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 - XML Representation

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<Observation xmlns="http://hl7.org/fhir">
  <id value="cancer-related-mcode-comorbidities-elixhauser-jenny-m"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities-elixhauser"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <status value="final"/>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="78923-0"/>
      <display value="Comorbid condition panel"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/cancer-patient-jenny-m"/>
  </subject>
  <effectiveDateTime value="2018-03-16"/>
  <performer>
    <reference value="Practitioner/us-core-practitioner-owen-oncologist"/>
  </performer>
  <component>
    <extension
               url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference">
      <valueReference>
        <reference value="Condition/us-core-condition-depression-jenny-m"/>
      </valueReference>
    </extension>
    <code>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser"/>
        <code value="DEPRESS"/>
      </coding>
    </code>
    <valueCodeableConcept>
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        <system value="http://snomed.info/sct"/>
        <code value="52101004"/>
        <display value="Present (qualifier value)"/>
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    </valueCodeableConcept>
  </component>
  <component>
    <extension
               url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference">
      <valueReference>
        <reference value="Condition/us-core-condition-hypertension-jenny-m"/>
      </valueReference>
    </extension>
    <code>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser"/>
        <code value="HTN_CX"/>
      </coding>
    </code>
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        <display value="Present (qualifier value)"/>
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  </component>
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    <code>
      <coding>
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        <code value="ARTH"/>
      </coding>
    </code>
    <valueCodeableConcept>
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        <code value="2667000"/>
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        <code value="CHF"/>
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  <component>
    <code>
      <coding>
        <system
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        <code value="LUNG_CHRONIC"/>
      </coding>
    </code>
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  <component>
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        <code value="DIAB_CX"/>
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        <code value="OBESE"/>
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        <code value="PULMCIRC"/>
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  <component>
    <code>
      <coding>
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        <code value="RENLFL_MOD"/>
      </coding>
    </code>
    <valueCodeableConcept>
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  </component>
  <component>
    <code>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser"/>
        <code value="DRUG_ABUSE"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
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        <display value="Unknown (qualifier value)"/>
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</Observation>