minimal Common Oncology Data Elements (mCODE) Implementation Guide
1.16.0 - STU Release 2 (Ballot Version)
minimal Common Oncology Data Elements (mCODE) Implementation Guide
1.16.0 - STU Release 2 (Ballot Version)
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 
{
"resourceType" : "Observation",
"id" : "cancer-related-mcode-comorbidities-elixhauser-jenny-m",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities-elixhauser"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 78923-0}\">Comorbid condition panel</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Generated Summary: Medical Record Number: MRN1234 (USUAL); Jenny M ; gender: female; birthDate: 1965-01-01</a></p><p><b>effective</b>: 2018-03-16</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-owen-oncologist.html\">Generated Summary: id: 9988776655; Owen Oncologist ; gender: male</a></p><blockquote><p><b>component</b></p><p><b>Specific Condition Reference for Comorbidity</b>: <a href=\"Condition-us-core-condition-depression-jenny-m.html\">Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span>; <span title=\"Codes: {http://snomed.info/sct 35489007}\">Depressive disorder (disorder)</span>; onset: 2005-01-01</a></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser DEPRESS}\">Depression Elixhauser category</span></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 52101004}\">Present (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Specific Condition Reference for Comorbidity</b>: <a href=\"Condition-us-core-condition-hypertension-jenny-m.html\">Generated Summary: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span>; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span>; <span title=\"Codes: {http://snomed.info/sct 77970009}\">Benign hypertensive heart disease without congestive heart failure (disorder)</span>; onset: 2012-01-01</a></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser HTN_CX}\">Hypertension, complicated Elixhauser category</span></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 52101004}\">Present (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser ARTH}\">Arthropathies Elixhauser category</span></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 2667000}\">Absent (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser CHF}\">Congestive heart failure Elixhauser category</span></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 2667000}\">Absent (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser LUNG_CHRONIC}\">Chronic pulmonary disease Elixhauser category</span></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 2667000}\">Absent (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser DIAB_CX}\">Diabetes with chronic complications Elixhauser category</span></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 2667000}\">Absent (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser DIAB_UNCX}\">Diabetes without chronic complications Elixhauser category</span></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 2667000}\">Absent (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser OBESE}\">Obesity Elixhauser category</span></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 2667000}\">Absent (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser PERIVASC}\">Peripheral vascular disease Elixhauser category</span></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 2667000}\">Absent (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser PULMCIRC}\">Pulmonary circulation disease Elixhauser category</span></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 2667000}\">Absent (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser RENLFL_MOD}\">Renal failure, moderate Elixhauser category</span></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 2667000}\">Absent (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser DRUG_ABUSE}\">Drug abuse Elixhauser category</span></p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 261665006}\">Unknown (qualifier value)</span></p></blockquote></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "78923-0",
"display" : "Comorbid condition panel"
}
]
},
"subject" : {
"reference" : "Patient/cancer-patient-jenny-m"
},
"effectiveDateTime" : "2018-03-16",
"performer" : [
{
"reference" : "Practitioner/us-core-practitioner-owen-oncologist"
}
],
"component" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference",
"valueReference" : {
"reference" : "Condition/us-core-condition-depression-jenny-m"
}
}
],
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser",
"code" : "DEPRESS"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "52101004",
"display" : "Present (qualifier value)"
}
]
}
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference",
"valueReference" : {
"reference" : "Condition/us-core-condition-hypertension-jenny-m"
}
}
],
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser",
"code" : "HTN_CX"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "52101004",
"display" : "Present (qualifier value)"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser",
"code" : "ARTH"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "2667000",
"display" : "Absent (qualifier value)"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser",
"code" : "CHF"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "2667000",
"display" : "Absent (qualifier value)"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser",
"code" : "LUNG_CHRONIC"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "2667000",
"display" : "Absent (qualifier value)"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser",
"code" : "DIAB_CX"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "2667000",
"display" : "Absent (qualifier value)"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser",
"code" : "DIAB_UNCX"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "2667000",
"display" : "Absent (qualifier value)"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser",
"code" : "OBESE"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "2667000",
"display" : "Absent (qualifier value)"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser",
"code" : "PERIVASC"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "2667000",
"display" : "Absent (qualifier value)"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser",
"code" : "PULMCIRC"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "2667000",
"display" : "Absent (qualifier value)"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser",
"code" : "RENLFL_MOD"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "2667000",
"display" : "Absent (qualifier value)"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser",
"code" : "DRUG_ABUSE"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "261665006",
"display" : "Unknown (qualifier value)"
}
]
}
}
]
}
IG © 2019+ HL7 International Clinical Interoperability Council. Package hl7.fhir.us.mcode#1.16.0 based on FHIR 4.0.1. Generated 2021-04-15
Links: Table of Contents |
QA Report
| Version History |
Search |
|
Propose a change