minimal Common Oncology Data Elements (mCODE) Implementation Guide
4.0.0 - STU4 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 (v4.0.0: STU4) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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

Generated Narrative: 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
Performer Practitioner Owen Oncologist

Report Details

CodeValueFlagsWhen For
Status of invasion by tumorNegative (qualifier value)Final
Margin involvement in Breast tumorUninvolved by invasive carcinomaFinal
Sentinel lymph nodes with metastasis [#] in Cancer specimenFinal
Size TumorFinal
DCIS intraductal extension in Breast cancer specimen Qualitative by Light microscopyDCIS present with extensive intraductal component (EIC)Final
HER2 [Interpretation] in TissueNegativeFinal2018-03-10
Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stainPositiveFinal2018-03-10
Progesterone receptor Ag [Presence] in Breast cancer specimen by Immune stainNegativeFinal2018-03-10
Histologic grade [Score] in Breast cancer specimen by NottinghamNottingham grade 2Final