mcode-patient-bundle-jenny-m
type: Bundle
node role: treeRoot
id:
  v: mcode-patient-bundle-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-patient-bundle
    link: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-patient-bundle
type:
  v: collection
entry:
  full url:
    v: http://example.org/fhir/Patient/cancer-patient-jenny-m
  resource: cancer-patient-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Condition/primary-cancer-condition-jenny-m
  resource: primary-cancer-condition-jenny-m
entry:
  full url:
    v: http://example.org/fhir/MedicationRequest/cancer-related-medication-request-cyclophosphamide-jenny-m
  resource: cancer-related-medication-request-cyclophosphamide-jenny-m
entry:
  full url:
    v: http://example.org/fhir/MedicationRequest/cancer-related-medication-request-doxorubicin-jenny-m
  resource: cancer-related-medication-request-doxorubicin-jenny-m
entry:
  full url:
    v: http://example.org/fhir/MedicationRequest/cancer-related-medication-request-paclitaxel-jenny-m
  resource: cancer-related-medication-request-paclitaxel-jenny-m
entry:
  full url:
    v: http://example.org/fhir/MedicationRequest/cancer-related-medication-request-anastrozole-jenny-m
  resource: cancer-related-medication-request-anastrozole-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Observation/cancer-disease-status-jenny-m
  resource: cancer-disease-status-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Observation/genomic-variant-jenny-m
  resource: genomic-variant-jenny-m
entry:
  full url:
    v: http://example.org/fhir/DiagnosticReport/genomics-report-jenny-m
  resource: genomics-report-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Procedure/cancer-related-surgical-procedure-jenny-m
  resource: cancer-related-surgical-procedure-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Observation/cancer-related-comorbidities-jenny-m
  resource: cancer-related-comorbidities-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Procedure/radiotherapy-treatment-summary-chest-wall-jenny-m
  resource: radiotherapy-treatment-summary-chest-wall-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Observation/tnm-clinical-stage-group-jenny-m
  resource: tnm-clinical-stage-group-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Observation/tnm-clinical-primary-tumor-category-jenny-m
  resource: tnm-clinical-primary-tumor-category-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Observation/tnm-clinical-regional-nodes-category-jenny-m
  resource: tnm-clinical-regional-nodes-category-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Observation/tnm-clinical-distant-metastases-category-jenny-m
  resource: tnm-clinical-distant-metastases-category-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Specimen/human-specimen-left-breast-jenny-m
  resource: human-specimen-left-breast-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Observation/genomic-region-studied-jenny-m
  resource: genomic-region-studied-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Observation/ecog-performance-status-jenny-m
  resource: ecog-performance-status-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Observation/tumor-marker-test-er-jenny-m
  resource: tumor-marker-test-er-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Observation/tumor-marker-test-pr-jenny-m
  resource: tumor-marker-test-pr-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Observation/tumor-marker-test-her2-jenny-m
  resource: tumor-marker-test-her2-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Observation/tumor-marker-test-oncotype-dx-jenny-m
  resource: tumor-marker-test-oncotype-dx-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Observation/tumor-size-jenny-m
  resource: tumor-size-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Procedure/us-core-procedure-biopsy-jenny-m
  resource: us-core-procedure-biopsy-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Observation/bodyweight-jenny-m-2018-03-16
  resource: bodyweight-jenny-m-2018-03-16
entry:
  full url:
    v: http://example.org/fhir/Observation/us-core-observation-lab-neutrophils-jenny-m
  resource: us-core-observation-lab-neutrophils-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Organization/us-core-organization-physician-services-inc
  resource: us-core-organization-physician-services-inc
entry:
  full url:
    v: http://example.org/fhir/Observation/us-core-smokingstatus-jenny-m
  resource: us-core-smokingstatus-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Procedure/us-core-procedure-mammogram-jenny-m
  resource: us-core-procedure-mammogram-jenny-m
entry:
  full url:
    v: http://example.org/fhir/FamilyMemberHistory/family-member-history-aunt-jenny-m
  resource: family-member-history-aunt-jenny-m
entry:
  full url:
    v: http://example.org/fhir/FamilyMemberHistory/family-member-history-uncle-jenny-m
  resource: family-member-history-uncle-jenny-m
entry:
  full url:
    v: http://example.org/fhir/DiagnosticReport/us-core-diagnosticreport-lab-jenny-m
  resource: us-core-diagnosticreport-lab-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Observation/observation-smoking-pack-years-jenny-m
  resource: observation-smoking-pack-years-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Observation/us-core-observation-lab-tumor-invasion-jenny-m
  resource: us-core-observation-lab-tumor-invasion-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Observation/us-core-observation-lab-tumor-margins-jenny-m
  resource: us-core-observation-lab-tumor-margins-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Observation/us-core-observation-lab-sentinel-nodes-jenny-m
  resource: us-core-observation-lab-sentinel-nodes-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Observation/us-core-observation-lab-tumor-dcis-jenny-m
  resource: us-core-observation-lab-tumor-dcis-jenny-m
entry:
  full url:
    v: http://example.org/fhir/Practitioner/us-core-practitioner-owen-oncologist
  resource: us-core-practitioner-owen-oncologist
entry:
  full url:
    v: http://example.org/fhir/Practitioner/us-core-practitioner-peter-pathologist
  resource: us-core-practitioner-peter-pathologist

cancer-patient-jenny-m
type: Patient
id:
  v: cancer-patient-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient
    link: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient
text:
  status:
    v: generated
  div: Generated Narrative: Patient cancer-patient-jenny-m Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) Contact Detail 123 Main St Anytown 12345 United States Language: English Contact: ph: 555-867-5309(Home) example@example.com <td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.">US Core Ethnicity Extension: ombCategory: CDC Race and Ethnicity 2186-5: Not Hispanic or Latino text: Not Hispanic or Latino US Core Birth Sex Extension F <td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html#3) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories: - American Indian or Alaska Native - Asian - Black or African American - Native Hawaiian or Other Pacific Islander - White.">US Core Race Extension: ombCategory: CDC Race and Ethnicity 2106-3: White text: White
extension:
  extension:
    url:
      v: ombCategory
    value: Coding
      system:
        v: urn:oid:2.16.840.1.113883.6.238
      code:
        v: 2106-3
      display:
        v: White
  extension:
    url:
      v: text
    value: string
      v: White
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
extension:
  extension:
    url:
      v: ombCategory
    value: Coding
      system:
        v: urn:oid:2.16.840.1.113883.6.238
      code:
        v: 2186-5
      display:
        v: Not Hispanic or Latino
  extension:
    url:
      v: text
    value: string
      v: Not Hispanic or Latino
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
extension:
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex
  value: code
    v: F
identifier:
  use:
    v: usual
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
      code:
        v: MR
      display:
        v: Medical Record Number
  system:
    v: http://hospital.example.org
  value:
    v: MRN1234
name:
  family:
    v: M
  given:
    v: Jenny
gender:
  v: female
birth date:
  v: 1965-01-01
address:
  line:
    v: 123 Main St
  city:
    v: Anytown
  postal code:
    v: 12345
  country:
    v: United States
contact:
  telecom:
    system:
      v: phone
    value:
      v: 555-867-5309
    use:
      v: home
  telecom:
    system:
      v: email
communication:
  language:
    coding:
      system:
        v: urn:ietf:bcp:47
      code:
        v: en-US
    text:
      v: English

primary-cancer-condition-jenny-m
type: Condition
id:
  v: primary-cancer-condition-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition
    link: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition
text:
  status:
    v: extensions
  div: Generated Narrative: Condition primary-cancer-condition-jenny-m Histology-Morphology-Behavior Extension: Infiltrating duct carcinoma (morphologic abnormality) clinicalStatus: Remission verificationStatus: Confirmed category: Problem List Item code: Primary malignant neoplasm of female left breast (disorder) subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) onset: 2018-03-16 asserter: Practitioner Owen Oncologist Stages - Summary Assessment Type * American Joint Committee on Cancer stage IIIC (qualifier value) Observation Clinical TNM stage grouping American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)
extension:
  url:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-histology-morphology-behavior
  value: CodeableConcept
    coding: http://snomed.info/id/82711006
      system:
        v: http://snomed.info/sct
      code:
        v: 82711006
      display:
        v: Infiltrating duct carcinoma (morphologic abnormality)
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
    code:
      v: remission
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
    code:
      v: problem-list-item
code:
  coding: http://snomed.info/id/353431000119107
    system:
      v: http://snomed.info/sct
    code:
      v: 353431000119107
    display:
      v: Primary malignant neoplasm of female left breast (disorder)
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
onset: dateTime
  v: 2018-03-16
asserter:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
stage:
  summary:
    coding: http://snomed.info/id/1222806003
      system:
        v: http://snomed.info/sct
      code:
        v: 1222806003
      display:
        v: American Joint Committee on Cancer stage IIIC (qualifier value)
  assessment:
    link: http://hl7.org/fhir/us/mcode/Observation/tnm-clinical-stage-group-jenny-m
    reference:
      v: Observation/tnm-clinical-stage-group-jenny-m
  type:
    coding: http://snomed.info/id/897275008
      system:
        v: http://snomed.info/sct
      code:
        v: 897275008
      display:
        v: American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)

cancer-related-medication-request-cyclophosphamide-jenny-m
type: MedicationRequest
id:
  v: cancer-related-medication-request-cyclophosphamide-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request
    link: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request
text:
  status:
    v: extensions
  div: Generated Narrative: MedicationRequest cancer-related-medication-request-cyclophosphamide-jenny-m Procedure Intent Extension: Curative - procedure intent (qualifier value) status: Active intent: Order category: Outpatient medication: cyclophosphamide subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) authoredOn: 2018-04-12 requester: Practitioner Owen Oncologist reasonReference: Condition Primary malignant neoplasm of female left breast (disorder) dosageInstruction text: cyclophosphamide (600 mg/m² IV), 932.59mg timing: Once route: Intravenous route (qualifier value) DoseAndRates - Dose[x] * 932.59 mg (Details: UCUM codemg = 'mg') maxDosePerPeriod: 1/3 week (Details: UCUM codewk = 'wk')
extension:
  url:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
  value: CodeableConcept
    coding: http://snomed.info/id/373808002
      system:
        v: http://snomed.info/sct
      code:
        v: 373808002
      display:
        v: Curative - procedure intent (qualifier value)
status:
  v: active
intent:
  v: order
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/medicationrequest-category
    code:
      v: outpatient
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
    code:
      v: 3002
    display:
      v: cyclophosphamide
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
authored on:
  v: 2018-04-12
requester:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
reason reference:
  link: http://hl7.org/fhir/us/mcode/Condition/primary-cancer-condition-jenny-m
  reference:
    v: Condition/primary-cancer-condition-jenny-m
dosage instruction:
  text:
    v: cyclophosphamide (600 mg/m² IV), 932.59mg
  timing:
    repeat:
      bounds: Period
  route:
    coding: http://snomed.info/id/47625008
      system:
        v: http://snomed.info/sct
      code:
        v: 47625008
      display:
        v: Intravenous route (qualifier value)
  dose and rate:
    dose: Quantity
      value:
        v: 932.59
      unit:
        v: mg
      system:
        v: http://unitsofmeasure.org
      code:
        v: mg
  max dose per period:
    numerator:
      value:
        v: 1
    denominator:
      value:
        v: 3
      unit:
        v: week
      system:
        v: http://unitsofmeasure.org
      code:
        v: wk

cancer-related-medication-request-doxorubicin-jenny-m
type: MedicationRequest
id:
  v: cancer-related-medication-request-doxorubicin-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request
    link: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request
text:
  status:
    v: extensions
  div: Generated Narrative: MedicationRequest cancer-related-medication-request-doxorubicin-jenny-m Procedure Intent Extension: Curative - procedure intent (qualifier value) status: Active intent: Order category: Outpatient medication: DOXOrubicin subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) authoredOn: 2018-04-12 requester: Practitioner Owen Oncologist reasonReference: Condition Primary malignant neoplasm of female left breast (disorder) dosageInstruction text: doxorubicin (60 mg/m² IV) timing: Once route: Intravenous route (qualifier value) DoseAndRates - Rate[x] * 60 mg/m2 (Details: UCUM codemg/m2 = 'mg/m2') maxDosePerPeriod: 1/3 week (Details: UCUM codewk = 'wk')
extension:
  url:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
  value: CodeableConcept
    coding: http://snomed.info/id/373808002
      system:
        v: http://snomed.info/sct
      code:
        v: 373808002
      display:
        v: Curative - procedure intent (qualifier value)
status:
  v: active
intent:
  v: order
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/medicationrequest-category
    code:
      v: outpatient
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
    code:
      v: 3639
    display:
      v: DOXOrubicin
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
authored on:
  v: 2018-04-12
requester:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
reason reference:
  link: http://hl7.org/fhir/us/mcode/Condition/primary-cancer-condition-jenny-m
  reference:
    v: Condition/primary-cancer-condition-jenny-m
dosage instruction:
  text:
    v: doxorubicin (60 mg/m² IV)
  timing:
    repeat:
      bounds: Period
  route:
    coding: http://snomed.info/id/47625008
      system:
        v: http://snomed.info/sct
      code:
        v: 47625008
      display:
        v: Intravenous route (qualifier value)
  dose and rate:
    rate: Quantity
      value:
        v: 60
      unit:
        v: mg/m2
      system:
        v: http://unitsofmeasure.org
      code:
        v: mg/m2
  max dose per period:
    numerator:
      value:
        v: 1
    denominator:
      value:
        v: 3
      unit:
        v: week
      system:
        v: http://unitsofmeasure.org
      code:
        v: wk

cancer-related-medication-request-paclitaxel-jenny-m
type: MedicationRequest
id:
  v: cancer-related-medication-request-paclitaxel-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request
    link: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request
text:
  status:
    v: extensions
  div: Generated Narrative: MedicationRequest cancer-related-medication-request-paclitaxel-jenny-m Procedure Intent Extension: Curative - procedure intent (qualifier value) status: Active intent: Order category: Outpatient medication: PACLitaxel subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) authoredOn: 2018-04-12 requester: Practitioner Owen Oncologist reasonReference: Condition Primary malignant neoplasm of female left breast (disorder) dosageInstruction text: PACLitaxel (175 mg/m² IV), 272.01mg timing: Once route: Intravenous route (qualifier value) DoseAndRates - Dose[x] * 272.01 mg (Details: UCUM codemg = 'mg') maxDosePerPeriod: 1/3 week (Details: UCUM codewk = 'wk')
extension:
  url:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
  value: CodeableConcept
    coding: http://snomed.info/id/373808002
      system:
        v: http://snomed.info/sct
      code:
        v: 373808002
      display:
        v: Curative - procedure intent (qualifier value)
status:
  v: active
intent:
  v: order
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/medicationrequest-category
    code:
      v: outpatient
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
    code:
      v: 56946
    display:
      v: PACLitaxel
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
authored on:
  v: 2018-04-12
requester:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
reason reference:
  link: http://hl7.org/fhir/us/mcode/Condition/primary-cancer-condition-jenny-m
  reference:
    v: Condition/primary-cancer-condition-jenny-m
dosage instruction:
  text:
    v: PACLitaxel (175 mg/m² IV), 272.01mg
  timing:
    repeat:
      bounds: Period
  route:
    coding: http://snomed.info/id/47625008
      system:
        v: http://snomed.info/sct
      code:
        v: 47625008
      display:
        v: Intravenous route (qualifier value)
  dose and rate:
    dose: Quantity
      value:
        v: 272.01
      unit:
        v: mg
      system:
        v: http://unitsofmeasure.org
      code:
        v: mg
  max dose per period:
    numerator:
      value:
        v: 1
    denominator:
      value:
        v: 3
      unit:
        v: week
      system:
        v: http://unitsofmeasure.org
      code:
        v: wk

cancer-related-medication-request-anastrozole-jenny-m
type: MedicationRequest
id:
  v: cancer-related-medication-request-anastrozole-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request
    link: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request
text:
  status:
    v: extensions
  div: Generated Narrative: MedicationRequest cancer-related-medication-request-anastrozole-jenny-m Procedure Intent Extension: Curative - procedure intent (qualifier value) status: Active intent: Order category: Community medication: anastrozole subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) authoredOn: 2018-09-30 requester: Practitioner Owen Oncologist reasonReference: Condition Primary malignant neoplasm of female left breast (disorder) dosageInstruction text: 1mg orally once daily timing: Once route: Oral route (qualifier value) DoseAndRates - Dose[x] * 1 mg (Details: UCUM codemg = 'mg') maxDosePerPeriod: 1/1 day (Details: UCUM coded = 'd')
extension:
  url:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
  value: CodeableConcept
    coding: http://snomed.info/id/373808002
      system:
        v: http://snomed.info/sct
      code:
        v: 373808002
      display:
        v: Curative - procedure intent (qualifier value)
status:
  v: active
intent:
  v: order
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/medicationrequest-category
    code:
      v: community
medication: CodeableConcept
  coding:
    system:
      v: http://www.nlm.nih.gov/research/umls/rxnorm
    code:
      v: 84857
    display:
      v: anastrozole
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
authored on:
  v: 2018-09-30
requester:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
reason reference:
  link: http://hl7.org/fhir/us/mcode/Condition/primary-cancer-condition-jenny-m
  reference:
    v: Condition/primary-cancer-condition-jenny-m
dosage instruction:
  text:
    v: 1mg orally once daily
  timing:
    repeat:
      bounds: Period
  route:
    coding: http://snomed.info/id/26643006
      system:
        v: http://snomed.info/sct
      code:
        v: 26643006
      display:
        v: Oral route (qualifier value)
  dose and rate:
    dose: Quantity
      value:
        v: 1
      unit:
        v: mg
      system:
        v: http://unitsofmeasure.org
      code:
        v: mg
  max dose per period:
    numerator:
      value:
        v: 1
    denominator:
      value:
        v: 1
      unit:
        v: day
      system:
        v: http://unitsofmeasure.org
      code:
        v: d

cancer-disease-status-jenny-m
type: Observation
id:
  v: cancer-disease-status-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status
    link: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status
text:
  status:
    v: extensions
  div: Generated Narrative: Observation cancer-disease-status-jenny-m Cancer Disease Status Evidence Type Extension: Imaging (procedure) status: Final code: Cancer Disease Progression subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) focus: Condition Primary malignant neoplasm of female left breast (disorder) effective: 2018-11-01 performer: Practitioner Owen Oncologist value: Patient's condition improved (finding)
extension:
  url:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status-evidence-type
  value: CodeableConcept
    coding: http://snomed.info/id/363679005
      system:
        v: http://snomed.info/sct
      code:
        v: 363679005
      display:
        v: Imaging (procedure)
status:
  v: final
code:
  coding: https://loinc.org/rdf/97509-4
    system:
      v: http://loinc.org
    code:
      v: 97509-4
    display:
      v: Cancer Disease Progression
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
focus:
  link: http://hl7.org/fhir/us/mcode/Condition/primary-cancer-condition-jenny-m
  reference:
    v: Condition/primary-cancer-condition-jenny-m
effective: dateTime
  v: 2018-11-01
performer:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
value: CodeableConcept
  coding: http://snomed.info/id/268910001
    system:
      v: http://snomed.info/sct
    code:
      v: 268910001
    display:
      v: Patient's condition improved (finding)

genomic-variant-jenny-m
type: Observation
id:
  v: genomic-variant-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-variant
    link: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-variant
text:
  status:
    v: generated
  div: Generated Narrative: Observation genomic-variant-jenny-m status: Final category: Laboratory code: Genetic variant assessment subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) effective: 2018-03-15 performer: Practitioner Owen Oncologist value: Present method: Sequencing component code: Gene studied [ID] value: PALB2 component code: Discrete genetic variant value: NM_024675.3(PALB2):c.3549C>A (p.Tyr1183Ter) component code: Genomic DNA change (gHGVS) value: T}">NC_000016.10:g.23603471G>T component code: Genomic source class [Type] value: Somatic
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: laboratory
code:
  coding: https://loinc.org/rdf/69548-6
    system:
      v: http://loinc.org
    code:
      v: 69548-6
    display:
      v: Genetic variant assessment
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
effective: dateTime
  v: 2018-03-15
performer:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
value: CodeableConcept
  coding: LA9633-4
    system:
      v: http://loinc.org
    code:
      v: LA9633-4
    display:
      v: Present
method:
  coding: LA26398-0
    system:
      v: http://loinc.org
    code:
      v: LA26398-0
    display:
      v: Sequencing
component:
  code:
    coding: https://loinc.org/rdf/48018-6
      system:
        v: http://loinc.org
      code:
        v: 48018-6
  value: CodeableConcept
    coding:
      system:
        v: http://www.genenames.org
      code:
        v: HGNC:26144
      display:
        v: PALB2
component:
  code:
    coding: https://loinc.org/rdf/81252-9
      system:
        v: http://loinc.org
      code:
        v: 81252-9
  value: CodeableConcept
    coding:
      system:
        v: http://www.ncbi.nlm.nih.gov/clinvar
      code:
        v: 128144
      display:
        v: NM_024675.3(PALB2):c.3549C>A (p.Tyr1183Ter)
component:
  code:
    coding: https://loinc.org/rdf/81290-9
      system:
        v: http://loinc.org
      code:
        v: 81290-9
  value: CodeableConcept
    coding:
      system:
        v: http://varnomen.hgvs.org
      code:
        v: NC_000016.10:g.23603471G>T
component:
  code:
    coding: https://loinc.org/rdf/48002-0
      system:
        v: http://loinc.org
      code:
        v: 48002-0
  value: CodeableConcept
    coding: LA6684-0
      system:
        v: http://loinc.org
      code:
        v: LA6684-0
      display:
        v: Somatic

genomics-report-jenny-m
type: DiagnosticReport
id:
  v: genomics-report-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report
    link: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report
text:
  status:
    v: generated
  div: Generated Narrative: DiagnosticReport genomics-report-jenny-m Genetic analysis report (Genetics) Subject Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) When For 2018-03-15 Reported 2020-03-15 00:00:01+0000 Performer Practitioner Owen Oncologist Report Details Code Value Flags Reported Genetic variant assessment Present Final DNA region of interest panel Final 2018-03-15 00:00:01+0000
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0074
    code:
      v: GE
code:
  coding: https://loinc.org/rdf/51969-4
    system:
      v: http://loinc.org
    code:
      v: 51969-4
    display:
      v: Genetic analysis report
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
effective: dateTime
  v: 2018-03-15
issued:
  v: 2020-03-15T00:00:01+00:00
performer:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
specimen:
  link: http://hl7.org/fhir/us/mcode/Specimen/human-specimen-left-breast-jenny-m
  reference:
    v: Specimen/human-specimen-left-breast-jenny-m
result:
  link: http://hl7.org/fhir/us/mcode/Observation/genomic-variant-jenny-m
  reference:
    v: Observation/genomic-variant-jenny-m
result:
  link: http://hl7.org/fhir/us/mcode/Observation/genomic-region-studied-jenny-m
  reference:
    v: Observation/genomic-region-studied-jenny-m

cancer-related-surgical-procedure-jenny-m
type: Procedure
id:
  v: cancer-related-surgical-procedure-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-surgical-procedure
    link: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-surgical-procedure
text:
  status:
    v: extensions
  div: Generated Narrative: Procedure cancer-related-surgical-procedure-jenny-m Procedure Intent Extension: Curative - procedure intent (qualifier value) status: Completed code: Excision of part of breast (procedure) subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) performed: 2018-04-01 asserter: Practitioner Owen Oncologist reasonReference: Condition Primary malignant neoplasm of female left breast (disorder) bodySite: Left breast structure (body structure)
extension:
  url:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
  value: CodeableConcept
    coding: http://snomed.info/id/373808002
      system:
        v: http://snomed.info/sct
      code:
        v: 373808002
      display:
        v: Curative - procedure intent (qualifier value)
status:
  v: completed
code:
  coding: http://snomed.info/id/64368001
    system:
      v: http://snomed.info/sct
    code:
      v: 64368001
    display:
      v: Excision of part of breast (procedure)
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
performed: dateTime
  v: 2018-04-01
asserter:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
reason reference:
  link: http://hl7.org/fhir/us/mcode/Condition/primary-cancer-condition-jenny-m
  reference:
    v: Condition/primary-cancer-condition-jenny-m
body site:
  coding: http://snomed.info/id/80248007
    system:
      v: http://snomed.info/sct
    code:
      v: 80248007
    display:
      v: Left breast structure (body structure)

cancer-related-comorbidities-jenny-m
type: Observation
id:
  v: cancer-related-comorbidities-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities
    link: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities
text:
  status:
    v: extensions
  div: Generated Narrative: Observation cancer-related-comorbidities-jenny-m Related Condition Extension: Condition Depressive disorder (disorder) Related Condition Extension: Condition Anxiety (finding) Related Condition Extension: Condition Benign hypertensive heart disease without congestive heart failure (disorder) Related Condition Absent Extension: Obesity (disorder) Related Condition Absent Extension: Disorder of lung (disorder) status: Final category: Social History code: Co-morbid conditions (finding) subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) focus: Condition Primary malignant neoplasm of female left breast (disorder) effective: 2018-03-16 performer: Practitioner Owen Oncologist
extension:
  url:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition
  value: Reference
    link: http://hl7.org/fhir/us/mcode/Condition/us-core-condition-depression-jenny-m
    reference:
      v: Condition/us-core-condition-depression-jenny-m
extension:
  url:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition
  value: Reference
    link: http://hl7.org/fhir/us/mcode/Condition/us-core-condition-anxiety-jenny-m
    reference:
      v: Condition/us-core-condition-anxiety-jenny-m
extension:
  url:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition
  value: Reference
    link: http://hl7.org/fhir/us/mcode/Condition/us-core-condition-hypertension-jenny-m
    reference:
      v: Condition/us-core-condition-hypertension-jenny-m
extension:
  url:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent
  value: CodeableConcept
    coding: http://snomed.info/id/414916001
      system:
        v: http://snomed.info/sct
      code:
        v: 414916001
      display:
        v: Obesity (disorder)
extension:
  url:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent
  value: CodeableConcept
    coding: http://snomed.info/id/19829001
      system:
        v: http://snomed.info/sct
      code:
        v: 19829001
      display:
        v: Disorder of lung (disorder)
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: social-history
    display:
      v: Social History
code:
  coding: http://snomed.info/id/398192003
    system:
      v: http://snomed.info/sct
    code:
      v: 398192003
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
focus:
  link: http://hl7.org/fhir/us/mcode/Condition/primary-cancer-condition-jenny-m
  reference:
    v: Condition/primary-cancer-condition-jenny-m
effective: dateTime
  v: 2018-03-16
performer:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist

radiotherapy-treatment-summary-chest-wall-jenny-m
type: Procedure
id:
  v: radiotherapy-treatment-summary-chest-wall-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary
    link: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary
text:
  status:
    v: extensions
  div: Generated Narrative: Procedure radiotherapy-treatment-summary-chest-wall-jenny-m Radiotherapy Number of Sessions Extension: 31 Procedure Intent Extension: Curative - procedure intent Radiotherapy Modality And Technique Extension http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality: External beam radiation therapy using photons (procedure) http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique: Volumetric Modulated Arc Therapy (procedure) Radiotherapy Modality And Technique Extension http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality: Teleradiotherapy using electrons http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique: Three dimensional external beam radiation therapy (procedure) Radiotherapy Dose Delivered To Volume Extension volume: BodyStructure: identifier = 1.2.246.352…1 (use: usual, ); location = Chest wall structure (body structure); locationQualifier = Entire (qualifier value); description = Chest Wall totalDoseDelivered: 6000 cGy (Details: UCUM codecGy = 'cGy') fractionsDelivered: 30 Radiotherapy Dose Delivered To Volume Extension volume: BodyStructure: identifier = 1.2.246.352…2 (use: usual, ); location = Mediastinal lymph node structure (body structure); locationQualifier = Right and left (qualifier value); description = Chest Wall Lymph Nodes totalDoseDelivered: 5000 cGy (Details: UCUM codecGy = 'cGy') fractionsDelivered: 25 status: Completed code: Radiotherapy course of treatment subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) performed: 2018-08-15 --> 2018-10-25 asserter: Practitioner Kyle Anydoc reasonCode: Malignant neoplasm of overlapping sites of right female breast bodySite: Chest Wall Structure (body structure)
extension:
  url:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions
  value: unsignedInt
    v: 31
extension:
  url:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
  value: CodeableConcept
    coding: http://snomed.info/id/373808002
      system:
        v: http://snomed.info/sct
      code:
        v: 373808002
      display:
        v: Curative - procedure intent
extension:
  extension:
    url:
      v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality
    value: CodeableConcept
      coding: http://snomed.info/id/1156506007
  extension:
    url:
      v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique
    value: CodeableConcept
      coding: http://snomed.info/id/1156530009
  url:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
extension:
  extension:
    url:
      v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality
    value: CodeableConcept
      coding: http://snomed.info/id/45643008
  extension:
    url:
      v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique
    value: CodeableConcept
      coding: http://snomed.info/id/1162782007
  url:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
extension:
  extension:
    url:
      v: volume
    value: Reference
      link: http://hl7.org/fhir/us/mcode/BodyStructure/jenny-m-chest-wall-treatment-volume
      reference:
        v: BodyStructure/jenny-m-chest-wall-treatment-volume
  extension:
    url:
      v: totalDoseDelivered
    value: Quantity
      value:
        v: 6000
      system:
        v: http://unitsofmeasure.org
      code:
        v: cGy
  extension:
    url:
      v: fractionsDelivered
    value: unsignedInt
      v: 30
  url:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume
extension:
  extension:
    url:
      v: volume
    value: Reference
      link: http://hl7.org/fhir/us/mcode/BodyStructure/jenny-m-chest-wall-lymph-nodes-treatment-volume
      reference:
        v: BodyStructure/jenny-m-chest-wall-lymph-nodes-treatment-volume
  extension:
    url:
      v: totalDoseDelivered
    value: Quantity
      value:
        v: 5000
      system:
        v: http://unitsofmeasure.org
      code:
        v: cGy
  extension:
    url:
      v: fractionsDelivered
    value: unsignedInt
      v: 25
  url:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume
status:
  v: completed
code:
  coding: http://snomed.info/id/1217123003
    system:
      v: http://snomed.info/sct
    code:
      v: 1217123003
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
performed: Period
  start:
    v: 2018-08-15
  end:
    v: 2018-10-25
asserter:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-kyle-anydoc
  reference:
    v: Practitioner/us-core-practitioner-kyle-anydoc
reason code:
  coding:
    system:
      v: http://hl7.org/fhir/sid/icd-10-cm
    code:
      v: C50.811
    display:
      v: Malignant neoplasm of overlapping sites of right female breast
body site:
  coding: http://snomed.info/id/78904004
    system:
      v: http://snomed.info/sct
    code:
      v: 78904004
    display:
      v: Chest Wall Structure (body structure)

tnm-clinical-stage-group-jenny-m
type: Observation
id:
  v: tnm-clinical-stage-group-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-stage-group
    link: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-stage-group
text:
  status:
    v: generated
  div: Generated Narrative: Observation tnm-clinical-stage-group-jenny-m status: Final category: Imaging code: Clinical TNM stage grouping subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) focus: Condition Primary malignant neoplasm of female left breast (disorder) effective: 2018-03-16 performer: Practitioner Owen Oncologist value: American Joint Committee on Cancer stage IIB (qualifier value) method: American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging) hasMember: Observation pT category Observation pN category Observation pM category
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: imaging
    display:
      v: Imaging
code:
  coding: http://snomed.info/id/399537006
    system:
      v: http://snomed.info/sct
    code:
      v: 399537006
    display:
      v: Clinical TNM stage grouping
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
focus:
  link: http://hl7.org/fhir/us/mcode/Condition/primary-cancer-condition-jenny-m
  reference:
    v: Condition/primary-cancer-condition-jenny-m
effective: dateTime
  v: 2018-03-16
performer:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
value: CodeableConcept
  coding: http://snomed.info/id/1222769001
    system:
      v: http://snomed.info/sct
    code:
      v: 1222769001
    display:
      v: American Joint Committee on Cancer stage IIB (qualifier value)
method:
  coding: http://snomed.info/id/897275008
    system:
      v: http://snomed.info/sct
    code:
      v: 897275008
    display:
      v: American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)
has member:
  link: http://hl7.org/fhir/us/mcode/Observation/tnm-pathologic-primary-tumor-category-jenny-m
  reference:
    v: Observation/tnm-pathologic-primary-tumor-category-jenny-m
has member:
  link: http://hl7.org/fhir/us/mcode/Observation/tnm-pathologic-regional-nodes-category-jenny-m
  reference:
    v: Observation/tnm-pathologic-regional-nodes-category-jenny-m
has member:
  link: http://hl7.org/fhir/us/mcode/Observation/tnm-pathologic-distant-metastases-category-jenny-m
  reference:
    v: Observation/tnm-pathologic-distant-metastases-category-jenny-m

tnm-clinical-primary-tumor-category-jenny-m
type: Observation
id:
  v: tnm-clinical-primary-tumor-category-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category
    link: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-primary-tumor-category
text:
  status:
    v: generated
  div: Generated Narrative: Observation tnm-clinical-primary-tumor-category-jenny-m status: Final category: Imaging code: cT category subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) effective: 2018-03-16 performer: Practitioner Owen Oncologist value: American Joint Committee on Cancer cT3 (qualifier value) method: American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: imaging
    display:
      v: Imaging
code:
  coding: http://snomed.info/id/399504009
    system:
      v: http://snomed.info/sct
    code:
      v: 399504009
    display:
      v: cT category
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
effective: dateTime
  v: 2018-03-16
performer:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
value: CodeableConcept
  coding: http://snomed.info/id/1228938002
    system:
      v: http://snomed.info/sct
    code:
      v: 1228938002
    display:
      v: American Joint Committee on Cancer cT3 (qualifier value)
method:
  coding: http://snomed.info/id/897275008
    system:
      v: http://snomed.info/sct
    code:
      v: 897275008
    display:
      v: American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)

tnm-clinical-regional-nodes-category-jenny-m
type: Observation
id:
  v: tnm-clinical-regional-nodes-category-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-regional-nodes-category
    link: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-regional-nodes-category
text:
  status:
    v: generated
  div: Generated Narrative: Observation tnm-clinical-regional-nodes-category-jenny-m status: Final category: Imaging code: cN category subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) effective: 2018-03-16 performer: Practitioner Owen Oncologist value: American Joint Committee on Cancer cN0 (qualifier value) method: American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: imaging
    display:
      v: Imaging
code:
  coding: http://snomed.info/id/399534004
    system:
      v: http://snomed.info/sct
    code:
      v: 399534004
    display:
      v: cN category
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
effective: dateTime
  v: 2018-03-16
performer:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
value: CodeableConcept
  coding: http://snomed.info/id/1229967007
    system:
      v: http://snomed.info/sct
    code:
      v: 1229967007
    display:
      v: American Joint Committee on Cancer cN0 (qualifier value)
method:
  coding: http://snomed.info/id/897275008
    system:
      v: http://snomed.info/sct
    code:
      v: 897275008
    display:
      v: American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)

tnm-clinical-distant-metastases-category-jenny-m
type: Observation
id:
  v: tnm-clinical-distant-metastases-category-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category
    link: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tnm-distant-metastases-category
text:
  status:
    v: generated
  div: Generated Narrative: Observation tnm-clinical-distant-metastases-category-jenny-m status: Final category: Imaging code: cM category subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) effective: 2018-03-16 performer: Practitioner Owen Oncologist value: American Joint Committee on Cancer cM0 (qualifier value) method: American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: imaging
    display:
      v: Imaging
code:
  coding: http://snomed.info/id/399387003
    system:
      v: http://snomed.info/sct
    code:
      v: 399387003
    display:
      v: cM category
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
effective: dateTime
  v: 2018-03-16
performer:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
value: CodeableConcept
  coding: http://snomed.info/id/1229901006
    system:
      v: http://snomed.info/sct
    code:
      v: 1229901006
    display:
      v: American Joint Committee on Cancer cM0 (qualifier value)
method:
  coding: http://snomed.info/id/897275008
    system:
      v: http://snomed.info/sct
    code:
      v: 897275008
    display:
      v: American Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)

human-specimen-left-breast-jenny-m
type: Specimen
id:
  v: human-specimen-left-breast-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-human-specimen
    link: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-human-specimen
text:
  status:
    v: generated
  div: Generated Narrative: Specimen human-specimen-left-breast-jenny-m status: Available type: Tissue subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) Collections - Collector BodySite * Practitioner Owen Oncologist Left breast structure (body structure) Processings - Time[x] * 2018-03-06
status:
  v: available
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0487
    code:
      v: TISS
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
collection:
  collector:
    link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
    reference:
      v: Practitioner/us-core-practitioner-owen-oncologist
  body site:
    coding: http://snomed.info/id/80248007
      system:
        v: http://snomed.info/sct
      code:
        v: 80248007
      display:
        v: Left breast structure (body structure)
processing:
  time: dateTime
    v: 2018-03-06

genomic-region-studied-jenny-m
type: Observation
id:
  v: genomic-region-studied-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-region-studied
    link: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomic-region-studied
text:
  status:
    v: generated
  div: Generated Narrative: Observation genomic-region-studied-jenny-m status: Final category: Laboratory code: DNA region of interest panel subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) effective: 2018-03-15 issued: 2018-03-15 00:00:01+0000 performer: Practitioner Owen Oncologist Components - Code Value[x] * Gene studied [ID] BRCA1
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: laboratory
code:
  coding: https://loinc.org/rdf/53041-0
    system:
      v: http://loinc.org
    code:
      v: 53041-0
    display:
      v: DNA region of interest panel
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
effective: dateTime
  v: 2018-03-15
issued:
  v: 2018-03-15T00:00:01+00:00
performer:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
component:
  code:
    coding: https://loinc.org/rdf/48018-6
      system:
        v: http://loinc.org
      code:
        v: 48018-6
      display:
        v: Gene studied [ID]
  value: CodeableConcept
    coding:
      system:
        v: http://www.genenames.org
      code:
        v: 1100
      display:
        v: BRCA1
    coding:
      system:
        v: http://www.genenames.org
      code:
        v: 1101
      display:
        v: BRCA2
    coding:
      system:
        v: http://www.genenames.org
      code:
        v: 1748
      display:
        v: CDH1
    coding:
      system:
        v: http://www.genenames.org
      code:
        v: 26144
      display:
        v: PALB2
    coding:
      system:
        v: http://www.genenames.org
      code:
        v: 9588
      display:
        v: PTEN
    coding:
      system:
        v: http://www.genenames.org
      code:
        v: 11389
      display:
        v: STK11
    coding:
      system:
        v: http://www.genenames.org
      code:
        v: 11998
      display:
        v: TP53

ecog-performance-status-jenny-m
type: Observation
id:
  v: ecog-performance-status-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-ecog-performance-status
    link: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-ecog-performance-status
text:
  status:
    v: generated
  div: Generated Narrative: Observation ecog-performance-status-jenny-m status: Final category: Survey code: ECOG Performance Status score subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) effective: 2018-04-12 performer: Practitioner Owen Oncologist value: 0 interpretation: Fully active, able to carry on all pre-disease performance without restriction method: Physical examination procedure (procedure)
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: survey
    display:
      v: Survey
code:
  coding: https://loinc.org/rdf/89247-1
    system:
      v: http://loinc.org
    code:
      v: 89247-1
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
effective: dateTime
  v: 2018-04-12
performer:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
value: integer
  v: 0
interpretation:
  coding: LA9622-7
    system:
      v: http://loinc.org
    code:
      v: LA9622-7
    display:
      v: Fully active, able to carry on all pre-disease performance without restriction
method:
  coding: http://snomed.info/id/5880005
    system:
      v: http://snomed.info/sct
    code:
      v: 5880005
    display:
      v: Physical examination procedure (procedure)

tumor-marker-test-er-jenny-m
type: Observation
id:
  v: tumor-marker-test-er-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test
    link: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test
text:
  status:
    v: generated
  div: Generated Narrative: Observation tumor-marker-test-er-jenny-m status: Final category: Laboratory code: Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stain subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) effective: 2018-03-10 performer: Practitioner Owen Oncologist value: Positive
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: laboratory
code:
  coding: https://loinc.org/rdf/85337-4
    system:
      v: http://loinc.org
    code:
      v: 85337-4
    display:
      v: Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stain
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
effective: dateTime
  v: 2018-03-10
performer:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
value: CodeableConcept
  coding: LA6576-8
    system:
      v: http://loinc.org
    code:
      v: LA6576-8
    display:
      v: Positive

tumor-marker-test-pr-jenny-m
type: Observation
id:
  v: tumor-marker-test-pr-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test
    link: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test
text:
  status:
    v: generated
  div: Generated Narrative: Observation tumor-marker-test-pr-jenny-m status: Final category: Laboratory code: Progesterone receptor Ag [Presence] in Breast cancer specimen by Immune stain subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) effective: 2018-03-10 performer: Practitioner Owen Oncologist value: Negative
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: laboratory
code:
  coding: https://loinc.org/rdf/85339-0
    system:
      v: http://loinc.org
    code:
      v: 85339-0
    display:
      v: Progesterone receptor Ag [Presence] in Breast cancer specimen by Immune stain
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
effective: dateTime
  v: 2018-03-10
performer:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
value: CodeableConcept
  coding: LA6577-6
    system:
      v: http://loinc.org
    code:
      v: LA6577-6
    display:
      v: Negative

tumor-marker-test-her2-jenny-m
type: Observation
id:
  v: tumor-marker-test-her2-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test
    link: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test
text:
  status:
    v: generated
  div: Generated Narrative: Observation tumor-marker-test-her2-jenny-m status: Final category: Laboratory code: HER2 [Interpretation] in Tissue subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) effective: 2018-03-10 performer: Practitioner Owen Oncologist value: Negative
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: laboratory
code:
  coding: https://loinc.org/rdf/48676-1
    system:
      v: http://loinc.org
    code:
      v: 48676-1
    display:
      v: HER2 [Interpretation] in Tissue
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
effective: dateTime
  v: 2018-03-10
performer:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
value: CodeableConcept
  coding: LA6577-6
    system:
      v: http://loinc.org
    code:
      v: LA6577-6
    display:
      v: Negative

tumor-marker-test-oncotype-dx-jenny-m
type: Observation
id:
  v: tumor-marker-test-oncotype-dx-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test
    link: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-marker-test
text:
  status:
    v: generated
  div: Generated Narrative: Observation tumor-marker-test-oncotype-dx-jenny-m status: Final category: Laboratory code: Oncotype DX Breast Recurrence Score Assay subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) effective: 2018-04-12 performer: Organization Bedrock Medicine value: 47 Recurrence score (Details: UCUM code1 = '1') interpretation: High
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: laboratory
code:
  coding:
    system:
      v: http://www.ncbi.nlm.nih.gov/gtr
    code:
      v: 509910
    display:
      v: Oncotype DX Breast Recurrence Score Assay
  text:
    v: Oncotype DX Breast Recurrence Score Assay
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
effective: dateTime
  v: 2018-04-12
performer:
  link: http://hl7.org/fhir/us/mcode/Organization/us-core-organization-bedrock-medicine
  reference:
    v: Organization/us-core-organization-bedrock-medicine
value: Quantity
  value:
    v: 47
  unit:
    v: Recurrence score
  system:
    v: http://unitsofmeasure.org
  code:
    v: 1
interpretation:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
    code:
      v: H
    display:
      v: High

tumor-size-jenny-m
type: Observation
id:
  v: tumor-size-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-size
    link: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-size
text:
  status:
    v: generated
  div: Generated Narrative: Observation tumor-size-jenny-m status: Final category: Laboratory code: Size Tumor subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) effective: 2018-04-01 00:00:00+0000 performer: Practitioner Owen Oncologist method: Gross examination and sampling of tissue specimen (procedure) specimen: Specimen: identifier = BodyStructure (use: usual, ); status = available; type = Tumor; receivedTime = 2018-04-01 Components - Code Value[x] * Size.maximum dimension in Tumor 2.5 centimeters (Details: UCUM codecm = 'cm')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: laboratory
code:
  coding: https://loinc.org/rdf/21889-1
    system:
      v: http://loinc.org
    code:
      v: 21889-1
    display:
      v: Size Tumor
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
effective: dateTime
  v: 2018-04-01T00:00:00Z
performer:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
method:
  coding: http://snomed.info/id/787377000
    system:
      v: http://snomed.info/sct
    code:
      v: 787377000
    display:
      v: Gross examination and sampling of tissue specimen (procedure)
specimen:
  link: http://hl7.org/fhir/us/mcode/Specimen/tumor-specimen-left-breast-jenny-m
  reference:
    v: Specimen/tumor-specimen-left-breast-jenny-m
component:
  code:
    coding: https://loinc.org/rdf/33728-7
      system:
        v: http://loinc.org
      code:
        v: 33728-7
  value: Quantity
    value:
      v: 2.5
    unit:
      v: centimeters
    system:
      v: http://unitsofmeasure.org
    code:
      v: cm

us-core-procedure-biopsy-jenny-m
type: Procedure
id:
  v: us-core-procedure-biopsy-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure
    link: http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure
text:
  status:
    v: generated
  div: Generated Narrative: Procedure us-core-procedure-biopsy-jenny-m status: Completed code: Biopsy of breast using ultrasonographic guidance (procedure) subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) performed: 2018-03-06 asserter: Practitioner Mary Obgyn Performers - Actor * Practitioner Mary Obgyn reasonReference: Condition Primary malignant neoplasm of female left breast (disorder) bodySite: Left breast structure (body structure)
status:
  v: completed
code:
  coding: http://snomed.info/id/723990008
    system:
      v: http://snomed.info/sct
    code:
      v: 723990008
    display:
      v: Biopsy of breast using ultrasonographic guidance (procedure)
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
performed: dateTime
  v: 2018-03-06
asserter:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-mary-obgyn
  reference:
    v: Practitioner/us-core-practitioner-mary-obgyn
performer:
  actor:
    link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-mary-obgyn
    reference:
      v: Practitioner/us-core-practitioner-mary-obgyn
reason reference:
  link: http://hl7.org/fhir/us/mcode/Condition/primary-cancer-condition-jenny-m
  reference:
    v: Condition/primary-cancer-condition-jenny-m
body site:
  coding: http://snomed.info/id/80248007
    system:
      v: http://snomed.info/sct
    code:
      v: 80248007
    display:
      v: Left breast structure (body structure)

bodyweight-jenny-m-2018-03-16
type: Observation
id:
  v: bodyweight-jenny-m-2018-03-16
meta:
  profile:
    v: http://hl7.org/fhir/StructureDefinition/bodyweight
    link: http://hl7.org/fhir/StructureDefinition/bodyweight
text:
  status:
    v: generated
  div: Generated Narrative: Observation bodyweight-jenny-m-2018-03-16 status: Final category: Vital Signs code: Body weight subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) effective: 2018-03-06 performer: Practitioner Owen Oncologist value: 155 lb (Details: UCUM code[lb_av] = '[lb_av]')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: vital-signs
code:
  coding: https://loinc.org/rdf/29463-7
    system:
      v: http://loinc.org
    code:
      v: 29463-7
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
effective: dateTime
  v: 2018-03-06
performer:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
value: Quantity
  value:
    v: 155
  unit:
    v: lb
  system:
    v: http://unitsofmeasure.org
  code:
    v: [lb_av]

us-core-observation-lab-neutrophils-jenny-m
type: Observation
id:
  v: us-core-observation-lab-neutrophils-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab
    link: http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab
text:
  status:
    v: generated
  div: Generated Narrative: Observation us-core-observation-lab-neutrophils-jenny-m status: Final category: Laboratory code: Neutrophils [#/volume] in Blood subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) effective: 2018-05-20 00:00:00+0000 performer: Practitioner Owen Oncologist value: 3000 10*3/uL (Details: UCUM code10*3/uL = '10*3/uL') ReferenceRanges - Low High Type * 2500 10*3/uL (Details: UCUM code10*3/uL = '10*3/uL') 5000 10*3/uL (Details: UCUM code10*3/uL = '10*3/uL') Normal Range
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: laboratory
code:
  coding: https://loinc.org/rdf/26499-4
    system:
      v: http://loinc.org
    code:
      v: 26499-4
    display:
      v: Neutrophils [#/volume] in Blood
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
effective: dateTime
  v: 2018-05-20T00:00:00Z
performer:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
value: Quantity
  value:
    v: 3000
  unit:
    v: 10*3/uL
  system:
    v: http://unitsofmeasure.org
  code:
    v: 10*3/uL
reference range:
  low:
    value:
      v: 2500
    unit:
      v: 10*3/uL
    system:
      v: http://unitsofmeasure.org
    code:
      v: 10*3/uL
  high:
    value:
      v: 5000
    unit:
      v: 10*3/uL
    system:
      v: http://unitsofmeasure.org
    code:
      v: 10*3/uL
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/referencerange-meaning
      code:
        v: normal
      display:
        v: Normal Range

us-core-organization-physician-services-inc
type: Organization
id:
  v: us-core-organization-physician-services-inc
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization
    link: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization
text:
  status:
    v: generated
  div: Generated Narrative: Organization us-core-organization-physician-services-inc active: true type: Healthcare Provider name: Physician Services, Inc. telecom: ph: 999-999-9999(Work) address: 123 Corporate Drive Anytown MA 12345 US
active:
  v: true
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/organization-type
    code:
      v: prov
    display:
      v: Healthcare Provider
name:
  v: Physician Services, Inc.
telecom:
  system:
    v: phone
  value:
    v: 999-999-9999
  use:
    v: work
address:
  line:
    v: 123 Corporate Drive
  city:
    v: Anytown
  state:
    v: MA
  postal code:
    v: 12345
  country:
    v: US

us-core-smokingstatus-jenny-m
type: Observation
id:
  v: us-core-smokingstatus-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus
    link: http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus
text:
  status:
    v: generated
  div: Generated Narrative: Observation us-core-smokingstatus-jenny-m status: Final category: Social History code: Tobacco smoking status subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) effective: 2018-03-16 issued: 2018-03-16 00:00:00+0000 performer: Practitioner Owen Oncologist value: Smokes tobacco daily (finding)
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: social-history
code:
  coding: https://loinc.org/rdf/72166-2
    system:
      v: http://loinc.org
    code:
      v: 72166-2
    display:
      v: Tobacco smoking status
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
effective: dateTime
  v: 2018-03-16
issued:
  v: 2018-03-16T00:00:00Z
performer:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
value: CodeableConcept
  coding: http://snomed.info/id/449868002
    system:
      v: http://snomed.info/sct
    code:
      v: 449868002
    display:
      v: Smokes tobacco daily (finding)

us-core-procedure-mammogram-jenny-m
type: Procedure
id:
  v: us-core-procedure-mammogram-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure
    link: http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure
text:
  status:
    v: generated
  div: Generated Narrative: Procedure us-core-procedure-mammogram-jenny-m status: Completed code: Mammography (procedure) subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) performed: 2018-02-01 asserter: Practitioner Mary Obgyn Performers - Actor * Practitioner Jane Radiologist reasonCode: Screening - procedure intent (qualifier value)
status:
  v: completed
code:
  coding: http://snomed.info/id/71651007
    system:
      v: http://snomed.info/sct
    code:
      v: 71651007
    display:
      v: Mammography (procedure)
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
performed: dateTime
  v: 2018-02-01
asserter:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-mary-obgyn
  reference:
    v: Practitioner/us-core-practitioner-mary-obgyn
performer:
  actor:
    link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-jane-radiotech
    reference:
      v: Practitioner/us-core-practitioner-jane-radiotech
reason code:
  coding: http://snomed.info/id/360156006
    system:
      v: http://snomed.info/sct
    code:
      v: 360156006
    display:
      v: Screening - procedure intent (qualifier value)

family-member-history-aunt-jenny-m
type: FamilyMemberHistory
id:
  v: family-member-history-aunt-jenny-m
text:
  status:
    v: generated
  div: Generated Narrative: FamilyMemberHistory family-member-history-aunt-jenny-m status: Completed patient: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) relationship: maternal aunt Conditions - Code Onset[x] * Malignant tumor of ovary (disorder) 69 a (Details: UCUM codea = 'a')
status:
  v: completed
patient:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
relationship:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
    code:
      v: MAUNT
    display:
      v: maternal aunt
condition:
  code:
    coding: http://snomed.info/id/363443007
      system:
        v: http://snomed.info/sct
      code:
        v: 363443007
      display:
        v: Malignant tumor of ovary (disorder)
  onset: Age
    value:
      v: 69
    system:
      v: http://unitsofmeasure.org
    code:
      v: a

family-member-history-uncle-jenny-m
type: FamilyMemberHistory
id:
  v: family-member-history-uncle-jenny-m
text:
  status:
    v: generated
  div: Generated Narrative: FamilyMemberHistory family-member-history-uncle-jenny-m status: Completed patient: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) relationship: paternal uncle deceased: true Conditions - Code ContributedToDeath * Malignant tumor of pancreas (disorder) true
status:
  v: completed
patient:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
relationship:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
    code:
      v: PUNCLE
    display:
      v: paternal uncle
deceased: boolean
  v: true
condition:
  code:
    coding: http://snomed.info/id/363418001
      system:
        v: http://snomed.info/sct
      code:
        v: 363418001
      display:
        v: Malignant tumor of pancreas (disorder)
  contributed to death:
    v: true

us-core-diagnosticreport-lab-jenny-m
type: DiagnosticReport
id:
  v: us-core-diagnosticreport-lab-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab
    link: http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab
text:
  status:
    v: generated
  div: Generated Narrative: DiagnosticReport us-core-diagnosticreport-lab-jenny-m Pathology report final diagnosis Narrative (Laboratory) Subject Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) When For 2018-04-01 00:00:00+0000 Reported 2018-04-05 00:00:00+0000 Performer Practitioner Owen Oncologist Report Details Code Value Flags When For Status of invasion by tumor Negative (qualifier value) Final Margin involvement in Breast tumor Uninvolved by invasive carcinoma Final Sentinel lymph nodes with metastasis [#] in Cancer specimen Final Size Tumor Final DCIS intraductal extension in Breast cancer specimen Qualitative by Light microscopy DCIS present with extensive intraductal component (EIC) Final HER2 [Interpretation] in Tissue Negative Final 2018-03-10 Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stain Positive Final 2018-03-10 Progesterone receptor Ag [Presence] in Breast cancer specimen by Immune stain Negative Final 2018-03-10 Histologic grade [Score] in Breast cancer specimen by Nottingham Nottingham grade 2 Final
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0074
    code:
      v: LAB
code:
  coding: https://loinc.org/rdf/22637-3
    system:
      v: http://loinc.org
    code:
      v: 22637-3
    display:
      v: Pathology report final diagnosis Narrative
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
effective: dateTime
  v: 2018-04-01T00:00:00Z
issued:
  v: 2018-04-05T00:00:00Z
performer:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
results interpreter:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-peter-pathologist
  reference:
    v: Practitioner/us-core-practitioner-peter-pathologist
specimen:
  link: http://hl7.org/fhir/us/mcode/Specimen/tumor-specimen-left-breast-jenny-m
  reference:
    v: Specimen/tumor-specimen-left-breast-jenny-m
result:
  link: http://hl7.org/fhir/us/mcode/Observation/us-core-observation-lab-tumor-invasion-jenny-m
  reference:
    v: Observation/us-core-observation-lab-tumor-invasion-jenny-m
result:
  link: http://hl7.org/fhir/us/mcode/Observation/us-core-observation-lab-tumor-margins-jenny-m
  reference:
    v: Observation/us-core-observation-lab-tumor-margins-jenny-m
result:
  link: http://hl7.org/fhir/us/mcode/Observation/us-core-observation-lab-sentinel-nodes-jenny-m
  reference:
    v: Observation/us-core-observation-lab-sentinel-nodes-jenny-m
result:
  link: http://hl7.org/fhir/us/mcode/Observation/tumor-size-jenny-m
  reference:
    v: Observation/tumor-size-jenny-m
result:
  link: http://hl7.org/fhir/us/mcode/Observation/us-core-observation-lab-tumor-dcis-jenny-m
  reference:
    v: Observation/us-core-observation-lab-tumor-dcis-jenny-m
result:
  link: http://hl7.org/fhir/us/mcode/Observation/tumor-marker-test-her2-jenny-m
  reference:
    v: Observation/tumor-marker-test-her2-jenny-m
result:
  link: http://hl7.org/fhir/us/mcode/Observation/tumor-marker-test-er-jenny-m
  reference:
    v: Observation/tumor-marker-test-er-jenny-m
result:
  link: http://hl7.org/fhir/us/mcode/Observation/tumor-marker-test-pr-jenny-m
  reference:
    v: Observation/tumor-marker-test-pr-jenny-m
result:
  link: http://hl7.org/fhir/us/mcode/Observation/us-core-observation-lab-tumor-grade-jenny-m
  reference:
    v: Observation/us-core-observation-lab-tumor-grade-jenny-m

observation-smoking-pack-years-jenny-m
type: Observation
id:
  v: observation-smoking-pack-years-jenny-m
text:
  status:
    v: generated
  div: Generated Narrative: Observation observation-smoking-pack-years-jenny-m status: Final category: Social History code: Cigarette pack-years (observable entity) subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) effective: 2018-03-16 performer: Practitioner Owen Oncologist value: 20 Pack-Years (Details: UCUM code1 = '1')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: social-history
    display:
      v: Social History
code:
  coding: http://snomed.info/id/401201003
    system:
      v: http://snomed.info/sct
    code:
      v: 401201003
    display:
      v: Cigarette pack-years (observable entity)
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
effective: dateTime
  v: 2018-03-16
performer:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
value: Quantity
  value:
    v: 20
  unit:
    v: Pack-Years
  system:
    v: http://unitsofmeasure.org
  code:
    v: 1

us-core-observation-lab-tumor-invasion-jenny-m
type: Observation
id:
  v: us-core-observation-lab-tumor-invasion-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab
    link: http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab
text:
  status:
    v: generated
  div: Generated Narrative: Observation us-core-observation-lab-tumor-invasion-jenny-m status: Final category: Laboratory code: Status of invasion by tumor subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) effective: 2018-04-01 00:00:00+0000 performer: Practitioner Owen Oncologist value: Negative (qualifier value) specimen: Specimen: identifier = BodyStructure (use: usual, ); status = available; type = Tumor; receivedTime = 2018-04-01
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: laboratory
code:
  coding: http://snomed.info/id/370052007
    system:
      v: http://snomed.info/sct
    code:
      v: 370052007
    display:
      v: Status of invasion by tumor
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
effective: dateTime
  v: 2018-04-01T00:00:00Z
performer:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
value: CodeableConcept
  coding: http://snomed.info/id/260385009
    system:
      v: http://snomed.info/sct
    code:
      v: 260385009
    display:
      v: Negative (qualifier value)
specimen:
  link: http://hl7.org/fhir/us/mcode/Specimen/tumor-specimen-left-breast-jenny-m
  reference:
    v: Specimen/tumor-specimen-left-breast-jenny-m

us-core-observation-lab-tumor-margins-jenny-m
type: Observation
id:
  v: us-core-observation-lab-tumor-margins-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab
    link: http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab
text:
  status:
    v: generated
  div: Generated Narrative: Observation us-core-observation-lab-tumor-margins-jenny-m status: Final category: Laboratory code: Margin involvement in Breast tumor subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) effective: 2018-04-01 00:00:00+0000 performer: Practitioner Owen Oncologist value: Uninvolved by invasive carcinoma specimen: Specimen: identifier = BodyStructure (use: usual, ); status = available; type = Tumor; receivedTime = 2018-04-01
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: laboratory
code:
  coding: https://loinc.org/rdf/44669-0
    system:
      v: http://loinc.org
    code:
      v: 44669-0
    display:
      v: Margin involvement in Breast tumor
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
effective: dateTime
  v: 2018-04-01T00:00:00Z
performer:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
value: CodeableConcept
  coding: LA27151-2
    system:
      v: http://loinc.org
    code:
      v: LA27151-2
    display:
      v: Uninvolved by invasive carcinoma
specimen:
  link: http://hl7.org/fhir/us/mcode/Specimen/tumor-specimen-left-breast-jenny-m
  reference:
    v: Specimen/tumor-specimen-left-breast-jenny-m

us-core-observation-lab-sentinel-nodes-jenny-m
type: Observation
id:
  v: us-core-observation-lab-sentinel-nodes-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab
    link: http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab
text:
  status:
    v: generated
  div: Generated Narrative: Observation us-core-observation-lab-sentinel-nodes-jenny-m status: Final category: Laboratory code: Sentinel lymph nodes with metastasis [#] in Cancer specimen subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) effective: 2018-04-01 00:00:00+0000 performer: Practitioner Owen Oncologist specimen: Specimen: identifier = BodyStructure (use: usual, ); status = available; type = Tumor; receivedTime = 2018-04-01 Components - Code Value[x] * Lymph nodes examined [#] in Cancer specimen by Light microscopy 3 Count (Details: UCUM code1 = '1')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: laboratory
code:
  coding: https://loinc.org/rdf/92832-5
    system:
      v: http://loinc.org
    code:
      v: 92832-5
    display:
      v: Sentinel lymph nodes with metastasis [#] in Cancer specimen
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
effective: dateTime
  v: 2018-04-01T00:00:00Z
performer:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
specimen:
  link: http://hl7.org/fhir/us/mcode/Specimen/tumor-specimen-left-breast-jenny-m
  reference:
    v: Specimen/tumor-specimen-left-breast-jenny-m
component:
  code:
    coding: https://loinc.org/rdf/92833-3
      system:
        v: http://loinc.org
      code:
        v: 92833-3
      display:
        v: Lymph nodes examined [#] in Cancer specimen by Light microscopy
  value: Quantity
    value:
      v: 3
    unit:
      v: Count
    system:
      v: http://unitsofmeasure.org
    code:
      v: 1

us-core-observation-lab-tumor-dcis-jenny-m
type: Observation
id:
  v: us-core-observation-lab-tumor-dcis-jenny-m
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab
    link: http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab
text:
  status:
    v: generated
  div: Generated Narrative: Observation us-core-observation-lab-tumor-dcis-jenny-m status: Final category: Laboratory code: DCIS intraductal extension in Breast cancer specimen Qualitative by Light microscopy subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) effective: 2018-04-01 00:00:00+0000 performer: Practitioner Owen Oncologist value: DCIS present with extensive intraductal component (EIC) specimen: Specimen: identifier = BodyStructure (use: usual, ); status = available; type = Tumor; receivedTime = 2018-04-01
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: laboratory
code:
  coding: https://loinc.org/rdf/85336-6
    system:
      v: http://loinc.org
    code:
      v: 85336-6
    display:
      v: DCIS intraductal extension in Breast cancer specimen Qualitative by Light microscopy
subject:
  link: http://hl7.org/fhir/us/mcode/Patient/cancer-patient-jenny-m
  reference:
    v: Patient/cancer-patient-jenny-m
effective: dateTime
  v: 2018-04-01T00:00:00Z
performer:
  link: http://hl7.org/fhir/us/mcode/Practitioner/us-core-practitioner-owen-oncologist
  reference:
    v: Practitioner/us-core-practitioner-owen-oncologist
value: CodeableConcept
  coding: LA27261-9
    system:
      v: http://loinc.org
    code:
      v: LA27261-9
    display:
      v: DCIS present with extensive intraductal component (EIC)
specimen:
  link: http://hl7.org/fhir/us/mcode/Specimen/tumor-specimen-left-breast-jenny-m
  reference:
    v: Specimen/tumor-specimen-left-breast-jenny-m

us-core-practitioner-owen-oncologist
type: Practitioner
id:
  v: us-core-practitioner-owen-oncologist
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
    link: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
text:
  status:
    v: generated
  div: Generated Narrative: Practitioner us-core-practitioner-owen-oncologist identifier: NPI/9988776651 name: Owen Oncologist address: 123 Corporate Drive Anytown MA 12345 US (work) gender: Male Qualifications - Code * Doctor of Medicine
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
  value:
    v: 9988776651
name:
  family:
    v: Oncologist
  given:
    v: Owen
  prefix:
    v: Dr.
address:
  use:
    v: work
  line:
    v: 123 Corporate Drive
  city:
    v: Anytown
  state:
    v: MA
  postal code:
    v: 12345
  country:
    v: US
gender:
  v: male
qualification:
  code:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0360
      version:
        v: 2.7
      code:
        v: MD

us-core-practitioner-peter-pathologist
type: Practitioner
id:
  v: us-core-practitioner-peter-pathologist
meta:
  profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
    link: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner
text:
  status:
    v: generated
  div: Generated Narrative: Practitioner us-core-practitioner-peter-pathologist identifier: NPI/1122334455 name: Peter Pathologist address: 123 Corporate Drive Anytown MA 12345 US (work) gender: Female Qualifications - Code * Doctor of Medicine
identifier:
  system:
    v: http://hl7.org/fhir/sid/us-npi
  value:
    v: 1122334455
name:
  family:
    v: Pathologist
  given:
    v: Peter
  prefix:
    v: Dr.
address:
  use:
    v: work
  line:
    v: 123 Corporate Drive
  city:
    v: Anytown
  state:
    v: MA
  postal code:
    v: 12345
  country:
    v: US
gender:
  v: female
qualification:
  code:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0360
      version:
        v: 2.7
      code:
        v: MD

v: 2018-04-01

v: 2018-04-01

v: 2018-04-12

v: 2018-09-30

v: 1156506007

v: External beam radiation therapy using photons (procedure)

v: 1156530009

v: Volumetric Modulated Arc Therapy (procedure)

v: 45643008

v: Teleradiotherapy using electrons

v: 1162782007

v: Three dimensional external beam radiation therapy (procedure)