IDEA4RC FHIR Implementation Guide
0.1.0 - CI Build 150

IDEA4RC FHIR Implementation Guide, published by IDEA4RC Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/idea4rc/ and changes regularly. See the Directory of published versions

: Diagnosis to this guide Map - JSON Representation

Draft as of 2025-09-10

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{
  "resourceType" : "ConceptMap",
  "id" : "diagnosis2FHIR",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap diagnosis2FHIR</b></p><a name=\"diagnosis2FHIR\"> </a><a name=\"hcdiagnosis2FHIR\"> </a><p>Mapping from (not specified) to (not specified)</p><br/><p><b>Group 1 </b>Mapping from <a href=\"StructureDefinition-Diagnosis.html\">Diagnosis</a> to <a href=\"StructureDefinition-Condition-primaryCancer-eu-i4rc.html\">Condition: Primary Cancer</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>cancerepisode (CancerEpisode (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.id</td><td/></tr><tr><td>dateOfDiagnosis (Date of diagnosis (biopsy or surgical piece) (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.onsetDateTime</td><td>If the onsetAge is not used</td></tr><tr><td>dateOfDiagnosis (Date of diagnosis (biopsy or surgical piece) (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.evidence:diagnosisDetails.detail</td><td>See details in group2</td></tr><tr><td>typeOfBiopsy (Type of biopsy (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.evidence:diagnosisDetails.detail</td><td>See details in group2</td></tr><tr><td>biopsyDoneBy (Biopsy done by (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.evidence:diagnosisDetails.detail</td><td>See details in group2</td></tr><tr><td>ageAtDiagnosis (Age at diagnosis (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.onsetAge</td><td>Applicable only if onSetDateTime is not used otherwise is a calculated value from birthdate and onSetDateTime</td></tr><tr><td>radiotherapyInducedSarcoma (Radiotherapy induced sarcoma (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.extension:condition-dueTo</td><td>'true' when extension:condition-dueTo.valueCodeableConcept = $sct#108290001 'Radiation oncology AND/OR radiotherapy'</td></tr><tr><td>biopsyGrading (Biopsy grading (O))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.stage.summary</td><td/></tr><tr><td>histologyGroup (Histology group (O))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.histologyMorphologyBehavior</td><td>The value must be one of the ones in ValueSet: Cancer histology: Athena </td></tr><tr><td>site (Site (O))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.bodySite</td><td>The value must be one of the ones in Site: Athena</td></tr><tr><td>histologySubgroup (Histology subgroup (O))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.histologyMorphologyBehavior</td><td>The value must be one of the ones in ValueSet: Cancer histology subgroup: Athena</td></tr><tr><td>subsite (Subsite (O))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.bodySite</td><td>The value must be one of the ones in Subsites: Athena</td></tr><tr><td>diagnosisCode (Diagnosis code (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.code</td><td>If HNC, the value must be one of the ones in ValueSet: HNC ConditionList: Athen. If Sarc, the value must be one of the ones in ValueSet: Sarcome List: Athena\u00a0</td></tr><tr><td>diagnosisCode (Diagnosis code (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>Condition.evidence:diagnosisDetails.detail</td><td>See details in group2</td></tr><tr><td>tumorSize (Tumor Size (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.evidence:simpleResult.detail.valueQuantity</td><td>Where detail.resolve().ofType(Observation).code is $athena#36768664</td></tr><tr><td>superficialDepth (Superficial depth (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.bodySite.extension:qualifier.value[x]</td><td>Where qualifier.value is $athena#36768911</td></tr><tr><td>superficialDepth (Superficial depth (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.evidence:simpleResult.detail.valueQuantity</td><td>Where detail.resolve().ofType(Observation).code is $athena#36768749</td></tr><tr><td>deepDepth (Deep depth (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.bodySite.extension:qualifier.value[x]</td><td>Where qualifier.value is $athena#36768749</td></tr><tr><td>deepDepth (Deep depth (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.evidence:simpleResult.detail.valueQuantity</td><td>Where detail.resolve().ofType(Observation).code is $athena#36768749</td></tr><tr><td>biopsyMitoticCount (Biopsy Mitotic count (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.evidence:simpleResult.detail.valueQuantity</td><td>Where detail.resolve().ofType(Observation).code is $athena#4227243</td></tr><tr><td>mitoticIndex (Mitotic Index (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.evidence:simpleResult.detail.valueCodeableConcept</td><td>Where detail.resolve().ofType(Observation).code is $athena#4099595</td></tr><tr><td>plasmaticEbvDnaAtBaseline (Plasmatic EBV DNA at baseline (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.evidence:simpleResult.detail.valueCodeableConcept</td><td>Where detail.resolve().ofType(Observation).code is $athena#3043849</td></tr><tr><td>hpvStatus (HPV status (M for OROPHARYNGEAL (not oral cavity) carcinomas))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.evidence:simpleResult.detail.valueCodeableConcept</td><td>Where detail.resolve().ofType(Observation).code is $athena#46236082</td></tr><tr><td>crpTested (CRP – C reactive protein tested (O))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Condition.evidence:simpleResult.detail.valueCodeableConcept</td><td>Where detail.resolve().ofType(Observation).code is $athena#3000965</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <a href=\"StructureDefinition-Diagnosis.html\">Diagnosis</a> to <a href=\"StructureDefinition-Observation-diagnosis-eu-i4rc.html\">Observation: Diagnosis details</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>dateOfDiagnosis (Date of diagnosis (biopsy or surgical piece) (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.effectiveDateTime</td><td/></tr><tr><td>typeOfBiopsy (Type of biopsy (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.method</td><td/></tr><tr><td>biopsyDoneBy (Biopsy done by (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.performer</td><td/></tr><tr><td>diagnosisCode (Diagnosis code (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.valueCodeableConcept</td><td>If HNC, the value must be one of the ones in ValueSet: HNC ConditionList: Athen. If Sarc, the value must be one of the ones in ValueSet: Sarcome List: Athena</td></tr></table></div>"
  },
  "url" : "http://hl7.eu/fhir/ig/idea4rc/ConceptMap/diagnosis2FHIR",
  "version" : "0.1.0",
  "name" : "Diagnosis2FHIR",
  "title" : "Diagnosis Model to this guide Map",
  "status" : "draft",
  "experimental" : true,
  "date" : "2025-09-10T15:18:34+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 Diagnosis 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/Diagnosis",
      "target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Condition-primaryCancer-eu-i4rc",
      "element" : [
        {
          "code" : "cancerepisode",
          "display" : "CancerEpisode (M)",
          "target" : [
            {
              "code" : "Condition.id",
              "equivalence" : "relatedto"
            }
          ]
        },
        {
          "code" : "dateOfDiagnosis",
          "display" : "Date of diagnosis (biopsy or surgical piece) (M)",
          "target" : [
            {
              "code" : "Condition.onsetDateTime",
              "equivalence" : "equivalent",
              "comment" : "If the onsetAge is not used"
            }
          ]
        },
        {
          "code" : "dateOfDiagnosis",
          "display" : "Date of diagnosis (biopsy or surgical piece) (M)",
          "target" : [
            {
              "code" : "Condition.evidence:diagnosisDetails.detail",
              "equivalence" : "relatedto",
              "comment" : "See details in group2"
            }
          ]
        },
        {
          "code" : "typeOfBiopsy",
          "display" : "Type of biopsy (M)",
          "target" : [
            {
              "code" : "Condition.evidence:diagnosisDetails.detail",
              "equivalence" : "relatedto",
              "comment" : "See details in group2"
            }
          ]
        },
        {
          "code" : "biopsyDoneBy",
          "display" : "Biopsy done by (M)",
          "target" : [
            {
              "code" : "Condition.evidence:diagnosisDetails.detail",
              "equivalence" : "relatedto",
              "comment" : "See details in group2"
            }
          ]
        },
        {
          "code" : "ageAtDiagnosis",
          "display" : "Age at diagnosis (M)",
          "target" : [
            {
              "code" : "Condition.onsetAge",
              "equivalence" : "equivalent",
              "comment" : "Applicable only if onSetDateTime is not used otherwise is a calculated value from birthdate and onSetDateTime"
            }
          ]
        },
        {
          "code" : "radiotherapyInducedSarcoma",
          "display" : "Radiotherapy induced sarcoma (M)",
          "target" : [
            {
              "code" : "Condition.extension:condition-dueTo",
              "equivalence" : "equivalent",
              "comment" : "'true' when extension:condition-dueTo.valueCodeableConcept = $sct#108290001 'Radiation oncology AND/OR radiotherapy'"
            }
          ]
        },
        {
          "code" : "biopsyGrading",
          "display" : "Biopsy grading (O)",
          "target" : [
            {
              "code" : "Condition.stage.summary",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "histologyGroup",
          "display" : "Histology group (O)",
          "target" : [
            {
              "code" : "Condition.histologyMorphologyBehavior",
              "equivalence" : "equivalent",
              "comment" : "The value must be one of the ones in ValueSet: Cancer histology: Athena "
            }
          ]
        },
        {
          "code" : "site",
          "display" : "Site (O)",
          "target" : [
            {
              "code" : "Condition.bodySite",
              "equivalence" : "equivalent",
              "comment" : "The value must be one of the ones in Site: Athena"
            }
          ]
        },
        {
          "code" : "histologySubgroup",
          "display" : "Histology subgroup (O)",
          "target" : [
            {
              "code" : "Condition.histologyMorphologyBehavior",
              "equivalence" : "equivalent",
              "comment" : "The value must be one of the ones in ValueSet: Cancer histology subgroup: Athena"
            }
          ]
        },
        {
          "code" : "subsite",
          "display" : "Subsite (O)",
          "target" : [
            {
              "code" : "Condition.bodySite",
              "equivalence" : "equivalent",
              "comment" : "The value must be one of the ones in Subsites: Athena"
            }
          ]
        },
        {
          "code" : "diagnosisCode",
          "display" : "Diagnosis code (M)",
          "target" : [
            {
              "code" : "Condition.code",
              "equivalence" : "equivalent",
              "comment" : "If HNC, the value must be one of the ones in ValueSet: HNC ConditionList: Athen. If Sarc, the value must be one of the ones in ValueSet: Sarcome List: Athena\u00a0"
            }
          ]
        },
        {
          "code" : "diagnosisCode",
          "display" : "Diagnosis code (M)",
          "target" : [
            {
              "code" : "Condition.evidence:diagnosisDetails.detail",
              "equivalence" : "relatedto",
              "comment" : "See details in group2"
            }
          ]
        },
        {
          "code" : "tumorSize",
          "display" : "Tumor Size (M)",
          "target" : [
            {
              "code" : "Condition.evidence:simpleResult.detail.valueQuantity",
              "equivalence" : "equivalent",
              "comment" : "Where detail.resolve().ofType(Observation).code is $athena#36768664"
            }
          ]
        },
        {
          "code" : "superficialDepth",
          "display" : "Superficial depth (M)",
          "target" : [
            {
              "code" : "Condition.bodySite.extension:qualifier.value[x]",
              "equivalence" : "equivalent",
              "comment" : "Where qualifier.value is $athena#36768911"
            }
          ]
        },
        {
          "code" : "superficialDepth",
          "display" : "Superficial depth (M)",
          "target" : [
            {
              "code" : "Condition.evidence:simpleResult.detail.valueQuantity",
              "equivalence" : "equivalent",
              "comment" : "Where detail.resolve().ofType(Observation).code is $athena#36768749"
            }
          ]
        },
        {
          "code" : "deepDepth",
          "display" : "Deep depth (M)",
          "target" : [
            {
              "code" : "Condition.bodySite.extension:qualifier.value[x]",
              "equivalence" : "equivalent",
              "comment" : "Where qualifier.value is $athena#36768749"
            }
          ]
        },
        {
          "code" : "deepDepth",
          "display" : "Deep depth (M)",
          "target" : [
            {
              "code" : "Condition.evidence:simpleResult.detail.valueQuantity",
              "equivalence" : "equivalent",
              "comment" : "Where detail.resolve().ofType(Observation).code is $athena#36768749"
            }
          ]
        },
        {
          "code" : "biopsyMitoticCount",
          "display" : "Biopsy Mitotic count (M)",
          "target" : [
            {
              "code" : "Condition.evidence:simpleResult.detail.valueQuantity",
              "equivalence" : "equivalent",
              "comment" : "Where detail.resolve().ofType(Observation).code is $athena#4227243"
            }
          ]
        },
        {
          "code" : "mitoticIndex",
          "display" : "Mitotic Index (M)",
          "target" : [
            {
              "code" : "Condition.evidence:simpleResult.detail.valueCodeableConcept",
              "equivalence" : "equivalent",
              "comment" : "Where detail.resolve().ofType(Observation).code is $athena#4099595"
            }
          ]
        },
        {
          "code" : "plasmaticEbvDnaAtBaseline",
          "display" : "Plasmatic EBV DNA at baseline (R)",
          "target" : [
            {
              "code" : "Condition.evidence:simpleResult.detail.valueCodeableConcept",
              "equivalence" : "equivalent",
              "comment" : "Where detail.resolve().ofType(Observation).code is $athena#3043849"
            }
          ]
        },
        {
          "code" : "hpvStatus",
          "display" : "HPV status (M for OROPHARYNGEAL (not oral cavity) carcinomas)",
          "target" : [
            {
              "code" : "Condition.evidence:simpleResult.detail.valueCodeableConcept",
              "equivalence" : "equivalent",
              "comment" : "Where detail.resolve().ofType(Observation).code is $athena#46236082"
            }
          ]
        },
        {
          "code" : "crpTested",
          "display" : "CRP – C reactive protein tested (O)",
          "target" : [
            {
              "code" : "Condition.evidence:simpleResult.detail.valueCodeableConcept",
              "equivalence" : "equivalent",
              "comment" : "Where detail.resolve().ofType(Observation).code is $athena#3000965"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Diagnosis",
      "target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Observation-diagnosis-eu-i4rc",
      "element" : [
        {
          "code" : "dateOfDiagnosis",
          "display" : "Date of diagnosis (biopsy or surgical piece) (M)",
          "target" : [
            {
              "code" : "Observation.effectiveDateTime",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "typeOfBiopsy",
          "display" : "Type of biopsy (M)",
          "target" : [
            {
              "code" : "Observation.method",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "biopsyDoneBy",
          "display" : "Biopsy done by (M)",
          "target" : [
            {
              "code" : "Observation.performer",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "diagnosisCode",
          "display" : "Diagnosis code (M)",
          "target" : [
            {
              "code" : "Observation.valueCodeableConcept",
              "equivalence" : "equivalent",
              "comment" : "If HNC, the value must be one of the ones in ValueSet: HNC ConditionList: Athen. If Sarc, the value must be one of the ones in ValueSet: Sarcome List: Athena"
            }
          ]
        }
      ]
    }
  ]
}