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
<Bundle xmlns="http://hl7.org/fhir">
<id value="mcode-patient-bundle-jane-anyperson"/>
<type value="collection"/>
<entry>
<fullUrl
value="http://example.org/fhir/Patient/cancer-patient-jane-anyperson"/>
<resource>
<Patient>
<id value="cancer-patient-jane-anyperson"/>
<text>
<status value="generated"/>
<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 (use: usual, ))</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>
</text>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
<valueCode value="M"/>
</extension>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MC"/>
<display value="Patient's Medicare number"/>
</coding>
</type>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<value value="1EG4-TE5-MK73"/>
</identifier>
<name>
<family value="Anyperson"/>
<given value="Jane"/>
<given value="B."/>
</name>
<gender value="male"/>
<birthDate value="1951-01-20"/>
<address>
<line value="234 Anyway St"/>
<city value="Anytown"/>
<postalCode value="12345"/>
<country value="US"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Condition/primary-cancer-condition-breast"/>
<resource>
<Condition>
<id value="primary-cancer-condition-breast"/>
<text>
<status value="extensions"/>
<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 (use: usual, ))</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>
</text>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1187332001"/>
<display value="Adenocarcinoma (morphologic abnormality)"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/condition-assertedDate">
<valueDateTime value="2019-04-01"/>
</extension>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
</verificationStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="problem-list-item"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="353431000119107"/>
<display
value="Primary malignant neoplasm of female left breast (disorder)"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jane-anyperson"/>
</subject>
<asserter>🔗
<reference value="Practitioner/us-core-practitioner-kyle-anydoc"/>
</asserter>
<stage>
<summary>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1222806003"/>
<display
value="American Joint Committee on Cancer stage IIIC (qualifier value)"/>
</coding>
</summary>
<assessment>🔗
<reference value="Observation/tnm-clinical-stage-group-3c"/>
</assessment>
</stage>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/cancer-disease-status-jane-anyperson"/>
<resource>
<Observation>
<id value="cancer-disease-status-jane-anyperson"/>
<text>
<status value="extensions"/>
<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 (use: usual, ))</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>
</text>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status-evidence-type">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="363679005"/>
<display value="Imaging (procedure)"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="97509-4"/>
<display value="Cancer Disease Progression"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jane-anyperson"/>
</subject>
<focus>🔗
<reference value="Condition/primary-cancer-condition-breast"/>
</focus>
<effectiveDateTime value="2018-11-01"/>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-kyle-anydoc"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="268910001"/>
<display value="Patient's condition improved (finding)"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/tnm-clinical-primary-tumor-category-cT3"/>
<resource>
<Observation>
<id value="tnm-clinical-primary-tumor-category-cT3"/>
<text>
<status value="generated"/>
<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 (use: usual, ))</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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="399504009"/>
<display value="cT category"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jane-anyperson"/>
</subject>
<effectiveDateTime value="2019-04-01"/>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-kyle-anydoc"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1228938002"/>
<display
value="American Joint Committee on Cancer cT3 (qualifier value)"/>
</coding>
</valueCodeableConcept>
<method>
<coding>
<system value="http://snomed.info/sct"/>
<code value="897275008"/>
<display
value="American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)"/>
</coding>
</method>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/tnm-clinical-regional-nodes-category-cN3"/>
<resource>
<Observation>
<id value="tnm-clinical-regional-nodes-category-cN3"/>
<text>
<status value="generated"/>
<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 (use: usual, ))</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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="399534004"/>
<display value="cN category"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jane-anyperson"/>
</subject>
<effectiveDateTime value="2019-04-01"/>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-kyle-anydoc"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1229984001"/>
<display
value="American Joint Committee on Cancer cN3 (qualifier value)"/>
</coding>
</valueCodeableConcept>
<method>
<coding>
<system value="http://snomed.info/sct"/>
<code value="897275008"/>
<display
value="American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)"/>
</coding>
</method>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/tnm-clinical-distant-metastases-category-cM0"/>
<resource>
<Observation>
<id value="tnm-clinical-distant-metastases-category-cM0"/>
<text>
<status value="generated"/>
<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 (use: usual, ))</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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="399387003"/>
<display value="cM category"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jane-anyperson"/>
</subject>
<effectiveDateTime value="2019-04-01"/>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-kyle-anydoc"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1229901006"/>
<display
value="American Joint Committee on Cancer cM0 (qualifier value)"/>
</coding>
</valueCodeableConcept>
<method>
<coding>
<system value="http://snomed.info/sct"/>
<code value="897275008"/>
<display
value="American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)"/>
</coding>
</method>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/tumor-marker-test-er-jane-anyperson"/>
<resource>
<Observation>
<id value="tumor-marker-test-er-jane-anyperson"/>
<text>
<status value="generated"/>
<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 (use: usual, ))</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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="85337-4"/>
<display
value="Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stain"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jane-anyperson"/>
</subject>
<effectiveDateTime value="2018-11-16"/>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-kyle-anydoc"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://loinc.org"/>
<code value="LA6576-8"/>
<display value="Positive"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Observation/no-history-of-metastatic-cancer"/>
<resource>
<Observation>
<id value="no-history-of-metastatic-cancer"/>
<text>
<status value="generated"/>
<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 (use: usual, ))</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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1287652008"/>
<display
value="History of metastatic malignant neoplasm (situation)"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/cancer-patient-jane-anyperson"/>
</subject>
<effectiveDateTime value="2018-11-16"/>
<performer>🔗
<reference value="Practitioner/us-core-practitioner-kyle-anydoc"/>
</performer>
<valueBoolean value="false"/>
</Observation>
</resource>
</entry>
</Bundle>