minimal Common Oncology Data Elements (mCODE) Implementation Guide
3.0.0-ballot - 2023May
minimal Common Oncology Data Elements (mCODE) Implementation Guide
3.0.0-ballot - 2023May
This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v3.0.0-ballot: STU 3 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.1.0. For a full list of available versions, see the Directory of published versions 
@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://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:id [ fhir:v "mcode-patient-bundle-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-patient-bundle"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-patient-bundle> ] )
] ; #
fhir:type [ fhir:v "collection"] ; #
fhir:entry ( [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Patient/cancer-patient-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Patient/cancer-patient-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Condition/primary-cancer-condition-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Condition/primary-cancer-condition-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/MedicationRequest/cancer-related-medication-request-cyclophosphamide-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/MedicationRequest/cancer-related-medication-request-cyclophosphamide-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/MedicationRequest/cancer-related-medication-request-doxorubicin-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/MedicationRequest/cancer-related-medication-request-doxorubicin-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/MedicationRequest/cancer-related-medication-request-paclitaxel-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/MedicationRequest/cancer-related-medication-request-paclitaxel-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/MedicationRequest/cancer-related-medication-request-anastrozole-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/MedicationRequest/cancer-related-medication-request-anastrozole-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/cancer-disease-status-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Observation/cancer-disease-status-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/genomic-variant-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Observation/genomic-variant-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/DiagnosticReport/genomics-report-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/DiagnosticReport/genomics-report-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Procedure/cancer-related-surgical-procedure-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Procedure/cancer-related-surgical-procedure-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/cancer-related-comorbidities-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Observation/cancer-related-comorbidities-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Procedure/radiotherapy-treatment-summary-chest-wall-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Procedure/radiotherapy-treatment-summary-chest-wall-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/tnm-clinical-stage-group-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Observation/tnm-clinical-stage-group-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/tnm-clinical-primary-tumor-category-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Observation/tnm-clinical-primary-tumor-category-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/tnm-clinical-regional-nodes-category-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Observation/tnm-clinical-regional-nodes-category-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/tnm-clinical-distant-metastases-category-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Observation/tnm-clinical-distant-metastases-category-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Specimen/human-specimen-left-breast-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Specimen/human-specimen-left-breast-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/genomic-region-studied-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Observation/genomic-region-studied-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/ecog-performance-status-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Observation/ecog-performance-status-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/tumor-marker-test-er-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Observation/tumor-marker-test-er-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/tumor-marker-test-pr-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Observation/tumor-marker-test-pr-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/tumor-marker-test-her2-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Observation/tumor-marker-test-her2-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/tumor-marker-test-oncotype-dx-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Observation/tumor-marker-test-oncotype-dx-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/tumor-size-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Observation/tumor-size-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/us-core-procedure-biopsy-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Observation/us-core-procedure-biopsy-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/bodyweight-jenny-m-2018-03-16"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Observation/bodyweight-jenny-m-2018-03-16> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/us-core-observation-lab-neutrophils-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Observation/us-core-observation-lab-neutrophils-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Organization/us-core-organization-physician-services-inc"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Organization/us-core-organization-physician-services-inc> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/us-core-smokingstatus-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Observation/us-core-smokingstatus-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/us-core-procedure-mammogram-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Observation/us-core-procedure-mammogram-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/FamilyMemberHistory/family-member-history-aunt-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/FamilyMemberHistory/family-member-history-aunt-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/FamilyMemberHistory/family-member-history-uncle-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/FamilyMemberHistory/family-member-history-uncle-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/DiagnosticReport/us-core-diagnosticreport-lab-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/DiagnosticReport/us-core-diagnosticreport-lab-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/observation-smoking-pack-years-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Observation/observation-smoking-pack-years-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/us-core-observation-lab-tumor-invasion-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Observation/us-core-observation-lab-tumor-invasion-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/us-core-observation-lab-tumor-margins-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Observation/us-core-observation-lab-tumor-margins-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/us-core-observation-lab-sentinel-nodes-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Observation/us-core-observation-lab-sentinel-nodes-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/us-core-observation-lab-tumor-dcis-jenny-m"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Observation/us-core-observation-lab-tumor-dcis-jenny-m> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Practitioner/us-core-practitioner-owen-oncologist"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Practitioner/us-core-practitioner-owen-oncologist> )
] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Practitioner/us-core-practitioner-peter-pathologist"^^xsd:anyURI ] ;
( fhir:resource <http://example.org/fhir/Practitioner/us-core-practitioner-peter-pathologist> )
] ) . #
<http://example.org/fhir/Patient/cancer-patient-jenny-m> a fhir:Patient ;
fhir:id [ fhir:v "cancer-patient-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"cancer-patient-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Patient "cancer-patient-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-cancer-patient.html\">Cancer Patient Profile</a></p></div><blockquote><p><b>US Core Race Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: White (Details: urn:oid:2.16.840.1.113883.6.238 code 2106-3 = '2106-3', stated as 'White')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: White</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: Not Hispanic or Latino (Details: urn:oid:2.16.840.1.113883.6.238 code 2186-5 = '2186-5', stated as 'Not Hispanic or Latino')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Not Hispanic or Latino</p></blockquote><p><b>identifier</b>: Medical Record Number: MRN1234 (use: 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>English <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ietf3066.html\">Tags for the Identification of Languages</a>#en-US)</span></td></tr></table></div>"
] ; #
fhir:extension ( [
( fhir:extension [
fhir:url [ fhir:v "ombCategory"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2106-3" ] ;
fhir:display [ fhir:v "White" ] ] ] [
fhir:url [ fhir:v "text"^^xsd:anyURI ] ;
fhir:value [ fhir:v "White" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"^^xsd:anyURI ]
] [
( fhir:extension [
fhir:url [ fhir:v "ombCategory"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2186-5" ] ;
fhir:display [ fhir:v "Not Hispanic or Latino" ] ] ] [
fhir:url [ fhir:v "text"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Not Hispanic or Latino" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"^^xsd:anyURI ]
] ) ; #
fhir:identifier ( [
fhir:use [ fhir:v "usual" ] ;
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MR" ] ;
fhir:display [ fhir:v "Medical Record Number" ] ] ) ] ;
fhir:system [ fhir:v "http://hospital.example.org"^^xsd:anyURI ] ;
fhir:value [ fhir:v "MRN1234" ]
] ) ; #
fhir:name ( [
fhir:family [ fhir:v "M" ] ;
( fhir:given [ fhir:v "Jenny" ] )
] ) ; #
fhir:gender [ fhir:v "female"] ; #
fhir:birthDate [ fhir:v "1965-01-01"^^xsd:date] ; #
fhir:address ( [
( fhir:line [ fhir:v "123 Main St" ] ) ;
fhir:city [ fhir:v "Anytown" ] ;
fhir:postalCode [ fhir:v "12345" ] ;
fhir:country [ fhir:v "United States" ]
] ) ; #
fhir:contact ( [
( fhir:telecom [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "555-867-5309" ] ;
fhir:use [ fhir:v "home" ] ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "example@example.com" ] ] )
] ) ; #
fhir:communication ( [
fhir:language [
( fhir:coding [
fhir:system [ fhir:v "urn:ietf:bcp:47"^^xsd:anyURI ] ;
fhir:code [ fhir:v "en-US" ] ] ) ;
fhir:text [ fhir:v "English" ] ]
] ) . #
<http://example.org/fhir/Condition/primary-cancer-condition-jenny-m> a fhir:Condition ;
fhir:id [ fhir:v "primary-cancer-condition-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Condition</b><a name=\"primary-cancer-condition-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Condition "primary-cancer-condition-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-primary-cancer-condition.html\">Primary Cancer Condition Profile</a></p></div><p><b>Histology-Morphology-Behavior Extension</b>: Adenocarcinoma, no subtype, intermediate grade (morphologic abnormality) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#413448000)</span></p><p><b>clinicalStatus</b>: Remission <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#remission)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem List Item <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#problem-list-item)</span></p><p><b>code</b>: Primary malignant neoplasm of female left breast (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#353431000119107)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>onset</b>: 2018-03-16</p><p><b>asserter</b>: <a href=\"#Practitioner_us-core-practitioner-owen-oncologist\">See above (Practitioner/us-core-practitioner-owen-oncologist)</a></p><h3>Stages</h3><table class=\"grid\"><tr><td>-</td><td><b>Summary</b></td><td><b>Assessment</b></td><td><b>Type</b></td></tr><tr><td>*</td><td>American Joint Committee on Cancer stage IIIC (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#1222806003)</span></td><td><a href=\"#Observation_tnm-clinical-stage-group-jenny-m\">See above (Observation/tnm-clinical-stage-group-jenny-m)</a></td><td>American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#897275008)</span></td></tr></table></div>"
] ; #
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a sct:413448000 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "413448000" ] ;
fhir:display [ fhir:v "Adenocarcinoma, no subtype, intermediate grade (morphologic abnormality)" ] ] ) ]
] ) ; #
fhir:clinicalStatus [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ] ;
fhir:code [ fhir:v "remission" ] ] )
] ; #
fhir:verificationStatus [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-ver-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "confirmed" ] ] )
] ; #
fhir:category ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "problem-list-item" ] ] )
] ) ; #
fhir:code [
( fhir:coding [
a sct:353431000119107 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "353431000119107" ] ;
fhir:display [ fhir:v "Primary malignant neoplasm of female left breast (disorder)" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:onset [ fhir:v "2018-03-16"^^xsd:date] ; #
fhir:asserter [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ]
] ; #
fhir:stage ( [
fhir:summary [
( fhir:coding [
a sct:1222806003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "1222806003" ] ;
fhir:display [ fhir:v "American Joint Committee on Cancer stage IIIC (qualifier value)" ] ] ) ] ;
( fhir:assessment [
fhir:reference [ fhir:v "Observation/tnm-clinical-stage-group-jenny-m" ] ] ) ;
fhir:type [
( fhir:coding [
a sct:897275008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "897275008" ] ;
fhir:display [ fhir:v "American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)" ] ] ) ]
] ) . #
<http://example.org/fhir/MedicationRequest/cancer-related-medication-request-cyclophosphamide-jenny-m> a fhir:MedicationRequest ;
fhir:id [ fhir:v "cancer-related-medication-request-cyclophosphamide-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"cancer-related-medication-request-cyclophosphamide-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationRequest "cancer-related-medication-request-cyclophosphamide-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-cancer-related-medication-request.html\">Cancer-Related Medication Request Profile</a></p></div><p><b>Procedure Intent Extension</b>: Curative - procedure intent (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#373808002)</span></p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: Outpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-medicationrequest-category.html\">MedicationRequest Category Codes</a>#outpatient)</span></p><p><b>medication</b>: cyclophosphamide <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#3002)</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\">See above (Condition/primary-cancer-condition-jenny-m)</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: cyclophosphamide (600 mg/m² IV), 932.59mg</p><p><b>timing</b>: Starting 2018-04-01, Once</p><p><b>route</b>: Intravenous route (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#47625008)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote><p><b>maxDosePerPeriod</b>: 1/3 week<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code wk = 'wk')</span></p></blockquote></div>"
] ; #
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a sct:373808002 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "373808002" ] ;
fhir:display [ fhir:v "Curative - procedure intent (qualifier value)" ] ] ) ]
] ) ; #
fhir:status [ fhir:v "active"] ; #
fhir:intent [ fhir:v "order"] ; #
fhir:category ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/medicationrequest-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "outpatient" ] ] )
] ) ; #
fhir:medication [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://www.nlm.nih.gov/research/umls/rxnorm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "3002" ] ;
fhir:display [ fhir:v "cyclophosphamide" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:authoredOn [ fhir:v "2018-04-12"^^xsd:date] ; #
fhir:requester [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ]
] ; #
fhir:reasonReference ( [
fhir:reference [ fhir:v "Condition/primary-cancer-condition-jenny-m" ]
] ) ; #
fhir:dosageInstruction ( [
fhir:text [ fhir:v "cyclophosphamide (600 mg/m² IV), 932.59mg" ] ;
fhir:timing [
fhir:repeat [
fhir:bounds [
a fhir:Period ;
fhir:start [ fhir:v "2018-04-01"^^xsd:date ] ] ] ] ;
fhir:route [
( fhir:coding [
a sct:47625008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "47625008" ] ;
fhir:display [ fhir:v "Intravenous route (qualifier value)" ] ] ) ] ;
( fhir:doseAndRate [
fhir:dose [
a fhir:Quantity ;
fhir:value [ fhir:v "932.59"^^xsd:decimal ] ;
fhir:unit [ fhir:v "mg" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mg" ] ] ] ) ;
fhir:maxDosePerPeriod [
fhir:numerator [
fhir:value [ fhir:v "1"^^xsd:decimal ] ] ;
fhir:denominator [
fhir:value [ fhir:v "3"^^xsd:decimal ] ;
fhir:unit [ fhir:v "week" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "wk" ] ] ]
] ) . #
<http://example.org/fhir/MedicationRequest/cancer-related-medication-request-doxorubicin-jenny-m> a fhir:MedicationRequest ;
fhir:id [ fhir:v "cancer-related-medication-request-doxorubicin-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"cancer-related-medication-request-doxorubicin-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationRequest "cancer-related-medication-request-doxorubicin-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-cancer-related-medication-request.html\">Cancer-Related Medication Request Profile</a></p></div><p><b>Procedure Intent Extension</b>: Curative - procedure intent (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#373808002)</span></p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: Outpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-medicationrequest-category.html\">MedicationRequest Category Codes</a>#outpatient)</span></p><p><b>medication</b>: DOXOrubicin <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#3639)</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\">See above (Condition/primary-cancer-condition-jenny-m)</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: doxorubicin (60 mg/m² IV)</p><p><b>timing</b>: Starting 2018-04-01, Once</p><p><b>route</b>: Intravenous route (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#47625008)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote><p><b>maxDosePerPeriod</b>: 1/3 week<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code wk = 'wk')</span></p></blockquote></div>"
] ; #
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a sct:373808002 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "373808002" ] ;
fhir:display [ fhir:v "Curative - procedure intent (qualifier value)" ] ] ) ]
] ) ; #
fhir:status [ fhir:v "active"] ; #
fhir:intent [ fhir:v "order"] ; #
fhir:category ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/medicationrequest-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "outpatient" ] ] )
] ) ; #
fhir:medication [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://www.nlm.nih.gov/research/umls/rxnorm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "3639" ] ;
fhir:display [ fhir:v "DOXOrubicin" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:authoredOn [ fhir:v "2018-04-12"^^xsd:date] ; #
fhir:requester [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ]
] ; #
fhir:reasonReference ( [
fhir:reference [ fhir:v "Condition/primary-cancer-condition-jenny-m" ]
] ) ; #
fhir:dosageInstruction ( [
fhir:text [ fhir:v "doxorubicin (60 mg/m² IV)" ] ;
fhir:timing [
fhir:repeat [
fhir:bounds [
a fhir:Period ;
fhir:start [ fhir:v "2018-04-01"^^xsd:date ] ] ] ] ;
fhir:route [
( fhir:coding [
a sct:47625008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "47625008" ] ;
fhir:display [ fhir:v "Intravenous route (qualifier value)" ] ] ) ] ;
( fhir:doseAndRate [
fhir:rate [
a fhir:Quantity ;
fhir:value [ fhir:v "60"^^xsd:decimal ] ;
fhir:unit [ fhir:v "mg/m2" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mg/m2" ] ] ] ) ;
fhir:maxDosePerPeriod [
fhir:numerator [
fhir:value [ fhir:v "1"^^xsd:decimal ] ] ;
fhir:denominator [
fhir:value [ fhir:v "3"^^xsd:decimal ] ;
fhir:unit [ fhir:v "week" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "wk" ] ] ]
] ) . #
<http://example.org/fhir/MedicationRequest/cancer-related-medication-request-paclitaxel-jenny-m> a fhir:MedicationRequest ;
fhir:id [ fhir:v "cancer-related-medication-request-paclitaxel-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"cancer-related-medication-request-paclitaxel-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationRequest "cancer-related-medication-request-paclitaxel-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-cancer-related-medication-request.html\">Cancer-Related Medication Request Profile</a></p></div><p><b>Procedure Intent Extension</b>: Curative - procedure intent (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#373808002)</span></p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: Outpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-medicationrequest-category.html\">MedicationRequest Category Codes</a>#outpatient)</span></p><p><b>medication</b>: PACLitaxel <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#56946)</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\">See above (Condition/primary-cancer-condition-jenny-m)</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: PACLitaxel (175 mg/m² IV), 272.01mg</p><p><b>timing</b>: Starting 2018-04-12, Once</p><p><b>route</b>: Intravenous route (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#47625008)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote><p><b>maxDosePerPeriod</b>: 1/3 week<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code wk = 'wk')</span></p></blockquote></div>"
] ; #
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a sct:373808002 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "373808002" ] ;
fhir:display [ fhir:v "Curative - procedure intent (qualifier value)" ] ] ) ]
] ) ; #
fhir:status [ fhir:v "active"] ; #
fhir:intent [ fhir:v "order"] ; #
fhir:category ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/medicationrequest-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "outpatient" ] ] )
] ) ; #
fhir:medication [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://www.nlm.nih.gov/research/umls/rxnorm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "56946" ] ;
fhir:display [ fhir:v "PACLitaxel" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:authoredOn [ fhir:v "2018-04-12"^^xsd:date] ; #
fhir:requester [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ]
] ; #
fhir:reasonReference ( [
fhir:reference [ fhir:v "Condition/primary-cancer-condition-jenny-m" ]
] ) ; #
fhir:dosageInstruction ( [
fhir:text [ fhir:v "PACLitaxel (175 mg/m² IV), 272.01mg" ] ;
fhir:timing [
fhir:repeat [
fhir:bounds [
a fhir:Period ;
fhir:start [ fhir:v "2018-04-12"^^xsd:date ] ] ] ] ;
fhir:route [
( fhir:coding [
a sct:47625008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "47625008" ] ;
fhir:display [ fhir:v "Intravenous route (qualifier value)" ] ] ) ] ;
( fhir:doseAndRate [
fhir:dose [
a fhir:Quantity ;
fhir:value [ fhir:v "272.01"^^xsd:decimal ] ;
fhir:unit [ fhir:v "mg" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mg" ] ] ] ) ;
fhir:maxDosePerPeriod [
fhir:numerator [
fhir:value [ fhir:v "1"^^xsd:decimal ] ] ;
fhir:denominator [
fhir:value [ fhir:v "3"^^xsd:decimal ] ;
fhir:unit [ fhir:v "week" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "wk" ] ] ]
] ) . #
<http://example.org/fhir/MedicationRequest/cancer-related-medication-request-anastrozole-jenny-m> a fhir:MedicationRequest ;
fhir:id [ fhir:v "cancer-related-medication-request-anastrozole-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"cancer-related-medication-request-anastrozole-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationRequest "cancer-related-medication-request-anastrozole-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-cancer-related-medication-request.html\">Cancer-Related Medication Request Profile</a></p></div><p><b>Procedure Intent Extension</b>: Curative - procedure intent (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#373808002)</span></p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: Community <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-medicationrequest-category.html\">MedicationRequest Category Codes</a>#community)</span></p><p><b>medication</b>: anastrozole <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#84857)</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\">See above (Condition/primary-cancer-condition-jenny-m)</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 1mg orally once daily</p><p><b>timing</b>: Starting 2018-09-30, Once</p><p><b>route</b>: Oral route (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#26643006)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote><p><b>maxDosePerPeriod</b>: 1/1 day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code d = 'd')</span></p></blockquote></div>"
] ; #
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a sct:373808002 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "373808002" ] ;
fhir:display [ fhir:v "Curative - procedure intent (qualifier value)" ] ] ) ]
] ) ; #
fhir:status [ fhir:v "active"] ; #
fhir:intent [ fhir:v "order"] ; #
fhir:category ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/medicationrequest-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "community" ] ] )
] ) ; #
fhir:medication [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://www.nlm.nih.gov/research/umls/rxnorm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "84857" ] ;
fhir:display [ fhir:v "anastrozole" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:authoredOn [ fhir:v "2018-09-30"^^xsd:date] ; #
fhir:requester [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ]
] ; #
fhir:reasonReference ( [
fhir:reference [ fhir:v "Condition/primary-cancer-condition-jenny-m" ]
] ) ; #
fhir:dosageInstruction ( [
fhir:text [ fhir:v "1mg orally once daily" ] ;
fhir:timing [
fhir:repeat [
fhir:bounds [
a fhir:Period ;
fhir:start [ fhir:v "2018-09-30"^^xsd:date ] ] ] ] ;
fhir:route [
( fhir:coding [
a sct:26643006 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "26643006" ] ;
fhir:display [ fhir:v "Oral route (qualifier value)" ] ] ) ] ;
( fhir:doseAndRate [
fhir:dose [
a fhir:Quantity ;
fhir:value [ fhir:v "1"^^xsd:decimal ] ;
fhir:unit [ fhir:v "mg" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mg" ] ] ] ) ;
fhir:maxDosePerPeriod [
fhir:numerator [
fhir:value [ fhir:v "1"^^xsd:decimal ] ] ;
fhir:denominator [
fhir:value [ fhir:v "1"^^xsd:decimal ] ;
fhir:unit [ fhir:v "day" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "d" ] ] ]
] ) . #
<http://example.org/fhir/Observation/cancer-disease-status-jenny-m> a fhir:Observation ;
fhir:id [ fhir:v "cancer-disease-status-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"cancer-disease-status-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "cancer-disease-status-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-cancer-disease-status.html\">Cancer Disease Status Profile</a></p></div><p><b>Cancer Disease Status Evidence Type Extension</b>: Imaging (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#363679005)</span></p><p><b>status</b>: final</p><p><b>code</b>: Cancer Disease Progression <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#97509-4)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>focus</b>: <a href=\"#Condition_primary-cancer-condition-jenny-m\">See above (Condition/primary-cancer-condition-jenny-m)</a></p><p><b>effective</b>: 2018-11-01</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>: Patient's condition improved (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#268910001)</span></p></div>"
] ; #
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status-evidence-type"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a sct:363679005 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "363679005" ] ;
fhir:display [ fhir:v "Imaging (procedure)" ] ] ) ]
] ) ; #
fhir:status [ fhir:v "final"] ; #
fhir:code [
( fhir:coding [
a loinc:97509-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "97509-4" ] ;
fhir:display [ fhir:v "Cancer Disease Progression" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:focus ( [
fhir:reference [ fhir:v "Condition/primary-cancer-condition-jenny-m" ]
] ) ; #
fhir:effective [ fhir:v "2018-11-01"^^xsd:date] ; #
fhir:performer ( [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ]
] ) ; #
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a sct:268910001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "268910001" ] ;
fhir:display [ fhir:v "Patient's condition improved (finding)" ] ] )
] . #
<http://example.org/fhir/Observation/genomic-variant-jenny-m> a fhir:Observation ;
fhir:id [ fhir:v "genomic-variant-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-variant"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-variant> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"genomic-variant-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "genomic-variant-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-genomic-variant.html\">Genomic Variant Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Genetic variant assessment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69548-6)</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>: Present <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA9633-4)</span></p><p><b>method</b>: Sequencing <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA26398-0)</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Gene studied [ID] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#48018-6)</span></p><p><b>value</b>: PALB2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-hgnc.html\">HUGO Gene Nomenclature Committee Genes</a>#HGNC:26144)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Discrete genetic variant <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#81252-9)</span></p><p><b>value</b>: NM_024675.3(PALB2):c.3549C>A (p.Tyr1183Ter) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-ClinVarV.html\">ClinVar Variant ID</a>#128144)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Genomic DNA change (gHGVS) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#81290-9)</span></p><p><b>value</b>: NC_000016.10:g.23603471G>T <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-hgvs.html\">Human Genome Variation Society nomenclature</a>#NC_000016.10:g.23603471G>T)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Genomic source class [Type] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#48002-0)</span></p><p><b>value</b>: Somatic <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6684-0)</span></p></blockquote></div>"
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:category ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "laboratory" ] ] )
] ) ; #
fhir:code [
( fhir:coding [
a loinc:69548-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "69548-6" ] ;
fhir:display [ fhir:v "Genetic variant assessment" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:effective [ fhir:v "2018-03-15"^^xsd:date] ; #
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a loinc:LA9633-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "LA9633-4" ] ;
fhir:display [ fhir:v "Present" ] ] )
] ; #
fhir:method [
( fhir:coding [
a loinc:LA26398-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "LA26398-0" ] ;
fhir:display [ fhir:v "Sequencing" ] ] )
] ; #
fhir:component ( [
fhir:code [
( fhir:coding [
a loinc:48018-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "48018-6" ] ] ) ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://www.genenames.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "HGNC:26144" ] ;
fhir:display [ fhir:v "PALB2" ] ] ) ]
] [
fhir:code [
( fhir:coding [
a loinc:81252-9 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "81252-9" ] ] ) ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://www.ncbi.nlm.nih.gov/clinvar"^^xsd:anyURI ] ;
fhir:code [ fhir:v "128144" ] ;
fhir:display [ fhir:v "NM_024675.3(PALB2):c.3549C>A (p.Tyr1183Ter)" ] ] ) ]
] [
fhir:code [
( fhir:coding [
a loinc:81290-9 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "81290-9" ] ] ) ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://varnomen.hgvs.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "NC_000016.10:g.23603471G>T" ] ] ) ]
] [
fhir:code [
( fhir:coding [
a loinc:48002-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "48002-0" ] ] ) ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a loinc:LA6684-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "LA6684-0" ] ;
fhir:display [ fhir:v "Somatic" ] ] ) ]
] ) . #
<http://example.org/fhir/DiagnosticReport/genomics-report-jenny-m> a fhir:DiagnosticReport ;
fhir:id [ fhir:v "genomics-report-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: DiagnosticReport</b><a name=\"genomics-report-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource DiagnosticReport "genomics-report-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-genomics-report.html\">Genomics Report Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Genetics <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v2-0074.html\">diagnosticServiceSectionId</a>#GE)</span></p><p><b>code</b>: Genetic analysis report <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#51969-4)</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_human-specimen-left-breast-jenny-m\">See above (Specimen/human-specimen-left-breast-jenny-m)</a></p><p><b>result</b>: </p><ul><li><a href=\"#Observation_genomic-variant-jenny-m\">See above (Observation/genomic-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:status [ fhir:v "final"] ; #
fhir:category ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0074"^^xsd:anyURI ] ;
fhir:code [ fhir:v "GE" ] ] )
] ) ; #
fhir:code [
( fhir:coding [
a loinc:51969-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "51969-4" ] ;
fhir:display [ fhir:v "Genetic analysis report" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:effective [ fhir:v "2018-03-15"^^xsd:date] ; #
fhir:issued [ fhir:v "2020-03-15T00:00:01+00:00"^^xsd:dateTime] ; #
fhir:specimen ( [
fhir:reference [ fhir:v "Specimen/human-specimen-left-breast-jenny-m" ]
] ) ; #
fhir:result ( [
fhir:reference [ fhir:v "Observation/genomic-variant-jenny-m" ]
] [
fhir:reference [ fhir:v "Observation/genomic-region-studied-jenny-m" ]
] ) . #
<http://example.org/fhir/Procedure/cancer-related-surgical-procedure-jenny-m> a fhir:Procedure ;
fhir:id [ fhir:v "cancer-related-surgical-procedure-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-surgical-procedure"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-surgical-procedure> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Procedure</b><a name=\"cancer-related-surgical-procedure-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Procedure "cancer-related-surgical-procedure-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-cancer-related-surgical-procedure.html\">Cancer-Related Surgical Procedure Profile</a></p></div><p><b>Procedure Intent Extension</b>: Curative - procedure intent (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#373808002)</span></p><p><b>status</b>: completed</p><p><b>code</b>: Excision of part of breast (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#64368001)</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\">See above (Condition/primary-cancer-condition-jenny-m)</a></p><p><b>bodySite</b>: Left breast structure (body structure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#80248007)</span></p></div>"
] ; #
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a sct:373808002 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "373808002" ] ;
fhir:display [ fhir:v "Curative - procedure intent (qualifier value)" ] ] ) ]
] ) ; #
fhir:status [ fhir:v "completed"] ; #
fhir:code [
( fhir:coding [
a sct:64368001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "64368001" ] ;
fhir:display [ fhir:v "Excision of part of breast (procedure)" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:performed [ fhir:v "2018-04-01"^^xsd:date] ; #
fhir:asserter [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ]
] ; #
fhir:reasonReference ( [
fhir:reference [ fhir:v "Condition/primary-cancer-condition-jenny-m" ]
] ) ; #
fhir:bodySite ( [
( fhir:coding [
a sct:80248007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "80248007" ] ;
fhir:display [ fhir:v "Left breast structure (body structure)" ] ] )
] ) . #
<http://example.org/fhir/Observation/cancer-related-comorbidities-jenny-m> a fhir:Observation ;
fhir:id [ fhir:v "cancer-related-comorbidities-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"cancer-related-comorbidities-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "cancer-related-comorbidities-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-comorbidities.html\">Comorbidities Profile</a></p></div><p><b>Related Condition Extension</b>: <a href=\"Condition-us-core-condition-depression-jenny-m.html\">Condition/us-core-condition-depression-jenny-m</a></p><p><b>Related Condition Extension</b>: <a href=\"Condition-us-core-condition-anxiety-jenny-m.html\">Condition/us-core-condition-anxiety-jenny-m</a></p><p><b>Related Condition Extension</b>: <a href=\"Condition-us-core-condition-hypertension-jenny-m.html\">Condition/us-core-condition-hypertension-jenny-m</a></p><p><b>Related Condition Absent Extension</b>: Obesity (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#414916001)</span></p><p><b>Related Condition Absent Extension</b>: Disorder of lung (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#19829001)</span></p><p><b>status</b>: final</p><p><b>code</b>: Co-morbid conditions (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#398192003)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>focus</b>: <a href=\"#Condition_primary-cancer-condition-jenny-m\">See above (Condition/primary-cancer-condition-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></div>"
] ; #
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Condition/us-core-condition-depression-jenny-m" ] ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Condition/us-core-condition-anxiety-jenny-m" ] ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Condition/us-core-condition-hypertension-jenny-m" ] ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a sct:414916001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "414916001" ] ;
fhir:display [ fhir:v "Obesity (disorder)" ] ] ) ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a sct:19829001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "19829001" ] ;
fhir:display [ fhir:v "Disorder of lung (disorder)" ] ] ) ]
] ) ; #
fhir:status [ fhir:v "final"] ; #
fhir:code [
( fhir:coding [
a sct:398192003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "398192003" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:focus ( [
fhir:reference [ fhir:v "Condition/primary-cancer-condition-jenny-m" ]
] ) ; #
fhir:effective [ fhir:v "2018-03-16"^^xsd:date] ; #
fhir:performer ( [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ]
] ) . #
<http://example.org/fhir/Procedure/radiotherapy-treatment-summary-chest-wall-jenny-m> a fhir:Procedure ;
fhir:id [ fhir:v "radiotherapy-treatment-summary-chest-wall-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Procedure</b><a name=\"radiotherapy-treatment-summary-chest-wall-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Procedure "radiotherapy-treatment-summary-chest-wall-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-radiotherapy-course-summary.html\">Radiotherapy Course Summary Profile</a></p></div><p><b>Radiotherapy Number of Sessions Extension</b>: 31</p><p><b>Procedure Intent Extension</b>: Curative - procedure intent <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#373808002)</span></p><blockquote><p><b>Radiotherapy Modality And Technique Extension</b></p><blockquote><p><b>url</b></p><a href=\"StructureDefinition-mcode-radiotherapy-modality.html\">Radiotherapy Modality Extension</a></blockquote><p><b>value</b>: External beam radiation therapy using photons (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#1156506007)</span></p><blockquote><p><b>url</b></p><a href=\"StructureDefinition-mcode-radiotherapy-technique.html\">Radiotherapy Technique Extension</a></blockquote><p><b>value</b>: Volumetric Modulated Arc Therapy (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#1156530009)</span></p></blockquote><blockquote><p><b>Radiotherapy Modality And Technique Extension</b></p><blockquote><p><b>url</b></p><a href=\"StructureDefinition-mcode-radiotherapy-modality.html\">Radiotherapy Modality Extension</a></blockquote><p><b>value</b>: Teleradiotherapy using electrons <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#45643008)</span></p><blockquote><p><b>url</b></p><a href=\"StructureDefinition-mcode-radiotherapy-technique.html\">Radiotherapy Technique Extension</a></blockquote><p><b>value</b>: Three dimensional external beam radiation therapy (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#1162782007)</span></p></blockquote><blockquote><p><b>Radiotherapy Dose Delivered To Volume Extension</b></p><blockquote><p><b>url</b></p><code>volume</code></blockquote><p><b>value</b>: <a href=\"BodyStructure-jenny-m-chest-wall-treatment-volume.html\">BodyStructure/jenny-m-chest-wall-treatment-volume</a></p><blockquote><p><b>url</b></p><code>totalDoseDelivered</code></blockquote><p><b>value</b>: 6000 cGy<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cGy = 'cGy')</span></p><blockquote><p><b>url</b></p><code>fractionsDelivered</code></blockquote><p><b>value</b>: 30</p></blockquote><blockquote><p><b>Radiotherapy Dose Delivered To Volume Extension</b></p><blockquote><p><b>url</b></p><code>volume</code></blockquote><p><b>value</b>: <a href=\"BodyStructure-jenny-m-chest-wall-lymph-nodes-treatment-volume.html\">BodyStructure/jenny-m-chest-wall-lymph-nodes-treatment-volume</a></p><blockquote><p><b>url</b></p><code>totalDoseDelivered</code></blockquote><p><b>value</b>: 5000 cGy<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cGy = 'cGy')</span></p><blockquote><p><b>url</b></p><code>fractionsDelivered</code></blockquote><p><b>value</b>: 25</p></blockquote><p><b>status</b>: completed</p><p><b>category</b>: Radiation oncology AND/OR radiotherapy (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#108290001)</span></p><p><b>code</b>: Radiotherapy course of treatment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#1217123003)</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>: 2018-08-15 --> 2018-10-25</p><p><b>asserter</b>: <a href=\"Practitioner-us-core-practitioner-kyle-anydoc.html\">Practitioner/us-core-practitioner-kyle-anydoc</a> " ANYDOC"</p><p><b>reasonCode</b>: Malignant neoplasm of overlapping sites of right female breast <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#C50.811)</span></p><p><b>bodySite</b>: Chest Wall Structure (body structure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#78904004)</span></p></div>"
] ; #
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions"^^xsd:anyURI ] ;
fhir:value [ fhir:v "31"^^xsd:nonNegativeInteger ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a sct:373808002 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "373808002" ] ;
fhir:display [ fhir:v "Curative - procedure intent" ] ] ) ]
] [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a sct:1156506007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "1156506007" ] ;
fhir:display [ fhir:v "External beam radiation therapy using photons (procedure)" ] ] ) ] ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a sct:1156530009 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "1156530009" ] ;
fhir:display [ fhir:v "Volumetric Modulated Arc Therapy (procedure)" ] ] ) ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"^^xsd:anyURI ]
] [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a sct:45643008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "45643008" ] ;
fhir:display [ fhir:v "Teleradiotherapy using electrons" ] ] ) ] ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a sct:1162782007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "1162782007" ] ;
fhir:display [ fhir:v "Three dimensional external beam radiation therapy (procedure)" ] ] ) ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"^^xsd:anyURI ]
] [
( fhir:extension [
fhir:url [ fhir:v "volume"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "BodyStructure/jenny-m-chest-wall-treatment-volume" ] ] ] [
fhir:url [ fhir:v "totalDoseDelivered"^^xsd:anyURI ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "6000"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "cGy" ] ] ] [
fhir:url [ fhir:v "fractionsDelivered"^^xsd:anyURI ] ;
fhir:value [ fhir:v "30"^^xsd:nonNegativeInteger ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"^^xsd:anyURI ]
] [
( fhir:extension [
fhir:url [ fhir:v "volume"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "BodyStructure/jenny-m-chest-wall-lymph-nodes-treatment-volume" ] ] ] [
fhir:url [ fhir:v "totalDoseDelivered"^^xsd:anyURI ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "5000"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "cGy" ] ] ] [
fhir:url [ fhir:v "fractionsDelivered"^^xsd:anyURI ] ;
fhir:value [ fhir:v "25"^^xsd:nonNegativeInteger ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"^^xsd:anyURI ]
] ) ; #
fhir:status [ fhir:v "completed"] ; #
fhir:category [
( fhir:coding [
a sct:108290001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "108290001" ] ;
fhir:display [ fhir:v "Radiation oncology AND/OR radiotherapy (procedure)" ] ] )
] ; #
fhir:code [
( fhir:coding [
a sct:1217123003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "1217123003" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:performed [
a fhir:Period ;
fhir:start [ fhir:v "2018-08-15"^^xsd:date ] ;
fhir:end [ fhir:v "2018-10-25"^^xsd:date ]
] ; #
fhir:asserter [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-kyle-anydoc" ]
] ; #
fhir:reasonCode ( [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/sid/icd-10-cm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "C50.811" ] ;
fhir:display [ fhir:v "Malignant neoplasm of overlapping sites of right female breast" ] ] )
] ) ; #
fhir:bodySite ( [
( fhir:coding [
a sct:78904004 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "78904004" ] ;
fhir:display [ fhir:v "Chest Wall Structure (body structure)" ] ] )
] ) . #
<http://example.org/fhir/Observation/tnm-clinical-stage-group-jenny-m> a fhir:Observation ;
fhir:id [ fhir:v "tnm-clinical-stage-group-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-stage-group"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-stage-group> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"tnm-clinical-stage-group-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "tnm-clinical-stage-group-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-tnm-stage-group.html\">TNM Stage Group Profile</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Stage group.clinical Cancer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21908-9)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>focus</b>: <a href=\"#Condition_primary-cancer-condition-jenny-m\">See above (Condition/primary-cancer-condition-jenny-m)</a></p><p><b>effective</b>: 2018-03-16</p><p><b>value</b>: American Joint Committee on Cancer stage IIB (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#1222769001)</span></p><p><b>method</b>: American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#897275008)</span></p><p><b>hasMember</b>: </p><ul><li><a href=\"Observation-tnm-pathologic-primary-tumor-category-jenny-m.html\">Observation/tnm-pathologic-primary-tumor-category-jenny-m</a></li><li><a href=\"Observation-tnm-pathologic-regional-nodes-category-jenny-m.html\">Observation/tnm-pathologic-regional-nodes-category-jenny-m</a></li><li><a href=\"Observation-tnm-pathologic-distant-metastases-category-jenny-m.html\">Observation/tnm-pathologic-distant-metastases-category-jenny-m</a></li></ul></div>"
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:code [
( fhir:coding [
a loinc:21908-9 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "21908-9" ] ;
fhir:display [ fhir:v "Stage group.clinical Cancer" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:focus ( [
fhir:reference [ fhir:v "Condition/primary-cancer-condition-jenny-m" ]
] ) ; #
fhir:effective [ fhir:v "2018-03-16"^^xsd:date] ; #
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a sct:1222769001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "1222769001" ] ;
fhir:display [ fhir:v "American Joint Committee on Cancer stage IIB (qualifier value)" ] ] )
] ; #
fhir:method [
( fhir:coding [
a sct:897275008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "897275008" ] ;
fhir:display [ fhir:v "American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)" ] ] )
] ; #
fhir:hasMember ( [
fhir:reference [ fhir:v "Observation/tnm-pathologic-primary-tumor-category-jenny-m" ]
] [
fhir:reference [ fhir:v "Observation/tnm-pathologic-regional-nodes-category-jenny-m" ]
] [
fhir:reference [ fhir:v "Observation/tnm-pathologic-distant-metastases-category-jenny-m" ]
] ) . #
<http://example.org/fhir/Observation/tnm-clinical-primary-tumor-category-jenny-m> a fhir:Observation ;
fhir:id [ fhir:v "tnm-clinical-primary-tumor-category-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"tnm-clinical-primary-tumor-category-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "tnm-clinical-primary-tumor-category-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-tnm-primary-tumor-category.html\">TNM Primary Tumor Category Profile</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Primary tumor.clinical [Class] Cancer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21905-5)</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>: American Joint Committee on Cancer cT3 (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#1228938002)</span></p><p><b>method</b>: American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#897275008)</span></p></div>"
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:code [
( fhir:coding [
a loinc:21905-5 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "21905-5" ] ;
fhir:display [ fhir:v "Primary tumor.clinical [Class] Cancer" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:effective [ fhir:v "2018-03-16"^^xsd:date] ; #
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a sct:1228938002 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "1228938002" ] ;
fhir:display [ fhir:v "American Joint Committee on Cancer cT3 (qualifier value)" ] ] )
] ; #
fhir:method [
( fhir:coding [
a sct:897275008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "897275008" ] ;
fhir:display [ fhir:v "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:id [ fhir:v "tnm-clinical-regional-nodes-category-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-regional-nodes-category"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-regional-nodes-category> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"tnm-clinical-regional-nodes-category-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "tnm-clinical-regional-nodes-category-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-tnm-regional-nodes-category.html\">TNM Regional Nodes Category Profile</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Regional lymph nodes.clinical [Class] Cancer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21906-3)</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>: American Joint Committee on Cancer cN0 (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#1229967007)</span></p><p><b>method</b>: American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#897275008)</span></p></div>"
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:code [
( fhir:coding [
a loinc:21906-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "21906-3" ] ;
fhir:display [ fhir:v "Regional lymph nodes.clinical [Class] Cancer" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:effective [ fhir:v "2018-03-16"^^xsd:date] ; #
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a sct:1229967007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "1229967007" ] ;
fhir:display [ fhir:v "American Joint Committee on Cancer cN0 (qualifier value)" ] ] )
] ; #
fhir:method [
( fhir:coding [
a sct:897275008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "897275008" ] ;
fhir:display [ fhir:v "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:id [ fhir:v "tnm-clinical-distant-metastases-category-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"tnm-clinical-distant-metastases-category-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "tnm-clinical-distant-metastases-category-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-tnm-distant-metastases-category.html\">TNM Distant Metastases Category Profile</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Distant metastases.clinical [Class] Cancer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21907-1)</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>: American Joint Committee on Cancer cM0 (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#1229901006)</span></p><p><b>method</b>: American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#897275008)</span></p></div>"
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:code [
( fhir:coding [
a loinc:21907-1 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "21907-1" ] ;
fhir:display [ fhir:v "Distant metastases.clinical [Class] Cancer" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:effective [ fhir:v "2018-03-16"^^xsd:date] ; #
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a sct:1229901006 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "1229901006" ] ;
fhir:display [ fhir:v "American Joint Committee on Cancer cM0 (qualifier value)" ] ] )
] ; #
fhir:method [
( fhir:coding [
a sct:897275008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "897275008" ] ;
fhir:display [ fhir:v "American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)" ] ] )
] . #
<http://example.org/fhir/Specimen/human-specimen-left-breast-jenny-m> a fhir:Specimen ;
fhir:id [ fhir:v "human-specimen-left-breast-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-human-specimen"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-human-specimen> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Specimen</b><a name=\"human-specimen-left-breast-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Specimen "human-specimen-left-breast-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-human-specimen.html\">Human Specimen Profile</a></p></div><p><b>status</b>: available</p><p><b>type</b>: Tissue <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v2-0487.html\">specimenType</a>#TISS)</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>Left breast structure (body structure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#80248007)</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:status [ fhir:v "available"] ; #
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0487"^^xsd:anyURI ] ;
fhir:code [ fhir:v "TISS" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:collection [
fhir:collector [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ] ] ;
fhir:bodySite [
( fhir:coding [
a sct:80248007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "80248007" ] ;
fhir:display [ fhir:v "Left breast structure (body structure)" ] ] ) ]
] ; #
fhir:processing ( [
fhir:time [ fhir:v "2018-03-06"^^xsd:date ]
] ) . #
<http://example.org/fhir/Observation/genomic-region-studied-jenny-m> a fhir:Observation ;
fhir:id [ fhir:v "genomic-region-studied-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-region-studied"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-region-studied> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"genomic-region-studied-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "genomic-region-studied-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-genomic-region-studied.html\">Genomic Region Studied Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: DNA region of interest panel <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#53041-0)</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>Gene studied [ID] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#48018-6)</span></td><td>BRCA1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-hgnc.html\">HUGO Gene Nomenclature Committee Genes</a>#1100; <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-hgnc.html\">HUGO Gene Nomenclature Committee Genes</a>#1101 "BRCA2"; <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-hgnc.html\">HUGO Gene Nomenclature Committee Genes</a>#1748 "CDH1"; <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-hgnc.html\">HUGO Gene Nomenclature Committee Genes</a>#26144 "PALB2"; <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-hgnc.html\">HUGO Gene Nomenclature Committee Genes</a>#9588 "PTEN"; <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-hgnc.html\">HUGO Gene Nomenclature Committee Genes</a>#11389 "STK11"; <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-hgnc.html\">HUGO Gene Nomenclature Committee Genes</a>#11998 "TP53")</span></td></tr></table></div>"
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:category ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "laboratory" ] ] )
] ) ; #
fhir:code [
( fhir:coding [
a loinc:53041-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "53041-0" ] ;
fhir:display [ fhir:v "DNA region of interest panel" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:effective [ fhir:v "2018-03-15"^^xsd:date] ; #
fhir:issued [ fhir:v "2018-03-15T00:00:01+00:00"^^xsd:dateTime] ; #
fhir:component ( [
fhir:code [
( fhir:coding [
a loinc:48018-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "48018-6" ] ;
fhir:display [ fhir:v "Gene studied [ID]" ] ] ) ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://www.genenames.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1100" ] ;
fhir:display [ fhir:v "BRCA1" ] ] [
fhir:system [ fhir:v "http://www.genenames.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1101" ] ;
fhir:display [ fhir:v "BRCA2" ] ] [
fhir:system [ fhir:v "http://www.genenames.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1748" ] ;
fhir:display [ fhir:v "CDH1" ] ] [
fhir:system [ fhir:v "http://www.genenames.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "26144" ] ;
fhir:display [ fhir:v "PALB2" ] ] [
fhir:system [ fhir:v "http://www.genenames.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "9588" ] ;
fhir:display [ fhir:v "PTEN" ] ] [
fhir:system [ fhir:v "http://www.genenames.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "11389" ] ;
fhir:display [ fhir:v "STK11" ] ] [
fhir:system [ fhir:v "http://www.genenames.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "11998" ] ;
fhir:display [ fhir:v "TP53" ] ] ) ]
] ) . #
<http://example.org/fhir/Observation/ecog-performance-status-jenny-m> a fhir:Observation ;
fhir:id [ fhir:v "ecog-performance-status-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-ecog-performance-status"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-ecog-performance-status> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"ecog-performance-status-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "ecog-performance-status-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-ecog-performance-status.html\">ECOG Performance Status Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Clinical Test <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/us/core/STU5.0.1/CodeSystem-us-core-observation-category.html\">US Core Observation Category Extension Codes</a>#clinical-test)</span></p><p><b>code</b>: ECOG Performance Status score <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#89247-1)</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>: Fully active, able to carry on all pre-disease performance without restriction <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA9622-7)</span></p><p><b>method</b>: Physical examination procedure (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#5880005)</span></p></div>"
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:category ( [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/core/CodeSystem/us-core-observation-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "clinical-test" ] ] )
] ) ; #
fhir:code [
( fhir:coding [
a loinc:89247-1 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "89247-1" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:effective [ fhir:v "2018-04-12"^^xsd:date] ; #
fhir:performer ( [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ]
] ) ; #
fhir:value [ fhir:v "0"^^xsd:integer] ; #
fhir:interpretation ( [
( fhir:coding [
a loinc:LA9622-7 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "LA9622-7" ] ;
fhir:display [ fhir:v "Fully active, able to carry on all pre-disease performance without restriction" ] ] )
] ) ; #
fhir:method [
( fhir:coding [
a sct:5880005 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "5880005" ] ;
fhir:display [ fhir:v "Physical examination procedure (procedure)" ] ] )
] . #
<http://example.org/fhir/Observation/tumor-marker-test-er-jenny-m> a fhir:Observation ;
fhir:id [ fhir:v "tumor-marker-test-er-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"tumor-marker-test-er-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "tumor-marker-test-er-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-tumor-marker-test.html\">Tumor Marker Test Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stain <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#85337-4)</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>: Positive <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6576-8)</span></p></div>"
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:category ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "laboratory" ] ] )
] ) ; #
fhir:code [
( fhir:coding [
a loinc:85337-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "85337-4" ] ;
fhir:display [ fhir:v "Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stain" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:effective [ fhir:v "2018-03-10"^^xsd:date] ; #
fhir:performer ( [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ]
] ) ; #
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a loinc:LA6576-8 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "LA6576-8" ] ;
fhir:display [ fhir:v "Positive" ] ] )
] . #
<http://example.org/fhir/Observation/tumor-marker-test-pr-jenny-m> a fhir:Observation ;
fhir:id [ fhir:v "tumor-marker-test-pr-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"tumor-marker-test-pr-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "tumor-marker-test-pr-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-tumor-marker-test.html\">Tumor Marker Test Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Progesterone receptor Ag [Presence] in Breast cancer specimen by Immune stain <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#85339-0)</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>: Negative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6577-6)</span></p></div>"
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:category ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "laboratory" ] ] )
] ) ; #
fhir:code [
( fhir:coding [
a loinc:85339-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "85339-0" ] ;
fhir:display [ fhir:v "Progesterone receptor Ag [Presence] in Breast cancer specimen by Immune stain" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:effective [ fhir:v "2018-03-10"^^xsd:date] ; #
fhir:performer ( [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ]
] ) ; #
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a loinc:LA6577-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "LA6577-6" ] ;
fhir:display [ fhir:v "Negative" ] ] )
] . #
<http://example.org/fhir/Observation/tumor-marker-test-her2-jenny-m> a fhir:Observation ;
fhir:id [ fhir:v "tumor-marker-test-her2-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"tumor-marker-test-her2-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "tumor-marker-test-her2-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-tumor-marker-test.html\">Tumor Marker Test Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: HER2 [Interpretation] in Tissue <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#48676-1)</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>: Negative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6577-6)</span></p></div>"
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:category ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "laboratory" ] ] )
] ) ; #
fhir:code [
( fhir:coding [
a loinc:48676-1 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "48676-1" ] ;
fhir:display [ fhir:v "HER2 [Interpretation] in Tissue" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:effective [ fhir:v "2018-03-10"^^xsd:date] ; #
fhir:performer ( [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-owen-oncologist" ]
] ) ; #
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a loinc:LA6577-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "LA6577-6" ] ;
fhir:display [ fhir:v "Negative" ] ] )
] . #
<http://example.org/fhir/Observation/tumor-marker-test-oncotype-dx-jenny-m> a fhir:Observation ;
fhir:id [ fhir:v "tumor-marker-test-oncotype-dx-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"tumor-marker-test-oncotype-dx-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "tumor-marker-test-oncotype-dx-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-tumor-marker-test.html\">Tumor Marker Test Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Oncotype DX Breast Recurrence Score Assay <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (gtr#509910)</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\">Organization/us-core-organization-bedrock-medicine</a> "Bedrock Medicine"</p><p><b>value</b>: 47 Recurrence score<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {ScoreOf} = '{ScoreOf}')</span></p><p><b>interpretation</b>: High <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#H)</span></p></div>"
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:category ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "laboratory" ] ] )
] ) ; #
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://www.ncbi.nlm.nih.gov/gtr"^^xsd:anyURI ] ;
fhir:code [ fhir:v "509910" ] ;
fhir:display [ fhir:v "Oncotype DX Breast Recurrence Score Assay" ] ] ) ;
fhir:text [ fhir:v "Oncotype DX Breast Recurrence Score Assay" ]
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:effective [ fhir:v "2018-04-12"^^xsd:date] ; #
fhir:performer ( [
fhir:reference [ fhir:v "Organization/us-core-organization-bedrock-medicine" ]
] ) ; #
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "47"^^xsd:decimal ] ;
fhir:unit [ fhir:v "Recurrence score" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "{ScoreOf}" ]
] ; #
fhir:interpretation ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "H" ] ;
fhir:display [ fhir:v "High" ] ] )
] ) . #
<http://example.org/fhir/Observation/tumor-size-jenny-m> a fhir:Observation ;
fhir:id [ fhir:v "tumor-size-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-size"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-size> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"tumor-size-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "tumor-size-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-tumor-size.html\">Tumor Size Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Size Tumor <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21889-1)</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>: 2018-04-01 00:00:00+0000</p><p><b>method</b>: Gross examination and sampling of tissue specimen (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#787377000)</span></p><p><b>specimen</b>: <a href=\"Specimen-tumor-specimen-left-breast-jenny-m.html\">Specimen/tumor-specimen-left-breast-jenny-m</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>Size.maximum dimension in Tumor <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#33728-7)</span></td><td>2.5 centimeters<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cm = 'cm')</span></td></tr></table></div>"
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:category ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "laboratory" ] ] )
] ) ; #
fhir:code [
( fhir:coding [
a loinc:21889-1 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "21889-1" ] ;
fhir:display [ fhir:v "Size Tumor" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:effective [ fhir:v "2018-04-01T00:00:00Z"^^xsd:dateTime] ; #
fhir:method [
( fhir:coding [
a sct:787377000 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "787377000" ] ;
fhir:display [ fhir:v "Gross examination and sampling of tissue specimen (procedure)" ] ] )
] ; #
fhir:specimen [
fhir:reference [ fhir:v "Specimen/tumor-specimen-left-breast-jenny-m" ]
] ; #
fhir:component ( [
fhir:code [
( fhir:coding [
a loinc:33728-7 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "33728-7" ] ] ) ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "2.5"^^xsd:decimal ] ;
fhir:unit [ fhir:v "centimeters" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "cm" ] ]
] ) . #
<http://example.org/fhir/Observation/us-core-procedure-biopsy-jenny-m> a fhir:Procedure ;
fhir:id [ fhir:v "us-core-procedure-biopsy-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Procedure</b><a name=\"us-core-procedure-biopsy-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Procedure "us-core-procedure-biopsy-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-procedure.html\">US Core Procedure Profile</a></p></div><p><b>status</b>: completed</p><p><b>code</b>: Biopsy of breast using ultrasonographic guidance (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#723990008)</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\">Practitioner/us-core-practitioner-mary-obgyn</a> " OBGYN"</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\">Practitioner/us-core-practitioner-mary-obgyn</a> " OBGYN"</td></tr></table><p><b>reasonReference</b>: <a href=\"#Condition_primary-cancer-condition-jenny-m\">See above (Condition/primary-cancer-condition-jenny-m)</a></p><p><b>bodySite</b>: Left breast structure (body structure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#80248007)</span></p></div>"
] ; #
fhir:status [ fhir:v "completed"] ; #
fhir:code [
( fhir:coding [
a sct:723990008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "723990008" ] ;
fhir:display [ fhir:v "Biopsy of breast using ultrasonographic guidance (procedure)" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:performed [ fhir:v "2018-03-06"^^xsd:date] ; #
fhir:asserter [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-mary-obgyn" ]
] ; #
fhir:performer ( [
fhir:actor [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-mary-obgyn" ] ]
] ) ; #
fhir:reasonReference ( [
fhir:reference [ fhir:v "Condition/primary-cancer-condition-jenny-m" ]
] ) ; #
fhir:bodySite ( [
( fhir:coding [
a sct:80248007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "80248007" ] ;
fhir:display [ fhir:v "Left breast structure (body structure)" ] ] )
] ) . #
<http://example.org/fhir/Observation/bodyweight-jenny-m-2018-03-16> a fhir:Observation ;
fhir:id [ fhir:v "bodyweight-jenny-m-2018-03-16"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/bodyweight"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/StructureDefinition/bodyweight> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"bodyweight-jenny-m-2018-03-16\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "bodyweight-jenny-m-2018-03-16" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/R4/bodyweight.html\">Observation Body Weight Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#vital-signs)</span></p><p><b>code</b>: Body weight <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#29463-7)</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<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code [lb_av] = '[lb_av]')</span></p></div>"
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:category ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "vital-signs" ] ] )
] ) ; #
fhir:code [
( fhir:coding [
a loinc:29463-7 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "29463-7" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:effective [ fhir:v "2018-03-06"^^xsd:date] ; #
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "155"^^xsd:decimal ] ;
fhir:unit [ fhir:v "lb" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "[lb_av]" ]
] . #
<http://example.org/fhir/Observation/us-core-observation-lab-neutrophils-jenny-m> a fhir:Observation ;
fhir:id [ fhir:v "us-core-observation-lab-neutrophils-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"us-core-observation-lab-neutrophils-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "us-core-observation-lab-neutrophils-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-observation-lab.html\">US Core Laboratory Result Observation Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Neutrophils [#/volume] in Blood <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#26499-4)</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>: 2018-05-20 00:00:00+0000</p><p><b>value</b>: 3000 10*3/uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code 10*3/uL = '10*3/uL')</span></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<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code 10*3/uL = '10*3/uL')</span></td><td>5000 10*3/uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code 10*3/uL = '10*3/uL')</span></td><td>Normal Range <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-referencerange-meaning.html\">Observation Reference Range Meaning Codes</a>#normal)</span></td></tr></table></div>"
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:category ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "laboratory" ] ] )
] ) ; #
fhir:code [
( fhir:coding [
a loinc:26499-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "26499-4" ] ;
fhir:display [ fhir:v "Neutrophils [#/volume] in Blood" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:effective [ fhir:v "2018-05-20T00:00:00Z"^^xsd:dateTime] ; #
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "3000"^^xsd:decimal ] ;
fhir:unit [ fhir:v "10*3/uL" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "10*3/uL" ]
] ; #
fhir:referenceRange ( [
fhir:low [
fhir:value [ fhir:v "2500"^^xsd:decimal ] ;
fhir:unit [ fhir:v "10*3/uL" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "10*3/uL" ] ] ;
fhir:high [
fhir:value [ fhir:v "5000"^^xsd:decimal ] ;
fhir:unit [ fhir:v "10*3/uL" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "10*3/uL" ] ] ;
( fhir:appliesTo [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/referencerange-meaning"^^xsd:anyURI ] ;
fhir:code [ fhir:v "normal" ] ;
fhir:display [ fhir:v "Normal Range" ] ] ) ] )
] ) . #
<http://example.org/fhir/Organization/us-core-organization-physician-services-inc> a fhir:Organization ;
fhir:id [ fhir:v "us-core-organization-physician-services-inc"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"us-core-organization-physician-services-inc\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Organization "us-core-organization-physician-services-inc" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-organization.html\">US Core Organization Profile</a></p></div><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-organization-type.html\">Organization type</a>#prov)</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:active [ fhir:v "true"^^xsd:boolean] ; #
fhir:type ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/organization-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "prov" ] ;
fhir:display [ fhir:v "Healthcare Provider" ] ] )
] ) ; #
fhir:name [ fhir:v "Physician Services, Inc."] ; #
fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "999-999-9999" ] ;
fhir:use [ fhir:v "work" ]
] ) ; #
fhir:address ( [
( fhir:line [ fhir:v "123 Corporate Drive" ] ) ;
fhir:city [ fhir:v "Anytown" ] ;
fhir:state [ fhir:v "MA" ] ;
fhir:postalCode [ fhir:v "12345" ] ;
fhir:country [ fhir:v "US" ]
] ) . #
<http://example.org/fhir/Observation/us-core-smokingstatus-jenny-m> a fhir:Observation ;
fhir:id [ fhir:v "us-core-smokingstatus-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"us-core-smokingstatus-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "us-core-smokingstatus-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-smokingstatus.html\">US Core Smoking Status Observation Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Social History <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#social-history)</span></p><p><b>code</b>: Tobacco smoking status <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#72166-2)</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>issued</b>: Mar 16, 2018, 12:00:00 AM</p><p><b>value</b>: Smokes tobacco daily (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#449868002)</span></p></div>"
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:category ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "social-history" ] ] )
] ) ; #
fhir:code [
( fhir:coding [
a loinc:72166-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "72166-2" ] ;
fhir:display [ fhir:v "Tobacco smoking status" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:effective [ fhir:v "2018-03-16"^^xsd:date] ; #
fhir:issued [ fhir:v "2018-03-16T00:00:00Z"^^xsd:dateTime] ; #
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a sct:449868002 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "449868002" ] ;
fhir:display [ fhir:v "Smokes tobacco daily (finding)" ] ] )
] . #
<http://example.org/fhir/Observation/us-core-procedure-mammogram-jenny-m> a fhir:Procedure ;
fhir:id [ fhir:v "us-core-procedure-mammogram-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Procedure</b><a name=\"us-core-procedure-mammogram-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Procedure "us-core-procedure-mammogram-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-procedure.html\">US Core Procedure Profile</a></p></div><p><b>status</b>: completed</p><p><b>code</b>: Mammography (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#71651007)</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\">Practitioner/us-core-practitioner-mary-obgyn</a> " OBGYN"</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\">Practitioner/us-core-practitioner-jane-radiotech</a> " RADIOLOGIST"</td></tr></table><p><b>reasonCode</b>: Screening - procedure intent (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#360156006)</span></p></div>"
] ; #
fhir:status [ fhir:v "completed"] ; #
fhir:code [
( fhir:coding [
a sct:71651007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "71651007" ] ;
fhir:display [ fhir:v "Mammography (procedure)" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:performed [ fhir:v "2018-02-01"^^xsd:date] ; #
fhir:asserter [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-mary-obgyn" ]
] ; #
fhir:performer ( [
fhir:actor [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-jane-radiotech" ] ]
] ) ; #
fhir:reasonCode ( [
( fhir:coding [
a sct:360156006 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "360156006" ] ;
fhir:display [ fhir:v "Screening - procedure intent (qualifier value)" ] ] )
] ) . #
<http://example.org/fhir/FamilyMemberHistory/family-member-history-aunt-jenny-m> a fhir:FamilyMemberHistory ;
fhir:id [ fhir:v "family-member-history-aunt-jenny-m"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: FamilyMemberHistory</b><a name=\"family-member-history-aunt-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource FamilyMemberHistory "family-member-history-aunt-jenny-m" </p></div><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>: maternal aunt <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-RoleCode.html\">RoleCode</a>#MAUNT)</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>Malignant tumor of ovary (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#363443007)</span></td><td>69 a<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code a = 'a')</span></td></tr></table></div>"
] ; #
fhir:status [ fhir:v "completed"] ; #
fhir:patient [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:relationship [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-RoleCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MAUNT" ] ;
fhir:display [ fhir:v "maternal aunt" ] ] )
] ; #
fhir:condition ( [
fhir:code [
( fhir:coding [
a sct:363443007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "363443007" ] ;
fhir:display [ fhir:v "Malignant tumor of ovary (disorder)" ] ] ) ] ;
fhir:onset [
a fhir:Age ;
fhir:value [ fhir:v "69"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "a" ] ]
] ) . #
<http://example.org/fhir/FamilyMemberHistory/family-member-history-uncle-jenny-m> a fhir:Procedure ;
fhir:id [ fhir:v "us-core-procedure-mammogram-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Procedure</b><a name=\"us-core-procedure-mammogram-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Procedure "us-core-procedure-mammogram-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-procedure.html\">US Core Procedure Profile</a></p></div><p><b>status</b>: completed</p><p><b>code</b>: Mammography (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#71651007)</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\">Practitioner/us-core-practitioner-mary-obgyn</a> " OBGYN"</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\">Practitioner/us-core-practitioner-jane-radiotech</a> " RADIOLOGIST"</td></tr></table><p><b>reasonCode</b>: Screening - procedure intent (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#360156006)</span></p></div>"
] ; #
fhir:status [ fhir:v "completed"] ; #
fhir:code [
( fhir:coding [
a sct:71651007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "71651007" ] ;
fhir:display [ fhir:v "Mammography (procedure)" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:performed [ fhir:v "2018-02-01"^^xsd:date] ; #
fhir:asserter [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-mary-obgyn" ]
] ; #
fhir:performer ( [
fhir:actor [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-jane-radiotech" ] ]
] ) ; #
fhir:reasonCode ( [
( fhir:coding [
a sct:360156006 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "360156006" ] ;
fhir:display [ fhir:v "Screening - procedure intent (qualifier value)" ] ] )
] ) . #
<http://example.org/fhir/DiagnosticReport/us-core-diagnosticreport-lab-jenny-m> a fhir:DiagnosticReport ;
fhir:id [ fhir:v "us-core-diagnosticreport-lab-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: DiagnosticReport</b><a name=\"us-core-diagnosticreport-lab-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource DiagnosticReport "us-core-diagnosticreport-lab-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-diagnosticreport-lab.html\">US Core DiagnosticReport Profile for Laboratory Results Reporting</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v2-0074.html\">diagnosticServiceSectionId</a>#LAB)</span></p><p><b>code</b>: Pathology report final diagnosis Narrative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#22637-3)</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>: 2018-04-01 00:00:00+0000</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\">Specimen/tumor-specimen-left-breast-jenny-m</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><li><a href=\"#Observation_tumor-marker-test-er-jenny-m\">See above (Observation/tumor-marker-test-er-jenny-m)</a></li><li><a href=\"#Observation_tumor-marker-test-pr-jenny-m\">See above (Observation/tumor-marker-test-pr-jenny-m)</a></li><li><a href=\"Observation-us-core-observation-lab-tumor-grade-jenny-m.html\">Observation/us-core-observation-lab-tumor-grade-jenny-m</a></li></ul></div>"
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:category ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0074"^^xsd:anyURI ] ;
fhir:code [ fhir:v "LAB" ] ] )
] ) ; #
fhir:code [
( fhir:coding [
a loinc:22637-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "22637-3" ] ;
fhir:display [ fhir:v "Pathology report final diagnosis Narrative" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:effective [ fhir:v "2018-04-01T00:00:00Z"^^xsd:dateTime] ; #
fhir:issued [ fhir:v "2018-04-05T00:00:00Z"^^xsd:dateTime] ; #
fhir:performer ( [
fhir:reference [ fhir:v "Organization/us-core-organization-physician-services-inc" ]
] ) ; #
fhir:resultsInterpreter ( [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-peter-pathologist" ]
] ) ; #
fhir:specimen ( [
fhir:reference [ fhir:v "Specimen/tumor-specimen-left-breast-jenny-m" ]
] ) ; #
fhir:result ( [
fhir:reference [ fhir:v "Observation/us-core-observation-lab-tumor-invasion-jenny-m" ]
] [
fhir:reference [ fhir:v "Observation/us-core-observation-lab-tumor-margins-jenny-m" ]
] [
fhir:reference [ fhir:v "Observation/us-core-observation-lab-sentinel-nodes-jenny-m" ]
] [
fhir:reference [ fhir:v "Observation/tumor-size-jenny-m" ]
] [
fhir:reference [ fhir:v "Observation/us-core-observation-lab-tumor-dcis-jenny-m" ]
] [
fhir:reference [ fhir:v "Observation/tumor-marker-test-her2-jenny-m" ]
] [
fhir:reference [ fhir:v "Observation/tumor-marker-test-er-jenny-m" ]
] [
fhir:reference [ fhir:v "Observation/tumor-marker-test-pr-jenny-m" ]
] [
fhir:reference [ fhir:v "Observation/us-core-observation-lab-tumor-grade-jenny-m" ]
] ) . #
<http://example.org/fhir/Observation/observation-smoking-pack-years-jenny-m> a fhir:Observation ;
fhir:id [ fhir:v "observation-smoking-pack-years-jenny-m"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"observation-smoking-pack-years-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "observation-smoking-pack-years-jenny-m" </p></div><p><b>status</b>: final</p><p><b>category</b>: Social History <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#social-history)</span></p><p><b>code</b>: Cigarette pack-years (observable entity) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#401201003)</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<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {PackYears} = '{PackYears}')</span></p></div>"
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:category ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "social-history" ] ;
fhir:display [ fhir:v "Social History" ] ] )
] ) ; #
fhir:code [
( fhir:coding [
a sct:401201003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "401201003" ] ;
fhir:display [ fhir:v "Cigarette pack-years (observable entity)" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:effective [ fhir:v "2018-03-16"^^xsd:date] ; #
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "20"^^xsd:decimal ] ;
fhir:unit [ fhir:v "Pack-Years" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "{PackYears}" ]
] . #
<http://example.org/fhir/Observation/us-core-observation-lab-tumor-invasion-jenny-m> a fhir:Observation ;
fhir:id [ fhir:v "us-core-observation-lab-tumor-invasion-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"us-core-observation-lab-tumor-invasion-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "us-core-observation-lab-tumor-invasion-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-observation-lab.html\">US Core Laboratory Result Observation Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Status of invasion by tumor <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#370052007)</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>: 2018-04-01 00:00:00+0000</p><p><b>value</b>: Negative (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[Intl]</a>#260385009)</span></p><p><b>specimen</b>: <a href=\"Specimen-tumor-specimen-left-breast-jenny-m.html\">Specimen/tumor-specimen-left-breast-jenny-m</a></p></div>"
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:category ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "laboratory" ] ] )
] ) ; #
fhir:code [
( fhir:coding [
a sct:370052007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "370052007" ] ;
fhir:display [ fhir:v "Status of invasion by tumor" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:effective [ fhir:v "2018-04-01T00:00:00Z"^^xsd:dateTime] ; #
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a sct:260385009 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/900000000000207008" ] ;
fhir:code [ fhir:v "260385009" ] ;
fhir:display [ fhir:v "Negative (qualifier value)" ] ] )
] ; #
fhir:specimen [
fhir:reference [ fhir:v "Specimen/tumor-specimen-left-breast-jenny-m" ]
] . #
<http://example.org/fhir/Observation/us-core-observation-lab-tumor-margins-jenny-m> a fhir:Observation ;
fhir:id [ fhir:v "us-core-observation-lab-tumor-margins-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"us-core-observation-lab-tumor-margins-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "us-core-observation-lab-tumor-margins-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-observation-lab.html\">US Core Laboratory Result Observation Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Margin involvement in Breast tumor <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#44669-0)</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>: 2018-04-01 00:00:00+0000</p><p><b>value</b>: Uninvolved by invasive carcinoma <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA27151-2)</span></p><p><b>specimen</b>: <a href=\"Specimen-tumor-specimen-left-breast-jenny-m.html\">Specimen/tumor-specimen-left-breast-jenny-m</a></p></div>"
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:category ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "laboratory" ] ] )
] ) ; #
fhir:code [
( fhir:coding [
a loinc:44669-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "44669-0" ] ;
fhir:display [ fhir:v "Margin involvement in Breast tumor" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:effective [ fhir:v "2018-04-01T00:00:00Z"^^xsd:dateTime] ; #
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a loinc:LA27151-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "LA27151-2" ] ;
fhir:display [ fhir:v "Uninvolved by invasive carcinoma" ] ] )
] ; #
fhir:specimen [
fhir:reference [ fhir:v "Specimen/tumor-specimen-left-breast-jenny-m" ]
] . #
<http://example.org/fhir/Observation/us-core-observation-lab-sentinel-nodes-jenny-m> a fhir:Observation ;
fhir:id [ fhir:v "us-core-observation-lab-sentinel-nodes-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"us-core-observation-lab-sentinel-nodes-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "us-core-observation-lab-sentinel-nodes-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-observation-lab.html\">US Core Laboratory Result Observation Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Sentinel lymph nodes with metastasis [#] in Cancer specimen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#92832-5)</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>: 2018-04-01 00:00:00+0000</p><p><b>specimen</b>: <a href=\"Specimen-tumor-specimen-left-breast-jenny-m.html\">Specimen/tumor-specimen-left-breast-jenny-m</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>Lymph nodes examined [#] in Cancer specimen by Light microscopy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#92833-3)</span></td><td>3 Count<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {Count} = '{Count}')</span></td></tr></table></div>"
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:category ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "laboratory" ] ] )
] ) ; #
fhir:code [
( fhir:coding [
a loinc:92832-5 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "92832-5" ] ;
fhir:display [ fhir:v "Sentinel lymph nodes with metastasis [#] in Cancer specimen" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:effective [ fhir:v "2018-04-01T00:00:00Z"^^xsd:dateTime] ; #
fhir:specimen [
fhir:reference [ fhir:v "Specimen/tumor-specimen-left-breast-jenny-m" ]
] ; #
fhir:component ( [
fhir:code [
( fhir:coding [
a loinc:92833-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "92833-3" ] ;
fhir:display [ fhir:v "Lymph nodes examined [#] in Cancer specimen by Light microscopy" ] ] ) ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "3"^^xsd:decimal ] ;
fhir:unit [ fhir:v "Count" ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "{Count}" ] ]
] ) . #
<http://example.org/fhir/Observation/us-core-observation-lab-tumor-dcis-jenny-m> a fhir:Observation ;
fhir:id [ fhir:v "us-core-observation-lab-tumor-dcis-jenny-m"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"us-core-observation-lab-tumor-dcis-jenny-m\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "us-core-observation-lab-tumor-dcis-jenny-m" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-observation-lab.html\">US Core Laboratory Result Observation Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: DCIS intraductal extension in Breast cancer specimen Qualitative by Light microscopy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#85336-6)</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>: 2018-04-01 00:00:00+0000</p><p><b>value</b>: DCIS present with extensive intraductal component (EIC) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA27261-9)</span></p><p><b>specimen</b>: <a href=\"Specimen-tumor-specimen-left-breast-jenny-m.html\">Specimen/tumor-specimen-left-breast-jenny-m</a></p></div>"
] ; #
fhir:status [ fhir:v "final"] ; #
fhir:category ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "laboratory" ] ] )
] ) ; #
fhir:code [
( fhir:coding [
a loinc:85336-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "85336-6" ] ;
fhir:display [ fhir:v "DCIS intraductal extension in Breast cancer specimen Qualitative by Light microscopy" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jenny-m" ]
] ; #
fhir:effective [ fhir:v "2018-04-01T00:00:00Z"^^xsd:dateTime] ; #
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
a loinc:LA27261-9 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "LA27261-9" ] ;
fhir:display [ fhir:v "DCIS present with extensive intraductal component (EIC)" ] ] )
] ; #
fhir:specimen [
fhir:reference [ fhir:v "Specimen/tumor-specimen-left-breast-jenny-m" ]
] . #
<http://example.org/fhir/Practitioner/us-core-practitioner-owen-oncologist> a fhir:Practitioner ;
fhir:id [ fhir:v "us-core-practitioner-owen-oncologist"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b><a name=\"us-core-practitioner-owen-oncologist\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Practitioner "us-core-practitioner-owen-oncologist" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a></p></div><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>Doctor of Medicine <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (degreeLicenseCertificate[2.7]#MD)</span></td></tr></table></div>"
] ; #
fhir:identifier ( [
fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ;
fhir:value [ fhir:v "9988776655" ]
] ) ; #
fhir:name ( [
fhir:family [ fhir:v "Oncologist" ] ;
( fhir:given [ fhir:v "Owen" ] ) ;
( fhir:prefix [ fhir:v "Dr." ] )
] ) ; #
fhir:address ( [
fhir:use [ fhir:v "work" ] ;
( fhir:line [ fhir:v "123 Corporate Drive" ] ) ;
fhir:city [ fhir:v "Anytown" ] ;
fhir:state [ fhir:v "MA" ] ;
fhir:postalCode [ fhir:v "12345" ] ;
fhir:country [ fhir:v "US" ]
] ) ; #
fhir:gender [ fhir:v "male"] ; #
fhir:qualification ( [
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0360"^^xsd:anyURI ] ;
fhir:version [ fhir:v "2.7" ] ;
fhir:code [ fhir:v "MD" ] ] ) ]
] ) . #
<http://example.org/fhir/Practitioner/us-core-practitioner-peter-pathologist> a fhir:Practitioner ;
fhir:id [ fhir:v "us-core-practitioner-peter-pathologist"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b><a name=\"us-core-practitioner-peter-pathologist\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Practitioner "us-core-practitioner-peter-pathologist" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a></p></div><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>Doctor of Medicine <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (degreeLicenseCertificate[2.7]#MD)</span></td></tr></table></div>"
] ; #
fhir:identifier ( [
fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1122334455" ]
] ) ; #
fhir:name ( [
fhir:family [ fhir:v "Pathologist" ] ;
( fhir:given [ fhir:v "Peter" ] ) ;
( fhir:prefix [ fhir:v "Dr." ] )
] ) ; #
fhir:address ( [
fhir:use [ fhir:v "work" ] ;
( fhir:line [ fhir:v "123 Corporate Drive" ] ) ;
fhir:city [ fhir:v "Anytown" ] ;
fhir:state [ fhir:v "MA" ] ;
fhir:postalCode [ fhir:v "12345" ] ;
fhir:country [ fhir:v "US" ]
] ) ; #
fhir:gender [ fhir:v "female"] ; #
fhir:qualification ( [
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0360"^^xsd:anyURI ] ;
fhir:version [ fhir:v "2.7" ] ;
fhir:code [ fhir:v "MD" ] ] ) ]
] ) . #
IG © 2019+ HL7 International Clinical Interoperability Council. Package hl7.fhir.us.mcode#3.0.0-ballot based on FHIR 4.0.1. Generated 2023-03-28
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