mCODE Lite (mCODE-LITE)
0.1.0 - draft
mCODE Lite (mCODE-LITE), published by MITRE. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/CodeX-HL7-FHIR-Accelerator/mcode-lite/ and changes regularly. See the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "mcode-patient-bundle-jane-anyperson",
"type" : "collection",
"entry" : [
{
"fullUrl" : "http://example.org/fhir/Patient/cancer-patient-jane-anyperson",
"resource" : {
"resourceType" : "Patient",
"id" : "cancer-patient-jane-anyperson",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_cancer-patient-jane-anyperson\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient cancer-patient-jane-anyperson</b></p><a name=\"cancer-patient-jane-anyperson\"> </a><a name=\"hccancer-patient-jane-anyperson\"> </a><a name=\"cancer-patient-jane-anyperson-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Jane B. Anyperson Male, DoB: 1951-01-20 ( Patient's Medicare number: 1EG4-TE5-MK73\u00a0(use:\u00a0usual,\u00a0))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">234 Anyway St Anytown 12345 US </td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying the person's sex assigned at birth as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9).\"><a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-birthsex.html\">US Core Birth Sex Extension</a></td><td colspan=\"3\">M</td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "M"
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MC",
"display" : "Patient's Medicare number"
}
]
},
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"value" : "1EG4-TE5-MK73"
}
],
"name" : [
{
"family" : "Anyperson",
"given" : [
"Jane",
"B."
]
}
],
"gender" : "male",
"birthDate" : "1951-01-20",
"address" : [
{
"line" : [
"234 Anyway St"
],
"city" : "Anytown",
"postalCode" : "12345",
"country" : "US"
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Condition/primary-cancer-condition-breast",
"resource" : {
"resourceType" : "Condition",
"id" : "primary-cancer-condition-breast",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_primary-cancer-condition-breast\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition primary-cancer-condition-breast</b></p><a name=\"primary-cancer-condition-breast\"> </a><a name=\"hcprimary-cancer-condition-breast\"> </a><a name=\"primary-cancer-condition-breast-en-US\"> </a><p><b>Histology-Morphology-Behavior Extension</b>: <span title=\"Codes:{http://snomed.info/sct 1187332001}\">Adenocarcinoma (morphologic abnormality)</span></p><p><b>Condition Asserted Date</b>: 2019-04-01</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 353431000119107}\">Primary malignant neoplasm of female left breast (disorder)</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jane-anyperson.html\">Jane B. Anyperson Male, DoB: 1951-01-20 ( Patient's Medicare number: 1EG4-TE5-MK73\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>asserter</b>: <a href=\"Practitioner-us-core-practitioner-kyle-anydoc.html\">Practitioner Kyle Anydoc </a></p><h3>Stages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Summary</b></td><td><b>Assessment</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 1222806003}\">American Joint Committee on Cancer stage IIIC (qualifier value)</span></td><td><a href=\"Observation-tnm-clinical-stage-group-3c.html\">Observation Clinical TNM stage grouping</a></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1187332001",
"display" : "Adenocarcinoma (morphologic abnormality)"
}
]
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/condition-assertedDate",
"valueDateTime" : "2019-04-01"
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "353431000119107",
"display" : "Primary malignant neoplasm of female left breast (disorder)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/cancer-patient-jane-anyperson"
},
"asserter" : {
🔗 "reference" : "Practitioner/us-core-practitioner-kyle-anydoc"
},
"stage" : [
{
"summary" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1222806003",
"display" : "American Joint Committee on Cancer stage IIIC (qualifier value)"
}
]
},
"assessment" : [
{
🔗 "reference" : "Observation/tnm-clinical-stage-group-3c"
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/cancer-disease-status-jane-anyperson",
"resource" : {
"resourceType" : "Observation",
"id" : "cancer-disease-status-jane-anyperson",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_cancer-disease-status-jane-anyperson\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation cancer-disease-status-jane-anyperson</b></p><a name=\"cancer-disease-status-jane-anyperson\"> </a><a name=\"hccancer-disease-status-jane-anyperson\"> </a><a name=\"cancer-disease-status-jane-anyperson-en-US\"> </a><p><b>Cancer Disease Status Evidence Type Extension</b>: <span title=\"Codes:{http://snomed.info/sct 363679005}\">Imaging (procedure)</span></p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 97509-4}\">Cancer Disease Progression</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jane-anyperson.html\">Jane B. Anyperson Male, DoB: 1951-01-20 ( Patient's Medicare number: 1EG4-TE5-MK73\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>focus</b>: <a href=\"Condition-primary-cancer-condition-breast.html\">Condition Primary malignant neoplasm of female left breast (disorder)</a></p><p><b>effective</b>: 2018-11-01</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-kyle-anydoc.html\">Practitioner Kyle Anydoc </a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 268910001}\">Patient's condition improved (finding)</span></p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status-evidence-type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "363679005",
"display" : "Imaging (procedure)"
}
]
}
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "97509-4",
"display" : "Cancer Disease Progression"
}
]
},
"subject" : {
🔗 "reference" : "Patient/cancer-patient-jane-anyperson"
},
"focus" : [
{
🔗 "reference" : "Condition/primary-cancer-condition-breast"
}
],
"effectiveDateTime" : "2018-11-01",
"performer" : [
{
🔗 "reference" : "Practitioner/us-core-practitioner-kyle-anydoc"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "268910001",
"display" : "Patient's condition improved (finding)"
}
]
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/tnm-clinical-primary-tumor-category-cT3",
"resource" : {
"resourceType" : "Observation",
"id" : "tnm-clinical-primary-tumor-category-cT3",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_tnm-clinical-primary-tumor-category-cT3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation tnm-clinical-primary-tumor-category-cT3</b></p><a name=\"tnm-clinical-primary-tumor-category-cT3\"> </a><a name=\"hctnm-clinical-primary-tumor-category-cT3\"> </a><a name=\"tnm-clinical-primary-tumor-category-cT3-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 399504009}\">cT category</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jane-anyperson.html\">Jane B. Anyperson Male, DoB: 1951-01-20 ( Patient's Medicare number: 1EG4-TE5-MK73\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>effective</b>: 2019-04-01</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-kyle-anydoc.html\">Practitioner Kyle Anydoc </a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 1228938002}\">American Joint Committee on Cancer cT3 (qualifier value)</span></p><p><b>method</b>: <span title=\"Codes:{http://snomed.info/sct 897275008}\">American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "399504009",
"display" : "cT category"
}
]
},
"subject" : {
🔗 "reference" : "Patient/cancer-patient-jane-anyperson"
},
"effectiveDateTime" : "2019-04-01",
"performer" : [
{
🔗 "reference" : "Practitioner/us-core-practitioner-kyle-anydoc"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1228938002",
"display" : "American Joint Committee on Cancer cT3 (qualifier value)"
}
]
},
"method" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "897275008",
"display" : "American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)"
}
]
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/tnm-clinical-regional-nodes-category-cN3",
"resource" : {
"resourceType" : "Observation",
"id" : "tnm-clinical-regional-nodes-category-cN3",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_tnm-clinical-regional-nodes-category-cN3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation tnm-clinical-regional-nodes-category-cN3</b></p><a name=\"tnm-clinical-regional-nodes-category-cN3\"> </a><a name=\"hctnm-clinical-regional-nodes-category-cN3\"> </a><a name=\"tnm-clinical-regional-nodes-category-cN3-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 399534004}\">cN category</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jane-anyperson.html\">Jane B. Anyperson Male, DoB: 1951-01-20 ( Patient's Medicare number: 1EG4-TE5-MK73\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>effective</b>: 2019-04-01</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-kyle-anydoc.html\">Practitioner Kyle Anydoc </a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 1229984001}\">American Joint Committee on Cancer cN3 (qualifier value)</span></p><p><b>method</b>: <span title=\"Codes:{http://snomed.info/sct 897275008}\">American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "399534004",
"display" : "cN category"
}
]
},
"subject" : {
🔗 "reference" : "Patient/cancer-patient-jane-anyperson"
},
"effectiveDateTime" : "2019-04-01",
"performer" : [
{
🔗 "reference" : "Practitioner/us-core-practitioner-kyle-anydoc"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1229984001",
"display" : "American Joint Committee on Cancer cN3 (qualifier value)"
}
]
},
"method" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "897275008",
"display" : "American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)"
}
]
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/tnm-clinical-distant-metastases-category-cM0",
"resource" : {
"resourceType" : "Observation",
"id" : "tnm-clinical-distant-metastases-category-cM0",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_tnm-clinical-distant-metastases-category-cM0\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation tnm-clinical-distant-metastases-category-cM0</b></p><a name=\"tnm-clinical-distant-metastases-category-cM0\"> </a><a name=\"hctnm-clinical-distant-metastases-category-cM0\"> </a><a name=\"tnm-clinical-distant-metastases-category-cM0-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 399387003}\">cM category</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jane-anyperson.html\">Jane B. Anyperson Male, DoB: 1951-01-20 ( Patient's Medicare number: 1EG4-TE5-MK73\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>effective</b>: 2019-04-01</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-kyle-anydoc.html\">Practitioner Kyle Anydoc </a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 1229901006}\">American Joint Committee on Cancer cM0 (qualifier value)</span></p><p><b>method</b>: <span title=\"Codes:{http://snomed.info/sct 897275008}\">American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "399387003",
"display" : "cM category"
}
]
},
"subject" : {
🔗 "reference" : "Patient/cancer-patient-jane-anyperson"
},
"effectiveDateTime" : "2019-04-01",
"performer" : [
{
🔗 "reference" : "Practitioner/us-core-practitioner-kyle-anydoc"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1229901006",
"display" : "American Joint Committee on Cancer cM0 (qualifier value)"
}
]
},
"method" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "897275008",
"display" : "American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)"
}
]
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/tumor-marker-test-er-jane-anyperson",
"resource" : {
"resourceType" : "Observation",
"id" : "tumor-marker-test-er-jane-anyperson",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_tumor-marker-test-er-jane-anyperson\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation tumor-marker-test-er-jane-anyperson</b></p><a name=\"tumor-marker-test-er-jane-anyperson\"> </a><a name=\"hctumor-marker-test-er-jane-anyperson\"> </a><a name=\"tumor-marker-test-er-jane-anyperson-en-US\"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 85337-4}\">Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stain</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jane-anyperson.html\">Jane B. Anyperson Male, DoB: 1951-01-20 ( Patient's Medicare number: 1EG4-TE5-MK73\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>effective</b>: 2018-11-16</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-kyle-anydoc.html\">Practitioner Kyle Anydoc </a></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6576-8}\">Positive</span></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "85337-4",
"display" : "Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stain"
}
]
},
"subject" : {
🔗 "reference" : "Patient/cancer-patient-jane-anyperson"
},
"effectiveDateTime" : "2018-11-16",
"performer" : [
{
🔗 "reference" : "Practitioner/us-core-practitioner-kyle-anydoc"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6576-8",
"display" : "Positive"
}
]
}
}
},
{
"fullUrl" : "http://example.org/fhir/Observation/no-history-of-metastatic-cancer",
"resource" : {
"resourceType" : "Observation",
"id" : "no-history-of-metastatic-cancer",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_no-history-of-metastatic-cancer\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation no-history-of-metastatic-cancer</b></p><a name=\"no-history-of-metastatic-cancer\"> </a><a name=\"hcno-history-of-metastatic-cancer\"> </a><a name=\"no-history-of-metastatic-cancer-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1287652008}\">History of metastatic malignant neoplasm (situation)</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jane-anyperson.html\">Jane B. Anyperson Male, DoB: 1951-01-20 ( Patient's Medicare number: 1EG4-TE5-MK73\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>effective</b>: 2018-11-16</p><p><b>performer</b>: <a href=\"Practitioner-us-core-practitioner-kyle-anydoc.html\">Practitioner Kyle Anydoc </a></p><p><b>value</b>: false</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1287652008",
"display" : "History of metastatic malignant neoplasm (situation)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/cancer-patient-jane-anyperson"
},
"effectiveDateTime" : "2018-11-16",
"performer" : [
{
🔗 "reference" : "Practitioner/us-core-practitioner-kyle-anydoc"
}
],
"valueBoolean" : false
}
}
]
}