minimal Common Oncology Data Elements (mCODE) Implementation Guide
1.16.0 - STU Release 2 (Ballot Version)
minimal Common Oncology Data Elements (mCODE) Implementation Guide
1.16.0 - STU Release 2 (Ballot Version)
This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v1.16.0: STU 2 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 
{
"resourceType" : "Bundle",
"id" : "mcode-patient-bundle-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-patient-bundle"
]
},
"type" : "collection",
"entry" : [
{
"fullUrl" : "http://example.org/fhir/Observation/cancer-disease-status-jenny-m",
"resource" : {
"resourceType" : "Patient",
"id" : "cancer-patient-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><blockquote><p><b>US Core Race Extension</b></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"{urn:oid:2.16.840.1.113883.6.238 2106-3}\">White</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: White</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <span title=\"{urn:oid:2.16.840.1.113883.6.238 2186-5}\">Not Hispanic or Latino</span></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: Not Hispanic or Latino</p></blockquote><p><b>identifier</b>: Medical Record Number: MRN1234 (USUAL)</p><p><b>name</b>: Jenny M </p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1965-01-01</p><p><b>address</b>: 123 Main St Anytown 12345 United States </p><h3>Contacts</h3><table class=\"grid\"><tr><td>-</td><td><b>Telecom</b></td></tr><tr><td>*</td><td>ph: 555-867-5309(HOME), <a href=\"mailto:example@example.com\">example@example.com</a></td></tr></table><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td></tr><tr><td>*</td><td><span title=\"Codes: {urn:ietf:bcp:47 en-US}\">English</span></td></tr></table></div>"
},
"extension" : [
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2106-3",
"display" : "White"
}
},
{
"url" : "text",
"valueString" : "White"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
},
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2186-5",
"display" : "Not Hispanic or Latino"
}
},
{
"url" : "text",
"valueString" : "Not Hispanic or Latino"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical Record Number"
}
]
},
"system" : "http://hospital.example.org",
"value" : "MRN1234"
}
],
"name" : [
{
"family" : "M",
"given" : [
"Jenny"
]
}
],
"gender" : "female",
"birthDate" : "1965-01-01",
"address" : [
{
"line" : [
"123 Main St"
],
"city" : "Anytown",
"postalCode" : "12345",
"country" : "United States"
}
],
"contact" : [
{
"telecom" : [
{
"system" : "phone",
"value" : "555-867-5309",
"use" : "home"
},
{
"system" : "email",
"value" : "example@example.com"
}
]
}
],
"communication" : [
{
"language" : {
"coding" : [
{
"system" : "urn:ietf:bcp:47",
"code" : "en-US"
}
],
"text" : "English"
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/cancer-genetic-variant-jenny-m",
"resource" : {
"resourceType" : "Observation",
"id" : "cancer-genetic-variant-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-genetic-variant"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 69548-6}\">Genetic variant assessment</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-15</p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA9633-4}\">Present</span></p><p><b>method</b>: <span title=\"Codes: {http://loinc.org LA26398-0}\">Sequencing</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 48018-6}\">Gene studied [ID]</span></p><p><b>value</b>: <span title=\"Codes: {http://www.genenames.org HGNC:26144}\">PALB2</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 81252-9}\">Discrete genetic variant</span></p><p><b>value</b>: <span title=\"Codes: {http://www.ncbi.nlm.nih.gov/clinvar 128144}\">NM_024675.3(PALB2):c.3549C>A (p.Tyr1183Ter)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 81290-9}\">Genomic DNA change (gHGVS)</span></p><p><b>value</b>: <span title=\"Codes: {http://varnomen.hgvs.org NC_000016.10:g.23603471G>T}\">NC_000016.10:g.23603471G>T</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 48002-0}\">Genomic source class [Type]</span></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA6684-0}\">Somatic</span></p></blockquote></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69548-6",
"display" : "Genetic variant assessment"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"effectiveDateTime" : "2018-03-15",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA9633-4",
"display" : "Present"
}
]
},
"method" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA26398-0",
"display" : "Sequencing"
}
]
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48018-6"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://www.genenames.org",
"code" : "HGNC:26144",
"display" : "PALB2"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "81252-9"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://www.ncbi.nlm.nih.gov/clinvar",
"code" : "128144",
"display" : "NM_024675.3(PALB2):c.3549C>A (p.Tyr1183Ter)"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "81290-9"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://varnomen.hgvs.org",
"code" : "NC_000016.10:g.23603471G>T"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48002-0"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6684-0",
"display" : "Somatic"
}
]
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/DiagnosticReport/cancer-genomics-report-jenny-m",
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "cancer-genomics-report-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-genomics-report"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: final</p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v2-0074 LAB}\">Laboratory</span>, <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v2-0074 GE}\">Genetics</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 81247-9}\">Master HL7 genetic variant reporting panel</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-15</p><p><b>issued</b>: Mar 15, 2020 12:00:01 AM</p><p><b>specimen</b>: <a href=\"#Specimen_genetic-specimen-left-breast-jenny-m\">See above (Specimen/genetic-specimen-left-breast-jenny-m)</a></p><p><b>result</b>: </p><ul><li><a href=\"#Observation_cancer-genetic-variant-jenny-m\">See above (Observation/cancer-genetic-variant-jenny-m)</a></li><li><a href=\"#Observation_genomic-region-studied-jenny-m\">See above (Observation/genomic-region-studied-jenny-m)</a></li></ul></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
"code" : "LAB"
}
]
},
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
"code" : "GE"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "81247-9"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"effectiveDateTime" : "2018-03-15",
"issued" : "2020-03-15T00:00:01+00:00",
"specimen" : [
{
"reference" : "Specimen/genetic-specimen-left-breast-jenny-m"
}
],
"result" : [
{
"reference" : "Observation/cancer-genetic-variant-jenny-m"
},
{
"reference" : "Observation/genomic-region-studied-jenny-m"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Procedure/cancer-related-surgical-procedure-jenny-m",
"resource" : {
"resourceType" : "Procedure",
"id" : "cancer-related-surgical-procedure-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-surgical-procedure"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>Treatment Intent</b>: <span title=\"Codes: {http://snomed.info/sct 373808002}\">Curative - procedure intent (qualifier value)</span></p><p><b>status</b>: completed</p><p><b>category</b>: <span title=\"Codes: {http://snomed.info/sct 387713003}\">Surgical procedure (procedure)</span></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 64368001}\">Partial mastectomy (procedure)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>performed</b>: 2018-04-01</p><p><b>asserter</b>: <a href=\"#Practitioner_us-core-practitioner-owen-oncologist\">See above (Practitioner/us-core-practitioner-owen-oncologist)</a></p><p><b>reasonReference</b>: <a href=\"Condition-primary-cancer-condition-jenny-m.html\">Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical remission}\">Remission</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span>; <span title=\"Codes: {http://snomed.info/sct 353431000119107}\">Primary malignant neoplasm of female left breast (disorder)</span>; onset: 2018-03-16</a></p><p><b>bodySite</b>: <span title=\"Codes: {http://snomed.info/sct 80248007}\">Left breast structure (body structure)</span></p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-intent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "373808002",
"display" : "Curative - procedure intent (qualifier value)"
}
]
}
}
],
"status" : "completed",
"category" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "387713003"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "64368001",
"display" : "Partial mastectomy (procedure)"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"performedDateTime" : "2018-04-01",
"asserter" : {
"reference" : "Practitioner/us-core-practitioner-owen-oncologist"
},
"reasonReference" : [
{
"reference" : "Condition/primary-cancer-condition-jenny-m"
}
],
"bodySite" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "80248007",
"display" : "Left breast structure (body structure)"
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Procedure/radiotherapy-treatment-summary-chest-wall-jenny-m",
"resource" : {
"resourceType" : "Procedure",
"id" : "radiotherapy-treatment-summary-chest-wall-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>Radiotherapy Number of Sessions</b>: 31</p><p><b>Treatment Intent</b>: <span title=\"Codes: {http://snomed.info/sct 373808002}\">Curative - procedure intent</span></p><p><b>Radiotherapy Modality</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/umls C3539769}\">Photon Beam Radiation Therapy</span></p><p><b>Radiotherapy Modality</b>: <span title=\"Codes: {http://snomed.info/sct 45643008}\">Teleradiotherapy using electrons (procedure)</span></p><p><b>Radiotherapy Technique</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/umls C3489631}\">Volumetric Modulated Arc Therapy</span></p><p><b>Radiotherapy Technique</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/radiotherapy 3D}\">Three Dimensional</span></p><blockquote><p><b>Radiotherapy Dose Delivered To Body Volume</b></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <a href=\"BodyStructure-jenny-m-chest-wall-treatment-volume.html\">Generated Summary: id: 1.2.246.352…1; <span title=\"Codes: {http://snomed.info/sct 78904004}\">Chest wall structure (body structure)</span>; <span title=\"Codes: {http://snomed.info/sct 255503000}\">Entire (qualifier value)</span>; description: Chest Wall</a></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: 6000 cGy</p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: 30</p></blockquote><blockquote><p><b>Radiotherapy Dose Delivered To Body Volume</b></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <a href=\"BodyStructure-jenny-m-chest-wall-lymph-nodes-treatment-volume.html\">Generated Summary: id: 1.2.246.352…2; <span title=\"Codes: {http://snomed.info/sct 245276004}\">Mediastinal lymph node group (body structure)</span>; <span title=\"Codes: {http://snomed.info/sct 51440002}\">Right and left (qualifier value)</span>; description: Chest Wall Lymph Nodes</a></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: 5000 cGy</p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: 25</p></blockquote><p><b>status</b>: completed</p><p><b>category</b>: <span title=\"Codes: {http://snomed.info/sct 108290001}\">Radiation oncology AND/OR radiotherapy (procedure)</span></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/us/mcode/CodeSystem/mcode-resource-identifier-cs mcode-radiotherapy-course-summary}\">Radiotherapy Course Summary Resource</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>performed</b>: 2018-05-01 --> 2018-06-29</p><p><b>asserter</b>: <a href=\"Practitioner-us-core-practitioner-kyle-anydoc.html\">Generated Summary: id: 9988776655; Kyle Anydoc ; gender: male</a></p><p><b>reasonCode</b>: <span title=\"Codes: {http://hl7.org/fhir/sid/icd-10-cm C50.811}\">Malignant neoplasm of overlapping sites of right female breast</span></p><p><b>bodySite</b>: <span title=\"Codes: {http://snomed.info/sct 78904004}\">Chest Wall Structure (body structure)</span></p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions",
"valueUnsignedInt" : 31
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-intent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "373808002",
"display" : "Curative - procedure intent"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/umls",
"code" : "C3539769",
"display" : "Photon Beam Radiation Therapy"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "45643008",
"display" : "Teleradiotherapy using electrons (procedure)"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/umls",
"code" : "C3489631",
"display" : "Volumetric Modulated Arc Therapy"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/radiotherapy",
"code" : "3D"
}
]
}
},
{
"extension" : [
{
"url" : "volume",
"valueReference" : {
"reference" : "BodyStructure/jenny-m-chest-wall-treatment-volume"
}
},
{
"url" : "totalDoseDelivered",
"valueQuantity" : {
"value" : 6000,
"system" : "http://unitsofmeasure.org",
"code" : "cGy"
}
},
{
"url" : "fractionsDelivered",
"valueUnsignedInt" : 30
}
],
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
},
{
"extension" : [
{
"url" : "volume",
"valueReference" : {
"reference" : "BodyStructure/jenny-m-chest-wall-lymph-nodes-treatment-volume"
}
},
{
"url" : "totalDoseDelivered",
"valueQuantity" : {
"value" : 5000,
"system" : "http://unitsofmeasure.org",
"code" : "cGy"
}
},
{
"url" : "fractionsDelivered",
"valueUnsignedInt" : 25
}
],
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
}
],
"status" : "completed",
"category" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "108290001",
"display" : "Radiation oncology AND/OR radiotherapy (procedure)"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/mcode/CodeSystem/mcode-resource-identifier-cs",
"code" : "mcode-radiotherapy-course-summary"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"performedPeriod" : {
"start" : "2018-05-01",
"end" : "2018-06-29"
},
"asserter" : {
"reference" : "Practitioner/us-core-practitioner-kyle-anydoc"
},
"reasonCode" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/icd-10-cm",
"code" : "C50.811",
"display" : "Malignant neoplasm of overlapping sites of right female breast"
}
]
}
],
"bodySite" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "78904004",
"display" : "Chest Wall Structure (body structure)"
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Procedure/teleradiotherapy-treatment-phase-chest-wall-jenny-m",
"resource" : {
"resourceType" : "Procedure",
"id" : "teleradiotherapy-treatment-phase-chest-wall-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-teleradiotherapy-treatment-phase"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>Radiotherapy Modality</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/umls C3539769}\">Photon Beam Radiation Therapy</span></p><p><b>Radiotherapy Technique</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/umls C3489631}\">Volumetric-Modulated Arc Therapy</span></p><p><b>Radiotherapy Fractions Delivered</b>: 25</p><blockquote><p><b>Radiotherapy Dose Delivered To Body Volume</b></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <a href=\"BodyStructure-jenny-m-chest-wall-treatment-volume.html\">Generated Summary: id: 1.2.246.352…1; <span title=\"Codes: {http://snomed.info/sct 78904004}\">Chest wall structure (body structure)</span>; <span title=\"Codes: {http://snomed.info/sct 255503000}\">Entire (qualifier value)</span>; description: Chest Wall</a></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: 5000 cGy</p></blockquote><blockquote><p><b>Radiotherapy Dose Delivered To Body Volume</b></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <a href=\"BodyStructure-jenny-m-chest-wall-lymph-nodes-treatment-volume.html\">Generated Summary: id: 1.2.246.352…2; <span title=\"Codes: {http://snomed.info/sct 245276004}\">Mediastinal lymph node group (body structure)</span>; <span title=\"Codes: {http://snomed.info/sct 51440002}\">Right and left (qualifier value)</span>; description: Chest Wall Lymph Nodes</a></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: 5000 cGy</p></blockquote><p><b>partOf</b>: <a href=\"#Procedure_radiotherapy-treatment-summary-chest-wall-jenny-m\">See above (Procedure/radiotherapy-treatment-summary-chest-wall-jenny-m)</a></p><p><b>status</b>: completed</p><p><b>category</b>: <span title=\"Codes: {http://snomed.info/sct 108290001}\">Radiation oncology AND/OR radiotherapy (procedure)</span></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/us/mcode/CodeSystem/mcode-resource-identifier-cs mcode-teleradiotherapy-treatment-phase}\">Teleradiotherapy Treatment Phase Resource</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>performed</b>: 2018-05-01 --> 2018-06-29</p><p><b>asserter</b>: <a href=\"Practitioner-us-core-practitioner-kyle-anydoc.html\">Generated Summary: id: 9988776655; Kyle Anydoc ; gender: male</a></p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/umls",
"code" : "C3539769",
"display" : "Photon Beam Radiation Therapy"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/umls",
"code" : "C3489631",
"display" : "Volumetric-Modulated Arc Therapy"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-fractions-delivered",
"valueUnsignedInt" : 25
},
{
"extension" : [
{
"url" : "volume",
"valueReference" : {
"reference" : "BodyStructure/jenny-m-chest-wall-treatment-volume"
}
},
{
"url" : "totalDoseDelivered",
"valueQuantity" : {
"value" : 5000,
"system" : "http://unitsofmeasure.org",
"code" : "cGy"
}
}
],
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
},
{
"extension" : [
{
"url" : "volume",
"valueReference" : {
"reference" : "BodyStructure/jenny-m-chest-wall-lymph-nodes-treatment-volume"
}
},
{
"url" : "totalDoseDelivered",
"valueQuantity" : {
"value" : 5000,
"system" : "http://unitsofmeasure.org",
"code" : "cGy"
}
}
],
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
}
],
"partOf" : [
{
"reference" : "Procedure/radiotherapy-treatment-summary-chest-wall-jenny-m"
}
],
"status" : "completed",
"category" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "108290001",
"display" : "Radiation oncology AND/OR radiotherapy (procedure)"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/mcode/CodeSystem/mcode-resource-identifier-cs",
"code" : "mcode-teleradiotherapy-treatment-phase"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"performedPeriod" : {
"start" : "2018-05-01",
"end" : "2018-06-29"
},
"asserter" : {
"reference" : "Practitioner/us-core-practitioner-kyle-anydoc"
}
}
},
{
"fullUrl" : "http://example.org/fhir/Procedure/teleradiotherapy-treatment-phase-boost-jenny-m",
"resource" : {
"resourceType" : "Procedure",
"id" : "teleradiotherapy-treatment-phase-boost-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-teleradiotherapy-treatment-phase"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>Radiotherapy Modality</b>: <span title=\"Codes: {http://snomed.info/sct 45643008}\">Teleradiotherapy using electrons (procedure)</span></p><p><b>Radiotherapy Technique</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/radiotherapy 3D}\">Three dimensional</span></p><p><b>Radiotherapy Fractions Delivered</b>: 5</p><blockquote><p><b>Radiotherapy Dose Delivered To Body Volume</b></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <a href=\"BodyStructure-jenny-m-chest-wall-treatment-volume.html\">Generated Summary: id: 1.2.246.352…1; <span title=\"Codes: {http://snomed.info/sct 78904004}\">Chest wall structure (body structure)</span>; <span title=\"Codes: {http://snomed.info/sct 255503000}\">Entire (qualifier value)</span>; description: Chest Wall</a></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: 1000 cGy</p></blockquote><p><b>partOf</b>: <a href=\"#Procedure_radiotherapy-treatment-summary-chest-wall-jenny-m\">See above (Procedure/radiotherapy-treatment-summary-chest-wall-jenny-m)</a></p><p><b>status</b>: completed</p><p><b>category</b>: <span title=\"Codes: {http://snomed.info/sct 108290001}\">Radiation oncology AND/OR radiotherapy (procedure)</span></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/us/mcode/CodeSystem/mcode-resource-identifier-cs mcode-teleradiotherapy-treatment-phase}\">Teleradiotherapy Treatment Phase Resource</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>performed</b>: 2018-08-01 --> 2018-09-30</p><p><b>asserter</b>: <a href=\"Practitioner-us-core-practitioner-kyle-anydoc.html\">Generated Summary: id: 9988776655; Kyle Anydoc ; gender: male</a></p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "45643008",
"display" : "Teleradiotherapy using electrons (procedure)"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/radiotherapy",
"code" : "3D",
"display" : "Three dimensional"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-fractions-delivered",
"valueUnsignedInt" : 5
},
{
"extension" : [
{
"url" : "volume",
"valueReference" : {
"reference" : "BodyStructure/jenny-m-chest-wall-treatment-volume"
}
},
{
"url" : "totalDoseDelivered",
"valueQuantity" : {
"value" : 1000,
"system" : "http://unitsofmeasure.org",
"code" : "cGy"
}
}
],
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
}
],
"partOf" : [
{
"reference" : "Procedure/radiotherapy-treatment-summary-chest-wall-jenny-m"
}
],
"status" : "completed",
"category" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "108290001",
"display" : "Radiation oncology AND/OR radiotherapy (procedure)"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/mcode/CodeSystem/mcode-resource-identifier-cs",
"code" : "mcode-teleradiotherapy-treatment-phase"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"performedPeriod" : {
"start" : "2018-08-01",
"end" : "2018-09-30"
},
"asserter" : {
"reference" : "Practitioner/us-core-practitioner-kyle-anydoc"
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/tnm-clinical-stage-group-jenny-m",
"resource" : {
"resourceType" : "Observation",
"id" : "tnm-clinical-stage-group-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-stage-group"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 21908-9}\">Stage group.clinical Cancer</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-16</p><p><b>value</b>: <span title=\"Codes: {http://cancerstaging.org 2B}\">IIB</span></p><p><b>method</b>: <span title=\"Codes: {http://snomed.info/sct 897275008}\">American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)</span></p><p><b>hasMember</b>: </p><ul><li><a href=\"Observation-tnm-pathologic-primary-tumor-category-jenny-m.html\">Generated Summary: <span title=\"Codes: {http://loinc.org 21899-0}\">Primary tumor.pathology Cancer</span>; effective: 2018-04-01; <span title=\"Codes: {http://cancerstaging.org pT3}\">pT3</span>; <span title=\"Codes: {http://snomed.info/sct 897275008}\">American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)</span></a></li><li><a href=\"Observation-tnm-pathologic-regional-nodes-category-jenny-m.html\">Generated Summary: <span title=\"Codes: {http://loinc.org 21900-6}\">Regional lymph nodes.pathology [Class] Cancer</span>; effective: 2018-04-01; <span title=\"Codes: {http://cancerstaging.org pN0}\">pN0</span>; <span title=\"Codes: {http://snomed.info/sct 897275008}\">American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)</span></a></li><li><a href=\"Observation-tnm-pathologic-distant-metastases-category-jenny-m.html\">Generated Summary: <span title=\"Codes: {http://loinc.org 21901-4}\">Distant metastases.pathology [Class] Cancer</span>; effective: 2018-04-01; <span title=\"Codes: {http://cancerstaging.org pM0}\">pM0</span>; <span title=\"Codes: {http://snomed.info/sct 897275008}\">American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)</span></a></li></ul></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "21908-9",
"display" : "Stage group.clinical Cancer"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"effectiveDateTime" : "2018-03-16",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://cancerstaging.org",
"code" : "2B",
"display" : "IIB"
}
]
},
"method" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "897275008",
"display" : "American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)"
}
]
},
"hasMember" : [
{
"reference" : "Observation/tnm-pathologic-primary-tumor-category-jenny-m"
},
{
"reference" : "Observation/tnm-pathologic-regional-nodes-category-jenny-m"
},
{
"reference" : "Observation/tnm-pathologic-distant-metastases-category-jenny-m"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/tnm-clinical-primary-tumor-category-jenny-m",
"resource" : {
"resourceType" : "Observation",
"id" : "tnm-clinical-primary-tumor-category-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 21905-5}\">Primary tumor.clinical [Class] Cancer</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-16</p><p><b>value</b>: <span title=\"Codes: {http://cancerstaging.org cT3}\">cT3</span></p><p><b>method</b>: <span title=\"Codes: {http://snomed.info/sct 897275008}\">American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "21905-5",
"display" : "Primary tumor.clinical [Class] Cancer"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"effectiveDateTime" : "2018-03-16",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://cancerstaging.org",
"code" : "cT3"
}
]
},
"method" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "897275008",
"display" : "American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)"
}
]
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/tnm-clinical-regional-nodes-category-jenny-m",
"resource" : {
"resourceType" : "Observation",
"id" : "tnm-clinical-regional-nodes-category-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-regional-nodes-category"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 21906-3}\">Regional lymph nodes.clinical [Class] Cancer</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-16</p><p><b>value</b>: <span title=\"Codes: {http://cancerstaging.org cN0}\">cN0</span></p><p><b>method</b>: <span title=\"Codes: {http://snomed.info/sct 897275008}\">American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "21906-3",
"display" : "Regional lymph nodes.clinical [Class] Cancer"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"effectiveDateTime" : "2018-03-16",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://cancerstaging.org",
"code" : "cN0"
}
]
},
"method" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "897275008",
"display" : "American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)"
}
]
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/tnm-clinical-distant-metastases-category-jenny-m",
"resource" : {
"resourceType" : "Observation",
"id" : "tnm-clinical-distant-metastases-category-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 21907-1}\">Distant metastases.clinical [Class] Cancer</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-16</p><p><b>value</b>: <span title=\"Codes: {http://cancerstaging.org cM0}\">cM0</span></p><p><b>method</b>: <span title=\"Codes: {http://snomed.info/sct 897275008}\">American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "21907-1",
"display" : "Distant metastases.clinical [Class] Cancer"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"effectiveDateTime" : "2018-03-16",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://cancerstaging.org",
"code" : "cM0"
}
]
},
"method" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "897275008",
"display" : "American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)"
}
]
}
}
},
{
"fullUrl" : "http://example.org/fhir/Specimen/genetic-specimen-left-breast-jenny-m",
"resource" : {
"resourceType" : "Specimen",
"id" : "genetic-specimen-left-breast-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genetic-specimen"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: available</p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v2-0487 TISS}\">Tissue</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><h3>Collections</h3><table class=\"grid\"><tr><td>-</td><td><b>Collector</b></td><td><b>BodySite</b></td></tr><tr><td>*</td><td><a href=\"#Practitioner_us-core-practitioner-owen-oncologist\">See above (Practitioner/us-core-practitioner-owen-oncologist)</a></td><td><span title=\"Codes: {http://snomed.info/sct 80248007}\">Left breast structure (body structure)</span></td></tr></table><h3>Processings</h3><table class=\"grid\"><tr><td>-</td><td><b>Time[x]</b></td></tr><tr><td>*</td><td>2018-03-06</td></tr></table></div>"
},
"status" : "available",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0487",
"code" : "TISS"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"collection" : {
"collector" : {
"reference" : "Practitioner/us-core-practitioner-owen-oncologist"
},
"bodySite" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "80248007",
"display" : "Left breast structure (body structure)"
}
]
}
},
"processing" : [
{
"timeDateTime" : "2018-03-06"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/genomic-region-studied-jenny-m",
"resource" : {
"resourceType" : "Observation",
"id" : "genomic-region-studied-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-region-studied"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 53041-0}\">DNA region of interest panel</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-15</p><p><b>issued</b>: Mar 15, 2018 12:00:01 AM</p><h3>Components</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://loinc.org 48018-6}\">Gene studied [ID]</span></td><td><span title=\"Codes: {http://www.genenames.org 1100}, {http://www.genenames.org 1101}, {http://www.genenames.org 1748}, {http://www.genenames.org 26144}, {http://www.genenames.org 9588}, {http://www.genenames.org 11389}, {http://www.genenames.org 11998}\">BRCA1</span></td></tr></table></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "53041-0",
"display" : "DNA region of interest panel"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"effectiveDateTime" : "2018-03-15",
"issued" : "2018-03-15T00:00:01+00:00",
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48018-6",
"display" : "Gene studied [ID]"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://www.genenames.org",
"code" : "1100",
"display" : "BRCA1"
},
{
"system" : "http://www.genenames.org",
"code" : "1101",
"display" : "BRCA2"
},
{
"system" : "http://www.genenames.org",
"code" : "1748",
"display" : "CDH1"
},
{
"system" : "http://www.genenames.org",
"code" : "26144",
"display" : "PALB2"
},
{
"system" : "http://www.genenames.org",
"code" : "9588",
"display" : "PTEN"
},
{
"system" : "http://www.genenames.org",
"code" : "11389",
"display" : "STK11"
},
{
"system" : "http://www.genenames.org",
"code" : "11998",
"display" : "TP53"
}
]
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/ecog-performance-status-jenny-m",
"resource" : {
"resourceType" : "Observation",
"id" : "ecog-performance-status-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-ecog-performance-status"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 89247-1}\">ECOG Performance Status score</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-04-12</p><p><b>performer</b>: <a href=\"#Practitioner_us-core-practitioner-owen-oncologist\">See above (Practitioner/us-core-practitioner-owen-oncologist)</a></p><p><b>value</b>: 0</p><p><b>interpretation</b>: <span title=\"Codes: {http://loinc.org LA9622-7}\">Fully active, able to carry on all pre-disease performance without restriction</span></p><p><b>method</b>: <span title=\"Codes: {http://snomed.info/sct 5880005}\">Physical examination procedure (procedure)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "89247-1"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"effectiveDateTime" : "2018-04-12",
"performer" : [
{
"reference" : "Practitioner/us-core-practitioner-owen-oncologist"
}
],
"valueInteger" : 0,
"interpretation" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA9622-7",
"display" : "Fully active, able to carry on all pre-disease performance without restriction"
}
]
}
],
"method" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "5880005",
"display" : "Physical examination procedure (procedure)"
}
]
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/tumor-marker-test-er-jenny-m",
"resource" : {
"resourceType" : "Observation",
"id" : "tumor-marker-test-er-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 85337-4}\">Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stain</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-10</p><p><b>performer</b>: <a href=\"#Practitioner_us-core-practitioner-owen-oncologist\">See above (Practitioner/us-core-practitioner-owen-oncologist)</a></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA6576-8}\">Positive</span></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "85337-4",
"display" : "Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stain"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"effectiveDateTime" : "2018-03-10",
"performer" : [
{
"reference" : "Practitioner/us-core-practitioner-owen-oncologist"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6576-8",
"display" : "Positive"
}
]
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/tumor-marker-test-pr-jenny-m",
"resource" : {
"resourceType" : "Observation",
"id" : "tumor-marker-test-pr-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 85339-0}\">Progesterone receptor Ag [Presence] in Breast cancer specimen by Immune stain</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-10</p><p><b>performer</b>: <a href=\"#Practitioner_us-core-practitioner-owen-oncologist\">See above (Practitioner/us-core-practitioner-owen-oncologist)</a></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA6577-6}\">Negative</span></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "85339-0",
"display" : "Progesterone receptor Ag [Presence] in Breast cancer specimen by Immune stain"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"effectiveDateTime" : "2018-03-10",
"performer" : [
{
"reference" : "Practitioner/us-core-practitioner-owen-oncologist"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6577-6",
"display" : "Negative"
}
]
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/tumor-marker-test-her2-jenny-m",
"resource" : {
"resourceType" : "Observation",
"id" : "tumor-marker-test-her2-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 48676-1}\">HER2 [Interpretation] in Tissue</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-10</p><p><b>performer</b>: <a href=\"#Practitioner_us-core-practitioner-owen-oncologist\">See above (Practitioner/us-core-practitioner-owen-oncologist)</a></p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA6577-6}\">Negative</span></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48676-1",
"display" : "HER2 [Interpretation] in Tissue"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"effectiveDateTime" : "2018-03-10",
"performer" : [
{
"reference" : "Practitioner/us-core-practitioner-owen-oncologist"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6577-6",
"display" : "Negative"
}
]
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/tumor-marker-test-oncotype-dx-jenny-m",
"resource" : {
"resourceType" : "Observation",
"id" : "tumor-marker-test-oncotype-dx-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/us/mcode/CodeSystem/mcode-catch-code-cs TMT-OTHER}, {http://www.ncbi.nlm.nih.gov/gtr 509910}\">Oncotype DX Breast Recurrence Score Assay</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-04-12</p><p><b>performer</b>: <a href=\"Organization-us-core-organization-bedrock-medicine.html\">Generated Summary: id: 1265710000; active; name: Bedrock Medicine</a></p><p><b>value</b>: 47 Recurrence score</p><p><b>interpretation</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}\">High</span></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/mcode/CodeSystem/mcode-catch-code-cs",
"code" : "TMT-OTHER",
"display" : "Other Tumor Marker Test, Specify"
},
{
"system" : "http://www.ncbi.nlm.nih.gov/gtr",
"code" : "509910",
"display" : "Oncotype DX Breast Recurrence Score Assay"
}
],
"text" : "Oncotype DX Breast Recurrence Score Assay"
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"effectiveDateTime" : "2018-04-12",
"performer" : [
{
"reference" : "Organization/us-core-organization-bedrock-medicine"
}
],
"valueQuantity" : {
"value" : 47,
"unit" : "Recurrence score",
"system" : "http://unitsofmeasure.org",
"code" : "{ScoreOf}"
},
"interpretation" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code" : "H",
"display" : "High"
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/MedicationRequest/cancer-related-medication-request-doxorubicin-jenny-m",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "cancer-related-medication-request-doxorubicin-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>Treatment Intent</b>: <span title=\"Codes: {http://snomed.info/sct 373808002}\">Curative - procedure intent (qualifier value)</span></p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/medicationrequest-category outpatient}\">Outpatient</span></p><p><b>medication</b>: <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 3639}\">DOXOrubicin</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>authoredOn</b>: 2018-04-12</p><p><b>requester</b>: <a href=\"#Practitioner_us-core-practitioner-owen-oncologist\">See above (Practitioner/us-core-practitioner-owen-oncologist)</a></p><p><b>reasonReference</b>: <a href=\"Condition-primary-cancer-condition-jenny-m.html\">Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical remission}\">Remission</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span>; <span title=\"Codes: {http://snomed.info/sct 353431000119107}\">Primary malignant neoplasm of female left breast (disorder)</span>; onset: 2018-03-16</a></p><h3>DosageInstructions</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-intent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "373808002",
"display" : "Curative - procedure intent (qualifier value)"
}
]
}
}
],
"status" : "active",
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code" : "outpatient"
}
]
}
],
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "3639",
"display" : "DOXOrubicin"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"authoredOn" : "2018-04-12",
"requester" : {
"reference" : "Practitioner/us-core-practitioner-owen-oncologist"
},
"reasonReference" : [
{
"reference" : "Condition/primary-cancer-condition-jenny-m"
}
],
"dosageInstruction" : [
{
"text" : "doxorubicin (60 mg/m² IV)",
"timing" : {
"repeat" : {
"boundsPeriod" : {
"start" : "2018-04-01"
}
}
},
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "47625008",
"display" : "Intravenous route (qualifier value)"
}
]
},
"doseAndRate" : [
{
"rateQuantity" : {
"value" : 60,
"unit" : "mg/m2",
"system" : "http://unitsofmeasure.org",
"code" : "mg/m2"
}
}
],
"maxDosePerPeriod" : {
"numerator" : {
"value" : 1
},
"denominator" : {
"value" : 3,
"unit" : "week",
"system" : "http://unitsofmeasure.org",
"code" : "wk"
}
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/MedicationRequest/cancer-related-medication-request-cyclophosphamide-jenny-m",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "cancer-related-medication-request-cyclophosphamide-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>Treatment Intent</b>: <span title=\"Codes: {http://snomed.info/sct 373808002}\">Curative - procedure intent (qualifier value)</span></p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/medicationrequest-category outpatient}\">Outpatient</span></p><p><b>medication</b>: <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 3002}\">cyclophosphamide</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>authoredOn</b>: 2018-04-12</p><p><b>requester</b>: <a href=\"#Practitioner_us-core-practitioner-owen-oncologist\">See above (Practitioner/us-core-practitioner-owen-oncologist)</a></p><p><b>reasonReference</b>: <a href=\"Condition-primary-cancer-condition-jenny-m.html\">Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical remission}\">Remission</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span>; <span title=\"Codes: {http://snomed.info/sct 353431000119107}\">Primary malignant neoplasm of female left breast (disorder)</span>; onset: 2018-03-16</a></p><h3>DosageInstructions</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-intent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "373808002",
"display" : "Curative - procedure intent (qualifier value)"
}
]
}
}
],
"status" : "active",
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code" : "outpatient"
}
]
}
],
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "3002",
"display" : "cyclophosphamide"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"authoredOn" : "2018-04-12",
"requester" : {
"reference" : "Practitioner/us-core-practitioner-owen-oncologist"
},
"reasonReference" : [
{
"reference" : "Condition/primary-cancer-condition-jenny-m"
}
],
"dosageInstruction" : [
{
"text" : "cyclophosphamide (600 mg/m² IV), 932.59mg",
"timing" : {
"repeat" : {
"boundsPeriod" : {
"start" : "2018-04-01"
}
}
},
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "47625008",
"display" : "Intravenous route (qualifier value)"
}
]
},
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 932.59,
"unit" : "mg",
"system" : "http://unitsofmeasure.org",
"code" : "mg"
}
}
],
"maxDosePerPeriod" : {
"numerator" : {
"value" : 1
},
"denominator" : {
"value" : 3,
"unit" : "week",
"system" : "http://unitsofmeasure.org",
"code" : "wk"
}
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/MedicationRequest/cancer-related-medication-request-paclitaxel-jenny-m",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "cancer-related-medication-request-paclitaxel-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>Treatment Intent</b>: <span title=\"Codes: {http://snomed.info/sct 373808002}\">Curative - procedure intent (qualifier value)</span></p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/medicationrequest-category outpatient}\">Outpatient</span></p><p><b>medication</b>: <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 56946}\">PACLitaxel</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>authoredOn</b>: 2018-04-12</p><p><b>requester</b>: <a href=\"#Practitioner_us-core-practitioner-owen-oncologist\">See above (Practitioner/us-core-practitioner-owen-oncologist)</a></p><p><b>reasonReference</b>: <a href=\"Condition-primary-cancer-condition-jenny-m.html\">Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical remission}\">Remission</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span>; <span title=\"Codes: {http://snomed.info/sct 353431000119107}\">Primary malignant neoplasm of female left breast (disorder)</span>; onset: 2018-03-16</a></p><h3>DosageInstructions</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-intent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "373808002",
"display" : "Curative - procedure intent (qualifier value)"
}
]
}
}
],
"status" : "active",
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code" : "outpatient"
}
]
}
],
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "56946",
"display" : "PACLitaxel"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"authoredOn" : "2018-04-12",
"requester" : {
"reference" : "Practitioner/us-core-practitioner-owen-oncologist"
},
"reasonReference" : [
{
"reference" : "Condition/primary-cancer-condition-jenny-m"
}
],
"dosageInstruction" : [
{
"text" : "doxorubicin (175 mg/m² IV), 272.01mg",
"timing" : {
"repeat" : {
"boundsPeriod" : {
"start" : "2018-04-12"
}
}
},
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "47625008",
"display" : "Intravenous route (qualifier value)"
}
]
},
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 272.01,
"unit" : "mg",
"system" : "http://unitsofmeasure.org",
"code" : "mg"
}
}
],
"maxDosePerPeriod" : {
"numerator" : {
"value" : 1
},
"denominator" : {
"value" : 3,
"unit" : "week",
"system" : "http://unitsofmeasure.org",
"code" : "wk"
}
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/MedicationRequest/cancer-related-medication-request-anastrozole-jenny-m",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "cancer-related-medication-request-anastrozole-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>Treatment Intent</b>: <span title=\"Codes: {http://snomed.info/sct 373808002}\">Curative - procedure intent (qualifier value)</span></p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/medicationrequest-category community}\">Community</span></p><p><b>medication</b>: <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 84857}\">anastrozole</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>authoredOn</b>: 2018-09-30</p><p><b>requester</b>: <a href=\"#Practitioner_us-core-practitioner-owen-oncologist\">See above (Practitioner/us-core-practitioner-owen-oncologist)</a></p><p><b>reasonReference</b>: <a href=\"Condition-primary-cancer-condition-jenny-m.html\">Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical remission}\">Remission</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span>; <span title=\"Codes: {http://snomed.info/sct 353431000119107}\">Primary malignant neoplasm of female left breast (disorder)</span>; onset: 2018-03-16</a></p><h3>DosageInstructions</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-intent",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "373808002",
"display" : "Curative - procedure intent (qualifier value)"
}
]
}
}
],
"status" : "active",
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code" : "community"
}
]
}
],
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "84857",
"display" : "anastrozole"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"authoredOn" : "2018-09-30",
"requester" : {
"reference" : "Practitioner/us-core-practitioner-owen-oncologist"
},
"reasonReference" : [
{
"reference" : "Condition/primary-cancer-condition-jenny-m"
}
],
"dosageInstruction" : [
{
"text" : "1mg orally once daily",
"timing" : {
"repeat" : {
"boundsPeriod" : {
"start" : "2018-09-30"
}
}
},
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "26643006",
"display" : "Oral route (qualifier value)"
}
]
},
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 1,
"unit" : "mg",
"system" : "http://unitsofmeasure.org",
"code" : "mg"
}
}
],
"maxDosePerPeriod" : {
"numerator" : {
"value" : 1
},
"denominator" : {
"value" : 1,
"unit" : "day",
"system" : "http://unitsofmeasure.org",
"code" : "d"
}
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/cancer-related-mcode-comorbidities-elixhauser-jenny-m",
"resource" : {
"resourceType" : "Observation",
"id" : "cancer-related-mcode-comorbidities-elixhauser-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities-elixhauser"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 78923-0}\">Comorbid condition panel</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-16</p><p><b>performer</b>: <a href=\"#Practitioner_us-core-practitioner-owen-oncologist\">See above (Practitioner/us-core-practitioner-owen-oncologist)</a></p><blockquote><p><b>component</b></p><p><b>Specific Condition Reference for Comorbidity</b>: <a href=\"Condition-us-core-condition-depression-jenny-m.html\">Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span>; <span title=\"Codes: {http://snomed.info/sct 35489007}\">Depressive disorder (disorder)</span>; onset: 2005-01-01</a></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser DEPRESS}\">Depression Elixhauser category</span></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 52101004}\">Present (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Specific Condition Reference for Comorbidity</b>: <a href=\"Condition-us-core-condition-hypertension-jenny-m.html\">Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span>; <span title=\"Codes: {http://snomed.info/sct 77970009}\">Benign hypertensive heart disease without congestive heart failure (disorder)</span>; onset: 2012-01-01</a></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser HTN_CX}\">Hypertension, complicated Elixhauser category</span></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 52101004}\">Present (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser ARTH}\">Arthropathies Elixhauser category</span></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 2667000}\">Absent (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser CHF}\">Congestive heart failure Elixhauser category</span></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 2667000}\">Absent (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser LUNG_CHRONIC}\">Chronic pulmonary disease Elixhauser category</span></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 2667000}\">Absent (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser DIAB_CX}\">Diabetes with chronic complications Elixhauser category</span></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 2667000}\">Absent (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser DIAB_UNCX}\">Diabetes without chronic complications Elixhauser category</span></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 2667000}\">Absent (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser OBESE}\">Obesity Elixhauser category</span></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 2667000}\">Absent (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser PERIVASC}\">Peripheral vascular disease Elixhauser category</span></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 2667000}\">Absent (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser PULMCIRC}\">Pulmonary circulation disease Elixhauser category</span></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 2667000}\">Absent (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser RENLFL_MOD}\">Renal failure, moderate Elixhauser category</span></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 2667000}\">Absent (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser DRUG_ABUSE}\">Drug abuse Elixhauser category</span></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 261665006}\">Unknown (qualifier value)</span></p></blockquote></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "78923-0",
"display" : "Comorbid condition panel"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"effectiveDateTime" : "2018-03-16",
"performer" : [
{
"reference" : "Practitioner/us-core-practitioner-owen-oncologist"
}
],
"component" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference",
"valueReference" : {
"reference" : "Condition/us-core-condition-depression-jenny-m"
}
}
],
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser",
"code" : "DEPRESS"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "52101004",
"display" : "Present (qualifier value)"
}
]
}
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference",
"valueReference" : {
"reference" : "Condition/us-core-condition-hypertension-jenny-m"
}
}
],
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser",
"code" : "HTN_CX"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "52101004",
"display" : "Present (qualifier value)"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser",
"code" : "ARTH"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "2667000",
"display" : "Absent (qualifier value)"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser",
"code" : "CHF"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "2667000",
"display" : "Absent (qualifier value)"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser",
"code" : "LUNG_CHRONIC"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "2667000",
"display" : "Absent (qualifier value)"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser",
"code" : "DIAB_CX"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "2667000",
"display" : "Absent (qualifier value)"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser",
"code" : "DIAB_UNCX"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "2667000",
"display" : "Absent (qualifier value)"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser",
"code" : "OBESE"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "2667000",
"display" : "Absent (qualifier value)"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser",
"code" : "PERIVASC"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "2667000",
"display" : "Absent (qualifier value)"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser",
"code" : "PULMCIRC"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "2667000",
"display" : "Absent (qualifier value)"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser",
"code" : "RENLFL_MOD"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "2667000",
"display" : "Absent (qualifier value)"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser",
"code" : "DRUG_ABUSE"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "261665006",
"display" : "Unknown (qualifier value)"
}
]
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/bodyweight-jenny-m-2018-03-16",
"resource" : {
"resourceType" : "Observation",
"id" : "bodyweight-jenny-m-2018-03-16",
"meta" : {
"profile" : [
"http://hl7.org/fhir/StructureDefinition/bodyweight"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 29463-7}\">Body weight</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-06</p><p><b>value</b>: 155 lb</p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29463-7"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"effectiveDateTime" : "2018-03-06",
"valueQuantity" : {
"value" : 155,
"unit" : "lb",
"system" : "http://unitsofmeasure.org",
"code" : "[lb_av]"
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/us-core-observation-lab-neutrophils-jenny-m",
"resource" : {
"resourceType" : "Observation",
"id" : "us-core-observation-lab-neutrophils-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 26499-4}\">Neutrophils [#/volume] in Blood</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: May 20, 2018 12:00:00 AM</p><p><b>value</b>: 3000 10*3/uL</p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td><td><b>AppliesTo</b></td></tr><tr><td>*</td><td>2500 10*3/uL</td><td>5000 10*3/uL</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/referencerange-meaning normal}\">Normal Range</span></td></tr></table></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "26499-4",
"display" : "Neutrophils [#/volume] in Blood"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"effectiveDateTime" : "2018-05-20T00:00:00Z",
"valueQuantity" : {
"value" : 3000,
"unit" : "10*3/uL",
"system" : "http://unitsofmeasure.org",
"code" : "10*3/uL"
},
"referenceRange" : [
{
"low" : {
"value" : 2500,
"unit" : "10*3/uL",
"system" : "http://unitsofmeasure.org",
"code" : "10*3/uL"
},
"high" : {
"value" : 5000,
"unit" : "10*3/uL",
"system" : "http://unitsofmeasure.org",
"code" : "10*3/uL"
},
"appliesTo" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
"code" : "normal",
"display" : "Normal Range"
}
]
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Organization/us-core-organization-physician-services-inc",
"resource" : {
"resourceType" : "Organization",
"id" : "us-core-organization-physician-services-inc",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: Physician Services, Inc.</p><p><b>telecom</b>: ph: 999-999-9999(WORK)</p><p><b>address</b>: 123 Corporate Drive Anytown MA 12345 US </p></div>"
},
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov",
"display" : "Healthcare Provider"
}
]
}
],
"name" : "Physician Services, Inc.",
"telecom" : [
{
"system" : "phone",
"value" : "999-999-9999",
"use" : "work"
}
],
"address" : [
{
"line" : [
"123 Corporate Drive"
],
"city" : "Anytown",
"state" : "MA",
"postalCode" : "12345",
"country" : "US"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/us-core-smokingstatus-jenny-m",
"resource" : {
"resourceType" : "Observation",
"id" : "us-core-smokingstatus-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 72166-2}\">Tobacco smoking status</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>issued</b>: Mar 16, 2018 12:00:00 AM</p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 449868002}\">Smokes tobacco daily (finding)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "72166-2",
"display" : "Tobacco smoking status"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"issued" : "2018-03-16T00:00:00Z",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "449868002",
"display" : "Smokes tobacco daily (finding)"
}
]
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/us-core-procedure-biopsy-jenny-m",
"resource" : {
"resourceType" : "Procedure",
"id" : "us-core-procedure-biopsy-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 723990008}\">Biopsy of breast using ultrasonographic guidance (procedure)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>performed</b>: 2018-03-06</p><p><b>asserter</b>: <a href=\"Practitioner-us-core-practitioner-mary-obgyn.html\">Generated Summary: id: 234512367; Mary Obgyn ; gender: female</a></p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href=\"Practitioner-us-core-practitioner-mary-obgyn.html\">Generated Summary: id: 234512367; Mary Obgyn ; gender: female</a></td></tr></table><p><b>reasonReference</b>: <a href=\"Condition-primary-cancer-condition-jenny-m.html\">Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical remission}\">Remission</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span>; <span title=\"Codes: {http://snomed.info/sct 353431000119107}\">Primary malignant neoplasm of female left breast (disorder)</span>; onset: 2018-03-16</a></p><p><b>bodySite</b>: <span title=\"Codes: {http://snomed.info/sct 80248007}\">Left breast structure (body structure)</span></p></div>"
},
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "723990008",
"display" : "Biopsy of breast using ultrasonographic guidance (procedure)"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"performedDateTime" : "2018-03-06",
"asserter" : {
"reference" : "Practitioner/us-core-practitioner-mary-obgyn"
},
"performer" : [
{
"actor" : {
"reference" : "Practitioner/us-core-practitioner-mary-obgyn"
}
}
],
"reasonReference" : [
{
"reference" : "Condition/primary-cancer-condition-jenny-m"
}
],
"bodySite" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "80248007",
"display" : "Left breast structure (body structure)"
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/us-core-procedure-mammogram-jenny-m",
"resource" : {
"resourceType" : "Procedure",
"id" : "us-core-procedure-mammogram-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 71651007}\">Mammography (procedure)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>performed</b>: 2018-02-01</p><p><b>asserter</b>: <a href=\"Practitioner-us-core-practitioner-mary-obgyn.html\">Generated Summary: id: 234512367; Mary Obgyn ; gender: female</a></p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href=\"Practitioner-us-core-practitioner-jane-radiotech.html\">Generated Summary: id: 234512367; Jane Radiologist ; gender: female</a></td></tr></table></div>"
},
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "71651007",
"display" : "Mammography (procedure)"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"performedDateTime" : "2018-02-01",
"asserter" : {
"reference" : "Practitioner/us-core-practitioner-mary-obgyn"
},
"performer" : [
{
"actor" : {
"reference" : "Practitioner/us-core-practitioner-jane-radiotech"
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/FamilyMemberHistory/family-member-history-aunt-jenny-m",
"resource" : {
"resourceType" : "FamilyMemberHistory",
"id" : "family-member-history-aunt-jenny-m",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><p><b>patient</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>relationship</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-RoleCode MAUNT}\">maternal aunt</span></p><h3>Conditions</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Onset[x]</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://snomed.info/sct 363443007}\">Malignant tumor of ovary (disorder)</span></td><td>69 a</td></tr></table></div>"
},
"status" : "completed",
"patient" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"relationship" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "MAUNT",
"display" : "maternal aunt"
}
]
},
"condition" : [
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "363443007",
"display" : "Malignant tumor of ovary (disorder)"
}
]
},
"onsetAge" : {
"value" : 69,
"system" : "http://unitsofmeasure.org",
"code" : "a"
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Procedure/us-core-procedure-mammogram-jenny-m",
"resource" : {
"resourceType" : "Procedure",
"id" : "us-core-procedure-mammogram-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 71651007}\">Mammography (procedure)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>performed</b>: 2018-02-01</p><p><b>asserter</b>: <a href=\"Practitioner-us-core-practitioner-mary-obgyn.html\">Generated Summary: id: 234512367; Mary Obgyn ; gender: female</a></p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href=\"Practitioner-us-core-practitioner-jane-radiotech.html\">Generated Summary: id: 234512367; Jane Radiologist ; gender: female</a></td></tr></table></div>"
},
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "71651007",
"display" : "Mammography (procedure)"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"performedDateTime" : "2018-02-01",
"asserter" : {
"reference" : "Practitioner/us-core-practitioner-mary-obgyn"
},
"performer" : [
{
"actor" : {
"reference" : "Practitioner/us-core-practitioner-jane-radiotech"
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/FamilyMemberHistory/family-member-history-uncle-jenny-m",
"resource" : {
"resourceType" : "FamilyMemberHistory",
"id" : "family-member-history-uncle-jenny-m",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><p><b>patient</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>relationship</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-RoleCode PUNCLE}\">paternal uncle</span></p><p><b>deceased</b>: true</p><h3>Conditions</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>ContributedToDeath</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://snomed.info/sct 363418001}\">Malignant tumor of pancreas (disorder)</span></td><td>true</td></tr></table></div>"
},
"status" : "completed",
"patient" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"relationship" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "PUNCLE",
"display" : "paternal uncle"
}
]
},
"deceasedBoolean" : true,
"condition" : [
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "363418001",
"display" : "Malignant tumor of pancreas (disorder)"
}
]
},
"contributedToDeath" : true
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/DiagnosticReport/us-core-diagnosticreport-lab-jenny-m",
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "us-core-diagnosticreport-lab-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: final</p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v2-0074 LAB}\">Laboratory</span>, <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v2-0074 SP}\">Surgical Pathology</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 22637-3}\">Pathology report final diagnosis Narrative</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: Apr 1, 2018 12:00:00 AM</p><p><b>issued</b>: Apr 5, 2018 12:00:00 AM</p><p><b>performer</b>: <a href=\"#Organization_us-core-organization-physician-services-inc\">See above (Organization/us-core-organization-physician-services-inc)</a></p><p><b>resultsInterpreter</b>: <a href=\"#Practitioner_us-core-practitioner-peter-pathologist\">See above (Practitioner/us-core-practitioner-peter-pathologist)</a></p><p><b>specimen</b>: <a href=\"Specimen-tumor-specimen-left-breast-jenny-m.html\">Generated Summary: BodyStructure: Tumor 1234 (USUAL); status: available; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v2-0487 TUMOR}\">Tumor</span>; receivedTime: 2018-04-01</a></p><p><b>result</b>: </p><ul><li><a href=\"#Observation_us-core-observation-lab-tumor-invasion-jenny-m\">See above (Observation/us-core-observation-lab-tumor-invasion-jenny-m)</a></li><li><a href=\"#Observation_us-core-observation-lab-tumor-margins-jenny-m\">See above (Observation/us-core-observation-lab-tumor-margins-jenny-m)</a></li><li><a href=\"#Observation_us-core-observation-lab-sentinel-nodes-jenny-m\">See above (Observation/us-core-observation-lab-sentinel-nodes-jenny-m)</a></li><li><a href=\"#Observation_tumor-size-jenny-m\">See above (Observation/tumor-size-jenny-m)</a></li><li><a href=\"#Observation_us-core-observation-lab-tumor-dcis-jenny-m\">See above (Observation/us-core-observation-lab-tumor-dcis-jenny-m)</a></li><li><a href=\"#Observation_tumor-marker-test-her2-jenny-m\">See above (Observation/tumor-marker-test-her2-jenny-m)</a></li></ul></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
"code" : "LAB"
}
]
},
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
"code" : "SP",
"display" : "Surgical Pathology"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "22637-3",
"display" : "Pathology report final diagnosis Narrative"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"effectiveDateTime" : "2018-04-01T00:00:00Z",
"issued" : "2018-04-05T00:00:00Z",
"performer" : [
{
"reference" : "Organization/us-core-organization-physician-services-inc"
}
],
"resultsInterpreter" : [
{
"reference" : "Practitioner/us-core-practitioner-peter-pathologist"
}
],
"specimen" : [
{
"reference" : "Specimen/tumor-specimen-left-breast-jenny-m"
}
],
"result" : [
{
"reference" : "Observation/us-core-observation-lab-tumor-invasion-jenny-m"
},
{
"reference" : "Observation/us-core-observation-lab-tumor-margins-jenny-m"
},
{
"reference" : "Observation/us-core-observation-lab-sentinel-nodes-jenny-m"
},
{
"reference" : "Observation/tumor-size-jenny-m"
},
{
"reference" : "Observation/us-core-observation-lab-tumor-dcis-jenny-m"
},
{
"reference" : "Observation/tumor-marker-test-her2-jenny-m"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/us-core-diagnosticreport-lab-jenny-m",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-smoking-history-jenny-m",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category social-history}\">Social History</span></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 401201003}\">Cigarette pack-years (observable entity)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-16</p><p><b>value</b>: 20 Pack-Years</p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "social-history",
"display" : "Social History"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "401201003",
"display" : "Cigarette pack-years (observable entity)"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"effectiveDateTime" : "2018-03-16",
"valueQuantity" : {
"value" : 20,
"unit" : "Pack-Years",
"system" : "http://unitsofmeasure.org",
"code" : "{PackYears}"
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/us-core-observation-lab-tumor-invasion-jenny-m",
"resource" : {
"resourceType" : "Observation",
"id" : "us-core-observation-lab-tumor-invasion-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes: {http://snomed.info/sct 370052007}\">Status of invasion by tumor (observable entity)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: Apr 1, 2018 12:00:00 AM</p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 260385009}\">Negative (qualifier value)</span></p><p><b>specimen</b>: <a href=\"Specimen-tumor-specimen-left-breast-jenny-m.html\">Generated Summary: BodyStructure: Tumor 1234 (USUAL); status: available; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v2-0487 TUMOR}\">Tumor</span>; receivedTime: 2018-04-01</a></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "370052007",
"display" : "Status of invasion by tumor (observable entity)"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"effectiveDateTime" : "2018-04-01T00:00:00Z",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "260385009",
"display" : "Negative (qualifier value)"
}
]
},
"specimen" : {
"reference" : "Specimen/tumor-specimen-left-breast-jenny-m"
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/us-core-observation-lab-tumor-margins-jenny-m",
"resource" : {
"resourceType" : "Observation",
"id" : "us-core-observation-lab-tumor-margins-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 44669-0}\">Margin involvement in Breast tumor</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: Apr 1, 2018 12:00:00 AM</p><p><b>value</b>: <span title=\"Codes: {http://loinc.org LA27151-2}\">Uninvolved by invasive carcinoma</span></p><p><b>specimen</b>: <a href=\"Specimen-tumor-specimen-left-breast-jenny-m.html\">Generated Summary: BodyStructure: Tumor 1234 (USUAL); status: available; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v2-0487 TUMOR}\">Tumor</span>; receivedTime: 2018-04-01</a></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "44669-0",
"display" : "Margin involvement in Breast tumor"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"effectiveDateTime" : "2018-04-01T00:00:00Z",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA27151-2",
"display" : "Uninvolved by invasive carcinoma"
}
]
},
"specimen" : {
"reference" : "Specimen/tumor-specimen-left-breast-jenny-m"
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/us-core-observation-lab-sentinel-nodes-jenny-m",
"resource" : {
"resourceType" : "Observation",
"id" : "us-core-observation-lab-sentinel-nodes-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 92832-5}\">Sentinel lymph nodes with metastasis [#] in Cancer specimen</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: Apr 1, 2018 12:00:00 AM</p><p><b>specimen</b>: <a href=\"Specimen-tumor-specimen-left-breast-jenny-m.html\">Generated Summary: BodyStructure: Tumor 1234 (USUAL); status: available; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v2-0487 TUMOR}\">Tumor</span>; receivedTime: 2018-04-01</a></p><h3>Components</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://loinc.org 92833-3}\">Lymph nodes examined [#] in Cancer specimen by Light microscopy</span></td><td>3 Count</td></tr></table></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "92832-5",
"display" : "Sentinel lymph nodes with metastasis [#] in Cancer specimen"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"effectiveDateTime" : "2018-04-01T00:00:00Z",
"specimen" : {
"reference" : "Specimen/tumor-specimen-left-breast-jenny-m"
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "92833-3",
"display" : "Lymph nodes examined [#] in Cancer specimen by Light microscopy"
}
]
},
"valueQuantity" : {
"value" : 3,
"unit" : "Count",
"system" : "http://unitsofmeasure.org",
"code" : "{Count}"
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/tumor-size-jenny-m",
"resource" : {
"resourceType" : "Observation",
"id" : "tumor-size-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-size"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 21889-1}\">Size Tumor</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: Apr 1, 2018 12:00:00 AM</p><p><b>method</b>: <span title=\"Codes: {http://loinc.org 24419-4}\">Pathology report gross observation</span></p><p><b>specimen</b>: <a href=\"Specimen-tumor-specimen-left-breast-jenny-m.html\">Generated Summary: BodyStructure: Tumor 1234 (USUAL); status: available; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v2-0487 TUMOR}\">Tumor</span>; receivedTime: 2018-04-01</a></p><h3>Components</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://loinc.org 33728-7}\">Size.maximum dimension in Tumor</span></td><td>2.5 centimeters</td></tr></table></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "21889-1",
"display" : "Size Tumor"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"effectiveDateTime" : "2018-04-01T00:00:00Z",
"method" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "24419-4",
"display" : "Pathology report gross observation"
}
]
},
"specimen" : {
"reference" : "Specimen/tumor-specimen-left-breast-jenny-m"
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "33728-7",
"display" : "Size.maximum dimension in Tumor"
}
]
},
"valueQuantity" : {
"value" : 2.5,
"unit" : "centimeters",
"system" : "http://unitsofmeasure.org",
"code" : "cm"
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/us-core-observation-lab-tumor-dcis-jenny-m",
"resource" : {
"resourceType" : "Observation",
"id" : "us-core-observation-lab-tumor-dcis-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 29308-4}\">Diagnosis</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: Apr 1, 2018 12:00:00 AM</p><p><b>value</b>: <span title=\"Codes: {http://loinc.org 85336-6}\">DCIS intraductal extension in Breast cancer specimen Qualitative by Light microscopy</span></p><p><b>specimen</b>: <a href=\"Specimen-tumor-specimen-left-breast-jenny-m.html\">Generated Summary: BodyStructure: Tumor 1234 (USUAL); status: available; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v2-0487 TUMOR}\">Tumor</span>; receivedTime: 2018-04-01</a></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29308-4",
"display" : "Diagnosis"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"effectiveDateTime" : "2018-04-01T00:00:00Z",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "85336-6",
"display" : "DCIS intraductal extension in Breast cancer specimen Qualitative by Light microscopy"
}
]
},
"specimen" : {
"reference" : "Specimen/tumor-specimen-left-breast-jenny-m"
}
}
},
{
"fullUrl" : "http://example.org/fhir/Pracititioner/us-core-practitioner-owen-oncologist",
"resource" : {
"resourceType" : "Practitioner",
"id" : "us-core-practitioner-owen-oncologist",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 9988776655</p><p><b>name</b>: Owen Oncologist </p><p><b>address</b>: 123 Corporate Drive Anytown MA 12345 US (WORK)</p><p><b>gender</b>: male</p><h3>Qualifications</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v2-0360 MD}\">Doctor of Medicine</span></td></tr></table></div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "9988776655"
}
],
"name" : [
{
"family" : "Oncologist",
"given" : [
"Owen"
],
"prefix" : [
"Dr."
]
}
],
"address" : [
{
"use" : "work",
"line" : [
"123 Corporate Drive"
],
"city" : "Anytown",
"state" : "MA",
"postalCode" : "12345",
"country" : "US"
}
],
"gender" : "male",
"qualification" : [
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0360",
"version" : "2.7",
"code" : "MD"
}
]
}
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Pracititioner/us-core-practitioner-peter-pathologist",
"resource" : {
"resourceType" : "Practitioner",
"id" : "us-core-practitioner-peter-pathologist",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 1122334455</p><p><b>name</b>: Peter Pathologist </p><p><b>address</b>: 123 Corporate Drive Anytown MA 12345 US (WORK)</p><p><b>gender</b>: female</p><h3>Qualifications</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td></tr><tr><td>*</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v2-0360 MD}\">Doctor of Medicine</span></td></tr></table></div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "1122334455"
}
],
"name" : [
{
"family" : "Pathologist",
"given" : [
"Peter"
],
"prefix" : [
"Dr."
]
}
],
"address" : [
{
"use" : "work",
"line" : [
"123 Corporate Drive"
],
"city" : "Anytown",
"state" : "MA",
"postalCode" : "12345",
"country" : "US"
}
],
"gender" : "female",
"qualification" : [
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0360",
"version" : "2.7",
"code" : "MD"
}
]
}
}
]
}
}
]
}
IG © 2019+ HL7 International Clinical Interoperability Council. Package hl7.fhir.us.mcode#1.16.0 based on FHIR 4.0.1. Generated 2021-04-15
Links: Table of Contents |
QA Report
| Version History |
Search |
|
Propose a change