Patient (Subject) Model to this guide Map - TTL Representation - IDEA4RC FHIR Implementation Guide v0.1.0

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 2025-09-10
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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@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><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>"^^rdf:XMLLiteral
  ] ; # 
  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] ; # 
  fhir:date [ fhir:v "2025-09-10T15:18:34+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 "It shows how the Subject model is mapped into this guide"] ; # 
  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: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/observation-alcoholuse-eu-i4rc"^^xsd:anyURI ] ;
    ( fhir:element [
fhir:code [ fhir:v "alcohol" ] ;
fhir:display [ fhir:v "Alcohol (M)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.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-cci-eu-i4rc"^^xsd:anyURI ] ;
    ( fhir:element [
fhir:code [ fhir:v "charlsonComorbidityIndex" ] ;
fhir:display [ fhir:v "Charlson Comorbidity index (R)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.valueInteger" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "where obseravtion.code =  $sct#762713009 Charlson Comorbidity Index" ]       ] )     ] )
  ] [
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 "comorbidity" ] ;
fhir:display [ fhir:v "Comorbidity (M)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
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 "comorbidity.myocardialInfarction" ] ;
fhir:display [ fhir:v "Myocardial infarction (O)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "comorbidity.congestiveHeartFailure" ] ;
fhir:display [ fhir:v "Congestive heart failure (O)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "comorbidity.peripheralVascularDisease" ] ;
fhir:display [ fhir:v "Peripheral vascular disease (O)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "comorbidity.cerebrovascularAccidentExceptHemiplegia" ] ;
fhir:display [ fhir:v "Cerebrovascular accident  (except hemiplegia) (O)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "comorbidity.dementia" ] ;
fhir:display [ fhir:v "Dementia (O)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "comorbidity.chronicPulmonaryDisease" ] ;
fhir:display [ fhir:v "Chronic pulmonary disease (O)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "comorbidity.connectiveTissueDisease" ] ;
fhir:display [ fhir:v "Connective tissue disease (O)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "comorbidity.ulcer" ] ;
fhir:display [ fhir:v "Ulcer (O)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "comorbidity.mildLiverDisease" ] ;
fhir:display [ fhir:v "Mild liver disease (O)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "comorbidity.moderateToSevereLiverDisease" ] ;
fhir:display [ fhir:v "Moderate to severe liver disease (O)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "comorbidity.diabetes" ] ;
fhir:display [ fhir:v "Diabetes (without complications) (O)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "comorbidity.diabetesWithEndOrganDamage" ] ;
fhir:display [ fhir:v "Diabetes with end organ damage (O)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "comorbidity.hemiplegia" ] ;
fhir:display [ fhir:v "Hemiplegia (O)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "comorbidity.moderateToSevereRenalDisease" ] ;
fhir:display [ fhir:v "Moderate to severe renal disease (O)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "comorbidity.solidTumor" ] ;
fhir:display [ fhir:v "Solid tumor (non metastatic) (O)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "comorbidity.metastaticSolidTumor" ] ;
fhir:display [ fhir:v "Metastatic solid tumor (O)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "comorbidity.leukemia" ] ;
fhir:display [ fhir:v "Leukemia (O)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "comorbidity.lymphoma" ] ;
fhir:display [ fhir:v "Lymphoma (O)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "comorbidity.multipleMyeloma" ] ;
fhir:display [ fhir:v "Multiple myeloma (O)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "comorbidity.aids" ] ;
fhir:display [ fhir:v "AIDS (O)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "noGeneticSyndromeWho2020" ] ;
fhir:display [ fhir:v "No Genetic syndrome (M)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
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 "noGeneticSyndromeWho2020.olliersDisease" ] ;
fhir:display [ fhir:v "Olliers disease (M)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "noGeneticSyndromeWho2020.maffuciSyndrome" ] ;
fhir:display [ fhir:v "Maffuci syndrome (M)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "noGeneticSyndromeWho2020.liFraumeniSyndrome" ] ;
fhir:display [ fhir:v "Li-Fraumeni syndrome (M)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "noGeneticSyndromeWho2020.mcCuneAlbrightSyndrome" ] ;
fhir:display [ fhir:v "McCune-Albright syndrome (M)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "noGeneticSyndromeWho2020.multipleOsteochondromas" ] ;
fhir:display [ fhir:v "Multiple osteochondromas (M)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "noGeneticSyndromeWho2020.neurofibromatosisType1" ] ;
fhir:display [ fhir:v "Neurofibromatosis type 1 (M)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "noGeneticSyndromeWho2020.rothmundThomsonSyndrome" ] ;
fhir:display [ fhir:v "Rothmund-Thomson syndrome (M)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "noGeneticSyndromeWho2020.wernerSyndrome" ] ;
fhir:display [ fhir:v "Werner syndrome (M)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "noGeneticSyndromeWho2020.retinoblastoma" ] ;
fhir:display [ fhir:v "Retinoblastoma (M)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "noGeneticSyndromeWho2020.pagetDisease" ] ;
fhir:display [ fhir:v "Paget disease (M)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.extension:comorbidConditionPresent" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "noGeneticSyndromeWho2020.otherSyndromes" ] ;
fhir:display [ fhir:v "Other Genetic syndrome (M)" ] ;
      ( 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-ecog-performance-status-eu-i4rc"^^xsd:anyURI ] ;
    ( fhir:element [
fhir:code [ fhir:v "ecogPsAtDiagnosis" ] ;
fhir:display [ fhir:v "Eastern Cooperative Oncology Group performance status (ECOG PS)  at diagnosis (R)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.valueCodeableConcept" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "where obseravtion.code =  $loinc#89247-1 ECOG Performance Status score" ]       ] )     ] [
fhir:code [ fhir:v "ecogPsLabel" ] ;
fhir:display [ fhir:v "ECOG PS label (R)" ] ;
      ( 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-karnofsky-performance-status-eu-i4rc"^^xsd:anyURI ] ;
    ( fhir:element [
fhir:code [ fhir:v "karnofsyIndexAtDiagnosis" ] ;
fhir:display [ fhir:v "Karnofsy index at diagnosis (R)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.valueInteger" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "karnofsyIndexLabel" ] ;
fhir:display [ fhir:v "Karnofsy index label (R)" ] ;
      ( 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-occurrencOtherCancer-eu-i4rc"^^xsd:anyURI ] ;
    ( fhir:element [
fhir:code [ fhir:v "previousMalignantCancerSite" ] ;
fhir:display [ fhir:v "Previous malignant cancer site (R)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.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-tobaccouse-eu-i4rc"^^xsd:anyURI ] ;
    ( fhir:element [
fhir:code [ fhir:v "smoking" ] ;
fhir:display [ fhir:v "Smoking (M)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.component:smokingStatus.valueCodeableConcept" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "cigarettesPackYearsSmokedDuringLife" ] ;
fhir:display [ fhir:v "Cigarettes pack years smoked during life (R)" ] ;
      ( 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-treatment-eu-i4rc"^^xsd:anyURI ] ;
    ( fhir:element [
fhir:code [ fhir:v "previousCancerTreatment" ] ;
fhir:display [ fhir:v "Previous cancer treatment (R)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.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/patient-eu-i4rc"^^xsd:anyURI ] ;
    ( fhir:element [
fhir:code [ fhir:v "sex" ] ;
fhir:display [ fhir:v "Sex (M)" ] ;
      ( 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 "race" ] ;
fhir:display [ fhir:v "Race (M)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Patient.extension:race.valueCodeableConcept" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] [
fhir:code [ fhir:v "birthYear" ] ;
fhir:display [ fhir:v "Birth year (M)" ] ;
      ( 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 "countryOfResidence" ] ;
fhir:display [ fhir:v "Country of Residence (M)" ] ;
      ( 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.org/fhir/StructureDefinition/bmi"^^xsd:anyURI ] ;
    ( fhir:element [
fhir:code [ fhir:v "bmi" ] ;
fhir:display [ fhir:v "Height/weight (BMI)\n (R)" ] ;
      ( fhir:target [
fhir:code [ fhir:v "Observation.valueQuantity" ] ;
fhir:equivalence [ fhir:v "equivalent" ]       ] )     ] )
  ] ) . #