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

: mcode-patient-bundle-jane-anyperson - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://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:id [ fhir:v "mcode-patient-bundle-jane-anyperson"] ; # 
  fhir:type [ fhir:v "collection"] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Patient/cancer-patient-jane-anyperson"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/Patient/cancer-patient-jane-anyperson> )
  ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Condition/primary-cancer-condition-breast"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/Condition/primary-cancer-condition-breast> )
  ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/cancer-disease-status-jane-anyperson"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/Observation/cancer-disease-status-jane-anyperson> )
  ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/tnm-clinical-primary-tumor-category-cT3"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/Observation/tnm-clinical-primary-tumor-category-cT3> )
  ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/tnm-clinical-regional-nodes-category-cN3"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/Observation/tnm-clinical-regional-nodes-category-cN3> )
  ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/tnm-clinical-distant-metastases-category-cM0"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/Observation/tnm-clinical-distant-metastases-category-cM0> )
  ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/tumor-marker-test-er-jane-anyperson"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/Observation/tumor-marker-test-er-jane-anyperson> )
  ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Observation/no-history-of-metastatic-cancer"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/Observation/no-history-of-metastatic-cancer> )
  ] ) . # 

<http://example.org/fhir/Patient/cancer-patient-jane-anyperson> a fhir:Patient ;
  fhir:id [ fhir:v "cancer-patient-jane-anyperson"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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 (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>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex"^^xsd:anyURI ] ;
fhir:value [ fhir:v "M" ]
  ] ) ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "usual" ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MC" ] ;
fhir:display [ fhir:v "Patient's Medicare number" ]       ] )     ] ;
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1EG4-TE5-MK73" ]
  ] ) ; # 
  fhir:name ( [
fhir:family [ fhir:v "Anyperson" ] ;
    ( fhir:given [ fhir:v "Jane" ] [ fhir:v "B." ] )
  ] ) ; # 
  fhir:gender [ fhir:v "male"] ; # 
  fhir:birthDate [ fhir:v "1951-01-20"^^xsd:date] ; # 
  fhir:address ( [
    ( fhir:line [ fhir:v "234 Anyway St" ] ) ;
fhir:city [ fhir:v "Anytown" ] ;
fhir:postalCode [ fhir:v "12345" ] ;
fhir:country [ fhir:v "US" ]
  ] ) . # 

<http://example.org/fhir/Condition/primary-cancer-condition-breast> a fhir:Condition ;
  fhir:id [ fhir:v "primary-cancer-condition-breast"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir: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 (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>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:1187332001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1187332001" ] ;
fhir:display [ fhir:v "Adenocarcinoma (morphologic abnormality)" ]       ] )     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2019-04-01"^^xsd:date ]
  ] ) ; # 
  fhir:clinicalStatus [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ] ;
fhir:code [ fhir:v "active" ] ;
fhir:display [ fhir:v "Active" ]     ] )
  ] ; # 
  fhir:verificationStatus [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-ver-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "confirmed" ] ;
fhir:display [ fhir:v "Confirmed" ]     ] )
  ] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "problem-list-item" ]     ] )
  ] ) ; # 
  fhir:code [
    ( fhir:coding [
a sct:353431000119107 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "353431000119107" ] ;
fhir:display [ fhir:v "Primary malignant neoplasm of female left breast (disorder)" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jane-anyperson" ]
  ] ; # 
  fhir:asserter [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-kyle-anydoc" ]
  ] ; # 
  fhir:stage ( [
fhir:summary [
      ( fhir:coding [
a sct:1222806003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1222806003" ] ;
fhir:display [ fhir:v "American Joint Committee on Cancer stage IIIC (qualifier value)" ]       ] )     ] ;
    ( fhir:assessment [
fhir:reference [ fhir:v "Observation/tnm-clinical-stage-group-3c" ]     ] )
  ] ) . # 

<http://example.org/fhir/Observation/cancer-disease-status-jane-anyperson> a fhir:Observation ;
  fhir:id [ fhir:v "cancer-disease-status-jane-anyperson"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir: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 (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>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status-evidence-type"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:363679005 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "363679005" ] ;
fhir:display [ fhir:v "Imaging (procedure)" ]       ] )     ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
a loinc:97509-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "97509-4" ] ;
fhir:display [ fhir:v "Cancer Disease Progression" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jane-anyperson" ]
  ] ; # 
  fhir:focus ( [
fhir:reference [ fhir:v "Condition/primary-cancer-condition-breast" ]
  ] ) ; # 
  fhir:effective [ fhir:v "2018-11-01"^^xsd:date] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-kyle-anydoc" ]
  ] ) ; # 
  fhir:value [
a fhir:CodeableConcept ;
    ( fhir:coding [
a sct:268910001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "268910001" ] ;
fhir:display [ fhir:v "Patient's condition improved (finding)" ]     ] )
  ] . # 

<http://example.org/fhir/Observation/tnm-clinical-primary-tumor-category-cT3> a fhir:Observation ;
  fhir:id [ fhir:v "tnm-clinical-primary-tumor-category-cT3"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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 (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>"
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
a sct:399504009 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "399504009" ] ;
fhir:display [ fhir:v "cT category" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jane-anyperson" ]
  ] ; # 
  fhir:effective [ fhir:v "2019-04-01"^^xsd:date] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-kyle-anydoc" ]
  ] ) ; # 
  fhir:value [
a fhir:CodeableConcept ;
    ( fhir:coding [
a sct:1228938002 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1228938002" ] ;
fhir:display [ fhir:v "American Joint Committee on Cancer cT3 (qualifier value)" ]     ] )
  ] ; # 
  fhir:method [
    ( fhir:coding [
a sct:897275008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "897275008" ] ;
fhir:display [ fhir:v "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-cN3> a fhir:Observation ;
  fhir:id [ fhir:v "tnm-clinical-regional-nodes-category-cN3"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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 (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>"
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
a sct:399534004 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "399534004" ] ;
fhir:display [ fhir:v "cN category" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jane-anyperson" ]
  ] ; # 
  fhir:effective [ fhir:v "2019-04-01"^^xsd:date] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-kyle-anydoc" ]
  ] ) ; # 
  fhir:value [
a fhir:CodeableConcept ;
    ( fhir:coding [
a sct:1229984001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1229984001" ] ;
fhir:display [ fhir:v "American Joint Committee on Cancer cN3 (qualifier value)" ]     ] )
  ] ; # 
  fhir:method [
    ( fhir:coding [
a sct:897275008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "897275008" ] ;
fhir:display [ fhir:v "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-cM0> a fhir:Observation ;
  fhir:id [ fhir:v "tnm-clinical-distant-metastases-category-cM0"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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 (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>"
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
a sct:399387003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "399387003" ] ;
fhir:display [ fhir:v "cM category" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jane-anyperson" ]
  ] ; # 
  fhir:effective [ fhir:v "2019-04-01"^^xsd:date] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-kyle-anydoc" ]
  ] ) ; # 
  fhir:value [
a fhir:CodeableConcept ;
    ( fhir:coding [
a sct:1229901006 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1229901006" ] ;
fhir:display [ fhir:v "American Joint Committee on Cancer cM0 (qualifier value)" ]     ] )
  ] ; # 
  fhir:method [
    ( fhir:coding [
a sct:897275008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "897275008" ] ;
fhir:display [ fhir:v "American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)" ]     ] )
  ] . # 

<http://example.org/fhir/Observation/tumor-marker-test-er-jane-anyperson> a fhir:Observation ;
  fhir:id [ fhir:v "tumor-marker-test-er-jane-anyperson"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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 (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>"
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "laboratory" ]     ] )
  ] ) ; # 
  fhir:code [
    ( fhir:coding [
a loinc:85337-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "85337-4" ] ;
fhir:display [ fhir:v "Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stain" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jane-anyperson" ]
  ] ; # 
  fhir:effective [ fhir:v "2018-11-16"^^xsd:date] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-kyle-anydoc" ]
  ] ) ; # 
  fhir:value [
a fhir:CodeableConcept ;
    ( fhir:coding [
a loinc:LA6576-8 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "LA6576-8" ] ;
fhir:display [ fhir:v "Positive" ]     ] )
  ] . # 

<http://example.org/fhir/Observation/no-history-of-metastatic-cancer> a fhir:Observation ;
  fhir:id [ fhir:v "no-history-of-metastatic-cancer"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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 (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>"
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
a sct:1287652008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1287652008" ] ;
fhir:display [ fhir:v "History of metastatic malignant neoplasm (situation)" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/cancer-patient-jane-anyperson" ]
  ] ; # 
  fhir:effective [ fhir:v "2018-11-16"^^xsd:date] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "Practitioner/us-core-practitioner-kyle-anydoc" ]
  ] ) ; # 
  fhir:value [ fhir:v "false"^^xsd:boolean] . #