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

: cancer-related-mcode-comorbidities-elixhauser-john-anyperson - XML Representation

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<Observation xmlns="http://hl7.org/fhir">
  <id value="cancer-related-mcode-comorbidities-elixhauser-john-anyperson"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities-elixhauser"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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-john-anyperson.html">Generated Summary: Medical Record Number: m123 (USUAL); John B. Anyperson ; gender: male; birthDate: 1951-01-20</a></p><p><b>focus</b>: <a href="Condition-primary-cancer-condition-nsclc.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 254637007}">Non-small cell lung cancer (disorder)</span>; <span title="Codes: {http://snomed.info/sct 39607008}">Lung structure (body structure)</span>; onset: 2019-04-01</a></p><p><b>performer</b>: <a href="Practitioner-us-core-practitioner-kyle-anydoc.html">Generated Summary: id: 9988776655; Kyle Anydoc ; gender: male</a></p><blockquote><p><b>component</b></p><p><b>Specific Condition Code for Comorbidity</b>: <span title="Codes: {http://hl7.org/fhir/sid/icd-10-cm I50.32}">Chronic diastolic (congestive) heart failure</span></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 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 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 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></div>
  </text>
  <status value="final"/>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="78923-0"/>
      <display value="Comorbid condition panel"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/cancer-patient-john-anyperson"/>
  </subject>
  <focus>
    <reference value="Condition/primary-cancer-condition-nsclc"/>
  </focus>
  <performer>
    <reference value="Practitioner/us-core-practitioner-kyle-anydoc"/>
  </performer>
  <component>
    <extension
               url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
          <code value="I50.32"/>
          <display value="Chronic diastolic (congestive) heart failure"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <code>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser"/>
        <code value="CHF"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="52101004"/>
        <display value="Present (qualifier value)"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser"/>
        <code value="ARTH"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="2667000"/>
        <display value="Absent (qualifier value)"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser"/>
        <code value="LUNG_CHRONIC"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="2667000"/>
        <display value="Absent (qualifier value)"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser"/>
        <code value="OBESE"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="2667000"/>
        <display value="Absent (qualifier value)"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser"/>
        <code value="PERIVASC"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="2667000"/>
        <display value="Absent (qualifier value)"/>
      </coding>
    </valueCodeableConcept>
  </component>
</Observation>