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

ConceptMap: Surgery Model to this guide Map (Experimental)

Official URL: http://hl7.eu/fhir/ig/idea4rc/ConceptMap/surgery2FHIR Version: 0.1.0
Draft as of 2025-09-10 Computable Name: Surgery2FHIR

It shows how the Surgery model is mapped into this guide

Mapping from (not specified) to (not specified)


Group 1 Mapping from Surgery to Condition: Primary Cancer

Source CodeRelationshipTarget Code
surgicalSpecimenGradingOnlyInUntreatedTumours (Surgical specimen grading only in untreated tumours (M))is equivalent toCondition.stage.summary

Group 2 Mapping from Surgery to Procedure: Surgery

Source CodeRelationshipTarget CodeComment
diagnosisReference (Diagnosis reference (M))is related toProcedure.reasonReference
episodeEventReference (Episode Event reference (M))is related toProcedure.reasonReference
surgeryType (Surgery type (M))is equivalent toProcedure.code
surgeryHospital (Surgery Hospital (M))is related toProcedure.performerIn case the actual Organization performing the procedure is captured. It could be a perfomer of type Organization; or a perfomer.organization if of type PractitionerRole
dateOfSurgery (Date of surgery (M))is equivalent toProcedure.performedDateTime
surgeryIntention (Surgery intention (O))is equivalent toProcedure.extension:ProcedureCategoryR5/intent.valueCodeableConcept
typeOfSurgicalApproachOnTumour (Type of surgical approach on Tumour (M))is equivalent toProcedure.extension:procedure-method.valueCodeableConcept
marginsAfterSurgery (Margins after surgery (M))is equivalent toProcedure.outcome
tumorRupture (Tumor rupture (M))is related toProcedure.extension:supportingInfoR5If it is present an observation with code 36768904 'Tumor Rupture' it is 'true'
reconstruction (Reconstruction (M))is related toProcedure.partOfIf there is a surgery procedure, related through partOf with the main surgery, with code = 3010988 'Surgery reconstruction', it is 'true', else it is false
neckSurgery (Neck surgery (M))is related toProcedure.bodySiteIf there is a surgery procedure, related through partOf with the main surgery, with bodySite = 36770046 'Neck' it is 'true', else it is 'false'
dateOfNeckSurgery (Date of Neck surgery (M))is related toProcedure.performedDateTimeThe surgery procedure is another surgery procedure, related through partOf with the main surgery, with bodySite = 36770046 'Neck'
lateralityOfTheDissection (Laterality of the dissection (M))is equivalent toProcedure.bodySite.extension:lateralityQualifierThe surgery procedure is another surgery procedure, related through partOf with the main surgery, with bodySite = 36770046 'Neck'
surgeryOnM (Surgery on M (M))is related toProcedure.partOfIf there is a surgery procedure, related through partOf with the main surgery, where bodySite is one of 36769180 'Metastasis', 35225724 'Metastasis to soft tissues', 36769243 'Distant spread to lymph node', 36770283 'Metastasis to lung' it is 'true', 36769301 'Metastasis to bone', 36770544 'Metastasis to liver', 35226258 'Metastasis to pleura', 3522625 'Metastasis to peritoneum', 367688623 'Metastasis to brain' it is 'true', else it is 'false'
dateOfSurgeryOnM (Date of surgery on M (M))is related toProcedure.performedDateTimeThe surgery procedure is another surgery procedure, related through partOf with the main surgery, where bodySite is one of 36769180 'Metastasis', 35225724 'Metastasis to soft tissues', 36769243 'Distant spread to lymph node', 36770283 'Metastasis to lung' it is 'true', 36769301 'Metastasis to bone', 36770544 'Metastasis to liver', 35226258 'Metastasis to pleura', 3522625 'Metastasis to peritoneum', 367688623 'Metastasis to brain'
siteOfSurgeryOnMetastasisis related toProcedure.bodySite
siteOfSurgeryOnMetastasis.softTissue (Site of surgery on metastasis_soft tissue (O))is related toProcedure.bodySiteIf there is a surgery procedure, related through partOf with the main surgery, where bodySite is 35225724 'Metastasis to soft tissues' it is 'true', else it is 'false'
siteOfSurgeryOnMetastasis.distantLymphNodes (Site of surgery on metastasis_distant lymph nodes (O))is related toProcedure.bodySiteIf there is a surgery procedure, related through partOf with the main surgery, where bodySite is 36769243 'Distant spread to lymph node' it is 'true', else it is 'false'
siteOfSurgeryOnMetastasis.lung (Site of surgery on metastasis_lung (O))is related toProcedure.bodySiteIf there is a surgery procedure, related through partOf with the main surgery, where bodySite is 36770283 'Metastasis to lung' it is 'true', else it is 'false'
siteOfSurgeryOnMetastasis.bone (Site of surgery on metastasis_bone (O))is related toProcedure.bodySiteIf there is a surgery procedure, related through partOf with the main surgery, where bodySite is 36769301 'Metastasis to bone' it is 'true', else it is 'false'
siteOfSurgeryOnMetastasis.liver (Site of surgery on metastasis_liver (O))is related toProcedure.bodySiteIf there is a surgery procedure, related through partOf with the main surgery, where bodySite is 36770544 'Metastasis to liver' it is 'true', else it is 'false'
siteOfSurgeryOnMetastasis.pleura (Site of surgery on metastasis_pleura (O))is related toProcedure.bodySiteIf there is a surgery procedure, related through partOf with the main surgery, where bodySite is 35226258 'Metastasis to pleura' it is 'true', else it is 'false'
siteOfSurgeryOnMetastasis.peritoneum (Site of surgery on metastasis_peritoneum (O))is related toProcedure.bodySiteIf there is a surgery procedure, related through partOf with the main surgery, where bodySite is 3522625 'Metastasis to peritoneum' it is 'true', else it is 'false'
siteOfSurgeryOnMetastasis.brain (Site of surgery on metastasis_brain (O))is related toProcedure.bodySiteIf there is a surgery procedure, related through partOf with the main surgery, where bodySite is 367688623 'Metastasis to brain' it is 'true', else it is 'false'
siteOfSurgeryOnMetastasis.otherViscera (Site of surgery on metastasis_other viscera (O))is related toProcedure.bodySiteIIf there is a surgery procedure, related through partOf with the main surgery, where bodySite is 36769180 'Metastasis' it is 'true', else it is 'false'
siteOfSurgeryOnMetastasis.unknown (Site of surgery on metastasis_unknown (O))is related toProcedure.bodySite.extension:locationQualifierIf there is a surgery procedure, related through partOf with the main surgery, where is 36769180 'Metastasis' and locationQualifier is 4129922 'Unknown' it is 'true', else it is 'false'
surgicalComplications (Surgical complications (Clavien-Dindo Classification) (M))is equivalent toProcedure.complication

Group 3 Mapping from Surgery to Observation: Radiological Extra-nodal extension (rENE)

Source CodeRelationshipTarget Code
extraNodalExtension (Extra-nodal extension (rEne) (M))is equivalent toObservation.value

Group 4 Mapping from Surgery to Observation: test results

Source CodeRelationshipTarget CodeComment
surgicalSpecimenMitoticCount (Surgical specimen Mitotic count (M))is equivalent toObservation.valueWhere code is 4227243 'Number of mitoses per 10 high power fields'