| Package | hl7.eu.fhir.idea4rc |
| Resource Type | ConceptMap |
| Id | subject2FHIR |
| FHIR Version | R4 |
| Source | http://hl7.eu/fhir/ig/idea4rc/https://build.fhir.org/ig/hl7-eu/idea4rc/ConceptMap-subject2FHIR.html |
| URL | http://hl7.eu/fhir/ig/idea4rc/ConceptMap/subject2FHIR |
| Version | 0.1.0 |
| Status | draft |
| Date | 2025-07-25T13:48:09+00:00 |
| Name | Subject2FHIR |
| Title | Subject Model to this guide Map |
| Realm | eu |
| Authority | hl7 |
| Description | It shows how the Subject model is mapped into this guide |
No resources found
| StructureDefinition | |
| Subject | Patient |
| observation-alcoholuse-eu-i4rc | Observation: Alcohol use |
| observation-cci-eu-i4rc | Observation: Charlson Comorbidity Index |
| observation-comorbidity-eu-i4rc | Observation: Comorbidities |
| observation-ecog-performance-status-eu-i4rc | Observation: ECOG Performance Status |
| observation-karnofsky-performance-status-eu-i4rc | Observation: Karnofsky Performance Status |
| observation-occurrencOtherCancer-eu-i4rc | Observation: Occurrence of the other cancer |
| observation-tobaccouse-eu-i4rc | Observation: Tobacco use |
| observation-treatment-eu-i4rc | Observation: Cancer Treatment |
| patient-eu-i4rc | Patient: IDEA4RC |
Note: links and images are rebased to the (stated) source
Generated Narrative: ConceptMap subject2FHIR
Mapping from (not specified) to (not specified)
Group 1 Mapping from Patient to Observation: Alcohol use
| Source Code | Relationship | Target Code |
| alcohol (Alcohol (M)) | is equivalent to | Observation.valueCodeableConcept |
Group 2 Mapping from Patient to Observation: Charlson Comorbidity Index
| Source Code | Relationship | Target Code | Comment |
| charlsonComorbidityIndex (Charlson Comorbidity index (R)) | is equivalent to | Observation.valueInteger | where obseravtion.code = $sct#762713009 Charlson Comorbidity Index |
Group 3 Mapping from Patient to Observation: Comorbidities
| Source Code | Relationship | Target Code | Comment |
| comorbidity (Comorbidity (M)) | is equivalent to | Observation.extension:comorbidConditionPresent | 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 |
| comorbidity.myocardialInfarction (Myocardial infarction (O)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| comorbidity.congestiveHeartFailure (Congestive heart failure (O)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| comorbidity.peripheralVascularDisease (Peripheral vascular disease (O)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| comorbidity.cerebrovascularAccidentExceptHemiplegia (Cerebrovascular accident (except hemiplegia) (O)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| comorbidity.dementia (Dementia (O)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| comorbidity.chronicPulmonaryDisease (Chronic pulmonary disease (O)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| comorbidity.connectiveTissueDisease (Connective tissue disease (O)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| comorbidity.ulcer (Ulcer (O)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| comorbidity.mildLiverDisease (Mild liver disease (O)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| comorbidity.moderateToSevereLiverDisease (Moderate to severe liver disease (O)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| comorbidity.diabetes (Diabetes (without complications) (O)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| comorbidity.diabetesWithEndOrganDamage (Diabetes with end organ damage (O)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| comorbidity.hemiplegia (Hemiplegia (O)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| comorbidity.moderateToSevereRenalDisease (Moderate to severe renal disease (O)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| comorbidity.solidTumor (Solid tumor (non metastatic) (O)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| comorbidity.metastaticSolidTumor (Metastatic solid tumor (O)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| comorbidity.leukemia (Leukemia (O)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| comorbidity.lymphoma (Lymphoma (O)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| comorbidity.multipleMyeloma (Multiple myeloma (O)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| comorbidity.aids (AIDS (O)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| noGeneticSyndromeWho2020 (No Genetic syndrome (M)) | is equivalent to | Observation.extension:comorbidConditionPresent | 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 |
| noGeneticSyndromeWho2020.olliersDisease (Olliers disease (M)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| noGeneticSyndromeWho2020.maffuciSyndrome (Maffuci syndrome (M)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| noGeneticSyndromeWho2020.liFraumeniSyndrome (Li-Fraumeni syndrome (M)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| noGeneticSyndromeWho2020.mcCuneAlbrightSyndrome (McCune-Albright syndrome (M)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| noGeneticSyndromeWho2020.multipleOsteochondromas (Multiple osteochondromas (M)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| noGeneticSyndromeWho2020.neurofibromatosisType1 (Neurofibromatosis type 1 (M)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| noGeneticSyndromeWho2020.rothmundThomsonSyndrome (Rothmund-Thomson syndrome (M)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| noGeneticSyndromeWho2020.wernerSyndrome (Werner syndrome (M)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| noGeneticSyndromeWho2020.retinoblastoma (Retinoblastoma (M)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| noGeneticSyndromeWho2020.pagetDisease (Paget disease (M)) | is equivalent to | Observation.extension:comorbidConditionPresent | |
| noGeneticSyndromeWho2020.otherSyndromes (Other Genetic syndrome (M)) | is equivalent to | Observation.extension:comorbidConditionPresent |
Group 4 Mapping from Patient to Observation: ECOG Performance Status
| Source Code | Relationship | Target Code | Comment |
| ecogPsAtDiagnosis (Eastern Cooperative Oncology Group performance status (ECOG PS) at diagnosis (R)) | is equivalent to | Observation.valueCodeableConcept | where obseravtion.code = $loinc#89247-1 ECOG Performance Status score |
| ecogPsLabel (ECOG PS label (R)) | is equivalent to | Observation.interpretation |
Group 5 Mapping from Patient to Observation: Karnofsky Performance Status
| Source Code | Relationship | Target Code |
| karnofsyIndexAtDiagnosis (Karnofsy index at diagnosis (R)) | is equivalent to | Observation.valueInteger |
| karnofsyIndexLabel (Karnofsy index label (R)) | is equivalent to | Observation.interpretation |
Group 6 Mapping from Patient to Observation: Occurrence of the other cancer
| Source Code | Relationship | Target Code |
| previousMalignantCancerSite (Previous malignant cancer site (R)) | is equivalent to | Observation.valueCodeableConcept |
Group 7 Mapping from Patient to Observation: Tobacco use
| Source Code | Relationship | Target Code |
| smoking (Smoking (M)) | is equivalent to | Observation.component:smokingStatus.valueCodeableConcept |
| cigarettesPackYearsSmokedDuringLife (Cigarettes pack years smoked during life (R)) | is equivalent to | Observation.component:packsPerYear.valueQuantity |
Group 8 Mapping from Patient to Observation: Cancer Treatment
| Source Code | Relationship | Target Code |
| previousCancerTreatment (Previous cancer treatment (R)) | is equivalent to | Observation.valueCodeableConcept |
Group 9 Mapping from Patient to Patient: IDEA4RC
| Source Code | Relationship | Target Code | Comment |
| sex (Sex (M)) | is equivalent to | Patient.gender | For the time being assumed to be the administrative gender |
| race (Race (M)) | is equivalent to | Patient.extension:race.valueCodeableConcept | |
| birthYear (Birth year (M)) | is equivalent to | Patient.birthDate | limited to the year |
| countryOfResidence (Country of Residence (M)) | is equivalent to | Patient.address.country.extension:countryCode |
Group 10 Mapping from Patient to Observation Body Mass Index Profile
| Source Code | Relationship | Target Code |
| bmi (Height/weight (BMI) (R)) | is equivalent to | Observation.valueQuantity |
{
"resourceType": "ConceptMap",
"id": "subject2FHIR",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"url": "http://hl7.eu/fhir/ig/idea4rc/ConceptMap/subject2FHIR",
"version": "0.1.0",
"name": "Subject2FHIR",
"title": "Subject Model to this guide Map",
"status": "draft",
"experimental": true,
"date": "2025-07-25T13:48:09+00:00",
"publisher": "IDEA4RC Project",
"contact": [
{
"name": "IDEA4RC Project",
"telecom": [
{
"system": "url",
"value": "https://www.idea4rc.eu/"
}
]
},
{
"name": "IDEA4RC Project",
"telecom": [
{
"system": "url",
"value": "https://www.idea4rc.eu/"
}
]
}
],
"description": "It shows how the Subject model is mapped into this guide",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "150",
"display": "Europe"
}
]
}
],
"group": [
{
"source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject",
"target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-alcoholuse-eu-i4rc",
"element": [
{
"code": "alcohol",
"display": "Alcohol (M)",
"target": [
{
"code": "Observation.valueCodeableConcept",
"equivalence": "equivalent"
}
]
}
]
},
{
"source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject",
"target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-cci-eu-i4rc",
"element": [
{
"code": "charlsonComorbidityIndex",
"display": "Charlson Comorbidity index (R)",
"target": [
{
"code": "Observation.valueInteger",
"equivalence": "equivalent",
"comment": "where obseravtion.code = $sct#762713009 Charlson Comorbidity Index"
}
]
}
]
},
{
"source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject",
"target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-comorbidity-eu-i4rc",
"element": [
{
"code": "comorbidity",
"display": "Comorbidity (M)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent",
"comment": "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"
}
]
},
{
"code": "comorbidity.myocardialInfarction",
"display": "Myocardial infarction (O)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "comorbidity.congestiveHeartFailure",
"display": "Congestive heart failure (O)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "comorbidity.peripheralVascularDisease",
"display": "Peripheral vascular disease (O)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "comorbidity.cerebrovascularAccidentExceptHemiplegia",
"display": "Cerebrovascular accident (except hemiplegia) (O)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "comorbidity.dementia",
"display": "Dementia (O)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "comorbidity.chronicPulmonaryDisease",
"display": "Chronic pulmonary disease (O)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "comorbidity.connectiveTissueDisease",
"display": "Connective tissue disease (O)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "comorbidity.ulcer",
"display": "Ulcer (O)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "comorbidity.mildLiverDisease",
"display": "Mild liver disease (O)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "comorbidity.moderateToSevereLiverDisease",
"display": "Moderate to severe liver disease (O)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "comorbidity.diabetes",
"display": "Diabetes (without complications) (O)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "comorbidity.diabetesWithEndOrganDamage",
"display": "Diabetes with end organ damage (O)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "comorbidity.hemiplegia",
"display": "Hemiplegia (O)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "comorbidity.moderateToSevereRenalDisease",
"display": "Moderate to severe renal disease (O)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "comorbidity.solidTumor",
"display": "Solid tumor (non metastatic) (O)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "comorbidity.metastaticSolidTumor",
"display": "Metastatic solid tumor (O)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "comorbidity.leukemia",
"display": "Leukemia (O)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "comorbidity.lymphoma",
"display": "Lymphoma (O)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "comorbidity.multipleMyeloma",
"display": "Multiple myeloma (O)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "comorbidity.aids",
"display": "AIDS (O)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "noGeneticSyndromeWho2020",
"display": "No Genetic syndrome (M)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent",
"comment": "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"
}
]
},
{
"code": "noGeneticSyndromeWho2020.olliersDisease",
"display": "Olliers disease (M)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "noGeneticSyndromeWho2020.maffuciSyndrome",
"display": "Maffuci syndrome (M)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "noGeneticSyndromeWho2020.liFraumeniSyndrome",
"display": "Li-Fraumeni syndrome (M)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "noGeneticSyndromeWho2020.mcCuneAlbrightSyndrome",
"display": "McCune-Albright syndrome (M)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "noGeneticSyndromeWho2020.multipleOsteochondromas",
"display": "Multiple osteochondromas (M)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "noGeneticSyndromeWho2020.neurofibromatosisType1",
"display": "Neurofibromatosis type 1 (M)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "noGeneticSyndromeWho2020.rothmundThomsonSyndrome",
"display": "Rothmund-Thomson syndrome (M)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "noGeneticSyndromeWho2020.wernerSyndrome",
"display": "Werner syndrome (M)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "noGeneticSyndromeWho2020.retinoblastoma",
"display": "Retinoblastoma (M)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "noGeneticSyndromeWho2020.pagetDisease",
"display": "Paget disease (M)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
},
{
"code": "noGeneticSyndromeWho2020.otherSyndromes",
"display": "Other Genetic syndrome (M)",
"target": [
{
"code": "Observation.extension:comorbidConditionPresent",
"equivalence": "equivalent"
}
]
}
]
},
{
"source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject",
"target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-ecog-performance-status-eu-i4rc",
"element": [
{
"code": "ecogPsAtDiagnosis",
"display": "Eastern Cooperative Oncology Group performance status (ECOG PS) at diagnosis (R)",
"target": [
{
"code": "Observation.valueCodeableConcept",
"equivalence": "equivalent",
"comment": "where obseravtion.code = $loinc#89247-1 ECOG Performance Status score"
}
]
},
{
"code": "ecogPsLabel",
"display": "ECOG PS label (R)",
"target": [
{
"code": "Observation.interpretation",
"equivalence": "equivalent"
}
]
}
]
},
{
"source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject",
"target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-karnofsky-performance-status-eu-i4rc",
"element": [
{
"code": "karnofsyIndexAtDiagnosis",
"display": "Karnofsy index at diagnosis (R)",
"target": [
{
"code": "Observation.valueInteger",
"equivalence": "equivalent"
}
]
},
{
"code": "karnofsyIndexLabel",
"display": "Karnofsy index label (R)",
"target": [
{
"code": "Observation.interpretation",
"equivalence": "equivalent"
}
]
}
]
},
{
"source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject",
"target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-occurrencOtherCancer-eu-i4rc",
"element": [
{
"code": "previousMalignantCancerSite",
"display": "Previous malignant cancer site (R)",
"target": [
{
"code": "Observation.valueCodeableConcept",
"equivalence": "equivalent"
}
]
}
]
},
{
"source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject",
"target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-tobaccouse-eu-i4rc",
"element": [
{
"code": "smoking",
"display": "Smoking (M)",
"target": [
{
"code": "Observation.component:smokingStatus.valueCodeableConcept",
"equivalence": "equivalent"
}
]
},
{
"code": "cigarettesPackYearsSmokedDuringLife",
"display": "Cigarettes pack years smoked during life (R)",
"target": [
{
"code": "Observation.component:packsPerYear.valueQuantity",
"equivalence": "equivalent"
}
]
}
]
},
{
"source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject",
"target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-treatment-eu-i4rc",
"element": [
{
"code": "previousCancerTreatment",
"display": "Previous cancer treatment (R)",
"target": [
{
"code": "Observation.valueCodeableConcept",
"equivalence": "equivalent"
}
]
}
]
},
{
"source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject",
"target": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/patient-eu-i4rc",
"element": [
{
"code": "sex",
"display": "Sex (M)",
"target": [
{
"code": "Patient.gender",
"equivalence": "equivalent",
"comment": "For the time being assumed to be the administrative gender"
}
]
},
{
"code": "race",
"display": "Race (M)",
"target": [
{
"code": "Patient.extension:race.valueCodeableConcept",
"equivalence": "equivalent"
}
]
},
{
"code": "birthYear",
"display": "Birth year (M)",
"target": [
{
"code": "Patient.birthDate",
"equivalence": "equivalent",
"comment": "limited to the year"
}
]
},
{
"code": "countryOfResidence",
"display": "Country of Residence (M)",
"target": [
{
"code": "Patient.address.country.extension:countryCode",
"equivalence": "equivalent"
}
]
}
]
},
{
"source": "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject",
"target": "http://hl7.org/fhir/StructureDefinition/bmi",
"element": [
{
"code": "bmi",
"display": "Height/weight (BMI)\n (R)",
"target": [
{
"code": "Observation.valueQuantity",
"equivalence": "equivalent"
}
]
}
]
}
]
}