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 - TTL Representation

Draft as of 2024-11-12

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:ConceptMap ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "subject2FHIR"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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>"
  ] ; # 
  fhir:url [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/ConceptMap/subject2FHIR"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "Subject2FHIR"] ; # 
  fhir:title [ fhir:v "Subject Model to this guide Map"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:experimental [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:date [ fhir:v "2024-11-12T10:15:38+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "IDEA4RC Project"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "IDEA4RC Project" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://www.idea4rc.eu/" ]     ] )
  ] [
fhir:name [ fhir:v "IDEA4RC Project" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://www.idea4rc.eu/" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Subject Model to this guide Map"] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "150" ] ;
fhir:display [ fhir:v "Europe" ]     ] )
  ] ) ; # 
  fhir:purpose [ fhir:v "It shows how the Subject model is mapped into this guide"] ; # 
  fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject"^^xsd:anyURI] ; # 
  fhir:target [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/patient-eu-i4rc"^^xsd:anyURI] ; # 
  fhir:group ( [
fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject"^^xsd:anyURI ] ;
fhir:target [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/patient-eu-i4rc"^^xsd:anyURI ] ;
    ( fhir:element [
fhir:code [ fhir:v "Subject.sex" ] ;
fhir:display [ fhir:v "Gender" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Patient.gender" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "For the time being assumed to be the administrative gender" ]       ] )     ] [
fhir:code [ fhir:v "Subject.race" ] ;
fhir:display [ fhir:v "Race" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Patient.extension:race.valueCodeableConcept" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.birthYear" ] ;
fhir:display [ fhir:v "Birth year" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Patient.birthDate" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "limited to the year" ]       ] )     ] [
fhir:code [ fhir:v "Subject.countryOfResidence" ] ;
fhir:display [ fhir:v "Country of Residence" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Patient.address.country.extension:countryCode" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] )
  ] [
fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject"^^xsd:anyURI ] ;
fhir:target [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-tobaccouse-eu-i4rc"^^xsd:anyURI ] ;
    ( fhir:element [
fhir:code [ fhir:v "Subject.smoking" ] ;
fhir:display [ fhir:v "Smoking" ] ;
      ( fhir:target [
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.cigarettesPackYearsSmokedDuringLife" ] ;
fhir:display [ fhir:v "Cigarettes pack years smoked during life" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.component:packsPerYear.valueQuantity" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] )
  ] [
fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject"^^xsd:anyURI ] ;
fhir:target [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-alcoholuse-eu-i4rc"^^xsd:anyURI ] ;
    ( fhir:element [
fhir:code [ fhir:v "Subject.alcohol" ] ;
fhir:display [ fhir:v "Alcohol" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.value[x]:valueCodeableConcept" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] )
  ] [
fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject"^^xsd:anyURI ] ;
fhir:target [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-comorbidity-eu-i4rc"^^xsd:anyURI ] ;
    ( fhir:element [
fhir:code [ fhir:v "Subject.comorbidity" ] ;
fhir:display [ fhir:v "Comorbidity" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "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" ]       ] )     ] [
fhir:code [ fhir:v "Subject.comorbidity.myocardialInfarction" ] ;
fhir:display [ fhir:v "Myocardial infarction" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.comorbidity.congestiveHeartFailure" ] ;
fhir:display [ fhir:v "Congestive heart failure" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.comorbidity.peripheralVascularDisease" ] ;
fhir:display [ fhir:v "Peripheral vascular disease" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.comorbidity.cerebrovascularAccidentExceptHemiplegia" ] ;
fhir:display [ fhir:v "Cerebrovascular accident  (except hemiplegia)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.comorbidity.dementia" ] ;
fhir:display [ fhir:v "Dementia" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.comorbidity.chronicPulmonaryDisease" ] ;
fhir:display [ fhir:v "Chronic pulmonary disease" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.comorbidity.connectiveTissueDisease" ] ;
fhir:display [ fhir:v "Connective tissue disease" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.comorbidity.ulcer" ] ;
fhir:display [ fhir:v "Ulcer" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.comorbidity.mildLiverDisease" ] ;
fhir:display [ fhir:v "Mild liver disease" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.comorbidity.moderateToSevereLiverDisease" ] ;
fhir:display [ fhir:v "Moderate to severe liver disease" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.comorbidity.diabetes" ] ;
fhir:display [ fhir:v "Diabetes (without complications)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.comorbidity.diabetesWithEndOrganDamage" ] ;
fhir:display [ fhir:v "Diabetes with end organ damage" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.comorbidity.hemiplegia" ] ;
fhir:display [ fhir:v "Hemiplegia" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.comorbidity.moderateToSevereRenalDisease" ] ;
fhir:display [ fhir:v "Moderate to severe renal disease" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.comorbidity.solidTumor" ] ;
fhir:display [ fhir:v "Solid tumor (non metastatic)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.comorbidity.metastaticSolidTumor" ] ;
fhir:display [ fhir:v "Metastatic solid tumor" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.comorbidity.leukemia" ] ;
fhir:display [ fhir:v "Leukemia" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.comorbidity.lymphoma" ] ;
fhir:display [ fhir:v "Lymphoma" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.comorbidity.multipleMyeloma" ] ;
fhir:display [ fhir:v "Multiple myeloma" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.comorbidity.aids" ] ;
fhir:display [ fhir:v "AIDS" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.noGeneticSyndromeWho2020" ] ;
fhir:display [ fhir:v "No Genetic syndrome WHO 2020" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "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" ]       ] )     ] [
fhir:code [ fhir:v "Subject.noGeneticSyndromeWho2020.olliersDisease" ] ;
fhir:display [ fhir:v "Olliers disease" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.noGeneticSyndromeWho2020.maffuciSyndrome" ] ;
fhir:display [ fhir:v "Maffuci syndrome" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.noGeneticSyndromeWho2020.liFraumeniSyndrome" ] ;
fhir:display [ fhir:v "Li-Fraumeni syndrome" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.noGeneticSyndromeWho2020.mcCuneAlbrightSyndrome" ] ;
fhir:display [ fhir:v "McCune-Albright syndrome" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.noGeneticSyndromeWho2020.multipleOsteochondromas" ] ;
fhir:display [ fhir:v "Multiple osteochondromas" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.noGeneticSyndromeWho2020.neurofibromatosisType1" ] ;
fhir:display [ fhir:v "Neurofibromatosis type 1" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.noGeneticSyndromeWho2020.rothmundThomsonSyndrome" ] ;
fhir:display [ fhir:v "Rothmund-Thomson syndrome" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.noGeneticSyndromeWho2020.wernerSyndrome" ] ;
fhir:display [ fhir:v "Werner syndrome" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.noGeneticSyndromeWho2020.retinoblastoma" ] ;
fhir:display [ fhir:v "Retinoblastoma" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.noGeneticSyndromeWho2020.pagetDisease" ] ;
fhir:display [ fhir:v "Paget disease" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "Subject.noGeneticSyndromeWho2020.otherSyndromes" ] ;
fhir:display [ fhir:v "Other Genetic syndrome WHO 2020" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] )
  ] [
fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject"^^xsd:anyURI ] ;
fhir:target [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-karnofsky-performance-statuseu-i4rc"^^xsd:anyURI ] ;
    ( fhir:element [
fhir:code [ fhir:v "Subject.karnofsyIndexAtDiagnosis" ] ;
fhir:display [ fhir:v "Karnofsy index at diagnosis" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.valueInteger" ] ;
fhir:equivalence [ fhir:v "equal" ]       ] )     ] [
fhir:code [ fhir:v "Subject.karnofsyIndexLabel" ] ;
fhir:display [ fhir:v "Karnofsy index label" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.interpretation" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] )
  ] [
fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject"^^xsd:anyURI ] ;
fhir:target [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-ecog-performance-status-eu-i4rc"^^xsd:anyURI ] ;
    ( fhir:element [
fhir:code [ fhir:v "Subject.ecogPsAtDiagnosis" ] ;
fhir:display [ fhir:v "Eastern Cooperative Oncology Group performance status (ECOG PS)  at diagnosis" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.valueCodeableConcept" ] ;
fhir:equivalence [ fhir:v "equal" ] ;
fhir:comment [ fhir:v "where obseravtion.code =  $loinc#89247-1 ECOG Performance Status score" ]       ] )     ] [
fhir:code [ fhir:v "Subject.ecogPsLabel" ] ;
fhir:display [ fhir:v "ECOG PS label" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.interpretation" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] )
  ] [
fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject"^^xsd:anyURI ] ;
fhir:target [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-cci-eu-i4rc"^^xsd:anyURI ] ;
    ( fhir:element [
fhir:code [ fhir:v "Subject.charlsonComorbidityIndex" ] ;
fhir:display [ fhir:v "Charlson Comorbidity index" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.valueInteger" ] ;
fhir:equivalence [ fhir:v "equal" ]       ] )     ] )
  ] [
fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject"^^xsd:anyURI ] ;
fhir:target [ fhir:v "http://hl7.org/fhir/StructureDefinition/bmi"^^xsd:anyURI ] ;
    ( fhir:element [
fhir:code [ fhir:v "Subject.bMI" ] ;
fhir:display [ fhir:v "Height/weight (BMI)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.valueQuantity" ] ;
fhir:equivalence [ fhir:v "equal" ]       ] )     ] )
  ] [
fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject"^^xsd:anyURI ] ;
fhir:target [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-occurrencOtherCancer-eu-i4rc"^^xsd:anyURI ] ;
    ( fhir:element [
fhir:code [ fhir:v "Subject.occurrenceOfOtherCancer" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.valueCodeableConcept" ] ;
fhir:equivalence [ fhir:v "equal" ]       ] )     ] )
  ] [
fhir:source [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject"^^xsd:anyURI ] ;
fhir:target [ fhir:v "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-treatment-eu-i4rc"^^xsd:anyURI ] ;
    ( fhir:element [
fhir:code [ fhir:v "Subject.previousCancerTreatment" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.valueCodeableConcept" ] ;
fhir:equivalence [ fhir:v "equal" ]       ] )     ] )
  ] ) . #