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 - XML Representation

Draft as of 2025-09-10

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<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="diagnosis2FHIR"/>
  <text>
    <status value="generated"/>
    <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 </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>
  </text>
  <url value="http://hl7.eu/fhir/ig/idea4rc/ConceptMap/diagnosis2FHIR"/>
  <version value="0.1.0"/>
  <name value="Diagnosis2FHIR"/>
  <title value="Diagnosis Model to this guide Map"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2025-09-10T15:18:34+00:00"/>
  <publisher value="IDEA4RC Project"/>
  <contact>
    <name value="IDEA4RC Project"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.idea4rc.eu/"/>
    </telecom>
  </contact>
  <contact>
    <name value="IDEA4RC Project"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.idea4rc.eu/"/>
    </telecom>
  </contact>
  <description
               value="It shows how the Diagnosis model is mapped into this guide"/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="150"/>
      <display value="Europe"/>
    </coding>
  </jurisdiction>
  <group>
    <source
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Diagnosis"/>
    <target
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Condition-primaryCancer-eu-i4rc"/>
    <element>
      <code value="cancerepisode"/>
      <display value="CancerEpisode (M)"/>
      <target>
        <code value="Condition.id"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
    <element>
      <code value="dateOfDiagnosis"/>
      <display value="Date of diagnosis (biopsy or surgical piece) (M)"/>
      <target>
        <code value="Condition.onsetDateTime"/>
        <equivalence value="equivalent"/>
        <comment value="If the onsetAge is not used"/>
      </target>
    </element>
    <element>
      <code value="dateOfDiagnosis"/>
      <display value="Date of diagnosis (biopsy or surgical piece) (M)"/>
      <target>
        <code value="Condition.evidence:diagnosisDetails.detail"/>
        <equivalence value="relatedto"/>
        <comment value="See details in group2"/>
      </target>
    </element>
    <element>
      <code value="typeOfBiopsy"/>
      <display value="Type of biopsy (M)"/>
      <target>
        <code value="Condition.evidence:diagnosisDetails.detail"/>
        <equivalence value="relatedto"/>
        <comment value="See details in group2"/>
      </target>
    </element>
    <element>
      <code value="biopsyDoneBy"/>
      <display value="Biopsy done by (M)"/>
      <target>
        <code value="Condition.evidence:diagnosisDetails.detail"/>
        <equivalence value="relatedto"/>
        <comment value="See details in group2"/>
      </target>
    </element>
    <element>
      <code value="ageAtDiagnosis"/>
      <display value="Age at diagnosis (M)"/>
      <target>
        <code value="Condition.onsetAge"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Applicable only if onSetDateTime is not used otherwise is a calculated value from birthdate and onSetDateTime"/>
      </target>
    </element>
    <element>
      <code value="radiotherapyInducedSarcoma"/>
      <display value="Radiotherapy induced sarcoma (M)"/>
      <target>
        <code value="Condition.extension:condition-dueTo"/>
        <equivalence value="equivalent"/>
        <comment
                 value="'true' when extension:condition-dueTo.valueCodeableConcept = $sct#108290001 'Radiation oncology AND/OR radiotherapy'"/>
      </target>
    </element>
    <element>
      <code value="biopsyGrading"/>
      <display value="Biopsy grading (O)"/>
      <target>
        <code value="Condition.stage.summary"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="histologyGroup"/>
      <display value="Histology group (O)"/>
      <target>
        <code value="Condition.histologyMorphologyBehavior"/>
        <equivalence value="equivalent"/>
        <comment
                 value="The value must be one of the ones in ValueSet: Cancer histology: Athena "/>
      </target>
    </element>
    <element>
      <code value="site"/>
      <display value="Site (O)"/>
      <target>
        <code value="Condition.bodySite"/>
        <equivalence value="equivalent"/>
        <comment value="The value must be one of the ones in Site: Athena"/>
      </target>
    </element>
    <element>
      <code value="histologySubgroup"/>
      <display value="Histology subgroup (O)"/>
      <target>
        <code value="Condition.histologyMorphologyBehavior"/>
        <equivalence value="equivalent"/>
        <comment
                 value="The value must be one of the ones in ValueSet: Cancer histology subgroup: Athena"/>
      </target>
    </element>
    <element>
      <code value="subsite"/>
      <display value="Subsite (O)"/>
      <target>
        <code value="Condition.bodySite"/>
        <equivalence value="equivalent"/>
        <comment
                 value="The value must be one of the ones in Subsites: Athena"/>
      </target>
    </element>
    <element>
      <code value="diagnosisCode"/>
      <display value="Diagnosis code (M)"/>
      <target>
        <code value="Condition.code"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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 "/>
      </target>
    </element>
    <element>
      <code value="diagnosisCode"/>
      <display value="Diagnosis code (M)"/>
      <target>
        <code value="Condition.evidence:diagnosisDetails.detail"/>
        <equivalence value="relatedto"/>
        <comment value="See details in group2"/>
      </target>
    </element>
    <element>
      <code value="tumorSize"/>
      <display value="Tumor Size (M)"/>
      <target>
        <code value="Condition.evidence:simpleResult.detail.valueQuantity"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Where detail.resolve().ofType(Observation).code is $athena#36768664"/>
      </target>
    </element>
    <element>
      <code value="superficialDepth"/>
      <display value="Superficial depth (M)"/>
      <target>
        <code value="Condition.bodySite.extension:qualifier.value[x]"/>
        <equivalence value="equivalent"/>
        <comment value="Where qualifier.value is $athena#36768911"/>
      </target>
    </element>
    <element>
      <code value="superficialDepth"/>
      <display value="Superficial depth (M)"/>
      <target>
        <code value="Condition.evidence:simpleResult.detail.valueQuantity"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Where detail.resolve().ofType(Observation).code is $athena#36768749"/>
      </target>
    </element>
    <element>
      <code value="deepDepth"/>
      <display value="Deep depth (M)"/>
      <target>
        <code value="Condition.bodySite.extension:qualifier.value[x]"/>
        <equivalence value="equivalent"/>
        <comment value="Where qualifier.value is $athena#36768749"/>
      </target>
    </element>
    <element>
      <code value="deepDepth"/>
      <display value="Deep depth (M)"/>
      <target>
        <code value="Condition.evidence:simpleResult.detail.valueQuantity"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Where detail.resolve().ofType(Observation).code is $athena#36768749"/>
      </target>
    </element>
    <element>
      <code value="biopsyMitoticCount"/>
      <display value="Biopsy Mitotic count (M)"/>
      <target>
        <code value="Condition.evidence:simpleResult.detail.valueQuantity"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Where detail.resolve().ofType(Observation).code is $athena#4227243"/>
      </target>
    </element>
    <element>
      <code value="mitoticIndex"/>
      <display value="Mitotic Index (M)"/>
      <target>
        <code
              value="Condition.evidence:simpleResult.detail.valueCodeableConcept"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Where detail.resolve().ofType(Observation).code is $athena#4099595"/>
      </target>
    </element>
    <element>
      <code value="plasmaticEbvDnaAtBaseline"/>
      <display value="Plasmatic EBV DNA at baseline (R)"/>
      <target>
        <code
              value="Condition.evidence:simpleResult.detail.valueCodeableConcept"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Where detail.resolve().ofType(Observation).code is $athena#3043849"/>
      </target>
    </element>
    <element>
      <code value="hpvStatus"/>
      <display
               value="HPV status (M for OROPHARYNGEAL (not oral cavity) carcinomas)"/>
      <target>
        <code
              value="Condition.evidence:simpleResult.detail.valueCodeableConcept"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Where detail.resolve().ofType(Observation).code is $athena#46236082"/>
      </target>
    </element>
    <element>
      <code value="crpTested"/>
      <display value="CRP – C reactive protein tested (O)"/>
      <target>
        <code
              value="Condition.evidence:simpleResult.detail.valueCodeableConcept"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Where detail.resolve().ofType(Observation).code is $athena#3000965"/>
      </target>
    </element>
  </group>
  <group>
    <source
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Diagnosis"/>
    <target
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Observation-diagnosis-eu-i4rc"/>
    <element>
      <code value="dateOfDiagnosis"/>
      <display value="Date of diagnosis (biopsy or surgical piece) (M)"/>
      <target>
        <code value="Observation.effectiveDateTime"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="typeOfBiopsy"/>
      <display value="Type of biopsy (M)"/>
      <target>
        <code value="Observation.method"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="biopsyDoneBy"/>
      <display value="Biopsy done by (M)"/>
      <target>
        <code value="Observation.performer"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="diagnosisCode"/>
      <display value="Diagnosis code (M)"/>
      <target>
        <code value="Observation.valueCodeableConcept"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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"/>
      </target>
    </element>
  </group>
</ConceptMap>