minimal Common Oncology Data Elements (mCODE) Implementation Guide
3.0.0-ballot - 2023May United States of America flag

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 (HL7® FHIR® Standard) R4. The current version which supersedes this version is 4.0.0. For a full list of available versions, see the Directory of published versions

Example DiagnosticReport: us-core-diagnosticreport-lab-jenny-m

Pathology report final diagnosis Narrative (Laboratory)

SubjectJenny M female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: USUAL))
When For2018-04-01 00:00:00+0000
Reported2018-04-05 00:00:00+0000

Report Details

CodeValueWhen For
Status of invasion by tumorNegative (qualifier value)2018-04-01 00:00:00+0000
Margin involvement in Breast tumorUninvolved by invasive carcinoma2018-04-01 00:00:00+0000
Sentinel lymph nodes with metastasis [#] in Cancer specimen2018-04-01 00:00:00+0000
Size Tumor2018-04-01 00:00:00+0000
DCIS intraductal extension in Breast cancer specimen Qualitative by Light microscopyDCIS present with extensive intraductal component (EIC)2018-04-01 00:00:00+0000
HER2 [Interpretation] in TissueNegative2018-03-10
Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stainPositive2018-03-10
Progesterone receptor Ag [Presence] in Breast cancer specimen by Immune stainNegative2018-03-10
Histologic grade [Score] in Breast cancer specimen Qualitative by NottinghamNottingham grade 22018-04-01 00:00:00+0000