minimal Common Oncology Data Elements (mCODE) Implementation Guide
2.0.0 - STU 2
minimal Common Oncology Data Elements (mCODE) Implementation Guide
2.0.0 - STU 2
This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v2.0.0: 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 
@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:Bundle;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "mcode-patient-bundle-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-patient-bundle";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-patient-bundle> ]
];
fhir:Bundle.type [ fhir:value "collection"];
fhir:Bundle.entry [
fhir:index 0;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Patient/cancer-patient-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Patient/cancer-patient-jenny-m>
], [
fhir:index 1;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Condition/primary-cancer-condition-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Condition/primary-cancer-condition-jenny-m>
], [
fhir:index 2;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/MedicationRequest/cancer-related-medication-request-cyclophosphamide-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/MedicationRequest/cancer-related-medication-request-cyclophosphamide-jenny-m>
], [
fhir:index 3;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/cancer-disease-status-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/cancer-disease-status-jenny-m>
], [
fhir:index 4;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/genomic-variant-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/genomic-variant-jenny-m>
], [
fhir:index 5;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/DiagnosticReport/genomics-report-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/DiagnosticReport/genomics-report-jenny-m>
], [
fhir:index 6;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Procedure/cancer-related-surgical-procedure-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Procedure/cancer-related-surgical-procedure-jenny-m>
], [
fhir:index 7;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Procedure/radiotherapy-treatment-summary-chest-wall-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Procedure/radiotherapy-treatment-summary-chest-wall-jenny-m>
], [
fhir:index 8;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/tnm-clinical-stage-group-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/tnm-clinical-stage-group-jenny-m>
], [
fhir:index 9;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/tnm-clinical-primary-tumor-category-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/tnm-clinical-primary-tumor-category-jenny-m>
], [
fhir:index 10;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/tnm-clinical-regional-nodes-category-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/tnm-clinical-regional-nodes-category-jenny-m>
], [
fhir:index 11;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/tnm-clinical-distant-metastases-category-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/tnm-clinical-distant-metastases-category-jenny-m>
], [
fhir:index 12;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Specimen/genomic-specimen-left-breast-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Specimen/genomic-specimen-left-breast-jenny-m>
], [
fhir:index 13;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/genomic-region-studied-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/genomic-region-studied-jenny-m>
], [
fhir:index 14;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/ecog-performance-status-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/ecog-performance-status-jenny-m>
], [
fhir:index 15;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/tumor-marker-test-er-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/tumor-marker-test-er-jenny-m>
], [
fhir:index 16;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/tumor-marker-test-pr-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/tumor-marker-test-pr-jenny-m>
], [
fhir:index 17;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/tumor-marker-test-her2-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/tumor-marker-test-her2-jenny-m>
], [
fhir:index 18;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/tumor-marker-test-oncotype-dx-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/tumor-marker-test-oncotype-dx-jenny-m>
], [
fhir:index 19;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/MedicationRequest/cancer-related-medication-request-doxorubicin-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/MedicationRequest/cancer-related-medication-request-doxorubicin-jenny-m>
], [
fhir:index 20;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/MedicationRequest/cancer-related-medication-request-paclitaxel-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/MedicationRequest/cancer-related-medication-request-paclitaxel-jenny-m>
], [
fhir:index 21;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/MedicationRequest/cancer-related-medication-request-anastrozole-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/MedicationRequest/cancer-related-medication-request-anastrozole-jenny-m>
], [
fhir:index 22;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/cancer-related-mcode-comorbidities-elixhauser-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/cancer-related-mcode-comorbidities-elixhauser-jenny-m>
], [
fhir:index 23;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/bodyweight-jenny-m-2018-03-16" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/bodyweight-jenny-m-2018-03-16>
], [
fhir:index 24;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/us-core-observation-lab-neutrophils-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/us-core-observation-lab-neutrophils-jenny-m>
], [
fhir:index 25;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Organization/us-core-organization-physician-services-inc" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Organization/us-core-organization-physician-services-inc>
], [
fhir:index 26;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/us-core-smokingstatus-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/us-core-smokingstatus-jenny-m>
], [
fhir:index 27;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/us-core-procedure-biopsy-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/us-core-procedure-biopsy-jenny-m>
], [
fhir:index 28;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/us-core-procedure-mammogram-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/us-core-procedure-mammogram-jenny-m>
], [
fhir:index 29;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/FamilyMemberHistory/family-member-history-aunt-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/FamilyMemberHistory/family-member-history-aunt-jenny-m>
], [
fhir:index 30;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Procedure/us-core-procedure-mammogram-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Procedure/us-core-procedure-mammogram-jenny-m>
], [
fhir:index 31;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/FamilyMemberHistory/family-member-history-uncle-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/FamilyMemberHistory/family-member-history-uncle-jenny-m>
], [
fhir:index 32;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/DiagnosticReport/us-core-diagnosticreport-lab-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/DiagnosticReport/us-core-diagnosticreport-lab-jenny-m>
], [
fhir:index 33;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/observation-smoking-pack-years-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/observation-smoking-pack-years-jenny-m>
], [
fhir:index 34;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/us-core-observation-lab-tumor-invasion-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/us-core-observation-lab-tumor-invasion-jenny-m>
], [
fhir:index 35;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/us-core-observation-lab-tumor-margins-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/us-core-observation-lab-tumor-margins-jenny-m>
], [
fhir:index 36;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/us-core-observation-lab-sentinel-nodes-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/us-core-observation-lab-sentinel-nodes-jenny-m>
], [
fhir:index 37;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/tumor-size-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/tumor-size-jenny-m>
], [
fhir:index 38;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Observation/us-core-observation-lab-tumor-dcis-jenny-m" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Observation/us-core-observation-lab-tumor-dcis-jenny-m>
], [
fhir:index 39;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Pracititioner/us-core-practitioner-owen-oncologist" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Pracititioner/us-core-practitioner-owen-oncologist>
], [
fhir:index 40;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Pracititioner/us-core-practitioner-peter-pathologist" ];
fhir:Bundle.entry.resource <http://example.org/fhir/Pracititioner/us-core-practitioner-peter-pathologist>
].
<http://example.org/fhir/Patient/cancer-patient-jenny-m> a fhir:Patient;
fhir:Resource.id [ fhir:value "cancer-patient-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient> ]
];
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><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"cancer-patient-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-cancer-patient.html\">Cancer Patient Profile</a></p></div><blockquote><p><b>US Core Race Extension</b></p><p><b>value</b>: White (Details: urn:oid:2.16.840.1.113883.6.238 code 2106-3 = 'White', stated as 'White')</p><p><b>value</b>: White</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><p><b>value</b>: Not Hispanic or Latino (Details: urn:oid:2.16.840.1.113883.6.238 code 2186-5 = 'Not Hispanic or Latino', stated as 'Not Hispanic or Latino')</p><p><b>value</b>: Not Hispanic or Latino</p></blockquote><p><b>identifier</b>: Medical Record Number: MRN1234 (USUAL)</p><p><b>name</b>: Jenny M </p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1965-01-01</p><p><b>address</b>: 123 Main St Anytown 12345 United States </p><h3>Contacts</h3><table class=\"grid\"><tr><td>-</td><td><b>Telecom</b></td></tr><tr><td>*</td><td>ph: 555-867-5309(HOME), <a href=\"mailto:example@example.com\">example@example.com</a></td></tr></table><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td></tr><tr><td>*</td><td>English <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-ietf3066.html\">Tags for the Identification of Languages</a>#en-US)</span></td></tr></table></div>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "ombCategory" ];
fhir:Extension.valueCoding [
fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
fhir:Coding.code [ fhir:value "2106-3" ];
fhir:Coding.display [ fhir:value "White" ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "text" ];
fhir:Extension.valueString [ fhir:value "White" ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" ]
], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "ombCategory" ];
fhir:Extension.valueCoding [
fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
fhir:Coding.code [ fhir:value "2186-5" ];
fhir:Coding.display [ fhir:value "Not Hispanic or Latino" ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "text" ];
fhir:Extension.valueString [ fhir:value "Not Hispanic or Latino" ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" ]
];
fhir:Patient.identifier [
fhir:index 0;
fhir:Identifier.use [ fhir:value "usual" ];
fhir:Identifier.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
fhir:Coding.code [ fhir:value "MR" ];
fhir:Coding.display [ fhir:value "Medical Record Number" ] ] ];
fhir:Identifier.system [ fhir:value "http://hospital.example.org" ];
fhir:Identifier.value [ fhir:value "MRN1234" ]
];
fhir:Patient.name [
fhir:index 0;
fhir:HumanName.family [ fhir:value "M" ];
fhir:HumanName.given [
fhir:value "Jenny";
fhir:index 0 ]
];
fhir:Patient.gender [ fhir:value "female"];
fhir:Patient.birthDate [ fhir:value "1965-01-01"^^xsd:date];
fhir:Patient.address [
fhir:index 0;
fhir:Address.line [
fhir:value "123 Main St";
fhir:index 0 ];
fhir:Address.city [ fhir:value "Anytown" ];
fhir:Address.postalCode [ fhir:value "12345" ];
fhir:Address.country [ fhir:value "United States" ]
];
fhir:Patient.contact [
fhir:index 0;
fhir:Patient.contact.telecom [
fhir:index 0;
fhir:ContactPoint.system [ fhir:value "phone" ];
fhir:ContactPoint.value [ fhir:value "555-867-5309" ];
fhir:ContactPoint.use [ fhir:value "home" ] ], [
fhir:index 1;
fhir:ContactPoint.system [ fhir:value "email" ];
fhir:ContactPoint.value [ fhir:value "example@example.com" ] ]
];
fhir:Patient.communication [
fhir:index 0;
fhir:Patient.communication.language [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "urn:ietf:bcp:47" ];
fhir:Coding.code [ fhir:value "en-US" ] ];
fhir:CodeableConcept.text [ fhir:value "English" ] ]
].
<http://example.org/fhir/Condition/primary-cancer-condition-jenny-m> a fhir:Condition;
fhir:Resource.id [ fhir:value "primary-cancer-condition-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition> ]
];
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><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"primary-cancer-condition-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-primary-cancer-condition.html\">Primary Cancer Condition Profile</a></p></div><p><b>Histology-Morphology-Behavior Extension</b>: Adenocarcinoma, no subtype, intermediate grade (morphologic abnormality) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#413448000)</span></p><p><b>clinicalStatus</b>: Remission <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#remission)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem List Item <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#problem-list-item)</span></p><p><b>code</b>: Primary malignant neoplasm of female left breast (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#353431000119107)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>onset</b>: 2018-03-16</p><p><b>asserter</b>: <a href=\"#Practitioner_us-core-practitioner-owen-oncologist\">See above (Practitioner/us-core-practitioner-owen-oncologist)</a></p><h3>Stages</h3><table class=\"grid\"><tr><td>-</td><td><b>Summary</b></td><td><b>Assessment</b></td></tr><tr><td>*</td><td>3C <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (cancerstaging.org#3C)</span></td><td><a href=\"#Observation_tnm-clinical-stage-group-jenny-m\">See above (Observation/tnm-clinical-stage-group-jenny-m)</a></td></tr></table></div>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:413448000;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "413448000" ];
fhir:Coding.display [ fhir:value "Adenocarcinoma, no subtype, intermediate grade (morphologic abnormality)" ] ] ]
];
fhir:Condition.clinicalStatus [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ];
fhir:Coding.code [ fhir:value "remission" ] ]
];
fhir:Condition.verificationStatus [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ];
fhir:Coding.code [ fhir:value "confirmed" ] ]
];
fhir:Condition.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-category" ];
fhir:Coding.code [ fhir:value "problem-list-item" ] ]
];
fhir:Condition.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:353431000119107;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "353431000119107" ];
fhir:Coding.display [ fhir:value "Primary malignant neoplasm of female left breast (disorder)" ] ]
];
fhir:Condition.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Condition.onsetDateTime [ fhir:value "2018-03-16"^^xsd:date];
fhir:Condition.asserter [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-owen-oncologist" ]
];
fhir:Condition.stage [
fhir:index 0;
fhir:Condition.stage.summary [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://cancerstaging.org" ];
fhir:Coding.code [ fhir:value "3C" ] ] ];
fhir:Condition.stage.assessment [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Observation/tnm-clinical-stage-group-jenny-m" ] ]
].
<http://example.org/fhir/MedicationRequest/cancer-related-medication-request-cyclophosphamide-jenny-m> a fhir:MedicationRequest;
fhir:Resource.id [ fhir:value "cancer-related-medication-request-cyclophosphamide-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request> ]
];
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><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"cancer-related-medication-request-cyclophosphamide-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-cancer-related-medication-request.html\">Cancer-Related Medication Request Profile</a></p></div><p><b>Procedure Intent Extension</b>: Curative - procedure intent (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#373808002)</span></p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: Outpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-medicationrequest-category.html\">MedicationRequest Category Codes</a>#outpatient)</span></p><p><b>medication</b>: cyclophosphamide <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#3002)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>authoredOn</b>: 2018-04-12</p><p><b>requester</b>: <a href=\"#Practitioner_us-core-practitioner-owen-oncologist\">See above (Practitioner/us-core-practitioner-owen-oncologist)</a></p><p><b>reasonReference</b>: <a href=\"#Condition_primary-cancer-condition-jenny-m\">See above (Condition/primary-cancer-condition-jenny-m)</a></p></div>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:373808002;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "373808002" ];
fhir:Coding.display [ fhir:value "Curative - procedure intent (qualifier value)" ] ] ]
];
fhir:MedicationRequest.status [ fhir:value "active"];
fhir:MedicationRequest.intent [ fhir:value "order"];
fhir:MedicationRequest.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/medicationrequest-category" ];
fhir:Coding.code [ fhir:value "outpatient" ] ]
];
fhir:MedicationRequest.medicationCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ];
fhir:Coding.code [ fhir:value "3002" ];
fhir:Coding.display [ fhir:value "cyclophosphamide" ] ]
];
fhir:MedicationRequest.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:MedicationRequest.authoredOn [ fhir:value "2018-04-12"^^xsd:date];
fhir:MedicationRequest.requester [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-owen-oncologist" ]
];
fhir:MedicationRequest.reasonReference [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Condition/primary-cancer-condition-jenny-m" ]
];
fhir:MedicationRequest.dosageInstruction [
fhir:index 0;
fhir:Dosage.text [ fhir:value "cyclophosphamide (600 mg/m² IV), 932.59mg" ];
fhir:Dosage.timing [
fhir:Timing.repeat [
fhir:Timing.repeat.boundsPeriod [
fhir:Period.start [ fhir:value "2018-04-01"^^xsd:date ] ] ] ];
fhir:Dosage.route [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:47625008;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "47625008" ];
fhir:Coding.display [ fhir:value "Intravenous route (qualifier value)" ] ] ];
fhir:Dosage.doseAndRate [
fhir:index 0;
fhir:Dosage.doseAndRate.doseQuantity [
fhir:Quantity.value [ fhir:value "932.59"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "mg" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "mg" ] ] ];
fhir:Dosage.maxDosePerPeriod [
fhir:Ratio.numerator [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ] ];
fhir:Ratio.denominator [
fhir:Quantity.value [ fhir:value "3"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "week" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "wk" ] ] ]
].
<http://example.org/fhir/Observation/cancer-disease-status-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "cancer-disease-status-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status> ]
];
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><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"cancer-disease-status-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-cancer-disease-status.html\">Cancer Disease Status Profile</a></p></div><p><b>Cancer Disease Status Evidence Type Extension</b>: Imaging (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#363679005)</span></p><p><b>status</b>: final</p><p><b>code</b>: Cancer Disease Progression <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#97509-4)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>focus</b>: <a href=\"#Condition_primary-cancer-condition-jenny-m\">See above (Condition/primary-cancer-condition-jenny-m)</a></p><p><b>effective</b>: 2018-11-01</p><p><b>performer</b>: <a href=\"#Practitioner_us-core-practitioner-owen-oncologist\">See above (Practitioner/us-core-practitioner-owen-oncologist)</a></p><p><b>value</b>: Patient's condition improved (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#268910001)</span></p></div>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status-evidence-type" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:363679005;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "363679005" ];
fhir:Coding.display [ fhir:value "Imaging (procedure)" ] ] ]
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:97509-4;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "97509-4" ];
fhir:Coding.display [ fhir:value "Cancer Disease Progression" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.focus [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Condition/primary-cancer-condition-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-11-01"^^xsd:date];
fhir:Observation.performer [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-owen-oncologist" ]
];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:268910001;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "268910001" ];
fhir:Coding.display [ fhir:value "Patient's condition improved (finding)" ] ]
].
<http://example.org/fhir/Observation/genomic-variant-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "genomic-variant-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-variant";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-variant> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"genomic-variant-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-genomic-variant.html\">Genomic Variant Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Genetic variant assessment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#69548-6)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-15</p><p><b>value</b>: Present <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA9633-4)</span></p><p><b>method</b>: Sequencing <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA26398-0)</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Gene studied [ID] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#48018-6)</span></p><p><b>value</b>: PALB2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-hgnc.html\">HUGO Gene Nomenclature</a>#HGNC:26144)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Discrete genetic variant <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#81252-9)</span></p><p><b>value</b>: NM_024675.3(PALB2):c.3549C>A (p.Tyr1183Ter) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (clinvar#128144)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Genomic DNA change (gHGVS) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#81290-9)</span></p><p><b>value</b>: NC_000016.10:g.23603471G>T <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-hgvs.html\">Human Genome Variation Society nomenclature</a>#NC_000016.10:g.23603471G>T)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Genomic source class [Type] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#48002-0)</span></p><p><b>value</b>: Somatic <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6684-0)</span></p></blockquote></div>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "laboratory" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:69548-6;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "69548-6" ];
fhir:Coding.display [ fhir:value "Genetic variant assessment" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-03-15"^^xsd:date];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:LA9633-4;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA9633-4" ];
fhir:Coding.display [ fhir:value "Present" ] ]
];
fhir:Observation.method [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:LA26398-0;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA26398-0" ];
fhir:Coding.display [ fhir:value "Sequencing" ] ]
];
fhir:Observation.component [
fhir:index 0;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:48018-6;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "48018-6" ] ] ];
fhir:Observation.component.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://www.genenames.org" ];
fhir:Coding.code [ fhir:value "HGNC:26144" ];
fhir:Coding.display [ fhir:value "PALB2" ] ] ]
], [
fhir:index 1;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:81252-9;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "81252-9" ] ] ];
fhir:Observation.component.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://www.ncbi.nlm.nih.gov/clinvar" ];
fhir:Coding.code [ fhir:value "128144" ];
fhir:Coding.display [ fhir:value "NM_024675.3(PALB2):c.3549C>A (p.Tyr1183Ter)" ] ] ]
], [
fhir:index 2;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:81290-9;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "81290-9" ] ] ];
fhir:Observation.component.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://varnomen.hgvs.org" ];
fhir:Coding.code [ fhir:value "NC_000016.10:g.23603471G>T" ] ] ]
], [
fhir:index 3;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:48002-0;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "48002-0" ] ] ];
fhir:Observation.component.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:LA6684-0;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA6684-0" ];
fhir:Coding.display [ fhir:value "Somatic" ] ] ]
].
<http://example.org/fhir/DiagnosticReport/genomics-report-jenny-m> a fhir:DiagnosticReport;
fhir:Resource.id [ fhir:value "genomics-report-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"genomics-report-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-genomics-report.html\">Genomics Report Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v2-0074.html\">diagnosticServiceSectionId</a>#LAB)</span>, Genetics <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v2-0074.html\">diagnosticServiceSectionId</a>#GE)</span></p><p><b>code</b>: Master HL7 genetic variant reporting panel <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#81247-9)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-15</p><p><b>issued</b>: Mar 15, 2020 12:00:01 AM</p><p><b>specimen</b>: <a href=\"#Specimen_genomic-specimen-left-breast-jenny-m\">See above (Specimen/genomic-specimen-left-breast-jenny-m)</a></p><p><b>result</b>: </p><ul><li><a href=\"#Observation_genomic-variant-jenny-m\">See above (Observation/genomic-variant-jenny-m)</a></li><li><a href=\"#Observation_genomic-region-studied-jenny-m\">See above (Observation/genomic-region-studied-jenny-m)</a></li></ul></div>"
];
fhir:DiagnosticReport.status [ fhir:value "final"];
fhir:DiagnosticReport.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
fhir:Coding.code [ fhir:value "LAB" ] ]
], [
fhir:index 1;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
fhir:Coding.code [ fhir:value "GE" ] ]
];
fhir:DiagnosticReport.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:81247-9;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "81247-9" ] ]
];
fhir:DiagnosticReport.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:DiagnosticReport.effectiveDateTime [ fhir:value "2018-03-15"^^xsd:date];
fhir:DiagnosticReport.issued [ fhir:value "2020-03-15T00:00:01+00:00"^^xsd:dateTime];
fhir:DiagnosticReport.specimen [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Specimen/genomic-specimen-left-breast-jenny-m" ]
];
fhir:DiagnosticReport.result [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Observation/genomic-variant-jenny-m" ]
], [
fhir:index 1;
fhir:Reference.reference [ fhir:value "Observation/genomic-region-studied-jenny-m" ]
].
<http://example.org/fhir/Procedure/cancer-related-surgical-procedure-jenny-m> a fhir:Procedure;
fhir:Resource.id [ fhir:value "cancer-related-surgical-procedure-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-surgical-procedure";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-surgical-procedure> ]
];
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><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"cancer-related-surgical-procedure-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-cancer-related-surgical-procedure.html\">Cancer-Related Surgical Procedure Profile</a></p></div><p><b>Procedure Intent Extension</b>: Curative - procedure intent (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#373808002)</span></p><p><b>status</b>: completed</p><p><b>category</b>: Surgical procedure (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#387713003)</span></p><p><b>code</b>: Partial mastectomy (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#64368001)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>performed</b>: 2018-04-01</p><p><b>asserter</b>: <a href=\"#Practitioner_us-core-practitioner-owen-oncologist\">See above (Practitioner/us-core-practitioner-owen-oncologist)</a></p><p><b>reasonReference</b>: <a href=\"#Condition_primary-cancer-condition-jenny-m\">See above (Condition/primary-cancer-condition-jenny-m)</a></p><p><b>bodySite</b>: Left breast structure (body structure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#80248007)</span></p></div>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:373808002;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "373808002" ];
fhir:Coding.display [ fhir:value "Curative - procedure intent (qualifier value)" ] ] ]
];
fhir:Procedure.status [ fhir:value "completed"];
fhir:Procedure.category [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:387713003;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "387713003" ] ]
];
fhir:Procedure.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:64368001;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "64368001" ];
fhir:Coding.display [ fhir:value "Partial mastectomy (procedure)" ] ]
];
fhir:Procedure.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Procedure.performedDateTime [ fhir:value "2018-04-01"^^xsd:date];
fhir:Procedure.asserter [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-owen-oncologist" ]
];
fhir:Procedure.reasonReference [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Condition/primary-cancer-condition-jenny-m" ]
];
fhir:Procedure.bodySite [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:80248007;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "80248007" ];
fhir:Coding.display [ fhir:value "Left breast structure (body structure)" ] ]
].
<http://example.org/fhir/Procedure/radiotherapy-treatment-summary-chest-wall-jenny-m> a fhir:Procedure;
fhir:Resource.id [ fhir:value "radiotherapy-treatment-summary-chest-wall-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary> ]
];
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><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"radiotherapy-treatment-summary-chest-wall-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-radiotherapy-course-summary.html\">Radiotherapy Course Summary Profile</a></p></div><p><b>Radiotherapy Number of Sessions Extension</b>: 31</p><p><b>Procedure Intent Extension</b>: Curative - procedure intent <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#373808002)</span></p><blockquote><p><b>Radiotherapy Modality And Technique Extension</b></p><p><b>value</b>: External beam radiation therapy using photons (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#1156506007)</span></p><p><b>value</b>: Volumetric Modulated Arc Therapy (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#1156530009)</span></p></blockquote><blockquote><p><b>Radiotherapy Modality And Technique Extension</b></p><p><b>value</b>: Teleradiotherapy using electrons <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#45643008)</span></p><p><b>value</b>: Three dimensional external beam radiation therapy (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-snomed-requested-cs.html\">Requested SNOMED Codes Code System</a>#1162782007)</span></p></blockquote><blockquote><p><b>Radiotherapy Dose Delivered To Volume Extension</b></p><p><b>value</b>: <a href=\"BodyStructure-jenny-m-chest-wall-treatment-volume.html\">BodyStructure/jenny-m-chest-wall-treatment-volume</a></p><p><b>value</b>: 6000 cGy<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cGy = 'cGy')</span></p><p><b>value</b>: 30</p></blockquote><blockquote><p><b>Radiotherapy Dose Delivered To Volume Extension</b></p><p><b>value</b>: <a href=\"BodyStructure-jenny-m-chest-wall-lymph-nodes-treatment-volume.html\">BodyStructure/jenny-m-chest-wall-lymph-nodes-treatment-volume</a></p><p><b>value</b>: 5000 cGy<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cGy = 'cGy')</span></p><p><b>value</b>: 25</p></blockquote><p><b>status</b>: completed</p><p><b>category</b>: Radiation oncology AND/OR radiotherapy (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#108290001)</span></p><p><b>code</b>: Radiotherapy Course of Treatment (regime/therapy) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-snomed-requested-cs.html\">Requested SNOMED Codes Code System</a>#USCRS-33529)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>performed</b>: 2018-08-15 --> 2018-10-25</p><p><b>asserter</b>: <a href=\"Practitioner-us-core-practitioner-kyle-anydoc.html\">Practitioner/us-core-practitioner-kyle-anydoc</a> \" ANYDOC\"</p><p><b>reasonCode</b>: Malignant neoplasm of overlapping sites of right female breast <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#C50.811)</span></p><p><b>bodySite</b>: Chest Wall Structure (body structure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#78904004)</span></p></div>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions" ];
fhir:Extension.valueUnsignedInt [ fhir:value "31"^^xsd:nonNegativeInteger ]
], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:373808002;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "373808002" ];
fhir:Coding.display [ fhir:value "Curative - procedure intent" ] ] ]
], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:1156506007;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "1156506007" ];
fhir:Coding.display [ fhir:value "External beam radiation therapy using photons (procedure)" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:1156530009;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "1156530009" ];
fhir:Coding.display [ fhir:value "Volumetric Modulated Arc Therapy (procedure)" ] ] ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique" ]
], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:45643008;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "45643008" ];
fhir:Coding.display [ fhir:value "Teleradiotherapy using electrons" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/mcode/CodeSystem/snomed-requested-cs" ];
fhir:Coding.code [ fhir:value "1162782007" ];
fhir:Coding.display [ fhir:value "Three dimensional external beam radiation therapy (procedure)" ] ] ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique" ]
], [
fhir:index 4;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "volume" ];
fhir:Extension.valueReference [
fhir:Reference.reference [ fhir:value "BodyStructure/jenny-m-chest-wall-treatment-volume" ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "totalDoseDelivered" ];
fhir:Extension.valueQuantity [
fhir:Quantity.value [ fhir:value "6000"^^xsd:decimal ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "cGy" ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "fractionsDelivered" ];
fhir:Extension.valueUnsignedInt [ fhir:value "30"^^xsd:nonNegativeInteger ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume" ]
], [
fhir:index 5;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "volume" ];
fhir:Extension.valueReference [
fhir:Reference.reference [ fhir:value "BodyStructure/jenny-m-chest-wall-lymph-nodes-treatment-volume" ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "totalDoseDelivered" ];
fhir:Extension.valueQuantity [
fhir:Quantity.value [ fhir:value "5000"^^xsd:decimal ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "cGy" ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "fractionsDelivered" ];
fhir:Extension.valueUnsignedInt [ fhir:value "25"^^xsd:nonNegativeInteger ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume" ]
];
fhir:Procedure.status [ fhir:value "completed"];
fhir:Procedure.category [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:108290001;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "108290001" ];
fhir:Coding.display [ fhir:value "Radiation oncology AND/OR radiotherapy (procedure)" ] ]
];
fhir:Procedure.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/mcode/CodeSystem/snomed-requested-cs" ];
fhir:Coding.code [ fhir:value "USCRS-33529" ] ]
];
fhir:Procedure.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Procedure.performedPeriod [
fhir:Period.start [ fhir:value "2018-08-15"^^xsd:date ];
fhir:Period.end [ fhir:value "2018-10-25"^^xsd:date ]
];
fhir:Procedure.asserter [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-kyle-anydoc" ]
];
fhir:Procedure.reasonCode [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-10-cm" ];
fhir:Coding.code [ fhir:value "C50.811" ];
fhir:Coding.display [ fhir:value "Malignant neoplasm of overlapping sites of right female breast" ] ]
];
fhir:Procedure.bodySite [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:78904004;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "78904004" ];
fhir:Coding.display [ fhir:value "Chest Wall Structure (body structure)" ] ]
].
<http://example.org/fhir/Observation/tnm-clinical-stage-group-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "tnm-clinical-stage-group-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-stage-group";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-stage-group> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"tnm-clinical-stage-group-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-cancer-stage-group.html\">Cancer Stage Group Profile</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Stage group.clinical Cancer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21908-9)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-16</p><p><b>value</b>: IIB <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (cancerstaging.org#2B)</span></p><p><b>method</b>: American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#897275008)</span></p><p><b>hasMember</b>: </p><ul><li><a href=\"Observation-tnm-pathologic-primary-tumor-category-jenny-m.html\">Observation/tnm-pathologic-primary-tumor-category-jenny-m</a></li><li><a href=\"Observation-tnm-pathologic-regional-nodes-category-jenny-m.html\">Observation/tnm-pathologic-regional-nodes-category-jenny-m</a></li><li><a href=\"Observation-tnm-pathologic-distant-metastases-category-jenny-m.html\">Observation/tnm-pathologic-distant-metastases-category-jenny-m</a></li></ul></div>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:21908-9;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "21908-9" ];
fhir:Coding.display [ fhir:value "Stage group.clinical Cancer" ] ]
];
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.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://cancerstaging.org" ];
fhir:Coding.code [ fhir:value "2B" ];
fhir:Coding.display [ fhir:value "IIB" ] ]
];
fhir:Observation.method [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:897275008;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "897275008" ];
fhir:Coding.display [ fhir:value "American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)" ] ]
];
fhir:Observation.hasMember [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Observation/tnm-pathologic-primary-tumor-category-jenny-m" ]
], [
fhir:index 1;
fhir:Reference.reference [ fhir:value "Observation/tnm-pathologic-regional-nodes-category-jenny-m" ]
], [
fhir:index 2;
fhir:Reference.reference [ fhir:value "Observation/tnm-pathologic-distant-metastases-category-jenny-m" ]
].
<http://example.org/fhir/Observation/tnm-clinical-primary-tumor-category-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "tnm-clinical-primary-tumor-category-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"tnm-clinical-primary-tumor-category-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-tnm-primary-tumor-category.html\">TNM Primary Tumor Category Profile</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Primary tumor.clinical [Class] Cancer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21905-5)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-16</p><p><b>value</b>: cT3 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (cancerstaging.org#cT3)</span></p><p><b>method</b>: American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#897275008)</span></p></div>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:21905-5;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "21905-5" ];
fhir:Coding.display [ fhir:value "Primary tumor.clinical [Class] Cancer" ] ]
];
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.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://cancerstaging.org" ];
fhir:Coding.code [ fhir:value "cT3" ] ]
];
fhir:Observation.method [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:897275008;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "897275008" ];
fhir:Coding.display [ fhir:value "American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)" ] ]
].
<http://example.org/fhir/Observation/tnm-clinical-regional-nodes-category-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "tnm-clinical-regional-nodes-category-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-regional-nodes-category";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-regional-nodes-category> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"tnm-clinical-regional-nodes-category-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-tnm-regional-nodes-category.html\">TNM Regional Nodes Category Profile</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Regional lymph nodes.clinical [Class] Cancer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21906-3)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-16</p><p><b>value</b>: cN0 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (cancerstaging.org#cN0)</span></p><p><b>method</b>: American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#897275008)</span></p></div>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:21906-3;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "21906-3" ];
fhir:Coding.display [ fhir:value "Regional lymph nodes.clinical [Class] Cancer" ] ]
];
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.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://cancerstaging.org" ];
fhir:Coding.code [ fhir:value "cN0" ] ]
];
fhir:Observation.method [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:897275008;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "897275008" ];
fhir:Coding.display [ fhir:value "American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)" ] ]
].
<http://example.org/fhir/Observation/tnm-clinical-distant-metastases-category-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "tnm-clinical-distant-metastases-category-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"tnm-clinical-distant-metastases-category-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-tnm-distant-metastases-category.html\">TNM Distant Metastases Category Profile</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Distant metastases.clinical [Class] Cancer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21907-1)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-16</p><p><b>value</b>: cM0 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (cancerstaging.org#cM0)</span></p><p><b>method</b>: American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#897275008)</span></p></div>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:21907-1;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "21907-1" ];
fhir:Coding.display [ fhir:value "Distant metastases.clinical [Class] Cancer" ] ]
];
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.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://cancerstaging.org" ];
fhir:Coding.code [ fhir:value "cM0" ] ]
];
fhir:Observation.method [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:897275008;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "897275008" ];
fhir:Coding.display [ fhir:value "American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)" ] ]
].
<http://example.org/fhir/Specimen/genomic-specimen-left-breast-jenny-m> a fhir:Specimen;
fhir:Resource.id [ fhir:value "genomic-specimen-left-breast-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-specimen";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-specimen> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"genomic-specimen-left-breast-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-genomic-specimen.html\">Genomic Specimen Profile</a></p></div><p><b>status</b>: available</p><p><b>type</b>: Tissue <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v2-0487.html\">specimenType</a>#TISS)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><h3>Collections</h3><table class=\"grid\"><tr><td>-</td><td><b>Collector</b></td><td><b>BodySite</b></td></tr><tr><td>*</td><td><a href=\"#Practitioner_us-core-practitioner-owen-oncologist\">See above (Practitioner/us-core-practitioner-owen-oncologist)</a></td><td>Left breast structure (body structure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#80248007)</span></td></tr></table><h3>Processings</h3><table class=\"grid\"><tr><td>-</td><td><b>Time[x]</b></td></tr><tr><td>*</td><td>2018-03-06</td></tr></table></div>"
];
fhir:Specimen.status [ fhir:value "available"];
fhir:Specimen.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0487" ];
fhir:Coding.code [ fhir:value "TISS" ] ]
];
fhir:Specimen.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Specimen.collection [
fhir:Specimen.collection.collector [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-owen-oncologist" ] ];
fhir:Specimen.collection.bodySite [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:80248007;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "80248007" ];
fhir:Coding.display [ fhir:value "Left breast structure (body structure)" ] ] ]
];
fhir:Specimen.processing [
fhir:index 0;
fhir:Specimen.processing.timeDateTime [ fhir:value "2018-03-06"^^xsd:date ]
].
<http://example.org/fhir/Observation/genomic-region-studied-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "genomic-region-studied-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-region-studied";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-region-studied> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"genomic-region-studied-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-genomic-region-studied.html\">Genomic Region Studied Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: DNA region of interest panel <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#53041-0)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-15</p><p><b>issued</b>: Mar 15, 2018 12:00:01 AM</p><h3>Components</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>Gene studied [ID] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#48018-6)</span></td><td>BRCA1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-hgnc.html\">HUGO Gene Nomenclature</a>#1100; <a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-hgnc.html\">HUGO Gene Nomenclature</a>#1101 \"BRCA2\"; <a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-hgnc.html\">HUGO Gene Nomenclature</a>#1748 \"CDH1\"; <a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-hgnc.html\">HUGO Gene Nomenclature</a>#26144 \"PALB2\"; <a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-hgnc.html\">HUGO Gene Nomenclature</a>#9588 \"PTEN\"; <a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-hgnc.html\">HUGO Gene Nomenclature</a>#11389 \"STK11\"; <a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-hgnc.html\">HUGO Gene Nomenclature</a>#11998 \"TP53\")</span></td></tr></table></div>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "laboratory" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:53041-0;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "53041-0" ];
fhir:Coding.display [ fhir:value "DNA region of interest panel" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-03-15"^^xsd:date];
fhir:Observation.issued [ fhir:value "2018-03-15T00:00:01+00:00"^^xsd:dateTime];
fhir:Observation.component [
fhir:index 0;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:48018-6;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "48018-6" ];
fhir:Coding.display [ fhir:value "Gene studied [ID]" ] ] ];
fhir:Observation.component.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://www.genenames.org" ];
fhir:Coding.code [ fhir:value "1100" ];
fhir:Coding.display [ fhir:value "BRCA1" ] ], [
fhir:index 1;
fhir:Coding.system [ fhir:value "http://www.genenames.org" ];
fhir:Coding.code [ fhir:value "1101" ];
fhir:Coding.display [ fhir:value "BRCA2" ] ], [
fhir:index 2;
fhir:Coding.system [ fhir:value "http://www.genenames.org" ];
fhir:Coding.code [ fhir:value "1748" ];
fhir:Coding.display [ fhir:value "CDH1" ] ], [
fhir:index 3;
fhir:Coding.system [ fhir:value "http://www.genenames.org" ];
fhir:Coding.code [ fhir:value "26144" ];
fhir:Coding.display [ fhir:value "PALB2" ] ], [
fhir:index 4;
fhir:Coding.system [ fhir:value "http://www.genenames.org" ];
fhir:Coding.code [ fhir:value "9588" ];
fhir:Coding.display [ fhir:value "PTEN" ] ], [
fhir:index 5;
fhir:Coding.system [ fhir:value "http://www.genenames.org" ];
fhir:Coding.code [ fhir:value "11389" ];
fhir:Coding.display [ fhir:value "STK11" ] ], [
fhir:index 6;
fhir:Coding.system [ fhir:value "http://www.genenames.org" ];
fhir:Coding.code [ fhir:value "11998" ];
fhir:Coding.display [ fhir:value "TP53" ] ] ]
].
<http://example.org/fhir/Observation/ecog-performance-status-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "ecog-performance-status-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-ecog-performance-status";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-ecog-performance-status> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"ecog-performance-status-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-ecog-performance-status.html\">ECOG Performance Status Profile</a></p></div><p><b>status</b>: final</p><p><b>code</b>: ECOG Performance Status score <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#89247-1)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-04-12</p><p><b>performer</b>: <a href=\"#Practitioner_us-core-practitioner-owen-oncologist\">See above (Practitioner/us-core-practitioner-owen-oncologist)</a></p><p><b>value</b>: 0</p><p><b>interpretation</b>: Fully active, able to carry on all pre-disease performance without restriction <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA9622-7)</span></p><p><b>method</b>: Physical examination procedure (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#5880005)</span></p></div>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:89247-1;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "89247-1" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-04-12"^^xsd:date];
fhir:Observation.performer [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-owen-oncologist" ]
];
fhir:Observation.valueInteger [ fhir:value "0"^^xsd:integer];
fhir:Observation.interpretation [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:LA9622-7;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA9622-7" ];
fhir:Coding.display [ fhir:value "Fully active, able to carry on all pre-disease performance without restriction" ] ]
];
fhir:Observation.method [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:5880005;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "5880005" ];
fhir:Coding.display [ fhir:value "Physical examination procedure (procedure)" ] ]
].
<http://example.org/fhir/Observation/tumor-marker-test-er-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "tumor-marker-test-er-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"tumor-marker-test-er-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-tumor-marker-test.html\">Tumor Marker Test Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stain <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#85337-4)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-10</p><p><b>performer</b>: <a href=\"#Practitioner_us-core-practitioner-owen-oncologist\">See above (Practitioner/us-core-practitioner-owen-oncologist)</a></p><p><b>value</b>: Positive <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6576-8)</span></p></div>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "laboratory" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:85337-4;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "85337-4" ];
fhir:Coding.display [ fhir:value "Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stain" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-03-10"^^xsd:date];
fhir:Observation.performer [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-owen-oncologist" ]
];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:LA6576-8;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA6576-8" ];
fhir:Coding.display [ fhir:value "Positive" ] ]
].
<http://example.org/fhir/Observation/tumor-marker-test-pr-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "tumor-marker-test-pr-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"tumor-marker-test-pr-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-tumor-marker-test.html\">Tumor Marker Test Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Progesterone receptor Ag [Presence] in Breast cancer specimen by Immune stain <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#85339-0)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-10</p><p><b>performer</b>: <a href=\"#Practitioner_us-core-practitioner-owen-oncologist\">See above (Practitioner/us-core-practitioner-owen-oncologist)</a></p><p><b>value</b>: Negative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6577-6)</span></p></div>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "laboratory" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:85339-0;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "85339-0" ];
fhir:Coding.display [ fhir:value "Progesterone receptor Ag [Presence] in Breast cancer specimen by Immune stain" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-03-10"^^xsd:date];
fhir:Observation.performer [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-owen-oncologist" ]
];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:LA6577-6;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA6577-6" ];
fhir:Coding.display [ fhir:value "Negative" ] ]
].
<http://example.org/fhir/Observation/tumor-marker-test-her2-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "tumor-marker-test-her2-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"tumor-marker-test-her2-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-tumor-marker-test.html\">Tumor Marker Test Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: HER2 [Interpretation] in Tissue <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#48676-1)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-10</p><p><b>performer</b>: <a href=\"#Practitioner_us-core-practitioner-owen-oncologist\">See above (Practitioner/us-core-practitioner-owen-oncologist)</a></p><p><b>value</b>: Negative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA6577-6)</span></p></div>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "laboratory" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:48676-1;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "48676-1" ];
fhir:Coding.display [ fhir:value "HER2 [Interpretation] in Tissue" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-03-10"^^xsd:date];
fhir:Observation.performer [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-owen-oncologist" ]
];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:LA6577-6;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA6577-6" ];
fhir:Coding.display [ fhir:value "Negative" ] ]
].
<http://example.org/fhir/Observation/tumor-marker-test-oncotype-dx-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "tumor-marker-test-oncotype-dx-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"tumor-marker-test-oncotype-dx-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-tumor-marker-test.html\">Tumor Marker Test Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Oncotype DX Breast Recurrence Score Assay <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (gtr#509910)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-04-12</p><p><b>performer</b>: <a href=\"Organization-us-core-organization-bedrock-medicine.html\">Organization/us-core-organization-bedrock-medicine</a> \"Bedrock Medicine\"</p><p><b>value</b>: 47 Recurrence score<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {ScoreOf} = '{ScoreOf}')</span></p><p><b>interpretation</b>: High <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#H)</span></p></div>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "laboratory" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://www.ncbi.nlm.nih.gov/gtr" ];
fhir:Coding.code [ fhir:value "509910" ];
fhir:Coding.display [ fhir:value "Oncotype DX Breast Recurrence Score Assay" ] ];
fhir:CodeableConcept.text [ fhir:value "Oncotype DX Breast Recurrence Score Assay" ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-04-12"^^xsd:date];
fhir:Observation.performer [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Organization/us-core-organization-bedrock-medicine" ]
];
fhir:Observation.valueQuantity [
fhir:Quantity.value [ fhir:value "47"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "Recurrence score" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "{ScoreOf}" ]
];
fhir:Observation.interpretation [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ];
fhir:Coding.code [ fhir:value "H" ];
fhir:Coding.display [ fhir:value "High" ] ]
].
<http://example.org/fhir/MedicationRequest/cancer-related-medication-request-doxorubicin-jenny-m> a fhir:MedicationRequest;
fhir:Resource.id [ fhir:value "cancer-related-medication-request-doxorubicin-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request> ]
];
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><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"cancer-related-medication-request-doxorubicin-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-cancer-related-medication-request.html\">Cancer-Related Medication Request Profile</a></p></div><p><b>Procedure Intent Extension</b>: Curative - procedure intent (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#373808002)</span></p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: Outpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-medicationrequest-category.html\">MedicationRequest Category Codes</a>#outpatient)</span></p><p><b>medication</b>: DOXOrubicin <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#3639)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>authoredOn</b>: 2018-04-12</p><p><b>requester</b>: <a href=\"#Practitioner_us-core-practitioner-owen-oncologist\">See above (Practitioner/us-core-practitioner-owen-oncologist)</a></p><p><b>reasonReference</b>: <a href=\"#Condition_primary-cancer-condition-jenny-m\">See above (Condition/primary-cancer-condition-jenny-m)</a></p></div>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:373808002;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "373808002" ];
fhir:Coding.display [ fhir:value "Curative - procedure intent (qualifier value)" ] ] ]
];
fhir:MedicationRequest.status [ fhir:value "active"];
fhir:MedicationRequest.intent [ fhir:value "order"];
fhir:MedicationRequest.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/medicationrequest-category" ];
fhir:Coding.code [ fhir:value "outpatient" ] ]
];
fhir:MedicationRequest.medicationCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ];
fhir:Coding.code [ fhir:value "3639" ];
fhir:Coding.display [ fhir:value "DOXOrubicin" ] ]
];
fhir:MedicationRequest.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:MedicationRequest.authoredOn [ fhir:value "2018-04-12"^^xsd:date];
fhir:MedicationRequest.requester [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-owen-oncologist" ]
];
fhir:MedicationRequest.reasonReference [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Condition/primary-cancer-condition-jenny-m" ]
];
fhir:MedicationRequest.dosageInstruction [
fhir:index 0;
fhir:Dosage.text [ fhir:value "doxorubicin (60 mg/m² IV)" ];
fhir:Dosage.timing [
fhir:Timing.repeat [
fhir:Timing.repeat.boundsPeriod [
fhir:Period.start [ fhir:value "2018-04-01"^^xsd:date ] ] ] ];
fhir:Dosage.route [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:47625008;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "47625008" ];
fhir:Coding.display [ fhir:value "Intravenous route (qualifier value)" ] ] ];
fhir:Dosage.doseAndRate [
fhir:index 0;
fhir:Dosage.doseAndRate.rateQuantity [
fhir:Quantity.value [ fhir:value "60"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "mg/m2" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "mg/m2" ] ] ];
fhir:Dosage.maxDosePerPeriod [
fhir:Ratio.numerator [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ] ];
fhir:Ratio.denominator [
fhir:Quantity.value [ fhir:value "3"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "week" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "wk" ] ] ]
].
<http://example.org/fhir/MedicationRequest/cancer-related-medication-request-paclitaxel-jenny-m> a fhir:MedicationRequest;
fhir:Resource.id [ fhir:value "cancer-related-medication-request-paclitaxel-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request> ]
];
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><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"cancer-related-medication-request-paclitaxel-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-cancer-related-medication-request.html\">Cancer-Related Medication Request Profile</a></p></div><p><b>Procedure Intent Extension</b>: Curative - procedure intent (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#373808002)</span></p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: Outpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-medicationrequest-category.html\">MedicationRequest Category Codes</a>#outpatient)</span></p><p><b>medication</b>: PACLitaxel <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#56946)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>authoredOn</b>: 2018-04-12</p><p><b>requester</b>: <a href=\"#Practitioner_us-core-practitioner-owen-oncologist\">See above (Practitioner/us-core-practitioner-owen-oncologist)</a></p><p><b>reasonReference</b>: <a href=\"#Condition_primary-cancer-condition-jenny-m\">See above (Condition/primary-cancer-condition-jenny-m)</a></p></div>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:373808002;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "373808002" ];
fhir:Coding.display [ fhir:value "Curative - procedure intent (qualifier value)" ] ] ]
];
fhir:MedicationRequest.status [ fhir:value "active"];
fhir:MedicationRequest.intent [ fhir:value "order"];
fhir:MedicationRequest.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/medicationrequest-category" ];
fhir:Coding.code [ fhir:value "outpatient" ] ]
];
fhir:MedicationRequest.medicationCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ];
fhir:Coding.code [ fhir:value "56946" ];
fhir:Coding.display [ fhir:value "PACLitaxel" ] ]
];
fhir:MedicationRequest.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:MedicationRequest.authoredOn [ fhir:value "2018-04-12"^^xsd:date];
fhir:MedicationRequest.requester [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-owen-oncologist" ]
];
fhir:MedicationRequest.reasonReference [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Condition/primary-cancer-condition-jenny-m" ]
];
fhir:MedicationRequest.dosageInstruction [
fhir:index 0;
fhir:Dosage.text [ fhir:value "PACLitaxel (175 mg/m² IV), 272.01mg" ];
fhir:Dosage.timing [
fhir:Timing.repeat [
fhir:Timing.repeat.boundsPeriod [
fhir:Period.start [ fhir:value "2018-04-12"^^xsd:date ] ] ] ];
fhir:Dosage.route [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:47625008;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "47625008" ];
fhir:Coding.display [ fhir:value "Intravenous route (qualifier value)" ] ] ];
fhir:Dosage.doseAndRate [
fhir:index 0;
fhir:Dosage.doseAndRate.doseQuantity [
fhir:Quantity.value [ fhir:value "272.01"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "mg" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "mg" ] ] ];
fhir:Dosage.maxDosePerPeriod [
fhir:Ratio.numerator [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ] ];
fhir:Ratio.denominator [
fhir:Quantity.value [ fhir:value "3"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "week" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "wk" ] ] ]
].
<http://example.org/fhir/MedicationRequest/cancer-related-medication-request-anastrozole-jenny-m> a fhir:MedicationRequest;
fhir:Resource.id [ fhir:value "cancer-related-medication-request-anastrozole-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request> ]
];
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><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"cancer-related-medication-request-anastrozole-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-cancer-related-medication-request.html\">Cancer-Related Medication Request Profile</a></p></div><p><b>Procedure Intent Extension</b>: Curative - procedure intent (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#373808002)</span></p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: Community <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-medicationrequest-category.html\">MedicationRequest Category Codes</a>#community)</span></p><p><b>medication</b>: anastrozole <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#84857)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>authoredOn</b>: 2018-09-30</p><p><b>requester</b>: <a href=\"#Practitioner_us-core-practitioner-owen-oncologist\">See above (Practitioner/us-core-practitioner-owen-oncologist)</a></p><p><b>reasonReference</b>: <a href=\"#Condition_primary-cancer-condition-jenny-m\">See above (Condition/primary-cancer-condition-jenny-m)</a></p></div>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:373808002;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "373808002" ];
fhir:Coding.display [ fhir:value "Curative - procedure intent (qualifier value)" ] ] ]
];
fhir:MedicationRequest.status [ fhir:value "active"];
fhir:MedicationRequest.intent [ fhir:value "order"];
fhir:MedicationRequest.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/medicationrequest-category" ];
fhir:Coding.code [ fhir:value "community" ] ]
];
fhir:MedicationRequest.medicationCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ];
fhir:Coding.code [ fhir:value "84857" ];
fhir:Coding.display [ fhir:value "anastrozole" ] ]
];
fhir:MedicationRequest.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:MedicationRequest.authoredOn [ fhir:value "2018-09-30"^^xsd:date];
fhir:MedicationRequest.requester [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-owen-oncologist" ]
];
fhir:MedicationRequest.reasonReference [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Condition/primary-cancer-condition-jenny-m" ]
];
fhir:MedicationRequest.dosageInstruction [
fhir:index 0;
fhir:Dosage.text [ fhir:value "1mg orally once daily" ];
fhir:Dosage.timing [
fhir:Timing.repeat [
fhir:Timing.repeat.boundsPeriod [
fhir:Period.start [ fhir:value "2018-09-30"^^xsd:date ] ] ] ];
fhir:Dosage.route [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:26643006;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "26643006" ];
fhir:Coding.display [ fhir:value "Oral route (qualifier value)" ] ] ];
fhir:Dosage.doseAndRate [
fhir:index 0;
fhir:Dosage.doseAndRate.doseQuantity [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "mg" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "mg" ] ] ];
fhir:Dosage.maxDosePerPeriod [
fhir:Ratio.numerator [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ] ];
fhir:Ratio.denominator [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "day" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "d" ] ] ]
].
<http://example.org/fhir/Observation/cancer-related-mcode-comorbidities-elixhauser-jenny-m> a fhir:Observation;
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><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"cancer-related-mcode-comorbidities-elixhauser-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-comorbidities-elixhauser.html\">Comorbidities Elixhauser Profile</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Elixhauser Comorbidity Panel <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-loinc-requested-cs.html\">Requested LOINC Codes Code System</a>#comorbidities-elixhauser)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-16</p><p><b>performer</b>: <a href=\"#Practitioner_us-core-practitioner-owen-oncologist\">See above (Practitioner/us-core-practitioner-owen-oncologist)</a></p><blockquote><p><b>component</b></p><p><b>Comorbid Condition Reference Extension</b>: <a href=\"Condition-us-core-condition-depression-jenny-m.html\">Condition/us-core-condition-depression-jenny-m</a></p><p><b>code</b>: Depression (Elixhauser comorbidity category) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-loinc-requested-cs.html\">Requested LOINC Codes Code System</a>#DEPRESS)</span></p><p><b>value</b>: Present (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#52101004)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Comorbid Condition Reference Extension</b>: <a href=\"Condition-us-core-condition-hypertension-jenny-m.html\">Condition/us-core-condition-hypertension-jenny-m</a></p><p><b>code</b>: Hypertension, complicated (Elixhauser comorbidity category) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-loinc-requested-cs.html\">Requested LOINC Codes Code System</a>#HTN_CX)</span></p><p><b>value</b>: Present (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#52101004)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Arthropathies (Elixhauser comorbidity category) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-loinc-requested-cs.html\">Requested LOINC Codes Code System</a>#ARTH)</span></p><p><b>value</b>: Absent (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#2667000)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Congestive heart failure (Elixhauser comorbidity category) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-loinc-requested-cs.html\">Requested LOINC Codes Code System</a>#CHF)</span></p><p><b>value</b>: Absent (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#2667000)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Chronic pulmonary disease (Elixhauser comorbidity category) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-loinc-requested-cs.html\">Requested LOINC Codes Code System</a>#LUNG_CHRONIC)</span></p><p><b>value</b>: Absent (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#2667000)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Diabetes without chronic complications (Elixhauser comorbidity category) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-loinc-requested-cs.html\">Requested LOINC Codes Code System</a>#DIAB_UNCX)</span></p><p><b>value</b>: Absent (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#2667000)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Diabetes with chronic complications (Elixhauser comorbidity category) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-loinc-requested-cs.html\">Requested LOINC Codes Code System</a>#DIAB_CX)</span></p><p><b>value</b>: Absent (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#2667000)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Obesity (Elixhauser comorbidity category) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-loinc-requested-cs.html\">Requested LOINC Codes Code System</a>#OBESE)</span></p><p><b>value</b>: Absent (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#2667000)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Peripheral vascular disease (Elixhauser comorbidity category) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-loinc-requested-cs.html\">Requested LOINC Codes Code System</a>#PERIVASC)</span></p><p><b>value</b>: Absent (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#2667000)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Pulmonary circulation disease (Elixhauser comorbidity category) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-loinc-requested-cs.html\">Requested LOINC Codes Code System</a>#PULMCIRC)</span></p><p><b>value</b>: Absent (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#2667000)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Renal failure, moderate (Elixhauser comorbidity category) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-loinc-requested-cs.html\">Requested LOINC Codes Code System</a>#RENLFL_MOD)</span></p><p><b>value</b>: Absent (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#2667000)</span></p></blockquote></div>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs" ];
fhir:Coding.code [ fhir:value "comorbidities-elixhauser" ];
fhir:Coding.display [ fhir:value "Elixhauser Comorbidity 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://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs" ];
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://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs" ];
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://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs" ];
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://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs" ];
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://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs" ];
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://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs" ];
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 6;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs" ];
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 7;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs" ];
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://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs" ];
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://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs" ];
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://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs" ];
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)" ] ] ]
].
<http://example.org/fhir/Observation/bodyweight-jenny-m-2018-03-16> a fhir:Observation;
fhir:Resource.id [ fhir:value "bodyweight-jenny-m-2018-03-16"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/bodyweight";
fhir:index 0;
fhir:link <http://hl7.org/fhir/StructureDefinition/bodyweight> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"bodyweight-jenny-m-2018-03-16\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/R4/bodyweight.html\">Observation Body Weight Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#vital-signs)</span></p><p><b>code</b>: Body weight <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#29463-7)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-06</p><p><b>value</b>: 155 lb<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code [lb_av] = '[lb_av]')</span></p></div>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "vital-signs" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:29463-7;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "29463-7" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-03-06"^^xsd:date];
fhir:Observation.valueQuantity [
fhir:Quantity.value [ fhir:value "155"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "lb" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "[lb_av]" ]
].
<http://example.org/fhir/Observation/us-core-observation-lab-neutrophils-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "us-core-observation-lab-neutrophils-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"us-core-observation-lab-neutrophils-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU4/StructureDefinition-us-core-observation-lab.html\">US Core Laboratory Result Observation Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Neutrophils [#/volume] in Blood <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#26499-4)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-05-20T00:00:00Z</p><p><b>value</b>: 3000 10*3/uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code 10*3/uL = '10*3/uL')</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td><td><b>AppliesTo</b></td></tr><tr><td>*</td><td>2500 10*3/uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code 10*3/uL = '10*3/uL')</span></td><td>5000 10*3/uL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code 10*3/uL = '10*3/uL')</span></td><td>Normal Range <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-referencerange-meaning.html\">Observation Reference Range Meaning Codes</a>#normal)</span></td></tr></table></div>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "laboratory" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:26499-4;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "26499-4" ];
fhir:Coding.display [ fhir:value "Neutrophils [#/volume] in Blood" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-05-20T00:00:00Z"^^xsd:dateTime];
fhir:Observation.valueQuantity [
fhir:Quantity.value [ fhir:value "3000"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "10*3/uL" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "10*3/uL" ]
];
fhir:Observation.referenceRange [
fhir:index 0;
fhir:Observation.referenceRange.low [
fhir:Quantity.value [ fhir:value "2500"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "10*3/uL" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "10*3/uL" ] ];
fhir:Observation.referenceRange.high [
fhir:Quantity.value [ fhir:value "5000"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "10*3/uL" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "10*3/uL" ] ];
fhir:Observation.referenceRange.appliesTo [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/referencerange-meaning" ];
fhir:Coding.code [ fhir:value "normal" ];
fhir:Coding.display [ fhir:value "Normal Range" ] ] ]
].
<http://example.org/fhir/Organization/us-core-organization-physician-services-inc> a fhir:Organization;
fhir:Resource.id [ fhir:value "us-core-organization-physician-services-inc"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"us-core-organization-physician-services-inc\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU4/StructureDefinition-us-core-organization.html\">US Core Organization Profile</a></p></div><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-organization-type.html\">Organization type</a>#prov)</span></p><p><b>name</b>: Physician Services, Inc.</p><p><b>telecom</b>: ph: 999-999-9999(WORK)</p><p><b>address</b>: 123 Corporate Drive Anytown MA 12345 US </p></div>"
];
fhir:Organization.active [ fhir:value "true"^^xsd:boolean];
fhir:Organization.type [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/organization-type" ];
fhir:Coding.code [ fhir:value "prov" ];
fhir:Coding.display [ fhir:value "Healthcare Provider" ] ]
];
fhir:Organization.name [ fhir:value "Physician Services, Inc."];
fhir:Organization.telecom [
fhir:index 0;
fhir:ContactPoint.system [ fhir:value "phone" ];
fhir:ContactPoint.value [ fhir:value "999-999-9999" ];
fhir:ContactPoint.use [ fhir:value "work" ]
];
fhir:Organization.address [
fhir:index 0;
fhir:Address.line [
fhir:value "123 Corporate Drive";
fhir:index 0 ];
fhir:Address.city [ fhir:value "Anytown" ];
fhir:Address.state [ fhir:value "MA" ];
fhir:Address.postalCode [ fhir:value "12345" ];
fhir:Address.country [ fhir:value "US" ]
].
<http://example.org/fhir/Observation/us-core-smokingstatus-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "us-core-smokingstatus-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"us-core-smokingstatus-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU4/StructureDefinition-us-core-smokingstatus.html\">US Core Smoking Status Observation Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Social History <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#social-history)</span></p><p><b>code</b>: Tobacco smoking status <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#72166-2)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-16</p><p><b>issued</b>: Mar 16, 2018 12:00:00 AM</p><p><b>value</b>: Smokes tobacco daily (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#449868002)</span></p></div>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "social-history" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:72166-2;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "72166-2" ];
fhir:Coding.display [ fhir:value "Tobacco smoking status" ] ]
];
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.issued [ fhir:value "2018-03-16T00:00:00Z"^^xsd:dateTime];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:449868002;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "449868002" ];
fhir:Coding.display [ fhir:value "Smokes tobacco daily (finding)" ] ]
].
<http://example.org/fhir/Observation/us-core-procedure-biopsy-jenny-m> a fhir:Procedure;
fhir:Resource.id [ fhir:value "us-core-procedure-biopsy-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"us-core-procedure-biopsy-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU4/StructureDefinition-us-core-procedure.html\">US Core Procedure Profile</a></p></div><p><b>status</b>: completed</p><p><b>code</b>: Biopsy of breast using ultrasonographic guidance (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#723990008)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>performed</b>: 2018-03-06</p><p><b>asserter</b>: <a href=\"Practitioner-us-core-practitioner-mary-obgyn.html\">Practitioner/us-core-practitioner-mary-obgyn</a> \" OBGYN\"</p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href=\"Practitioner-us-core-practitioner-mary-obgyn.html\">Practitioner/us-core-practitioner-mary-obgyn</a> \" OBGYN\"</td></tr></table><p><b>reasonReference</b>: <a href=\"#Condition_primary-cancer-condition-jenny-m\">See above (Condition/primary-cancer-condition-jenny-m)</a></p><p><b>bodySite</b>: Left breast structure (body structure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#80248007)</span></p></div>"
];
fhir:Procedure.status [ fhir:value "completed"];
fhir:Procedure.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:723990008;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "723990008" ];
fhir:Coding.display [ fhir:value "Biopsy of breast using ultrasonographic guidance (procedure)" ] ]
];
fhir:Procedure.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Procedure.performedDateTime [ fhir:value "2018-03-06"^^xsd:date];
fhir:Procedure.asserter [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-mary-obgyn" ]
];
fhir:Procedure.performer [
fhir:index 0;
fhir:Procedure.performer.actor [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-mary-obgyn" ] ]
];
fhir:Procedure.reasonReference [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Condition/primary-cancer-condition-jenny-m" ]
];
fhir:Procedure.bodySite [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:80248007;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "80248007" ];
fhir:Coding.display [ fhir:value "Left breast structure (body structure)" ] ]
].
<http://example.org/fhir/Observation/us-core-procedure-mammogram-jenny-m> a fhir:Procedure;
fhir:Resource.id [ fhir:value "us-core-procedure-mammogram-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"us-core-procedure-mammogram-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU4/StructureDefinition-us-core-procedure.html\">US Core Procedure Profile</a></p></div><p><b>status</b>: completed</p><p><b>code</b>: Mammography (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#71651007)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>performed</b>: 2018-02-01</p><p><b>asserter</b>: <a href=\"Practitioner-us-core-practitioner-mary-obgyn.html\">Practitioner/us-core-practitioner-mary-obgyn</a> \" OBGYN\"</p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href=\"Practitioner-us-core-practitioner-jane-radiotech.html\">Practitioner/us-core-practitioner-jane-radiotech</a> \" RADIOLOGIST\"</td></tr></table></div>"
];
fhir:Procedure.status [ fhir:value "completed"];
fhir:Procedure.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:71651007;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "71651007" ];
fhir:Coding.display [ fhir:value "Mammography (procedure)" ] ]
];
fhir:Procedure.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Procedure.performedDateTime [ fhir:value "2018-02-01"^^xsd:date];
fhir:Procedure.asserter [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-mary-obgyn" ]
];
fhir:Procedure.performer [
fhir:index 0;
fhir:Procedure.performer.actor [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-jane-radiotech" ] ]
].
<http://example.org/fhir/FamilyMemberHistory/family-member-history-aunt-jenny-m> a fhir:FamilyMemberHistory;
fhir:Resource.id [ fhir:value "family-member-history-aunt-jenny-m"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"family-member-history-aunt-jenny-m\" </p></div><p><b>status</b>: completed</p><p><b>patient</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>relationship</b>: maternal aunt <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-RoleCode.html\">RoleCode</a>#MAUNT)</span></p><h3>Conditions</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Onset[x]</b></td></tr><tr><td>*</td><td>Malignant tumor of ovary (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#363443007)</span></td><td>69 a<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code a = 'a')</span></td></tr></table></div>"
];
fhir:FamilyMemberHistory.status [ fhir:value "completed"];
fhir:FamilyMemberHistory.patient [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:FamilyMemberHistory.relationship [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-RoleCode" ];
fhir:Coding.code [ fhir:value "MAUNT" ];
fhir:Coding.display [ fhir:value "maternal aunt" ] ]
];
fhir:FamilyMemberHistory.condition [
fhir:index 0;
fhir:FamilyMemberHistory.condition.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:363443007;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "363443007" ];
fhir:Coding.display [ fhir:value "Malignant tumor of ovary (disorder)" ] ] ];
fhir:FamilyMemberHistory.condition.onsetAge [
fhir:Quantity.value [ fhir:value "69"^^xsd:decimal ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "a" ] ]
].
<http://example.org/fhir/Procedure/us-core-procedure-mammogram-jenny-m> a fhir:Procedure;
fhir:Resource.id [ fhir:value "us-core-procedure-mammogram-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"us-core-procedure-mammogram-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU4/StructureDefinition-us-core-procedure.html\">US Core Procedure Profile</a></p></div><p><b>status</b>: completed</p><p><b>code</b>: Mammography (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#71651007)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>performed</b>: 2018-02-01</p><p><b>asserter</b>: <a href=\"Practitioner-us-core-practitioner-mary-obgyn.html\">Practitioner/us-core-practitioner-mary-obgyn</a> \" OBGYN\"</p><h3>Performers</h3><table class=\"grid\"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href=\"Practitioner-us-core-practitioner-jane-radiotech.html\">Practitioner/us-core-practitioner-jane-radiotech</a> \" RADIOLOGIST\"</td></tr></table></div>"
];
fhir:Procedure.status [ fhir:value "completed"];
fhir:Procedure.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:71651007;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "71651007" ];
fhir:Coding.display [ fhir:value "Mammography (procedure)" ] ]
];
fhir:Procedure.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Procedure.performedDateTime [ fhir:value "2018-02-01"^^xsd:date];
fhir:Procedure.asserter [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-mary-obgyn" ]
];
fhir:Procedure.performer [
fhir:index 0;
fhir:Procedure.performer.actor [
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-jane-radiotech" ] ]
].
<http://example.org/fhir/FamilyMemberHistory/family-member-history-uncle-jenny-m> a fhir:FamilyMemberHistory;
fhir:Resource.id [ fhir:value "family-member-history-uncle-jenny-m"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"family-member-history-uncle-jenny-m\" </p></div><p><b>status</b>: completed</p><p><b>patient</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>relationship</b>: paternal uncle <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-RoleCode.html\">RoleCode</a>#PUNCLE)</span></p><p><b>deceased</b>: true</p><h3>Conditions</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>ContributedToDeath</b></td></tr><tr><td>*</td><td>Malignant tumor of pancreas (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#363418001)</span></td><td>true</td></tr></table></div>"
];
fhir:FamilyMemberHistory.status [ fhir:value "completed"];
fhir:FamilyMemberHistory.patient [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:FamilyMemberHistory.relationship [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-RoleCode" ];
fhir:Coding.code [ fhir:value "PUNCLE" ];
fhir:Coding.display [ fhir:value "paternal uncle" ] ]
];
fhir:FamilyMemberHistory.deceasedBoolean [ fhir:value "true"^^xsd:boolean];
fhir:FamilyMemberHistory.condition [
fhir:index 0;
fhir:FamilyMemberHistory.condition.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:363418001;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "363418001" ];
fhir:Coding.display [ fhir:value "Malignant tumor of pancreas (disorder)" ] ] ];
fhir:FamilyMemberHistory.condition.contributedToDeath [ fhir:value "true"^^xsd:boolean ]
].
<http://example.org/fhir/DiagnosticReport/us-core-diagnosticreport-lab-jenny-m> a fhir:DiagnosticReport;
fhir:Resource.id [ fhir:value "us-core-diagnosticreport-lab-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"us-core-diagnosticreport-lab-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU4/StructureDefinition-us-core-diagnosticreport-lab.html\">US Core DiagnosticReport Profile for Laboratory Results Reporting</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v2-0074.html\">diagnosticServiceSectionId</a>#LAB)</span>, Surgical Pathology <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v2-0074.html\">diagnosticServiceSectionId</a>#SP)</span></p><p><b>code</b>: Pathology report final diagnosis Narrative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#22637-3)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-04-01T00:00:00Z</p><p><b>issued</b>: Apr 5, 2018 12:00:00 AM</p><p><b>performer</b>: <a href=\"#Organization_us-core-organization-physician-services-inc\">See above (Organization/us-core-organization-physician-services-inc)</a></p><p><b>resultsInterpreter</b>: <a href=\"#Practitioner_us-core-practitioner-peter-pathologist\">See above (Practitioner/us-core-practitioner-peter-pathologist)</a></p><p><b>specimen</b>: <a href=\"Specimen-tumor-specimen-left-breast-jenny-m.html\">Specimen/tumor-specimen-left-breast-jenny-m</a></p><p><b>result</b>: </p><ul><li><a href=\"#Observation_us-core-observation-lab-tumor-invasion-jenny-m\">See above (Observation/us-core-observation-lab-tumor-invasion-jenny-m)</a></li><li><a href=\"#Observation_us-core-observation-lab-tumor-margins-jenny-m\">See above (Observation/us-core-observation-lab-tumor-margins-jenny-m)</a></li><li><a href=\"#Observation_us-core-observation-lab-sentinel-nodes-jenny-m\">See above (Observation/us-core-observation-lab-sentinel-nodes-jenny-m)</a></li><li><a href=\"#Observation_tumor-size-jenny-m\">See above (Observation/tumor-size-jenny-m)</a></li><li><a href=\"#Observation_us-core-observation-lab-tumor-dcis-jenny-m\">See above (Observation/us-core-observation-lab-tumor-dcis-jenny-m)</a></li><li><a href=\"#Observation_tumor-marker-test-her2-jenny-m\">See above (Observation/tumor-marker-test-her2-jenny-m)</a></li><li><a href=\"#Observation_tumor-marker-test-er-jenny-m\">See above (Observation/tumor-marker-test-er-jenny-m)</a></li><li><a href=\"#Observation_tumor-marker-test-pr-jenny-m\">See above (Observation/tumor-marker-test-pr-jenny-m)</a></li><li><a href=\"Observation-us-core-observation-lab-tumor-grade-jenny-m.html\">Observation/us-core-observation-lab-tumor-grade-jenny-m</a></li></ul></div>"
];
fhir:DiagnosticReport.status [ fhir:value "final"];
fhir:DiagnosticReport.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
fhir:Coding.code [ fhir:value "LAB" ] ]
], [
fhir:index 1;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ];
fhir:Coding.code [ fhir:value "SP" ];
fhir:Coding.display [ fhir:value "Surgical Pathology" ] ]
];
fhir:DiagnosticReport.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:22637-3;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "22637-3" ];
fhir:Coding.display [ fhir:value "Pathology report final diagnosis Narrative" ] ]
];
fhir:DiagnosticReport.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:DiagnosticReport.effectiveDateTime [ fhir:value "2018-04-01T00:00:00Z"^^xsd:dateTime];
fhir:DiagnosticReport.issued [ fhir:value "2018-04-05T00:00:00Z"^^xsd:dateTime];
fhir:DiagnosticReport.performer [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Organization/us-core-organization-physician-services-inc" ]
];
fhir:DiagnosticReport.resultsInterpreter [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-peter-pathologist" ]
];
fhir:DiagnosticReport.specimen [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Specimen/tumor-specimen-left-breast-jenny-m" ]
];
fhir:DiagnosticReport.result [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Observation/us-core-observation-lab-tumor-invasion-jenny-m" ]
], [
fhir:index 1;
fhir:Reference.reference [ fhir:value "Observation/us-core-observation-lab-tumor-margins-jenny-m" ]
], [
fhir:index 2;
fhir:Reference.reference [ fhir:value "Observation/us-core-observation-lab-sentinel-nodes-jenny-m" ]
], [
fhir:index 3;
fhir:Reference.reference [ fhir:value "Observation/tumor-size-jenny-m" ]
], [
fhir:index 4;
fhir:Reference.reference [ fhir:value "Observation/us-core-observation-lab-tumor-dcis-jenny-m" ]
], [
fhir:index 5;
fhir:Reference.reference [ fhir:value "Observation/tumor-marker-test-her2-jenny-m" ]
], [
fhir:index 6;
fhir:Reference.reference [ fhir:value "Observation/tumor-marker-test-er-jenny-m" ]
], [
fhir:index 7;
fhir:Reference.reference [ fhir:value "Observation/tumor-marker-test-pr-jenny-m" ]
], [
fhir:index 8;
fhir:Reference.reference [ fhir:value "Observation/us-core-observation-lab-tumor-grade-jenny-m" ]
].
<http://example.org/fhir/Observation/observation-smoking-pack-years-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "observation-smoking-pack-years-jenny-m"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"observation-smoking-pack-years-jenny-m\" </p></div><p><b>status</b>: final</p><p><b>category</b>: Social History <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#social-history)</span></p><p><b>code</b>: Cigarette pack-years (observable entity) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#401201003)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-03-16</p><p><b>value</b>: 20 Pack-Years<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {PackYears} = '{PackYears}')</span></p></div>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "social-history" ];
fhir:Coding.display [ fhir:value "Social History" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:401201003;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "401201003" ];
fhir:Coding.display [ fhir:value "Cigarette pack-years (observable entity)" ] ]
];
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.valueQuantity [
fhir:Quantity.value [ fhir:value "20"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "Pack-Years" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "{PackYears}" ]
].
<http://example.org/fhir/Observation/us-core-observation-lab-tumor-invasion-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "us-core-observation-lab-tumor-invasion-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"us-core-observation-lab-tumor-invasion-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU4/StructureDefinition-us-core-observation-lab.html\">US Core Laboratory Result Observation Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Status of invasion by tumor <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#370052007)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-04-01T00:00:00Z</p><p><b>value</b>: Negative (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#260385009)</span></p><p><b>specimen</b>: <a href=\"Specimen-tumor-specimen-left-breast-jenny-m.html\">Specimen/tumor-specimen-left-breast-jenny-m</a></p></div>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "laboratory" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:370052007;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "370052007" ];
fhir:Coding.display [ fhir:value "Status of invasion by tumor" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-04-01T00:00:00Z"^^xsd:dateTime];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:260385009;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "260385009" ];
fhir:Coding.display [ fhir:value "Negative (qualifier value)" ] ]
];
fhir:Observation.specimen [
fhir:Reference.reference [ fhir:value "Specimen/tumor-specimen-left-breast-jenny-m" ]
].
<http://example.org/fhir/Observation/us-core-observation-lab-tumor-margins-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "us-core-observation-lab-tumor-margins-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"us-core-observation-lab-tumor-margins-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU4/StructureDefinition-us-core-observation-lab.html\">US Core Laboratory Result Observation Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Margin involvement in Breast tumor <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#44669-0)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-04-01T00:00:00Z</p><p><b>value</b>: Uninvolved by invasive carcinoma <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA27151-2)</span></p><p><b>specimen</b>: <a href=\"Specimen-tumor-specimen-left-breast-jenny-m.html\">Specimen/tumor-specimen-left-breast-jenny-m</a></p></div>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "laboratory" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:44669-0;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "44669-0" ];
fhir:Coding.display [ fhir:value "Margin involvement in Breast tumor" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-04-01T00:00:00Z"^^xsd:dateTime];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:LA27151-2;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA27151-2" ];
fhir:Coding.display [ fhir:value "Uninvolved by invasive carcinoma" ] ]
];
fhir:Observation.specimen [
fhir:Reference.reference [ fhir:value "Specimen/tumor-specimen-left-breast-jenny-m" ]
].
<http://example.org/fhir/Observation/us-core-observation-lab-sentinel-nodes-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "us-core-observation-lab-sentinel-nodes-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"us-core-observation-lab-sentinel-nodes-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU4/StructureDefinition-us-core-observation-lab.html\">US Core Laboratory Result Observation Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Sentinel lymph nodes with metastasis [#] in Cancer specimen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#92832-5)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-04-01T00:00:00Z</p><p><b>specimen</b>: <a href=\"Specimen-tumor-specimen-left-breast-jenny-m.html\">Specimen/tumor-specimen-left-breast-jenny-m</a></p><h3>Components</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>Lymph nodes examined [#] in Cancer specimen by Light microscopy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#92833-3)</span></td><td>3 Count<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {Count} = '{Count}')</span></td></tr></table></div>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "laboratory" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:92832-5;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "92832-5" ];
fhir:Coding.display [ fhir:value "Sentinel lymph nodes with metastasis [#] in Cancer specimen" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-04-01T00:00:00Z"^^xsd:dateTime];
fhir:Observation.specimen [
fhir:Reference.reference [ fhir:value "Specimen/tumor-specimen-left-breast-jenny-m" ]
];
fhir:Observation.component [
fhir:index 0;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:92833-3;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "92833-3" ];
fhir:Coding.display [ fhir:value "Lymph nodes examined [#] in Cancer specimen by Light microscopy" ] ] ];
fhir:Observation.component.valueQuantity [
fhir:Quantity.value [ fhir:value "3"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "Count" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "{Count}" ] ]
].
<http://example.org/fhir/Observation/tumor-size-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "tumor-size-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-size";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-size> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"tumor-size-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-tumor-size.html\">Tumor Size Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Size Tumor <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21889-1)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-04-01T00:00:00Z</p><p><b>method</b>: Pathology report gross observation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#24419-4)</span></p><p><b>specimen</b>: <a href=\"Specimen-tumor-specimen-left-breast-jenny-m.html\">Specimen/tumor-specimen-left-breast-jenny-m</a></p><h3>Components</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>Size.maximum dimension in Tumor <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#33728-7)</span></td><td>2.5 centimeters<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cm = 'cm')</span></td></tr></table></div>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "laboratory" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:21889-1;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "21889-1" ];
fhir:Coding.display [ fhir:value "Size Tumor" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-04-01T00:00:00Z"^^xsd:dateTime];
fhir:Observation.method [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:24419-4;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "24419-4" ];
fhir:Coding.display [ fhir:value "Pathology report gross observation" ] ]
];
fhir:Observation.specimen [
fhir:Reference.reference [ fhir:value "Specimen/tumor-specimen-left-breast-jenny-m" ]
];
fhir:Observation.component [
fhir:index 0;
fhir:Observation.component.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:33728-7;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "33728-7" ];
fhir:Coding.display [ fhir:value "Size.maximum dimension in Tumor" ] ] ];
fhir:Observation.component.valueQuantity [
fhir:Quantity.value [ fhir:value "2.5"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "centimeters" ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "cm" ] ]
].
<http://example.org/fhir/Observation/us-core-observation-lab-tumor-dcis-jenny-m> a fhir:Observation;
fhir:Resource.id [ fhir:value "us-core-observation-lab-tumor-dcis-jenny-m"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"us-core-observation-lab-tumor-dcis-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU4/StructureDefinition-us-core-observation-lab.html\">US Core Laboratory Result Observation Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: DCIS intraductal extension in Breast cancer specimen Qualitative by Light microscopy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#85336-6)</span></p><p><b>subject</b>: <a href=\"#Patient_cancer-patient-jenny-m\">See above (Patient/cancer-patient-jenny-m)</a></p><p><b>effective</b>: 2018-04-01T00:00:00Z</p><p><b>value</b>: DCIS present with extensive intraductal component (EIC) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#LA27261-9)</span></p><p><b>specimen</b>: <a href=\"Specimen-tumor-specimen-left-breast-jenny-m.html\">Specimen/tumor-specimen-left-breast-jenny-m</a></p></div>"
];
fhir:Observation.status [ fhir:value "final"];
fhir:Observation.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
fhir:Coding.code [ fhir:value "laboratory" ] ]
];
fhir:Observation.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:85336-6;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "85336-6" ];
fhir:Coding.display [ fhir:value "DCIS intraductal extension in Breast cancer specimen Qualitative by Light microscopy" ] ]
];
fhir:Observation.subject [
fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
];
fhir:Observation.effectiveDateTime [ fhir:value "2018-04-01T00:00:00Z"^^xsd:dateTime];
fhir:Observation.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:LA27261-9;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA27261-9" ];
fhir:Coding.display [ fhir:value "DCIS present with extensive intraductal component (EIC)" ] ]
];
fhir:Observation.specimen [
fhir:Reference.reference [ fhir:value "Specimen/tumor-specimen-left-breast-jenny-m" ]
].
<http://example.org/fhir/Pracititioner/us-core-practitioner-owen-oncologist> a fhir:Practitioner;
fhir:Resource.id [ fhir:value "us-core-practitioner-owen-oncologist"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"us-core-practitioner-owen-oncologist\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU4/StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a></p></div><p><b>identifier</b>: id: 9988776655</p><p><b>name</b>: Owen Oncologist </p><p><b>address</b>: 123 Corporate Drive Anytown MA 12345 US (WORK)</p><p><b>gender</b>: male</p><h3>Qualifications</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td></tr><tr><td>*</td><td>Doctor of Medicine <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/v2/0360/2.7/index.html\">degreeLicenseCertificate[2.7]</a>#MD)</span></td></tr></table></div>"
];
fhir:Practitioner.identifier [
fhir:index 0;
fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ];
fhir:Identifier.value [ fhir:value "9988776655" ]
];
fhir:Practitioner.name [
fhir:index 0;
fhir:HumanName.family [ fhir:value "Oncologist" ];
fhir:HumanName.given [
fhir:value "Owen";
fhir:index 0 ];
fhir:HumanName.prefix [
fhir:value "Dr.";
fhir:index 0 ]
];
fhir:Practitioner.address [
fhir:index 0;
fhir:Address.use [ fhir:value "work" ];
fhir:Address.line [
fhir:value "123 Corporate Drive";
fhir:index 0 ];
fhir:Address.city [ fhir:value "Anytown" ];
fhir:Address.state [ fhir:value "MA" ];
fhir:Address.postalCode [ fhir:value "12345" ];
fhir:Address.country [ fhir:value "US" ]
];
fhir:Practitioner.gender [ fhir:value "male"];
fhir:Practitioner.qualification [
fhir:index 0;
fhir:Practitioner.qualification.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0360" ];
fhir:Coding.version [ fhir:value "2.7" ];
fhir:Coding.code [ fhir:value "MD" ] ] ]
].
<http://example.org/fhir/Pracititioner/us-core-practitioner-peter-pathologist> a fhir:Practitioner;
fhir:Resource.id [ fhir:value "us-core-practitioner-peter-pathologist"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"us-core-practitioner-peter-pathologist\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU4/StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a></p></div><p><b>identifier</b>: id: 1122334455</p><p><b>name</b>: Peter Pathologist </p><p><b>address</b>: 123 Corporate Drive Anytown MA 12345 US (WORK)</p><p><b>gender</b>: female</p><h3>Qualifications</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td></tr><tr><td>*</td><td>Doctor of Medicine <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/v2/0360/2.7/index.html\">degreeLicenseCertificate[2.7]</a>#MD)</span></td></tr></table></div>"
];
fhir:Practitioner.identifier [
fhir:index 0;
fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ];
fhir:Identifier.value [ fhir:value "1122334455" ]
];
fhir:Practitioner.name [
fhir:index 0;
fhir:HumanName.family [ fhir:value "Pathologist" ];
fhir:HumanName.given [
fhir:value "Peter";
fhir:index 0 ];
fhir:HumanName.prefix [
fhir:value "Dr.";
fhir:index 0 ]
];
fhir:Practitioner.address [
fhir:index 0;
fhir:Address.use [ fhir:value "work" ];
fhir:Address.line [
fhir:value "123 Corporate Drive";
fhir:index 0 ];
fhir:Address.city [ fhir:value "Anytown" ];
fhir:Address.state [ fhir:value "MA" ];
fhir:Address.postalCode [ fhir:value "12345" ];
fhir:Address.country [ fhir:value "US" ]
];
fhir:Practitioner.gender [ fhir:value "female"];
fhir:Practitioner.qualification [
fhir:index 0;
fhir:Practitioner.qualification.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0360" ];
fhir:Coding.version [ fhir:value "2.7" ];
fhir:Coding.code [ fhir:value "MD" ] ] ]
].
# - ontology header ------------------------------------------------------------
a owl:Ontology;
owl:imports fhir:fhir.ttl.
IG © 2019+ HL7 International Clinical Interoperability Council. Package hl7.fhir.us.mcode#2.0.0 based on FHIR 4.0.1. Generated 2022-01-18
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