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
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 Detail 123 Main St Anytown 12345 United States Language: English Contact:
- ph: 555-867-5309(Home)
- example@example.com
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 US Core Race Extension:
- ombCategory: CDC Race and Ethnicity 2106-3: White
- text: White
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
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)
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)
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
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
- 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, ))
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
Collector BodySite 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
Code Value[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)
Components
Code Value[x] Size.maximum dimension in Tumor 2.5 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
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
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
Telecom Address 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
Code Onset[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
Code ContributedToDeath 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)
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
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)
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
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
Components
Code Value[x] Lymph nodes examined [#] in Cancer specimen by Light microscopy 3 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)
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