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-john-anyperson - JSON Representation

Raw json | Download


{
  "resourceType" : "Observation",
  "id" : "cancer-related-mcode-comorbidities-elixhauser-john-anyperson",
  "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-john-anyperson.html\">Generated Summary: Medical Record Number: m123 (USUAL); John B. Anyperson ; gender: male; birthDate: 1951-01-20</a></p><p><b>focus</b>: <a href=\"Condition-primary-cancer-condition-nsclc.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 254637007}\">Non-small cell lung cancer (disorder)</span>; <span title=\"Codes: {http://snomed.info/sct 39607008}\">Lung structure (body structure)</span>; onset: 2019-04-01</a></p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-kyle-anydoc.html\">Generated Summary: id: 9988776655; Kyle Anydoc ; gender: male</a></p><blockquote><p><b>component</b></p><p><b>Specific Condition Code for Comorbidity</b>: <span title=\"Codes: {http://hl7.org/fhir/sid/icd-10-cm I50.32}\">Chronic diastolic (congestive) heart failure</span></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 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 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 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></div>"
  },
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "78923-0",
        "display" : "Comorbid condition panel"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/cancer-patient-john-anyperson"
  },
  "focus" : [
    {
      "reference" : "Condition/primary-cancer-condition-nsclc"
    }
  ],
  "performer" : [
    {
      "reference" : "Practitioner/us-core-practitioner-kyle-anydoc"
    }
  ],
  "component" : [
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/sid/icd-10-cm",
                "code" : "I50.32",
                "display" : "Chronic diastolic (congestive) heart failure"
              }
            ]
          }
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/comorbidities-elixhauser",
            "code" : "CHF"
          }
        ]
      },
      "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" : "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" : "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)"
          }
        ]
      }
    }
  ]
}