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 
@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Bundle;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "mcode-patient-bundle-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-patient-bundle";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-patient-bundle> ]
];
fhir:Bundle.type [ fhir:value "collection"];
fhir:Bundle.entry [
fhir:index 0;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/cancer-disease-status-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/cancer-disease-status-jenny-m>
], [
fhir:index 1;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/cancer-genetic-variant-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/cancer-genetic-variant-jenny-m>
], [
fhir:index 2;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/DiagnosticReport/cancer-genomics-report-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/DiagnosticReport/cancer-genomics-report-jenny-m>
], [
fhir:index 3;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Procedure/cancer-related-surgical-procedure-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Procedure/cancer-related-surgical-procedure-jenny-m>
], [
fhir:index 4;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Procedure/radiotherapy-treatment-summary-chest-wall-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Procedure/radiotherapy-treatment-summary-chest-wall-jenny-m>
], [
fhir:index 5;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Procedure/teleradiotherapy-treatment-phase-chest-wall-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Procedure/teleradiotherapy-treatment-phase-chest-wall-jenny-m>
], [
fhir:index 6;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Procedure/teleradiotherapy-treatment-phase-boost-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Procedure/teleradiotherapy-treatment-phase-boost-jenny-m>
], [
fhir:index 7;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/tnm-clinical-stage-group-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/tnm-clinical-stage-group-jenny-m>
], [
fhir:index 8;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/tnm-clinical-primary-tumor-category-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/tnm-clinical-primary-tumor-category-jenny-m>
], [
fhir:index 9;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/tnm-clinical-regional-nodes-category-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/tnm-clinical-regional-nodes-category-jenny-m>
], [
fhir:index 10;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/tnm-clinical-distant-metastases-category-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/tnm-clinical-distant-metastases-category-jenny-m>
], [
fhir:index 11;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Specimen/genetic-specimen-left-breast-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Specimen/genetic-specimen-left-breast-jenny-m>
], [
fhir:index 12;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/genomic-region-studied-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/genomic-region-studied-jenny-m>
], [
fhir:index 13;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/ecog-performance-status-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/ecog-performance-status-jenny-m>
], [
fhir:index 14;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/tumor-marker-test-er-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/tumor-marker-test-er-jenny-m>
], [
fhir:index 15;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/tumor-marker-test-pr-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/tumor-marker-test-pr-jenny-m>
], [
fhir:index 16;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/tumor-marker-test-her2-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/tumor-marker-test-her2-jenny-m>
], [
fhir:index 17;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/tumor-marker-test-oncotype-dx-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/tumor-marker-test-oncotype-dx-jenny-m>
], [
fhir:index 18;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/MedicationRequest/cancer-related-medication-request-doxorubicin-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/MedicationRequest/cancer-related-medication-request-doxorubicin-jenny-m>
], [
fhir:index 19;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/MedicationRequest/cancer-related-medication-request-cyclophosphamide-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/MedicationRequest/cancer-related-medication-request-cyclophosphamide-jenny-m>
], [
fhir:index 20;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/MedicationRequest/cancer-related-medication-request-paclitaxel-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/MedicationRequest/cancer-related-medication-request-paclitaxel-jenny-m>
], [
fhir:index 21;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/MedicationRequest/cancer-related-medication-request-anastrozole-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/MedicationRequest/cancer-related-medication-request-anastrozole-jenny-m>
], [
fhir:index 22;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/cancer-related-mcode-comorbidities-elixhauser-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/cancer-related-mcode-comorbidities-elixhauser-jenny-m>
], [
fhir:index 23;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/bodyweight-jenny-m-2018-03-16" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/bodyweight-jenny-m-2018-03-16>
], [
fhir:index 24;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/us-core-observation-lab-neutrophils-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/us-core-observation-lab-neutrophils-jenny-m>
], [
fhir:index 25;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Organization/us-core-organization-physician-services-inc" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Organization/us-core-organization-physician-services-inc>
], [
fhir:index 26;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/us-core-smokingstatus-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/us-core-smokingstatus-jenny-m>
], [
fhir:index 27;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/us-core-procedure-biopsy-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/us-core-procedure-biopsy-jenny-m>
], [
fhir:index 28;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/us-core-procedure-mammogram-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/us-core-procedure-mammogram-jenny-m>
], [
fhir:index 29;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/FamilyMemberHistory/family-member-history-aunt-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/FamilyMemberHistory/family-member-history-aunt-jenny-m>
], [
fhir:index 30;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Procedure/us-core-procedure-mammogram-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Procedure/us-core-procedure-mammogram-jenny-m>
], [
fhir:index 31;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/FamilyMemberHistory/family-member-history-uncle-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/FamilyMemberHistory/family-member-history-uncle-jenny-m>
], [
fhir:index 32;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/DiagnosticReport/us-core-diagnosticreport-lab-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/DiagnosticReport/us-core-diagnosticreport-lab-jenny-m>
], [
fhir:index 33;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/us-core-diagnosticreport-lab-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/us-core-diagnosticreport-lab-jenny-m>
], [
fhir:index 34;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/us-core-observation-lab-tumor-invasion-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/us-core-observation-lab-tumor-invasion-jenny-m>
], [
fhir:index 35;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/us-core-observation-lab-tumor-margins-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/us-core-observation-lab-tumor-margins-jenny-m>
], [
fhir:index 36;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/us-core-observation-lab-sentinel-nodes-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/us-core-observation-lab-sentinel-nodes-jenny-m>
], [
fhir:index 37;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/tumor-size-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/tumor-size-jenny-m>
], [
fhir:index 38;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/us-core-observation-lab-tumor-dcis-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/us-core-observation-lab-tumor-dcis-jenny-m>
], [
fhir:index 39;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Pracititioner/us-core-practitioner-owen-oncologist" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Pracititioner/us-core-practitioner-owen-oncologist>
], [
fhir:index 40;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Pracititioner/us-core-practitioner-peter-pathologist" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Pracititioner/us-core-practitioner-peter-pathologist>
].
<http://example.org/fhir/Observation/cancer-disease-status-jenny-m> a fhir:Patient;
fhir:Resource.id [ fhir:value "cancer-patient-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ];
fhir:Narrative.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>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "ombCategory" ];
fhir:Extension.valueCoding [
fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
fhir:Coding.code [ fhir:value "2106-3" ];
fhir:Coding.display [ fhir:value "White" ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "text" ];
fhir:Extension.valueString [ fhir:value "White" ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" ]
], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "ombCategory" ];
fhir:Extension.valueCoding [
fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
fhir:Coding.code [ fhir:value "2186-5" ];
fhir:Coding.display [ fhir:value "Not Hispanic or Latino" ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "text" ];
fhir:Extension.valueString [ fhir:value "Not Hispanic or Latino" ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" ]
];
fhir:Patient.identifier [
fhir:index 0;
fhir:Identifier.use [ fhir:value "usual" ];
fhir:Identifier.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
fhir:Coding.code [ fhir:value "MR" ];
fhir:Coding.display [ fhir:value "Medical Record Number" ] ] ];
fhir:Identifier.system [ fhir:value "http://hospital.example.org" ];
fhir:Identifier.value [ fhir:value "MRN1234" ]
];
fhir:Patient.name [
fhir:index 0;
fhir:HumanName.family [ fhir:value "M" ];
fhir:HumanName.given [
fhir:value "Jenny";
fhir:index 0 ]
];
fhir:Patient.gender [ fhir:value "female"];
fhir:Patient.birthDate [ fhir:value "1965-01-01"^^xsd:date];
fhir:Patient.address [
fhir:index 0;
fhir:Address.line [
fhir:value "123 Main St";
fhir:index 0 ];
fhir:Address.city [ fhir:value "Anytown" ];
fhir:Address.postalCode [ fhir:value "12345" ];
fhir:Address.country [ fhir:value "United States" ]
];
fhir:Patient.contact [
fhir:index 0;
fhir:Patient.contact.telecom [
fhir:index 0;
fhir:ContactPoint.system [ fhir:value "phone" ];
fhir:ContactPoint.value [ fhir:value "555-867-5309" ];
fhir:ContactPoint.use [ fhir:value "home" ] ], [
fhir:index 1;
fhir:ContactPoint.system [ fhir:value "email" ];
fhir:ContactPoint.value [ fhir:value "example@example.com" ] ]
];
fhir:Patient.communication [
fhir:index 0;
fhir:Patient.communication.language [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "urn:ietf:bcp:47" ];
fhir:Coding.code [ fhir:value "en-US" ] ];
fhir:CodeableConcept.text [ fhir:value "English" ] ]
].
<http://example.org/fhir/Observation/cancer-genetic-variant-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "cancer-genetic-variant-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-genetic-variant";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-genetic-variant> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "laboratory" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:69548-6;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "69548-6" ];
fhir:Coding.display [ fhir:value "Genetic variant assessment" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-03-15"^^xsd:date];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:LA9633-4;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA9633-4" ];
fhir:Coding.display [ fhir:value "Present" ] ]
];
fhir:Observation.method [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:LA26398-0;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA26398-0" ];
fhir:Coding.display [ fhir:value "Sequencing" ] ]
];
fhir:Observation.component [
fhir:index 0;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:48018-6;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "48018-6" ] ] ];
fhir:Observation.component.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://www.genenames.org" ];
fhir:Coding.code [ fhir:value "HGNC:26144" ];
fhir:Coding.display [ fhir:value "PALB2" ] ] ]
], [
fhir:index 1;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:81252-9;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "81252-9" ] ] ];
fhir:Observation.component.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://www.ncbi.nlm.nih.gov/clinvar" ];
fhir:Coding.code [ fhir:value "128144" ];
fhir:Coding.display [ fhir:value "NM_024675.3(PALB2):c.3549C>A (p.Tyr1183Ter)" ] ] ]
], [
fhir:index 2;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:81290-9;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "81290-9" ] ] ];
fhir:Observation.component.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://varnomen.hgvs.org" ];
fhir:Coding.code [ fhir:value "NC_000016.10:g.23603471G>T" ] ] ]
], [
fhir:index 3;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:48002-0;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "48002-0" ] ] ];
fhir:Observation.component.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:LA6684-0;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA6684-0" ];
fhir:Coding.display [ fhir:value "Somatic" ] ] ]
].
<http://example.org/fhir/DiagnosticReport/cancer-genomics-report-jenny-m> a fhir:DiagnosticReport;
fhir:Resource.id [ fhir:value "cancer-genomics-report-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-genomics-report";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-genomics-report> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:DiagnosticReport.status [ fhir:value "final"];
fhir:DiagnosticReport.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
fhir:Coding.code [ fhir:value "LAB" ] ]
], [
fhir:index 1;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
fhir:Coding.code [ fhir:value "GE" ] ]
];
fhir:DiagnosticReport.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:81247-9;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "81247-9" ] ]
];
fhir:DiagnosticReport.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:DiagnosticReport.effectiveDateTime [ fhir:value "2018-03-15"^^xsd:date];
fhir:DiagnosticReport.issued [ fhir:value "2020-03-15T00:00:01+00:00"^^xsd:dateTime];
fhir:DiagnosticReport.specimen [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Specimen/genetic-specimen-left-breast-jenny-m" ]
];
fhir:DiagnosticReport.result [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Observation/cancer-genetic-variant-jenny-m" ]
], [
fhir:index 1;
fhir:Reference.reference [ fhir:value "Observation/genomic-region-studied-jenny-m" ]
].
<http://example.org/fhir/Procedure/cancer-related-surgical-procedure-jenny-m> a fhir:Procedure;
fhir:Resource.id [ fhir:value "cancer-related-surgical-procedure-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-surgical-procedure";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-surgical-procedure> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ];
fhir:Narrative.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>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-intent" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:373808002;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "373808002" ];
fhir:Coding.display [ fhir:value "Curative - procedure intent (qualifier value)" ] ] ]
];
fhir:Procedure.status [ fhir:value "completed"];
fhir:Procedure.category [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:387713003;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "387713003" ] ]
];
fhir:Procedure.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:64368001;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "64368001" ];
fhir:Coding.display [ fhir:value "Partial mastectomy (procedure)" ] ]
];
fhir:Procedure.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Procedure.performedDateTime [ fhir:value "2018-04-01"^^xsd:date];
fhir:Procedure.asserter [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-owen-oncologist" ]
];
fhir:Procedure.reasonReference [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Condition/primary-cancer-condition-jenny-m" ]
];
fhir:Procedure.bodySite [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:80248007;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "80248007" ];
fhir:Coding.display [ fhir:value "Left breast structure (body structure)" ] ]
].
<http://example.org/fhir/Procedure/radiotherapy-treatment-summary-chest-wall-jenny-m> a fhir:Procedure;
fhir:Resource.id [ fhir:value "radiotherapy-treatment-summary-chest-wall-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ];
fhir:Narrative.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>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions" ];
fhir:Extension.valueUnsignedInt [ fhir:value "31"^^xsd:nonNegativeInteger ]
], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-intent" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:373808002;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "373808002" ];
fhir:Coding.display [ fhir:value "Curative - procedure intent" ] ] ]
], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/umls" ];
fhir:Coding.code [ fhir:value "C3539769" ];
fhir:Coding.display [ fhir:value "Photon Beam Radiation Therapy" ] ] ]
], [
fhir:index 3;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:45643008;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "45643008" ];
fhir:Coding.display [ fhir:value "Teleradiotherapy using electrons (procedure)" ] ] ]
], [
fhir:index 4;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/umls" ];
fhir:Coding.code [ fhir:value "C3489631" ];
fhir:Coding.display [ fhir:value "Volumetric Modulated Arc Therapy" ] ] ]
], [
fhir:index 5;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/radiotherapy" ];
fhir:Coding.code [ fhir:value "3D" ] ] ]
], [
fhir:index 6;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "volume" ];
fhir:Extension.valueReference [
fhir:Reference.reference [ fhir:value "BodyStructure/jenny-m-chest-wall-treatment-volume" ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "totalDoseDelivered" ];
fhir:Extension.valueQuantity [
fhir:Quantity.value [ fhir:value "6000"^^xsd:decimal ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "cGy" ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "fractionsDelivered" ];
fhir:Extension.valueUnsignedInt [ fhir:value "30"^^xsd:nonNegativeInteger ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume" ]
], [
fhir:index 7;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "volume" ];
fhir:Extension.valueReference [
fhir:Reference.reference [ fhir:value "BodyStructure/jenny-m-chest-wall-lymph-nodes-treatment-volume" ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "totalDoseDelivered" ];
fhir:Extension.valueQuantity [
fhir:Quantity.value [ fhir:value "5000"^^xsd:decimal ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "cGy" ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "fractionsDelivered" ];
fhir:Extension.valueUnsignedInt [ fhir:value "25"^^xsd:nonNegativeInteger ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume" ]
];
fhir:Procedure.status [ fhir:value "completed"];
fhir:Procedure.category [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:108290001;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "108290001" ];
fhir:Coding.display [ fhir:value "Radiation oncology AND/OR radiotherapy (procedure)" ] ]
];
fhir:Procedure.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/mcode/CodeSystem/mcode-resource-identifier-cs" ];
fhir:Coding.code [ fhir:value "mcode-radiotherapy-course-summary" ] ]
];
fhir:Procedure.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Procedure.performedPeriod [
fhir:Period.start [ fhir:value "2018-05-01"^^xsd:date ];
fhir:Period.end [ fhir:value "2018-06-29"^^xsd:date ]
];
fhir:Procedure.asserter [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-kyle-anydoc" ]
];
fhir:Procedure.reasonCode [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-10-cm" ];
fhir:Coding.code [ fhir:value "C50.811" ];
fhir:Coding.display [ fhir:value "Malignant neoplasm of overlapping sites of right female breast" ] ]
];
fhir:Procedure.bodySite [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:78904004;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "78904004" ];
fhir:Coding.display [ fhir:value "Chest Wall Structure (body structure)" ] ]
].
<http://example.org/fhir/Procedure/teleradiotherapy-treatment-phase-chest-wall-jenny-m> a fhir:Procedure;
fhir:Resource.id [ fhir:value "teleradiotherapy-treatment-phase-chest-wall-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-teleradiotherapy-treatment-phase";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-teleradiotherapy-treatment-phase> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ];
fhir:Narrative.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>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/umls" ];
fhir:Coding.code [ fhir:value "C3539769" ];
fhir:Coding.display [ fhir:value "Photon Beam Radiation Therapy" ] ] ]
], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/umls" ];
fhir:Coding.code [ fhir:value "C3489631" ];
fhir:Coding.display [ fhir:value "Volumetric-Modulated Arc Therapy" ] ] ]
], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-fractions-delivered" ];
fhir:Extension.valueUnsignedInt [ fhir:value "25"^^xsd:nonNegativeInteger ]
], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "volume" ];
fhir:Extension.valueReference [
fhir:Reference.reference [ fhir:value "BodyStructure/jenny-m-chest-wall-treatment-volume" ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "totalDoseDelivered" ];
fhir:Extension.valueQuantity [
fhir:Quantity.value [ fhir:value "5000"^^xsd:decimal ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "cGy" ] ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume" ]
], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "volume" ];
fhir:Extension.valueReference [
fhir:Reference.reference [ fhir:value "BodyStructure/jenny-m-chest-wall-lymph-nodes-treatment-volume" ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "totalDoseDelivered" ];
fhir:Extension.valueQuantity [
fhir:Quantity.value [ fhir:value "5000"^^xsd:decimal ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "cGy" ] ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume" ]
];
fhir:Procedure.partOf [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Procedure/radiotherapy-treatment-summary-chest-wall-jenny-m" ]
];
fhir:Procedure.status [ fhir:value "completed"];
fhir:Procedure.category [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:108290001;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "108290001" ];
fhir:Coding.display [ fhir:value "Radiation oncology AND/OR radiotherapy (procedure)" ] ]
];
fhir:Procedure.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/mcode/CodeSystem/mcode-resource-identifier-cs" ];
fhir:Coding.code [ fhir:value "mcode-teleradiotherapy-treatment-phase" ] ]
];
fhir:Procedure.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Procedure.performedPeriod [
fhir:Period.start [ fhir:value "2018-05-01"^^xsd:date ];
fhir:Period.end [ fhir:value "2018-06-29"^^xsd:date ]
];
fhir:Procedure.asserter [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-kyle-anydoc" ]
].
<http://example.org/fhir/Procedure/teleradiotherapy-treatment-phase-boost-jenny-m> a fhir:Procedure;
fhir:Resource.id [ fhir:value "teleradiotherapy-treatment-phase-boost-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-teleradiotherapy-treatment-phase";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-teleradiotherapy-treatment-phase> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ];
fhir:Narrative.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>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:45643008;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "45643008" ];
fhir:Coding.display [ fhir:value "Teleradiotherapy using electrons (procedure)" ] ] ]
], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/radiotherapy" ];
fhir:Coding.code [ fhir:value "3D" ];
fhir:Coding.display [ fhir:value "Three dimensional" ] ] ]
], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-fractions-delivered" ];
fhir:Extension.valueUnsignedInt [ fhir:value "5"^^xsd:nonNegativeInteger ]
], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "volume" ];
fhir:Extension.valueReference [
fhir:Reference.reference [ fhir:value "BodyStructure/jenny-m-chest-wall-treatment-volume" ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "totalDoseDelivered" ];
fhir:Extension.valueQuantity [
fhir:Quantity.value [ fhir:value "1000"^^xsd:decimal ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "cGy" ] ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume" ]
];
fhir:Procedure.partOf [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Procedure/radiotherapy-treatment-summary-chest-wall-jenny-m" ]
];
fhir:Procedure.status [ fhir:value "completed"];
fhir:Procedure.category [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:108290001;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "108290001" ];
fhir:Coding.display [ fhir:value "Radiation oncology AND/OR radiotherapy (procedure)" ] ]
];
fhir:Procedure.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/mcode/CodeSystem/mcode-resource-identifier-cs" ];
fhir:Coding.code [ fhir:value "mcode-teleradiotherapy-treatment-phase" ] ]
];
fhir:Procedure.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Procedure.performedPeriod [
fhir:Period.start [ fhir:value "2018-08-01"^^xsd:date ];
fhir:Period.end [ fhir:value "2018-09-30"^^xsd:date ]
];
fhir:Procedure.asserter [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-kyle-anydoc" ]
].
<http://example.org/fhir/Observation/tnm-clinical-stage-group-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "tnm-clinical-stage-group-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-stage-group";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-stage-group> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:21908-9;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "21908-9" ];
fhir:Coding.display [ fhir:value "Stage group.clinical Cancer" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-03-16"^^xsd:date];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://cancerstaging.org" ];
fhir:Coding.code [ fhir:value "2B" ];
fhir:Coding.display [ fhir:value "IIB" ] ]
];
fhir:Observation.method [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:897275008;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "897275008" ];
fhir:Coding.display [ fhir:value "American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)" ] ]
];
fhir:Observation.hasMember [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Observation/tnm-pathologic-primary-tumor-category-jenny-m" ]
], [
fhir:index 1;
fhir:Reference.reference [ fhir:value "Observation/tnm-pathologic-regional-nodes-category-jenny-m" ]
], [
fhir:index 2;
fhir:Reference.reference [ fhir:value "Observation/tnm-pathologic-distant-metastases-category-jenny-m" ]
].
<http://example.org/fhir/Observation/tnm-clinical-primary-tumor-category-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "tnm-clinical-primary-tumor-category-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:21905-5;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "21905-5" ];
fhir:Coding.display [ fhir:value "Primary tumor.clinical [Class] Cancer" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-03-16"^^xsd:date];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://cancerstaging.org" ];
fhir:Coding.code [ fhir:value "cT3" ] ]
];
fhir:Observation.method [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:897275008;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "897275008" ];
fhir:Coding.display [ fhir:value "American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)" ] ]
].
<http://example.org/fhir/Observation/tnm-clinical-regional-nodes-category-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "tnm-clinical-regional-nodes-category-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-regional-nodes-category";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-regional-nodes-category> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:21906-3;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "21906-3" ];
fhir:Coding.display [ fhir:value "Regional lymph nodes.clinical [Class] Cancer" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-03-16"^^xsd:date];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://cancerstaging.org" ];
fhir:Coding.code [ fhir:value "cN0" ] ]
];
fhir:Observation.method [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:897275008;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "897275008" ];
fhir:Coding.display [ fhir:value "American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)" ] ]
].
<http://example.org/fhir/Observation/tnm-clinical-distant-metastases-category-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "tnm-clinical-distant-metastases-category-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:21907-1;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "21907-1" ];
fhir:Coding.display [ fhir:value "Distant metastases.clinical [Class] Cancer" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-03-16"^^xsd:date];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://cancerstaging.org" ];
fhir:Coding.code [ fhir:value "cM0" ] ]
];
fhir:Observation.method [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:897275008;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "897275008" ];
fhir:Coding.display [ fhir:value "American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)" ] ]
].
<http://example.org/fhir/Specimen/genetic-specimen-left-breast-jenny-m> a fhir:Specimen;
fhir:Resource.id [ fhir:value "genetic-specimen-left-breast-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genetic-specimen";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genetic-specimen> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Specimen.status [ fhir:value "available"];
fhir:Specimen.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0487" ];
fhir:Coding.code [ fhir:value "TISS" ] ]
];
fhir:Specimen.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Specimen.collection [
fhir:Specimen.collection.collector [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-owen-oncologist" ] ];
fhir:Specimen.collection.bodySite [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:80248007;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "80248007" ];
fhir:Coding.display [ fhir:value "Left breast structure (body structure)" ] ] ]
];
fhir:Specimen.processing [
fhir:index 0;
fhir:Specimen.processing.timeDateTime [ fhir:value "2018-03-06"^^xsd:date ]
].
<http://example.org/fhir/Observation/genomic-region-studied-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "genomic-region-studied-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-region-studied";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-region-studied> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "laboratory" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:53041-0;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "53041-0" ];
fhir:Coding.display [ fhir:value "DNA region of interest panel" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-03-15"^^xsd:date];
fhir:Observation.issued [ fhir:value "2018-03-15T00:00:01+00:00"^^xsd:dateTime];
fhir:Observation.component [
fhir:index 0;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:48018-6;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "48018-6" ];
fhir:Coding.display [ fhir:value "Gene studied [ID]" ] ] ];
fhir:Observation.component.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://www.genenames.org" ];
fhir:Coding.code [ fhir:value "1100" ];
fhir:Coding.display [ fhir:value "BRCA1" ] ], [
fhir:index 1;
fhir:Coding.system [ fhir:value "http://www.genenames.org" ];
fhir:Coding.code [ fhir:value "1101" ];
fhir:Coding.display [ fhir:value "BRCA2" ] ], [
fhir:index 2;
fhir:Coding.system [ fhir:value "http://www.genenames.org" ];
fhir:Coding.code [ fhir:value "1748" ];
fhir:Coding.display [ fhir:value "CDH1" ] ], [
fhir:index 3;
fhir:Coding.system [ fhir:value "http://www.genenames.org" ];
fhir:Coding.code [ fhir:value "26144" ];
fhir:Coding.display [ fhir:value "PALB2" ] ], [
fhir:index 4;
fhir:Coding.system [ fhir:value "http://www.genenames.org" ];
fhir:Coding.code [ fhir:value "9588" ];
fhir:Coding.display [ fhir:value "PTEN" ] ], [
fhir:index 5;
fhir:Coding.system [ fhir:value "http://www.genenames.org" ];
fhir:Coding.code [ fhir:value "11389" ];
fhir:Coding.display [ fhir:value "STK11" ] ], [
fhir:index 6;
fhir:Coding.system [ fhir:value "http://www.genenames.org" ];
fhir:Coding.code [ fhir:value "11998" ];
fhir:Coding.display [ fhir:value "TP53" ] ] ]
].
<http://example.org/fhir/Observation/ecog-performance-status-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "ecog-performance-status-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-ecog-performance-status";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-ecog-performance-status> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:89247-1;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "89247-1" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-04-12"^^xsd:date];
fhir:Observation.performer [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-owen-oncologist" ]
];
fhir:Observation.valueInteger [ fhir:value "0"^^xsd:integer];
fhir:Observation.interpretation [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:LA9622-7;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA9622-7" ];
fhir:Coding.display [ fhir:value "Fully active, able to carry on all pre-disease performance without restriction" ] ]
];
fhir:Observation.method [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:5880005;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "5880005" ];
fhir:Coding.display [ fhir:value "Physical examination procedure (procedure)" ] ]
].
<http://example.org/fhir/Observation/tumor-marker-test-er-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "tumor-marker-test-er-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "laboratory" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:85337-4;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "85337-4" ];
fhir:Coding.display [ fhir:value "Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stain" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-03-10"^^xsd:date];
fhir:Observation.performer [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-owen-oncologist" ]
];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:LA6576-8;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA6576-8" ];
fhir:Coding.display [ fhir:value "Positive" ] ]
].
<http://example.org/fhir/Observation/tumor-marker-test-pr-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "tumor-marker-test-pr-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "laboratory" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:85339-0;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "85339-0" ];
fhir:Coding.display [ fhir:value "Progesterone receptor Ag [Presence] in Breast cancer specimen by Immune stain" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-03-10"^^xsd:date];
fhir:Observation.performer [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-owen-oncologist" ]
];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:LA6577-6;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA6577-6" ];
fhir:Coding.display [ fhir:value "Negative" ] ]
].
<http://example.org/fhir/Observation/tumor-marker-test-her2-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "tumor-marker-test-her2-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "laboratory" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:48676-1;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "48676-1" ];
fhir:Coding.display [ fhir:value "HER2 [Interpretation] in Tissue" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-03-10"^^xsd:date];
fhir:Observation.performer [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-owen-oncologist" ]
];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:LA6577-6;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA6577-6" ];
fhir:Coding.display [ fhir:value "Negative" ] ]
].
<http://example.org/fhir/Observation/tumor-marker-test-oncotype-dx-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "tumor-marker-test-oncotype-dx-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "laboratory" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/mcode/CodeSystem/mcode-catch-code-cs" ];
fhir:Coding.code [ fhir:value "TMT-OTHER" ];
fhir:Coding.display [ fhir:value "Other Tumor Marker Test, Specify" ] ], [
fhir:index 1;
fhir:Coding.system [ fhir:value "http://www.ncbi.nlm.nih.gov/gtr" ];
fhir:Coding.code [ fhir:value "509910" ];
fhir:Coding.display [ fhir:value "Oncotype DX Breast Recurrence Score Assay" ] ];
fhir:CodeableConcept.text [ fhir:value "Oncotype DX Breast Recurrence Score Assay" ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-04-12"^^xsd:date];
fhir:Observation.performer [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Organization/us-core-organization-bedrock-medicine" ]
];
fhir:Observation.valueQuantity [
fhir:Quantity.value [ fhir:value "47"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "Recurrence score" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "{ScoreOf}" ]
];
fhir:Observation.interpretation [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ];
fhir:Coding.code [ fhir:value "H" ];
fhir:Coding.display [ fhir:value "High" ] ]
].
<http://example.org/fhir/MedicationRequest/cancer-related-medication-request-doxorubicin-jenny-m> a fhir:MedicationRequest;
fhir:Resource.id [ fhir:value "cancer-related-medication-request-doxorubicin-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ];
fhir:Narrative.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>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-intent" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:373808002;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "373808002" ];
fhir:Coding.display [ fhir:value "Curative - procedure intent (qualifier value)" ] ] ]
];
fhir:MedicationRequest.status [ fhir:value "active"];
fhir:MedicationRequest.intent [ fhir:value "order"];
fhir:MedicationRequest.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/medicationrequest-category" ];
fhir:Coding.code [ fhir:value "outpatient" ] ]
];
fhir:MedicationRequest.medicationCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ];
fhir:Coding.code [ fhir:value "3639" ];
fhir:Coding.display [ fhir:value "DOXOrubicin" ] ]
];
fhir:MedicationRequest.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:MedicationRequest.authoredOn [ fhir:value "2018-04-12"^^xsd:date];
fhir:MedicationRequest.requester [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-owen-oncologist" ]
];
fhir:MedicationRequest.reasonReference [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Condition/primary-cancer-condition-jenny-m" ]
];
fhir:MedicationRequest.dosageInstruction [
fhir:index 0;
fhir:Dosage.text [ fhir:value "doxorubicin (60 mg/m² IV)" ];
fhir:Dosage.timing [
fhir:Timing.repeat [
fhir:Timing.repeat.boundsPeriod [
fhir:Period.start [ fhir:value "2018-04-01"^^xsd:date ] ] ] ];
fhir:Dosage.route [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:47625008;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "47625008" ];
fhir:Coding.display [ fhir:value "Intravenous route (qualifier value)" ] ] ];
fhir:Dosage.doseAndRate [
fhir:index 0;
fhir:Dosage.doseAndRate.rateQuantity [
fhir:Quantity.value [ fhir:value "60"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "mg/m2" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "mg/m2" ] ] ];
fhir:Dosage.maxDosePerPeriod [
fhir:Ratio.numerator [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ] ];
fhir:Ratio.denominator [
fhir:Quantity.value [ fhir:value "3"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "week" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "wk" ] ] ]
].
<http://example.org/fhir/MedicationRequest/cancer-related-medication-request-cyclophosphamide-jenny-m> a fhir:MedicationRequest;
fhir:Resource.id [ fhir:value "cancer-related-medication-request-cyclophosphamide-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ];
fhir:Narrative.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>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-intent" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:373808002;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "373808002" ];
fhir:Coding.display [ fhir:value "Curative - procedure intent (qualifier value)" ] ] ]
];
fhir:MedicationRequest.status [ fhir:value "active"];
fhir:MedicationRequest.intent [ fhir:value "order"];
fhir:MedicationRequest.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/medicationrequest-category" ];
fhir:Coding.code [ fhir:value "outpatient" ] ]
];
fhir:MedicationRequest.medicationCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ];
fhir:Coding.code [ fhir:value "3002" ];
fhir:Coding.display [ fhir:value "cyclophosphamide" ] ]
];
fhir:MedicationRequest.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:MedicationRequest.authoredOn [ fhir:value "2018-04-12"^^xsd:date];
fhir:MedicationRequest.requester [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-owen-oncologist" ]
];
fhir:MedicationRequest.reasonReference [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Condition/primary-cancer-condition-jenny-m" ]
];
fhir:MedicationRequest.dosageInstruction [
fhir:index 0;
fhir:Dosage.text [ fhir:value "cyclophosphamide (600 mg/m² IV), 932.59mg" ];
fhir:Dosage.timing [
fhir:Timing.repeat [
fhir:Timing.repeat.boundsPeriod [
fhir:Period.start [ fhir:value "2018-04-01"^^xsd:date ] ] ] ];
fhir:Dosage.route [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:47625008;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "47625008" ];
fhir:Coding.display [ fhir:value "Intravenous route (qualifier value)" ] ] ];
fhir:Dosage.doseAndRate [
fhir:index 0;
fhir:Dosage.doseAndRate.doseQuantity [
fhir:Quantity.value [ fhir:value "932.59"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "mg" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "mg" ] ] ];
fhir:Dosage.maxDosePerPeriod [
fhir:Ratio.numerator [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ] ];
fhir:Ratio.denominator [
fhir:Quantity.value [ fhir:value "3"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "week" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "wk" ] ] ]
].
<http://example.org/fhir/MedicationRequest/cancer-related-medication-request-paclitaxel-jenny-m> a fhir:MedicationRequest;
fhir:Resource.id [ fhir:value "cancer-related-medication-request-paclitaxel-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ];
fhir:Narrative.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>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-intent" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:373808002;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "373808002" ];
fhir:Coding.display [ fhir:value "Curative - procedure intent (qualifier value)" ] ] ]
];
fhir:MedicationRequest.status [ fhir:value "active"];
fhir:MedicationRequest.intent [ fhir:value "order"];
fhir:MedicationRequest.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/medicationrequest-category" ];
fhir:Coding.code [ fhir:value "outpatient" ] ]
];
fhir:MedicationRequest.medicationCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ];
fhir:Coding.code [ fhir:value "56946" ];
fhir:Coding.display [ fhir:value "PACLitaxel" ] ]
];
fhir:MedicationRequest.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:MedicationRequest.authoredOn [ fhir:value "2018-04-12"^^xsd:date];
fhir:MedicationRequest.requester [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-owen-oncologist" ]
];
fhir:MedicationRequest.reasonReference [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Condition/primary-cancer-condition-jenny-m" ]
];
fhir:MedicationRequest.dosageInstruction [
fhir:index 0;
fhir:Dosage.text [ fhir:value "doxorubicin (175 mg/m² IV), 272.01mg" ];
fhir:Dosage.timing [
fhir:Timing.repeat [
fhir:Timing.repeat.boundsPeriod [
fhir:Period.start [ fhir:value "2018-04-12"^^xsd:date ] ] ] ];
fhir:Dosage.route [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:47625008;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "47625008" ];
fhir:Coding.display [ fhir:value "Intravenous route (qualifier value)" ] ] ];
fhir:Dosage.doseAndRate [
fhir:index 0;
fhir:Dosage.doseAndRate.doseQuantity [
fhir:Quantity.value [ fhir:value "272.01"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "mg" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "mg" ] ] ];
fhir:Dosage.maxDosePerPeriod [
fhir:Ratio.numerator [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ] ];
fhir:Ratio.denominator [
fhir:Quantity.value [ fhir:value "3"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "week" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "wk" ] ] ]
].
<http://example.org/fhir/MedicationRequest/cancer-related-medication-request-anastrozole-jenny-m> a fhir:MedicationRequest;
fhir:Resource.id [ fhir:value "cancer-related-medication-request-anastrozole-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ];
fhir:Narrative.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>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-intent" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:373808002;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "373808002" ];
fhir:Coding.display [ fhir:value "Curative - procedure intent (qualifier value)" ] ] ]
];
fhir:MedicationRequest.status [ fhir:value "active"];
fhir:MedicationRequest.intent [ fhir:value "order"];
fhir:MedicationRequest.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/medicationrequest-category" ];
fhir:Coding.code [ fhir:value "community" ] ]
];
fhir:MedicationRequest.medicationCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ];
fhir:Coding.code [ fhir:value "84857" ];
fhir:Coding.display [ fhir:value "anastrozole" ] ]
];
fhir:MedicationRequest.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:MedicationRequest.authoredOn [ fhir:value "2018-09-30"^^xsd:date];
fhir:MedicationRequest.requester [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-owen-oncologist" ]
];
fhir:MedicationRequest.reasonReference [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Condition/primary-cancer-condition-jenny-m" ]
];
fhir:MedicationRequest.dosageInstruction [
fhir:index 0;
fhir:Dosage.text [ fhir:value "1mg orally once daily" ];
fhir:Dosage.timing [
fhir:Timing.repeat [
fhir:Timing.repeat.boundsPeriod [
fhir:Period.start [ fhir:value "2018-09-30"^^xsd:date ] ] ] ];
fhir:Dosage.route [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:26643006;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "26643006" ];
fhir:Coding.display [ fhir:value "Oral route (qualifier value)" ] ] ];
fhir:Dosage.doseAndRate [
fhir:index 0;
fhir:Dosage.doseAndRate.doseQuantity [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "mg" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "mg" ] ] ];
fhir:Dosage.maxDosePerPeriod [
fhir:Ratio.numerator [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ] ];
fhir:Ratio.denominator [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "day" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "d" ] ] ]
].
<http://example.org/fhir/Observation/cancer-related-mcode-comorbidities-elixhauser-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "cancer-related-mcode-comorbidities-elixhauser-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities-elixhauser";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities-elixhauser> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ];
fhir:Narrative.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>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:78923-0;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "78923-0" ];
fhir:Coding.display [ fhir:value "Comorbid condition panel" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-03-16"^^xsd:date];
fhir:Observation.performer [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-owen-oncologist" ]
];
fhir:Observation.component [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference" ];
fhir:Extension.valueReference [
fhir:Reference.reference [ fhir:value "Condition/us-core-condition-depression-jenny-m" ] ] ];
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser" ];
fhir:Coding.code [ fhir:value "DEPRESS" ] ] ];
fhir:Observation.component.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:52101004;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "52101004" ];
fhir:Coding.display [ fhir:value "Present (qualifier value)" ] ] ]
], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference" ];
fhir:Extension.valueReference [
fhir:Reference.reference [ fhir:value "Condition/us-core-condition-hypertension-jenny-m" ] ] ];
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser" ];
fhir:Coding.code [ fhir:value "HTN_CX" ] ] ];
fhir:Observation.component.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:52101004;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "52101004" ];
fhir:Coding.display [ fhir:value "Present (qualifier value)" ] ] ]
], [
fhir:index 2;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser" ];
fhir:Coding.code [ fhir:value "ARTH" ] ] ];
fhir:Observation.component.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:2667000;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "2667000" ];
fhir:Coding.display [ fhir:value "Absent (qualifier value)" ] ] ]
], [
fhir:index 3;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser" ];
fhir:Coding.code [ fhir:value "CHF" ] ] ];
fhir:Observation.component.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:2667000;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "2667000" ];
fhir:Coding.display [ fhir:value "Absent (qualifier value)" ] ] ]
], [
fhir:index 4;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser" ];
fhir:Coding.code [ fhir:value "LUNG_CHRONIC" ] ] ];
fhir:Observation.component.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:2667000;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "2667000" ];
fhir:Coding.display [ fhir:value "Absent (qualifier value)" ] ] ]
], [
fhir:index 5;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser" ];
fhir:Coding.code [ fhir:value "DIAB_CX" ] ] ];
fhir:Observation.component.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:2667000;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "2667000" ];
fhir:Coding.display [ fhir:value "Absent (qualifier value)" ] ] ]
], [
fhir:index 6;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser" ];
fhir:Coding.code [ fhir:value "DIAB_UNCX" ] ] ];
fhir:Observation.component.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:2667000;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "2667000" ];
fhir:Coding.display [ fhir:value "Absent (qualifier value)" ] ] ]
], [
fhir:index 7;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser" ];
fhir:Coding.code [ fhir:value "OBESE" ] ] ];
fhir:Observation.component.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:2667000;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "2667000" ];
fhir:Coding.display [ fhir:value "Absent (qualifier value)" ] ] ]
], [
fhir:index 8;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser" ];
fhir:Coding.code [ fhir:value "PERIVASC" ] ] ];
fhir:Observation.component.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:2667000;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "2667000" ];
fhir:Coding.display [ fhir:value "Absent (qualifier value)" ] ] ]
], [
fhir:index 9;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser" ];
fhir:Coding.code [ fhir:value "PULMCIRC" ] ] ];
fhir:Observation.component.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:2667000;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "2667000" ];
fhir:Coding.display [ fhir:value "Absent (qualifier value)" ] ] ]
], [
fhir:index 10;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser" ];
fhir:Coding.code [ fhir:value "RENLFL_MOD" ] ] ];
fhir:Observation.component.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:2667000;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "2667000" ];
fhir:Coding.display [ fhir:value "Absent (qualifier value)" ] ] ]
], [
fhir:index 11;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser" ];
fhir:Coding.code [ fhir:value "DRUG_ABUSE" ] ] ];
fhir:Observation.component.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:261665006;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "261665006" ];
fhir:Coding.display [ fhir:value "Unknown (qualifier value)" ] ] ]
].
<http://example.org/fhir/Observation/bodyweight-jenny-m-2018-03-16> a fhir:Observation;
fhir:Resource.id [ fhir:value "bodyweight-jenny-m-2018-03-16"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/bodyweight";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/bodyweight> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "vital-signs" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:29463-7;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "29463-7" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-03-06"^^xsd:date];
fhir:Observation.valueQuantity [
fhir:Quantity.value [ fhir:value "155"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "lb" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "[lb_av]" ]
].
<http://example.org/fhir/Observation/us-core-observation-lab-neutrophils-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "us-core-observation-lab-neutrophils-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "laboratory" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:26499-4;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "26499-4" ];
fhir:Coding.display [ fhir:value "Neutrophils [#/volume] in Blood" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-05-20T00:00:00Z"^^xsd:dateTime];
fhir:Observation.valueQuantity [
fhir:Quantity.value [ fhir:value "3000"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "10*3/uL" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "10*3/uL" ]
];
fhir:Observation.referenceRange [
fhir:index 0;
fhir:Observation.referenceRange.low [
fhir:Quantity.value [ fhir:value "2500"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "10*3/uL" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "10*3/uL" ] ];
fhir:Observation.referenceRange.high [
fhir:Quantity.value [ fhir:value "5000"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "10*3/uL" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "10*3/uL" ] ];
fhir:Observation.referenceRange.appliesTo [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/referencerange-meaning" ];
fhir:Coding.code [ fhir:value "normal" ];
fhir:Coding.display [ fhir:value "Normal Range" ] ] ]
].
<http://example.org/fhir/Organization/us-core-organization-physician-services-inc> a fhir:Organization;
fhir:Resource.id [ fhir:value "us-core-organization-physician-services-inc"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Organization.active [ fhir:value "true"^^xsd:boolean];
fhir:Organization.type [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/organization-type" ];
fhir:Coding.code [ fhir:value "prov" ];
fhir:Coding.display [ fhir:value "Healthcare Provider" ] ]
];
fhir:Organization.name [ fhir:value "Physician Services, Inc."];
fhir:Organization.telecom [
fhir:index 0;
fhir:ContactPoint.system [ fhir:value "phone" ];
fhir:ContactPoint.value [ fhir:value "999-999-9999" ];
fhir:ContactPoint.use [ fhir:value "work" ]
];
fhir:Organization.address [
fhir:index 0;
fhir:Address.line [
fhir:value "123 Corporate Drive";
fhir:index 0 ];
fhir:Address.city [ fhir:value "Anytown" ];
fhir:Address.state [ fhir:value "MA" ];
fhir:Address.postalCode [ fhir:value "12345" ];
fhir:Address.country [ fhir:value "US" ]
].
<http://example.org/fhir/Observation/us-core-smokingstatus-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "us-core-smokingstatus-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:72166-2;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "72166-2" ];
fhir:Coding.display [ fhir:value "Tobacco smoking status" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.issued [ fhir:value "2018-03-16T00:00:00Z"^^xsd:dateTime];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:449868002;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "449868002" ];
fhir:Coding.display [ fhir:value "Smokes tobacco daily (finding)" ] ]
].
<http://example.org/fhir/Observation/us-core-procedure-biopsy-jenny-m> a fhir:Procedure;
fhir:Resource.id [ fhir:value "us-core-procedure-biopsy-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Procedure.status [ fhir:value "completed"];
fhir:Procedure.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:723990008;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "723990008" ];
fhir:Coding.display [ fhir:value "Biopsy of breast using ultrasonographic guidance (procedure)" ] ]
];
fhir:Procedure.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Procedure.performedDateTime [ fhir:value "2018-03-06"^^xsd:date];
fhir:Procedure.asserter [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-mary-obgyn" ]
];
fhir:Procedure.performer [
fhir:index 0;
fhir:Procedure.performer.actor [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-mary-obgyn" ] ]
];
fhir:Procedure.reasonReference [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Condition/primary-cancer-condition-jenny-m" ]
];
fhir:Procedure.bodySite [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:80248007;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "80248007" ];
fhir:Coding.display [ fhir:value "Left breast structure (body structure)" ] ]
].
<http://example.org/fhir/Observation/us-core-procedure-mammogram-jenny-m> a fhir:Procedure;
fhir:Resource.id [ fhir:value "us-core-procedure-mammogram-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Procedure.status [ fhir:value "completed"];
fhir:Procedure.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:71651007;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "71651007" ];
fhir:Coding.display [ fhir:value "Mammography (procedure)" ] ]
];
fhir:Procedure.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Procedure.performedDateTime [ fhir:value "2018-02-01"^^xsd:date];
fhir:Procedure.asserter [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-mary-obgyn" ]
];
fhir:Procedure.performer [
fhir:index 0;
fhir:Procedure.performer.actor [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-jane-radiotech" ] ]
].
<http://example.org/fhir/FamilyMemberHistory/family-member-history-aunt-jenny-m> a fhir:FamilyMemberHistory;
fhir:Resource.id [ fhir:value "family-member-history-aunt-jenny-m"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:FamilyMemberHistory.status [ fhir:value "completed"];
fhir:FamilyMemberHistory.patient [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:FamilyMemberHistory.relationship [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-RoleCode" ];
fhir:Coding.code [ fhir:value "MAUNT" ];
fhir:Coding.display [ fhir:value "maternal aunt" ] ]
];
fhir:FamilyMemberHistory.condition [
fhir:index 0;
fhir:FamilyMemberHistory.condition.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:363443007;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "363443007" ];
fhir:Coding.display [ fhir:value "Malignant tumor of ovary (disorder)" ] ] ];
fhir:FamilyMemberHistory.condition.onsetAge [
fhir:Quantity.value [ fhir:value "69"^^xsd:decimal ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "a" ] ]
].
<http://example.org/fhir/Procedure/us-core-procedure-mammogram-jenny-m> a fhir:Procedure;
fhir:Resource.id [ fhir:value "us-core-procedure-mammogram-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Procedure.status [ fhir:value "completed"];
fhir:Procedure.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:71651007;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "71651007" ];
fhir:Coding.display [ fhir:value "Mammography (procedure)" ] ]
];
fhir:Procedure.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Procedure.performedDateTime [ fhir:value "2018-02-01"^^xsd:date];
fhir:Procedure.asserter [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-mary-obgyn" ]
];
fhir:Procedure.performer [
fhir:index 0;
fhir:Procedure.performer.actor [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-jane-radiotech" ] ]
].
<http://example.org/fhir/FamilyMemberHistory/family-member-history-uncle-jenny-m> a fhir:FamilyMemberHistory;
fhir:Resource.id [ fhir:value "family-member-history-uncle-jenny-m"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:FamilyMemberHistory.status [ fhir:value "completed"];
fhir:FamilyMemberHistory.patient [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:FamilyMemberHistory.relationship [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-RoleCode" ];
fhir:Coding.code [ fhir:value "PUNCLE" ];
fhir:Coding.display [ fhir:value "paternal uncle" ] ]
];
fhir:FamilyMemberHistory.deceasedBoolean [ fhir:value "true"^^xsd:boolean];
fhir:FamilyMemberHistory.condition [
fhir:index 0;
fhir:FamilyMemberHistory.condition.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:363418001;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "363418001" ];
fhir:Coding.display [ fhir:value "Malignant tumor of pancreas (disorder)" ] ] ];
fhir:FamilyMemberHistory.condition.contributedToDeath [ fhir:value "true"^^xsd:boolean ]
].
<http://example.org/fhir/DiagnosticReport/us-core-diagnosticreport-lab-jenny-m> a fhir:DiagnosticReport;
fhir:Resource.id [ fhir:value "us-core-diagnosticreport-lab-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:DiagnosticReport.status [ fhir:value "final"];
fhir:DiagnosticReport.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
fhir:Coding.code [ fhir:value "LAB" ] ]
], [
fhir:index 1;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
fhir:Coding.code [ fhir:value "SP" ];
fhir:Coding.display [ fhir:value "Surgical Pathology" ] ]
];
fhir:DiagnosticReport.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:22637-3;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "22637-3" ];
fhir:Coding.display [ fhir:value "Pathology report final diagnosis Narrative" ] ]
];
fhir:DiagnosticReport.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:DiagnosticReport.effectiveDateTime [ fhir:value "2018-04-01T00:00:00Z"^^xsd:dateTime];
fhir:DiagnosticReport.issued [ fhir:value "2018-04-05T00:00:00Z"^^xsd:dateTime];
fhir:DiagnosticReport.performer [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Organization/us-core-organization-physician-services-inc" ]
];
fhir:DiagnosticReport.resultsInterpreter [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-peter-pathologist" ]
];
fhir:DiagnosticReport.specimen [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Specimen/tumor-specimen-left-breast-jenny-m" ]
];
fhir:DiagnosticReport.result [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Observation/us-core-observation-lab-tumor-invasion-jenny-m" ]
], [
fhir:index 1;
fhir:Reference.reference [ fhir:value "Observation/us-core-observation-lab-tumor-margins-jenny-m" ]
], [
fhir:index 2;
fhir:Reference.reference [ fhir:value "Observation/us-core-observation-lab-sentinel-nodes-jenny-m" ]
], [
fhir:index 3;
fhir:Reference.reference [ fhir:value "Observation/tumor-size-jenny-m" ]
], [
fhir:index 4;
fhir:Reference.reference [ fhir:value "Observation/us-core-observation-lab-tumor-dcis-jenny-m" ]
], [
fhir:index 5;
fhir:Reference.reference [ fhir:value "Observation/tumor-marker-test-her2-jenny-m" ]
].
<http://example.org/fhir/Observation/us-core-diagnosticreport-lab-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "observation-smoking-history-jenny-m"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "social-history" ];
fhir:Coding.display [ fhir:value "Social History" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:401201003;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "401201003" ];
fhir:Coding.display [ fhir:value "Cigarette pack-years (observable entity)" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-03-16"^^xsd:date];
fhir:Observation.valueQuantity [
fhir:Quantity.value [ fhir:value "20"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "Pack-Years" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "{PackYears}" ]
].
<http://example.org/fhir/Observation/us-core-observation-lab-tumor-invasion-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "us-core-observation-lab-tumor-invasion-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "laboratory" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:370052007;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "370052007" ];
fhir:Coding.display [ fhir:value "Status of invasion by tumor (observable entity)" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-04-01T00:00:00Z"^^xsd:dateTime];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:260385009;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "260385009" ];
fhir:Coding.display [ fhir:value "Negative (qualifier value)" ] ]
];
fhir:Observation.specimen [
fhir:Reference.reference [ fhir:value "Specimen/tumor-specimen-left-breast-jenny-m" ]
].
<http://example.org/fhir/Observation/us-core-observation-lab-tumor-margins-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "us-core-observation-lab-tumor-margins-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "laboratory" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:44669-0;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "44669-0" ];
fhir:Coding.display [ fhir:value "Margin involvement in Breast tumor" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-04-01T00:00:00Z"^^xsd:dateTime];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:LA27151-2;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA27151-2" ];
fhir:Coding.display [ fhir:value "Uninvolved by invasive carcinoma" ] ]
];
fhir:Observation.specimen [
fhir:Reference.reference [ fhir:value "Specimen/tumor-specimen-left-breast-jenny-m" ]
].
<http://example.org/fhir/Observation/us-core-observation-lab-sentinel-nodes-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "us-core-observation-lab-sentinel-nodes-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "laboratory" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:92832-5;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "92832-5" ];
fhir:Coding.display [ fhir:value "Sentinel lymph nodes with metastasis [#] in Cancer specimen" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-04-01T00:00:00Z"^^xsd:dateTime];
fhir:Observation.specimen [
fhir:Reference.reference [ fhir:value "Specimen/tumor-specimen-left-breast-jenny-m" ]
];
fhir:Observation.component [
fhir:index 0;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:92833-3;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "92833-3" ];
fhir:Coding.display [ fhir:value "Lymph nodes examined [#] in Cancer specimen by Light microscopy" ] ] ];
fhir:Observation.component.valueQuantity [
fhir:Quantity.value [ fhir:value "3"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "Count" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "{Count}" ] ]
].
<http://example.org/fhir/Observation/tumor-size-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "tumor-size-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-size";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-size> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "laboratory" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:21889-1;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "21889-1" ];
fhir:Coding.display [ fhir:value "Size Tumor" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-04-01T00:00:00Z"^^xsd:dateTime];
fhir:Observation.method [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:24419-4;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "24419-4" ];
fhir:Coding.display [ fhir:value "Pathology report gross observation" ] ]
];
fhir:Observation.specimen [
fhir:Reference.reference [ fhir:value "Specimen/tumor-specimen-left-breast-jenny-m" ]
];
fhir:Observation.component [
fhir:index 0;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:33728-7;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "33728-7" ];
fhir:Coding.display [ fhir:value "Size.maximum dimension in Tumor" ] ] ];
fhir:Observation.component.valueQuantity [
fhir:Quantity.value [ fhir:value "2.5"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "centimeters" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "cm" ] ]
].
<http://example.org/fhir/Observation/us-core-observation-lab-tumor-dcis-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "us-core-observation-lab-tumor-dcis-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "laboratory" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:29308-4;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "29308-4" ];
fhir:Coding.display [ fhir:value "Diagnosis" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-04-01T00:00:00Z"^^xsd:dateTime];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:85336-6;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "85336-6" ];
fhir:Coding.display [ fhir:value "DCIS intraductal extension in Breast cancer specimen Qualitative by Light microscopy" ] ]
];
fhir:Observation.specimen [
fhir:Reference.reference [ fhir:value "Specimen/tumor-specimen-left-breast-jenny-m" ]
].
<http://example.org/fhir/Pracititioner/us-core-practitioner-owen-oncologist> a fhir:Practitioner;
fhir:Resource.id [ fhir:value "us-core-practitioner-owen-oncologist"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Practitioner.identifier [
fhir:index 0;
fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ];
fhir:Identifier.value [ fhir:value "9988776655" ]
];
fhir:Practitioner.name [
fhir:index 0;
fhir:HumanName.family [ fhir:value "Oncologist" ];
fhir:HumanName.given [
fhir:value "Owen";
fhir:index 0 ];
fhir:HumanName.prefix [
fhir:value "Dr.";
fhir:index 0 ]
];
fhir:Practitioner.address [
fhir:index 0;
fhir:Address.use [ fhir:value "work" ];
fhir:Address.line [
fhir:value "123 Corporate Drive";
fhir:index 0 ];
fhir:Address.city [ fhir:value "Anytown" ];
fhir:Address.state [ fhir:value "MA" ];
fhir:Address.postalCode [ fhir:value "12345" ];
fhir:Address.country [ fhir:value "US" ]
];
fhir:Practitioner.gender [ fhir:value "male"];
fhir:Practitioner.qualification [
fhir:index 0;
fhir:Practitioner.qualification.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0360" ];
fhir:Coding.version [ fhir:value "2.7" ];
fhir:Coding.code [ fhir:value "MD" ] ] ]
].
<http://example.org/fhir/Pracititioner/us-core-practitioner-peter-pathologist> a fhir:Practitioner;
fhir:Resource.id [ fhir:value "us-core-practitioner-peter-pathologist"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:Practitioner.identifier [
fhir:index 0;
fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ];
fhir:Identifier.value [ fhir:value "1122334455" ]
];
fhir:Practitioner.name [
fhir:index 0;
fhir:HumanName.family [ fhir:value "Pathologist" ];
fhir:HumanName.given [
fhir:value "Peter";
fhir:index 0 ];
fhir:HumanName.prefix [
fhir:value "Dr.";
fhir:index 0 ]
];
fhir:Practitioner.address [
fhir:index 0;
fhir:Address.use [ fhir:value "work" ];
fhir:Address.line [
fhir:value "123 Corporate Drive";
fhir:index 0 ];
fhir:Address.city [ fhir:value "Anytown" ];
fhir:Address.state [ fhir:value "MA" ];
fhir:Address.postalCode [ fhir:value "12345" ];
fhir:Address.country [ fhir:value "US" ]
];
fhir:Practitioner.gender [ fhir:value "female"];
fhir:Practitioner.qualification [
fhir:index 0;
fhir:Practitioner.qualification.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0360" ];
fhir:Coding.version [ fhir:value "2.7" ];
fhir:Coding.code [ fhir:value "MD" ] ] ]
].
# - ontology header ------------------------------------------------------------
a owl:Ontology;
owl:imports fhir:fhir.ttl.
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
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