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

: Disease Extent Model to this guide Map - XML Representation

Draft as of 2026-08-07

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<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="diseaseExtent2FHIR"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url value="http://hl7.eu/fhir/ig/idea4rc/ConceptMap/diseaseExtent2FHIR"/>
  <version value="0.1.0"/>
  <name value="DiseaseExtent2FHIR"/>
  <title value="DiseaseExtent Model to this guide Map"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2026-08-07T10:05:28+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 DiseaseExtent 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/DiseaseExtent"/>
    <target
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Condition-secondaryCancer-eu-i4rc"/>
    <element>
      <code value="DiseaseExtent.episodeEvent"/>
      <display value="Episode Event Reference (M)"/>
      <target>
        <code value="Condition.extension:relatedPrimaryCancerCondition"/>
        <equivalence value="relatedto"/>
        <comment value="Use extension value."/>
      </target>
    </element>
    <element>
      <code value="DiseaseExtent.regionalNodalMetastases"/>
      <display value="Regional nodal metastases (M)"/>
      <target>
        <code value="Condition.bodySite"/>
        <equivalence value="relatedto"/>
        <comment
                 value="Where code=4241958 'Lymph node' and extension:qualifier.value=4260906 'Regional'"/>
      </target>
    </element>
    <element>
      <code value="DiseaseExtent.sites.softTissue"/>
      <display value="Soft tissue (R)"/>
      <target>
        <code value="Condition.bodySite"/>
        <equivalence value="relatedto"/>
        <comment value="Where code=4338971 'soft tissue'"/>
      </target>
    </element>
    <element>
      <code value="DiseaseExtent.sites.distantLymphNode"/>
      <display value="distant lymph node (R)"/>
      <target>
        <code value="Condition.bodySite"/>
        <equivalence value="relatedto"/>
        <comment
                 value="Where code=4241958 'Lymph node' and extension:qualifier.value=4209878 'Remote'"/>
      </target>
    </element>
    <element>
      <code value="DiseaseExtent.sites.lung"/>
      <display value="lung (R)"/>
      <target>
        <code value="Condition.bodySite"/>
        <equivalence value="relatedto"/>
        <comment value="Where code=4213162 'lung'"/>
      </target>
    </element>
    <element>
      <code value="DiseaseExtent.sites.metastasisatbone"/>
      <display value="metastasisAtBone (R)"/>
      <target>
        <code value="Condition.bodySite"/>
        <equivalence value="relatedto"/>
        <comment value="Where code=4241958 'bone'"/>
      </target>
    </element>
    <element>
      <code value="DiseaseExtent.sites.liver"/>
      <display value="liver (R)"/>
      <target>
        <code value="Condition.bodySite"/>
        <equivalence value="relatedto"/>
        <comment value="Where code=4009105 'liver'"/>
      </target>
    </element>
    <element>
      <code value="DiseaseExtent.sites.pleura"/>
      <display value="pleura (R)"/>
      <target>
        <code value="Condition.bodySite"/>
        <equivalence value="relatedto"/>
        <comment value="Where code=4150673 'pleura'"/>
      </target>
    </element>
    <element>
      <code value="DiseaseExtent.sites.peritoneum"/>
      <display value="peritoneum (R)"/>
      <target>
        <code value="Condition.bodySite"/>
        <equivalence value="relatedto"/>
        <comment value="Where code=4035784 'peritoneum'"/>
      </target>
    </element>
    <element>
      <code value="DiseaseExtent.sites.brain"/>
      <display value="brain (R)"/>
      <target>
        <code value="Condition.bodySite"/>
        <equivalence value="relatedto"/>
        <comment value="Where code=4133034 'brain'"/>
      </target>
    </element>
    <element>
      <code value="DiseaseExtent.sites.otherViscera"/>
      <display value="other viscera (R)"/>
      <target>
        <code value="Condition.bodySite"/>
        <equivalence value="relatedto"/>
        <comment value="Where code=4159589 'Abdominal viscera'"/>
      </target>
    </element>
  </group>
  <group>
    <source
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent"/>
    <target
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/locoRegional-category"/>
    <element>
      <code value="DiseaseExtent.locoRegional"/>
      <display value="Loco-regional (M)"/>
      <target>
        <code value="Observation.value[x]"/>
        <equivalence value="relatedto"/>
        <comment
                 value="If it is present an observation with value = 32943 'Invasive Disease', it is ''true'', else 'false'"/>
      </target>
    </element>
    <element>
      <code
            value="DiseaseExtent.isTransitMetastasisWithClinicalConfirmation"/>
      <display value="Is Transit metastasis with clinical confirmation (M)"/>
      <target>
        <code value="Observation.value[x]"/>
        <equivalence value="relatedto"/>
        <comment
                 value="If it is present an observation with value = 36769249 'Transit Metastasis with Clinical Confirmation', it is 'true', else 'false'"/>
      </target>
    </element>
    <element>
      <code value="DiseaseExtent.isMultifocalTumor"/>
      <display value="Is Multifocal tumor (M)"/>
      <target>
        <code value="Observation.value[x]"/>
        <equivalence value="relatedto"/>
        <comment
                 value="If it is present an observation with value = 36769933 'Multifocal Tumor', it is 'true', else 'false'"/>
      </target>
    </element>
  </group>
  <group>
    <source
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent"/>
    <target
            value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/sarcoma-cancer-stage-group"/>
    <element>
      <code value="DiseaseExtent.localised"/>
      <display value="Localised (M)"/>
      <target>
        <code value="Observation.hasMember:localized"/>
        <equivalence value="relatedto"/>
        <comment
                 value="See group for Observation: Localized Category (Stage, Sarcoma)"/>
      </target>
    </element>
    <element>
      <code value="DiseaseExtent.numberOfTumorNodules"/>
      <display value="Number of tumor nodules (R)"/>
      <target>
        <code value="Observation.hasMember:localized"/>
        <equivalence value="relatedto"/>
        <comment value="See group for Observation: Number of tumor nodules"/>
      </target>
    </element>
  </group>
</ConceptMap>