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 - XML Representation

Draft as of 2024-11-12

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