IDEA4RC FHIR Implementation Guide
1.0.0 - release 150

IDEA4RC FHIR Implementation Guide - Downloaded Version 1.0.0 See the Directory of published versions

Pathological Stage Model to this guide Map

Group 1 Mapping from Pathological Stage to Condition: Metastatic Cancer

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

Group 2 Mapping from Pathological Stage to Observation: Diagnosis details

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

Group 3 Mapping from Pathological Stage to Procedure: Other Treatment

Source CodeCard.RelationshipTarget CodeCard.Comment
PathologicalStage.sentinelNode1..*is related toProcedure.partOf0..*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 CodeCard.RelationshipTarget CodeCard.Comment
PathologicalStage.stagingProceduresDoneBy1..*is related toObservation.performer0..*
PathologicalStage.pt1..*is related toObservation.hasMember:tnmPrimaryTumorCategory0..1See group for Observation: TNM Primary Tumor Category
PathologicalStage.pn1..*is related toObservation.hasMember:tnmRegionalNodesCategory0..1See group for Observation: TNM Regional Nodes Category
PathologicalStage.pm1..*is related toObservation.hasMember:tnmDistantMetastasesCategory0..1See group for Observation: TNM Distant Metastases Category
PathologicalStage.extraNodalExtension1..*is related toObservation.hasMember:extraNodalExtension0..1See group for Observation: Radiological Extra-nodal extension (rENE)
PathologicalStage.pathologicalStaging1..*is equivalent toObservation.value[x]0..1Where code = 4221515 'Pathologic TNM stage grouping'

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

Source CodeCard.RelationshipTarget CodeCard.Comment
PathologicalStage.locoRegional1..*is related toObservation.value[x]0..1If it is present an observation with value = 32943 'Invasive Disease', it is 'true', else 'false'
PathologicalStage.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'
PathologicalStage.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 Pathological Stage to Observation: TNM Distant Metastases Category

Source CodeCard.RelationshipTarget CodeCard.Comment
PathologicalStage.pm1..*is equivalent toObservation.value[x]0..1Where code = 21901-4 'Distant metastases.pathology [Class] Cancer'

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

Source CodeCard.RelationshipTarget CodeCard.Comment
PathologicalStage.pt1..*is equivalent toObservation.value[x]0..1Where code = 21899-0 'Primary tumor.pathology Cancer'

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

Source CodeCard.RelationshipTarget CodeCard.Comment
PathologicalStage.pn1..*is equivalent toObservation.value[x]0..1Where code = 21900-6 'Regional lymph nodes.pathology [Class] Cancer'

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

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

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

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

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

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

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

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