This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v0.9.1: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

• Narrative
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Example: mCODETNMClinicalStageGroupExample01

<Observation xmlns="http://hl7.org/fhir">
  <id value="mCODETNMClinicalStageGroupExample01"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/mcode/StructureDefinition/onco-core-TNMClinicalStageGroup"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>*** mCODE Example: TNM Clinical Stage Group ***</b></p><p><b>Name</b>: John B. Anyperson </p><p><b>MRN</b>: m123 </p><p><b>Date</b>: 04/01/19 </p><p><b>Cancer staging system</b>: AJCC Version 8</p><p><b>Stage group</b>: IIIC</p></div>
  </text>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="laboratory"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="21908-9"/>
      <display value="Stage group.clinical Cancer"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/mCODEPatientExample01"/>
    <display value="John B. Anyperson"/>
  </subject>
  <focus>
    <reference value="Condition/mCODEPrimaryCancerConditionExample01"/>
  </focus>
  <effectiveDateTime value="2019-04-01"/>
  <valueCodeableConcept>
    <coding>
      <system value="http://cancerstaging.org"/>
      <code value="3C"/>
      <display value="IIIC"/>
    </coding>
  </valueCodeableConcept>
  <method>
    <text value="AJCC Version 8"/>
  </method>
  <hasMember>
    <reference value="Observation/mCODETNMClinicalPrimaryTumorCategoryExample01"/>
  </hasMember>
  <hasMember>
    <reference
               value="Observation/mCODETNMClinicalRegionalNodesCategoryExample01"/>
  </hasMember>
  <hasMember>
    <reference
               value="Observation/mCODETNMClinicalDistantMetastasesCategoryExample01"/>
  </hasMember>
</Observation>