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

: cancer-related-mcode-comorbidities-elixhauser-jenny-m - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Observation;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "cancer-related-mcode-comorbidities-elixhauser-jenny-m"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities-elixhauser";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities-elixhauser>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.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>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:78923-0;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "78923-0" ];
       fhir:Coding.display [ fhir:value "Comorbid condition panel" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2018-03-16"^^xsd:date];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-owen-oncologist" ]
  ];
  fhir:Observation.component [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference" ];
       fhir:Extension.valueReference [
         fhir:Reference.reference [ fhir:value "Condition/us-core-condition-depression-jenny-m" ]       ]     ];
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser" ];
         fhir:Coding.code [ fhir:value "DEPRESS" ]       ]     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:52101004;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "52101004" ];
         fhir:Coding.display [ fhir:value "Present (qualifier value)" ]       ]     ]
  ], [
     fhir:index 1;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference" ];
       fhir:Extension.valueReference [
         fhir:Reference.reference [ fhir:value "Condition/us-core-condition-hypertension-jenny-m" ]       ]     ];
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser" ];
         fhir:Coding.code [ fhir:value "HTN_CX" ]       ]     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:52101004;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "52101004" ];
         fhir:Coding.display [ fhir:value "Present (qualifier value)" ]       ]     ]
  ], [
     fhir:index 2;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser" ];
         fhir:Coding.code [ fhir:value "ARTH" ]       ]     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:2667000;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "2667000" ];
         fhir:Coding.display [ fhir:value "Absent (qualifier value)" ]       ]     ]
  ], [
     fhir:index 3;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser" ];
         fhir:Coding.code [ fhir:value "CHF" ]       ]     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:2667000;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "2667000" ];
         fhir:Coding.display [ fhir:value "Absent (qualifier value)" ]       ]     ]
  ], [
     fhir:index 4;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser" ];
         fhir:Coding.code [ fhir:value "LUNG_CHRONIC" ]       ]     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:2667000;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "2667000" ];
         fhir:Coding.display [ fhir:value "Absent (qualifier value)" ]       ]     ]
  ], [
     fhir:index 5;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser" ];
         fhir:Coding.code [ fhir:value "DIAB_CX" ]       ]     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:2667000;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "2667000" ];
         fhir:Coding.display [ fhir:value "Absent (qualifier value)" ]       ]     ]
  ], [
     fhir:index 6;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser" ];
         fhir:Coding.code [ fhir:value "DIAB_UNCX" ]       ]     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:2667000;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "2667000" ];
         fhir:Coding.display [ fhir:value "Absent (qualifier value)" ]       ]     ]
  ], [
     fhir:index 7;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser" ];
         fhir:Coding.code [ fhir:value "OBESE" ]       ]     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:2667000;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "2667000" ];
         fhir:Coding.display [ fhir:value "Absent (qualifier value)" ]       ]     ]
  ], [
     fhir:index 8;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser" ];
         fhir:Coding.code [ fhir:value "PERIVASC" ]       ]     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:2667000;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "2667000" ];
         fhir:Coding.display [ fhir:value "Absent (qualifier value)" ]       ]     ]
  ], [
     fhir:index 9;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser" ];
         fhir:Coding.code [ fhir:value "PULMCIRC" ]       ]     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:2667000;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "2667000" ];
         fhir:Coding.display [ fhir:value "Absent (qualifier value)" ]       ]     ]
  ], [
     fhir:index 10;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser" ];
         fhir:Coding.code [ fhir:value "RENLFL_MOD" ]       ]     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:2667000;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "2667000" ];
         fhir:Coding.display [ fhir:value "Absent (qualifier value)" ]       ]     ]
  ], [
     fhir:index 11;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser" ];
         fhir:Coding.code [ fhir:value "DRUG_ABUSE" ]       ]     ];
     fhir:Observation.component.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:261665006;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "261665006" ];
         fhir:Coding.display [ fhir:value "Unknown (qualifier value)" ]       ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.