IDEA4RC FHIR Implementation Guide
0.1.0 - CI Build
150
IDEA4RC FHIR Implementation Guide
0.1.0 - CI Build
150
IDEA4RC FHIR Implementation Guide, published by IDEA4RC Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/idea4rc/ and changes regularly. See the Directory of published versions
| Draft as of 2025-09-10 |
<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><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.
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>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.
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>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)
(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>
</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="2025-09-10T15:18:34+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="It shows how the Subject model is mapped into this guide"/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="150"/>
<display value="Europe"/>
</coding>
</jurisdiction>
<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="alcohol"/>
<display value="Alcohol (M)"/>
<target>
<code value="Observation.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-cci-eu-i4rc"/>
<element>
<code value="charlsonComorbidityIndex"/>
<display value="Charlson Comorbidity index (R)"/>
<target>
<code value="Observation.valueInteger"/>
<equivalence value="equivalent"/>
<comment
value="where obseravtion.code = $sct#762713009 Charlson Comorbidity Index"/>
</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="comorbidity"/>
<display value="Comorbidity (M)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<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="comorbidity.myocardialInfarction"/>
<display value="Myocardial infarction (O)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="comorbidity.congestiveHeartFailure"/>
<display value="Congestive heart failure (O)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="comorbidity.peripheralVascularDisease"/>
<display value="Peripheral vascular disease (O)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="comorbidity.cerebrovascularAccidentExceptHemiplegia"/>
<display value="Cerebrovascular accident (except hemiplegia) (O)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="comorbidity.dementia"/>
<display value="Dementia (O)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="comorbidity.chronicPulmonaryDisease"/>
<display value="Chronic pulmonary disease (O)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="comorbidity.connectiveTissueDisease"/>
<display value="Connective tissue disease (O)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="comorbidity.ulcer"/>
<display value="Ulcer (O)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="comorbidity.mildLiverDisease"/>
<display value="Mild liver disease (O)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="comorbidity.moderateToSevereLiverDisease"/>
<display value="Moderate to severe liver disease (O)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="comorbidity.diabetes"/>
<display value="Diabetes (without complications) (O)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="comorbidity.diabetesWithEndOrganDamage"/>
<display value="Diabetes with end organ damage (O)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="comorbidity.hemiplegia"/>
<display value="Hemiplegia (O)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="comorbidity.moderateToSevereRenalDisease"/>
<display value="Moderate to severe renal disease (O)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="comorbidity.solidTumor"/>
<display value="Solid tumor (non metastatic) (O)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="comorbidity.metastaticSolidTumor"/>
<display value="Metastatic solid tumor (O)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="comorbidity.leukemia"/>
<display value="Leukemia (O)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="comorbidity.lymphoma"/>
<display value="Lymphoma (O)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="comorbidity.multipleMyeloma"/>
<display value="Multiple myeloma (O)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="comorbidity.aids"/>
<display value="AIDS (O)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="noGeneticSyndromeWho2020"/>
<display value="No Genetic syndrome (M)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<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="noGeneticSyndromeWho2020.olliersDisease"/>
<display value="Olliers disease (M)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="noGeneticSyndromeWho2020.maffuciSyndrome"/>
<display value="Maffuci syndrome (M)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="noGeneticSyndromeWho2020.liFraumeniSyndrome"/>
<display value="Li-Fraumeni syndrome (M)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="noGeneticSyndromeWho2020.mcCuneAlbrightSyndrome"/>
<display value="McCune-Albright syndrome (M)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="noGeneticSyndromeWho2020.multipleOsteochondromas"/>
<display value="Multiple osteochondromas (M)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="noGeneticSyndromeWho2020.neurofibromatosisType1"/>
<display value="Neurofibromatosis type 1 (M)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="noGeneticSyndromeWho2020.rothmundThomsonSyndrome"/>
<display value="Rothmund-Thomson syndrome (M)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="noGeneticSyndromeWho2020.wernerSyndrome"/>
<display value="Werner syndrome (M)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="noGeneticSyndromeWho2020.retinoblastoma"/>
<display value="Retinoblastoma (M)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="noGeneticSyndromeWho2020.pagetDisease"/>
<display value="Paget disease (M)"/>
<target>
<code value="Observation.extension:comorbidConditionPresent"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="noGeneticSyndromeWho2020.otherSyndromes"/>
<display value="Other Genetic syndrome (M)"/>
<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-ecog-performance-status-eu-i4rc"/>
<element>
<code value="ecogPsAtDiagnosis"/>
<display
value="Eastern Cooperative Oncology Group performance status (ECOG PS) at diagnosis (R)"/>
<target>
<code value="Observation.valueCodeableConcept"/>
<equivalence value="equivalent"/>
<comment
value="where obseravtion.code = $loinc#89247-1 ECOG Performance Status score"/>
</target>
</element>
<element>
<code value="ecogPsLabel"/>
<display value="ECOG PS label (R)"/>
<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-karnofsky-performance-status-eu-i4rc"/>
<element>
<code value="karnofsyIndexAtDiagnosis"/>
<display value="Karnofsy index at diagnosis (R)"/>
<target>
<code value="Observation.valueInteger"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="karnofsyIndexLabel"/>
<display value="Karnofsy index label (R)"/>
<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-occurrencOtherCancer-eu-i4rc"/>
<element>
<code value="previousMalignantCancerSite"/>
<display value="Previous malignant cancer site (R)"/>
<target>
<code value="Observation.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-tobaccouse-eu-i4rc"/>
<element>
<code value="smoking"/>
<display value="Smoking (M)"/>
<target>
<code
value="Observation.component:smokingStatus.valueCodeableConcept"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="cigarettesPackYearsSmokedDuringLife"/>
<display value="Cigarettes pack years smoked during life (R)"/>
<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-treatment-eu-i4rc"/>
<element>
<code value="previousCancerTreatment"/>
<display value="Previous cancer treatment (R)"/>
<target>
<code value="Observation.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/patient-eu-i4rc"/>
<element>
<code value="sex"/>
<display value="Sex (M)"/>
<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="race"/>
<display value="Race (M)"/>
<target>
<code value="Patient.extension:race.valueCodeableConcept"/>
<equivalence value="equivalent"/>
</target>
</element>
<element>
<code value="birthYear"/>
<display value="Birth year (M)"/>
<target>
<code value="Patient.birthDate"/>
<equivalence value="equivalent"/>
<comment value="limited to the year"/>
</target>
</element>
<element>
<code value="countryOfResidence"/>
<display value="Country of Residence (M)"/>
<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.org/fhir/StructureDefinition/bmi"/>
<element>
<code value="bmi"/>
<display value="Height/weight (BMI)
(R)"/>
<target>
<code value="Observation.valueQuantity"/>
<equivalence value="equivalent"/>
</target>
</element>
</group>
</ConceptMap>
IG © 2022+ IDEA4RC Project. Package hl7.eu.fhir.idea4rc#0.1.0 based on FHIR 4.0.1. Generated 2025-09-10
Links: Table of Contents |
QA Report
The IDEA4RC project has received funding from the European Union's Horizon 2020
research and innovation programme under grant agreement No. 101057048.
