minimal Common Oncology Data Elements (mCODE) Implementation Guide
4.0.0-ballot - STU4 Ballot United States of America flag

minimal Common Oncology Data Elements (mCODE) Implementation Guide, published by HL7 International / Clinical Interoperability Council. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-mCODE-ig/ and changes regularly. See the Directory of published versions

Example Bundle: mcode-patient-bundle-jenny-m

Generated Narrative: Bundle mcode-patient-bundle-jenny-m

Bundle mcode-patient-bundle-jenny-m of type collection


Entry 1 - fullUrl = http://example.org/fhir/Patient/cancer-patient-jenny-m

Resource Patient:

Generated Narrative: Patient cancer-patient-jenny-m

Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))


Contact Detail123 Main St Anytown 12345 United States
Language:English
Contact:
US Core Ethnicity Extension:
US Core Birth Sex ExtensionF
US Core Race Extension:

Entry 2 - fullUrl = http://example.org/fhir/Condition/primary-cancer-condition-jenny-m

Resource Condition:

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

Stages

-SummaryAssessmentType
*American Joint Committee on Cancer stage IIIC (qualifier value)Observation Clinical TNM stage groupingAmerican Joint Commission on Cancer, Cancer Staging Manual, 8th edition neoplasm staging system (tumor staging)

Entry 3 - fullUrl = http://example.org/fhir/MedicationRequest/cancer-related-medication-request-cyclophosphamide-jenny-m

Resource MedicationRequest:

Generated Narrative: MedicationRequest cancer-related-medication-request-cyclophosphamide-jenny-m

Procedure Intent Extension: Curative - procedure intent (qualifier value)

status: Active

intent: Order

category: Outpatient

subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))

authoredOn: 2018-04-12

requester: Practitioner Owen Oncologist

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')


Entry 4 - fullUrl = http://example.org/fhir/MedicationRequest/cancer-related-medication-request-doxorubicin-jenny-m

Resource MedicationRequest:

Generated Narrative: MedicationRequest cancer-related-medication-request-doxorubicin-jenny-m

Procedure Intent Extension: Curative - procedure intent (qualifier value)

status: Active

intent: Order

category: Outpatient

subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))

authoredOn: 2018-04-12

requester: Practitioner Owen Oncologist

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')


Entry 5 - fullUrl = http://example.org/fhir/MedicationRequest/cancer-related-medication-request-paclitaxel-jenny-m

Resource MedicationRequest:

Generated Narrative: MedicationRequest cancer-related-medication-request-paclitaxel-jenny-m

Procedure Intent Extension: Curative - procedure intent (qualifier value)

status: Active

intent: Order

category: Outpatient

subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))

authoredOn: 2018-04-12

requester: Practitioner Owen Oncologist

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')


Entry 6 - fullUrl = http://example.org/fhir/MedicationRequest/cancer-related-medication-request-anastrozole-jenny-m

Resource MedicationRequest:

Generated Narrative: MedicationRequest cancer-related-medication-request-anastrozole-jenny-m

Procedure Intent Extension: Curative - procedure intent (qualifier value)

status: Active

intent: Order

category: Community

subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))

authoredOn: 2018-09-30

requester: Practitioner Owen Oncologist

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')


Entry 7 - fullUrl = http://example.org/fhir/Observation/cancer-disease-status-jenny-m

Resource Observation:

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)


Entry 8 - fullUrl = http://example.org/fhir/Observation/genomic-variant-jenny-m

Resource Observation:

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: NC_000016.10:g.23603471G>T

component

code: Genomic source class [Type]

value: Somatic


Entry 9 - fullUrl = http://example.org/fhir/DiagnosticReport/genomics-report-jenny-m

Resource DiagnosticReport:

Generated Narrative: DiagnosticReport genomics-report-jenny-m

Genetic analysis report (Genetics)

SubjectJenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))
When For2018-03-15
Reported2020-03-15 00:00:01+0000
Performer Practitioner Owen Oncologist

Report Details

CodeValueFlagsReported
Genetic variant assessmentPresentFinal
DNA region of interest panelFinal2018-03-15 00:00:01+0000

Entry 10 - fullUrl = http://example.org/fhir/Procedure/cancer-related-surgical-procedure-jenny-m

Resource Procedure:

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, ))

bodySite: Left breast structure (body structure)


Entry 11 - fullUrl = http://example.org/fhir/Observation/cancer-related-comorbidities-jenny-m

Resource Observation:

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


Entry 12 - fullUrl = http://example.org/fhir/Procedure/radiotherapy-treatment-summary-chest-wall-jenny-m

Resource Procedure:

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

Radiotherapy Dose Delivered To Volume Extension

status: Completed

code: Radiotherapy course of treatment

subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))

bodySite: Chest Wall Structure (body structure)


Entry 13 - fullUrl = http://example.org/fhir/Observation/tnm-clinical-stage-group-jenny-m

Resource Observation:

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:


Entry 14 - fullUrl = http://example.org/fhir/Observation/tnm-clinical-primary-tumor-category-jenny-m

Resource Observation:

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)


Entry 15 - fullUrl = http://example.org/fhir/Observation/tnm-clinical-regional-nodes-category-jenny-m

Resource Observation:

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)


Entry 16 - fullUrl = http://example.org/fhir/Observation/tnm-clinical-distant-metastases-category-jenny-m

Resource Observation:

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)


Entry 17 - fullUrl = http://example.org/fhir/Specimen/human-specimen-left-breast-jenny-m

Resource Specimen:

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

-CollectorBodySite
*Practitioner Owen Oncologist No display for Specimen.collection.bodySite (concept: Left breast structure (body structure))

Processings

-Time[x]
*2018-03-06

Entry 18 - fullUrl = http://example.org/fhir/Observation/genomic-region-studied-jenny-m

Resource Observation:

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

-CodeValue[x]
*Gene studied [ID]BRCA1

Entry 19 - fullUrl = http://example.org/fhir/Observation/ecog-performance-status-jenny-m

Resource Observation:

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)


Entry 20 - fullUrl = http://example.org/fhir/Observation/tumor-marker-test-er-jenny-m

Resource Observation:

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


Entry 21 - fullUrl = http://example.org/fhir/Observation/tumor-marker-test-pr-jenny-m

Resource Observation:

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


Entry 22 - fullUrl = http://example.org/fhir/Observation/tumor-marker-test-her2-jenny-m

Resource Observation:

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


Entry 23 - fullUrl = http://example.org/fhir/Observation/tumor-marker-test-oncotype-dx-jenny-m

Resource Observation:

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


Entry 24 - fullUrl = http://example.org/fhir/Observation/tumor-size-jenny-m

Resource Observation:

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

-CodeValue[x]
*Size.maximum dimension in Tumor2.5 centimeters (Details: UCUM codecm = 'cm')

Entry 25 - fullUrl = http://example.org/fhir/Procedure/us-core-procedure-biopsy-jenny-m

Resource Procedure:

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, ))

Performers

-Actor
*Practitioner Mary Obgyn

bodySite: Left breast structure (body structure)


Entry 26 - fullUrl = http://example.org/fhir/Observation/bodyweight-jenny-m-2018-03-16

Resource Observation:

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]')


Entry 27 - fullUrl = http://example.org/fhir/Observation/us-core-observation-lab-neutrophils-jenny-m

Resource Observation:

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

-LowHighType
*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

Entry 28 - fullUrl = http://example.org/fhir/Organization/us-core-organization-physician-services-inc

Resource Organization:

Generated Narrative: Organization us-core-organization-physician-services-inc

active: true

type: Healthcare Provider

name: Physician Services, Inc.

Contacts

-TelecomAddress
*ph: 999-999-9999(Work)123 Corporate Drive Anytown MA 12345 US

Entry 29 - fullUrl = http://example.org/fhir/Observation/us-core-smokingstatus-jenny-m

Resource Observation:

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)


Entry 30 - fullUrl = http://example.org/fhir/Procedure/us-core-procedure-mammogram-jenny-m

Resource Procedure:

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, ))

Performers

-Actor
*Practitioner Jane Radiologist

Entry 31 - fullUrl = http://example.org/fhir/FamilyMemberHistory/family-member-history-aunt-jenny-m

Resource FamilyMemberHistory:

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

-CodeOnset[x]
*Malignant tumor of ovary (disorder)69 a (Details: UCUM codea = 'a')

Entry 32 - fullUrl = http://example.org/fhir/FamilyMemberHistory/family-member-history-uncle-jenny-m

Resource FamilyMemberHistory:

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

-CodeContributedToDeath
*Malignant tumor of pancreas (disorder)true

Entry 33 - fullUrl = http://example.org/fhir/DiagnosticReport/us-core-diagnosticreport-lab-jenny-m

Resource DiagnosticReport:

Generated Narrative: DiagnosticReport us-core-diagnosticreport-lab-jenny-m

Pathology report final diagnosis Narrative (Laboratory)

SubjectJenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))
When For2018-04-01 00:00:00+0000
Reported2018-04-05 00:00:00+0000
Performer Practitioner Owen Oncologist

Report Details

CodeValueFlagsWhen For
Status of invasion by tumorNegative (qualifier value)Final
Margin involvement in Breast tumorUninvolved by invasive carcinomaFinal
Sentinel lymph nodes with metastasis [#] in Cancer specimenFinal
Size TumorFinal
DCIS intraductal extension in Breast cancer specimen Qualitative by Light microscopyDCIS present with extensive intraductal component (EIC)Final
HER2 [Interpretation] in TissueNegativeFinal2018-03-10
Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stainPositiveFinal2018-03-10
Progesterone receptor Ag [Presence] in Breast cancer specimen by Immune stainNegativeFinal2018-03-10
Histologic grade [Score] in Breast cancer specimen by NottinghamNottingham grade 2Final

Entry 34 - fullUrl = http://example.org/fhir/Observation/observation-smoking-pack-years-jenny-m

Resource Observation:

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')


Entry 35 - fullUrl = http://example.org/fhir/Observation/us-core-observation-lab-tumor-invasion-jenny-m

Resource Observation:

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


Entry 36 - fullUrl = http://example.org/fhir/Observation/us-core-observation-lab-tumor-margins-jenny-m

Resource Observation:

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


Entry 37 - fullUrl = http://example.org/fhir/Observation/us-core-observation-lab-sentinel-nodes-jenny-m

Resource Observation:

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

-CodeValue[x]
*Lymph nodes examined [#] in Cancer specimen by Light microscopy3 Count (Details: UCUM code1 = '1')

Entry 38 - fullUrl = http://example.org/fhir/Observation/us-core-observation-lab-tumor-dcis-jenny-m

Resource Observation:

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


Entry 39 - fullUrl = http://example.org/fhir/Practitioner/us-core-practitioner-owen-oncologist

Resource Practitioner:

Generated Narrative: Practitioner us-core-practitioner-owen-oncologist

identifier: NPI/9988776651

name: Owen Oncologist

gender: Male

address: 123 Corporate Drive Anytown MA 12345 US (work)

Qualifications

-Code
*Doctor of Medicine

Entry 40 - fullUrl = http://example.org/fhir/Practitioner/us-core-practitioner-peter-pathologist

Resource Practitioner:

Generated Narrative: Practitioner us-core-practitioner-peter-pathologist

identifier: NPI/1122334455

name: Peter Pathologist

gender: Female

address: 123 Corporate Drive Anytown MA 12345 US (work)

Qualifications

-Code
*Doctor of Medicine