiotherapyInducedSarcoma |
O | 1..* | boolean | Radiotherapy induced sarcoma (M)
| ||||||
| biopsyGrading |
O | 0..* | CodeableConcept | Biopsy grading (O)
| ||||||
| histologyGroup |
O | 0..* | CodeableConcept | Histology group (O)
| ||||||
| site |
O | 0..* | CodeableConcept | Site (O)
| ||||||
| histologySubgroup |
O | 0..* | CodeableConcept | Histology subgroup (O)
| ||||||
| subsite |
O | 0..* | CodeableConcept | Subsite (O)
| ||||||
| diagnosisCode |
O | 1..* | CodeableConcept | Diagnosis code (M)
| ||||||
| tumorSize |
O | 1..* | Quantity | Tumor Size (M)
| ||||||
| superficialDepth |
O | 1..* | Quantity | Superficial depth (M)
| ||||||
| deepDepth |
O | 1..* | Quantity | Deep depth (M)
| ||||||
| biopsyMitoticCount |
O | 1..* | Quantity | Biopsy Mitotic count (M)
| ||||||
| mitoticIndex |
O | 1..* | CodeableConcept | Mitotic Index (M)
| ||||||
| plasmaticEbvDnaAtBaseline |
O | 0..* | CodeableConcept | Plasmatic EBV DNA at baseline (R)
| ||||||
| hpvStatus |
O | 0..* | CodeableConcept | HPV status (M for OROPHARYNGEAL (not oral cavity) carcinomas)
| ||||||
| crpTested |
O | 0..* | CodeableConcept | CRP – C reactive protein tested (O)
| ||||||
| Documentation for this format | ||||||||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Diagnosis |
0..* | Base | Diagnosis | |||||||
| cancerepisode |
O | 1..* | CancerEpisode | CancerEpisode (M)
| ||||||
| dateOfDiagnosis |
O | 1..* | date | Date of diagnosis (biopsy or surgical piece) (M)
| ||||||
| typeOfBiopsy |
O | 1..* | CodeableConcept | Type of biopsy (M)
| ||||||
| biopsyDoneBy |
O | 1..* | string | Biopsy done by (M)
| ||||||
| ageAtDiagnosis |
O | 1..* | Quantity | Age at diagnosis (M)
| ||||||
| radiotherapyInducedSarcoma |
O | 1..* | boolean | Radiotherapy induced sarcoma (M)
| ||||||
| biopsyGrading |
O | 0..* | CodeableConcept | Biopsy grading (O)
| ||||||
| histologyGroup |
O | 0..* | CodeableConcept | Histology group (O)
| ||||||
| site |
O | 0..* | CodeableConcept | Site (O)
| ||||||
| histologySubgroup |
O | 0..* | CodeableConcept | Histology subgroup (O)
| ||||||
| subsite |
O | 0..* | CodeableConcept | Subsite (O)
| ||||||
| diagnosisCode |
O | 1..* | CodeableConcept | Diagnosis code (M)
| ||||||
| tumorSize |
O | 1..* | Quantity | Tumor Size (M)
| ||||||
| superficialDepth |
O | 1..* | Quantity | Superficial depth (M)
| ||||||
| deepDepth |
O | 1..* | Quantity | Deep depth (M)
| ||||||
| biopsyMitoticCount |
O | 1..* | Quantity | Biopsy Mitotic count (M)
| ||||||
| mitoticIndex |
O | 1..* | CodeableConcept | Mitotic Index (M)
| ||||||
| plasmaticEbvDnaAtBaseline |
O | 0..* | CodeableConcept | Plasmatic EBV DNA at baseline (R)
| ||||||
| hpvStatus |
O | 0..* | CodeableConcept | HPV status (M for OROPHARYNGEAL (not oral cavity) carcinomas)
| ||||||
| crpTested |
O | 0..* | CodeableConcept | CRP – C reactive protein tested (O)
| ||||||
| Documentation for this format | ||||||||||
This structure is derived from Base
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Diagnosis |
0..* | Base | Diagnosis | |||||||
| cancerepisode |
O | 1..* | CancerEpisode | CancerEpisode (M)
| ||||||
| dateOfDiagnosis |
O | 1..* | date | Date of diagnosis (biopsy or surgical piece) (M)
| ||||||
| typeOfBiopsy |
O | 1..* | CodeableConcept | Type of biopsy (M)
| ||||||
| biopsyDoneBy |
O | 1..* | string | Biopsy done by (M)
| ||||||
| ageAtDiagnosis |
O | 1..* | Quantity | Age at diagnosis (M)
| ||||||
| radiotherapyInducedSarcoma |
O | 1..* | boolean | Radiotherapy induced sarcoma (M)
| ||||||
| biopsyGrading |
O | 0..* | CodeableConcept | Biopsy grading (O)
| ||||||
| histologyGroup |
O | 0..* | CodeableConcept | Histology group (O)
| ||||||
| site |
O | 0..* | CodeableConcept | Site (O)
| ||||||
| histologySubgroup |
O | 0..* | CodeableConcept | Histology subgroup (O)
| ||||||
| subsite |
O | 0..* | CodeableConcept | Subsite (O)
| ||||||
| diagnosisCode |
O | 1..* | CodeableConcept | Diagnosis code (M)
| ||||||
| tumorSize |
O | 1..* | Quantity | Tumor Size (M)
| ||||||
| superficialDepth |
O | 1..* | Quantity | Superficial depth (M)
| ||||||
| deepDepth |
O | 1..* | Quantity | Deep depth (M)
| ||||||
| biopsyMitoticCount |
O | 1..* | Quantity | Biopsy Mitotic count (M)
| ||||||
| mitoticIndex |
O | 1..* | CodeableConcept | Mitotic Index (M)
| ||||||
| plasmaticEbvDnaAtBaseline |
O | 0..* | CodeableConcept | Plasmatic EBV DNA at baseline (R)
| ||||||
| hpvStatus |
O | 0..* | CodeableConcept | HPV status (M for OROPHARYNGEAL (not oral cavity) carcinomas)
| ||||||
| crpTested |
O | 0..* | CodeableConcept | CRP – C reactive protein tested (O)
| ||||||
| Documentation for this format | ||||||||||
Differential View
This structure is derived from Base
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Diagnosis |
0..* | Base | Diagnosis | |||||||
| cancerepisode |
O | 1..* | CancerEpisode | CancerEpisode (M)
| ||||||
| dateOfDiagnosis |
O | 1..* | date | Date of diagnosis (biopsy or surgical piece) (M)
| ||||||
| typeOfBiopsy |
O | 1..* | CodeableConcept | Type of biopsy (M)
| ||||||
| biopsyDoneBy |
O | 1..* | string | Biopsy done by (M)
| ||||||
| ageAtDiagnosis |
O | 1..* | Quantity | Age at diagnosis (M)
| ||||||
| radiotherapyInducedSarcoma |
O | 1..* | boolean | Radiotherapy induced sarcoma (M)
| ||||||
| biopsyGrading |
O | 0..* | CodeableConcept | Biopsy grading (O)
| ||||||
| histologyGroup |
O | 0..* | CodeableConcept | Histology group (O)
| ||||||
| site |
O | 0..* | CodeableConcept | Site (O)
| ||||||
| histologySubgroup |
O | 0..* | CodeableConcept | Histology subgroup (O)
| ||||||
| subsite |
O | 0..* | CodeableConcept | Subsite (O)
| ||||||
| diagnosisCode |
O | 1..* | CodeableConcept | Diagnosis code (M)
| ||||||
| tumorSize |
O | 1..* | Quantity | Tumor Size (M)
| ||||||
| superficialDepth |
O | 1..* | Quantity | Superficial depth (M)
| ||||||
| deepDepth |
O | 1..* | Quantity | Deep depth (M)
| ||||||
| biopsyMitoticCount |
O | 1..* | Quantity | Biopsy Mitotic count (M)
| ||||||
| mitoticIndex |
O | 1..* | CodeableConcept | Mitotic Index (M)
| ||||||
| plasmaticEbvDnaAtBaseline |
O | 0..* | CodeableConcept | Plasmatic EBV DNA at baseline (R)
| ||||||
| hpvStatus |
O | 0..* | CodeableConcept | HPV status (M for OROPHARYNGEAL (not oral cavity) carcinomas)
| ||||||
| crpTested |
O | 0..* | CodeableConcept | CRP – C reactive protein tested (O)
| ||||||
| Documentation for this format | ||||||||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Diagnosis |
0..* | Base | Diagnosis | |||||||
| cancerepisode |
O | 1..* | CancerEpisode | CancerEpisode (M)
| ||||||
| dateOfDiagnosis |
O | 1..* | date | Date of diagnosis (biopsy or surgical piece) (M)
| ||||||
| typeOfBiopsy |
O | 1..* | CodeableConcept | Type of biopsy (M)
| ||||||
| biopsyDoneBy |
O | 1..* | string | Biopsy done by (M)
| ||||||
| ageAtDiagnosis |
O | 1..* | Quantity | Age at diagnosis (M)
| ||||||
| radiotherapyInducedSarcoma |
O | 1..* | boolean | Radiotherapy induced sarcoma (M)
| ||||||
| biopsyGrading |
O | 0..* | CodeableConcept | Biopsy grading (O)
| ||||||
| histologyGroup |
O | 0..* | CodeableConcept | Histology group (O)
| ||||||
| site |
O | 0..* | CodeableConcept | Site (O)
| ||||||
| histologySubgroup |
O | 0..* | CodeableConcept | Histology subgroup (O)
| ||||||
| subsite |
O | 0..* | CodeableConcept | Subsite (O)
| ||||||
| diagnosisCode |
O | 1..* | CodeableConcept | Diagnosis code (M)
| ||||||
| tumorSize |
O | 1..* | Quantity | Tumor Size (M)
| ||||||
| superficialDepth |
O | 1..* | Quantity | Superficial depth (M)
| ||||||
| deepDepth |
O | 1..* | Quantity | Deep depth (M)
| ||||||
| biopsyMitoticCount |
O | 1..* | Quantity | Biopsy Mitotic count (M)
| ||||||
| mitoticIndex |
O | 1..* | CodeableConcept | Mitotic Index (M)
| ||||||
| plasmaticEbvDnaAtBaseline |
O | 0..* | CodeableConcept | Plasmatic EBV DNA at baseline (R)
| ||||||
| hpvStatus |
O | 0..* | CodeableConcept | HPV status (M for OROPHARYNGEAL (not oral cavity) carcinomas)
| ||||||
| crpTested |
O | 0..* | CodeableConcept | CRP – C reactive protein tested (O)
| ||||||
| Documentation for this format | ||||||||||
This structure is derived from Base
IG © 2022+ IDEA4RC Project. Package hl7.eu.fhir.idea4rc#1.0.0 based on FHIR 4.0.1. Generated 2026-09-17
Links: Table of Contents |
QA Report
The IDEA4RC project has received funding from the European Union's Horizon 2020
research and innovation programme under grant agreement No. 101057048.
