IDEA4RC FHIR Implementation Guide
1.0.0 - release 150

This page is part of the IDEA4RC FHIR Implementation Guide (v1.0.0: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Patient (Subject) Model to this guide Map

Group 1 Mapping from Patient to Observation: Alcohol use

Source CodeCard.RelationshipTarget CodeCard.
Subject.alcohol1..*is equivalent toObservation.value[x]0..1

Group 2 Mapping from Patient to Observation: Charlson Comorbidity Index

Source CodeCard.RelationshipTarget CodeCard.Comment
Subject.charlsonComorbidityIndex0..*is equivalent toObservation.value[x]1..1where obseravtion.code = $sct#762713009 Charlson Comorbidity Index

Group 3 Mapping from Patient to Observation: Comorbidities

Source CodeCard.RelationshipTarget CodeCard.Comment
Subject.comorbidity1..*is equivalent toObservation.extension:comorbidConditionPresent0..*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
Subject.comorbidity.myocardialInfarction0..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.comorbidity.congestiveHeartFailure0..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.comorbidity.peripheralVascularDisease0..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.comorbidity.cerebrovascularAccidentExceptHemiplegia0..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.comorbidity.dementia0..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.comorbidity.chronicPulmonaryDisease0..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.comorbidity.connectiveTissueDisease0..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.comorbidity.ulcer0..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.comorbidity.mildLiverDisease0..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.comorbidity.moderateToSevereLiverDisease0..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.comorbidity.diabetes0..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.comorbidity.diabetesWithEndOrganDamage0..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.comorbidity.hemiplegia0..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.comorbidity.moderateToSevereRenalDisease0..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.comorbidity.solidTumor0..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.comorbidity.metastaticSolidTumor0..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.comorbidity.leukemia0..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.comorbidity.lymphoma0..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.comorbidity.multipleMyeloma0..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.comorbidity.aids0..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.noGeneticSyndromeWho20201..*is equivalent toObservation.extension:comorbidConditionPresent0..*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
Subject.noGeneticSyndromeWho2020.olliersDisease1..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.noGeneticSyndromeWho2020.maffuciSyndrome1..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.noGeneticSyndromeWho2020.liFraumeniSyndrome1..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.noGeneticSyndromeWho2020.mcCuneAlbrightSyndrome1..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.noGeneticSyndromeWho2020.multipleOsteochondromas1..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.noGeneticSyndromeWho2020.neurofibromatosisType11..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.noGeneticSyndromeWho2020.rothmundThomsonSyndrome1..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.noGeneticSyndromeWho2020.wernerSyndrome1..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.noGeneticSyndromeWho2020.retinoblastoma1..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.noGeneticSyndromeWho2020.pagetDisease1..*is equivalent toObservation.extension:comorbidConditionPresent0..*
Subject.noGeneticSyndromeWho2020.otherSyndromes1..*is equivalent toObservation.extension:comorbidConditionPresent0..*

Group 4 Mapping from Patient to Observation: ECOG Performance Status

Source CodeCard.RelationshipTarget CodeCard.Comment
Subject.ecogPsAtDiagnosis0..*is equivalent toObservation.value[x]1..1where obseravtion.code = $loinc#89247-1 ECOG Performance Status score
Subject.ecogPsLabel0..*is equivalent toObservation.interpretation0..*

Group 5 Mapping from Patient to Observation: Karnofsky Performance Status

Source CodeCard.RelationshipTarget CodeCard.
Subject.karnofsyIndexAtDiagnosis0..*is equivalent toObservation.value[x]1..1
Subject.karnofsyIndexLabel0..*is equivalent toObservation.interpretation0..*

Group 6 Mapping from Patient to Observation: Occurrence of the other cancer

Source CodeCard.RelationshipTarget CodeCard.
Subject.previousMalignantCancerSite0..*is equivalent toObservation.value[x]1..1

Group 7 Mapping from Patient to Observation: Tobacco use

Source CodeCard.RelationshipTarget CodeCard.
Subject.smoking1..*is equivalent toObservation.component:smokingStatus.value[x]0..1
Subject.cigarettesPackYearsSmokedDuringLife0..*is equivalent toObservation.component:packsPerYear.value[x]0..1

Group 8 Mapping from Patient to Observation: Cancer Treatment

Source CodeCard.RelationshipTarget CodeCard.
Subject.previousCancerTreatment0..*is equivalent toObservation.value[x]1..1

Group 9 Mapping from Patient to Patient: IDEA4RC

Source CodeCard.RelationshipTarget CodeCard.Comment
Subject.sex1..*is equivalent toPatient.gender1..1For the time being assumed to be the administrative gender
Subject.race1..*is equivalent toPatient.extension:race.value[x]1..1
Subject.birthYear1..*is equivalent toPatient.birthDate1..1limited to the year
Subject.countryOfResidence1..*is equivalent toPatient.address.country.extension:countryCode0..1

Group 10 Mapping from Patient to Observation Body Mass Index Profile

Source CodeCard.RelationshipTarget CodeCard.
Subject.bmi0..*is equivalent toObservation.value[x]0..1