minimal Common Oncology Data Elements (mCODE) Implementation Guide
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Example Observation: tumor-size-pathology

Generated Narrative: Observation tumor-size-pathology

status: Final

code: Size Tumor

subject: Eve A. Anyperson Female, DoB: 1955-05-20 ( Medical Record Number: m456 (use: usual, ))

focus: BodyStructure: extension = ->Condition Malignant neoplastic disease (disorder); identifier = BodyStructure (use: usual, ); location = Left breast structure (body structure)

effective: 2019-05-01

performer: Practitioner Owen Oncologist

method: Gross examination and sampling of tissue specimen (procedure)

component

code: Size.maximum dimension in Tumor

value: 1.2 cm (Details: UCUM codecm = 'cm')

component

code: Size additional dimension in Tumor

value: 0.5 cm (Details: UCUM codecm = 'cm')