minimal Common Oncology Data Elements (mCODE) Implementation Guide
2.1.0 - STU 2.1 United States of America flag

This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v2.1.0: STU 2) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Example Condition: primary-cancer-condition-breast

Generated Narrative: Condition

Resource Condition "primary-cancer-condition-breast"

Profile: Primary Cancer Condition Profile

Histology-Morphology-Behavior Extension: Lobular carcinoma in situ (morphologic abnormality) (SNOMED CT#77284006)

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Problem List Item (Condition Category Codes#problem-list-item)

code: Malignant neoplastic disease (disorder) (SNOMED CT#363346000)

bodySite: Left breast structure (body structure) (SNOMED CT#80248007)

subject: Patient/cancer-patient-eve-anyperson " ANYPERSON"

onset: 2019-04-01

asserter: Practitioner/us-core-practitioner-kyle-anydoc " ANYDOC"

Stages

-SummaryAssessment
*IIIC (cancerstaging.org#3C)Observation/tnm-clinical-stage-group-3c

Notes:

Instance: primary-cancer-condition-breast
InstanceOf: PrimaryCancerCondition
Title: "primary-cancer-condition-breast"
Description: "mCODE Example for Primary Cancer Condition (breast). The example shows post-coordinated coding using SNOMED CT, with separate codes for morphology and bodySite."
Usage: #example
* extension.url = "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior"
* extension.valueCodeableConcept.coding.version = "http://snomed.info/sct/900000000000207008"
* extension.valueCodeableConcept.coding = http://snomed.info/sct#77284006 "Lobular carcinoma in situ (morphologic abnormality)"
* clinicalStatus = http://terminology.hl7.org/CodeSystem/condition-clinical#active "Active"
* verificationStatus = http://terminology.hl7.org/CodeSystem/condition-ver-status#confirmed "Confirmed"
* category[0] = http://terminology.hl7.org/CodeSystem/condition-category#problem-list-item
* category[+].coding.version = "http://snomed.info/sct/900000000000207008"
* category[=].coding = http://snomed.info/sct#372087000
* code.coding.version = "http://snomed.info/sct/900000000000207008"
* code.coding = http://snomed.info/sct#363346000 "Malignant neoplastic disease (disorder)"
* bodySite.coding.version = "http://snomed.info/sct/900000000000207008"
* bodySite.coding = http://snomed.info/sct#80248007 "Left breast structure (body structure)"
* subject = Reference(cancer-patient-eve-anyperson)
* onsetDateTime = "2019-04-01"
* asserter = Reference(us-core-practitioner-kyle-anydoc)
* stage.summary.coding.version = "http://snomed.info/sct/900000000000207008"
* stage.summary.coding = http://snomed.info/sct#1222806003 "American Joint Committee on Cancer stage IIIC (qualifier value)"
* stage.assessment = Reference(tnm-clinical-stage-group-3c)