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

: Patient (Subject) Model to this guide Map - JSON Representation

Draft as of 2024-11-12

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{
  "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><a name=\"subject2FHIR-en-US\"> </a><p>Mapping from <a href=\"StructureDefinition-Subject.html\">Subject of care</a> to <a href=\"StructureDefinition-patient-eu-i4rc.html\">Patient: IDEA4RC</a></p><br/><p><b>Group 1 </b>Mapping from <a href=\"StructureDefinition-Subject.html\">Subject of care</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>Subject.sex (Gender)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.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>Subject.race (Race)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Patient.extension:race.valueCodeableConcept</td><td/></tr><tr><td>Subject.birthYear (Birth year)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Patient.birthDate</td><td>limited to the year</td></tr><tr><td>Subject.countryOfResidence (Country of Residence)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Patient.address.country.extension:countryCode</td><td/></tr></table><hr/><p><b>Group 2 </b>Mapping from <a href=\"StructureDefinition-Subject.html\">Subject of care</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>Subject.smoking (Smoking)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td/></tr><tr><td>Subject.cigarettesPackYearsSmokedDuringLife (Cigarettes pack years smoked during life)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.component:packsPerYear.valueQuantity</td></tr></table><hr/><p><b>Group 3 </b>Mapping from <a href=\"StructureDefinition-Subject.html\">Subject of care</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>Subject.alcohol (Alcohol)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.value[x]:valueCodeableConcept</td></tr></table><hr/><p><b>Group 4 </b>Mapping from <a href=\"StructureDefinition-Subject.html\">Subject of care</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>Subject.comorbidity (Comorbidity)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation</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>Subject.comorbidity.myocardialInfarction (Myocardial infarction)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.comorbidity.congestiveHeartFailure (Congestive heart failure)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.comorbidity.peripheralVascularDisease (Peripheral vascular disease)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.comorbidity.cerebrovascularAccidentExceptHemiplegia (Cerebrovascular accident  (except hemiplegia))</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.comorbidity.dementia (Dementia)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.comorbidity.chronicPulmonaryDisease (Chronic pulmonary disease)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.comorbidity.connectiveTissueDisease (Connective tissue disease)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.comorbidity.ulcer (Ulcer)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.comorbidity.mildLiverDisease (Mild liver disease)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.comorbidity.moderateToSevereLiverDisease (Moderate to severe liver disease)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.comorbidity.diabetes (Diabetes (without complications))</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.comorbidity.diabetesWithEndOrganDamage (Diabetes with end organ damage)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.comorbidity.hemiplegia (Hemiplegia)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.comorbidity.moderateToSevereRenalDisease (Moderate to severe renal disease)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.comorbidity.solidTumor (Solid tumor (non metastatic))</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.comorbidity.metastaticSolidTumor (Metastatic solid tumor)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.comorbidity.leukemia (Leukemia)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.comorbidity.lymphoma (Lymphoma)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.comorbidity.multipleMyeloma (Multiple myeloma)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.comorbidity.aids (AIDS)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.noGeneticSyndromeWho2020 (No Genetic syndrome WHO 2020)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation</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>Subject.noGeneticSyndromeWho2020.olliersDisease (Olliers disease)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.noGeneticSyndromeWho2020.maffuciSyndrome (Maffuci syndrome)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.noGeneticSyndromeWho2020.liFraumeniSyndrome (Li-Fraumeni syndrome)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.noGeneticSyndromeWho2020.mcCuneAlbrightSyndrome (McCune-Albright syndrome)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.noGeneticSyndromeWho2020.multipleOsteochondromas (Multiple osteochondromas)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.noGeneticSyndromeWho2020.neurofibromatosisType1 (Neurofibromatosis type 1)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.noGeneticSyndromeWho2020.rothmundThomsonSyndrome (Rothmund-Thomson syndrome)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.noGeneticSyndromeWho2020.wernerSyndrome (Werner syndrome)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.noGeneticSyndromeWho2020.retinoblastoma (Retinoblastoma)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.noGeneticSyndromeWho2020.pagetDisease (Paget disease)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr><tr><td>Subject.noGeneticSyndromeWho2020.otherSyndromes (Other Genetic syndrome WHO 2020)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.extension:comorbidConditionPresent</td><td/></tr></table><hr/><p><b>Group 5 </b>Mapping from <a href=\"StructureDefinition-Subject.html\">Subject of care</a> to <a href=\"StructureDefinition-observation-karnofsky-performance-statuseu-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>Subject.karnofsyIndexAtDiagnosis (Karnofsy index at diagnosis)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equal\" title=\"equal\">is equal to</a></td><td>Observation.valueInteger</td></tr><tr><td>Subject.karnofsyIndexLabel (Karnofsy index label)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.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\">Subject of care</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>Subject.ecogPsAtDiagnosis (Eastern Cooperative Oncology Group performance status (ECOG PS)  at diagnosis)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equal\" title=\"equal\">is equal to</a></td><td>Observation.valueCodeableConcept</td><td>where obseravtion.code =  $loinc#89247-1 ECOG Performance Status score</td></tr><tr><td>Subject.ecogPsLabel (ECOG PS label)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>Observation.interpretation</td><td/></tr></table><hr/><p><b>Group 7 </b>Mapping from <a href=\"StructureDefinition-Subject.html\">Subject of care</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></tr><tr><td>Subject.charlsonComorbidityIndex (Charlson Comorbidity index)</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equal\" title=\"equal\">is equal to</a></td><td>Observation.valueInteger</td></tr></table><hr/><p><b>Group 8 </b>Mapping from <a href=\"StructureDefinition-Subject.html\">Subject of care</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>Subject.bMI (Height/weight (BMI))</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equal\" title=\"equal\">is equal to</a></td><td>Observation.valueQuantity</td></tr></table><hr/><p><b>Group 9 </b>Mapping from <a href=\"StructureDefinition-Subject.html\">Subject of care</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>Subject.occurrenceOfOtherCancer</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equal\" title=\"equal\">is equal to</a></td><td>Observation.valueCodeableConcept</td></tr></table><hr/><p><b>Group 10 </b>Mapping from <a href=\"StructureDefinition-Subject.html\">Subject of care</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>Subject.previousCancerTreatment</td><td><a href=\"https://build.fhir.org/ig/HL7/fhir-extensions/CodeSystem-concept-map-equivalence.html#equal\" title=\"equal\">is equal to</a></td><td>Observation.valueCodeableConcept</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" : "2024-11-12T10:15:38+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" : "Subject Model to this guide Map",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "150",
          "display" : "Europe"
        }
      ]
    }
  ],
  "purpose" : "It shows how the Subject model is mapped into this guide",
  "sourceUri" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject",
  "targetUri" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/patient-eu-i4rc",
  "group" : [
    {
      "source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject",
      "target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/patient-eu-i4rc",
      "element" : [
        {
          "code" : "Subject.sex",
          "display" : "Gender",
          "target" : [
            {
              "code" : "Patient.gender",
              "equivalence" : "equivalent",
              "comment" : "For the time being assumed to be the administrative gender"
            }
          ]
        },
        {
          "code" : "Subject.race",
          "display" : "Race",
          "target" : [
            {
              "code" : "Patient.extension:race.valueCodeableConcept",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.birthYear",
          "display" : "Birth year",
          "target" : [
            {
              "code" : "Patient.birthDate",
              "equivalence" : "equivalent",
              "comment" : "limited to the year"
            }
          ]
        },
        {
          "code" : "Subject.countryOfResidence",
          "display" : "Country of Residence",
          "target" : [
            {
              "code" : "Patient.address.country.extension:countryCode",
              "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" : "Subject.smoking",
          "display" : "Smoking",
          "target" : [
            {
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.cigarettesPackYearsSmokedDuringLife",
          "display" : "Cigarettes pack years smoked during life",
          "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-alcoholuse-eu-i4rc",
      "element" : [
        {
          "code" : "Subject.alcohol",
          "display" : "Alcohol",
          "target" : [
            {
              "code" : "Observation.value[x]:valueCodeableConcept",
              "equivalence" : "equivalent"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject",
      "target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-comorbidity-eu-i4rc",
      "element" : [
        {
          "code" : "Subject.comorbidity",
          "display" : "Comorbidity",
          "target" : [
            {
              "code" : "Observation",
              "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" : "Subject.comorbidity.myocardialInfarction",
          "display" : "Myocardial infarction",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.comorbidity.congestiveHeartFailure",
          "display" : "Congestive heart failure",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.comorbidity.peripheralVascularDisease",
          "display" : "Peripheral vascular disease",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.comorbidity.cerebrovascularAccidentExceptHemiplegia",
          "display" : "Cerebrovascular accident  (except hemiplegia)",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.comorbidity.dementia",
          "display" : "Dementia",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.comorbidity.chronicPulmonaryDisease",
          "display" : "Chronic pulmonary disease",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.comorbidity.connectiveTissueDisease",
          "display" : "Connective tissue disease",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.comorbidity.ulcer",
          "display" : "Ulcer",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.comorbidity.mildLiverDisease",
          "display" : "Mild liver disease",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.comorbidity.moderateToSevereLiverDisease",
          "display" : "Moderate to severe liver disease",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.comorbidity.diabetes",
          "display" : "Diabetes (without complications)",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.comorbidity.diabetesWithEndOrganDamage",
          "display" : "Diabetes with end organ damage",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.comorbidity.hemiplegia",
          "display" : "Hemiplegia",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.comorbidity.moderateToSevereRenalDisease",
          "display" : "Moderate to severe renal disease",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.comorbidity.solidTumor",
          "display" : "Solid tumor (non metastatic)",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.comorbidity.metastaticSolidTumor",
          "display" : "Metastatic solid tumor",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.comorbidity.leukemia",
          "display" : "Leukemia",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.comorbidity.lymphoma",
          "display" : "Lymphoma",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.comorbidity.multipleMyeloma",
          "display" : "Multiple myeloma",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.comorbidity.aids",
          "display" : "AIDS",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.noGeneticSyndromeWho2020",
          "display" : "No Genetic syndrome WHO 2020",
          "target" : [
            {
              "code" : "Observation",
              "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" : "Subject.noGeneticSyndromeWho2020.olliersDisease",
          "display" : "Olliers disease",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.noGeneticSyndromeWho2020.maffuciSyndrome",
          "display" : "Maffuci syndrome",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.noGeneticSyndromeWho2020.liFraumeniSyndrome",
          "display" : "Li-Fraumeni syndrome",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.noGeneticSyndromeWho2020.mcCuneAlbrightSyndrome",
          "display" : "McCune-Albright syndrome",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.noGeneticSyndromeWho2020.multipleOsteochondromas",
          "display" : "Multiple osteochondromas",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.noGeneticSyndromeWho2020.neurofibromatosisType1",
          "display" : "Neurofibromatosis type 1",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.noGeneticSyndromeWho2020.rothmundThomsonSyndrome",
          "display" : "Rothmund-Thomson syndrome",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.noGeneticSyndromeWho2020.wernerSyndrome",
          "display" : "Werner syndrome",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.noGeneticSyndromeWho2020.retinoblastoma",
          "display" : "Retinoblastoma",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.noGeneticSyndromeWho2020.pagetDisease",
          "display" : "Paget disease",
          "target" : [
            {
              "code" : "Observation.extension:comorbidConditionPresent",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Subject.noGeneticSyndromeWho2020.otherSyndromes",
          "display" : "Other Genetic syndrome WHO 2020",
          "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-karnofsky-performance-statuseu-i4rc",
      "element" : [
        {
          "code" : "Subject.karnofsyIndexAtDiagnosis",
          "display" : "Karnofsy index at diagnosis",
          "target" : [
            {
              "code" : "Observation.valueInteger",
              "equivalence" : "equal"
            }
          ]
        },
        {
          "code" : "Subject.karnofsyIndexLabel",
          "display" : "Karnofsy index label",
          "target" : [
            {
              "code" : "Observation.interpretation",
              "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" : "Subject.ecogPsAtDiagnosis",
          "display" : "Eastern Cooperative Oncology Group performance status (ECOG PS)  at diagnosis",
          "target" : [
            {
              "code" : "Observation.valueCodeableConcept",
              "equivalence" : "equal",
              "comment" : "where obseravtion.code =  $loinc#89247-1 ECOG Performance Status score"
            }
          ]
        },
        {
          "code" : "Subject.ecogPsLabel",
          "display" : "ECOG PS label",
          "target" : [
            {
              "code" : "Observation.interpretation",
              "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" : "Subject.charlsonComorbidityIndex",
          "display" : "Charlson Comorbidity index",
          "target" : [
            {
              "code" : "Observation.valueInteger",
              "equivalence" : "equal"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject",
      "target" : "http://hl7.org/fhir/StructureDefinition/bmi",
      "element" : [
        {
          "code" : "Subject.bMI",
          "display" : "Height/weight (BMI)",
          "target" : [
            {
              "code" : "Observation.valueQuantity",
              "equivalence" : "equal"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject",
      "target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-occurrencOtherCancer-eu-i4rc",
      "element" : [
        {
          "code" : "Subject.occurrenceOfOtherCancer",
          "target" : [
            {
              "code" : "Observation.valueCodeableConcept",
              "equivalence" : "equal"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject",
      "target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-treatment-eu-i4rc",
      "element" : [
        {
          "code" : "Subject.previousCancerTreatment",
          "target" : [
            {
              "code" : "Observation.valueCodeableConcept",
              "equivalence" : "equal"
            }
          ]
        }
      ]
    }
  ]
}