Central Cancer Registry Reporting Content IG
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Central Cancer Registry Reporting Content IG, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-central-cancer-registry-reporting-ig/ and changes regularly. See the Directory of published versions

: Central Cancer Registry Reporting Content Bundle - Initial Report Content Example - 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 rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@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 "ccrr-content-bundle-example"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-content-bundle"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-content-bundle>     ] )
  ] ; # 
  fhir:type [ fhir:v "collection"] ; # 
  fhir:timestamp [ fhir:v "2023-04-05T11:15:33-10:00"^^xsd:dateTime] ; # 
  fhir:entry ( [
fhir:fullUrl [
fhir:v "http://hl7.org/fhir/us/central-cancer-registry-reporting/Composition/ccrr-composition-content-example"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/central-cancer-registry-reporting/Composition/ccrr-composition-content-example>     ] ;
    ( fhir:resource <http://hl7.org/fhir/us/central-cancer-registry-reporting/Composition/ccrr-composition-content-example> )
  ] [
fhir:fullUrl [
fhir:v "http://ecr.drajer.com/secure/fhir-r4/fhir/Patient/example"^^xsd:anyURI ;
fhir:l <http://ecr.drajer.com/secure/fhir-r4/fhir/Patient/example>     ] ;
    ( fhir:resource <http://ecr.drajer.com/secure/fhir-r4/fhir/Patient/example> )
  ] [
fhir:fullUrl [
fhir:v "http://ecr.drajer.com/secure/fhir-r4/fhir/Encounter/encounter-cancer-example"^^xsd:anyURI ;
fhir:l <http://ecr.drajer.com/secure/fhir-r4/fhir/Encounter/encounter-cancer-example>     ] ;
    ( fhir:resource <http://ecr.drajer.com/secure/fhir-r4/fhir/Encounter/encounter-cancer-example> )
  ] [
fhir:fullUrl [
fhir:v "http://ecr.drajer.com/secure/fhir-r4/fhir/Practitioner/1"^^xsd:anyURI ;
fhir:l <http://ecr.drajer.com/secure/fhir-r4/fhir/Practitioner/1>     ] ;
    ( fhir:resource <http://ecr.drajer.com/secure/fhir-r4/fhir/Practitioner/1> )
  ] [
fhir:fullUrl [
fhir:v "http://ecr.drajer.com/secure/fhir-r4/fhir/Condition/primary-cancer-condition-breast"^^xsd:anyURI ;
fhir:l <http://ecr.drajer.com/secure/fhir-r4/fhir/Condition/primary-cancer-condition-breast>     ] ;
    ( fhir:resource <http://ecr.drajer.com/secure/fhir-r4/fhir/Condition/primary-cancer-condition-breast> )
  ] [
fhir:fullUrl [
fhir:v "http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/cancer-stage-group-example"^^xsd:anyURI ;
fhir:l <http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/cancer-stage-group-example>     ] ;
    ( fhir:resource <http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/cancer-stage-group-example> )
  ] [
fhir:fullUrl [
fhir:v "http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/tnm-clinical-primary-tumor-category-cT2"^^xsd:anyURI ;
fhir:l <http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/tnm-clinical-primary-tumor-category-cT2>     ] ;
    ( fhir:resource <http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/tnm-clinical-primary-tumor-category-cT2> )
  ] [
fhir:fullUrl [
fhir:v "http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/tnm-clinical-regional-nodes-category-cN0"^^xsd:anyURI ;
fhir:l <http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/tnm-clinical-regional-nodes-category-cN0>     ] ;
    ( fhir:resource <http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/tnm-clinical-regional-nodes-category-cN0> )
  ] [
fhir:fullUrl [
fhir:v "http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/tnm-clinical-regional-nodes-category-cN0"^^xsd:anyURI ;
fhir:l <http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/tnm-clinical-regional-nodes-category-cN0>     ] ;
    ( fhir:resource <http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/tnm-clinical-regional-nodes-category-cN0> )
  ] [
fhir:fullUrl [
fhir:v "http://ecr.drajer.com/secure/fhir-r4/fhir/Condition/problem-list-diabetes"^^xsd:anyURI ;
fhir:l <http://ecr.drajer.com/secure/fhir-r4/fhir/Condition/problem-list-diabetes>     ] ;
    ( fhir:resource <http://ecr.drajer.com/secure/fhir-r4/fhir/Condition/problem-list-diabetes> )
  ] [
fhir:fullUrl [
fhir:v "http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/non-smoker"^^xsd:anyURI ;
fhir:l <http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/non-smoker>     ] ;
    ( fhir:resource <http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/non-smoker> )
  ] [
fhir:fullUrl [
fhir:v "http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/odh-usual-work"^^xsd:anyURI ;
fhir:l <http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/odh-usual-work>     ] ;
    ( fhir:resource <http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/odh-usual-work> )
  ] [
fhir:fullUrl [
fhir:v "http://ecr.drajer.com/secure/fhir-r4/fhir/Organization/example-cancer-org"^^xsd:anyURI ;
fhir:l <http://ecr.drajer.com/secure/fhir-r4/fhir/Organization/example-cancer-org>     ] ;
    ( fhir:resource <http://ecr.drajer.com/secure/fhir-r4/fhir/Organization/example-cancer-org> )
  ] ) . # 

<http://hl7.org/fhir/us/central-cancer-registry-reporting/Composition/ccrr-composition-content-example> a fhir:Composition ;
  fhir:id [ fhir:v "ccrr-composition-content-example"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-composition"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/ccrr-composition>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_ccrr-composition-content-example\"> </a><p><b> Amy Shaw data for HCS </b></p></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:identifier [
fhir:value [ fhir:v "c03eab8c-11e8-4d0c-ad2a-b385395e29ab" ]
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:type [
    ( fhir:coding [
a loinc:72134-0 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>       ] ;
fhir:code [ fhir:v "72134-0" ]     ] )
  ] ; # 
  fhir:subject [
fhir:l fhir:Patient/example ;
fhir:reference [ fhir:v "Patient/example" ] ;
fhir:display [ fhir:v "Amy Shaw" ]
  ] ; # 
  fhir:encounter [
fhir:l fhir:Encounter/encounter-cancer-example ;
fhir:reference [ fhir:v "Encounter/encounter-cancer-example" ] ;
fhir:display [ fhir:v "Encounter Cancer Example" ]
  ] ; # 
  fhir:date [ fhir:v "2023-04-05T22:13:23Z"^^xsd:dateTime] ; # 
  fhir:author ( [
fhir:l fhir:Practitioner/1 ;
fhir:reference [ fhir:v "Practitioner/1" ] ;
fhir:display [ fhir:v "Dr. Joseph Nichols" ]
  ] ) ; # 
  fhir:title [ fhir:v "Central Cancer Registry Report"] ; # 
  fhir:section ( [
fhir:title [ fhir:v "Primary Cancer Condition Section" ] ;
fhir:code [
      ( fhir:coding [
a sct:363346000 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>         ] ;
fhir:code [ fhir:v "363346000" ] ;
fhir:display [ fhir:v "Malignant neoplastic disease (disorder)" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p>Primary Cancer Condition Section</p></div>"^^rdf:XMLLiteral ]     ] ;
    ( fhir:entry [
fhir:l fhir:Condition/primary-cancer-condition-breast ;
fhir:reference [ fhir:v "Condition/primary-cancer-condition-breast" ]     ] )
  ] [
fhir:title [ fhir:v "TNM Staging section" ] ;
fhir:code [
      ( fhir:coding [
a loinc:21908-9 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "21908-9" ] ;
fhir:display [ fhir:v "Stage group.clinical Cancer" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p>Cancer Stage Group</p></div>"^^rdf:XMLLiteral ]     ] ;
    ( fhir:entry [
fhir:l fhir:Observation/cancer-stage-group-example ;
fhir:reference [ fhir:v "Observation/cancer-stage-group-example" ]     ] [
fhir:l fhir:Observation/tnm-clinical-regional-nodes-category-cN0 ;
fhir:reference [ fhir:v "Observation/tnm-clinical-regional-nodes-category-cN0" ]     ] [
fhir:l fhir:Observation/tnm-clinical-primary-tumor-category-cT2 ;
fhir:reference [ fhir:v "Observation/tnm-clinical-primary-tumor-category-cT2" ]     ] [
fhir:l fhir:Observation/tnm-clinical-distant-metastases-category-cM0 ;
fhir:reference [ fhir:v "Observation/tnm-clinical-distant-metastases-category-cM0" ]     ] )
  ] [
fhir:title [ fhir:v "Problem Section" ] ;
fhir:code [
      ( fhir:coding [
a loinc:11450-4 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "11450-4" ] ;
fhir:display [ fhir:v "Problem list - Reported" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p>Problem Section</p></div>"^^rdf:XMLLiteral ]     ] ;
    ( fhir:entry [
fhir:l fhir:Condition/problem-list-diabetes ;
fhir:reference [ fhir:v "Condition/problem-list-diabetes" ]     ] )
  ] [
fhir:title [ fhir:v "ODH Section" ] ;
fhir:code [
      ( fhir:coding [
a loinc:74165-2 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "74165-2" ] ;
fhir:display [ fhir:v "History of employment status NIOSH" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p>ODH Usual Work Section</p></div>"^^rdf:XMLLiteral ]     ] ;
    ( fhir:entry [
fhir:l fhir:Observation/odh-usual-work ;
fhir:reference [ fhir:v "Observation/odh-usual-work" ]     ] )
  ] [
fhir:title [ fhir:v "Social History Section" ] ;
fhir:code [
      ( fhir:coding [
a loinc:29762-2 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "29762-2" ] ;
fhir:display [ fhir:v "Social history note" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p>Social History Section</p></div>"^^rdf:XMLLiteral ]     ] ;
    ( fhir:entry [
fhir:l fhir:Observation/non-smoker ;
fhir:reference [ fhir:v "Observation/non-smoker" ]     ] )
  ] ) . # 

<http://ecr.drajer.com/secure/fhir-r4/fhir/Patient/example> a fhir:Patient ;
  fhir:id [ fhir:v "example"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-patient"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-patient>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_example\"> </a>\n  <p><b>Profile:</b> <a href=\"StructureDefinition-central-cancer-registry-reporting-patient.html\">Central Cancer Registry Reporting Patient</a></p>\n  <p><b>Patient:</b> Amy V. Baxter (formerly Amy V. Shaw)</p>\n    <p><b>Identifiers:</b></p>\n  <ul>\n    <li>Medical Record Number: 1032702 (system: http://CancerOrg.smarthealthit.org)</li>\n    <li>Social Security Number: 11-222-3333</li>\n  </ul>\n  <p><b>Active:</b> true</p>\n  <p><b>Gender:</b> female</p>\n  <p><b>Birth Date:</b> 1987-02-20</p>\n  <p><b>Marital Status:</b> Never Married</p>\n  <p><b>Race:</b> White, American Indian or Alaska Native (Shoshone), Asian (Filipino)</p>\n  <p><b>Ethnicity:</b> Hispanic or Latino (Mexican, Dominican)</p>\n  <p><b>Birthplace:</b> Georgia, US</p>\n  <p><b>Addresses:</b></p>\n  <ul>\n    <li>49 Meadow St, Mounds, OK 74047, US (2016-12-06 to 2020-07-22)</li>\n    <li>183 Mountain View St, Mounds, OK 74048, US (2020-07-22 to present)</li>\n  </ul>\n  <p><b>Telecom:</b></p>\n  <ul>\n    <li>Phone: 555-555-5555 (home)</li>\n    <li>Email: amy.shaw@example.com</li>\n  </ul>\n  <p><b>Languages:</b> English</p>\n  <p><b>Managing Organization:</b> Cancer Organization (Organization/example-cancer-org)</p>\n</div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
    ( fhir:extension [
fhir:url [
fhir:v "ombCategory"^^xsd:anyURI ;
fhir:l fhir:ombCategory       ] ;
fhir:value [
a fhir:Coding ;
fhir:system [
fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ;
fhir:l <urn:oid:2.16.840.1.113883.6.238>         ] ;
fhir:code [ fhir:v "2106-3" ] ;
fhir:display [ fhir:v "White" ]       ]     ] [
fhir:url [
fhir:v "ombCategory"^^xsd:anyURI ;
fhir:l fhir:ombCategory       ] ;
fhir:value [
a fhir:Coding ;
fhir:system [
fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ;
fhir:l <urn:oid:2.16.840.1.113883.6.238>         ] ;
fhir:code [ fhir:v "1002-5" ] ;
fhir:display [ fhir:v "American Indian or Alaska Native" ]       ]     ] [
fhir:url [
fhir:v "ombCategory"^^xsd:anyURI ;
fhir:l fhir:ombCategory       ] ;
fhir:value [
a fhir:Coding ;
fhir:system [
fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ;
fhir:l <urn:oid:2.16.840.1.113883.6.238>         ] ;
fhir:code [ fhir:v "2028-9" ] ;
fhir:display [ fhir:v "Asian" ]       ]     ] [
fhir:url [
fhir:v "detailed"^^xsd:anyURI ;
fhir:l fhir:detailed       ] ;
fhir:value [
a fhir:Coding ;
fhir:system [
fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ;
fhir:l <urn:oid:2.16.840.1.113883.6.238>         ] ;
fhir:code [ fhir:v "1586-7" ] ;
fhir:display [ fhir:v "Shoshone" ]       ]     ] [
fhir:url [
fhir:v "detailed"^^xsd:anyURI ;
fhir:l fhir:detailed       ] ;
fhir:value [
a fhir:Coding ;
fhir:system [
fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ;
fhir:l <urn:oid:2.16.840.1.113883.6.238>         ] ;
fhir:code [ fhir:v "2036-2" ] ;
fhir:display [ fhir:v "Filipino" ]       ]     ] [
fhir:url [
fhir:v "text"^^xsd:anyURI ;
fhir:l fhir:text       ] ;
fhir:value [
a fhir:String ;
fhir:v "Mixed"       ]     ] ) ;
fhir:url [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/core/StructureDefinition/us-core-race>     ]
  ] [
    ( fhir:extension [
fhir:url [
fhir:v "ombCategory"^^xsd:anyURI ;
fhir:l fhir:ombCategory       ] ;
fhir:value [
a fhir:Coding ;
fhir:system [
fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ;
fhir:l <urn:oid:2.16.840.1.113883.6.238>         ] ;
fhir:code [ fhir:v "2135-2" ] ;
fhir:display [ fhir:v "Hispanic or Latino" ]       ]     ] [
fhir:url [
fhir:v "detailed"^^xsd:anyURI ;
fhir:l fhir:detailed       ] ;
fhir:value [
a fhir:Coding ;
fhir:system [
fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ;
fhir:l <urn:oid:2.16.840.1.113883.6.238>         ] ;
fhir:code [ fhir:v "2184-0" ] ;
fhir:display [ fhir:v "Dominican" ]       ]     ] [
fhir:url [
fhir:v "detailed"^^xsd:anyURI ;
fhir:l fhir:detailed       ] ;
fhir:value [
a fhir:Coding ;
fhir:system [
fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ;
fhir:l <urn:oid:2.16.840.1.113883.6.238>         ] ;
fhir:code [ fhir:v "2148-5" ] ;
fhir:display [ fhir:v "Mexican" ]       ]     ] [
fhir:url [
fhir:v "text"^^xsd:anyURI ;
fhir:l fhir:text       ] ;
fhir:value [
a fhir:String ;
fhir:v "Hispanic or Latino"       ]     ] ) ;
fhir:url [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity>     ]
  ] [
    ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/patient-birthPlace"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/patient-birthPlace>       ] ;
fhir:value [
a fhir:Address ;
fhir:state [ fhir:v "GA" ] ;
fhir:country [ fhir:v "US" ]       ]     ] ) ;
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/patient-birthPlace"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/patient-birthPlace>     ]
  ] ) ; # 
  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:l <http://terminology.hl7.org/CodeSystem/v2-0203>         ] ;
fhir:code [ fhir:v "MR" ] ;
fhir:display [ fhir:v "Medical Record Number" ]       ] ) ;
fhir:text [ fhir:v "Medical Record Number" ]     ] ;
fhir:system [
fhir:v "http://CancerOrg.smarthealthit.org"^^xsd:anyURI ;
fhir:l <http://CancerOrg.smarthealthit.org>     ] ;
fhir:value [ fhir:v "1032702" ]
  ] [
fhir:use [ fhir:v "usual" ] ;
fhir:type [
      ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>         ] ;
fhir:code [ fhir:v "SS" ] ;
fhir:display [ fhir:v "Social Security Number" ]       ] ) ;
fhir:text [ fhir:v "Social Security Number" ]     ] ;
fhir:system [
fhir:v "http://hl7.org/fhir/sid/us-ssn"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/sid/us-ssn>     ] ;
fhir:value [ fhir:v "11-222-3333" ]
  ] ) ; # 
  fhir:active [ fhir:v true] ; # 
  fhir:name ( [
fhir:use [ fhir:v "maiden" ] ;
fhir:family [ fhir:v "Shaw" ] ;
    ( fhir:given [ fhir:v "Amy" ] [ fhir:v "V." ] ) ;
fhir:period [
fhir:start [ fhir:v "1987-02-20"^^xsd:date ] ;
fhir:end [ fhir:v "2020-07-22"^^xsd:date ]     ]
  ] [
fhir:family [ fhir:v "Baxter" ] ;
    ( fhir:given [ fhir:v "Amy" ] [ fhir:v "V." ] ) ;
    ( fhir:suffix [ fhir:v "PharmD" ] ) ;
fhir:period [
fhir:start [ fhir:v "2020-07-22"^^xsd:date ]     ]
  ] ) ; # 
  fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "555-555-5555" ] ;
fhir:use [ fhir:v "home" ]
  ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "amy.shaw@example.com" ]
  ] ) ; # 
  fhir:gender [ fhir:v "female"] ; # 
  fhir:birthDate [ fhir:v "1987-02-20"^^xsd:date] ; # 
  fhir:deceased [
a fhir:Boolean ;
fhir:v false
  ] ; # 
  fhir:address ( [
    ( fhir:line [ fhir:v "49 Meadow St" ] ) ;
fhir:city [ fhir:v "Mounds" ] ;
fhir:state [ fhir:v "OK" ] ;
fhir:postalCode [ fhir:v "74047" ] ;
fhir:country [ fhir:v "US" ] ;
fhir:period [
fhir:start [ fhir:v "2016-12-06"^^xsd:date ] ;
fhir:end [ fhir:v "2020-07-22"^^xsd:date ]     ]
  ] [
    ( fhir:line [ fhir:v "183 Mountain View St" ] ) ;
fhir:city [ fhir:v "Mounds" ] ;
fhir:state [ fhir:v "OK" ] ;
fhir:postalCode [ fhir:v "74048" ] ;
fhir:country [ fhir:v "US" ] ;
fhir:period [
fhir:start [ fhir:v "2020-07-22"^^xsd:date ]     ]
  ] ) ; # 
  fhir:maritalStatus [
    ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-MaritalStatus>       ] ;
fhir:code [ fhir:v "S" ] ;
fhir:display [ fhir:v "Never Married" ]     ] )
  ] ; # 
  fhir:communication ( [
fhir:language [
      ( fhir:coding [
fhir:system [
fhir:v "urn:ietf:bcp:47"^^xsd:anyURI ;
fhir:l <urn:ietf:bcp:47>         ] ;
fhir:code [ fhir:v "en" ] ;
fhir:display [ fhir:v "English" ]       ] )     ]
  ] ) ; # 
  fhir:managingOrganization [
fhir:l fhir:Organization/example-cancer-org ;
fhir:reference [ fhir:v "Organization/example-cancer-org" ] ;
fhir:display [ fhir:v "Cancer Organization" ]
  ] . # 

<http://ecr.drajer.com/secure/fhir-r4/fhir/Encounter/encounter-cancer-example> a fhir:Encounter ;
  fhir:id [ fhir:v "encounter-cancer-example"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-encounter"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-encounter>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_encounter-cancer-example\"> </a>\n  <p><b>Profile: </b> <a href=\"StructureDefinition-central-cancer-registry-reporting-encounter.html\"> Central Cancer Registry Reporting Encounter</a></p>\n <p><b>Encounter:</b> encounter-cancer-example</p><p><b>Identifier:</b> 9937012 (System: http://CancerOrg.smarthealthit.org)</p><p><b>Status:</b> finished</p><p><b>Class:</b> AMB (Ambulatory)</p><p><b>Type:</b> Encounter for problem (procedure) (SNOMED CT: 185347001)</p><p><b>Subject:</b> <a href=\"Patient-example.html\">Patient-example: Amy Shaw</a></p>\n<p><b>Reason:</b> Referral by general physician (procedure) (SNOMED CT: 305970004)</p><p><b>Participant:</b> <a href=\"Practitioner-1.html\"> Joseph Nichols – Attender</a></p><p><b>Period:</b> 2023-03-21T17:00:14-05:00 to 2023-03-21T20:00:14-05:00</p><p><b>Diagnosis:</b> <a href=\"Condition-primary-cancer-condition-breast.html\">  Primary Cancer Condition – Breast</a></p>\n <p><b>Service Provider:</b> <a href=\"Organization-example-cancer-org.html\"> Cancer Organization</a></p></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:identifier ( [
fhir:system [
fhir:v "http://CancerOrg.smarthealthit.org"^^xsd:anyURI ;
fhir:l <http://CancerOrg.smarthealthit.org>     ] ;
fhir:value [ fhir:v "9937012" ]
  ] ) ; # 
  fhir:status [ fhir:v "finished"] ; # 
  fhir:class [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-ActCode>     ] ;
fhir:code [ fhir:v "AMB" ] ;
fhir:display [ fhir:v "ambulatory" ]
  ] ; # 
  fhir:type ( [
    ( fhir:coding [
a sct:185347001 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>       ] ;
fhir:code [ fhir:v "185347001" ] ;
fhir:display [ fhir:v "Encounter for problem (procedure)" ]     ] )
  ] ) ; # 
  fhir:subject [
fhir:l fhir:Patient/example ;
fhir:reference [ fhir:v "Patient/example" ] ;
fhir:display [ fhir:v "Amy Shaw" ]
  ] ; # 
  fhir:participant ( [
    ( fhir:type [
      ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-ParticipationType"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-ParticipationType>         ] ;
fhir:code [ fhir:v "ATND" ] ;
fhir:display [ fhir:v "attender" ]       ] )     ] ) ;
fhir:individual [
fhir:l fhir:Practitioner/1 ;
fhir:reference [ fhir:v "Practitioner/1" ] ;
fhir:display [ fhir:v "Joseph Nichols" ]     ]
  ] ) ; # 
  fhir:period [
fhir:start [ fhir:v "2023-03-21T17:00:14-05:00"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2023-03-21T20:00:14-05:00"^^xsd:dateTime ]
  ] ; # 
  fhir:reasonCode ( [
    ( fhir:coding [
a sct:305970004 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>       ] ;
fhir:code [ fhir:v "305970004" ] ;
fhir:display [ fhir:v "Referral by general physician (procedure)" ]     ] )
  ] ) ; # 
  fhir:diagnosis ( [
fhir:condition [
fhir:l fhir:Condition/primary-cancer-condition-breast ;
fhir:reference [ fhir:v "Condition/primary-cancer-condition-breast" ]     ]
  ] ) ; # 
  fhir:serviceProvider [
fhir:l fhir:Organization/example-cancer-org ;
fhir:reference [ fhir:v "Organization/example-cancer-org" ] ;
fhir:display [ fhir:v "Cancer Organization" ]
  ] . # 

<http://ecr.drajer.com/secure/fhir-r4/fhir/Practitioner/1> a fhir:Practitioner ;
  fhir:id [ fhir:v "1"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner?version=6.1.0>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_1\"> </a>\n  <p><b>Profile:</b> <a href=\"https://hl7.org/fhir/us/core/StructureDefinition-us-core-us-core-practitioner.html\">US Core Practitioner</a></p>\n  <p><b>Practitioner:</b> Dr. Joseph Nichols</p>\n  <p><b>Identifier:</b> US NPI: 1122334455</p>\n  <p><b>Address:</b> 1234 Main St., Tulsa, OK 74126, US (work)</p>\n  <p><b>Email:</b> joseph.nichols@example.com</p>\n  <p><b>Phone:</b> 800-277-1993</p>\n  </div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:identifier ( [
fhir:system [
fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/sid/us-npi>     ] ;
fhir:value [ fhir:v "1122334455" ]
  ] ) ; # 
  fhir:name ( [
fhir:family [ fhir:v "Nichols" ] ;
    ( fhir:given [ fhir:v "Joseph" ] ) ;
    ( fhir:prefix [ fhir:v "Dr" ] )
  ] ) ; # 
  fhir:telecom ( [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "joseph.nichols@example.com" ] ;
fhir:use [ fhir:v "work" ]
  ] [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "800-277-1993" ] ;
fhir:use [ fhir:v "work" ]
  ] ) ; # 
  fhir:address ( [
fhir:use [ fhir:v "work" ] ;
    ( fhir:line [ fhir:v "1234 Main St." ] ) ;
fhir:city [ fhir:v "Tulsa" ] ;
fhir:state [ fhir:v "OK" ] ;
fhir:postalCode [ fhir:v "74126" ] ;
fhir:country [ fhir:v "US" ]
  ] ) . # 

<http://ecr.drajer.com/secure/fhir-r4/fhir/Condition/primary-cancer-condition-breast> a fhir:Condition ;
  fhir:id [ fhir:v "primary-cancer-condition-breast"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-primary-cancer-condition"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-primary-cancer-condition>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_primary-cancer-condition-breast\"> </a>\n  <p><b>Profile:</b> <a href=\"StructureDefinition-central-cancer-registry-primary-cancer-condition.html\"> Central Cancer Registry Primary Cancer Condition</a></p>\n  <p><b>Condition:</b> Primary Breast Cancer</p>\n    <p><b>Clinical Status:</b> Active</p>\n  <p><b>Verification Status:</b> Confirmed</p>\n  <p><b>Category:</b> Encounter Diagnosis</p>\n  <p><b>Code:</b> Infiltrating duct carcinoma of breast (SNOMED CT: 408643008)</p>\n  <p><b>Histology/Morphology/Behavior:</b> Infiltrating duct carcinoma (morphologic abnormality) (SNOMED CT: 82711006)</p>\n  <p><b>Body Site:</b> Left breast structure (SNOMED CT: 80248007)</p>\n  <p><b>Laterality:</b> Left (qualifier value) (SNOMED CT: 7771000)</p>\n  <p><b>Subject:</b> <a href=\"Patient-example.html\">Patient-example: Amy Shaw</a></p>\n  <p><b>Asserter:</b> <a href=\"Practitioner-1.html\">Dr. Joseph Nichols</a></p>\n  <p><b>Asserted Date:</b> 2023-03-21</p>\n  <p><b>Stage Summary:</b> American Joint Committee on Cancer stage IIA (qualifier value) (SNOMED CT: 1222766008)</p>\n  <p><b>Evidence Type:</b> Histologic test (procedure) (SNOMED CT: 714797009)</p>\n</div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/condition-assertedDate>     ] ;
fhir:value [
a fhir:DateTime ;
fhir:v "2023-03-21"^^xsd:date     ]
  ] [
fhir:url [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior>     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:82711006 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>         ] ;
fhir:code [ fhir:v "82711006" ] ;
fhir:display [ fhir:v "Infiltrating duct carcinoma (morphologic abnormality)" ]       ] )     ]
  ] [
fhir:url [
fhir:v "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/cancer-status-evidence-type"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/cancer-status-evidence-type>     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:714797009 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>         ] ;
fhir:code [ fhir:v "714797009" ] ;
fhir:display [ fhir:v "Histologic test (procedure)" ]       ] )     ]
  ] ) ; # 
  fhir:clinicalStatus [
    ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/condition-clinical>       ] ;
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:l <http://terminology.hl7.org/CodeSystem/condition-ver-status>       ] ;
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:l <http://terminology.hl7.org/CodeSystem/condition-category>       ] ;
fhir:code [ fhir:v "encounter-diagnosis" ] ;
fhir:display [ fhir:v "Encounter Diagnosis" ]     ] )
  ] ) ; # 
  fhir:code [
    ( fhir:coding [
a sct:408643008 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>       ] ;
fhir:code [ fhir:v "408643008" ] ;
fhir:display [ fhir:v "Infiltrating duct carcinoma of breast (disorder)" ]     ] )
  ] ; # 
  fhir:bodySite ( [
    ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier>       ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
a sct:7771000 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>           ] ;
fhir:code [ fhir:v "7771000" ] ;
fhir:display [ fhir:v "Left (qualifier value)" ]         ] )       ]     ] ) ;
    ( fhir:coding [
a sct:80248007 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>       ] ;
fhir:code [ fhir:v "80248007" ] ;
fhir:display [ fhir:v "Left breast structure (body structure)" ]     ] )
  ] ) ; # 
  fhir:subject [
fhir:l fhir:Patient/example ;
fhir:reference [ fhir:v "Patient/example" ]
  ] ; # 
  fhir:asserter [
fhir:l fhir:Practitioner/1 ;
fhir:reference [ fhir:v "Practitioner/1" ]
  ] ; # 
  fhir:stage ( [
fhir:summary [
      ( fhir:coding [
a sct:1222766008 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>         ] ;
fhir:code [ fhir:v "1222766008" ] ;
fhir:display [ fhir:v "American Joint Committee on Cancer stage IIA (qualifier value)" ]       ] )     ] ;
    ( fhir:assessment [
fhir:l fhir:Observation/cancer-stage-group-example ;
fhir:reference [ fhir:v "Observation/cancer-stage-group-example" ]     ] )
  ] ) . # 

<http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/cancer-stage-group-example> a fhir:Observation ;
  fhir:id [ fhir:v "cancer-stage-group-example"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-stage-group"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-stage-group>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_cancer-stage-group-example\"> </a>\n  <p><b>Profile: </b> <a href=\"https://hl7.org/fhir/us/mcode/StructureDefinition-mcode-tnm-stage-group.html\">mCODE TNM Stage Group</a></p>\n   <p><b>Observation:</b> cancer-stage-group-example</p><p><b>status</b>: final</p><p><b>code</b>: Stage group.clinical Cancer LOINC 21908-9</p><p><b>subject</b>: <a href=\"Patient-example.html\">Patient-example: Amy Shaw</a></p>\n  <p><b>focus</b>: <a href=\"Condition-primary-cancer-condition-breast.html\">primary-cancer-condition-breast</a></p><p><b>effective</b>: 2023-03-21</p><p><b>value</b>: American Joint Committee on Cancer stage IIA (qualifier value) SNOMED CT[Intl] 1222766008)</p><p><b>method</b>: American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging) SNOMED CT[Intl] #897275008</p><p><b>hasMember</b>: </p><ul><li><a href=\"Observation-tnm-clinical-primary-tumor-category-cT2.html\">Observation/tnm-clinical-primary-tumor-category-cT2</a></li><li><a href=\"Observation-tnm-clinical-regional-nodes-category-cN0.html\">Observation/tnm-clinical-regional-nodes-category-cN0</a></li><li><a href=\"Observation-tnm-clinical-distant-metastases-category-cM0.html\">Observation/tnm-clinical-distant-metastases-category-cM0</a></li></ul></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>       ] ;
fhir:code [ fhir:v "laboratory" ]     ] )
  ] ) ; # 
  fhir:code [
    ( fhir:coding [
a loinc:21908-9 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>       ] ;
fhir:code [ fhir:v "21908-9" ] ;
fhir:display [ fhir:v "Stage group.clinical Cancer" ]     ] )
  ] ; # 
  fhir:subject [
fhir:l fhir:Patient/example ;
fhir:reference [ fhir:v "Patient/example" ]
  ] ; # 
  fhir:focus ( [
fhir:l fhir:Condition/primary-cancer-condition-breast ;
fhir:reference [ fhir:v "Condition/primary-cancer-condition-breast" ]
  ] ) ; # 
  fhir:effective [
a fhir:DateTime ;
fhir:v "2023-03-21"^^xsd:date
  ] ; # 
  fhir:performer ( [
fhir:l fhir:Practitioner/1 ;
fhir:reference [ fhir:v "Practitioner/1" ] ;
fhir:display [ fhir:v "Joseph Nichols" ]
  ] ) ; # 
  fhir:value [
a fhir:CodeableConcept ;
    ( fhir:coding [
a sct:1222766008 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>       ] ;
fhir:code [ fhir:v "1222766008" ] ;
fhir:display [ fhir:v "American Joint Committee on Cancer stage IIA (qualifier value)" ]     ] )
  ] ; # 
  fhir:method [
    ( fhir:coding [
a sct:897275008 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>       ] ;
fhir:code [ fhir:v "897275008" ] ;
fhir:display [ fhir:v "American Joint Committee on Cancer, Cancer Staging Manual, 8th edition tumor staging system" ]     ] )
  ] ; # 
  fhir:hasMember ( [
fhir:l fhir:Observation/tnm-clinical-primary-tumor-category-cT2 ;
fhir:reference [ fhir:v "Observation/tnm-clinical-primary-tumor-category-cT2" ]
  ] [
fhir:l fhir:Observation/tnm-clinical-regional-nodes-category-cN0 ;
fhir:reference [ fhir:v "Observation/tnm-clinical-regional-nodes-category-cN0" ]
  ] [
fhir:l fhir:Observation/tnm-clinical-distant-metastases-category-cM0 ;
fhir:reference [ fhir:v "Observation/tnm-clinical-distant-metastases-category-cM0" ]
  ] ) . # 

<http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/tnm-clinical-primary-tumor-category-cT2> a fhir:Observation ;
  fhir:id [ fhir:v "tnm-clinical-primary-tumor-category-cT2"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_tnm-clinical-primary-tumor-category-cT2\"> </a>\n  <p><b>Profile:</b> <a href=\"https://hl7.org/fhir/us/mcode/StructureDefinition-mcode-tnm-primary-tumor-category.html\">mCODE TNM Primary Tumor Category</a></p> \n<p><b>Observation:</b> TNM Clinical Primary Tumor Category (cT2)</p>\n    <p><b>Status:</b> final</p>\n  <p><b>Category:</b> Laboratory</p>\n  <p><b>Code:</b> Primary tumor.clinical [Class] Cancer (LOINC: 21905-5)</p>\n  <p><b>Subject:</b> <a href=\"Patient-example.html\">Patient-example: Amy Shaw</a></p>\n  <p><b>Effective Date:</b> 2023-03-21</p>\n  <p><b>Performer:</b> <a href=\"Practitioner-1.html\">Dr. Joseph Nichols (Practitioner/1)</a></p>\n  <p><b>Value:</b> cT2 - 1228929004 (American Joint Committee on Cancer cT2 qualifier)</p>\n  <p><b>Method:</b> American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging) (SNOMED CT: 897275008)</p>\n  </div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>       ] ;
fhir:code [ fhir:v "laboratory" ]     ] )
  ] ) ; # 
  fhir:code [
    ( fhir:coding [
a loinc:21905-5 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>       ] ;
fhir:code [ fhir:v "21905-5" ] ;
fhir:display [ fhir:v "Primary tumor.clinical [Class] Cancer" ]     ] )
  ] ; # 
  fhir:subject [
fhir:l fhir:Patient/example ;
fhir:reference [ fhir:v "Patient/example" ]
  ] ; # 
  fhir:effective [
a fhir:DateTime ;
fhir:v "2023-03-21"^^xsd:date
  ] ; # 
  fhir:performer ( [
fhir:l fhir:Practitioner/1 ;
fhir:reference [ fhir:v "Practitioner/1" ]
  ] ) ; # 
  fhir:value [
a fhir:CodeableConcept ;
    ( fhir:coding [
a sct:1228929004 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>       ] ;
fhir:code [ fhir:v "1228929004" ] ;
fhir:display [ fhir:v "American Joint Committee on Cancer cT2 (qualifier value)" ]     ] )
  ] ; # 
  fhir:method [
    ( fhir:coding [
a sct:897275008 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>       ] ;
fhir:code [ fhir:v "897275008" ] ;
fhir:display [ fhir:v "American Joint Committee on Cancer, Cancer Staging Manual, 8th edition tumor staging system" ]     ] )
  ] . # 

<http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/tnm-clinical-regional-nodes-category-cN0> a fhir:Observation, fhir:Observation ;
  fhir:id [ fhir:v "tnm-clinical-regional-nodes-category-cN0"], [ fhir:v "tnm-clinical-distant-metastases-category-cM0"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-regional-nodes-category"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-regional-nodes-category>     ] )
  ], [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_tnm-clinical-regional-nodes-category-cN0\"> </a>\n  <p><b>Profile:</b> <a href=\"https://hl7.org/fhir/us/mcode/StructureDefinition-mcode-tnm-regional-nodes-category.html\">mmCODE TNM Regional Nodes Category</a></p>\n <p><b>Observation:</b> TNM Clinical Regional Nodes Category (cN0)</p>\n    <p><b>Status:</b> final</p>\n  <p><b>Category:</b> Laboratory</p>\n  <p><b>Code:</b> Regional lymph nodes.clinical [Class] Cancer (LOINC: 21906-3)</p>\n  <p><b>Subject:</b> <a href=\"Patient-example.html\">Patient-example: Amy Shaw</a></p>\n  <p><b>Effective Date:</b> 2023-03-21</p>\n  <p><b>Performer:</b> <a href=\"Practitioner-1.html\">Dr. Joseph Nichols (Practitioner/1)</a></p>\n  <p><b>Value:</b> cN0 (American Joint Committee on Cancer cN0 qualifier)</p>\n  <p><b>Method:</b> American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging) (SNOMED CT: 897275008)</p>\n  </div>"^^rdf:XMLLiteral ]
  ], [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_tnm-clinical-distant-metastases-category-cM0\"> </a>\n  <p><b>Profile:</b> <a href=\"https://hl7.org/fhir/us/mcode/StructureDefinition-mcode-tnm-distant-metastases-category.html\">mCODE TNM Distant Metastases Category</a></p>\n  <p><b>Observation:</b> TNM Clinical Distant Metastases Category (cM0)</p>\n    <p><b>Status:</b> final</p>\n  <p><b>Category:</b> Imaging</p>\n  <p><b>Code:</b> cM category (SNOMED CT: 399387003)</p>\n  <p><b>Subject:</b> <a href=\"Patient-example.html\">Patient-example: Amy Shaw</a></p>\n  <p><b>Effective Date:</b> 2023-03-21</p>\n  <p><b>Performer:</b> <a href=\"Practitioner-1.html\">Dr. Joseph Nichols (Practitioner/1)</a></p>\n  <p><b>Value:</b> cM0 - 1229901006 (American Joint Committee on Cancer cM0 qualifier)</p>\n  <p><b>Method:</b> American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging) (SNOMED CT: 897275008)</p>\n  </div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:status [ fhir:v "final"], [ fhir:v "final"] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>       ] ;
fhir:code [ fhir:v "laboratory" ]     ] )
  ] [
    ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>       ] ;
fhir:code [ fhir:v "imaging" ] ;
fhir:display [ fhir:v "Imaging" ]     ] )
  ] ) ; # 
  fhir:code [
    ( fhir:coding [
a loinc:21906-3 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>       ] ;
fhir:code [ fhir:v "21906-3" ] ;
fhir:display [ fhir:v "Regional lymph nodes.clinical [Class] Cancer" ]     ] )
  ], [
    ( fhir:coding [
a sct:399387003 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>       ] ;
fhir:code [ fhir:v "399387003" ] ;
fhir:display [ fhir:v "cM category" ]     ] )
  ] ; # 
  fhir:subject [
fhir:l fhir:Patient/example ;
fhir:reference [ fhir:v "Patient/example" ]
  ], [
fhir:l fhir:Patient/example ;
fhir:reference [ fhir:v "Patient/example" ]
  ] ; # 
  fhir:effective [
a fhir:DateTime ;
fhir:v "2023-03-21"^^xsd:date
  ], [
a fhir:DateTime ;
fhir:v "2023-03-21"^^xsd:date
  ] ; # 
  fhir:performer ( [
fhir:l fhir:Practitioner/1 ;
fhir:reference [ fhir:v "Practitioner/1" ]
  ] [
fhir:l fhir:Practitioner/1 ;
fhir:reference [ fhir:v "Practitioner/1" ]
  ] ) ; # 
  fhir:value [
a fhir:CodeableConcept ;
    ( fhir:coding [
a sct:1229967007 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>       ] ;
fhir:code [ fhir:v "1229967007" ] ;
fhir:display [ fhir:v "American Joint Committee on Cancer cN0 (qualifier value)" ]     ] )
  ], [
a fhir:CodeableConcept ;
    ( fhir:coding [
a sct:1229901006 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>       ] ;
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:l <http://snomed.info/sct>       ] ;
fhir:code [ fhir:v "897275008" ] ;
fhir:display [ fhir:v "American Joint Committee on Cancer, Cancer Staging Manual, 8th edition tumor staging system" ]     ] )
  ], [
    ( fhir:coding [
a sct:897275008 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>       ] ;
fhir:code [ fhir:v "897275008" ] ;
fhir:display [ fhir:v "American Joint Committee on Cancer, Cancer Staging Manual, 8th edition tumor staging system" ]     ] )
  ] . # 

<http://ecr.drajer.com/secure/fhir-r4/fhir/Condition/problem-list-diabetes> a fhir:Condition ;
  fhir:id [ fhir:v "problem-list-diabetes"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|6.1.0"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns?version=6.1.0>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_problem-list-diabetes\"> </a>\n  <p><b>Profile:</b> <a href=\"https://hl7.org/fhir/us/core/StructureDefinition-us-core-condition-problems-health-concerns.html\">US Core Condition Problems and Health Concerns</a></p>\n <p><b>Condition:</b> Type 2 diabetes mellitus</p>\n    <p><b>Clinical Status:</b> Active</p>\n  <p><b>Verification Status:</b> Confirmed</p>\n  <p><b>Category:</b> Problem List Item</p>\n  <p><b>Code:</b> ICD-10 E11 — Type 2 diabetes mellitus</p>\n  <p><b>Subject:</b> <a href=\"Patient-example.html\">Amy V. Shaw</a></p>\n  <p><b>Recorded Date:</b> 2016-08-10</p>\n</div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/condition-assertedDate>     ] ;
fhir:value [
a fhir:DateTime ;
fhir:v "2016-08-10"^^xsd:date     ]
  ] ) ; # 
  fhir:clinicalStatus [
    ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/condition-clinical>       ] ;
fhir:code [ fhir:v "active" ] ;
fhir:display [ fhir:v "Active" ]     ] ) ;
fhir:text [ fhir:v "Active" ]
  ] ; # 
  fhir:verificationStatus [
    ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/condition-ver-status"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/condition-ver-status>       ] ;
fhir:code [ fhir:v "confirmed" ] ;
fhir:display [ fhir:v "Confirmed" ]     ] ) ;
fhir:text [ fhir:v "Confirmed" ]
  ] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/condition-category"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/condition-category>       ] ;
fhir:code [ fhir:v "problem-list-item" ] ;
fhir:display [ fhir:v "Problem List Item" ]     ] ) ;
fhir:text [ fhir:v "Problem List Item" ]
  ] ) ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [
fhir:v "http://hl7.org/fhir/sid/icd-10"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/sid/icd-10>       ] ;
fhir:code [ fhir:v "E11" ] ;
fhir:display [ fhir:v "Type 2 diabetes mellitus" ]     ] ) ;
fhir:text [ fhir:v "Type 2 diabetes mellitus" ]
  ] ; # 
  fhir:subject [
fhir:l fhir:Patient/example ;
fhir:reference [ fhir:v "Patient/example" ] ;
fhir:display [ fhir:v "Amy V. Shaw" ]
  ] ; # 
  fhir:recordedDate [ fhir:v "2016-08-10T07:15:07-08:00"^^xsd:dateTime] . # 

<http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/non-smoker> a fhir:Observation ;
  fhir:id [ fhir:v "non-smoker"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus|6.1.0"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus?version=6.1.0>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_non-smoker\"> </a>\n  <p><b>Profile:</b> <a href=\"https://hl7.org/fhir/us/core/StructureDefinition-us-core-smokingstatus.html\">US Core Smoking Status</a></p>\n <p><b>category</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category social-history}\">Social History</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 72166-2}\">Tobacco smoking status</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Amy V. Shaw</a></p>\n <p><b>issued</b>: 2023-03-21 </p><p><b>value</b>: <span title=\"Codes: {http://snomed.info/sct 266919005}\">Never smoked tobacco (finding)</span></p></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>       ] ;
fhir:code [ fhir:v "social-history" ] ;
fhir:display [ fhir:v "Social History" ]     ] ) ;
fhir:text [ fhir:v "Social History" ]
  ] ) ; # 
  fhir:code [
    ( fhir:coding [
a loinc:72166-2 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>       ] ;
fhir:code [ fhir:v "72166-2" ] ;
fhir:display [ fhir:v "Tobacco smoking status" ]     ] ) ;
fhir:text [ fhir:v "Tobacco smoking status" ]
  ] ; # 
  fhir:subject [
fhir:l fhir:Patient/example ;
fhir:reference [ fhir:v "Patient/example" ]
  ] ; # 
  fhir:effective [
a fhir:DateTime ;
fhir:v "2023-03-21"^^xsd:date
  ] ; # 
  fhir:issued [ fhir:v "2023-03-21T05:27:04Z"^^xsd:dateTime] ; # 
  fhir:performer ( [
fhir:l fhir:Practitioner/1 ;
fhir:reference [ fhir:v "Practitioner/1" ]
  ] ) ; # 
  fhir:value [
a fhir:CodeableConcept ;
    ( fhir:coding [
a sct:266919005 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>       ] ;
fhir:code [ fhir:v "266919005" ]     ] ) ;
fhir:text [ fhir:v "Never smoked tobacco (finding)" ]
  ] . # 

<http://ecr.drajer.com/secure/fhir-r4/fhir/Observation/odh-usual-work> a fhir:Observation ;
  fhir:id [ fhir:v "odh-usual-work"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_odh-usual-work\"> </a>\n   <p><b>Profile: </b> <a href=\"https://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork.html\">ODH Usual Work</a></p>\n   <p><b>Subject:</b> <a href=\"Patient-example.html\">Patient-example: Amy Shaw</a></p>\n  <p><b>Start Date: </b>2010-01-01</p><p><b>Industry Code/Value: </b>1570 / Carpet and rug mills</p><p><b>Occupation Code/Value: </b>6240 / Carpet, floor, and tile installers and finishers</p></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
a loinc:21843-8 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>       ] ;
fhir:code [ fhir:v "21843-8" ] ;
fhir:display [ fhir:v "History of Usual occupation" ]     ] )
  ] ; # 
  fhir:subject [
fhir:l fhir:Patient/example ;
fhir:reference [ fhir:v "Patient/example" ] ;
fhir:display [ fhir:v "Amy Shaw" ]
  ] ; # 
  fhir:effective [
a fhir:Period ;
fhir:start [ fhir:v "2010-01-01"^^xsd:date ]
  ] ; # 
  fhir:value [
a fhir:CodeableConcept ;
    ( fhir:coding [
fhir:system [
fhir:v "2.16.840.1.114222.4.11.7187"^^xsd:anyURI ;
fhir:l fhir:2.16.840.1.114222.4.11.7187       ] ;
fhir:code [ fhir:v "1570" ] ;
fhir:display [ fhir:v "Carpet and rug mills" ]     ] [
fhir:system [
fhir:v "2.16.840.1.114222.4.11.7186"^^xsd:anyURI ;
fhir:l fhir:2.16.840.1.114222.4.11.7186       ] ;
fhir:code [ fhir:v "6240" ] ;
fhir:display [ fhir:v "Carpet, floor, and tile installers and finishers" ]     ] )
  ] . # 

<http://ecr.drajer.com/secure/fhir-r4/fhir/Organization/example-cancer-org> a fhir:Organization ;
  fhir:id [ fhir:v "example-cancer-org"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-organization"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/central-cancer-registry-reporting/StructureDefinition/central-cancer-registry-reporting-organization>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_example-cancer-org\"> </a>\n  <p><b>Profile: </b> <a href=\"StructureDefinition-central-cancer-registry-reporting-organization.html\"> Central Cancer Registry Reporting Organization</a></p>\n  <p><b>Organization:</b> Cancer Organization</p>\n    <p><b>Status:</b> Active</p>\n  <p><b>Identifier (NPI):</b> 1063494177</p>\n   <p><b>Address:</b> 1234 Main Street, Tulsa, OK 74126</p>\n  <p><b>Phone:</b> (917)932-2000</p>\n  </div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:identifier ( [
fhir:system [
fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/sid/us-npi>     ] ;
fhir:value [ fhir:v "1063494177" ]
  ] ) ; # 
  fhir:active [ fhir:v true] ; # 
  fhir:name [ fhir:v "Cancer Organization"] ; # 
  fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "(917)932-2000" ] ;
fhir:use [ fhir:v "work" ]
  ] ) ; # 
  fhir:address ( [
fhir:text [ fhir:v "1234 Main Street, Tulsa OK 74126" ] ;
    ( fhir:line [ fhir:v "1234 Main Street" ] ) ;
fhir:city [ fhir:v "Tulsa" ] ;
fhir:state [ fhir:v "OK" ] ;
fhir:postalCode [ fhir:v "74126" ]
  ] ) . #