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 2025-09-10 |
{
"resourceType" : "ConceptMap",
"id" : "subject2FHIR",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap subject2FHIR</b></p><a name=\"subject2FHIR\"> </a><a name=\"hcsubject2FHIR\"> </a><p>Mapping from (not specified) to (not specified)</p><br/><p><b>Group 1 </b>Mapping from <a href=\"StructureDefinition-Subject.html\">Patient</a> to <a href=\"StructureDefinition-observation-alcoholuse-eu-i4rc.html\">Observation: Alcohol use</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>alcohol (Alcohol (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></tr></table><hr/><p><b>Group 2 </b>Mapping from <a href=\"StructureDefinition-Subject.html\">Patient</a> to <a href=\"StructureDefinition-observation-cci-eu-i4rc.html\">Observation: Charlson Comorbidity Index</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>charlsonComorbidityIndex (Charlson Comorbidity index (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.valueInteger</td><td>where obseravtion.code = $sct#762713009 Charlson Comorbidity Index</td></tr></table><hr/><p><b>Group 3 </b>Mapping from <a href=\"StructureDefinition-Subject.html\">Patient</a> to <a href=\"StructureDefinition-observation-comorbidity-eu-i4rc.html\">Observation: Comorbidities</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>comorbidity (Comorbidity (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.extension:comorbidConditionPresent</td><td>The presence of a comorbidity condition is determined by the presence of an comorbidConditionPresent extension for that condition.\nThe absence by the presence of a comorbidConditionAbsent extension for that condition.\nIf none of them are specified, that comorbidity is unknown or undetermined.\nFor examplification purposes only the comorbidConditionPresent extension is shown for the included items</td></tr><tr><td>comorbidity.myocardialInfarction (Myocardial infarction (O))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>comorbidity.congestiveHeartFailure (Congestive heart failure (O))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>comorbidity.peripheralVascularDisease (Peripheral vascular disease (O))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>comorbidity.cerebrovascularAccidentExceptHemiplegia (Cerebrovascular accident (except hemiplegia) (O))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>comorbidity.dementia (Dementia (O))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>comorbidity.chronicPulmonaryDisease (Chronic pulmonary disease (O))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>comorbidity.connectiveTissueDisease (Connective tissue disease (O))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>comorbidity.ulcer (Ulcer (O))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>comorbidity.mildLiverDisease (Mild liver disease (O))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>comorbidity.moderateToSevereLiverDisease (Moderate to severe liver disease (O))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>comorbidity.diabetes (Diabetes (without complications) (O))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>comorbidity.diabetesWithEndOrganDamage (Diabetes with end organ damage (O))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>comorbidity.hemiplegia (Hemiplegia (O))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>comorbidity.moderateToSevereRenalDisease (Moderate to severe renal disease (O))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>comorbidity.solidTumor (Solid tumor (non metastatic) (O))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>comorbidity.metastaticSolidTumor (Metastatic solid tumor (O))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>comorbidity.leukemia (Leukemia (O))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>comorbidity.lymphoma (Lymphoma (O))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>comorbidity.multipleMyeloma (Multiple myeloma (O))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>comorbidity.aids (AIDS (O))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>noGeneticSyndromeWho2020 (No Genetic syndrome (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.extension:comorbidConditionPresent</td><td>The presence of a comorbidity condition is determined by the presence of an comorbidConditionPresent extension for that condition.\nThe absence by the presence of a comorbidConditionAbsent extension for that condition.\nIf none of them are specified, that comorbidity is unknown or undetermined.\nFor examplification purposes only the comorbidConditionPresent extension is shown for the included items</td></tr><tr><td>noGeneticSyndromeWho2020.olliersDisease (Olliers disease (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.extension:comorbidConditionPresent</td><td/></tr><tr><td>noGeneticSyndromeWho2020.maffuciSyndrome (Maffuci syndrome (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.extension:comorbidConditionPresent</td><td/></tr><tr><td>noGeneticSyndromeWho2020.liFraumeniSyndrome (Li-Fraumeni syndrome (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.extension:comorbidConditionPresent</td><td/></tr><tr><td>noGeneticSyndromeWho2020.mcCuneAlbrightSyndrome (McCune-Albright syndrome (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.extension:comorbidConditionPresent</td><td/></tr><tr><td>noGeneticSyndromeWho2020.multipleOsteochondromas (Multiple osteochondromas (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.extension:comorbidConditionPresent</td><td/></tr><tr><td>noGeneticSyndromeWho2020.neurofibromatosisType1 (Neurofibromatosis type 1 (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.extension:comorbidConditionPresent</td><td/></tr><tr><td>noGeneticSyndromeWho2020.rothmundThomsonSyndrome (Rothmund-Thomson syndrome (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.extension:comorbidConditionPresent</td><td/></tr><tr><td>noGeneticSyndromeWho2020.wernerSyndrome (Werner syndrome (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.extension:comorbidConditionPresent</td><td/></tr><tr><td>noGeneticSyndromeWho2020.retinoblastoma (Retinoblastoma (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.extension:comorbidConditionPresent</td><td/></tr><tr><td>noGeneticSyndromeWho2020.pagetDisease (Paget disease (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.extension:comorbidConditionPresent</td><td/></tr><tr><td>noGeneticSyndromeWho2020.otherSyndromes (Other Genetic syndrome (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.extension:comorbidConditionPresent</td><td/></tr></table><hr/><p><b>Group 4 </b>Mapping from <a href=\"StructureDefinition-Subject.html\">Patient</a> to <a href=\"StructureDefinition-observation-ecog-performance-status-eu-i4rc.html\">Observation: ECOG Performance Status</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>ecogPsAtDiagnosis (Eastern Cooperative Oncology Group performance status (ECOG PS) at diagnosis (R))</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>where obseravtion.code = $loinc#89247-1 ECOG Performance Status score</td></tr><tr><td>ecogPsLabel (ECOG PS label (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.interpretation</td><td/></tr></table><hr/><p><b>Group 5 </b>Mapping from <a href=\"StructureDefinition-Subject.html\">Patient</a> to <a href=\"StructureDefinition-observation-karnofsky-performance-status-eu-i4rc.html\">Observation: Karnofsky Performance Status</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>karnofsyIndexAtDiagnosis (Karnofsy index at diagnosis (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.valueInteger</td></tr><tr><td>karnofsyIndexLabel (Karnofsy index label (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.interpretation</td></tr></table><hr/><p><b>Group 6 </b>Mapping from <a href=\"StructureDefinition-Subject.html\">Patient</a> to <a href=\"StructureDefinition-observation-occurrencOtherCancer-eu-i4rc.html\">Observation: Occurrence of the other cancer</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>previousMalignantCancerSite (Previous malignant cancer site (R))</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></tr></table><hr/><p><b>Group 7 </b>Mapping from <a href=\"StructureDefinition-Subject.html\">Patient</a> to <a href=\"StructureDefinition-observation-tobaccouse-eu-i4rc.html\">Observation: Tobacco use</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>smoking (Smoking (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.component:smokingStatus.valueCodeableConcept</td></tr><tr><td>cigarettesPackYearsSmokedDuringLife (Cigarettes pack years smoked during life (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.component:packsPerYear.valueQuantity</td></tr></table><hr/><p><b>Group 8 </b>Mapping from <a href=\"StructureDefinition-Subject.html\">Patient</a> to <a href=\"StructureDefinition-observation-treatment-eu-i4rc.html\">Observation: Cancer Treatment</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>previousCancerTreatment (Previous cancer treatment (R))</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></tr></table><hr/><p><b>Group 9 </b>Mapping from <a href=\"StructureDefinition-Subject.html\">Patient</a> to <a href=\"StructureDefinition-patient-eu-i4rc.html\">Patient: IDEA4RC</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>sex (Sex (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Patient.gender</td><td>For the time being assumed to be the administrative gender</td></tr><tr><td>race (Race (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Patient.extension:race.valueCodeableConcept</td><td/></tr><tr><td>birthYear (Birth year (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Patient.birthDate</td><td>limited to the year</td></tr><tr><td>countryOfResidence (Country of Residence (M))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Patient.address.country.extension:countryCode</td><td/></tr></table><hr/><p><b>Group 10 </b>Mapping from <a href=\"StructureDefinition-Subject.html\">Patient</a> to <a href=\"http://hl7.org/fhir/R4/bmi.html\">Observation Body Mass Index Profile</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>bmi (Height/weight (BMI)\n (R))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.valueQuantity</td></tr></table></div>"
},
"url" : "http://hl7.eu/fhir/ig/idea4rc/ConceptMap/subject2FHIR",
"version" : "0.1.0",
"name" : "Subject2FHIR",
"title" : "Subject 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 Subject 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/Subject",
"target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-alcoholuse-eu-i4rc",
"element" : [
{
"code" : "alcohol",
"display" : "Alcohol (M)",
"target" : [
{
"code" : "Observation.valueCodeableConcept",
"equivalence" : "equivalent"
}
]
}
]
},
{
"source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject",
"target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-cci-eu-i4rc",
"element" : [
{
"code" : "charlsonComorbidityIndex",
"display" : "Charlson Comorbidity index (R)",
"target" : [
{
"code" : "Observation.valueInteger",
"equivalence" : "equivalent",
"comment" : "where obseravtion.code = $sct#762713009 Charlson Comorbidity Index"
}
]
}
]
},
{
"source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject",
"target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-comorbidity-eu-i4rc",
"element" : [
{
"code" : "comorbidity",
"display" : "Comorbidity (M)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent",
"comment" : "The presence of a comorbidity condition is determined by the presence of an comorbidConditionPresent extension for that condition.\nThe absence by the presence of a comorbidConditionAbsent extension for that condition.\nIf none of them are specified, that comorbidity is unknown or undetermined.\nFor examplification purposes only the comorbidConditionPresent extension is shown for the included items"
}
]
},
{
"code" : "comorbidity.myocardialInfarction",
"display" : "Myocardial infarction (O)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "comorbidity.congestiveHeartFailure",
"display" : "Congestive heart failure (O)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "comorbidity.peripheralVascularDisease",
"display" : "Peripheral vascular disease (O)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "comorbidity.cerebrovascularAccidentExceptHemiplegia",
"display" : "Cerebrovascular accident (except hemiplegia) (O)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "comorbidity.dementia",
"display" : "Dementia (O)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "comorbidity.chronicPulmonaryDisease",
"display" : "Chronic pulmonary disease (O)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "comorbidity.connectiveTissueDisease",
"display" : "Connective tissue disease (O)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "comorbidity.ulcer",
"display" : "Ulcer (O)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "comorbidity.mildLiverDisease",
"display" : "Mild liver disease (O)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "comorbidity.moderateToSevereLiverDisease",
"display" : "Moderate to severe liver disease (O)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "comorbidity.diabetes",
"display" : "Diabetes (without complications) (O)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "comorbidity.diabetesWithEndOrganDamage",
"display" : "Diabetes with end organ damage (O)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "comorbidity.hemiplegia",
"display" : "Hemiplegia (O)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "comorbidity.moderateToSevereRenalDisease",
"display" : "Moderate to severe renal disease (O)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "comorbidity.solidTumor",
"display" : "Solid tumor (non metastatic) (O)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "comorbidity.metastaticSolidTumor",
"display" : "Metastatic solid tumor (O)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "comorbidity.leukemia",
"display" : "Leukemia (O)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "comorbidity.lymphoma",
"display" : "Lymphoma (O)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "comorbidity.multipleMyeloma",
"display" : "Multiple myeloma (O)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "comorbidity.aids",
"display" : "AIDS (O)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "noGeneticSyndromeWho2020",
"display" : "No Genetic syndrome (M)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent",
"comment" : "The presence of a comorbidity condition is determined by the presence of an comorbidConditionPresent extension for that condition.\nThe absence by the presence of a comorbidConditionAbsent extension for that condition.\nIf none of them are specified, that comorbidity is unknown or undetermined.\nFor examplification purposes only the comorbidConditionPresent extension is shown for the included items"
}
]
},
{
"code" : "noGeneticSyndromeWho2020.olliersDisease",
"display" : "Olliers disease (M)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "noGeneticSyndromeWho2020.maffuciSyndrome",
"display" : "Maffuci syndrome (M)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "noGeneticSyndromeWho2020.liFraumeniSyndrome",
"display" : "Li-Fraumeni syndrome (M)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "noGeneticSyndromeWho2020.mcCuneAlbrightSyndrome",
"display" : "McCune-Albright syndrome (M)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "noGeneticSyndromeWho2020.multipleOsteochondromas",
"display" : "Multiple osteochondromas (M)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "noGeneticSyndromeWho2020.neurofibromatosisType1",
"display" : "Neurofibromatosis type 1 (M)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "noGeneticSyndromeWho2020.rothmundThomsonSyndrome",
"display" : "Rothmund-Thomson syndrome (M)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "noGeneticSyndromeWho2020.wernerSyndrome",
"display" : "Werner syndrome (M)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "noGeneticSyndromeWho2020.retinoblastoma",
"display" : "Retinoblastoma (M)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "noGeneticSyndromeWho2020.pagetDisease",
"display" : "Paget disease (M)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
},
{
"code" : "noGeneticSyndromeWho2020.otherSyndromes",
"display" : "Other Genetic syndrome (M)",
"target" : [
{
"code" : "Observation.extension:comorbidConditionPresent",
"equivalence" : "equivalent"
}
]
}
]
},
{
"source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject",
"target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-ecog-performance-status-eu-i4rc",
"element" : [
{
"code" : "ecogPsAtDiagnosis",
"display" : "Eastern Cooperative Oncology Group performance status (ECOG PS) at diagnosis (R)",
"target" : [
{
"code" : "Observation.valueCodeableConcept",
"equivalence" : "equivalent",
"comment" : "where obseravtion.code = $loinc#89247-1 ECOG Performance Status score"
}
]
},
{
"code" : "ecogPsLabel",
"display" : "ECOG PS label (R)",
"target" : [
{
"code" : "Observation.interpretation",
"equivalence" : "equivalent"
}
]
}
]
},
{
"source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject",
"target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-karnofsky-performance-status-eu-i4rc",
"element" : [
{
"code" : "karnofsyIndexAtDiagnosis",
"display" : "Karnofsy index at diagnosis (R)",
"target" : [
{
"code" : "Observation.valueInteger",
"equivalence" : "equivalent"
}
]
},
{
"code" : "karnofsyIndexLabel",
"display" : "Karnofsy index label (R)",
"target" : [
{
"code" : "Observation.interpretation",
"equivalence" : "equivalent"
}
]
}
]
},
{
"source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject",
"target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-occurrencOtherCancer-eu-i4rc",
"element" : [
{
"code" : "previousMalignantCancerSite",
"display" : "Previous malignant cancer site (R)",
"target" : [
{
"code" : "Observation.valueCodeableConcept",
"equivalence" : "equivalent"
}
]
}
]
},
{
"source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject",
"target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-tobaccouse-eu-i4rc",
"element" : [
{
"code" : "smoking",
"display" : "Smoking (M)",
"target" : [
{
"code" : "Observation.component:smokingStatus.valueCodeableConcept",
"equivalence" : "equivalent"
}
]
},
{
"code" : "cigarettesPackYearsSmokedDuringLife",
"display" : "Cigarettes pack years smoked during life (R)",
"target" : [
{
"code" : "Observation.component:packsPerYear.valueQuantity",
"equivalence" : "equivalent"
}
]
}
]
},
{
"source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject",
"target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-treatment-eu-i4rc",
"element" : [
{
"code" : "previousCancerTreatment",
"display" : "Previous cancer treatment (R)",
"target" : [
{
"code" : "Observation.valueCodeableConcept",
"equivalence" : "equivalent"
}
]
}
]
},
{
"source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject",
"target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/patient-eu-i4rc",
"element" : [
{
"code" : "sex",
"display" : "Sex (M)",
"target" : [
{
"code" : "Patient.gender",
"equivalence" : "equivalent",
"comment" : "For the time being assumed to be the administrative gender"
}
]
},
{
"code" : "race",
"display" : "Race (M)",
"target" : [
{
"code" : "Patient.extension:race.valueCodeableConcept",
"equivalence" : "equivalent"
}
]
},
{
"code" : "birthYear",
"display" : "Birth year (M)",
"target" : [
{
"code" : "Patient.birthDate",
"equivalence" : "equivalent",
"comment" : "limited to the year"
}
]
},
{
"code" : "countryOfResidence",
"display" : "Country of Residence (M)",
"target" : [
{
"code" : "Patient.address.country.extension:countryCode",
"equivalence" : "equivalent"
}
]
}
]
},
{
"source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject",
"target" : "http://hl7.org/fhir/StructureDefinition/bmi",
"element" : [
{
"code" : "bmi",
"display" : "Height/weight (BMI)\n (R)",
"target" : [
{
"code" : "Observation.valueQuantity",
"equivalence" : "equivalent"
}
]
}
]
}
]
}
IG © 2022+ IDEA4RC Project. Package hl7.eu.fhir.idea4rc#0.1.0 based on FHIR 4.0.1. Generated 2025-09-10
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.
