This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v1.16.0: STU 2 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions
Bundle mcode-patient-bundle-jenny-m of type collection
Entry 1 - Full URL = http://example.org/fhir/Observation/cancer-disease-status-jenny-m
Resource Patient:
Jenny M Female 1965-01-01 ( Medical Record Number: MRN1234 (USUAL))
Entry 2 - Full URL = http://example.org/fhir/Observation/cancer-genetic-variant-jenny-m
Resource Observation:
Generated Narrative
Texts
- * category: Laboratory
code: Genetic variant assessment
effective: 2018-03-15
value: Present
method: Sequencing
component
code: Gene studied [ID]
value: PALB2
component
code: Discrete genetic variant
value: NM_024675.3(PALB2):c.3549C>A (p.Tyr1183Ter)
component
code: Genomic DNA change (gHGVS)
value: NC_000016.10:g.23603471G>T
component
code: Genomic source class [Type]
value: Somatic
Entry 3 - Full URL = http://example.org/fhir/DiagnosticReport/cancer-genomics-report-jenny-m
Resource DiagnosticReport:
Master HL7 genetic variant reporting panel (Laboratory, Genetics)
Subject Jenny M 1965-01-01 ( Medical Record Number: MRN1234 (USUAL)) When For 2018-03-15 Reported Mar 15, 2020 12:00:01 AM Report Details
Code Value When For Reported Genetic variant assessment Present 2018-03-15 DNA region of interest panel 2018-03-15 Mar 15, 2018 12:00:01 AM
Entry 4 - Full URL = http://example.org/fhir/Procedure/cancer-related-surgical-procedure-jenny-m
Resource Procedure:
Generated Narrative
Texts
- * Treatment Intent: Curative - procedure intent (qualifier value)
status: COMPLETED
category: Surgical procedure (procedure)
code: Partial mastectomy (procedure)
bodySite: Left breast structure (body structure)
Entry 5 - Full URL = http://example.org/fhir/Procedure/radiotherapy-treatment-summary-chest-wall-jenny-m
Resource Procedure:
Generated Narrative
Texts
- * Radiotherapy Number of Sessions: 31
Treatment Intent: Curative - procedure intent
Radiotherapy Modality: Photon Beam Radiation Therapy
Radiotherapy Modality: Teleradiotherapy using electrons (procedure)
Radiotherapy Technique: Volumetric Modulated Arc Therapy
Radiotherapy Technique: Three Dimensional
Radiotherapy Dose Delivered To Body Volume
Urls
- * Urls
- * value: 6000 cGy
Urls
- * value: 30
Radiotherapy Dose Delivered To Body Volume
Urls
- * Urls
- * value: 5000 cGy
Urls
- * value: 25
status: COMPLETED
category: Radiation oncology AND/OR radiotherapy (procedure)
code: Radiotherapy Course Summary Resource
bodySite: Chest Wall Structure (body structure)
Entry 6 - Full URL = http://example.org/fhir/Procedure/teleradiotherapy-treatment-phase-chest-wall-jenny-m
Resource Procedure:
Generated Narrative
Texts
- * Radiotherapy Modality: Photon Beam Radiation Therapy
Radiotherapy Technique: Volumetric-Modulated Arc Therapy
Radiotherapy Fractions Delivered: 25
Radiotherapy Dose Delivered To Body Volume
Urls
- * Urls
- * value: 5000 cGy
Radiotherapy Dose Delivered To Body Volume
Urls
- * Urls
- * value: 5000 cGy
status: COMPLETED
category: Radiation oncology AND/OR radiotherapy (procedure)
code: Teleradiotherapy Treatment Phase Resource
Entry 7 - Full URL = http://example.org/fhir/Procedure/teleradiotherapy-treatment-phase-boost-jenny-m
Resource Procedure:
Generated Narrative
Texts
- * Radiotherapy Modality: Teleradiotherapy using electrons (procedure)
Radiotherapy Technique: Three dimensional
Radiotherapy Fractions Delivered: 5
Radiotherapy Dose Delivered To Body Volume
Urls
- * Urls
- * value: 1000 cGy
status: COMPLETED
category: Radiation oncology AND/OR radiotherapy (procedure)
code: Teleradiotherapy Treatment Phase Resource
Entry 8 - Full URL = http://example.org/fhir/Observation/tnm-clinical-stage-group-jenny-m
Resource Observation:
Generated Narrative
Texts
- * code: Stage group.clinical Cancer
effective: 2018-03-16
value: IIB
method: American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)
hasMember:
- Generated Summary: Primary tumor.pathology Cancer; effective: 2018-04-01; pT3; American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)
- Generated Summary: Regional lymph nodes.pathology [Class] Cancer; effective: 2018-04-01; pN0; American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)
- Generated Summary: Distant metastases.pathology [Class] Cancer; effective: 2018-04-01; pM0; American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)
Entry 9 - Full URL = http://example.org/fhir/Observation/tnm-clinical-primary-tumor-category-jenny-m
Resource Observation:
Generated Narrative
Texts
- * code: Primary tumor.clinical [Class] Cancer
effective: 2018-03-16
value: cT3
method: American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)
Entry 10 - Full URL = http://example.org/fhir/Observation/tnm-clinical-regional-nodes-category-jenny-m
Resource Observation:
Generated Narrative
Texts
- * code: Regional lymph nodes.clinical [Class] Cancer
effective: 2018-03-16
value: cN0
method: American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)
Entry 11 - Full URL = http://example.org/fhir/Observation/tnm-clinical-distant-metastases-category-jenny-m
Resource Observation:
Generated Narrative
Texts
- * code: Distant metastases.clinical [Class] Cancer
effective: 2018-03-16
value: cM0
method: American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)
Entry 12 - Full URL = http://example.org/fhir/Specimen/genetic-specimen-left-breast-jenny-m
Resource Specimen:
Generated Narrative
Texts
- * status: AVAILABLE
type: Tissue
Collections
- Collector BodySite * Generated Summary: id: 9988776655; Owen Oncologist ; gender: male Left breast structure (body structure) Processings
- Time[x] * 2018-03-06
Entry 13 - Full URL = http://example.org/fhir/Observation/genomic-region-studied-jenny-m
Resource Observation:
Generated Narrative
Texts
- * category: Laboratory
code: DNA region of interest panel
effective: 2018-03-15
issued: Mar 15, 2018 12:00:01 AM
Components
- Code Value[x] * Gene studied [ID] BRCA1
Entry 14 - Full URL = http://example.org/fhir/Observation/ecog-performance-status-jenny-m
Resource Observation:
Generated Narrative
Texts
- * code: ECOG Performance Status score
effective: 2018-04-12
performer: Generated Summary: id: 9988776655; Owen Oncologist ; gender: male
value: 0
interpretation: Fully active, able to carry on all pre-disease performance without restriction
method: Physical examination procedure (procedure)
Entry 15 - Full URL = http://example.org/fhir/Observation/tumor-marker-test-er-jenny-m
Resource Observation:
Generated Narrative
Texts
- * category: Laboratory
code: Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stain
effective: 2018-03-10
performer: Generated Summary: id: 9988776655; Owen Oncologist ; gender: male
value: Positive
Entry 16 - Full URL = http://example.org/fhir/Observation/tumor-marker-test-pr-jenny-m
Resource Observation:
Generated Narrative
Texts
- * category: Laboratory
code: Progesterone receptor Ag [Presence] in Breast cancer specimen by Immune stain
effective: 2018-03-10
performer: Generated Summary: id: 9988776655; Owen Oncologist ; gender: male
value: Negative
Entry 17 - Full URL = http://example.org/fhir/Observation/tumor-marker-test-her2-jenny-m
Resource Observation:
Generated Narrative
Texts
- * category: Laboratory
code: HER2 [Interpretation] in Tissue
effective: 2018-03-10
performer: Generated Summary: id: 9988776655; Owen Oncologist ; gender: male
value: Negative
Entry 18 - Full URL = http://example.org/fhir/Observation/tumor-marker-test-oncotype-dx-jenny-m
Resource Observation:
Generated Narrative
Texts
- * category: Laboratory
code: Oncotype DX Breast Recurrence Score Assay
effective: 2018-04-12
performer: Generated Summary: id: 1265710000; active; name: Bedrock Medicine
value: 47 Recurrence score
interpretation: High
Entry 19 - Full URL = http://example.org/fhir/MedicationRequest/cancer-related-medication-request-doxorubicin-jenny-m
Resource MedicationRequest:
Generated Narrative
Texts
- * Treatment Intent: Curative - procedure intent (qualifier value)
status: ACTIVE
intent: ORDER
category: Outpatient
authoredOn: 2018-04-12
requester: Generated Summary: id: 9988776655; Owen Oncologist ; gender: male
DosageInstructions
- *
Entry 20 - Full URL = http://example.org/fhir/MedicationRequest/cancer-related-medication-request-cyclophosphamide-jenny-m
Resource MedicationRequest:
Generated Narrative
Texts
- * Treatment Intent: Curative - procedure intent (qualifier value)
status: ACTIVE
intent: ORDER
category: Outpatient
authoredOn: 2018-04-12
requester: Generated Summary: id: 9988776655; Owen Oncologist ; gender: male
DosageInstructions
- *
Entry 21 - Full URL = http://example.org/fhir/MedicationRequest/cancer-related-medication-request-paclitaxel-jenny-m
Resource MedicationRequest:
Generated Narrative
Texts
- * Treatment Intent: Curative - procedure intent (qualifier value)
status: ACTIVE
intent: ORDER
category: Outpatient
authoredOn: 2018-04-12
requester: Generated Summary: id: 9988776655; Owen Oncologist ; gender: male
DosageInstructions
- *
Entry 22 - Full URL = http://example.org/fhir/MedicationRequest/cancer-related-medication-request-anastrozole-jenny-m
Resource MedicationRequest:
Generated Narrative
Texts
- * Treatment Intent: Curative - procedure intent (qualifier value)
status: ACTIVE
intent: ORDER
category: Community
authoredOn: 2018-09-30
requester: Generated Summary: id: 9988776655; Owen Oncologist ; gender: male
DosageInstructions
- *
Entry 23 - Full URL = http://example.org/fhir/Observation/cancer-related-mcode-comorbidities-elixhauser-jenny-m
Resource Observation:
Generated Narrative
Texts
- * code: Comorbid condition panel
effective: 2018-03-16
performer: Generated Summary: id: 9988776655; Owen Oncologist ; gender: male
component
Specific Condition Reference for Comorbidity: Generated Summary: Active; Confirmed; Problem List Item; Depressive disorder (disorder); onset: 2005-01-01
code: Depression Elixhauser category
value: Present (qualifier value)
component
Specific Condition Reference for Comorbidity: Generated Summary: Active; Confirmed; Problem List Item; Benign hypertensive heart disease without congestive heart failure (disorder); onset: 2012-01-01
code: Hypertension, complicated Elixhauser category
value: Present (qualifier value)
component
code: Arthropathies Elixhauser category
value: Absent (qualifier value)
component
code: Congestive heart failure Elixhauser category
value: Absent (qualifier value)
component
code: Chronic pulmonary disease Elixhauser category
value: Absent (qualifier value)
component
code: Diabetes with chronic complications Elixhauser category
value: Absent (qualifier value)
component
code: Diabetes without chronic complications Elixhauser category
value: Absent (qualifier value)
component
code: Obesity Elixhauser category
value: Absent (qualifier value)
component
code: Peripheral vascular disease Elixhauser category
value: Absent (qualifier value)
component
code: Pulmonary circulation disease Elixhauser category
value: Absent (qualifier value)
component
code: Renal failure, moderate Elixhauser category
value: Absent (qualifier value)
component
code: Drug abuse Elixhauser category
value: Unknown (qualifier value)
Entry 24 - Full URL = http://example.org/fhir/Observation/bodyweight-jenny-m-2018-03-16
Resource Observation:
Generated Narrative
Texts
- * category: Vital Signs
code: Body weight
effective: 2018-03-06
value: 155 lb
Entry 25 - Full URL = http://example.org/fhir/Observation/us-core-observation-lab-neutrophils-jenny-m
Resource Observation:
Generated Narrative
Texts
- * category: Laboratory
code: Neutrophils [#/volume] in Blood
effective: May 20, 2018 12:00:00 AM
value: 3000 10*3/uL
ReferenceRanges
- Low High AppliesTo * 2500 10*3/uL 5000 10*3/uL Normal Range
Entry 26 - Full URL = http://example.org/fhir/Organization/us-core-organization-physician-services-inc
Resource Organization:
Generated Narrative
Texts
- * active: true
type: Healthcare Provider
name: Physician Services, Inc.
telecom: ph: 999-999-9999(WORK)
address: 123 Corporate Drive Anytown MA 12345 US
Entry 27 - Full URL = http://example.org/fhir/Observation/us-core-smokingstatus-jenny-m
Resource Observation:
Generated Narrative
Texts
- * code: Tobacco smoking status
issued: Mar 16, 2018 12:00:00 AM
value: Smokes tobacco daily (finding)
Entry 28 - Full URL = http://example.org/fhir/Observation/us-core-procedure-biopsy-jenny-m
Resource Procedure:
Generated Narrative
Texts
- * status: COMPLETED
code: Biopsy of breast using ultrasonographic guidance (procedure)
Performers
- Actor * Generated Summary: id: 234512367; Mary Obgyn ; gender: female bodySite: Left breast structure (body structure)
Entry 29 - Full URL = http://example.org/fhir/Observation/us-core-procedure-mammogram-jenny-m
Resource Procedure:
Generated Narrative
Texts
- * status: COMPLETED
code: Mammography (procedure)
Performers
- Actor * Generated Summary: id: 234512367; Jane Radiologist ; gender: female
Entry 30 - Full URL = http://example.org/fhir/FamilyMemberHistory/family-member-history-aunt-jenny-m
Resource FamilyMemberHistory:
Generated Narrative
Texts
- * status: COMPLETED
relationship: maternal aunt
Conditions
- Code Onset[x] * Malignant tumor of ovary (disorder) 69 a
Entry 31 - Full URL = http://example.org/fhir/Procedure/us-core-procedure-mammogram-jenny-m
Resource Procedure:
Generated Narrative
Texts
- * status: COMPLETED
code: Mammography (procedure)
Performers
- Actor * Generated Summary: id: 234512367; Jane Radiologist ; gender: female
Entry 32 - Full URL = http://example.org/fhir/FamilyMemberHistory/family-member-history-uncle-jenny-m
Resource FamilyMemberHistory:
Generated Narrative
Texts
- * status: COMPLETED
relationship: paternal uncle
deceased: true
Conditions
- Code ContributedToDeath * Malignant tumor of pancreas (disorder) true
Entry 33 - Full URL = http://example.org/fhir/DiagnosticReport/us-core-diagnosticreport-lab-jenny-m
Resource DiagnosticReport:
Pathology report final diagnosis Narrative (Laboratory, Surgical Pathology)
Subject Jenny M 1965-01-01 ( Medical Record Number: MRN1234 (USUAL)) When For Apr 1, 2018 12:00:00 AM Reported Apr 5, 2018 12:00:00 AM Report Details
Code Value When For Status of invasion by tumor (observable entity) Negative (qualifier value) Apr 1, 2018 12:00:00 AM Margin involvement in Breast tumor Uninvolved by invasive carcinoma Apr 1, 2018 12:00:00 AM Sentinel lymph nodes with metastasis [#] in Cancer specimen Apr 1, 2018 12:00:00 AM Size Tumor Apr 1, 2018 12:00:00 AM Diagnosis DCIS intraductal extension in Breast cancer specimen Qualitative by Light microscopy Apr 1, 2018 12:00:00 AM HER2 [Interpretation] in Tissue Negative 2018-03-10
Entry 34 - Full URL = http://example.org/fhir/Observation/us-core-diagnosticreport-lab-jenny-m
Resource Observation:
Generated Narrative
Texts
- * category: Social History
code: Cigarette pack-years (observable entity)
effective: 2018-03-16
value: 20 Pack-Years
Entry 35 - Full URL = http://example.org/fhir/Observation/us-core-observation-lab-tumor-invasion-jenny-m
Resource Observation:
Generated Narrative
Texts
- * category: Laboratory
code: Status of invasion by tumor (observable entity)
effective: Apr 1, 2018 12:00:00 AM
value: Negative (qualifier value)
Entry 36 - Full URL = http://example.org/fhir/Observation/us-core-observation-lab-tumor-margins-jenny-m
Resource Observation:
Generated Narrative
Texts
- * category: Laboratory
code: Margin involvement in Breast tumor
effective: Apr 1, 2018 12:00:00 AM
value: Uninvolved by invasive carcinoma
Entry 37 - Full URL = http://example.org/fhir/Observation/us-core-observation-lab-sentinel-nodes-jenny-m
Resource Observation:
Generated Narrative
Texts
- * category: Laboratory
code: Sentinel lymph nodes with metastasis [#] in Cancer specimen
effective: Apr 1, 2018 12:00:00 AM
Components
- Code Value[x] * Lymph nodes examined [#] in Cancer specimen by Light microscopy 3 Count
Entry 38 - Full URL = http://example.org/fhir/Observation/tumor-size-jenny-m
Resource Observation:
Generated Narrative
Texts
- * category: Laboratory
code: Size Tumor
effective: Apr 1, 2018 12:00:00 AM
method: Pathology report gross observation
Components
- Code Value[x] * Size.maximum dimension in Tumor 2.5 centimeters
Entry 39 - Full URL = http://example.org/fhir/Observation/us-core-observation-lab-tumor-dcis-jenny-m
Resource Observation:
Generated Narrative
Texts
- * category: Laboratory
code: Diagnosis
effective: Apr 1, 2018 12:00:00 AM
value: DCIS intraductal extension in Breast cancer specimen Qualitative by Light microscopy
Entry 40 - Full URL = http://example.org/fhir/Pracititioner/us-core-practitioner-owen-oncologist
Resource Practitioner:
Generated Narrative
Texts
- * identifier: id: 9988776655
name: Owen Oncologist
address: 123 Corporate Drive Anytown MA 12345 US (WORK)
gender: MALE
Qualifications
- Code * Doctor of Medicine
Entry 41 - Full URL = http://example.org/fhir/Pracititioner/us-core-practitioner-peter-pathologist
Resource Practitioner:
Generated Narrative
Texts
- * identifier: id: 1122334455
name: Peter Pathologist
address: 123 Corporate Drive Anytown MA 12345 US (WORK)
gender: FEMALE
Qualifications
- Code * Doctor of Medicine