IDEA4RC FHIR Implementation Guide
0.1.0 - CI Build
150
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
| Draft as of 2026-08-07 |
{
"resourceType" : "ConceptMap",
"id" : "diseaseExtent2FHIR",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap diseaseExtent2FHIR</b></p><a name=\"diseaseExtent2FHIR\"> </a><a name=\"hcdiseaseExtent2FHIR\"> </a><p>This mapping does not specify any particular context of use.</p><br/><p><b>Group 1 </b>Mapping from <a href=\"StructureDefinition-DiseaseExtent.html\">Disease Extent</a> to <a href=\"StructureDefinition-Condition-secondaryCancer-eu-i4rc.html\">Condition: Metastatic Cancer</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Card.</b></td><td><b>Type</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Card.</b></td><td><b>Type</b></td><td><b>Comment</b></td></tr><tr><td><a href=\"StructureDefinition-DiseaseExtent.html#s-DiseaseExtent.episodeEvent\">DiseaseExtent.episodeEvent</a></td><td>1..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Condition-secondaryCancer-eu-i4rc.html#s-Condition.extension:relatedPrimaryCancerCondition\">Condition.extension:relatedPrimaryCancerCondition</a></td><td>1..1</td><td>todo</td><td>Use extension value.</td></tr><tr><td><a href=\"StructureDefinition-DiseaseExtent.html#s-DiseaseExtent.regionalNodalMetastases\">DiseaseExtent.regionalNodalMetastases</a></td><td>1..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Condition-secondaryCancer-eu-i4rc.html#s-Condition.bodySite\">Condition.bodySite</a></td><td>0..*</td><td>todo</td><td>Where code=4241958 'Lymph node' and extension:qualifier.value=4260906 'Regional'</td></tr><tr><td><a href=\"StructureDefinition-DiseaseExtent.html#s-DiseaseExtent.sites.softTissue\">DiseaseExtent.sites.softTissue</a></td><td>0..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Condition-secondaryCancer-eu-i4rc.html#s-Condition.bodySite\">Condition.bodySite</a></td><td>0..*</td><td>todo</td><td>Where code=4338971 'soft tissue'</td></tr><tr><td><a href=\"StructureDefinition-DiseaseExtent.html#s-DiseaseExtent.sites.distantLymphNode\">DiseaseExtent.sites.distantLymphNode</a></td><td>0..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Condition-secondaryCancer-eu-i4rc.html#s-Condition.bodySite\">Condition.bodySite</a></td><td>0..*</td><td>todo</td><td>Where code=4241958 'Lymph node' and extension:qualifier.value=4209878 'Remote'</td></tr><tr><td><a href=\"StructureDefinition-DiseaseExtent.html#s-DiseaseExtent.sites.lung\">DiseaseExtent.sites.lung</a></td><td>0..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Condition-secondaryCancer-eu-i4rc.html#s-Condition.bodySite\">Condition.bodySite</a></td><td>0..*</td><td>todo</td><td>Where code=4213162 'lung'</td></tr><tr><td><a href=\"StructureDefinition-DiseaseExtent.html#s-DiseaseExtent.sites.metastasisatbone\">DiseaseExtent.sites.metastasisatbone</a></td><td>0..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Condition-secondaryCancer-eu-i4rc.html#s-Condition.bodySite\">Condition.bodySite</a></td><td>0..*</td><td>todo</td><td>Where code=4241958 'bone'</td></tr><tr><td><a href=\"StructureDefinition-DiseaseExtent.html#s-DiseaseExtent.sites.liver\">DiseaseExtent.sites.liver</a></td><td>0..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Condition-secondaryCancer-eu-i4rc.html#s-Condition.bodySite\">Condition.bodySite</a></td><td>0..*</td><td>todo</td><td>Where code=4009105 'liver'</td></tr><tr><td><a href=\"StructureDefinition-DiseaseExtent.html#s-DiseaseExtent.sites.pleura\">DiseaseExtent.sites.pleura</a></td><td>0..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Condition-secondaryCancer-eu-i4rc.html#s-Condition.bodySite\">Condition.bodySite</a></td><td>0..*</td><td>todo</td><td>Where code=4150673 'pleura'</td></tr><tr><td><a href=\"StructureDefinition-DiseaseExtent.html#s-DiseaseExtent.sites.peritoneum\">DiseaseExtent.sites.peritoneum</a></td><td>0..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Condition-secondaryCancer-eu-i4rc.html#s-Condition.bodySite\">Condition.bodySite</a></td><td>0..*</td><td>todo</td><td>Where code=4035784 'peritoneum'</td></tr><tr><td><a href=\"StructureDefinition-DiseaseExtent.html#s-DiseaseExtent.sites.brain\">DiseaseExtent.sites.brain</a></td><td>0..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Condition-secondaryCancer-eu-i4rc.html#s-Condition.bodySite\">Condition.bodySite</a></td><td>0..*</td><td>todo</td><td>Where code=4133034 'brain'</td></tr><tr><td><a href=\"StructureDefinition-DiseaseExtent.html#s-DiseaseExtent.sites.otherViscera\">DiseaseExtent.sites.otherViscera</a></td><td>0..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Condition-secondaryCancer-eu-i4rc.html#s-Condition.bodySite\">Condition.bodySite</a></td><td>0..*</td><td>todo</td><td>Where code=4159589 'Abdominal viscera'</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <a href=\"StructureDefinition-DiseaseExtent.html\">Disease Extent</a> to <a href=\"StructureDefinition-locoRegional-category.html\">Observation: LocoRegional Category (Stage)</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Card.</b></td><td><b>Type</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Card.</b></td><td><b>Type</b></td><td><b>Comment</b></td></tr><tr><td><a href=\"StructureDefinition-DiseaseExtent.html#s-DiseaseExtent.locoRegional\">DiseaseExtent.locoRegional</a></td><td>1..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-locoRegional-category.html#s-Observation.value[x]\">Observation.value[x]</a></td><td>0..1</td><td>todo</td><td>If it is present an observation with value = 32943 'Invasive Disease', it is ''true'', else 'false'</td></tr><tr><td><a href=\"StructureDefinition-DiseaseExtent.html#s-DiseaseExtent.isTransitMetastasisWithClinicalConfirmation\">DiseaseExtent.isTransitMetastasisWithClinicalConfirmation</a></td><td>1..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-locoRegional-category.html#s-Observation.value[x]\">Observation.value[x]</a></td><td>0..1</td><td>todo</td><td>If it is present an observation with value = 36769249 'Transit Metastasis with Clinical Confirmation', it is 'true', else 'false'</td></tr><tr><td><a href=\"StructureDefinition-DiseaseExtent.html#s-DiseaseExtent.isMultifocalTumor\">DiseaseExtent.isMultifocalTumor</a></td><td>1..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-locoRegional-category.html#s-Observation.value[x]\">Observation.value[x]</a></td><td>0..1</td><td>todo</td><td>If it is present an observation with value = 36769933 'Multifocal Tumor', it is 'true', else 'false'</td></tr></table><hr/><p><b>Group 3 </b>Mapping from <a href=\"StructureDefinition-DiseaseExtent.html\">Disease Extent</a> to <a href=\"StructureDefinition-sarcoma-cancer-stage-group.html\">Observation: Sarcoma Cancer and Disease Extent Stage Group</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Card.</b></td><td><b>Type</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Card.</b></td><td><b>Type</b></td><td><b>Comment</b></td></tr><tr><td><a href=\"StructureDefinition-DiseaseExtent.html#s-DiseaseExtent.localised\">DiseaseExtent.localised</a></td><td>1..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-sarcoma-cancer-stage-group.html#s-Observation.hasMember:localized\">Observation.hasMember:localized</a></td><td>0..1</td><td>todo</td><td>See group for Observation: Localized Category (Stage, Sarcoma)</td></tr><tr><td><a href=\"StructureDefinition-DiseaseExtent.html#s-DiseaseExtent.numberOfTumorNodules\">DiseaseExtent.numberOfTumorNodules</a></td><td>0..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-sarcoma-cancer-stage-group.html#s-Observation.hasMember:localized\">Observation.hasMember:localized</a></td><td>0..1</td><td>todo</td><td>See group for Observation: Number of tumor nodules</td></tr></table></div>"
},
"url" : "http://hl7.eu/fhir/ig/idea4rc/ConceptMap/diseaseExtent2FHIR",
"version" : "0.1.0",
"name" : "DiseaseExtent2FHIR",
"title" : "DiseaseExtent Model to this guide Map",
"status" : "draft",
"experimental" : true,
"date" : "2026-08-07T10:05:28+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 DiseaseExtent 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/DiseaseExtent",
"target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Condition-secondaryCancer-eu-i4rc",
"element" : [
{
"code" : "DiseaseExtent.episodeEvent",
"display" : "Episode Event Reference (M)",
"target" : [
{
"code" : "Condition.extension:relatedPrimaryCancerCondition",
"equivalence" : "relatedto",
"comment" : "Use extension value."
}
]
},
{
"code" : "DiseaseExtent.regionalNodalMetastases",
"display" : "Regional nodal metastases (M)",
"target" : [
{
"code" : "Condition.bodySite",
"equivalence" : "relatedto",
"comment" : "Where code=4241958 'Lymph node' and extension:qualifier.value=4260906 'Regional'"
}
]
},
{
"code" : "DiseaseExtent.sites.softTissue",
"display" : "Soft tissue (R)",
"target" : [
{
"code" : "Condition.bodySite",
"equivalence" : "relatedto",
"comment" : "Where code=4338971 'soft tissue'"
}
]
},
{
"code" : "DiseaseExtent.sites.distantLymphNode",
"display" : "distant lymph node (R)",
"target" : [
{
"code" : "Condition.bodySite",
"equivalence" : "relatedto",
"comment" : "Where code=4241958 'Lymph node' and extension:qualifier.value=4209878 'Remote'"
}
]
},
{
"code" : "DiseaseExtent.sites.lung",
"display" : "lung (R)",
"target" : [
{
"code" : "Condition.bodySite",
"equivalence" : "relatedto",
"comment" : "Where code=4213162 'lung'"
}
]
},
{
"code" : "DiseaseExtent.sites.metastasisatbone",
"display" : "metastasisAtBone (R)",
"target" : [
{
"code" : "Condition.bodySite",
"equivalence" : "relatedto",
"comment" : "Where code=4241958 'bone'"
}
]
},
{
"code" : "DiseaseExtent.sites.liver",
"display" : "liver (R)",
"target" : [
{
"code" : "Condition.bodySite",
"equivalence" : "relatedto",
"comment" : "Where code=4009105 'liver'"
}
]
},
{
"code" : "DiseaseExtent.sites.pleura",
"display" : "pleura (R)",
"target" : [
{
"code" : "Condition.bodySite",
"equivalence" : "relatedto",
"comment" : "Where code=4150673 'pleura'"
}
]
},
{
"code" : "DiseaseExtent.sites.peritoneum",
"display" : "peritoneum (R)",
"target" : [
{
"code" : "Condition.bodySite",
"equivalence" : "relatedto",
"comment" : "Where code=4035784 'peritoneum'"
}
]
},
{
"code" : "DiseaseExtent.sites.brain",
"display" : "brain (R)",
"target" : [
{
"code" : "Condition.bodySite",
"equivalence" : "relatedto",
"comment" : "Where code=4133034 'brain'"
}
]
},
{
"code" : "DiseaseExtent.sites.otherViscera",
"display" : "other viscera (R)",
"target" : [
{
"code" : "Condition.bodySite",
"equivalence" : "relatedto",
"comment" : "Where code=4159589 'Abdominal viscera'"
}
]
}
]
},
{
"source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent",
"target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/locoRegional-category",
"element" : [
{
"code" : "DiseaseExtent.locoRegional",
"display" : "Loco-regional (M)",
"target" : [
{
"code" : "Observation.value[x]",
"equivalence" : "relatedto",
"comment" : "If it is present an observation with value = 32943 'Invasive Disease', it is ''true'', else 'false'"
}
]
},
{
"code" : "DiseaseExtent.isTransitMetastasisWithClinicalConfirmation",
"display" : "Is Transit metastasis with clinical confirmation (M)",
"target" : [
{
"code" : "Observation.value[x]",
"equivalence" : "relatedto",
"comment" : "If it is present an observation with value = 36769249 'Transit Metastasis with Clinical Confirmation', it is 'true', else 'false'"
}
]
},
{
"code" : "DiseaseExtent.isMultifocalTumor",
"display" : "Is Multifocal tumor (M)",
"target" : [
{
"code" : "Observation.value[x]",
"equivalence" : "relatedto",
"comment" : "If it is present an observation with value = 36769933 'Multifocal Tumor', it is 'true', else 'false'"
}
]
}
]
},
{
"source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent",
"target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/sarcoma-cancer-stage-group",
"element" : [
{
"code" : "DiseaseExtent.localised",
"display" : "Localised (M)",
"target" : [
{
"code" : "Observation.hasMember:localized",
"equivalence" : "relatedto",
"comment" : "See group for Observation: Localized Category (Stage, Sarcoma)"
}
]
},
{
"code" : "DiseaseExtent.numberOfTumorNodules",
"display" : "Number of tumor nodules (R)",
"target" : [
{
"code" : "Observation.hasMember:localized",
"equivalence" : "relatedto",
"comment" : "See group for Observation: Number of tumor nodules"
}
]
}
]
}
]
}
IG © 2022+ IDEA4RC Project. Package hl7.eu.fhir.idea4rc#0.1.0 based on FHIR 4.0.1. Generated 2026-08-07
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.
